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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Are the HIV tests done by me right?
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Hi doctor, I am a 32 year old male. My weight is 95 kg and height is 174 cm. I had protected vaginal and oral sex with CSW. Then, I did the following HIV Screening tests and all of that came back negative. ELISA on 26th day - non reactive, ELISA on 40th day - non reactive, HIV 1 and 2 antibodies on 60th day - non reactive, RPR and VDRL serum through slide flocculation method on 60th day - non reactive, anti HCV - non reactive and HBsAg - non reactive. After 65 days, Chlamydia trachomatis and Neisseria gonorrhea tests were negative. HIV 1 and 2 combo test (CMIA) on 90th day was non reactive. I also had blood test, liver function test, urine analysis and urine culture on 100 day after consultation with my GP for certain symptoms. I have attached the reports for your reference. As there were a few high LFT values, I had a liver scan. It showed grade 1 fatty liver. My kidneys are normal. My urine report showed presence of pus cells, but the urine culture report was normal. My symptoms are slightly yellow urine, sometimes pain while urinating, frequent urination, white saliva, sometimes feeling of fatigue, anal burning after defecation and muscular pain under armpits. My GP said it is muscular, but I am very concerned here. From yesterday, I can see slight swelling under the knee joint. There is no fever so far, but I feel exhausted sometimes and under extreme stress. Based on the above tests, can you please help me. Are all the above tests correct? What is the conclusion on my various STD statuses in terms of the days when I conducted tests? Is HIV combo test confirmatory at 90 days? Are anti HCV and HBsAg done at 60 days confirmatory? Do I need any more tests? My GP has given me tablets for urine related issues. I have not told him about the above encounter. I am on Doxcef, Pyridium and Rabesec. Please help me as I am under extreme stress and getting all weird and extreme thoughts.
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Hi. I have read your query in detail and viewed all the reports (attachment removed to protect patient identity) and do understand your concern. As you indulged in protective sex, your risk of acquiring any STD (sexually transmitted disease) or HIV (human immunodeficiency virus) from someone is already very meager. All your tests are correct and there is no need to get them repeated. For gonorrhea and chlamydia again PCR has been done, which is extremely reliable and can pick up even a few organisms if present in the body. Fourth generation HIV ELISA test has been done, which is very accurate and can pick up infection at very early stage. There is no need to repeat it. Anti-HCV (hepatitis C virus antibody) and HBsAg (hepatitis B surface antigen) done at 60 days is not confirmatory. If your physician suspects any symptoms, then you may get them repeated after three to six months. Viral load test for HCV and HBV are very accurate if done now and confirmatory, but are quite expensive. No other test required. Your symptoms of slightly yellow urine, sometimes pain while urinating, frequent urination are due to urinary infection. For urinary infection, your doctor has put you on suitable antibiotics and these should be taken religiously. Other concerns like burning after defecation, muscular pains, etc., all are non specific symptoms. It can also be seen without any underlying cause. Some symptoms are psychological, which happens very commonly when you are living under the fear of acquiring HIV. For further information consult a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor, I am a 32 year old male. My weight is 95 kg and height is 174 cm. I had protected vaginal and oral sex with CSW. Then, I did the following HIV Screening tests and all of that came back negative. ELISA on 26th day - non reactive, ELISA on 40th day - non reactive, HIV 1 and 2 antibodies on 60th day - non reactive, RPR and VDRL serum through slide flocculation method on 60th day - non reactive, anti HCV - non reactive and HBsAg - non reactive. After 65 days, Chlamydia trachomatis and Neisseria gonorrhea tests were negative. HIV 1 and 2 combo test (CMIA) on 90th day was non reactive. I also had blood test, liver function test, urine analysis and urine culture on 100 day after consultation with my GP for certain symptoms. I have attached the reports for your reference. As there were a few high LFT values, I had a liver scan. It showed grade 1 fatty liver. My kidneys are normal. My urine report showed presence of pus cells, but the urine culture report was normal. My symptoms are slightly yellow urine, sometimes pain while urinating, frequent urination, white saliva, sometimes feeling of fatigue, anal burning after defecation and muscular pain under armpits. My GP said it is muscular, but I am very concerned here. From yesterday, I can see slight swelling under the knee joint. There is no fever so far, but I feel exhausted sometimes and under extreme stress. Based on the above tests, can you please help me. Are all the above tests correct? What is the conclusion on my various STD statuses in terms of the days when I conducted tests? Is HIV combo test confirmatory at 90 days? Are anti HCV and HBsAg done at 60 days confirmatory? Do I need any more tests? My GP has given me tablets for urine related issues. I have not told him about the above encounter. I am on Doxcef, Pyridium and Rabesec. Please help me as I am under extreme stress and getting all weird and extreme thoughts. [/INST] Hi. I have read your query in detail and viewed all the reports (attachment removed to protect patient identity) and do understand your concern. As you indulged in protective sex, your risk of acquiring any STD (sexually transmitted disease) or HIV (human immunodeficiency virus) from someone is already very meager. All your tests are correct and there is no need to get them repeated. For gonorrhea and chlamydia again PCR has been done, which is extremely reliable and can pick up even a few organisms if present in the body. Fourth generation HIV ELISA test has been done, which is very accurate and can pick up infection at very early stage. There is no need to repeat it. Anti-HCV (hepatitis C virus antibody) and HBsAg (hepatitis B surface antigen) done at 60 days is not confirmatory. If your physician suspects any symptoms, then you may get them repeated after three to six months. Viral load test for HCV and HBV are very accurate if done now and confirmatory, but are quite expensive. No other test required. Your symptoms of slightly yellow urine, sometimes pain while urinating, frequent urination are due to urinary infection. For urinary infection, your doctor has put you on suitable antibiotics and these should be taken religiously. Other concerns like burning after defecation, muscular pains, etc., all are non specific symptoms. It can also be seen without any underlying cause. Some symptoms are psychological, which happens very commonly when you are living under the fear of acquiring HIV. For further information consult a HIV AIDS specialist online -->
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Q. Though I had HPV vaccine, I am getting warts. Why?
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Hello doctor, I have a viral wart on my forehead. Is it caused by HPV? In my teenage, I had warts on my thumb. Even, my doctor gave me vaccine for HPV. Is that worth or useless?
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Hi. Your clinical image (attachment removed to protect patient identity) is confirmative for a verruca plana, which is a plane viral wart. All warts are caused by human papilloma virus (HPV); however the strains causing it are different. On the face, it is usually due to HPV 3 and 10. The vaccines available for HPV are mainly to cover for genital warts caused by HPV 16, 18, 31 and 33. These vaccines do not protect you against the normal skin warts as they are caused by totally different strains of HPV. Taking a vaccine can only protect you against the four strains causing warts on your genitalia. I would advise to go for electrosurgical removal of your wart as it is safe and effective. For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have a viral wart on my forehead. Is it caused by HPV? In my teenage, I had warts on my thumb. Even, my doctor gave me vaccine for HPV. Is that worth or useless? [/INST] Hi. Your clinical image (attachment removed to protect patient identity) is confirmative for a verruca plana, which is a plane viral wart. All warts are caused by human papilloma virus (HPV); however the strains causing it are different. On the face, it is usually due to HPV 3 and 10. The vaccines available for HPV are mainly to cover for genital warts caused by HPV 16, 18, 31 and 33. These vaccines do not protect you against the normal skin warts as they are caused by totally different strains of HPV. Taking a vaccine can only protect you against the four strains causing warts on your genitalia. I would advise to go for electrosurgical removal of your wart as it is safe and effective. For further information consult a dermatologist online -->
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Q. My son is 3 years old. He is not speaking like other children of the same age. What do I do?
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Hello doctor, My son is 3 years old. He is not speaking like other children of the same age. He is speaking very few words. What do I do?
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Hi. He has probably not interacted verbally enough with family members and other children of his age. Presuming his hearing capacity is normal, the above mentioned might be the reason. Please interact with him more often in the form of talking to him and storytelling where verbal communication is significant. Involve him in playful activities and talk to him at every opportunity. He should be encouraged to play with other children his age. Decrease his screen time (television/video games/mobile phones). With your patience and interactions, things will brighten up.
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<s>[INST]
Hello doctor, My son is 3 years old. He is not speaking like other children of the same age. He is speaking very few words. What do I do? [/INST] Hi. He has probably not interacted verbally enough with family members and other children of his age. Presuming his hearing capacity is normal, the above mentioned might be the reason. Please interact with him more often in the form of talking to him and storytelling where verbal communication is significant. Involve him in playful activities and talk to him at every opportunity. He should be encouraged to play with other children his age. Decrease his screen time (television/video games/mobile phones). With your patience and interactions, things will brighten up.
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Q. Is there ayurvedic medicine for sensorineural hearing loss?
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Hello doctor, I am a 62 year old male. Today I was checked and diagnosed with moderate sloping sensorineural hearing loss in both ears. Is there any ayurvedic medicine for me?
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Hello. Yes, ayurvedic treatment is available for sensorineural hearing loss. But, the results may vary from person to person. Hearing aids are commonly prescribed by ENT specialists. Along with that, you can take this treatment. Capsule Ksheerabala two capsules two times a day with water after food for one month. Also, consult a nearby panchakarma center and ask for the procedure named Karan Purana. It is also helpful for you. Follow up after one month regarding improvements. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 62 year old male. Today I was checked and diagnosed with moderate sloping sensorineural hearing loss in both ears. Is there any ayurvedic medicine for me? [/INST] Hello. Yes, ayurvedic treatment is available for sensorineural hearing loss. But, the results may vary from person to person. Hearing aids are commonly prescribed by ENT specialists. Along with that, you can take this treatment. Capsule Ksheerabala two capsules two times a day with water after food for one month. Also, consult a nearby panchakarma center and ask for the procedure named Karan Purana. It is also helpful for you. Follow up after one month regarding improvements. For more information consult an ayurveda specialist online -->
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Q. What is GeneXpert test?
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Hi doctor, Is there any MDR-TB test for formalin based tissue? I had biopsy, but they dipped it in formalin. Now I asked for another biopsy for GeneXpert test. What to do?
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Hi. For further information consult a pathologist online -->
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<s>[INST]
Hi doctor, Is there any MDR-TB test for formalin based tissue? I had biopsy, but they dipped it in formalin. Now I asked for another biopsy for GeneXpert test. What to do? [/INST] Hi. For further information consult a pathologist online -->
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Q. I am getting moving chest and back pain with sore throat and abdominal pain. Why?
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Hello doctor, I am a 33-year-old male. I feel pain in my chest as well as back (not on a fixed place, it was moving pain), sore and bad before 25 days. After a few days, I had a cough during the night. Then I consulted a doctor and he prescribed me the following medicines. Augmentin 625 twice daily, Montair LC once daily, Tayo 60 K once a week, Vitamin C twice a day. After eight days I was normal. But it started again after two days. Then he recommended the same for the next seven days. After five days, again I was normal. But after two days I feel pain in my abdomen (center only). Then I stop taking the medicine and after two days I was normal. Since last night, I am feeling again moving pain in the chest and back. And sore throat and pain in the abdomen. Today I tried for an x-ray but no one was ready without prescription. But I have a report for LFT. Please help.
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Hello. I can understand your concern. According to your statement, you have been suffering from chest and back pain which is moving in nature and not fixed with a sore throat and abdominal pain since last night. You had a cough at night and on medications now for that. You had a similar episode three months before too. According to your description, you are suffering from acid reflux and asthma. Acid reflux occurs when acid travels up the food pipe to the mouth. This can happen when the muscle at the bottom of the food pipe which acts as a gateway to the stomach becomes weak or loose. Heartburn is a burning sensation in the chest or abdomen and it has nothing do with the heart. People feel heartburn behind the breast bone after eating. In some cases, pain can be felt in the back as well. So symptoms of heartburn caused by acid reflux include a burning sensation in the chest, a sour taste in the mouth and pain in the middle of the back. You can take syrup Gaviscon, Domperidone (thrice daily before each meal) with Lansoprazole (once daily before meal) and you should always remember that your acid reflux may worsen the asthma condition.
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<s>[INST]
Hello doctor, I am a 33-year-old male. I feel pain in my chest as well as back (not on a fixed place, it was moving pain), sore and bad before 25 days. After a few days, I had a cough during the night. Then I consulted a doctor and he prescribed me the following medicines. Augmentin 625 twice daily, Montair LC once daily, Tayo 60 K once a week, Vitamin C twice a day. After eight days I was normal. But it started again after two days. Then he recommended the same for the next seven days. After five days, again I was normal. But after two days I feel pain in my abdomen (center only). Then I stop taking the medicine and after two days I was normal. Since last night, I am feeling again moving pain in the chest and back. And sore throat and pain in the abdomen. Today I tried for an x-ray but no one was ready without prescription. But I have a report for LFT. Please help. [/INST] Hello. I can understand your concern. According to your statement, you have been suffering from chest and back pain which is moving in nature and not fixed with a sore throat and abdominal pain since last night. You had a cough at night and on medications now for that. You had a similar episode three months before too. According to your description, you are suffering from acid reflux and asthma. Acid reflux occurs when acid travels up the food pipe to the mouth. This can happen when the muscle at the bottom of the food pipe which acts as a gateway to the stomach becomes weak or loose. Heartburn is a burning sensation in the chest or abdomen and it has nothing do with the heart. People feel heartburn behind the breast bone after eating. In some cases, pain can be felt in the back as well. So symptoms of heartburn caused by acid reflux include a burning sensation in the chest, a sour taste in the mouth and pain in the middle of the back. You can take syrup Gaviscon, Domperidone (thrice daily before each meal) with Lansoprazole (once daily before meal) and you should always remember that your acid reflux may worsen the asthma condition.
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Q. Is my bleeding due to periods or implantation?
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Hello doctor,I had my period 15 days after my previous one. Normally, my periods are irregular, they are 10 to 15 days late or sometimes early, but not 15 days after the old one. Is it normal? I did not have sex but was close with my fiance just two days after my previous periods. His penis was on my vaginal part but was not inserted and neither did he ejaculate there, and then I had my periods 15 days after the previous one. I read that implantation bleeding also occurs like the period and is hard to distinguish. My period lasted for 5 to 6 days, and the bleeding was normal. What can be this? Was it a normal period?
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Hi. As you have described your history that irregular periods are already there. You are a teenager as well could have some irregularities in cycles as the phase of development but continuous irregular cycles need to be investigated actually. Strict diet, strenuous exercise, hormonal imbalance, illness, medications, contraceptives all can delay periods actually. For pregnancy, a single sperm can help to conceive otherwise in case of hormonal imbalance women used to take medications, extra health precautions for years to conceive. So it is luck as well. For safe side, you can have serum beta hCG (blood pregnancy test) to check your pregnancy status. If it comes negative, then you can have combined oral contraceptive pills cyclically for three months to aid your menstrual imbalance. In case of a negative test of serum beta hCG, you can have a transvaginal scan and on day two periods can have blood tests (serum progesterone, testosterone, insulin, thyroid function test, prolactin), collect all results and can discuss here or with your local gynecologist as per your convenience. Blood pregnancy test will completely guide you correctly. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I had my period 15 days after my previous one. Normally, my periods are irregular, they are 10 to 15 days late or sometimes early, but not 15 days after the old one. Is it normal? I did not have sex but was close with my fiance just two days after my previous periods. His penis was on my vaginal part but was not inserted and neither did he ejaculate there, and then I had my periods 15 days after the previous one. I read that implantation bleeding also occurs like the period and is hard to distinguish. My period lasted for 5 to 6 days, and the bleeding was normal. What can be this? Was it a normal period? [/INST] Hi. As you have described your history that irregular periods are already there. You are a teenager as well could have some irregularities in cycles as the phase of development but continuous irregular cycles need to be investigated actually. Strict diet, strenuous exercise, hormonal imbalance, illness, medications, contraceptives all can delay periods actually. For pregnancy, a single sperm can help to conceive otherwise in case of hormonal imbalance women used to take medications, extra health precautions for years to conceive. So it is luck as well. For safe side, you can have serum beta hCG (blood pregnancy test) to check your pregnancy status. If it comes negative, then you can have combined oral contraceptive pills cyclically for three months to aid your menstrual imbalance. In case of a negative test of serum beta hCG, you can have a transvaginal scan and on day two periods can have blood tests (serum progesterone, testosterone, insulin, thyroid function test, prolactin), collect all results and can discuss here or with your local gynecologist as per your convenience. Blood pregnancy test will completely guide you correctly. For more information consult an obstetrician and gynaecologist online -->
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Q. What is the use of Cartigen-Duo and Miol OD tablets?
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Hi doctor, I was suggested to use Cartigen-Duo and Miol OD tablets to cure knee pain, which is due to some cartilage damage. How these medicines helpful for this purpose? What is the exact use of Cartigen-Duo and Miol OD tablets? Are there any side effects of the above two medicines? Is there any better alternative to both the medicines in this case? Please explain.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I was suggested to use Cartigen-Duo and Miol OD tablets to cure knee pain, which is due to some cartilage damage. How these medicines helpful for this purpose? What is the exact use of Cartigen-Duo and Miol OD tablets? Are there any side effects of the above two medicines? Is there any better alternative to both the medicines in this case? Please explain. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. I am HLA-B27 positive with vitamin D deficiency and back pain. Will it affect my marriage life?
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Hi doctor, I am a 29 year old female. I got married recently. I am HLA-B27 positive patient with vitamin D deficiency (less than 8%). These days, I am suffering from severe back and shoulder pain. Sometimes, there is a hip joint pain, and I am not able to sleep at night. Rarely, the pain remains throughout the day. What can I do to overcome this pain except for painkillers? I just searched a few articles on the internet and found that my backbone will slowly start bending and will look like a slouchy person. I am worried. Will it also affect my marriage life? Do I need to stop maintain physical relation with my husband? Please help me.
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Hi. 1. ESR (erythrocyte sedimentation rate). 2. CRP (C-reactive protein). 3. MRI of the sacroiliac joints. 1. Tablet Nucoxia (Etoricoxib) 90 mg once at night for 14 days. 2. Exercises. Revert with the reports to a rheumatologist online.--->
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<s>[INST]
Hi doctor, I am a 29 year old female. I got married recently. I am HLA-B27 positive patient with vitamin D deficiency (less than 8%). These days, I am suffering from severe back and shoulder pain. Sometimes, there is a hip joint pain, and I am not able to sleep at night. Rarely, the pain remains throughout the day. What can I do to overcome this pain except for painkillers? I just searched a few articles on the internet and found that my backbone will slowly start bending and will look like a slouchy person. I am worried. Will it also affect my marriage life? Do I need to stop maintain physical relation with my husband? Please help me. [/INST] Hi. 1. ESR (erythrocyte sedimentation rate). 2. CRP (C-reactive protein). 3. MRI of the sacroiliac joints. 1. Tablet Nucoxia (Etoricoxib) 90 mg once at night for 14 days. 2. Exercises. Revert with the reports to a rheumatologist online.--->
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Q. Can you suggest some home remedies for face tan?
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Hello doctor, I have been experiencing a very bad tan on my sun affecting regions over my body. I have been experiencing this since I got my chickenpox before six years. My skin has started to get darker every day since then. I have consulted a dermatologist and he suggested me to apply ointments like Lanalite and Golite, but nothing has given me any effective results. I think the lotion and ointments did not seem to work. In fact, the tan has only gotten darker. Please suggest me the necessary steps to be taken. My nose has lesser tan compared to other regions of my face. I am taking vitamin B12 along with Golite and Lanalite creams.
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Hi. I have read your query in detail and do understand your concern. For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have been experiencing a very bad tan on my sun affecting regions over my body. I have been experiencing this since I got my chickenpox before six years. My skin has started to get darker every day since then. I have consulted a dermatologist and he suggested me to apply ointments like Lanalite and Golite, but nothing has given me any effective results. I think the lotion and ointments did not seem to work. In fact, the tan has only gotten darker. Please suggest me the necessary steps to be taken. My nose has lesser tan compared to other regions of my face. I am taking vitamin B12 along with Golite and Lanalite creams. [/INST] Hi. I have read your query in detail and do understand your concern. For further information consult a dermatologist online -->
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Q. Would having milk or water before swab test alter the DNA?
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Hi doctor, After my unprotected sex, I had spotting just for a single day. Now I assume it was when implantation took place as I missed my periods and confirmed pregnancy two weeks later. My question is when does implantation happened exactly? Secondly while we were waiting for swab test my child had a formula bottle and the alleged father had a glass of water a few minutes before swabbing was done. Would this alter the DNA? Or could the swabs have been contaminated?
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Hello. For further information consult an general practitioner -->
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<s>[INST]
Hi doctor, After my unprotected sex, I had spotting just for a single day. Now I assume it was when implantation took place as I missed my periods and confirmed pregnancy two weeks later. My question is when does implantation happened exactly? Secondly while we were waiting for swab test my child had a formula bottle and the alleged father had a glass of water a few minutes before swabbing was done. Would this alter the DNA? Or could the swabs have been contaminated? [/INST] Hello. For further information consult an general practitioner -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have small wound in anus with rashes over my body. Could this be syphilis?
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Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I believe this is syphilis. I have taken Loratadine for seven days, as prescribed by a doctor here. However, nothing happened. I cannot have it checked due to the quarantine in my area. Does my condition need immediate medical care? Or can I take medicine to treat this while waiting for the ECQ to be lifted? I did not have a fever or flu when this started. I would also like to add that I have been having dandruff on my beard and mustache, and an itchy scalp. There are also dry patches on the area near my chin and they are flakey. They do not flake sometimes, though. I have been applying moisturizer on my face since they started to appear. Another thing, the folded skin on my underarm and area behind my knee can sometimes have a burning sensation. I did not know what is happening. I hope you can help me with this.
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Hello. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscuity? What do you do? Any other diseases? Is this the first time this has happened? Besides Loratadine have you tried taking any other medications? Any allergies? Based on the given health data, it is likely you may have secondary syphilis. Can you send photos of the rashes on your trunk or arms? Where did it start and how did it spread? Any throat pain or gun lesions? If you're having difficulty of breathing, fever, changes in sensorium, numbness or weakness please proceed to the ER. Otherwise, we could start treatment for now but will require laboratory results to confirm the diagnosis. Please do VDRL or RPR (whichever is available) and FTA-ABS or TPPA (whichever is available). I suggest to start Doxycycline 100 mg twice daily for 14 days (Please do lab works before starting your medication. The results may turn out negative if you have taken your dose and if it is negative we will have to stop the treatment). Regarding dandruff, I suggest to shave your beard. Use anti-dandruff shampoos. May continue the application of moisturizer on the affected area. Regarding the burning sensation, it maybe related to syphilis. Are there any rashes present? Is it often damp? Is the area reddish? Continue to take baths and maintain good proper hygiene. Please send your CBC (complete blood count) results. VDRL (venereal disease research laboratory) or RPR (rapid plasma reagin) and FTA-ABS (fluorescent treponemal antibody absorption) or TPPA (treponema palladium particle agglutination assay). Abstain from sex for now. Proper hygiene.
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<s>[INST]
Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I believe this is syphilis. I have taken Loratadine for seven days, as prescribed by a doctor here. However, nothing happened. I cannot have it checked due to the quarantine in my area. Does my condition need immediate medical care? Or can I take medicine to treat this while waiting for the ECQ to be lifted? I did not have a fever or flu when this started. I would also like to add that I have been having dandruff on my beard and mustache, and an itchy scalp. There are also dry patches on the area near my chin and they are flakey. They do not flake sometimes, though. I have been applying moisturizer on my face since they started to appear. Another thing, the folded skin on my underarm and area behind my knee can sometimes have a burning sensation. I did not know what is happening. I hope you can help me with this. [/INST] Hello. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscuity? What do you do? Any other diseases? Is this the first time this has happened? Besides Loratadine have you tried taking any other medications? Any allergies? Based on the given health data, it is likely you may have secondary syphilis. Can you send photos of the rashes on your trunk or arms? Where did it start and how did it spread? Any throat pain or gun lesions? If you're having difficulty of breathing, fever, changes in sensorium, numbness or weakness please proceed to the ER. Otherwise, we could start treatment for now but will require laboratory results to confirm the diagnosis. Please do VDRL or RPR (whichever is available) and FTA-ABS or TPPA (whichever is available). I suggest to start Doxycycline 100 mg twice daily for 14 days (Please do lab works before starting your medication. The results may turn out negative if you have taken your dose and if it is negative we will have to stop the treatment). Regarding dandruff, I suggest to shave your beard. Use anti-dandruff shampoos. May continue the application of moisturizer on the affected area. Regarding the burning sensation, it maybe related to syphilis. Are there any rashes present? Is it often damp? Is the area reddish? Continue to take baths and maintain good proper hygiene. Please send your CBC (complete blood count) results. VDRL (venereal disease research laboratory) or RPR (rapid plasma reagin) and FTA-ABS (fluorescent treponemal antibody absorption) or TPPA (treponema palladium particle agglutination assay). Abstain from sex for now. Proper hygiene.
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Q. My prostate is boggy, and my semen culture showed E. coli bacteria. What to do?
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Hello doctor, I am a 27 years old, and I have been suffering from pain during ejaculation. After ejaculation, I feel severe burning during urination at the tip of the penis, from the past six years. From the past year, at the time of ejaculation, the semen does not come out with force, and it remains in the urethra. When I urinate after intercourse, then semen comes out with urine. I started having erectile dysfunction also. The semen culture analysis showed E.coli bacteria. Since then I consulted many urologists and tried all possible antibiotics, but I only had temporary relief. Every time there was an E.coli infection, all the symptoms come back. After a physical examination, my urologist told me that I have grade 1 prostate boggy because my prostate was hurting when he was palpating. I have lost all hope, and I am depressed. I want to know about intraprostatic injection because it is the only thing that can cure me. The ultrasound and uroflowmetry are normal. Please help.
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Hello. Revert with more information to a urologist online -->
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<s>[INST]
Hello doctor, I am a 27 years old, and I have been suffering from pain during ejaculation. After ejaculation, I feel severe burning during urination at the tip of the penis, from the past six years. From the past year, at the time of ejaculation, the semen does not come out with force, and it remains in the urethra. When I urinate after intercourse, then semen comes out with urine. I started having erectile dysfunction also. The semen culture analysis showed E.coli bacteria. Since then I consulted many urologists and tried all possible antibiotics, but I only had temporary relief. Every time there was an E.coli infection, all the symptoms come back. After a physical examination, my urologist told me that I have grade 1 prostate boggy because my prostate was hurting when he was palpating. I have lost all hope, and I am depressed. I want to know about intraprostatic injection because it is the only thing that can cure me. The ultrasound and uroflowmetry are normal. Please help. [/INST] Hello. Revert with more information to a urologist online -->
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Q. I am pregnant and having severe body itching. What is the treatment?
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Hi doctor, I am currently 26 weeks pregnant. I have developed severe itching all over my body, particularly in palms and soles of feet. I initially did not take it serious and kept applying coconut oil, Lacto calamine, etc., to get some relief. However, I did not get any relief from any of these. Then I got my liver function as well as total bile acid test done and result is as follows. AST 199 (normal range up to 32), ALT 234 (normal range up to 55) and total bile acid 52 (normal up to 10). I showed this to my current doctor as well and she said this is common and does not seem to be concerned too much. She prescribed me Atarax 25 mg once in night for 10 days and Lacto calamine for external use. Could you please guide me whether this is a concern and need to be taken care urgently? Or should I continue with what my doctor has prescribed me?
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Hi. You have raised liver enzymes. This indicates that you have a condition called obstetric cholestasis (bile acid accumulation in blood resulting in constant ithcing during third trimester of pregnancy). It needs proper treatment and you need to get LFT - liver function tests repeatedly for every two to three weeks till it gets controlled. If left untreated, then it can even harm the baby. It can result in many complications like early labor, fetal distress, etc. Please visit your doctor immediately for prescription of Ursodeoxycholic acid. For further doubts consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am currently 26 weeks pregnant. I have developed severe itching all over my body, particularly in palms and soles of feet. I initially did not take it serious and kept applying coconut oil, Lacto calamine, etc., to get some relief. However, I did not get any relief from any of these. Then I got my liver function as well as total bile acid test done and result is as follows. AST 199 (normal range up to 32), ALT 234 (normal range up to 55) and total bile acid 52 (normal up to 10). I showed this to my current doctor as well and she said this is common and does not seem to be concerned too much. She prescribed me Atarax 25 mg once in night for 10 days and Lacto calamine for external use. Could you please guide me whether this is a concern and need to be taken care urgently? Or should I continue with what my doctor has prescribed me? [/INST] Hi. You have raised liver enzymes. This indicates that you have a condition called obstetric cholestasis (bile acid accumulation in blood resulting in constant ithcing during third trimester of pregnancy). It needs proper treatment and you need to get LFT - liver function tests repeatedly for every two to three weeks till it gets controlled. If left untreated, then it can even harm the baby. It can result in many complications like early labor, fetal distress, etc. Please visit your doctor immediately for prescription of Ursodeoxycholic acid. For further doubts consult an obstetrician and gynaecologist online -->
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Q. Are pomegranate seeds bad for gallstones?
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Hello doctor, Are pomegranate seeds good or bad for gallstones?
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Hello. I just read your query. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, Are pomegranate seeds good or bad for gallstones? [/INST] Hello. I just read your query. For more information consult an ayurveda specialist online -->
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Q. What is IUI? Are there any complications involved in it?
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Hi doctor, What is IUI? My physician asked us to go for it apart from trying the natural process. Are there any complications involved in it?
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Hi. IUI is intrauterine insemination. The doctor will place the semen inside your uterine cavity in an artificial way by using a cannula. This technique is called IUI. It is usually done in male factor infertility or cervical factors or when stimulation of follicles has been done to get a better response. There are no complications associated with this procedure. Consult a gynaecologist online to know more about IUI -->
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<s>[INST]
Hi doctor, What is IUI? My physician asked us to go for it apart from trying the natural process. Are there any complications involved in it? [/INST] Hi. IUI is intrauterine insemination. The doctor will place the semen inside your uterine cavity in an artificial way by using a cannula. This technique is called IUI. It is usually done in male factor infertility or cervical factors or when stimulation of follicles has been done to get a better response. There are no complications associated with this procedure. Consult a gynaecologist online to know more about IUI -->
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Q. Are my throat and nose symptoms an allergic reaction to pollution and industrial gases?
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Hi doctor, I have throat and nose problems since a year. My throat becomes dry while walking, I feel discomfort while breathing, and I have tiny red spots on the roof of my mouth. These spots become very painful whenever I get a throat infection, which I get twice a year during season change. I do not have a cough, sneezing, and bronchitis. My nose is sensitive to smell and pollution. Blood tests like CBC, liver profile, urine tests, lung function test, x-ray, etc., are all normal. Is this an allergic reaction to pollution or industrial gases?
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Hello. Hope this helps you. Revert with more information to an allergy specialist online -->
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<s>[INST]
Hi doctor, I have throat and nose problems since a year. My throat becomes dry while walking, I feel discomfort while breathing, and I have tiny red spots on the roof of my mouth. These spots become very painful whenever I get a throat infection, which I get twice a year during season change. I do not have a cough, sneezing, and bronchitis. My nose is sensitive to smell and pollution. Blood tests like CBC, liver profile, urine tests, lung function test, x-ray, etc., are all normal. Is this an allergic reaction to pollution or industrial gases? [/INST] Hello. Hope this helps you. Revert with more information to an allergy specialist online -->
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Q. Why are there calcified plaques in the coronary arteries?
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Hello doctor, My father had a stent surgery two months back. After that, he has been feeling a burning sensation and deep coughing. Yesterday at his CT scan, the left anterior descending artery had a calcified plaque with proximal LAD of moderate intensity of more than 70%, and also a densely calcified plaque was noted. Calcified plaques were noted at the ostium. The left circumflex artery was noted between 50% to 70%. The obtuse marginal plaque was noted with 40% to 50% stenosis. Kindly suggest the severity of the disease.
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Hello. If the patient had a stent surgery then why he is only on aspirin? He should be on dual antiplatelet, high dose statin, ACE (angiotensin-converting enzyme) inhibitor and a beta blocker. Please revise the medication chart. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. A coronary angiogram only tells us that disease is present in a specific artery and does not tell the extent of the disease. If the patient is symptomatic then he should check angiography to assess the extent of the of disease present. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, My father had a stent surgery two months back. After that, he has been feeling a burning sensation and deep coughing. Yesterday at his CT scan, the left anterior descending artery had a calcified plaque with proximal LAD of moderate intensity of more than 70%, and also a densely calcified plaque was noted. Calcified plaques were noted at the ostium. The left circumflex artery was noted between 50% to 70%. The obtuse marginal plaque was noted with 40% to 50% stenosis. Kindly suggest the severity of the disease. [/INST] Hello. If the patient had a stent surgery then why he is only on aspirin? He should be on dual antiplatelet, high dose statin, ACE (angiotensin-converting enzyme) inhibitor and a beta blocker. Please revise the medication chart. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. A coronary angiogram only tells us that disease is present in a specific artery and does not tell the extent of the disease. If the patient is symptomatic then he should check angiography to assess the extent of the of disease present. For more information consult a cardiologist online -->
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Q. Can my height and weight play a role in aortic regurgitation?
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Hello doctor, I am 57 years old. I had a recent echocardiogram to monitor my moderate aortic regurgitation and mildly dilated aortic root and ascending aorta of 41 mm. Both remained stable. My rest echo report indicated the following: Normal left ventricular size. Overall low normal systolic function with and EF of 54, LV FS equals 27%. No resting regional wall abnormalities. Spectral Doppler shows impaired relaxation pattern of LV diastolic filling and indeterminate LV filling pressure with E/A ratio equals 8. Normal right ventricle size, wall thickness, and systolic function RVS equal 15 cm. Mildly dilated left atrium of 23 cm2. Normal right atrium. Normal pericardium. Tricuspid aortic valve with localized prolapse of the anterior half of the right coronary cusp resulting in eccentric posterolaterally directed aortic regurgitation with no evidence of stenosis; PPG of 12mmHg; moderate aortic regurgitation 2-3/4; resting LVOT SV equals 125 mL Indexed equals 62 mL/m2 Mild regurgitation of mitral and tricuspid valves 1/4. Normal pulmonary artery systolic pressure. RVSP equals 31 mmHg. My questions are My height, weight, and body surface area are 165 cm,96 kg, 2.03 m2. l am actually 182 cm tall and was wondering if this affects the measurements in any way? My cardiologist wants to see me in a year for a follow-up echo and does not think I will need a new valve in the short term. Does this seem reasonable? I am 57 years old and am wondering if I should be worried about the reference to impaired relaxation pattern of LV diastolic filling. I am currently on Atenolol 100 mg, Crestor 40 mg, and Effexor 75 mg. Please help.
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Hello. I have evaluated your echo report. In your case, the echo clearly shows that AR (atrial regurgitation) is due to a localized prolapse of the anterior half of RCC (right coronary cusp). So it is not due to coaptation failure. By general rule, tallness has nothing to do with AR although there is a relation of large arm span (Marfan) associated with dilated aortic root producing AR. According to the guidelines, aortic stenosis should be surgically managed if associated with LVEF (left ventricular ejection fraction) less than 40% and dilatation of left ventricle cavity. Since you have only mild left ventricle dysfunction as of now, it is a wise choice to defer surgery. Grade 1 diastolic dysfunction is normal with someone with moderate AR. I would suggest changing Atenolol to Metoprolol sustained release 50 mg twice a day. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I am 57 years old. I had a recent echocardiogram to monitor my moderate aortic regurgitation and mildly dilated aortic root and ascending aorta of 41 mm. Both remained stable. My rest echo report indicated the following: Normal left ventricular size. Overall low normal systolic function with and EF of 54, LV FS equals 27%. No resting regional wall abnormalities. Spectral Doppler shows impaired relaxation pattern of LV diastolic filling and indeterminate LV filling pressure with E/A ratio equals 8. Normal right ventricle size, wall thickness, and systolic function RVS equal 15 cm. Mildly dilated left atrium of 23 cm2. Normal right atrium. Normal pericardium. Tricuspid aortic valve with localized prolapse of the anterior half of the right coronary cusp resulting in eccentric posterolaterally directed aortic regurgitation with no evidence of stenosis; PPG of 12mmHg; moderate aortic regurgitation 2-3/4; resting LVOT SV equals 125 mL Indexed equals 62 mL/m2 Mild regurgitation of mitral and tricuspid valves 1/4. Normal pulmonary artery systolic pressure. RVSP equals 31 mmHg. My questions are My height, weight, and body surface area are 165 cm,96 kg, 2.03 m2. l am actually 182 cm tall and was wondering if this affects the measurements in any way? My cardiologist wants to see me in a year for a follow-up echo and does not think I will need a new valve in the short term. Does this seem reasonable? I am 57 years old and am wondering if I should be worried about the reference to impaired relaxation pattern of LV diastolic filling. I am currently on Atenolol 100 mg, Crestor 40 mg, and Effexor 75 mg. Please help. [/INST] Hello. I have evaluated your echo report. In your case, the echo clearly shows that AR (atrial regurgitation) is due to a localized prolapse of the anterior half of RCC (right coronary cusp). So it is not due to coaptation failure. By general rule, tallness has nothing to do with AR although there is a relation of large arm span (Marfan) associated with dilated aortic root producing AR. According to the guidelines, aortic stenosis should be surgically managed if associated with LVEF (left ventricular ejection fraction) less than 40% and dilatation of left ventricle cavity. Since you have only mild left ventricle dysfunction as of now, it is a wise choice to defer surgery. Grade 1 diastolic dysfunction is normal with someone with moderate AR. I would suggest changing Atenolol to Metoprolol sustained release 50 mg twice a day. For more information consult a cardiologist online -->
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Q. How to treat headaches caused by tuberculous meningitis?
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Hello doctor, My father was suffering from fever and right sided headaches, which felt like an electric shock. So, we consulted a doctor, and after several tests, the doctor diagnosed it as tubercular meningitis. All the test including CT scan were normal. So, he prescribed Forcox, Benadon, and Urimax D for urine issues. Then after 20 to 25 days, the fever and headaches came down. But now, he has headaches only in the evenings, that feel like an electrical shock. So, this time the doctor gave him Sibelium 10 mg and Lonazep 0.5 mg. He still has these headaches, but they are not continuous. Please help.
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Hello. I would like to know few more details. Revert with more information to a neurologist online -->
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<s>[INST]
Hello doctor, My father was suffering from fever and right sided headaches, which felt like an electric shock. So, we consulted a doctor, and after several tests, the doctor diagnosed it as tubercular meningitis. All the test including CT scan were normal. So, he prescribed Forcox, Benadon, and Urimax D for urine issues. Then after 20 to 25 days, the fever and headaches came down. But now, he has headaches only in the evenings, that feel like an electrical shock. So, this time the doctor gave him Sibelium 10 mg and Lonazep 0.5 mg. He still has these headaches, but they are not continuous. Please help. [/INST] Hello. I would like to know few more details. Revert with more information to a neurologist online -->
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Q. Please suggest ayurveda medicines for arthritis of the knee.
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Hi doctor, Can a cartilage in the knee regenerate? Also, please specify some yogasanas or exercises for knee arthritis.
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Hi. I read your query. Thank you. For further queries consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, Can a cartilage in the knee regenerate? Also, please specify some yogasanas or exercises for knee arthritis. [/INST] Hi. I read your query. Thank you. For further queries consult an ayurveda specialist online -->
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Q. What is secondary infection?
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Hello doctor, I have itchy red bumps on my thighs and labia and some of which have whiteheads. I was not sure what it was. It seems to get worse when I am stressed and I am irritated with certain fabrics. Also, I have tested for herpes, but it came negative as it is too early to test. I am attaching my photo. Please explain me.
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Hi. I have read your query and examined your picture (attachment removed to protect patient identity). It seems that you are having molluscum contagiosum and a few of them are secondarily infected. Molluscum contagiosum virus will cause multiple or single raised skin lesion. The papules are umbilicated and contain a caseous plug. This virus may sometimes get inoculated along the small skin injury, such as from shaving which is known as autoinoculation. This virus gets transmitted through direct skin contact, through swimming pool or it could be transmitted sexually (STD). 1. Skin biopsy. 2. HbsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C virus) and HIV to rule out sexually transmitted disease. 1. Molluscum contagiosum 2. Folliculitis. Molluscum contagiosum with secondary infection. 1. Generally, it is self-limited and heals spontaneously after several months. Curettage or enucleation is a more effective treatment. 2. I suggest you to take tablet Azithromycin 500 mg once daily for three days and topical Mupirocin ointment local application twice daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. For further information consult a dermatologist online.--->
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<s>[INST]
Hello doctor, I have itchy red bumps on my thighs and labia and some of which have whiteheads. I was not sure what it was. It seems to get worse when I am stressed and I am irritated with certain fabrics. Also, I have tested for herpes, but it came negative as it is too early to test. I am attaching my photo. Please explain me. [/INST] Hi. I have read your query and examined your picture (attachment removed to protect patient identity). It seems that you are having molluscum contagiosum and a few of them are secondarily infected. Molluscum contagiosum virus will cause multiple or single raised skin lesion. The papules are umbilicated and contain a caseous plug. This virus may sometimes get inoculated along the small skin injury, such as from shaving which is known as autoinoculation. This virus gets transmitted through direct skin contact, through swimming pool or it could be transmitted sexually (STD). 1. Skin biopsy. 2. HbsAg (hepatitis B surface antigen), anti-HCV (anti-hepatitis C virus) and HIV to rule out sexually transmitted disease. 1. Molluscum contagiosum 2. Folliculitis. Molluscum contagiosum with secondary infection. 1. Generally, it is self-limited and heals spontaneously after several months. Curettage or enucleation is a more effective treatment. 2. I suggest you to take tablet Azithromycin 500 mg once daily for three days and topical Mupirocin ointment local application twice daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. For further information consult a dermatologist online.--->
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Q. I have increased ringing in both ears after diagnosed with post nasal drip. Why?
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Hello doctor, I have increased ringing in both ears. I have been diagnosed with post nasal drip. The left ear feels blocked and the left side of the throat feels clogged as well. I had taken antibiotics on the prescription but that is not working. My ear testing results were normal.
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Hello. Your problem seems to be due to sinusitis. Sinusitis itself can cause clogged feelings in the throat or sinusitis can cause secondary pharyngitis which can cause throat problems. Do you have a headache or nose block or excessive sneezing? I will want you to send me a clear picture of your throat where I can see your tonsils and posterior pharyngeal wall. Also, please let me know the name of the medicines you have been taking and also the duration. I am enabling free follow up. Please revert back.
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<s>[INST]
Hello doctor, I have increased ringing in both ears. I have been diagnosed with post nasal drip. The left ear feels blocked and the left side of the throat feels clogged as well. I had taken antibiotics on the prescription but that is not working. My ear testing results were normal. [/INST] Hello. Your problem seems to be due to sinusitis. Sinusitis itself can cause clogged feelings in the throat or sinusitis can cause secondary pharyngitis which can cause throat problems. Do you have a headache or nose block or excessive sneezing? I will want you to send me a clear picture of your throat where I can see your tonsils and posterior pharyngeal wall. Also, please let me know the name of the medicines you have been taking and also the duration. I am enabling free follow up. Please revert back.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can I continue my pregnancy with a high TSH level?
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Hello doctor, Recently, I got conceived. My latest thyroid profile report showed the T3 and T4 to be normal and the TSH levels were abnormal at 22.96. We have heard that this TSH value affects the brain development of the newborn and also the newborn will not be mentally good. This is bothering us a lot and now we are in dilemma of going ahead or getting it terminated. Please share us your valuable thoughts on this. Currently, I am taking Thyroxine 50 mg.
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Hi. Yes, you are right. Hypothyroidism can affect the fetal brain development, especially in early pregnancy. Thyroid hormone is normally very important for many functions of the body. It helps in the early development of the fetus. The brain is one of the parts of early organ development. In early pregnancy, fetus mainly depends on mother's thyroid level because fetus itself cannot produce up to around 11 to 12 weeks (three months). There is no data available whether you have taken treatment early and adequately. But yes, there is data that hypothyroidism can affect brain development and function in baby permanently and whatever damage occurs is irreversible. If you are taking Thyroxine (Levothyroxine) 50 mg and the level is this high, then you need to increase the dose. And, if you have started treatment just now, then continue and repeat according to the doctor. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, Recently, I got conceived. My latest thyroid profile report showed the T3 and T4 to be normal and the TSH levels were abnormal at 22.96. We have heard that this TSH value affects the brain development of the newborn and also the newborn will not be mentally good. This is bothering us a lot and now we are in dilemma of going ahead or getting it terminated. Please share us your valuable thoughts on this. Currently, I am taking Thyroxine 50 mg. [/INST] Hi. Yes, you are right. Hypothyroidism can affect the fetal brain development, especially in early pregnancy. Thyroid hormone is normally very important for many functions of the body. It helps in the early development of the fetus. The brain is one of the parts of early organ development. In early pregnancy, fetus mainly depends on mother's thyroid level because fetus itself cannot produce up to around 11 to 12 weeks (three months). There is no data available whether you have taken treatment early and adequately. But yes, there is data that hypothyroidism can affect brain development and function in baby permanently and whatever damage occurs is irreversible. If you are taking Thyroxine (Levothyroxine) 50 mg and the level is this high, then you need to increase the dose. And, if you have started treatment just now, then continue and repeat according to the doctor. For further information consult an obstetrician and gynaecologist online -->
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Q. Homeopathic and natural way of reducing cholesterol level.
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Hi, What is the best natural way and homeopathic way of reducing cholesterol level?
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Hi, You have a general question about reducing the cholesterol level. Follow the suggestions below: Consult a homeopathy physician online -->
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<s>[INST]
Hi, What is the best natural way and homeopathic way of reducing cholesterol level? [/INST] Hi, You have a general question about reducing the cholesterol level. Follow the suggestions below: Consult a homeopathy physician online -->
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Q. I have severe nasal congestion. Can I use Pseudoephedrine and Otrivin together?
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Hello doctor, I am a 22 year old girl. I have severe nasal congestion from a suspected cold or sinus infection (I have not been to the doctor yet). When Pseudoephedrine (Sudafed tablets) was not working, the pharmacist suggested to try Otrivin Plus nasal spray. Both give slight relief but I forgot to ask if I can take both together. Is it okay if I take both simultaneously until I can get to my GP?
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Hello. With the details provided, I understand that you are a 22 year old female suffering from cold or sinus infection causing nasal blockage. Currently you are taking Sudafed tablets and Otrivin plus nasal spray. Presuming that the Sudafed tablets you use contains only Pseudoephedrine, I would say that it is perfectly alright to take Sudafed and Otrivin plus together. Both have similar actions and will act to decrease the nasal congestion and relieve the blocked nose. Pseudoephedrine tablets will get absorbed into blood and act systemically. However otrivin nasal spray being sprayed into nasal mucosa will act only locally with very little systemic absorption through the blood vessels. The two compounds have slightly different mechanisms of action as well and use different set of receptors and messengers to bring about their action. You need to worry about their combined action only if you suffer from hypertension or elevated blood pressure. Otherwise till you meet your GP it is fine to take both together. However, do not take Pseudoephedrine more than twice a day in normal strength. If it is maximal strength tablet then take not more than once a day unless advised by your GP. However follow these general instructions till your GP makes a decisive diagnosis and institutes the most appropriate treatment for you. Consult an allergy specialist online for further follow up -->
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<s>[INST]
Hello doctor, I am a 22 year old girl. I have severe nasal congestion from a suspected cold or sinus infection (I have not been to the doctor yet). When Pseudoephedrine (Sudafed tablets) was not working, the pharmacist suggested to try Otrivin Plus nasal spray. Both give slight relief but I forgot to ask if I can take both together. Is it okay if I take both simultaneously until I can get to my GP? [/INST] Hello. With the details provided, I understand that you are a 22 year old female suffering from cold or sinus infection causing nasal blockage. Currently you are taking Sudafed tablets and Otrivin plus nasal spray. Presuming that the Sudafed tablets you use contains only Pseudoephedrine, I would say that it is perfectly alright to take Sudafed and Otrivin plus together. Both have similar actions and will act to decrease the nasal congestion and relieve the blocked nose. Pseudoephedrine tablets will get absorbed into blood and act systemically. However otrivin nasal spray being sprayed into nasal mucosa will act only locally with very little systemic absorption through the blood vessels. The two compounds have slightly different mechanisms of action as well and use different set of receptors and messengers to bring about their action. You need to worry about their combined action only if you suffer from hypertension or elevated blood pressure. Otherwise till you meet your GP it is fine to take both together. However, do not take Pseudoephedrine more than twice a day in normal strength. If it is maximal strength tablet then take not more than once a day unless advised by your GP. However follow these general instructions till your GP makes a decisive diagnosis and institutes the most appropriate treatment for you. Consult an allergy specialist online for further follow up -->
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Q. Why does my vagina itch during the period?
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Hi doctor, I am 11 years old. I am on my period. My vagina hurts and itches during the period. Why?
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Hi. At the young age of 11, itching around the time of periods may be just minor infection. Usual infections are respiratory infection or urinary infection. If you have any respiratory infection, suppose you cough into hands later if you wash your genitals with same hands after using the wash room. This will transmit the infection to vaginal area, and you get itching around area. Same is with urinary infection. When you have periods, the vascularity of the vagina and surrounding area is increased. When the vascularity increases the infection flares up, and you get itching. Another possibility is just skin dryness. For further doubts consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 11 years old. I am on my period. My vagina hurts and itches during the period. Why? [/INST] Hi. At the young age of 11, itching around the time of periods may be just minor infection. Usual infections are respiratory infection or urinary infection. If you have any respiratory infection, suppose you cough into hands later if you wash your genitals with same hands after using the wash room. This will transmit the infection to vaginal area, and you get itching around area. Same is with urinary infection. When you have periods, the vascularity of the vagina and surrounding area is increased. When the vascularity increases the infection flares up, and you get itching. Another possibility is just skin dryness. For further doubts consult an obstetrician and gynaecologist online -->
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Q. Why do I have low LH and fishy smelling vagina?
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Hello doctor, I was just diagnosed with PCOS. I am 38 and have always had irregular periods. I have two sons and I have brown light spotting all month every month. I have no pain. My LH was 5.8 and FSH was 8 eight months back. Four months back, LH was 12.9 and FSH was 9.4. I do not have extra hair growth or any pimples. So I am looking for a second opinion. I do know that my pap smear a few months ago was good. He wants to give me BC but I do not want it because I am worried that it will cause blood clots. Also, another thing is when I eat fish, my vagina smells fishy. I do not know why.
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Hi. Please get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause of brownish discharge. The fishy smell of vagina is mainly because of some vaginal infection. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care.
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<s>[INST]
Hello doctor, I was just diagnosed with PCOS. I am 38 and have always had irregular periods. I have two sons and I have brown light spotting all month every month. I have no pain. My LH was 5.8 and FSH was 8 eight months back. Four months back, LH was 12.9 and FSH was 9.4. I do not have extra hair growth or any pimples. So I am looking for a second opinion. I do know that my pap smear a few months ago was good. He wants to give me BC but I do not want it because I am worried that it will cause blood clots. Also, another thing is when I eat fish, my vagina smells fishy. I do not know why. [/INST] Hi. Please get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause of brownish discharge. The fishy smell of vagina is mainly because of some vaginal infection. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care.
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Q. My mom has a fever for more than a week with bowel problems. What could cause this?
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Hello doctor, My mother is 65 years old. She is having a fever for the last seven days. She also suffers from stomach problems. For the first five days she did not have any stools, then she passes stools four times the day before yesterday, and few times yesterday. Probably she has severe amoebiasis. But her fever is not receding. What to do? She is currently on Omez D once, Ofloxacin 200 mg bd, Azithral 500 mg OD, Vizilac one tab TDS, Metronidazole taken for five days and now stopped, ORS in ample amount.
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Hello. I reviewed your mother's history and investigation. (attachment removed to protect patient identity). The history and low TLC (total leukocyte count) and low platelets on CBC (complete blood count) are suggestive of enteric fever. Kindly do the following things. It does not look like to be amoebiasis. US (ultrasound) abdomen. Enteric fever. Continue Azithromycin in the same dose and complete five days. Injection. Ceftriaxone 2 gram IV in 100 ml NS daily for seven days. Tablet Paracetamol three times daily. ORS (oral rehydration solution). Use a soft diet. Get back to me with the US report.
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<s>[INST]
Hello doctor, My mother is 65 years old. She is having a fever for the last seven days. She also suffers from stomach problems. For the first five days she did not have any stools, then she passes stools four times the day before yesterday, and few times yesterday. Probably she has severe amoebiasis. But her fever is not receding. What to do? She is currently on Omez D once, Ofloxacin 200 mg bd, Azithral 500 mg OD, Vizilac one tab TDS, Metronidazole taken for five days and now stopped, ORS in ample amount. [/INST] Hello. I reviewed your mother's history and investigation. (attachment removed to protect patient identity). The history and low TLC (total leukocyte count) and low platelets on CBC (complete blood count) are suggestive of enteric fever. Kindly do the following things. It does not look like to be amoebiasis. US (ultrasound) abdomen. Enteric fever. Continue Azithromycin in the same dose and complete five days. Injection. Ceftriaxone 2 gram IV in 100 ml NS daily for seven days. Tablet Paracetamol three times daily. ORS (oral rehydration solution). Use a soft diet. Get back to me with the US report.
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Q. I get a sore throat and diarrhea after sex with my wife. Do I have HIV?
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Hello doctor, I am a 51 year old male. Whenever I have sexual intercourse with my wife, I get a sore throat and flu-like condition. Whenever I have anything cold, my throat gets infected. I also have diarrhea. My wife is also suffering from the same problem, and my son has diarrhea sometimes. All this is happening from the past three years. I had sexual intercourse with my girlfriend 10 years back, so last year I did a rapid and tri-dot test for HIV, it is nonreactive. Do I have HIV?
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Hello. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 51 year old male. Whenever I have sexual intercourse with my wife, I get a sore throat and flu-like condition. Whenever I have anything cold, my throat gets infected. I also have diarrhea. My wife is also suffering from the same problem, and my son has diarrhea sometimes. All this is happening from the past three years. I had sexual intercourse with my girlfriend 10 years back, so last year I did a rapid and tri-dot test for HIV, it is nonreactive. Do I have HIV? [/INST] Hello. For further queries consult an internal medicine physician online -->
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Q. I have excessive body hair and obesity. Please help.
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Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the medications had little to no effect. Recently, I was referred to an endocrinologist and it was discovered that I have a missing 21 hydroxylase enzyme. Other tests were done but were normal. My cortisol was fine. However, my testosterone levels were high and it was found that I was indeed Insulin resistant. The endocrinologist has put me back on Metformin 500 mg, three times daily and has requested that I return and see them in six months. I suffer from severe hirsutism, thinning of hair on the scalp, and obesity. Despite me being active and having a fairly good diet, it has been extremely difficult to lose weight. I cannot help but think that they have missed something. Can you have adrenal hyperplasia with insulin resistance? They have said no more to me with regards to the missing enzyme. None of the doctors seem to be able to treat my condition.
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Hello. I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resistance as well. The treatment of Metformin is alright, but you also need oral contraceptives to combat these excess androgens produced. The missing enzyme cannot be replaced. Only the resultant issues arising from its deficiency can be dealt with. Since your cortisol was fine, the doctors are not worried about the missing enzyme anymore. Yes, you can have adrenal hyperplasia and insulin resistance together. Please try to exercise as well as to lose some weight as it helps with your symptoms. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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<s>[INST]
Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the medications had little to no effect. Recently, I was referred to an endocrinologist and it was discovered that I have a missing 21 hydroxylase enzyme. Other tests were done but were normal. My cortisol was fine. However, my testosterone levels were high and it was found that I was indeed Insulin resistant. The endocrinologist has put me back on Metformin 500 mg, three times daily and has requested that I return and see them in six months. I suffer from severe hirsutism, thinning of hair on the scalp, and obesity. Despite me being active and having a fairly good diet, it has been extremely difficult to lose weight. I cannot help but think that they have missed something. Can you have adrenal hyperplasia with insulin resistance? They have said no more to me with regards to the missing enzyme. None of the doctors seem to be able to treat my condition. [/INST] Hello. I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resistance as well. The treatment of Metformin is alright, but you also need oral contraceptives to combat these excess androgens produced. The missing enzyme cannot be replaced. Only the resultant issues arising from its deficiency can be dealt with. Since your cortisol was fine, the doctors are not worried about the missing enzyme anymore. Yes, you can have adrenal hyperplasia and insulin resistance together. Please try to exercise as well as to lose some weight as it helps with your symptoms. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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Q. I got conjunctivitis 7 days back. I had red eye with eyelid swelling. Now redness is gone but blurring is present. What do I do?
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Hello doctor, I got conjunctivitis 7 days back. I had red eye with eyelid swelling. I used Moxifloxacin hydrochloride from the very first day, every 2 hours. Then I started Fluorometholone 4 times a day and Cyclosporine 3 times a day. And now from 2 days I got blurred eye. Redness is gone but blurring is present. Please help.
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Hi. Hope this is helpful to you. Revert back to an eyecare ophthalmologist online for further queries -->
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<s>[INST]
Hello doctor, I got conjunctivitis 7 days back. I had red eye with eyelid swelling. I used Moxifloxacin hydrochloride from the very first day, every 2 hours. Then I started Fluorometholone 4 times a day and Cyclosporine 3 times a day. And now from 2 days I got blurred eye. Redness is gone but blurring is present. Please help. [/INST] Hi. Hope this is helpful to you. Revert back to an eyecare ophthalmologist online for further queries -->
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Q. What is the right treatment for mild diffuse disc bulge in L4-L5?
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Dear doctor,My mother has been experiencing little back pain for more than three years. So, she has been consulting some neurosurgeons for some time but no major problem has been detected by them. Recently, the pain has increased a lot. She had consulted a nearby orthopedic surgeon. He has taken an MRI. Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina. He has suggested my mother take physical rest for more than two months and he has given some medication. He has been saying that the current issue with L4-L5 disc bulge is not very serious and can be treated with medication and physical rest. If the disc bulge does not get treated with medication even after some time like six months, then he said he would suggest a neurosurgeon who would operate on my mother for L4-L5 disc bulge. As I am not very familiar with medical terms, I wanted to take your help online to get better suggestions for my mother's treatment. Please suggest me the right treatment for the current condition. All the medical reports and MRI reports have been attached to this email. I hope for the best treatment for her in the current scenario.
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Hello. I agree with her doctor that surgery should be postponed as much as possible considering the mild bulging. I suggest using painkillers and Amitriptyline (if no contraindications) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Holding a lumbar brace and performing physiotherapy can help improve her situation. If the pain persists, surgery should be discussed again. Kind regards. For more information consult a neurologist online -->
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<s>[INST]
Dear doctor,My mother has been experiencing little back pain for more than three years. So, she has been consulting some neurosurgeons for some time but no major problem has been detected by them. Recently, the pain has increased a lot. She had consulted a nearby orthopedic surgeon. He has taken an MRI. Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina. He has suggested my mother take physical rest for more than two months and he has given some medication. He has been saying that the current issue with L4-L5 disc bulge is not very serious and can be treated with medication and physical rest. If the disc bulge does not get treated with medication even after some time like six months, then he said he would suggest a neurosurgeon who would operate on my mother for L4-L5 disc bulge. As I am not very familiar with medical terms, I wanted to take your help online to get better suggestions for my mother's treatment. Please suggest me the right treatment for the current condition. All the medical reports and MRI reports have been attached to this email. I hope for the best treatment for her in the current scenario. [/INST] Hello. I agree with her doctor that surgery should be postponed as much as possible considering the mild bulging. I suggest using painkillers and Amitriptyline (if no contraindications) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Holding a lumbar brace and performing physiotherapy can help improve her situation. If the pain persists, surgery should be discussed again. Kind regards. For more information consult a neurologist online -->
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Q. Can frequent masturbation lead to weak erections?
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Hi doctor, I am a 26 year old male, who weighs 42 kg. When I was 18 years old, I started masturbating. At that time, I released that my penis was strong, but now, it is not that strong. I am in a long distance relationship, and I only meet her once a year. Last year when we met, I had sex, for the first time. It was not good, as I have a weak erection. I cannot last long, as I ejaculate within 2 to 3 minutes. My friends used to suggest some pills, but I am scared to take them. So please suggest a better solution. I suffer from weakness of muscles in my body. So, is it harmful to take these pills once a year before I have sex? I feel that my erectile dysfunction and premature ejaculation are caused by frequent masturbation. Is it true?
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Hi. Eat healthily and stay healthy. Best wishes and good luck. For further queries consult a sexologist online -->
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<s>[INST]
Hi doctor, I am a 26 year old male, who weighs 42 kg. When I was 18 years old, I started masturbating. At that time, I released that my penis was strong, but now, it is not that strong. I am in a long distance relationship, and I only meet her once a year. Last year when we met, I had sex, for the first time. It was not good, as I have a weak erection. I cannot last long, as I ejaculate within 2 to 3 minutes. My friends used to suggest some pills, but I am scared to take them. So please suggest a better solution. I suffer from weakness of muscles in my body. So, is it harmful to take these pills once a year before I have sex? I feel that my erectile dysfunction and premature ejaculation are caused by frequent masturbation. Is it true? [/INST] Hi. Eat healthily and stay healthy. Best wishes and good luck. For further queries consult a sexologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have severe heartburn with breathing difficulty, gas pain and burping. Why do I get this?
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Hello doctor, I have severe heartburn, difficulty in breathing, gas pain, and burping. Please suggest.
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Hello. I can understand your troubles regarding heart burn and difficulty breathing. You are having GERD (gastric esophageal reflux disease), and indigestion. Obesity, smoking, drugs, pregnancy. CBC (complete blood couont). TSH (thyroid-stimulating hormones). EGD (esophagogastroduodenoscopy). H.Pylori infection. GERD. Dyspepsia. Capsule Esomeperazole 40 mg 1-0-1 before 30 minutes of meal for 10 days then follow me. Syrup Gaviscon 20 ml after every meal. Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. Stop smoking. Smoking decreases the lower esophageal sphincter's ability to function properly. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. If you cannot elevate your bed, you can insert a wedge between your mattress and box spring to elevate your body from the waist up. Raising your head with additional pillows is not effective. Do not lie down after a meal. Wait at least three hours after eating before lying down or going to bed. Eat food slowly and chew thoroughly. Put down your fork after every bite and pick it up again once you have chewed and swallowed that bite. Avoid foods and drinks that trigger reflux. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. Follow after seven days.
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<s>[INST]
Hello doctor, I have severe heartburn, difficulty in breathing, gas pain, and burping. Please suggest. [/INST] Hello. I can understand your troubles regarding heart burn and difficulty breathing. You are having GERD (gastric esophageal reflux disease), and indigestion. Obesity, smoking, drugs, pregnancy. CBC (complete blood couont). TSH (thyroid-stimulating hormones). EGD (esophagogastroduodenoscopy). H.Pylori infection. GERD. Dyspepsia. Capsule Esomeperazole 40 mg 1-0-1 before 30 minutes of meal for 10 days then follow me. Syrup Gaviscon 20 ml after every meal. Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. Stop smoking. Smoking decreases the lower esophageal sphincter's ability to function properly. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. If you cannot elevate your bed, you can insert a wedge between your mattress and box spring to elevate your body from the waist up. Raising your head with additional pillows is not effective. Do not lie down after a meal. Wait at least three hours after eating before lying down or going to bed. Eat food slowly and chew thoroughly. Put down your fork after every bite and pick it up again once you have chewed and swallowed that bite. Avoid foods and drinks that trigger reflux. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. Follow after seven days.
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Q. Had pilonidal sinus surgery before two months. Why is it bleeding now?
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Hi doctor, I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the doctor had removed the stitches. Everything was going fine. Now, it is bleeding after two months of healing. The ointment that they were using to put on my wound called Mebo and it helped a lot. Please help.
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Hi. For further information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am suffering from pilonidal sinus. I have been operated thrice in the last two years and the third operation has been successful. In the other two operations, the doctors left some of the sinus in. My main concern is that, it had been operated and healing well. It was stitched and the doctor had removed the stitches. Everything was going fine. Now, it is bleeding after two months of healing. The ointment that they were using to put on my wound called Mebo and it helped a lot. Please help. [/INST] Hi. For further information consult a general surgeon online -->
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Q. I have PCOS and had unprotected sex. Are there chances of me being pregnant?
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Hi doctor, I am 24 years old. I am a PCOS patient. I had unprotected sex with my boyfriend on the expected day of my period and took an I-pill on the next morning, within 12 hours. I have not had any withdrawal bleeding. We had unprotected sex again in an interval two days. Do I need to take I-pill again? Since I am a PCOS patient and have delayed ovulation, are there any chances of me being pregnant? Kindly help.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 24 years old. I am a PCOS patient. I had unprotected sex with my boyfriend on the expected day of my period and took an I-pill on the next morning, within 12 hours. I have not had any withdrawal bleeding. We had unprotected sex again in an interval two days. Do I need to take I-pill again? Since I am a PCOS patient and have delayed ovulation, are there any chances of me being pregnant? Kindly help. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. I got my periods a day after a positive pregnancy test. What just happened?
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Hello doctor,I have been trying to conceive for some time now. This month I was put on hCG injections and egg formation. Everything was done on time and my periods date was 30th. I did a pregnancy test at home yesterday and it gave a faint line and I am attaching the photo. Today, I got my periods three days in advance. I fail to understand what happened. Could you please help me understand how could I get a faint but visible line on my test kit and get periods the very next day?
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Hello. The faint line could be because of hormonal changes due to the hCG injection you have taken. The test is to detect hCG levels in your body, which can be detected during pregnancy. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I have been trying to conceive for some time now. This month I was put on hCG injections and egg formation. Everything was done on time and my periods date was 30th. I did a pregnancy test at home yesterday and it gave a faint line and I am attaching the photo. Today, I got my periods three days in advance. I fail to understand what happened. Could you please help me understand how could I get a faint but visible line on my test kit and get periods the very next day? [/INST] Hello. The faint line could be because of hormonal changes due to the hCG injection you have taken. The test is to detect hCG levels in your body, which can be detected during pregnancy. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online -->
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Q. I have postmenopausal vaginal discharge. Should I opt for a hysterectomy?
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Hi doctor, I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. What could be the cause? I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis, 15 years back. I have attached my ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports.
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Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. What could be the cause? I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis, 15 years back. I have attached my ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports. [/INST] Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online -->
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Q. I am worried about my prostate enlargement. Please help.
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Hi doctor, The sudden increase in the size of my prostate from 75 g to 100 g in a year worries me. Three biopsy test results taken before six years were negative. The PSA level stabilized, and free PSA ratio was satisfactory. Please see the enclosed results. My problem is frequent urination.
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Hi. BPH (benign prostatic hyperplasia). USG PVR. Tamsulosin 0.4 mg plus Tolterodine 2 mg (capsule Roliflo) once daily at night. Revert after 10 days to a urologist online.--->
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<s>[INST]
Hi doctor, The sudden increase in the size of my prostate from 75 g to 100 g in a year worries me. Three biopsy test results taken before six years were negative. The PSA level stabilized, and free PSA ratio was satisfactory. Please see the enclosed results. My problem is frequent urination. [/INST] Hi. BPH (benign prostatic hyperplasia). USG PVR. Tamsulosin 0.4 mg plus Tolterodine 2 mg (capsule Roliflo) once daily at night. Revert after 10 days to a urologist online.--->
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Q. I had sex on the 12th day of my cycle. Could I be pregnant?
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Hello doctor, I had sex 11 days after my period. Today is my expected date of period, but I did not get it. I am having white discharge. Am I pregnant?
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Hello. Revert with more information to an obstetrician and gynecologist online -->
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<s>[INST]
Hello doctor, I had sex 11 days after my period. Today is my expected date of period, but I did not get it. I am having white discharge. Am I pregnant? [/INST] Hello. Revert with more information to an obstetrician and gynecologist online -->
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Q. My mother in law is suffering from cough and breathlessness. What does her CT scan report say?
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Hello doctor, My mother in law is 75 years old and she is diabetic. She had been treated for ulcer one year back. She is suffering from cough and breathlessness for more than two weeks. Doctor advised for a CT scan. Please see the attached report and guide us further. What does the report say? How serious is her health condition? Kindly mention the precautions to be taken and treatment for the same.
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Hello. I have read the history and CT scan report (attachment removed to protect patient identity). If she has not received any antibiotics, I would suggest the following: Hope she will be fine with this treatment. Take care. Revert back to a pulmonologist online for further follow up -->
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<s>[INST]
Hello doctor, My mother in law is 75 years old and she is diabetic. She had been treated for ulcer one year back. She is suffering from cough and breathlessness for more than two weeks. Doctor advised for a CT scan. Please see the attached report and guide us further. What does the report say? How serious is her health condition? Kindly mention the precautions to be taken and treatment for the same. [/INST] Hello. I have read the history and CT scan report (attachment removed to protect patient identity). If she has not received any antibiotics, I would suggest the following: Hope she will be fine with this treatment. Take care. Revert back to a pulmonologist online for further follow up -->
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Q. Can sinusitis cause bad breath?
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Hi doctor,I have a persistent bad breath and bad taste in my mouth. I have excellent oral hygiene, and my dentist said my teeth and gums are all healthy. My doctor said that it could be sinus drainage, but I have dealt with this for years even when I have no drainage. It is ruining my personal life with my wife and my social life as well. Please help.
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Hi. Did you get any CT scan of your sinuses done before to rule out sinusitis? Yes, sinusitis can cause such symptoms and to rule out that a CT scan is needed. Sinusitis also causes nose block, headache, and post-nasal drip. So if you have any of these symptoms, then it can be due to sinusitis. Have you tried mouth gargles for the same symptoms? If not, then you can use mouth gargles as that will help. Also, tonsillitis causes such symptoms. Kindly send me a picture of your throat and oral cavity. Sinusitis or tonsillitis. CT scan of paranasal sinuses (plain). Revert with the report to an ENT otolaryngologist online.--->
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<s>[INST]
Hi doctor,I have a persistent bad breath and bad taste in my mouth. I have excellent oral hygiene, and my dentist said my teeth and gums are all healthy. My doctor said that it could be sinus drainage, but I have dealt with this for years even when I have no drainage. It is ruining my personal life with my wife and my social life as well. Please help. [/INST] Hi. Did you get any CT scan of your sinuses done before to rule out sinusitis? Yes, sinusitis can cause such symptoms and to rule out that a CT scan is needed. Sinusitis also causes nose block, headache, and post-nasal drip. So if you have any of these symptoms, then it can be due to sinusitis. Have you tried mouth gargles for the same symptoms? If not, then you can use mouth gargles as that will help. Also, tonsillitis causes such symptoms. Kindly send me a picture of your throat and oral cavity. Sinusitis or tonsillitis. CT scan of paranasal sinuses (plain). Revert with the report to an ENT otolaryngologist online.--->
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Q. What are the causes of my iron-deficiency anemia?
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Hello doctor, I am a 50 year old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin had been dropping over the past year. After more testing, I was diagnosed with iron-deficiency anemia. I underwent eight weekly infusions, which finally got my hemoglobin close to the normal range. However, while my iron is low, my unsaturated iron binding capacity is high at 421, total TIBC is high at 471, and my transferrin saturation is low at 11. Prior to starting the infusions, my platelets had been high and climbing. After the eight infusions, my platelets were only normal for a week. They have begun rising again and are a little high at 502. My RDW has always been out of range and is now high at 17.9. Also, a month ago, my CRP was 1.29, it is now 2.2. I have had an ANA screening for autoimmune, and it came back negative. My stool has been tested twice and it has no blood. My homocysteine and PSA are normal. I am still lethargic and getting worse, and I am constantly short of breath. My short-term memory is not good. I now have a constant pain in my lower back in the kidney area, but all tests for kidney function have been normal. My current hematologist has ordered a CT scan of my abdomen with barium contrast, but my insurance has not approved it yet. I understand that anemia is a symptom of something else, then what is the CT with contrast going to look for? Should I be concerned about the pain in my lower right side of my back? If you were in my shoes, would you see your doctor again or wait a couple of weeks until the CT is complete? What does your gut tell you is the most likely cause based on the limited information listed above. I have attached all my test reports.
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Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Hope it helps. Any further queries are welcome. For further queries consult a hematologist online -->
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<s>[INST]
Hello doctor, I am a 50 year old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin had been dropping over the past year. After more testing, I was diagnosed with iron-deficiency anemia. I underwent eight weekly infusions, which finally got my hemoglobin close to the normal range. However, while my iron is low, my unsaturated iron binding capacity is high at 421, total TIBC is high at 471, and my transferrin saturation is low at 11. Prior to starting the infusions, my platelets had been high and climbing. After the eight infusions, my platelets were only normal for a week. They have begun rising again and are a little high at 502. My RDW has always been out of range and is now high at 17.9. Also, a month ago, my CRP was 1.29, it is now 2.2. I have had an ANA screening for autoimmune, and it came back negative. My stool has been tested twice and it has no blood. My homocysteine and PSA are normal. I am still lethargic and getting worse, and I am constantly short of breath. My short-term memory is not good. I now have a constant pain in my lower back in the kidney area, but all tests for kidney function have been normal. My current hematologist has ordered a CT scan of my abdomen with barium contrast, but my insurance has not approved it yet. I understand that anemia is a symptom of something else, then what is the CT with contrast going to look for? Should I be concerned about the pain in my lower right side of my back? If you were in my shoes, would you see your doctor again or wait a couple of weeks until the CT is complete? What does your gut tell you is the most likely cause based on the limited information listed above. I have attached all my test reports. [/INST] Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Hope it helps. Any further queries are welcome. For further queries consult a hematologist online -->
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Q. Does the consumption of raw garlic change the HIV test results in any way?
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Hello doctor,I have a skin allergy, rashes, hives and weight loss.
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Hello. I have noted your concern. Regards. Revert with more information to an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor,I have a skin allergy, rashes, hives and weight loss. [/INST] Hello. I have noted your concern. Regards. Revert with more information to an HIV AIDS specialist online -->
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Q. I am 9 weeks pregnant and I vomit everytime after I eat. Please suggest home remedy.
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Hello doctor, I am 9 weeks pregnant. I used to vomit once or twice a day until now. But today, I have been vomiting after eating or drinking anything. Do you suspect it to be a food poisoning or it is normal? Also, can you please suggest some home remedies?
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Hello. Did you take any outside food or any food that you are not comfortable with recently? Do you have loose stools? If your answer to both the questions are 'no' it is most likely to be vomiting in pregnancy. Home remedies would be to have a small, two hourly food. Take enough water especially kanji water, glucose water, etc. In the morning as you wake up, do not have tea or coffee, it would be best to have a dry item like a rusk or a biscuit. Have breakfast only after one hour. Also, please walk around the house or if you are working take small breaks. Take a good amount of dry fruits. Have you done your scan and your routine blood tests? If not please do those. If still not responding to the above measures, you can start medications which have no side effects. Try these for three to four days and then you can get back to me.
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<s>[INST]
Hello doctor, I am 9 weeks pregnant. I used to vomit once or twice a day until now. But today, I have been vomiting after eating or drinking anything. Do you suspect it to be a food poisoning or it is normal? Also, can you please suggest some home remedies? [/INST] Hello. Did you take any outside food or any food that you are not comfortable with recently? Do you have loose stools? If your answer to both the questions are 'no' it is most likely to be vomiting in pregnancy. Home remedies would be to have a small, two hourly food. Take enough water especially kanji water, glucose water, etc. In the morning as you wake up, do not have tea or coffee, it would be best to have a dry item like a rusk or a biscuit. Have breakfast only after one hour. Also, please walk around the house or if you are working take small breaks. Take a good amount of dry fruits. Have you done your scan and your routine blood tests? If not please do those. If still not responding to the above measures, you can start medications which have no side effects. Try these for three to four days and then you can get back to me.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Being pregnant, suffering from pain in lower abdomen and back. Is it labour pain?
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Hello doctor, Since last few days my wife (she is pregnant) is suffering from pain in the lower abdomen and back. We have visited our gynaecologist to watch whether the pain is due to labour or not. After checking, he said the pain is not for labour. He prescribed pain killer Duvadilan retard (Isoxsuprine capsules) twice a day for five weeks, giving an opinion that he does not want any labour before the end of 37th week of pregnancy. Last week she had pain again and my doctor advised her to observe one night with Drotin injection. She was fine with that and the doctor adviced for steroid injection (attachment) the next day and discharged her by advising that if pain arises again, she has to go for C-section or otherwise he will go for the same after 2 weeks. Today, from morning our baby suddenly stopped its movement for quite a long time. So, we got afraid and asked for an appointment with our doctor. He has given appointment in the evening only. We have done a USG now and have sent you the report. Kindly interpret the same. Do you think there is any deficiency in the treatment process? What is the actual reason for those injections? Will they harm our baby? How is our baby ? And finally I want to tell you that my wife has lost 1 Kg in the last 2 weeks. What may be its cause and will it harm my baby? She still is suffering with pain in the back and lower abdomen, as well as vagina. What to do?
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Hello. I have gone through the reports (attachment removed to protect patient identity). The ultrasound report is perfectly fine and the baby is average 36 weeks of gestation and head down position, placenta is normal and so is the AFI (Amniotic Fluid Index) and weight of the baby. As the baby is 36 weeks sonologically there was actually no requirement for an antenatal corticosteroid injection for promoting fetal lung maturity, which is being given only before 34 weeks gestation in cases of threatened preterm labour when it is suspected that the lady may go in labour and the baby may not be able to breathe once out in external environment. Hence steroids are given, but by now lungs have matured and baby can survive easily after birth. But that injection given prophylactically has no harm at all. The pain in lower back and lower abdomen is normal to have. Now, in the late third trimester, she would have frequent urination feeling very often. She would experience Braxton Hicks contractions which are mimicking labour contractions but are not labour as they are not intense, increasing in frequency and not continuous. So, they just come and go. It can be mistaken as false labour. If the pain subsides with any pain relief given or uterine relaxant given, then it is not labour. The plan to deliver after 37 weeks is acceptable but with an elective c-section is not justified. If the baby is fine, head is down, baby movements are normal ,then a vaginal delivery should always be opted for unless there is an indication to do elective c-section earlier like hypertension, breech, genital infection, gestational diabetes. That is my concern here. Keep a watch on the daily fetal movements of the baby, 1 hour after each meal, and the daily count should be more than 10 movements. Go for weekly antenatal visits religiously for examination till delivery. Consult an obstetrician and gynaecologist online for further follow up -->
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<s>[INST]
Hello doctor, Since last few days my wife (she is pregnant) is suffering from pain in the lower abdomen and back. We have visited our gynaecologist to watch whether the pain is due to labour or not. After checking, he said the pain is not for labour. He prescribed pain killer Duvadilan retard (Isoxsuprine capsules) twice a day for five weeks, giving an opinion that he does not want any labour before the end of 37th week of pregnancy. Last week she had pain again and my doctor advised her to observe one night with Drotin injection. She was fine with that and the doctor adviced for steroid injection (attachment) the next day and discharged her by advising that if pain arises again, she has to go for C-section or otherwise he will go for the same after 2 weeks. Today, from morning our baby suddenly stopped its movement for quite a long time. So, we got afraid and asked for an appointment with our doctor. He has given appointment in the evening only. We have done a USG now and have sent you the report. Kindly interpret the same. Do you think there is any deficiency in the treatment process? What is the actual reason for those injections? Will they harm our baby? How is our baby ? And finally I want to tell you that my wife has lost 1 Kg in the last 2 weeks. What may be its cause and will it harm my baby? She still is suffering with pain in the back and lower abdomen, as well as vagina. What to do? [/INST] Hello. I have gone through the reports (attachment removed to protect patient identity). The ultrasound report is perfectly fine and the baby is average 36 weeks of gestation and head down position, placenta is normal and so is the AFI (Amniotic Fluid Index) and weight of the baby. As the baby is 36 weeks sonologically there was actually no requirement for an antenatal corticosteroid injection for promoting fetal lung maturity, which is being given only before 34 weeks gestation in cases of threatened preterm labour when it is suspected that the lady may go in labour and the baby may not be able to breathe once out in external environment. Hence steroids are given, but by now lungs have matured and baby can survive easily after birth. But that injection given prophylactically has no harm at all. The pain in lower back and lower abdomen is normal to have. Now, in the late third trimester, she would have frequent urination feeling very often. She would experience Braxton Hicks contractions which are mimicking labour contractions but are not labour as they are not intense, increasing in frequency and not continuous. So, they just come and go. It can be mistaken as false labour. If the pain subsides with any pain relief given or uterine relaxant given, then it is not labour. The plan to deliver after 37 weeks is acceptable but with an elective c-section is not justified. If the baby is fine, head is down, baby movements are normal ,then a vaginal delivery should always be opted for unless there is an indication to do elective c-section earlier like hypertension, breech, genital infection, gestational diabetes. That is my concern here. Keep a watch on the daily fetal movements of the baby, 1 hour after each meal, and the daily count should be more than 10 movements. Go for weekly antenatal visits religiously for examination till delivery. Consult an obstetrician and gynaecologist online for further follow up -->
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Q. Do you feel that the enhancement of a rib on MRI is due to metastasis?
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Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold.
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Hi. Revert with the images to a radiologist online -->
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<s>[INST]
Hi, I had a routine MRI for the history of treated breast cancer, and that showed enhancement on a rib. What would cause this? I had rib pain following a bad cough and cold. [/INST] Hi. Revert with the images to a radiologist online -->
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Q. My mood changes from time to time. Is this schizophrenia?
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Hi doctor, I am getting tingling sensation in my head and my perception changes. Sometimes I feel fine but sometime depressed and anxious. This process goes on in a cycle and I feel very difficult to continue my life like this. I do not have any motivation and there is no sense of pleasure. I am always unsatisfied. Is it schizophrenia?
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Hi. You need not worry by diagnosing yourself. Kindly answer the questions given below. Revert back with the answers for the above questions to an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am getting tingling sensation in my head and my perception changes. Sometimes I feel fine but sometime depressed and anxious. This process goes on in a cycle and I feel very difficult to continue my life like this. I do not have any motivation and there is no sense of pleasure. I am always unsatisfied. Is it schizophrenia? [/INST] Hi. You need not worry by diagnosing yourself. Kindly answer the questions given below. Revert back with the answers for the above questions to an ayurveda specialist online -->
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Q. I am passing maroon colored stools. Could it be due to stomach bleeding?
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Hi doctor, I am a 23 year old female of 5'6" and weighs 250 lbs. Currently, I am on an antibiotic for tooth abscess. I have been taking Ibuprofen and Tylenol for the pain. Now, I believe that I may have stomach bleeding due to a maroonish colored stool. I just need to know if I should visit the ER right now.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 23 year old female of 5'6" and weighs 250 lbs. Currently, I am on an antibiotic for tooth abscess. I have been taking Ibuprofen and Tylenol for the pain. Now, I believe that I may have stomach bleeding due to a maroonish colored stool. I just need to know if I should visit the ER right now. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. What should I do to reduce the hyperpigmentation and dark circles under my eyes?
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Hello doctor, I had undergone a Co2 laser treatment around my eyes about three and half years ago. Now, I am left with dark circles under the eyes along with hyperpigmentation and redness. About one and half weeks back, the doctor prescribed me a cream that has Kojic acid 1%, Glycolic acid 5%, Betamethasone dipropionate 0.1% and Chamomile extract 5%. The doctor asked me to put this cream at night with no lights. However, I do not see any improvement. I think it looks bad. What can I do now? I am uploading my pictures. I am using Bepanthen and sunscreen. Currently, I am taking Synthyroid, Cytomel and Progesterone.
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Hi. I have gone through your query and reviewed the pictures (attachment removed to protect patient identity). For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I had undergone a Co2 laser treatment around my eyes about three and half years ago. Now, I am left with dark circles under the eyes along with hyperpigmentation and redness. About one and half weeks back, the doctor prescribed me a cream that has Kojic acid 1%, Glycolic acid 5%, Betamethasone dipropionate 0.1% and Chamomile extract 5%. The doctor asked me to put this cream at night with no lights. However, I do not see any improvement. I think it looks bad. What can I do now? I am uploading my pictures. I am using Bepanthen and sunscreen. Currently, I am taking Synthyroid, Cytomel and Progesterone. [/INST] Hi. I have gone through your query and reviewed the pictures (attachment removed to protect patient identity). For further information consult a dermatologist online -->
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Q. My 5-year-old son has on and off growing mole with irritation. What could it be?
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Hello doctor, My 5-year-old son has a skin-colored mole on his back that occasionally appears and causes irritation. He has had the mole for the last one year. It appears every few months, usually when he is active (rolling around on the floor or wrestling). I notice that the mole looks inflamed and even appears to be filled with fluid. After two or three days, it always goes back to normal. It happened again last week and I am wondering if it is time to get it looked at to ensure it really is just a mole that gets irritated easily.
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Hi. Kindly send the pictures. It can be a boil or molluscum because a mole will not disappear.
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<s>[INST]
Hello doctor, My 5-year-old son has a skin-colored mole on his back that occasionally appears and causes irritation. He has had the mole for the last one year. It appears every few months, usually when he is active (rolling around on the floor or wrestling). I notice that the mole looks inflamed and even appears to be filled with fluid. After two or three days, it always goes back to normal. It happened again last week and I am wondering if it is time to get it looked at to ensure it really is just a mole that gets irritated easily. [/INST] Hi. Kindly send the pictures. It can be a boil or molluscum because a mole will not disappear.
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Q. Could a stomach bug cause elevation in WBC count?
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Hi doctor, I am 9 weeks pregnant. Two days back, I got some sort of a stomach bug or food poisoning. I woke up with nausea, chills, diarrhea and vomiting. But, there was no fever. Since I could not keep fluids down, I went to the emergency room to avoid dehydration. I got two IVs and Zofran. I felt better after some hours. Upon discharge, the doctor mentioned that I had an elevated white blood cell count when I first came. The next day I felt completely normal as I do until today. I followed up with my obstetrician as instructed and she noticed the WBC count and said that it was concerning. She made me to repeat it. I am much worried and awaiting for the results is a torture. Now I am going out of my mind thinking whether I have leukemia, lymphoma or some other. Moreover, when I went through the results I noticed neutrophil count is high and lymphocyte count is low. Could a stomach bug, it did seem a lot like it, cause such an elevation? Can you review my blood work results to see if there is anything that would indicate something more sinister than an infection?
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am 9 weeks pregnant. Two days back, I got some sort of a stomach bug or food poisoning. I woke up with nausea, chills, diarrhea and vomiting. But, there was no fever. Since I could not keep fluids down, I went to the emergency room to avoid dehydration. I got two IVs and Zofran. I felt better after some hours. Upon discharge, the doctor mentioned that I had an elevated white blood cell count when I first came. The next day I felt completely normal as I do until today. I followed up with my obstetrician as instructed and she noticed the WBC count and said that it was concerning. She made me to repeat it. I am much worried and awaiting for the results is a torture. Now I am going out of my mind thinking whether I have leukemia, lymphoma or some other. Moreover, when I went through the results I noticed neutrophil count is high and lymphocyte count is low. Could a stomach bug, it did seem a lot like it, cause such an elevation? Can you review my blood work results to see if there is anything that would indicate something more sinister than an infection? [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. I am in my 30s and I have PCOS and a high prolactin level. Can I get pregnant?
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Hello doctor, I am a 31-year-old female. I have PCOS, high prolactin level, my TSH is 4.26 for which I am taking medicine and for prolactin and my AMH is 17. I got pregnant with twins when I was taking 100 mg of Clomid but there was no heartbeat by week 10. I had a few miscarriages two years ago and I only got pregnant because I was taking Clomid. I cannot get pregnant on my own because I am not ovulating. The next step is either IVF or IUI. Also, when I had my miscarriages two years ago, the doctors never checked my TSH and prolactin levels. So, I think that was the reason for my miscarriage but they did a lot of blood work for everything else and said everything was normal. I am on Cabergoline 0.5 mg and Levothyroxine 0.05 mg. I am taking a medicine for prolactin too. So my issues are high TSH and prolactin and PCOS. I get my periods every two months usually. My AMH is 17 ng/mL, prolactin is 47.23, rubella IgG at 394 IU/mL, free T4 at 1.39 ng/dL, TSH at 4.26, glucose 88 mg/dL, varicella zoster IgG 3.94, homocysteine 7.2 umol/L, and insulin at 9.6. Are there any chances of me getting pregnant?
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Hello. I do not see any reason for you to worry or panic. I feel you will not only conceive but also have a healthy baby soon. Let me explain it why I feel so one by one. Nowadays, ladies think of having a baby after the age of 30s. Of course, the age above 35 years is considered a risk factor as the quality of eggs left after 35 years is poor. The age of the oldest mother is 45 years. Many females conceive in their 30s. So, the age factor is ruled out. History of miscarriages - Had you not had any pregnancies till date? In your case, the prognosis is bad. As you have had a pregnancy, you can still surely get pregnant. Remaining are the tests of rubella and varicella etc. They can be forgotten as of now as they point out to only some minor infections. They will not affect the baby. So, if you are having a good ovulation induction with Clomid (Clomifene) and hMG, I suggest you go ahead with the IUI (intrauterine insemination). You will surely get pregnant. But, do not forget to have a good luteal phase with progesterone support. This will improve the implantation. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You also need a lot of positive thoughts, hormonal help and you will surely do great. Hope I have clarified your query. For more information consult an infertility specialist online -->
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<s>[INST]
Hello doctor, I am a 31-year-old female. I have PCOS, high prolactin level, my TSH is 4.26 for which I am taking medicine and for prolactin and my AMH is 17. I got pregnant with twins when I was taking 100 mg of Clomid but there was no heartbeat by week 10. I had a few miscarriages two years ago and I only got pregnant because I was taking Clomid. I cannot get pregnant on my own because I am not ovulating. The next step is either IVF or IUI. Also, when I had my miscarriages two years ago, the doctors never checked my TSH and prolactin levels. So, I think that was the reason for my miscarriage but they did a lot of blood work for everything else and said everything was normal. I am on Cabergoline 0.5 mg and Levothyroxine 0.05 mg. I am taking a medicine for prolactin too. So my issues are high TSH and prolactin and PCOS. I get my periods every two months usually. My AMH is 17 ng/mL, prolactin is 47.23, rubella IgG at 394 IU/mL, free T4 at 1.39 ng/dL, TSH at 4.26, glucose 88 mg/dL, varicella zoster IgG 3.94, homocysteine 7.2 umol/L, and insulin at 9.6. Are there any chances of me getting pregnant? [/INST] Hello. I do not see any reason for you to worry or panic. I feel you will not only conceive but also have a healthy baby soon. Let me explain it why I feel so one by one. Nowadays, ladies think of having a baby after the age of 30s. Of course, the age above 35 years is considered a risk factor as the quality of eggs left after 35 years is poor. The age of the oldest mother is 45 years. Many females conceive in their 30s. So, the age factor is ruled out. History of miscarriages - Had you not had any pregnancies till date? In your case, the prognosis is bad. As you have had a pregnancy, you can still surely get pregnant. Remaining are the tests of rubella and varicella etc. They can be forgotten as of now as they point out to only some minor infections. They will not affect the baby. So, if you are having a good ovulation induction with Clomid (Clomifene) and hMG, I suggest you go ahead with the IUI (intrauterine insemination). You will surely get pregnant. But, do not forget to have a good luteal phase with progesterone support. This will improve the implantation. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You also need a lot of positive thoughts, hormonal help and you will surely do great. Hope I have clarified your query. For more information consult an infertility specialist online -->
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Q. Kindly suggest some medicine for cold, cough and itchy throat.
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Hi doctor, I have a sever cold and cough since couple of days. Please suggest me some good medicine, There is itching in the throat as well.
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Hi. According to the history provided, it could be pharyngitis associated with upper respiratory tract infection. Your work up should be done as follows. According to the report, the further management plan can be decided. Until then you can follow the suggestions given below with the consent of your treating doctor. If eosinophilia present in CBC or AEC is high, then Fexofenadine should be considered. If needed, throat swab culture can be done to choose the medication according to the culture report. Consult a physician for examination with keeping all this in mind. For further information consult a general practitioner online -->
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<s>[INST]
Hi doctor, I have a sever cold and cough since couple of days. Please suggest me some good medicine, There is itching in the throat as well. [/INST] Hi. According to the history provided, it could be pharyngitis associated with upper respiratory tract infection. Your work up should be done as follows. According to the report, the further management plan can be decided. Until then you can follow the suggestions given below with the consent of your treating doctor. If eosinophilia present in CBC or AEC is high, then Fexofenadine should be considered. If needed, throat swab culture can be done to choose the medication according to the culture report. Consult a physician for examination with keeping all this in mind. For further information consult a general practitioner online -->
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Q. Why am I having dizzy spells and pulsations in back of head?
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Hello doctor, I am 39 years old, severely obese. I have been experiencing dizzy spells and pulsations in the back of my head. The pulsations are severe when I am sleeping. There are shocks in the head occasionally but more while sleeping.
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Hi. We need to do an MRI brain with MRS (spectroscopy), MRA (angiography), MRV (venography), MRI cervical spine with MRA neck vessels with whole spine screening for evaluation of dizzy spells, pulsations in the back of the head. Obesity or overweight can be due to four main causes: 1. Primary genetic insulin resistance. 2. Not doing physical work and being the so-called couch potato (sedentary lifestyle). 3. Diseases related to fat metabolism (dyslipidaemias). 4. Eating too much (also called gluttony). Of these, if your obesity and overweight are due to a sedentary lifestyle, you can reduce your weight and waist circumference by walking, jogging, running, swimming, cardio, lifting weights, etc. If your obesity and overweight are due to eating too much, you can reduce your weight and excess fat by eating less. If your obesity and overweight are due to dyslipidemias, you can reduce your weight and excess fat by appropriate treatment. But, if your obesity and overweight are due to primary genetic insulin resistance, the only way you can reduce weight is by taking a low carbohydrate diet. Running miles on treadmill or starvation will not solve your problem. Before you start low carbohydrate high fat diet, we need to know what all you can take and what all you have to avoid. For this, a series of blood tests are needed. These are available as a package called metabolic profile A. If you have already done this, please send us the reports. If you have not done this, please do it. The technician will come, collect blood and you will get the report the next day by mail.
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<s>[INST]
Hello doctor, I am 39 years old, severely obese. I have been experiencing dizzy spells and pulsations in the back of my head. The pulsations are severe when I am sleeping. There are shocks in the head occasionally but more while sleeping. [/INST] Hi. We need to do an MRI brain with MRS (spectroscopy), MRA (angiography), MRV (venography), MRI cervical spine with MRA neck vessels with whole spine screening for evaluation of dizzy spells, pulsations in the back of the head. Obesity or overweight can be due to four main causes: 1. Primary genetic insulin resistance. 2. Not doing physical work and being the so-called couch potato (sedentary lifestyle). 3. Diseases related to fat metabolism (dyslipidaemias). 4. Eating too much (also called gluttony). Of these, if your obesity and overweight are due to a sedentary lifestyle, you can reduce your weight and waist circumference by walking, jogging, running, swimming, cardio, lifting weights, etc. If your obesity and overweight are due to eating too much, you can reduce your weight and excess fat by eating less. If your obesity and overweight are due to dyslipidemias, you can reduce your weight and excess fat by appropriate treatment. But, if your obesity and overweight are due to primary genetic insulin resistance, the only way you can reduce weight is by taking a low carbohydrate diet. Running miles on treadmill or starvation will not solve your problem. Before you start low carbohydrate high fat diet, we need to know what all you can take and what all you have to avoid. For this, a series of blood tests are needed. These are available as a package called metabolic profile A. If you have already done this, please send us the reports. If you have not done this, please do it. The technician will come, collect blood and you will get the report the next day by mail.
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Q. Trying to conceive. For what purpose is Dronis given?
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Hello doctor, I got married 15 months back. From then I am trying to conceive. I am having irregular periods only after marriage. For the past two months, my period occurred in a gap of 45 days. When I consulted my doctor, I got to know it as PCOS. I am using B-long tablet in the morning, afternoon APCOD sachets and evening I am having Dronis-30 from second day of my cycle. I did thyroid and pelvis test. Both the reports were normal and Hb was 10.5. Can you please tell me for what purpose these tablets are used? And what is the problem with my body? I observe tender breasts after 10 days of period completion. Please help.
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Hi. I understand your concern. As you told you are having irregular periods and you have been taking treatment for PCOS (polycystic ovarian syndrome), it is good. For getting pregnant there are some treatment methods available, you have to take something for ovulation induction that is egg formation. For further doubts consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I got married 15 months back. From then I am trying to conceive. I am having irregular periods only after marriage. For the past two months, my period occurred in a gap of 45 days. When I consulted my doctor, I got to know it as PCOS. I am using B-long tablet in the morning, afternoon APCOD sachets and evening I am having Dronis-30 from second day of my cycle. I did thyroid and pelvis test. Both the reports were normal and Hb was 10.5. Can you please tell me for what purpose these tablets are used? And what is the problem with my body? I observe tender breasts after 10 days of period completion. Please help. [/INST] Hi. I understand your concern. As you told you are having irregular periods and you have been taking treatment for PCOS (polycystic ovarian syndrome), it is good. For getting pregnant there are some treatment methods available, you have to take something for ovulation induction that is egg formation. For further doubts consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My 3-month-old baby is having loose stools for the last 15 days. What to do?
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Hi doctor, My 3-month-old baby is having loose stools for the last 15 days. For the last 7 or 8 days, the color of poop turned from yellow with mucus to greenish-yellow with bad smell. I consulted with a pediatrician, and he gave antibiotic injection and drops to him. But, I could not see any improvement. Homeopathic drops reduce poop frequency, but as I stop giving the medicine, it all started again. I am clueless and under lockdown. So, I am not able to visit a good doctor.
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Hello. Thanks for your query. You did not mention how many times in a day he passes stool and the name of the antibiotic. Does your baby breastfeed? And, please do not give him homeo or other kinds of medication. Give him syrup Erythromycin one-third teaspoon four times daily for seven days. Please, add oral rehydration solution five teaspoonfuls after each purging. Please do continue breastfeeding. There is a rule for making ORS. Please follow the rules for making ORS. Make the whole packet at a time and you will be able to use it up to 6 hours. After this period, please discard the residual. You keep an eye on whether your baby's urine output is adequate or not. If possible, do a test for your baby. The name of the test is stool R/M/E (routine microscopic examination) and C/S (stool culture and sensitivity test). Kindly consult in the future if needed.
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<s>[INST]
Hi doctor, My 3-month-old baby is having loose stools for the last 15 days. For the last 7 or 8 days, the color of poop turned from yellow with mucus to greenish-yellow with bad smell. I consulted with a pediatrician, and he gave antibiotic injection and drops to him. But, I could not see any improvement. Homeopathic drops reduce poop frequency, but as I stop giving the medicine, it all started again. I am clueless and under lockdown. So, I am not able to visit a good doctor. [/INST] Hello. Thanks for your query. You did not mention how many times in a day he passes stool and the name of the antibiotic. Does your baby breastfeed? And, please do not give him homeo or other kinds of medication. Give him syrup Erythromycin one-third teaspoon four times daily for seven days. Please, add oral rehydration solution five teaspoonfuls after each purging. Please do continue breastfeeding. There is a rule for making ORS. Please follow the rules for making ORS. Make the whole packet at a time and you will be able to use it up to 6 hours. After this period, please discard the residual. You keep an eye on whether your baby's urine output is adequate or not. If possible, do a test for your baby. The name of the test is stool R/M/E (routine microscopic examination) and C/S (stool culture and sensitivity test). Kindly consult in the future if needed.
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Q. Will I get HIV infection by getting paper cuts from sharp things containing HIV blood?
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Hello doctor, I want to ask whether I have got a risk of HIV infection or not from a paper cut in my hand. Where at that time, I did not realize that I got this paper cut and I do not know what activity that caused me got this paper cut. But, I assume that I got this cut by sharp things. However, I am afraid that sharp things surface contain HIV blood and other fluid before I got cut from it. Does that infect you with HIV? After I realized that I have got that paper cut, I just washed that cut with bottled water and wiped with tissue only. Since at that time and place around me, I did not have any band-aid. I let that paper cut exposed without covering it with anything. Due to that condition, I am afraid that since I let that cut exposed, I would have got exposure from any environmental surfaces that contain HIV+ fluid like blood or fluid. Does contacting environmental surfaces that contain HIV+ fluid (like blood, etc.) with current paper cuts in hand infect me? Therefore, please answer my question regarding two things: 1. Can I get infected from getting paper cuts from sharp things that contained HIV+ fluid like blood, etc. 2. Can I get infected with HIV from having contact with environmental surfaces that contain HIV+ fluid like blood, etc., with my finger that has been cut?
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Hello. Please note the beveled edge of paper cut do not cause HIV infection as paper soak all blood within seconds and the paper is dry. In a dry medium, no HIV stays alive, so no HIV infection. Your second question is not at all having meaning as by touch no HIV is transmitted. It is not the way of transmission. Only sex or blood infusion or needle prick within seconds when drawing blood of HIV positive patient. So, do not worry. You are safe. No HIV infection is there.
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<s>[INST]
Hello doctor, I want to ask whether I have got a risk of HIV infection or not from a paper cut in my hand. Where at that time, I did not realize that I got this paper cut and I do not know what activity that caused me got this paper cut. But, I assume that I got this cut by sharp things. However, I am afraid that sharp things surface contain HIV blood and other fluid before I got cut from it. Does that infect you with HIV? After I realized that I have got that paper cut, I just washed that cut with bottled water and wiped with tissue only. Since at that time and place around me, I did not have any band-aid. I let that paper cut exposed without covering it with anything. Due to that condition, I am afraid that since I let that cut exposed, I would have got exposure from any environmental surfaces that contain HIV+ fluid like blood or fluid. Does contacting environmental surfaces that contain HIV+ fluid (like blood, etc.) with current paper cuts in hand infect me? Therefore, please answer my question regarding two things: 1. Can I get infected from getting paper cuts from sharp things that contained HIV+ fluid like blood, etc. 2. Can I get infected with HIV from having contact with environmental surfaces that contain HIV+ fluid like blood, etc., with my finger that has been cut? [/INST] Hello. Please note the beveled edge of paper cut do not cause HIV infection as paper soak all blood within seconds and the paper is dry. In a dry medium, no HIV stays alive, so no HIV infection. Your second question is not at all having meaning as by touch no HIV is transmitted. It is not the way of transmission. Only sex or blood infusion or needle prick within seconds when drawing blood of HIV positive patient. So, do not worry. You are safe. No HIV infection is there.
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Q. My son and I have canker sores. Why do we have them at the same time?
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Hello doctor, I am a 25 year old female. My weight is 130 lbs and height is 5 feet. My son is 5 years old. He has autism. He is a little overweight for age. I do not have herpes of the mouth (cold sores) and as far as I know neither should he. However, a week ago I bit the inside of my lip, and the wound turned into a larger canker sore. I also have one on my lower gum line towards the bottom of my teeth; though not as big as the one I made on my lower lip. They are painful and terrible, but I have no sores outside my mouth. They are white sores with red around them. This morning, when I was brushing my son's teeth, I noticed there was almost circle like patches on his tongue. But, they were very faint. I took a flashlight to his mouth and noticed a large canker sore on his upper lip on the inside. It looks the same as my large one on my bottom lip. He has looked tired recently, and I am not sure if that coincides with the cold sores. A flyer from his school was also sent home the other day about a fellow student being sent home with pink eye, but I have not found anything on the internet to link the two yet. I have been doing non-stop research since before he left for school and all I can find is that these are not contagious and the causes are unknown. Why do we both have them at the same time? He never really had any problems like this before. I did give him some Ibuprofen before he left. I am under immense stress in my personal life both self-inflicted (dieting and surgery coming up) and unintentional (many family and financial issues). So, I figured mine were from that. Any insight would be helpful. Thank you.
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Hi. For further information consult a dentist online -->
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<s>[INST]
Hello doctor, I am a 25 year old female. My weight is 130 lbs and height is 5 feet. My son is 5 years old. He has autism. He is a little overweight for age. I do not have herpes of the mouth (cold sores) and as far as I know neither should he. However, a week ago I bit the inside of my lip, and the wound turned into a larger canker sore. I also have one on my lower gum line towards the bottom of my teeth; though not as big as the one I made on my lower lip. They are painful and terrible, but I have no sores outside my mouth. They are white sores with red around them. This morning, when I was brushing my son's teeth, I noticed there was almost circle like patches on his tongue. But, they were very faint. I took a flashlight to his mouth and noticed a large canker sore on his upper lip on the inside. It looks the same as my large one on my bottom lip. He has looked tired recently, and I am not sure if that coincides with the cold sores. A flyer from his school was also sent home the other day about a fellow student being sent home with pink eye, but I have not found anything on the internet to link the two yet. I have been doing non-stop research since before he left for school and all I can find is that these are not contagious and the causes are unknown. Why do we both have them at the same time? He never really had any problems like this before. I did give him some Ibuprofen before he left. I am under immense stress in my personal life both self-inflicted (dieting and surgery coming up) and unintentional (many family and financial issues). So, I figured mine were from that. Any insight would be helpful. Thank you. [/INST] Hi. For further information consult a dentist online -->
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Q. Is it reasonable to look into arcuate uterus for miscarriage?
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Hi doctor, I am a 29 year old female. I am trying to conceive for almost a year. In this time, I have had three miscarriages at 4 weeks, 6 weeks and 5 weeks respectively. With my last pregnancy, I was also on Baby Aspirin 75 mg and Progesterone 400 mg. But, it did not make any difference. I have been recently diagnosed with Grave's disease. During the last pregnancy, I had overt hyperthyroidism. Thyroid antibodies were ATPO 115 (elevated), anti-Tg 33 (mildly elevated) and TRAb 5.8 (elevated). I had a thrombophilia panel done which was clear, with only being heterozygous for MTHFR A1298C which I was told is not an issue. I was advised to have an APS panel and ANA. Shall I take Prednisone 10-15 mg to help with immune issues? In the meantime, I discovered that I have an arcuate uterus from an older MRI. I have read online that an arcuate uterus can be a cause of recurrent miscarriages, as it is a variant of a subseptate uterus. I will attach a photo of that MRI. My question is, if the APS panel is clear and I continue to lose pregnancies two to three times despite having my thyroid under control, is it reasonable to look into the arcuate uterus issue? If so, shall I go for hysteroscopic metroplasty to repair it? Is it a safe procedure? Will it help with my fertility?
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Hi. For further information consult an infertility specialist online -->
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<s>[INST]
Hi doctor, I am a 29 year old female. I am trying to conceive for almost a year. In this time, I have had three miscarriages at 4 weeks, 6 weeks and 5 weeks respectively. With my last pregnancy, I was also on Baby Aspirin 75 mg and Progesterone 400 mg. But, it did not make any difference. I have been recently diagnosed with Grave's disease. During the last pregnancy, I had overt hyperthyroidism. Thyroid antibodies were ATPO 115 (elevated), anti-Tg 33 (mildly elevated) and TRAb 5.8 (elevated). I had a thrombophilia panel done which was clear, with only being heterozygous for MTHFR A1298C which I was told is not an issue. I was advised to have an APS panel and ANA. Shall I take Prednisone 10-15 mg to help with immune issues? In the meantime, I discovered that I have an arcuate uterus from an older MRI. I have read online that an arcuate uterus can be a cause of recurrent miscarriages, as it is a variant of a subseptate uterus. I will attach a photo of that MRI. My question is, if the APS panel is clear and I continue to lose pregnancies two to three times despite having my thyroid under control, is it reasonable to look into the arcuate uterus issue? If so, shall I go for hysteroscopic metroplasty to repair it? Is it a safe procedure? Will it help with my fertility? [/INST] Hi. For further information consult an infertility specialist online -->
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Q. How do I know if my penile ulcerations are from herpes or candida?
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Hello doctor, What is the difference between the penile ulcerations caused by herpes and the ones caused by candidiasis? How can I know the difference between the two? A person who has many ulcerations on the penis is likely to have herpes or a candidiasis?
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Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a venereologist online -->
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<s>[INST]
Hello doctor, What is the difference between the penile ulcerations caused by herpes and the ones caused by candidiasis? How can I know the difference between the two? A person who has many ulcerations on the penis is likely to have herpes or a candidiasis? [/INST] Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a venereologist online -->
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Q. What are the side effects of Mezol eye drops?
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Hello doctor, My eyes normally are very dry and get red too often. The doctor once gave me Mezol eye drop and it becomes white instantly. So, can I use it regularly whenever eyes are red or not? What can be the side effects of Mezol eye drops?
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Hi. Mezol (Chlorpheniramine maleate, Methylcellulose, and Nafazoline) has no long-term side effects, but as it contains preservatives, I advise you to use it only when your eyes are red and not on a regular basis. Refresh Liquigel is a lubricant which is preservative free and can be used on a daily basis four times a day. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, My eyes normally are very dry and get red too often. The doctor once gave me Mezol eye drop and it becomes white instantly. So, can I use it regularly whenever eyes are red or not? What can be the side effects of Mezol eye drops? [/INST] Hi. Mezol (Chlorpheniramine maleate, Methylcellulose, and Nafazoline) has no long-term side effects, but as it contains preservatives, I advise you to use it only when your eyes are red and not on a regular basis. Refresh Liquigel is a lubricant which is preservative free and can be used on a daily basis four times a day. For more information consult an eye care ophthalmologist online -->
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Q. I pee several times with some pimples on my penis. Is that herpes or UTI?
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Hi doctor, It appears like an infection. I do not know if it could be a genital herpes outbreak. Can you please give me your opinion about this skin condition that is more visible on my penis glans? My initial outbreak was on the glans. But now more pimples are evident.
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Hi. I have gone through your query and the image (attachment removed to protect patient identity). You would have had a previous outbreak of HSV (herpes simplex virus). The current condition does not appear to be an outbreak of the same. It seems to be an exaggerating dermal gland. A clinical examination is needed to confirm. HSV infection appears to have more pimples on penis or fluid-filled vesicles. If it persists or causes any symptoms, I would advise you visit your local urologist or dermatologist for a physical exam to confirm.
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<s>[INST]
Hi doctor, It appears like an infection. I do not know if it could be a genital herpes outbreak. Can you please give me your opinion about this skin condition that is more visible on my penis glans? My initial outbreak was on the glans. But now more pimples are evident. [/INST] Hi. I have gone through your query and the image (attachment removed to protect patient identity). You would have had a previous outbreak of HSV (herpes simplex virus). The current condition does not appear to be an outbreak of the same. It seems to be an exaggerating dermal gland. A clinical examination is needed to confirm. HSV infection appears to have more pimples on penis or fluid-filled vesicles. If it persists or causes any symptoms, I would advise you visit your local urologist or dermatologist for a physical exam to confirm.
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Q. Even though I am taking Insulin, my sugar levels are high. What shall I do?
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Hi doctor, I am a known diabetic for the past 15 years. 20 days ago, my HbA1c was 9.83. I am 54 years old and my weight is 87 kg. My medications are Metformin 500 mg, Hcl 1500 mg, Istavel 100 mg and Glaritus Insulin 30 units. Even then the sugar levels are 246, 265 and 277 after every three hours today. My creatinine, SGOT, SGPT, T3 and TSH are normal.
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Hello. I have a few questions for you as I would like to know more about your diabetes history. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a known diabetic for the past 15 years. 20 days ago, my HbA1c was 9.83. I am 54 years old and my weight is 87 kg. My medications are Metformin 500 mg, Hcl 1500 mg, Istavel 100 mg and Glaritus Insulin 30 units. Even then the sugar levels are 246, 265 and 277 after every three hours today. My creatinine, SGOT, SGPT, T3 and TSH are normal. [/INST] Hello. I have a few questions for you as I would like to know more about your diabetes history. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. Is lichen sclerosus a contagious disease?
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Hi doctor, I have been diagnosed with lichen sclerosus around my vulva a few months ago through biopsy. I am regularly using Dermol 500 lotion instead of soap to wash the area and applying Dermovate cream. However, I have developed a cut in the skin at the back of my vagina, which is not healing now. This is very painful to go to the toilet and also means that sex is definitely not possible. I have had this cut for about 10 days now. I have seen the GP who has simply given me Hydromol ointment and it still remains the same. In addition, my partner has also got a sore bit on his penis and we are wondering if the two could possibly be related. Could this be friction burns? My partner and I are 49 and 50. So, feel ridiculous to be having these issues and very frustrating. He is embarrassed to go to the doctors about his cut. I am unsure if it is my fault related to my condition or friction or something else. Is there any better medicated solution to aid healing rather than moisturizer based solutions? I have attached photos for your reference. Thanks in advance.
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Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Thanks for taking time to upload latest pictures (attachment removed to protect patient identity) of the lesions on both partner's genitalia. Lichen sclerosus is a benign condition but it may also transform into squamous cell carcinoma if not treated properly. Yes, penile lesion may be related to the vulvar lesion. But, lichen sclerosus is not a contagious disease. Did you get the biopsy of the lesions shown in the pictures, both your's and your partner's? If not, please get them tested. You need not worry as all the symptoms are related to this disease. Sexual intercourse and urination problems are all due to this lesion and this is a real pain when a patient gets this kind of fissure along with itching of lichen. If not treated it may cause permanent scarring and that is very painful situation. Biopsy of the lesions on penis and vulva, highly recommended. Lichen sclerosus. 1. Patient education, it is a long-term disease and may relapse even after total relief. You need to be very calm and consistent in treatment. 2. Hydrocortisone ointment (topical Clobetasol propionate) is the treatment of choice to reduce scarring and to get relief from fissuring. It will reduce progression of the disease. 3. Avoid scratching and keep the vulva and penis clean and dry. 4. If ever topical corticosteroid fails we add intralesional corticosteroids, or I usually go for a second line therapy as calcineurin inhibitors. Stay away from sexual intercourse until you get symptom free. For further queries consult a general practitioner online.--->
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<s>[INST]
Hi doctor, I have been diagnosed with lichen sclerosus around my vulva a few months ago through biopsy. I am regularly using Dermol 500 lotion instead of soap to wash the area and applying Dermovate cream. However, I have developed a cut in the skin at the back of my vagina, which is not healing now. This is very painful to go to the toilet and also means that sex is definitely not possible. I have had this cut for about 10 days now. I have seen the GP who has simply given me Hydromol ointment and it still remains the same. In addition, my partner has also got a sore bit on his penis and we are wondering if the two could possibly be related. Could this be friction burns? My partner and I are 49 and 50. So, feel ridiculous to be having these issues and very frustrating. He is embarrassed to go to the doctors about his cut. I am unsure if it is my fault related to my condition or friction or something else. Is there any better medicated solution to aid healing rather than moisturizer based solutions? I have attached photos for your reference. Thanks in advance. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Thanks for taking time to upload latest pictures (attachment removed to protect patient identity) of the lesions on both partner's genitalia. Lichen sclerosus is a benign condition but it may also transform into squamous cell carcinoma if not treated properly. Yes, penile lesion may be related to the vulvar lesion. But, lichen sclerosus is not a contagious disease. Did you get the biopsy of the lesions shown in the pictures, both your's and your partner's? If not, please get them tested. You need not worry as all the symptoms are related to this disease. Sexual intercourse and urination problems are all due to this lesion and this is a real pain when a patient gets this kind of fissure along with itching of lichen. If not treated it may cause permanent scarring and that is very painful situation. Biopsy of the lesions on penis and vulva, highly recommended. Lichen sclerosus. 1. Patient education, it is a long-term disease and may relapse even after total relief. You need to be very calm and consistent in treatment. 2. Hydrocortisone ointment (topical Clobetasol propionate) is the treatment of choice to reduce scarring and to get relief from fissuring. It will reduce progression of the disease. 3. Avoid scratching and keep the vulva and penis clean and dry. 4. If ever topical corticosteroid fails we add intralesional corticosteroids, or I usually go for a second line therapy as calcineurin inhibitors. Stay away from sexual intercourse until you get symptom free. For further queries consult a general practitioner online.--->
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Q. What can be the cause for high B12 level in a person with MTHFR mutation?
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Hello doctor, I have genetic mutation MTHFR. I am on thyroid for hypothyroidism. My B12 level is 1476, the normal range is between 138 to 652 pmol/L. How can I lower my B12 level? Is this level a cause for concern? All the other blood levels are normal other than WBC which is at 3.4 and neutrophils which are at 1.2.
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Hello. Regards. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, I have genetic mutation MTHFR. I am on thyroid for hypothyroidism. My B12 level is 1476, the normal range is between 138 to 652 pmol/L. How can I lower my B12 level? Is this level a cause for concern? All the other blood levels are normal other than WBC which is at 3.4 and neutrophils which are at 1.2. [/INST] Hello. Regards. For more information consult a hematologist online -->
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Q. How long will it take for high BP to become normal?
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Hi doctor, My mom has high blood pressure ranging from 170/90 mmHg to 180 /90 mmHg. The doctor has now prescribed tablets of 25 mg to take every morning to reduce the BP. Doctor told that there is nothing alarming after checking ECG results and a few laboratory checks that I have attached. He asked to reduce anxeity and stress. My question is how long would it take for BP to reduce to normal levels? And what steps further do I need to take to avoid serious complications? Need urgent help as I am now very much concerned. Thank you.
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Hi. For further doubts consult a general practitioner online -->
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<s>[INST]
Hi doctor, My mom has high blood pressure ranging from 170/90 mmHg to 180 /90 mmHg. The doctor has now prescribed tablets of 25 mg to take every morning to reduce the BP. Doctor told that there is nothing alarming after checking ECG results and a few laboratory checks that I have attached. He asked to reduce anxeity and stress. My question is how long would it take for BP to reduce to normal levels? And what steps further do I need to take to avoid serious complications? Need urgent help as I am now very much concerned. Thank you. [/INST] Hi. For further doubts consult a general practitioner online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. After removing tonsil stones, I get uncomfortable feel while swallowing with a bump in throat. Please help.
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Hi doctor, I had a tonsil stone removed a few days ago thinking that is what I was feeling in my throat but it was not. There is something else I feel when I swallow. It does not hurt but just uncomfortable. It looks black maybe like a pimple or some kind of a bump.
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Hello. I went through the picture you sent. (attachment removed to protect patient identity). The throat, especially the posterior pharyngeal wall and palatine pillars appear a bit congested. Now, this could be due to a few reasons either allergy and repeated throat itch, infection, flu, and acid reflux. There also seems to be minimal post nasal drip. We of course can see the blood clot. It could be due to the removal of the stone and the area could have had mild bleeding which eventually formed the clot. Will you please provide us more details. Is there any allergy symptom runny nose, itch, watering of eyes, sneezing, breathing difficulty, etc? Do you smoke or drink? How many times are you gargling? How are your eating habits? Do you have a fever or weakness? I would suggest if it were just minimal allergy or flu to take an antihistaminic tablet, decongestant or saline nasal spray and a proton pump inhibitor. I would go with Zyrtec and Protonix for a few days. Zyrtec in the evenings and Protonix before breakfast for a week. Avoid spicy and oily diet. Desist from smoking and drinking temporarily. But it would be ideal if you provide us the details sought so that we can make a more decisive diagnosis and get you the right advice.
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<s>[INST]
Hi doctor, I had a tonsil stone removed a few days ago thinking that is what I was feeling in my throat but it was not. There is something else I feel when I swallow. It does not hurt but just uncomfortable. It looks black maybe like a pimple or some kind of a bump. [/INST] Hello. I went through the picture you sent. (attachment removed to protect patient identity). The throat, especially the posterior pharyngeal wall and palatine pillars appear a bit congested. Now, this could be due to a few reasons either allergy and repeated throat itch, infection, flu, and acid reflux. There also seems to be minimal post nasal drip. We of course can see the blood clot. It could be due to the removal of the stone and the area could have had mild bleeding which eventually formed the clot. Will you please provide us more details. Is there any allergy symptom runny nose, itch, watering of eyes, sneezing, breathing difficulty, etc? Do you smoke or drink? How many times are you gargling? How are your eating habits? Do you have a fever or weakness? I would suggest if it were just minimal allergy or flu to take an antihistaminic tablet, decongestant or saline nasal spray and a proton pump inhibitor. I would go with Zyrtec and Protonix for a few days. Zyrtec in the evenings and Protonix before breakfast for a week. Avoid spicy and oily diet. Desist from smoking and drinking temporarily. But it would be ideal if you provide us the details sought so that we can make a more decisive diagnosis and get you the right advice.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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