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Hello doctor, My brother os recently on Tagrisso. His recent scan is attached which shows improvement. He is vomiting while eating grains. What is the reason for vomiting and what can be done for this? Please tell me about this response to Tagrisso. If it is good? How much time does Tagrisso take for the remission if it works like this? What is the average duration for Tagrisso to become resistant? Please clear my doubts. | 1,300 | Hi, Welcome to icliniq.com. In reply to your question for Osimertinib (Tagrisso), Osimertinib demonstrated improvement in PFS (18.9 versus 10.2 months, HR 0.46, 95% CI 0.37-0.57) and duration of response (17.2 versus 8.5 months) relative to other TKI. The PFS (progression-free survival) benefit was consistent across subgroups, including either patient with or without brain metastases. Response rates for Osimertinib is around 80 %. To put it to simple terms, the disease is controlled for more than 1.5 years with Osimertinib. Treatment with an EGFR TKI is generally continued until there is disease progression. If there is persistent vomiting, we need to do more tests to confirm whether it is leptomeningeal (LM) disease which is diagnosed in approximately 5 percent of patients with metastatic cancer. The most common solid tumors giving rise to LM are breast cancer (12 to 35 percent), lung cancer (10 to 26 percent), melanoma (5 to 25 percent). Headache is the most common initial symptom of LM, present in 30 to 50 percent of patients with symptoms of confusion, forgetfulness, disorientation, subtle personality changes, and/or lethargy collectively referred to as encephalopathy or altered mental status, are common in patients with LM. I would request to do Gadolinium-enhanced magnetic resonance imaging (MRI) of the brain and spine which often provides important evidence of LM. The definitive diagnostic finding for LM is the cytologic identification of malignant cells within the CSF (cerebrospinal fluid). | Q. My brother is on Tagrisso and has persistent vomiting while eating grains. Please help. |
Hello doctor, I had normal vaginal delivery 10 months ago and breastfeeding my baby. Since then I did not have my periods. But yesterday, around 10 PM I felt some brown stains, but I started worrying when I saw the flow as it is really heavy. I used three pads in three hours and that too there were literally in a situation of dripping. I do not know whether I should expect this or not? Could you please help me to find the problem and any medication I can go for? | 1,301 | Hello. While a woman is breastfeeding post-delivery, menstrual cycles usually do not resume until 6-12 months, and it will vary from person to person. This is like a natural birth control devices by nature to prevent subsequent pregnancies at a shorter interval. But however, this is not 100% effective. The excessive bleeding that you experienced is definitely not normal even if you have resumed your cycles. One possibility is that you could have ovulated and got pregnant in the same cycle before you could get your actual periods, and it got miscarried (if you were not using any birth control methods). So I would advise to check your urine pregnancy test once if there is any history of sexual intercourse. The second possibility could be excessive bleeding due to other causes like fibroids or any other structural problems or hormonal disturbances which will have to be evaluated. Please get an ultrasound if possible to look for the same. Meanwhile, to control your excessive bleeding, I prescribe some medications which will help to control your flow. Please feel free to revert back with the urine pregnancy test results to rule out the possibility of pregnancy first. Urine pregnancy test. Ultrasound abdomen and pelvis. Tablet Tranexa (Tranexamic acid) 500 mg thrice daily after food. Follow up with the urine pregancy test results. | Q. I am bleeding after 10 months of my delivery and it is severe. Should I expect this? |
Hello doctor, I was wondering if anyone could tell me about my condition. I used to go to an eye doctor when I was little but I cannot remember when I last went. I was never pushed to go by my parents when I was younger, only when I needed a new pair of glasses. I was born with one eye small, the other normal. My vision is fine, I am very nearsighted but with glasses, I see quite well. My depth perception is normal too, I can see most things and when I tried to drive once, it went well. In my affected eye pupil is floating around. I cannot see much out of it, and it is not big enough. Other than that, no other health conditions. Could anyone tell me what this is? Is it something that progresses and will I go blind someday? | 1,302 | Hi. You have unilateral microphthalmos i.e. your one eye which in your case is right eye is not fully developed and has developed a squint. Other eyes appear normal but I will advise you to get a fundus in the left eye also to rule out any retinal anomaly. The condition in the right will always remain like this and this condition will not affect the left eye. If it is normal just do not engage in activities that can lead do an injury in the left eye also. So please consult a vitreoretinal specialist to rule out any retinal lesions in the left eye and get yourself rechecked for glasses every six months. Though your left eye appears very normal from outside but since you are nearsighted I will advise you to get retinal examination in your normal eye too, so that if there is any treatable lesion we can fix it at an early stage. | Q. My one eye is small with nearsightedness. Will it progress to blindness? |
Hi doctor, My baby has a bump behind her ear and head. I searched it online and found it as lymph node. I do not know what exactly it is but she is so irritated and she has a fever, I do not know what to do. Please help. She is only 1 year old and I am giving her Tempra. | 1,303 | Hi. You are absolutely right, these are lymph nodes. Everyone has it but due to so many different reasons, they become a bit enlarged and can be felt. If they are not increasing in size, and not painful on touch along with a normal skin over it, then not to worry. It does not require any specific medication. In case any of the above-mentioned symptoms and signs are there, then it needs to be taken care of. Presently what have explained regarding fever and skin rash seems a viral infection, but if you can share a picture, I will reconfirm it. Meanwhile, give these medications, syrup Cetrizine 2.5 ml once daily for three days, syrup Tempra (Paracetamol) 5 ml as and when she has a fever you can repeat it every four hours if needed. | Q. My 1-year-old baby has swelling behind her ear with fever. What is that? |
Hello doctor, I have cervical pain radiating to the right shoulder, neck, and arm until fingers. I have this problem for the past eight months and I am currently on medications for diabetics. | 1,304 | Hello. The symptoms that you have described point towards cervical disc issues with a small disc and bone (osteophyte) that is irritating to the right-sided nerve at C5-6 level as mentioned in the MRI reports. Usually, such cases heal within 6-8 weeks. On and off pain is common. But persistent pain in the arm and hand is nagging and decreases productivity especially if it is a dominant hand. We need to take MRI films to interpret the severity of the disc problem, know the handedness, know the exact location of the pain and if associated with tingling or numbness, and any weakness in the hand or arm. Until then do warm water fomentation. Apply pain killer gel locally over the neck and arm. Avoid lifting weights or jerks to the neck, and avoid bad roads. | Q. My cervical pain radiates to right shoulder, neck, arm and fingers. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,305 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,306 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,307 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,308 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,309 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I have persistent heartburn related symptoms for the last four to five months. I visited a gastro and he prescribed me medicines for 14 days. My conditions got better but not fully cured, so I was given another 14 days of medicine (including a proton-pump inhibitor). Soon the lockdown kicked in and I went back to my home. I meanwhile took Ayurvedic medicines for a month here. While it has reduced the duration of heartburn episodes, the problem has not gone yet. For the last month, I have mild heartburn (pain in chest) for 20-60 minutes in a day (spread across three to four intervals). 14/30 days my throat felt different. 7/30 last days had acid refluxes. But heartburn occurs daily. I have tried varying my diet, but have not found any significant changes. Is this a cause of concern that despite having medicines for 42 days, I still have mild heartburns occurring daily? What should I do? How long will it take for a medicine to show the effect? Should I continue the course and if so, for how long? And if yes, does prolonged usage of medicine have side effects? Or if left untreated, do they have side effects? I took Somproz initially for four days, Lesuride-25, and Deltone for 14 days, and for the next 14 days I took Lesuride 25 and Nexpro 40. | 1,310 | Hello. You have briefly and well described your history, and I understand that you have very genuine concerns. So, the problem you have is called gastroesophageal reflux disease (GERD). This is basically reflux of acid from the stomach to food pipe causing heartburn, sore throat, sometimes cough, and shortness of breath. Our stomach produces approximately 1 liter of acidic juices to help digest food. The acid produced does not usually come into food pipe unless someone has loose sphincter at the lower end of our food pipe which prevents acid refluxing into the food pipe. There are two further classifications of GERD. PPI responsive GERD, and PPI refractory GERD. Your symptoms suggest that you have PPI (proton pump inhibitor) responsive GERD since your symptoms are significantly improved when you are taking PPI. Even in PPI responsive GERD the symptoms may not completely vanish but are declined to a reasonable level and this may be in your case. For this, you just need to increase the dose of PPI. Instead of once daily dose, you can start taking it twice a day before meals. The rest of your symptoms like sore throat will go away once your acid reflux is suppressed well. Diet may or may not affect the GERD. However, there are certain precautions that you can do to prevent heartburn. Avoiding large volume meals, instead, take small but frequent meals. Avoid taking large meals at night or before going to bed. Give at least three to four hours gap after night meals before going to bed for sleeping. Raise the head end of your bed by placing a cement or wooden block down the head side of your bed. Or there are commercially available anti-reflux mattresses that can be used instead. Avoid wearing tight-fitting clothes and belts. So your concern about the presence of symptoms despite 42 days of treatment is valid, but you see the acid is produced daily, and the medicines can decrease the acid production for the duration of time they are in the blood, once the level of the drug declines from a certain point, the acid production takes over back. So taking a daily pill to control your acid production is the only effective way of treating your condition. No long term use and side effects. Well, all PPI are relatively safe and do not cause significant side effects if taken for years and years. However, there are studies that have shown renal damage, bone protein loss, and aspiration pneumonia but in practice, these side effects are not that common as elaborated in studies. The one daily pill to control your acid and prevailing a normal lifestyle is much more important than unforeseen and often unestablished side effects from long term use of PPI. I would recommend if PPI helps you to do well then there is no reason for stopping for the sake of unforeseen complications. But if you still have a concern about the long use of PPI, then I would recommend you to get PH-impedance 24 hours testing to confirm GERD, and if present then PPI again is the therapy, but if the test comes out negative, then PPI can be stopped.I hope this helps. PPI responsive GERD. Ambulatory 24 hours PH-impedance testing. Non-erosive reflux disease. GERD. Tablet Pantoprazole 40 mg before breakfast. You can increase it to 40 mg BID before meals. Follow up if want to discuss more. | Q. My persistent heartburn has not healed even after taking medicines for more than 1 month. Why? |
Hello doctor, I have scrotal pain for the past one year and my ultrasound is normal. Please help. | 1,311 | Hello. Do you have scrotal pain while standing? Or is it there while lying down also? Do your profession involve standing for long hours? Any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is the ultrasound you have done is an ultrasound abdomen or scrotum? Can you upload the report also? Have you got a scrotum Doppler scan also? Any history of diabetes or hypertension? Any visible dilated veins on the scrotum or lower limb (send pictures if any). | Q. I have scrotal pain with normal ultrasound results. Please help. |
Hello doctor, I am a man in my early twenties that started using hearing aids about a year ago. I am very happy with this, it has really changed my life. Just recently I started reading up a bit more and now I feel very confused and weird about it all. The thing is, I was told I had a mild mid-frequency hearing loss. When I actually look at my audiometry test it shows that as well, but my hearing is barely within the range of being considered a hearing loss. Reading around I found out that most people with such a mild loss can mostly hear fine and do not need hearing aids. When I read about what my hearing loss is supposed to be like, I do not relate. I relate way more to the explanations of what moderate hearing loss sounds and feel like. And hearing aids help me a lot. When I do not wear my hearing aids it sounds to me like listening to people talking through a door. I rely a lot on lip-reading if I cannot wear my hearing aids, phone conversations were almost impossible before I got them. I just cannot make my hearing loss make sense with my actual experience with hearing. So I have been wondering what causes me to feel like I hear so bad when my hearing is just slightly below the normal range? I should say that I have tinnitus as well, sometimes quite a lot, so that maybe factors into it too. Recently I began to wonder whether the reason I hear so much worse compared to other people with my level of hearing loss? Is that I have ADHD and PTSD which makes it so hard to focus? Do you think this is a possibility? Or could it simply be that I handle my hearing loss worse than others? I just do not understand why I experience hearing speech as so difficult and why I am so dependent on hearing aids when my hearing loss is technically very mild? | 1,312 | Hi. Let me tell you a statement which explains it perfectly. The ear receives the sound but interpretation of sound happens at the brain. So many a times with mild hearing loss speech perception is low moreover you have tinnitus too. I hope you have fitted with digital programmable (computerized programmable) hearing aids. If yes, it amplifies exactly the same as required in each frequency. No need to worry about it. By the way avoid caffeinated drinks (tea, coffee, alcohol) and avoid noisy situations as much as possible. Puretone is used in the test in which you got the result mild mid-frequency hearing loss (pure tone audiometry). But in day to day life you are not listening to pure tones right? It is speech so pure tone audiometry and speech audiometry should be done and correlated, if that would have been done then you must have a clear picture of your problem. My honest suggestion is to use the hearing aids, so as not to worsen the condition. If you stop using it that may cause further deterioration. | Q. Why am I not able to hear clearly without hearing aid though my hearing is within range? |
Hello doctor, I am a 32-year-old male. I have no previous conditions or problems, and I take no medications. For the last two months, my right nipple (probably under the nipple) I experience pain to the touch. Some days it seems a bit better and some days worse. I have stopped doing weight training due to quarantine, but I am not sure if this is related to my problem. What should I sign up to check me? Or will this just go away? | 1,313 | Hello. I can understand your concern. According to your statement, you have been suffering from pain on your right breast that probably under the nipple and it is painful to touch. Some medical conditions can cause breast pain. When abnormal growth and swelling of breasts in men caused by excess amount of estrogen and less amount of testosterone production is known as Gynaecomastia. Cyst is a lump under the skin, and they contain fluid or air. They can cause breast pain. Putting extra pressure on the muscles can cause a strain. Fat necrosis occurs where fat tissue becomes damaged. Fibroadenoma is a non-cancerous lump and can be developed in breats and occur rarely in males. Breast cancer is rarer but can occur in males. Again chest or cardiac abnormalities, acid reflux, back, neck, or shoulder pain may cause breast pain. Treatment depends on the causes. You should undergo some investigations like mammogram, ultrasound scan, CT scan, biopsy, ECG (electrocardiography), CXR (chest x-ray), etc. To find out the underlying the causative culprit for your sufferings and treat them accordingly. | Q. I am experiencing pain under right nipple. Is this a sign of breast cancer in males? |
Hello doctor, I have high uric acid levels and mild pain in random joints. I would like to know about hyperuricemia management. Please help. | 1,314 | Hi, Welcome to icliniq.com. Definitely, your uric acid is very high. (attachment removed to protect patient identity). To discuss about the management, I would need to know, since when are you having these symptoms? Only small joints are involved or large joints like knee, elbow are also involved? Any reddening or swelling over the joints? Any alcohol consumption? | Q. I have high uric acid with mild pain in all joints. Please help. |
Hello doctor, I have been having very irregular periods since I began getting them. I have been on birth control to help manage and track them, but as of recently, I have been having more sporadic periods. For instance, from the beginning of January through the end of February, the pill I was on was no longer helping and I was on my period for two weeks at a time with five days gap in between each period. And I have been experiencing more intense cramps during my period that start in my lower abdomen and extend through to my butt. If I had to describe it, it feels like a stabbing pain from my belly button straight through my body to butt if that makes sense. I am 19 years old and I have never been to a gynecologist. Please help. | 1,315 | Hello, Welcome to iclinq.com. I can understand your concern and what you are going through is a hormonal problem. The regularity gradually sets in with maturation of the HPO (hypothalamic-pituitary-ovarian) axis ( as you grow older), and the treatment of choice is hormonal pills. The possibilities of your problem despite pills maybe 1) Missing pills in between. 2) Taking pills not on time (these two are the most common causes for such a scenario). 3) Dose of the pill may not be enough. However, as you are complaining of severe pain, have an in-person gynecologist opinion. USG (ultrasound) abdomen is done to rule out uterine, and ovarian pathology. Nothing big to worry about and continue with hematinics. I hope this helps. Hormonal. USG abdomen and pelvis, Hb. Uterine/ Ovarian causes. Hormonal. OCP (oral contraceptive pills) after the scan. Excess weight gain can alter your cycle, so concentrate on weight reduction and iron-rich diet. | Q. Birth control pills taken for regularizing period causing sporadic periods. Why? |
My wife age 46. Suffering from heavy blooding during menstruation period. She came into same phase after eight months.(almost eight months no periods at all). Periods started on 13 days back, continue till date. Using 5-6 senetary pads during each day. Also passing through senior abdominal pain several days...also having complain of constipation since last three days. Consult local physician and than gynecologist in my city. She is swollowing medicines as per below... Tranexa mf/Trexakind thrice a day. Spasmodart/voveran if abdominal pain persists. Shelcal one per day. From yesterday she is taking injection of aquairon 25mg. (Three prescribed by local gynecologist. One taken) Also feeling weakness. I want second opinion and finest treatment suggestions online.... Please guide on above case and suggest finest treatment | 1,316 | Hello, Thanks for the query, With the history, it is clear that she is in her peri-menopausal status and experiencing menorrhagia or excessive bleeding since 13 days, which is often seen in peri-menopausal women. She has been given antifibrinolytics in form or tranexa-mf which is fine, but if bleeding is still not getting controlled then she would require an ultrasound pelvis first to check for her present endometrial thickness . If the endometrial thickness is still more than 9 mm then she would have to be started on progesterone pills for 10 days to control bleeding along with diosmin and antifibrinolytics together. Also if she is feeling dizziness and weakness, then she may require hospitalization for intravenous support as well. Regards | Q. My wife is having heavy menstrual bleeding for 13 days. Please suggest treatment. |
sir i have piles problem is there any relation between piles and armpit swelling .That swelling was soft and no lump and no pain . i searched online about swelling in armpit it was showing like brest cancer .that swelling is there from 1 year in that year my delivery was happend in pregnency time this was came but i am not brest feeding . i am very tensed about this swelling out side hospitals are not open in this lockdown. any chance of getting fat in one armpit.wheneven i am folding my hand it was showing like a bump. plz help me is there any chance of cancer please help me this is the sign of cancer or fat i have this from 1 year if it is cancer any other symptoms will come or not please doctor give me a better suggetion and clarification about my situation. Thanks in advance | 1,317 | Q. I have a swelling in the armpit, which is soft and painless. Is it breast cancer? | |
Hi doctor, I just want to know how long do you have to wait to get tested for hepatitis B? I got checked for the first three months and it was negative. I am just nervous thinking was it too early? Six months later I did a liver test and blood test and everything came back fine. I just want to know should I get rechecked or am I good? Are liver tests good enough to check for hepatitis B and C? | 1,318 | Hi. It is very important to know, why are you willing to get hepatitis B and C tested? If you had exposure, please mention what exposure it was. Also, mention when did you get the exposure and when did you get the test done? | Q. Does normal liver function test assures negative result of hepatitis B and C? |
Hi doctor, I was not sexually active for the last one year, but recently I resumed my sexual life. I am not able to maintain my erection during sex (although I am able to achieve it, but it is not that hard). I never faced this issue before and was not sure what is causing this problem. I am 30 years old. Please help. | 1,319 | Hello. Before moving directly to any treatment follow the advice as given below. You are indeed developing the signs of ED (erectile dysfunction) and PME (premature ejaculation). We may need the reports of the following tests to rule out physical causes of erectile dysfunction and premature ejaculation. 1. CBC (complete blood count). 2. T3, T4, TSH (thyroid-stimulating hormone). 3. HbA1c (glycated hemoglobin). 4. Serum testosterone. 5. Serum prolactin. To rule out psychological causes please answer my questions. How is your mood? How are your energy levels? How is your appetite? Do you have any sleep disturbances or do you oversleep? Any past history of anxiety or depression? Any family members suffering from anxiety or depression? Describe in detail about any use of cigarettes, tobacco, alcohol, cannabis or any other substances of abuse. Please respond to the above questions and send me reports to enable me to make a complete assessment of your condition and advise treatment accordingly. Depression can cause ED, PME, and masturbation guilt or compulsive masturbation. All that you may require is proper consultation and treatment about your sexual problems. | Q. Though I achieve erection, I could not maintain it longer. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,320 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,321 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,322 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,323 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,324 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I got the influenza vaccination about a week ago and have a swollen and painful lump in my armpit. | 1,325 | Hi. I understand your concern. You are having lymph node swelling axillary post influenza vaccination. Influenza vaccine is a very safe vaccine. Although some may have local pain, swelling, and fever. Some may have local lymphadenopathy. Lymphadenopathy is a swelling of lymph node (normal gland present in our body, which function as clearing harmful substances and providing immunity). Local and systemic reactions mostly began between day 1 and day 2. When a lymph node rapidly increases in size, its capsule stretches and causes pain. Pain is usually the result of an inflammatory process. It is a reactive response of the lymph node to the vaccination. So no need to worry. It can be managed by simple Paracetamol or anti-inflammatory medication such as Serratiopeptidase. It should resolve within a week. If it is associated with fever or any other site enlargement of lymph node you can visit your physician. I hope this helps. Reactive lymphadenitis. CBC (complete blood count), ESR (erythrocyte sedimentation rate), USG (ultrasound) axillary lymph node. Lymphadenopathy. anti-inflammatory Paracetamol 500 mg twice or thrice daily or Aceclofenac, Paracetamol, and Serratiopeptidase combination tablet twice daily for three days. Follow up after three days. | Q. I got swollen and painful lump in my armpit post influenza vaccination. Why? |
A couple of weeks before I got severe heartburn, I often felt really bloated and nauseous especially after meals but I kept ignoring it as the symptoms would go away. A month back, I had a faint heartburn throughout the day, and woke up in the middle of the night with severe heartburn all over my chest . Mid week it was so bad that it went in my throat and everything. I went to the hospital and was immediately prescribed ranitidine 150mg for 14days. As it came to week 2, I got only worse, with no sleep whatsoever, lump in my throat, extreme fatigue where my leg was involuntarily fluttering and my lip was voluntarily twitching. By third week I started omeprazole 40mg with the ranitidine and the heartburn intensity reduced but I experienced lots of other symptoms like bloatedness, stomach making noises all the time, nausea, breathlessness was the main one, heart palpitations which were never ending and this constant pressure on my nose and head. I’m now in week 5 and unfortunately the heartburn is still very much there, it comes and goes. The lump in My throat has improved from the second week but it still feels very heavy, I can almost press it and feel something clicking. Doc has said to double my dose of omeprazole so to take 80mg plus ranitidine. Will I get any relief at all from this constant heartburn and all the other symptoms? Am I in some sort of serious trouble? I’ve lost quite a bit of weight, I’m on bland food, elevated at night and all the lot but yet my quality of life is so heavily impacted as I can’t do anything throughout the day because of the constant palpitations, heartburn or pressure in my nose and head or the bloatedness and nausea. The heartburn gets worse after i eat. Please help! I’m only 28 and don’t understand why this happened to me as i was never obese or had any health conditions except hypothyroidism. Last thing to mention, my stools since having acid reflux issue has been a pale yellow and has only recently started to be brown again, what could this mean as well? Any help would be appreciated, as docs are just putting it down to anxiety and stress all the time. | 1,326 | Hello. I welcome you to icliniq. I can understand that must very much frustrated for your ongoing non resolving symptoms. I want you to understand why this symptoms of heartburn occurs in reality. Hear burn is a common symptoms, that can occur in normal subjects as well but does remain long. In some people heart burn occur secondary to acid reflux in food pipe (esophagus)- which usually settles with one dose acid suppressant medication or twice daily capsule. However, there is a third group of individuals where by the maximum does acid suppressant does not effect very much-as in your case. We call this condition as refractory Gastroesophageal reflux disease (GERD). So why I started emphasizing on all this, because management is different. The work up of refractory GERD start with an endoscopy-a procedure where by a gastroenterologist puts a tube with camera in to your esophagus and see what is inside. Also there are other battery of test which could confirm what is exactly a problem- may be straightforward i..e. reflux, but it can be some thing which is mimicking GERD. The GERD mimickers are many. The one of most common are esophageal motility disorders-which are another set of disorders in itself. So to cut the story short, I want you to first of all optimize the acid suppressant treatment. I know you taking omeprazole 40 mg twice daily, but it is important you take these medication 30 minutes or sometime 45 min. before meal. It is very important, since at times it is timing which is important than the drug itself. But, if you are doing it already in that manner, I would recommend you to think about endoscopy now. But it would help us to determine some other more information not necessarily the acid reflux. Keep taking gaviscon, but increase the dose. Take 15 to 20 ml at one time, 4 to 5 times daily and half hour after meals. The rest of your symptoms such as feeling lump in throat is common if someone has reflux. It is called as globus sensation. Dont worry about that. It will go away once your acid controlled adequately. The stress and anxiety sometime create a vicious cycles, where the disorder is perpetuated and influenced by it. But I think this is not the only explanation of your problem. The stress is obvious thing in one with non resolving symptoms. For example if do not reach to a particular diagnosis by endoscopy, I would consider testing for esophageal motility disorders, and some more allergic and hyperalgesic problems of esophagus. But for now, let the above treatment plan work. Meanwhile get some blood test done as advised below. I hope this would be helpful for you Let me know if you need any future consultations. Have a good day Refractory GERD complete blood count Check your thyroid status. TSH, FT4, FT3 GERD Motility disorders Esinophilic esophagitis After 1 week | Q. Will I get any relief at all from this constant heartburn and all the other symptoms? |
Hello doctor, My baby just turned 6 months. I gave him Nan Optipro One for his 1st to 6 months, now I gave him the follow up milk which is Nan Optipro Two. After two days of drinking, he is suddenly having diarrhea now (five times a day). I tried reaching out for a pediatrician in our area but they are not accepting the appointments. He is also irritated because of his blooming teeth and he is eating oatmeal with banana puree. I wanted to ask if it is just his tummy adjusting or is there any underlying problem? | 1,327 | Hello. I appreciate your concern regarding your child. I would like to advise that transition can cause diarrhea but it should settle within four to five days. If it does not then we should change the feed. Ensure hydration, give him ORS (oral rehydration solution) solution (dissolved one packet in one liter of water). She must take 90 ml of this solution after each loose stool. This ORS contains electrolytes that have lost by stool. Give it until loose stool subsides. Syrup Zinc 5 ml once a day for 14 days, it will fulfill zinc deficiency in your child and prevent further episodes of diarrhea and pneumonia also. Give him semi-solid food more along with curd (this will help to improve the digestion). During this illness watch for any color change in urine output or decreased urine output, and any lethargy. In case they come please consult. | Q. My 6-month-old baby gets diarrhea on taking new formula milk. Why does it happen? |
Hello doctor, Actually, I have been feeling low energy, tired, and fatigue for a couple months now. Also, I get light dizzy, light-headed, and headache, it gets worse when I walk or stand up. The headache is concentrated from the sides and sometimes forehead and around eyes. However, I have been suffering from anxtiey and depression. My anxiety is moderate sometimes it lasts the whole day. I took multivitamins, zinc, and vitamin D. Now I am taking Feroglobin two times a day for a week now. I did not see much improvement. How to cure tiredness and lack of energy? How to reduce anxiety levels? | 1,328 | Hello. It may happen sometimes but it will be solved very soon. Avoid those stressful conditions. Medication has to be given. Generalized weakness. Serum creatinine. CBC (complete blood count). Urine routine and examination. Fasting blood sugar. Lipid profile. Hypothyroidism. PCOS (polycystic ovary syndrome). Tablet Diazepam 10 mg 1 tablet in bedtime daily for 15 days, tablet Tolfenamic acid 200 mg 1+1+1 for five days, tablet Iron polymaltose complex + Folic acid + Zinc (150 mg + 500 mg + 22.5 mg) 1+1+1 for three months, Folic acid 5 mg 1+1+1 for three months. Avoid anxiety. Sound sleep needed. Eat healthy foods. Drink plenty of water. Recreation needed. Avoid stressful work. Always think positive. Please tell me about your menstrual life, sexual life, and family history. | Q. I feel low, tired, and dizzy with headache all the time. Why? |
Hello doctor, My wife is having toothache and swollen and inflamed gums for four days. This is due to wisdom teeth. Currently, she is taking Cataflam 50 mg two tablets in 24 hours for the past two days for pain relief. Her age is 36 years and her weight is 56 kg. She does not have any past medical history. Currently, we feel visiting the dentist should be avoided. Please advise for medication. | 1,329 | Hi. The proper treatment of wisdom tooth is extraction as wisdom tooth is not able to perform its function of chewing because it is present in the most posterior position of our oral cavity. So it is of no use in saving it by RCT (root canal treatment) and crown and wasting money and time in it. So it is better to go for extraction after lockdown overs and kindly visit a dentist who is taking all the sterilization measures with PPE (personal protective equipment) kit. Until that time, do saline and warm water gargle three to four times a day for seven days. Take hot pack from outside the mouth and apply it on the affected cheek area to reduce the swelling twice a day for seven days. Take tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg BD for five days, Zerodol SP (Aceclofenac, Serratiopeptidase, and Paracetamol) BD for five days, Pan 40 (Pantoprazole) OD before food in the morning, and capsule Becosule OD. In case of severe pain take tablet Ketorol - DT (two tablets dissolve in a glass of water). I hope this helps. | Q. My wife has swollen gums with pain in wisdom tooth area. Please suggest solution. |
I’ve been on my period for 3 weeks. It’s beyond heavy. I soak thru a pad and ultra tampon hourly. I am also passing golf ball size clots and massive gushes of blood! I have some cramping as well! No dr can see me for 3 weeks due to Covid and I don’t know what else to do. | 1,330 | Hi, bleeding so heavily for 3weeks is really painful and tiring . I salute to you for bearing it for so long I want you to know that endometriosis can only be suppressed with taking contraceptive pills continuously . for now take tab .deviry (medroxyprogesterone ) 10mg thrice daily for one week followed by twice daily for next one week and followed by once daily for next one week and stop eventually. I am also concerned about your Hemoglobin levels following such heavy bleeding .please get hemogram ,an ultrasound done . For now you can take iron ,folic acid and bit B12 tablets to combat anemia. please get back to me if u have any queries regards | Q. I have been on my period with heavy flow and clots for three weeks. What to do? |
Hello doctor, My 85-year-old father had mild pain in his thighs and shoulder girdle for two months which intensified in the past two weeks to a point that he could not get up from his bed. He was started on oral steroids 30 mg once daily for the past three days and has shown a 40% response but cannot stand. Blood tests were done yesterday showing normal serum electrolytes, bilirubin, TSH, and CBC with some iron deficiency. Raised values are CPK - 272, BUN - 50, SGOT - 50, SGPT - 100, and leucocytes - 29000. His Hb is 9 and eosinophilia 42 since before. Kindly suggest the diagnosis. | 1,331 | Hello. Well as per your history, it does look.like a diagnosis of polymyalgia rheumatica. I would like to ask you a few more queries related to his illness. When is the pattern of pain more mornings or evenings? Does he experience morning stiffness as well? Any history of weight loss or appetite loss? Any history of jaw pain or headache or fever? Do you have his reports of ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), rheumatoid factor available? As they are the most important to monitor and diagnose. Did they do any scans of the chest and abdomen? As of now the reports do not seem very great with high leukocyte count and low Hb. Diagnosis of polymyalgia rheumatica looks certain but we should rule out any underlying trigger. | Q. My father gets intense pain in thighs and shoulder girdle. Please help. |
Hello doctor, I am a 44-year-old male. I had a hard lump on the left lower back between top of the hip bone and lower ribs. No pain to the touch. It feels about the size of a marble or the end of a pinky finger. What is it most likely? I did have a hard fall on my back about a year ago in that area, but I am not sure if that could be related. I want to know what is the chances of something like kidney cancer as that is what comes up when I use Dr. Google. Can you feel a lump from the kidney that close to the surface? Does it feel like what I described? I included an image of the same. I am currently using Prilosec. | 1,332 | Hello. I have seen the picture. (attachment removed to protect patient identity). Looking at the location you pointed there should be no lump ideally in that area as it is purely muscular. Having said that, in your case since you had a fall at that point last year, possibly a hematoma has formed and not totally dissolved due to lack of movement or physiotherapy. This is quite normal and not worrisome. Chances of kidney cancer if it is painless, are actually one in a million if you have no other symptoms especially urinary symptoms. I would recommend an ultrasound abdomen-pelvis once feasible. | Q. I have a hard lump on left lower back between hip bone and ribs. Is this a sign of kidney cancer? |
Hello doctor, I am 19 years old and asthmatic. I weigh around 56 kg. My asthma is not severe and it is seasonal asthma and only happens during season change. Lately, my asthma is not going away I did a myteka and fexet course along an antibiotic course. I do use Ventolin inhaler which gives me relief. Normally, these days when I wake up I feel short of breath, again it is not that severe it is like 20%. When I am not sick my asthma goes away it does not bother me at all during any physical activities. I am a chain-smoker and have been smoking for two years yet it never made a problem. Any suggestions? | 1,333 | Hi. I can see that you are worried about your asthma. Let us start from scratch. Firstly, let us confirm your diagnosis of asthma and because you are having symptoms now it is the best time to perform spirometry. Secondly, for asthma, you have to use inhalational medication for at least a year after diagnosis and then we can taper-off as you are relieved of symptoms. I totally understand this is a long duration, but we need the medication for controlling your future symptoms. Thirdly, the medicine (Ventorlin) will provide you immediate relief but it will not prevent further attacks, so you need to add inhalational corticosteroids to your medication. And last but not least, you need to quit smoking. You already know the health hazards of smoking and in your case, it is worsening your asthma symptoms. It will be a difficult job but I can help you with that, only if you want. I hope this helps. Poorly controlled asthma due to smoking, not taking medicine regularly and not taking inhalational corticosteroid as well. Spirometry with bronchodilator reversibility testing. Poorly controlled asthma. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer, two puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month. Tablet Fexofenadine 120 mg once a day for a month. Quit smoking. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigations. | Q. I have seasonal asthmatic attack with history of smoking. How could I control this? |
Hi. My grandmother is 80years of age. Over the past year, her hillucinations have increased with time, from what was occasionally to now daily. I've had her to the doc for blood tests, she's perfectly healthy in all bodily aspects. Treated for mild kidney infection on two occasions recently. Hillucinations seem to be in patterned images like floors, tiles, counter tops & clothing. Her most recent GP has not quite ruled it as Dementia as yet. Short term memory has faded. Aggression has also increased. Re-arranges the bedroom on a daily basis. Accusations of personal possessions being stolen by these so-called persons in her bedroom. How can we treat this? Desperately needing some advice as to the next steps to take. Thank you in advance. | 1,334 | Hello Dear dementia with hallucinations may be common in old age people. Intermittent episodes of delirium may increase the future risk of dementia. Most commonly infections ( urinary, respiratory), electrolyte imbalance, hormonal imbalance, drugs or recent surgery cause delirium. Dementia may be due to Alzheimer's or multi infract or Louie body or Multisystemic atrophy etc. For delirium we may give low dose of benzodiazapines . What is the cause to be evaluated by MRI brain, serum electrolytes, blood sugar levels, thyroid profile and urine examination. so please consult your neurophysician he will examine and treat you accordingly. Take care. | Q. Why have my 80-year-old grandmother's hallucinations increased with time? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,335 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,336 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,337 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,338 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,339 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi. Good Evening. I have fatty lever and feel pain at right side of my stomatch. When I touch with hand it give warm pain and I feel it warm touch incide. Currently taking two times Liv. 52 DS from fee days. The same medicine I was taking 2 to 3 months before then I stopped. From almost a month, I am not walking and doing exercise. Colistrol is under control due to use of Ateroz 10 mg tablets. Please advise. Thank you. | 1,340 | Hi. I understand your problem. It seem the pain over your part of stomach i secondary to increase gas production as well as increase acid production. As far as given no weight loss in these last 6 months- I reassure you that it is not some serious problem. There are many factors which could abnormally increase gas and acid production. the common of which are stress, anxiety and sleeplessness and if someone putting on weight. There is one safe antibiotic to be taken for at least 3 weeks to show good results. Tab Rifxamin 200 mg thrice daily for 3 weeks If your symptoms dont resolve see me in 2 weeks we can consider testing it with investigations. For fatty liver there are no approved medication. so there is no use or Liv 52 if you are taking for fatty liver. It is only weight reduction of around 10% of your current body weight which can help to improve your fatty liver. Uninvestigated dyspepsia and Fatty liver disease LIVER FUNCTION TESTS FIBROSCAN see me in 2 weeks time if symptoms does not get better | Q. I have a fatty liver and feel pain on the right side of my stomach. Please advise. |
1) I'm having cough & sore throat for many years. sometimes I cough after I wake up from sleep & sometimes I just start coughing randomly. My throat will be itchy sometimes, but no pain. 2) suddenly I get headache Star at the back of my head until my shoulder. I get this headache often. It just start randomly for no reason. I have gastric issue, is this the cause of this pain? | 1,341 | Hi, There are two possibilities for the problem your having 1. A chronic gerd with lpr( gastroesophageal reflux with laryngopharngeal reflux). Basically over here acidic gastric contents have a faulty reflux into your throat and this can be the reason of feeling something stuck in your throat or just a itchy discomfort. You will not have any difficulties with swallowing as such. Inflammation around the throat often results in a irritative cough. 2. A chronic allergic pharyngitis can also be another reason, there could be exposure to some irritative substance indoors itself which can irritate the throat and again be the cause of intermittent cough. What can be done? 1. Avoid exposure to any irritative substance, the best thing to counter this is to wear a n95 mask. 2. Gastric issues have to treated seriously with medications and precautions with more emphasis on the later. You can follow the advice mentioned below. I think this should suffice and keep your symptoms at bay! Hope this helps! Get well soon! | Q. I am having cough, sore throat, and get headaches for many years. Is gastric issue the cause? |
Hi doctor, For the past four weeks, I have had terrible heart palpitations, shortness of breath, and bouts of fatigue. A thing I have started to notice is it seems to get much worse after eating anything with carbohydrates. After I eat, the symptoms ramp up in 30 minutes to one hour. I can exercise without any issues. I am 33 years old and this has never happened to me before. I went to the hospital one week ago who confirmed my heart was racing and temperature slightly up but standard blood tests came back normal and there was nothing on a chest x-ray. Where do I go from here? Will this stop? Many thanks. | 1,342 | Hi. Fever causes a faster heart rate. Another reason, which is not uncommon in young people, is vagal atrial fibrillation. This is an irregular fast heartbeat that occurs in bouts after eating and during resting and spontaneously revert back. What did your ECG show? Was it only sinus tachycardia or rhythm problem such as atrial fibrillation? Fever usually causes sinus tachycardia, which is a normal response to fever. When fever subsides, the heart rate slows down. Sometimes it occurs due to gastrointestinal problems, in which eating leads to insulin gush, which lowers blood sugar and sensation like blackout, weakness, palpitations, and fatigue develop. Chances of this are very low. Please send me the ECG strip so that I may diagnose your rhythm. Blood tests that might be helpful include CBC (complete blood count), U&E (urea and electrolytes), TSH (thyroid-stimulating hormone) and the ECG. These are also some rare disorders that cause a sudden rise in heart rate, fever, shortness of breath, and very high blood pressure. This condition is called pheochromocytoma, but it is extremely rare. Please tell me the other symptoms you develop along with fast heart rate feelings and fever. This along with the above tests will guide to reach a diagnosis. If the above tests are normal, I will advise you to have Holter monitoring done for 24-48 hours to catch fast heart rhythm, if not caught on ECG. Regards. | Q. For the past four weeks, I have heart palpitations, shortness of breath, and fatigue. What to do? |
Hi doctor, I have been diagnosed with GERD as confirmed by an ENT specialist, I took medicine for over a month but I did not get totally well. I changed my diet plans, cut off fatty foods, fried foods, citrus foods, etc., started excersice. I elevate my head while sleeping. But nowadays I wake up in the middle of night with very dry mouth and extreme sore throat, sometimes coughing. When I drink water even warm water my throat is itching, it does not get much itchy while swallowing. I am feeling comparatively at day time. | 1,343 | Hello. Do not worry, you will get well soon. Yes, you have problem of GERD, due to acid reflux you have this problem. I will suggest you some investigation and treatment for this. Follow same diet plan. Try to walk for sometime after every meal. Get done upper GI endoscopy done from some good institute if not done previously. Send me blood investigation and other investigation report if available so I will see them and advice you accordingly. Here I am prescribing some medicine which will surely help you. Tablet Normaxin 1 tab BD for 7 days, tablet Rablet L 1 tab OD before breakfast, syrup Gelusil 2 tsp TDS, syrup Sucral 1 Tsp TDS. Total duration 7 days. | Q. How can GERD be treated completely? |
Hello doctor, A new mole on a toe that I have not noticed before, I know about it probably for a week, it is blackish and not round, about 3 to 4 mm wide and sort of even in color. I am 21 years old male and as far as I know we have no cancer history in my family. I can provide photos too. | 1,344 | Hi. I went through your case history and the photos provided by you (attachment removed to protect patient identity). I can see a dark irregular lesion of about 5 mm in size over the tip of the toe. As it is to 3 days history the first thing I want to rule out is an history of injury or bruise.They do present like this and you may have forgotten the history of trauma. Secondly, moles also appear at this age and they also present like this if you have tendency of moles this may be a normal mole you can just observe it for few days. The other thing obviously is melanoma, acral lentiginous melanosis, this can be dangerous and has to be ruled by biopsy as soon as possible. But as you do not have any family history and if you do not have any other or very few moles over other parts of the body the chances again become very less. And again such a small history of the lesion the possibility is least. But to be sure you should monitor the lesion. Observe it for 5 days. If due to trauma, it will diminish and slowly go away. If persist and grow more immediately, go for a biopsy by a dermatologist for histopathogical examination. trauma, biopsy after 5 days. Intradermal hemorrhage, nevus nevus excision. none after 5 days. | Q. I noticed a new mole in my toe. Is that cancer? |
Hello doctor, My wife is 70 years old. She is diabetic and hypertensive, she has dry and itchy skin. For that she is taking head bath and applying oil on scalp. She is prone to sinus problems. Now for a couple of days there are boils inside and outside left ear. It is troubling her very much. Please suggest some medication or remedy for immediate relief. | 1,345 | Hello. With the picture it appears like a hair follicle infection of the small hair in the ear canal (attachment removed to protect patient identity). Considering her age and that she suffers from diabates and hypertension (diabetic people have slightly less immunity compared to normal people) I am suggesting antibiotics for her. Tablet Augmentin 625, 1 tablet thrice daily after meals x 5 days, tablet Chymoral Forte 1 tab thrice daily before meals x 3 days, tablet DOLO 650, 1 tablet SOS for pain, can take upto three tablets per day in divided doses. T-BACT ointment use clean little finger and apply the ointment thrice daily over the area. If using ear buds take particular care that it does not go deep and injure the ear drum. Do not let water enter while taking bath. Keep a cotton plug (spread with some T-Bact ointment or vaseline) inside the affected ear and throw it off after bath. This condition is called acute localised otitis externa (furuncle of external ear). It appears that there is a single boil with a lot of redness in the picture you showed. It is quite painful. Please continue your diabetic and hypertension medicines as before. I hope you are taking those regularly and the sugars are controlled. For a few days avoid applying oil in hairs. Once she gets better, she can put oil over scalp. Do revert back if there is any worsening. Please wait for 3 days for the antibiotics and medicines to act. Please let us know promptly if there is any fever or some other form of worsening. Happy to help you. | Q. What causes boils in the ear of a diabetic and hypertensive patient? |
Hello doctor, At night time while sleeping, the nasal passage of mine gets blocked. This results in the stuffy nose in the morning once I get up in the morning and I had to continuously sneeze for a long time in the morning hours. Whenever I take Cetrizine, or Levocetirizine, or L-Montas tablets at night time I get relief from this problem. But consumption of this tablet makes me feel sleepy, and drowsy throughout the day time. Please help. I am currently on Glycomet-HS 1000 and Nexpro-40. | 1,346 | Hello, Welcome to icliniq.com. As per your symptoms of nasal congestion and sneezing you are likely to be suffering from allergic rhinitis. One thing that is prime importance is avoidance of allergens. Then there is also the role of steroids. Since you are diabetic, systemic steroids are better avoided. However topical steroid sprays can be used safely. Are you using any steroid nasal sprays? | Q. My nasal passage gets blocked at night resulting continuous sneeze in the morning. Please help. |
Hello doctor, Patient is a 50-year-old female. She had a history of early menopause (periods stopped after 35 yrs). Her gall bladder removed last year and she has hypothyroidism and taking Thyronorm .25 mg for the past three years. Her present complaint is problem in urination, urine flow is low and she has to go to the toilet several times for urination but the urine is very scanty even after applying force. Sometimes there is urine leakage. She was prescribed Urimax 0.2. But she discarded its use as it induced constipation, flatus, and obesity. Sometimes there is a pain in the pelvic region, joint pain, and easily fatigued. | 1,347 | Hello. Do you have leakage when you feel to urinate? Do you have urine leakage when you cough or sneeze? When you hold urine at that time did you feel burning or pain? For what maximum time you are able to hold urine? Any history of diabetes or hypertension or any medications? | Q. I have urination problem with less urine output and leakage. Please help. |
Hello doctor, For the past three days, I am having pain in backside of my neck. The pain actually is not in the complete neck it is in a part from neck to mid of the back. When I turn my head to the left it is a kind of electric shock feeling. This may be because of some sleeping angle, I do not know but I am feeling it very badly. The pain I feel is from goes from neck nerve at the back to the left arm and down to neck till the middle of back. From today morning I have a little headache. Also, I am diabetic. Please help. | 1,348 | Hello Are you using a thick pillow? Neck muscles seem to be in spasm. Muscular spasm. Give elaborate history on any medications you are allergic to or taking at present. | Q. I have pain in back side of neck with a shock while turning towards left. What is the treatment? |
Hi doctor, Is this ECG normal? I had a sudden cardiac arrest (SCA) 6 moths ago. This ECG (electrocardiography) was taken a few months before that. I have had fatigue, hair loss, stomach cramps, and dizziness for a while. I have had some trouble with hypokalemia and hypomagnesemia. After being resuscitated my serum potassium was 2.7mmol/l. They tried to fix that by giving me potassium solutions. The solutions did not really work though because of low magnesium. I am currently on Bisoprolol accord 2.5 mg, Xarelto 20 mg. | 1,349 | Hello. I am sorry to hear about your health condition. This is extremely strange that at 25 years of age you suffered a cardiac arrest. Have you had problems with hypokalaemia before the attack? Where you on diuretics? Do you have history of similar problem in your family? Have you always suffered low blood pressure? Or was it after the attack? | Q. I had sudden cardiac arrest with hypokalemia. Please interpret my ECG. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,350 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,351 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,352 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,353 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,354 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, My mom has an ear infection for more than one month now. She had a cold which led to her ear pain. Then she took Aplosyn for two weeks and now she is taking Nasoflo. The back of her ear until her neck has pain now. What can we do? | 1,355 | Hello. Is there any swelling around her ears or neck? Is she a diabetic? Any throat complaints? If yes, send me a clear picture of her throat. | Q. My mom has ear pain and itching in inner ear due to cold. What should be done? |
Hello doctor, I did a shave last week and hurt myself pretty badly. Now, I have this bump and it has been a week. I have been using Neosporin, Advil, Claritin, and hot baths. What is this? | 1,356 | Hello. I have seen the pictures that you attached (attachment removed to protect patient identity). Based on the description you mentioned, it looks like a folliculitis (hair follicle inflammation) or a razor bump. But you mentioned in the picture that a similar lesion was present since a week even before you shaved the area. So I would like to know if you have been having it before, and does it have any intense itching with tingling or pain? Or did you have any fever a few days prior to developing these bumps? If you are a sexually active individual, I would like to know if you had genital herpes anytime before, or if your partner has had genital herpes infection ever? I am enquiring all these because another possibility could be genital herpes. Tablet Paracetamol or Diclofenac for pain relief. | Q. I have a bump after getting hurt while shaving. Will Neosporin help? |
Hello doctor, My D-dimer is getting higher from 1.5 to 5.9 within the last four months. My heart has been checked, and I had a chest x-ray, CT of heart, aorta, abdomen, and pelvic floor and Doppler of my legs. All are clear. Blood work is normal apart from D-Dimer and c-reactive protein which is 12.6 mg/L. What can it be? | 1,357 | Hello. Following is my opinion about your asked question. D-dimer is usually elevated in some thrombotic events in the body like DIC (disseminated intravascular coagulation), deep vein thrombosis or pulmonary embolism. But your CT chest and Doppler leg are normal as per history. So pulmonary embolism and DVT can be excluded. The other causes for elevated D-dimer can be liver disease, heart disease, inflammation, post-surgery, and pregnancy as well. Your heart is normal as per history, so heart disease can be excluded. You can rule out the liver disease by SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), and serum protein estimation. If you have pregnancy or surgery history than it can be the cause. PT (prothrombin time), PTT (partial thromboplastin time) and coagulation profile can be planned by your doctor if D- dimer remains persistently high. Kindly attach your report to give further comments if possible. | Q. My D-dimer is raised from 1. 5 to 5. 9 and all tests are normal. What could be the reason? |
Hi doctor, I am an IT professional, presently working from home for 8-10 hours a day. Six days back my laptop keyboard got packed up. Next three days, I worked with an external keyboard and mouse while sitting on the bed instead of a table and chair. Though I felt strain and discomfort, I somehow continued with it. I felt sharp and dull pains all over the fingers, finger joints, wrist, etc., on the third night. I somehow slept after hot and cold fomentation and had an oral painkiller. From the next day, I am taking complete rest, doing nothing with right-hand fingers. It is almost three days, and still, there is a dull and sharp pain here and there over my right hand. There is no numbness or tingling sensation ever. Also, there is a feeling of discomfort and a sort of weakness in the right hand. Please advise medicine or ointment or exercise. Thank you. | 1,358 | Hello. Where is the exact location of pain? Is it at wrist or elbow? Is it at shoulder joint too? Are you suffering from hypothyroidism or diabetes? The possible causes are like, 1. Neuropraxia. 2. Carpal tunnel syndrome. 3. Hypocalcemia. 4. Hypokalemia. 5. Viral fever with myalgia. 6. Spondylosis with radiculopathy. 7. Pressure-induced numbness. Use tablet Pregabalin 75 mg once a day for five days and tablet Zerodol MR (Aceclofenac 100 mg + Tizanidine 2 mg) twice a day for three days. Kindly get serum calcium, blood sugar, thyroid profile, and nerve conduction study. If symptoms not improved, then please consult with your physician. He will examine and treat you accordingly. Take care. | Q. I have pain in my fingers, palm, and wrist after working on the laptop from home. Please help. |
Hi doctor, I am an 82-year-old man and noticed that my pulse was 54 late a couple of nights ago. I recorded it yesterday throughout the beginning with 8 am and ending at 10:15 pm. The pulse was 58, 60, 80, 78, 69, and 54. The 80 was after hiking 2.5 miles. I am concerned about the low of 54. I am currently on Valsartan and Hydrochlorothiazide 325 mg/25 mg and Amiloride 5 mg, each one per day. | 1,359 | Hello. Thanks for reaching out to us. I understand your concern about your health. Please do not be worried as it is nothing. It is perfectly normal to have a slightly low pulse as you age. It is a physiological change that occurs with aging perhaps 54 beats per minute can not be said to be too low. A normal pulse is between 60 to 90 beats per minute. This range differs with people. Age, body size, and activity level are some of the reasons for the variation. I advise you to continue your normal daily routine without worry. You can become concerned if it becomes lower as much as 40 and you experience symptoms like shortness of breath or faintness. Remain healthy. Best regards. | Q. I am 82 years, and my pulse was 54 a couple of nights ago. Should I be concerned? |
Hello doctor, My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage? Until when is it legal to get an abortion for a woman without any complications or failed contraception? | 1,360 | Hello. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps. | Q. How soon will I bleed after taking Regestrone? |
Hi! I am a 29 year old male with 171 cm height and 55kg weight and suffer from IBS. Every time I go to toilet, I have pain while defecating and after it, I have a burning sensation in the anus region for the whole day. Sometimes I also have abdominal pain but I think this is due to IBS. Before and after going to the toilet, my anal lining is normal but during defecation, something bulges out and I am not sure if these are hemoroids or this is mucosal rectal prolapse. After defecation I have burning sensation in my anus and mild pain in my left side. I also suffer from constipation (go to toilet 3 times per week) and almost always have to strain when going to toilet. When I am anxious, I suffer from diarrhea and my stool is mostly liquid. But if I am not anxious, I suffer from constipation. I already excluded all wheat / grain as it was causing me gases and pain and my IBS improved but I still have occasional abdominal pain (especially after defecation). Can you please help me understand if I have hemoroids or mucosal rectal prolapse and what I need to do to cure them? | 1,361 | Hi, Hope you are fine. 1) pain while defecating, and feeling of bulge, this is mostly a hemorrhoid, which sometimes could be associated with spot of blood on the toilet seat, and sometimes not. How to differentiate between a hemorrhoid and a rectal prolapse? to be examined by a surgeon, other wise it's difficult by history only. However, being young and healthy, it's unlikely to have a prolapse (it's a disease of elderly and anoreceptor intercourse). prolapse is usually completely circumferential, but hemorrhoids, usually one location (described as clockwise related 3,7,11 o'clock). 2) your abdominal pain, likely it's IBS, having intermittent diarrhea and constipation flavoring it. 3)- so to help ease your symptoms, we need to treat and fix your bowel habits, which is more fibers (green vegetables, avoid carbs), stool softener like Normacol (over the counter drug, which is basically fibers) 1 -2 sachet per day, till having soft easy stool. 4) part of IBS treatment, is psychological therapy, you need to relieve your stress, which will help you a lot with the diarrhea. | Q. My anal lining bulges out during defecation. Is it due to hemorrhoids or rectal prolapse? |
Hello doctor, I am a diabetic patient for two years and currently entered the third month of pregnancy. And till now, I did not consult any doctor. Is my baby safe? I am taking iron, calcium, and zinc tablets for six months. Please tell me about the precautions and healthy tips. | 1,362 | Hello. First of all, diabetes with pregnancy is a high risk pregnancy. The blood sugars should be checked before getting pregnant. In case a woman gets pregnant with high blood sugar levels, then there can be a risk of miscarriages, and certain congenital disabilities in the baby. Please check your blood glucose levels and HbA1c level to see for your glycemic control. Also, I am assuming you are taking folic acid supplements because that is a vitamin that helps prevent certain birth defects (neural tube defects - in other words brain and spine defects) in the baby. It would have been good if you had mentioned the medications that you been taking for your diabetes to check if you could continue them, also if any dose modifications are required. Because pregnancy-induced hormonal changes can disturb the glucose control as the pregnancy advances and it needs close monitoring. Please get back to me with the necessary details so that I can help you better and guide you through your pregnancy. I hope this helps. Have a great day. | Q. I am a diabetic and pregnant for 3 months without doctor consultation. Is my baby safe? |
I have had off and on neck head pains kind of like a headache. My scalp in the back center is a little tender and when I cleaned my left ear I had pain deep inside. Started 3 days ago with killer headache coming from left side behind ear. Scalp tenderness towards the back of the head. | 1,363 | Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I understood that you are having an off and on headache, likely a chronic headache. for the last 3 days, you are having a new-onset headache, which is triggered by cleaning your left ear, associated with scalp tenderness and pain behind ear. There are several possible causes of a headache behind the ear. One of the most common causes of such type of headache is occipital neuralgia. in this condition, occipital nerves are injured or inflamed The nature of pain is piercing and sometimes throbbing or similar to the feeling of an electric shock. for such pain, you need evaluation, maybe a scan, medications that decrease nerve pain such as carbamazepine, pregabalin, etc. Another common cause is Mastoiditis. It is an infection of the mastoid bone, which is the bone directly behind the ear. It can cause a headache behind the ear It is mostly associated with fever, discharge from the ear. In your case, it is likely possible as you have a history of ear trauma while cleaning your ear. Simply taking anti-inflammatory medication and antibiotics will help. Other cause includes temporomandibular joints (TMJ) inflammation. These joints can become inflamed and painful. there is sense jaw tightness and pain in addition to a headache behind the ear. Lastly, migraines can present in a various manner. As your having chronic headache it is also a possibility. It is important to find out the specific cause, so it can be treated appropriately. New-onset headache we like to search for red flag symptoms. This are Sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness such systemic illness (fever, stiff neck, rash)as fever, focal neurologic signs or symptoms. If these red flags are present, it needs urgent medical evaluation. Some home remedy for symptomatic relief of pain are over-the-counter anti-inflammatory drugs, such as ibuprofen, paracetamol massage of neck muscles apply Heat packs, if swelling then apply a cold pack to take rest in a quiet room Hope this is helpful. Regards | Q. Why do I have off and on neck and head pains? |
Health Query : I have thalassemia minor in the blood and I would like to know if there is a final treatment for it and if not, then what would you advise me to improve my health? Symptoms : Paleness,Hair loss&Rapid Fatigue Medication : Folic Acid tablets & Vitamin D capsules (Would like to know how much IU vitamin D is suitable) Gender : Male Age : 20 Height : 172 cm Weight : 70 kg | 1,364 | Hi Welcome to icliniq, Well according to your history and complaints I would like to ingorm you that a sure shot cure for this for thalassemia minor is not there at present but yes many treatments for major thalassemias are there which are not at all needed in minor forms. Yes symptomatic treatments and supportive therapy are adviced but nothing is sure shot. To improve your health it is recommended ypu must live a balanced life and acquire healthy habits like Adequate work and rest, adewuate balanced diet, mild exercise but with utmost care, be vigilant about any new or worsening signs of symptoms, I also recommend you to be in touch with your treating doctor and get yourself checked periodically incl. blood tests. RDA of Vit. D is minimum 600 IU/day for healthy individuals and minimum 1000 IU/ day eith ostroporosis. Although getting Vitamins B and D levels checked and then to discuss the amount with your doctor is advised. Take Care. Have a nice Day. | Q. I have thalassemia minor. Is there a treatment for it and how to improve my health? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,365 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,366 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,367 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,368 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,369 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi there, We have just recently bought an oximeter and it’s reading very well for four people in our household. However with my Dad, it struggles to read his recordings. He also has a very up and down heart rate, varying from normal to really low. However, his blood pressure readings are fine. Thanks | 1,370 | Q. Why does the pulse oximeter not read my dad's recording properly? | |
Hi.. Doctor, I'm having a situation here.. I am a mother with 2 kids, My last first period was 69 days back. I'm worried and made an UPT which shows positive 20 days back.(after 12 yrs I'm am pregnant). I do faces all the pregnancy symptoms as vomiting and so on.. Unfortunately I am spotting since last week (which comes in chocolate color upon ironing only which is not a heavy flow). And made my first ultrasound 5 days back. Doctor says baby is fine. Then the spotting still haven't stop; so I decide to refer another doctor since really worried. When I did 2nd ultrasound a couple of days back, i only can see my empty sac? How this possible? The doctor request me to come over for another scan after 2 weeks. If still empty, then I have to abbot it. I'm depressed & really not sure what happen Please advise ..doctor | 1,371 | dear, welcome toiclinq. com I can absolutely understand ur concern.. what u are going through must be missed miscarriage.. this is because of defective embryogenesis( the ovum , becos of ur age may have meitoic dysfunction .. resulting in multiplication errors) ... it's a waY of of natural selection in which only the good embryo moves forward... just wait for a week, rpt USG, and decide as per reports.. Do not worry... u have 2 kids... we do come across such worse scenarios in women going through ivf pregnancies .... stay bold..., it shall pass by... hope u find it useful regards missed miscarriage tvs after a week missed miscarriage as per scan reports if any query | Q. My second ultrasound showed an empty embryonic sac. How is this possible? |
I was topper for 3 semesters and I have fear that I will be not topper for 4th semester because of this fear i am unable to focus on studies | 1,372 | Q. I am unable to focus on studies because of the fear of not being the topper again. Please help. | |
Results from an HSG procedure showed that I have a bicornuate uterus or a thick septum. Both Fallopian tubes are patent. But there is an abnormal position of the uterine body, possibly due to a cystic nodularity in the right adnexa, displacing the entire uterine body toward the left side of the pelvic cavity. Currently trying to conceive and I'm pretty concerned about the complications with both fertility and pregnancy due to the potential above diagnosis. Further clinical evaluation is recommended. What can be done to fix this and/or make the changes for a healthy full-term pregnancy? Thanks! | 1,373 | Hi Thanks for your query woman may never need treatment for a bicornuate uterus. If it is required, the surgery is known as a Strassman metroplasty. This surgery may be recommended if a woman has repeated miscarriages and bicornuate uterus is thought to be the cause. Performing this procedure, as a solution to infertility, is controversial, as the majority of research carried out suggests that having a bicornuate uterus will not affect a woman’s chances of falling pregnant. Some evidence suggests that problems, such as miscarriage and early birth, are more likely in women with the condition, though it does not rule out a successful pregnancy and natural delivery. Women with a bicornuate uterus who do become pregnant should have additional monitoring and checkups throughout their pregnancy, to minimize risk and identify any problems early on. It’s not necessary that all those with this condition will get problems with fertility or pregnancy but the chances are more especially if it’s septate uterus where there’s full septum diving uterus into two. Sometimes it can’t be established on imaging and laparoscopic view may be necessary. | Q. Should I be concerned about fertility and pregnancy complications due to bicornuate uterus? |
Hello doctor, Last February, I have had an ear infection from cleaning my left ear too often with a q tip. I went to the hospital and was prescribed Aplosyn otic drops, Celebrex, and an antibiotic which starts with a letter L (I forgot it as I lost the prescription. I am sorry). I took it for a week and went back to the doctor to have me flushed. He told me my eardrum was not perforated. All went well until two nights ago. I gently cleaned my left ear with a q tip after shower before going to sleep. I woke up the following morning with mild pain in my ear (maybe because I was sided left all throughout my sleep and have put so much pressure on it). Today I used a mirror to have a look at it. It looks like it has pus again and the moderate pain now is up to my left neck. What should I do? Please help. | 1,374 | Hi. I know how frustrating this problem can get. You can follow the advice mentioned below. 1. Please stop using earbuds q-tips as they introduce infections into a sensitive region such as the ear. 2. If there is pus coming out of your ear, there is a possibility of you developing an ear infection that may or may not involve the eardrum. 3. Take tablet Amoxicillin 500 mg with Potassium Clavulanate 125 mg combination one tablet thrice times a day after food for one week. Along with this, you can also take a combination of Paracetamol, Phenylephrine, and Levocetirizine one tablet twice daily for one week. 4. Keep your ears closed with sterile cotton and change it every six hours. 5. Do not allow any water or air to enter into your ear as it can keep getting infected and pus or ear discharge will start once again. 6. In a case where if by chance there is perforation of the eardrum, it will close on its own once the discharge subsides. Do not worry about it, you will be completely fine in a week's time. I hope this helps. | Q. I get recurrent ear pain whenever I clean my ears with q-tips? |
Hello doctor, I am suffering from sinusitis for the last six months. I have tried lots of medicines but there is no improvement. Because of the current scenario of COVID-19, I cannot visit any ENT specialist. Please help me and prescribe some medicines. | 1,375 | Hi. Yes, I understand how frustrating your problem can be. Sinusitis is usually secondary to a certain problem such as allergy (which is the most common cause, once other rare causes are ruled out). So considering the treatment of this particular issue, we need to always treat the primary from its root source so that the effect remains for a longer time with the least amount of medications. What can be done? If you are having underlying allergic issues such as sneezing, watery nasal discharge, ear fullness, heaviness in the head, and facial regions, we need to treat the allergy first. You need to wear an n95 mask (and nothing else other than that) to prevent any irritative substance such as dust, fumes from entering your nose, and initiating the allergic cascade mechanism leading to its symptoms. Wearing a mask even at home, avoiding exposure to dust and other substances which instigate sneezing according to me is the single most important factor which you have to take care of as other things mentioned below are all for symptomatic relief and we are not treating the allergy as such, precisely speaking. Take tablet Sinarest (Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day after food for 10 days, Allegra-M (Fexofenadine and Montelukast) one tablet two twice for 10 days, Duonase nasal spray two puffs in both nostrils twice daily for three continuous months (do not inhale while applying the spray), tablet Mucomix 600 mg one tablet twice daily for 10 days. Do steam inhalation two or three times a day for supportive relief. Take Wysolone 10 mg once a day after breakfast for 10 days, tablet Pan D (Pantoprazole) one tablet before breakfast for 10days, Clarithromycin 500 mg twice daily for one month. Saltwater gargles 8 to 10 times a day will keep irritative substances away from the throat. All these medications will be useful only if you strictly follow the precautionary measures. The requirement of medications will automatically reduce once your symptoms come down with a decreased allergic load. Please do get a noncontrast CT (computed tomography) of the nose and paranasal sinuses and show it to me once you get it done in the subsequent follow-ups. I advise you for a follow up after two weeks of treatment, so I can evaluate and let you know about the further requirement of medications. I hope this helps. | Q. I have sinusitis for the past 6 months and no medication helped me. Why? |
Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block. He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him? | 1,376 | Hi. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP drops that need medicines to raise it, then the option is left ventricular assist device (LVAD) or total artificial heart (TAH) or heart transplantation (subject to availability of facilities). First thing is to assess for revascularization if there is viable heart muscle. I hope this helps. | Q. Is CRTD good for heart patient with acute heart failure and MI? |
Hello doctor, I am a 30-year-old healthy woman. I am diagnosed with anxiety disorder 10 years ago. For the past year, I have been experiencing crippling health anxiety. I have experienced a number of frightening symptoms, including brain zaps, weakness in legs, body twitching, dizziness, etc. Last year, I had a CT scan, and MRI of the head and neck. I consulted with a family doctor and neurologist, terrified of MS. All scans came back clear. My doctor said this was all a result of my anxiety and also said he thought I was suffering from GERD or acid reflux. I felt better for some time but for the past two weeks, I started experiencing very strange symptoms that I have never before felt in my life. I get on and off tinnitus in my right ear, seeing small bursts of light once or twice a day, and feeling of spice/burning in the back of my tongue while eating bland nonspicy food. I have called my optometrist who did a full workup less than a year ago. I have 20/20 vision and no eye conditions. I explained the small bursts of light and he was not too worried and simply told me to keep track and let him know if they are increasing. So far they are not. But these small bursts of light coupled with the tinnitus and also the tongue burning sensation has absolutely terrified me. I am terrified I have a tumor or brain cancer. This fear is crippling me and I can hardly think straight. Should I be concerned? I am on the verge of running to the ER every night and begging for a CT scan. Please help. | 1,377 | Hi. So the problem here is right ear tinnitus. Regarding this I need to know is there hearing difficulty in the right ear? What type of tinnitus, swishing, or continuous? How long it lasts? Is there any vertigo associated with tinnitus? Is there any discharge or fullness of the right ear? Regarding bursts of light, Which eye? Single eye or both eyes? At the same time of tinnitus or at a different time? Are flashes colored or black or white? Is burning on the back of tongue one-sided or both sided? Is there any redness on the tongue? Is there hoarseness of voice or throat pain? Please answer all these questions. | Q. I have tinnitus, small bursts of light and burning at the back of throat. Are these signs of brain tumor? |
Hello doctor, My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise. | 1,378 | Hi. If there is any acute stressful condition, tackle it. BP will be fine. Measures to control BP (blood pressure): 1. Avoid smoking and other addictions. 2. Reduce salt intake in diet. 3. Reduce fatty foods, junk foods, and saturated fats. 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, at least eight hours a day including at least six hours in the night (uninterrupted sleep). 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea, coffee 30 minutes before checking BP. Sit on the chair with feet on the ground, back supported, hand supported on a table, cuff at the position of heart. Check the BP and repeat it after five minutes again. Then check the BP in the other arm and repeat it after 5 minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your exact blood pressure. You may take at least two or more readings and the average of readings is your actual BP. If these measures do not help then switch medicines. But before switching, have renal function tests and electrolytes done. If the tests are normal, and you are not allergic to components of the following medicines, then take tablet Amlodipine or Valsartan 10/160 mg in the morning or evening time. Measure BP daily as described above for two to three weeks. If it normalizes, continue the medicine, if not reconsult. | Q. What are the recommended measures to control high BP in a stroke patient? |
Hello doctor, I am a 28-year-old male in good health. I have suffered bouts of depression for the past few years along with anxiety and OCD. I am on Zoloft every day and am doing well for the most part. I am staying active and keeping busy. The reason why I ask this is, that on my mother's side there are two stories of people with suspected schizophrenia. My maternal grandmother's mother was said to have been institutionalized for her life because of it, and my maternal aunt (mom's sister) is a paranoid schizophrenic, according to my grandma. Does this skip generations? Neither of my parents or siblings has this condition. What are the chances of becoming a schizophrenic? Do I have anything to worry about? | 1,379 | Hello. Based on the history provided, I see that you do not have any first degree relatives with schizophrenia. So the risk is not high. This condition can run in families, but the risk is more when you have first degree relatives with schizophrenia (like parents, siblings). Schizophrenia is relatively rare affecting about 1% of the general population. So anyone in the world has a 1 in 100 chance of developing schizophrenia. Your risk will be the same as the general population ( ~1%), possibly marginally higher due to extended family history. You need not worry unnecessarily as the risk is not substantially higher than anybody else in the world. To give you an idea about the genetic risk of schizophrenia, look at these figures. If there is a first degree relative with schizophrenia, the risk increases to 10 %. If both parents have schizophrenia, the risk increases to 50 %. If there is identical twin, the risk can increase to about 50 to 65%. You do not fall into these categories. You may be aware that genes play a role in the etiology of schizophrenia but they alone are not responsible. Schizophrenia is caused by a complex interaction between genes, environment, and psychological factors. Environmental factors like illicit drug use and high stress levels play a huge role. Since there is a possible history of schizophrenia in the extended family, it makes sense to avoid any risk factors like illicit drugs use (weed, cocaine, etc). Continue an active and healthy lifestyle. Continue appropriate treatment for depression, anxiety, and OCD (obsessive-compulsive disorder). If you have any other concerns, you can contact your psychiatrist for a review. I hope this helps. | Q. Can schizophrenia be inherited and pass down to next generation? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,380 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,381 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,382 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,383 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,384 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest. I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75. | 1,385 | Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syndrome, it happens in pregnancy due to swelling of tissues. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal. | Q. Is it normal to feel hot over the hands and vagina with sharp abdominal pain during pregnancy? |
Hello doctor, I think I may have ringworm. It is located on the left side of my stomach (almost hip). I have tried putting Clotrimozol and Daktarin on it. I am afraid that it may spread to other parts of my body. Please help. | 1,386 | Hello. How long it has been there? What are the symptoms of it? Any other area affected? Any other family members affected? Any history of hypertension, diabetes mellitus, or thyroid disorder? Any known drug reaction? Looking forward to your response in order to help you. | Q. I have ringworm on left side of my stomach. Will it spread to other parts of the body? |
Hello doctor, I am a 23-year-old female. I used to urinate on the bed since childhood. Please suggest me some medicines. | 1,387 | Hello. Have you tried any medication before also? Do you have a dry period anytime until these 23 years? You still do bed-wetting on a daily basis or it is just when you cough or sneeze? Do you have any history of diabetes or hypertension or any medications? Kindly elaborate on how many times at night you wet and how many times you get up to urinate? | Q. I am 23 years old with a habit of urinating in bed still. Please suggest medication. |
Hello doctor, I have severe pain in the neck and shoulders often accompanied by numbness and tingling. I also have frequent migraines and some times dizziness as well with occasional fainting which is exacerbated by loud sounds and harsh lighting. I used to be a professional bass player (20 years) but no longer performing live for the past two years due to worsening conditions. I am currently taking OTC painkillers and homeopathy medicine for migraines. | 1,388 | Hello. It would have been better if you had included the MRI and X-ray films or at least the report as I believe it is your cervical spondylosis that may be the cause of your current symptoms. I will recommend you to do neck strengthening exercises, shoulder elevation exercise, and take Pregabalin tablets for nerve pain along with Duloxetine and take antiinflammatory tablets for a couple of weeks to see the response. As your are getting twitching and this may be viral in nature or may be myoclonus. I will not to ignore that and perhaps see a neurologist at the next opportunity. | Q. I have severe neck and shoulder pain with numbness and tingling. Please help. |
Hello doctor, I am 16 years old. My weight 87 kg and 1.73 cm tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it. | 1,389 | Hello, Welcome to icliniq.com. You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information. The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it. The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation. Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines. I hope this helps. Chronic idiopathic constipation. Defecatory disorder. Tablet Prucalopride 2 mg daily. Follow up in one week. | Q. I have diffculty in bowel movement without laxatives. Why? |
Hello doctor, My 10-month-old baby is facing irritation in her ear with persistent itching. | 1,390 | Hello. I would like to know is there fever or any other complaints? | Q. My 10-month-old baby is having irritation in her ears with persistent itching. Please help. |
Hi doctor, My grandmother has purple spots on her legs and arms. It looks like senile purpura, but I cannot be sure. The one on her leg is much larger and seems to spread a little over the course of a few days. The one on the arm is small. She is taking calcium and vitamin D for her osteoporosis and I have given her some vitamin K2 and D3 drops as well from time to time. She is 85 years old. | 1,391 | Hello, Welcome to icliniq.com. I can understand your concern. According to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis. When small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin are known as purpura. Purpura may be resulted from illnesses such as bleeding disorder, recent history of blood transfusion, cancer, SLE (systemic lupus erythematosus), infections like HIV (human immunodeficiency virus), hepatitis C, CMV (cytomegalovirus), EBV (Epstein Barr virus), etc. It may also occur due to inflammation of blood vessels, blood stream infection, vitamin C deficiencies, medications like Heparin, Aspirin, Sulphonamide, steroid, chemotherapy, Digoxin, Hormone replacement therapy, etc. Purpura are usually benign and may resulted from above mentioned causes and it sizes can vary from small dots to large patches. Senile purpura is benign which affects older people as their skin and underlying blood vessels become more fragile with aging and may bleed from minor trauma. The treatment depends on causes and most of the purpura does not need any treatment and dissolved over time. It may take 4 to 6 weeks to heal. The treatment are only needed for those which are not disappeared over time. You can use topical retinoids along with her current medications. I want to add that according to the pictures (attachment removed to protect patient identity) that are shown here, your grandmother have been suffering from age-related senile purpura. Give her vitamin C and citrus foods like orange, lemon, etc., with application of sunscreen and sun-protective clothing along with previously mentioned medications. | Q. My grandmother has purple spots on legs and arms resembling senile purpura. Please suggest solution. |
Hello doctor, I started the Depo shot before six months and I missed my second shot. I did not continue getting the shot, so I have been off birth control. It was my first Depo shot I have ever received and I am not sure how long it takes to be totally gone. But, I have been very sexually active with my boyfriend for the past few months. I have not started my period as I got the shot. Yesterday, I bled very lightly, but only for a couple of hours and then it stopped completely. I am wondering if this could be implantation bleeding? I have had a couple of bad headaches recently, but do not feel as crampy as I do when I am on a normal period. I was wondering that any chances to become pregnant or not. But I have not noticed any morning sickness or weird cravings. Please suggest me. | 1,392 | Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Is there any chance for pregnancy even after taking Depo shot? |
Hello doctor, My partner, who is 36 years old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together. He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinders bone healing and have advised him to stop, even if short term to assist with the healing of the broken bone. He had cast for three weeks and then was transferred to a walking boot with vague instructions on how to deal with it. He is being told that he should be walking more on the ankle which is broken. But, he is worried as he will cause more damage as it is not yet aligned. Also, should he be wearing his walking boot at all times? He wears while sleeping and he removes it while bathing daily. Please explain to him that how the bone will heal and whether he should be wearing his boot all the time. | 1,393 | Hi. Revert back with the x-ray report to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | Q. How to heal my broken ankle? |
Hi doctor, I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I also get backbone pain in the early morning. I have consulted a specialist and he told to do the attached laboratory tests. I have ASO titer 800 IU/mL and I do not have any tiredness, headache, fever, history of jaundice, joint pain, etc. Please help. | 1,394 | Hello. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). Anti-DNAse B and echocardiogram. Rheumatic fever. NSAIDs (nonsteroidal anti-inflammatory drugs) like Celecoxib 200 mg, Piroxicam 20 mg twice a day. It can help to reduce the symptoms of pain and swelling. For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. What can cause knee pain with swelling? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 1,395 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
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. | 1,396 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 1,397 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 1,398 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 1,399 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
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