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Hi doctor, I am 34 years old. I always have regular periods with a 28 day cycle. I have pregnancy like symptoms for the past two weeks. I feel nausea, cramps, strong smell, etc. Actually, my period was ahead of due. For the past 15 days I have very light watery bleeding started and is still on. It is not heavy at all and not like my usual periods. Is this pregnancy or any other issue? | 1,900 | Hello. I had gone through all the data posted. Based on your symptoms, pregnancy is a possibility. But, as you said your periods are due now you can wait for another four days. If you did not get periods, then do a urine strip test for pregnancy. At this time no one can confirm pregnancy, even if you go for a hospital visit and even with ultrasound. The urine strip test will tell us the answer and we need to wait for another four to five days. Once the urine strip test is done, then we can decide further course based on its report. For now kindly avoid unnecessary medications; take proper diet and rest. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Can spotting occur in initial stage of pregnancy? |
Hello doctor, I am 32 year old female. My past medical history includes rosacea (15 years), perioral dermatitis (7 years), melasma and hyperpigmentation in the upper cheeks for three years and ADHD. I am currently under Noritate, occasional Elidel during flare up and Adderall 2.5 mg daily. My hyperpigmentation on my upper cheeks has been progressively getting worse over the last several months. The pigmentation is well demarcated with areas of normal skin. I work indoors and the most sun I get on a daily basis is my short 15 minutes car ride from home to work. I cannot pinpoint the cause of the hyperpigmentation and melasma. I am not on any type of birth control and do not believe the source to be hormonal. I am hesitant to try lightening agents as I have had adverse effects in the past. I am going to trace back the pigmentation for you and maybe you can help me out.Before three years, I applied Noritate and Ziana to my face. My skin in general was fine. I had only one area of pigmentation on my face, right side of face 1 inch x 1 inch. As that was noticeable I asked a dermatologist if there was anything that I could do to lighten it. She gave me Tri-Luma. I decided to put the Tri-Luma on the affected area and also a few freckles on my upper cheeks. The next day I became extremely red and out of fear of triggering my rosacea I dropped Tri-Luma immediately. Then after a month, I stopped taking Ziana, because I moved back to a colder climate and my face was getting too dry.After some eight months, the area of pigmentation (right side of cheek) was started getting darker. So, I decided to give another try for Tri-Luma. I again applied it to the larger area of pigmentation and to the tiny freckles on my upper cheeks. The decision to apply it to the freckles was purely a cosmetic decision. The next day those freckles turned into full blown pigmentation. I immediately stopped the Tri-Luma and the pigmentation in those areas has basically been there up to present day. At that time, a local dermatologist had suggested me to apply some cortisone cream to the areas to lighten them up. The pigmentation subsided very minimally. I did not apply the cortisone cream thereafter. The pigmentation from this point waxed and waned in intensity up until two months back. Then, it has remained prominent. There were a few times during this two year span where my perioral dermatitis flared up and I was told to restart Ziana, which also made the pigmentation worse. I was unsure whether the Ziana was bringing the pigmentation to the surface or whether it was in fact making it worse. I went to two dermatologists who had differing views of stop Ziana and keep using Ziana. I decided to stop as it appeared to be getting noticeably worse. Again, I do not know if this was a whole process of bringing the pigmentation to the surface or not. Please share your thoughts. | 1,901 | Hello. Well, here I discuss everything one by one. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. Which is the best medicine for rosacea? |
Hi doctor, I am a 74 year old male. For the past two years I am house-ridden, but not bedridden yet. I feel tired after walking a mere half a kilometer. I walk with the help of a walking stick, because I lose balance while walking. Sometimes I feel orthostatic hypotension. I consulted a cardiologist, a pulmonologist, an endocrinologist and a urologist. Cardiologist took an ECG and an echocardiogram. He ruled out heart trouble even though I had undergone aortic valve replacement six years back. Pulmonologist asked me to take a thoracic CT scan and did not find any significant malignancy of the lungs. Urologist, who 10 years ago diagnosed me having GU AFB and cured me with a six month course of AFB treatment, ruled out recurrence of AFB in GU area. Endocrinologist prescribed various tests like serum cortisol test, thyroid test, ACTH test and ruled out Addison’s or Cushing’s disease. Last week, when I was going through those records, I read in the thoracic CT scan report that my right adrenal gland has hyperplasia. On the internet, I found that hyperplasia means growth of additional cells. Since the previous CT scan was one and a half years old, I decided to have another CT scan of abdomen to find out the condition of my right adrenal gland hyperplasia. I knew that I cannot have an MRI scan as I had a replaced aortic valve. The radiologist had my serum creatinine tested before administering me with the liquid necessary for contrast. The new CT scan report appeared to me as a death sentence. The report did not find any change in adrenal hyperplasia. But, the report of my kidneys appeared to be concerned. I consulted a nephrologist in a renowned leading hospital in my area. He did not prescribe any treatment for me at all. He even chastised me for taking a CT scan telling me about the radiation effect of the scan and effect on kidneys of the contrast liquid. He asked me to come back after six months. After thinking about it for the past one week I have come to the conclusion that the honorable doctor decided that my kidney condition is terminal and it is futile to prescribe anything. As I spend lots of time surfing on the internet I had a whim of having a second opinion online. | 1,902 | Hi. Please attach all your CT reports and your blood profile for my best opinion. Thanks. Revert back with the reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist | Q. How to prevent creatinine rise? |
Hi doctor, I have dealt with leg swelling fairly constant for the last 10 years. The bottom of my legs including my ankles and feet are swollen every day. They have turned very dark. The discoloration was happening for about the last five years and has gotten worse over time. Basically, it will not respond to any type of moisture so that the area is always dry. I am overweight, but not diabetic. The only medication that I am taking currently is Coumadin, because I recently had a blood clot in my right leg. However, it is my left lower leg that has the most swelling and discoloration. How can I heal the skin that is damaged due to poor circulation? | 1,903 | Hi. I have read your concern. 1. Overweight. 2. Prolonged standing. Color Doppler for venous insufficiency. 1. Stasis dermatitis. 2. Lichen simplex chronicus. Stasis dermatitis. 1. Keep the area clean with soaking in solution of Potassium permanganate in 1:10,000 dilution. 2. Apply good quality moisturizer twice daily and apply Propysalic NF (combination of Clobetasol Propionate and Salicylic Acid) lotion once daily for two weeks. Consult your doctor, discuss with him or her and take the medicine with consent. Put a pillow underneath your feet while sleeping, avoid prolonged standing and try to reduce your weight. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. How can I heal the skin that is damaged due to poor circulation? |
Hello doctor, I am trying to get pregnant for a year now. So far it has not been a success, and the main reason is I have irregular periods and difficulty tracking my fertile window. I have been tracking my ovulation this month, and according to calculations this week I should be ovulating. So this whole week I kept checking my cervical mucus and did some ovulation tests. The last five days my ovulation tests all came back negative until today. I saw only a faint line. But from here I got very confused. The reason is, according to my knowledge, if you reach your ovulation your cervical mucus should also change to a watery, slimy, or egg consistency. When I check my mucus it is grainy and white, which probably refers to yeast infection but I have no other symptoms. No burning feeling, or any itching or bad smells. Just white grainy mucus. Does this mean I do have a yeast infection, even though I have no other symptoms? Can this affect my chance to get pregnant? | 1,904 | Hello, Welcome to iclinq.com. Yeast infections are usually associated with symptoms like itching or pain. The description of the mucus looks more like an ovulatory discharge. The discharges are not always bookish, it varies with individuals and patterns may have some changes during active sexual life. So do not worry and have regular intercourse during this time as it is the fertile period. Generally, timed intercourse adds stress to both partners, so have casual stress free sex, it actually makes wonders. I hope this helps. Ovulatory discharge. Ovulatory discharge. | Q. Does grainy white cervical mucus during ovulation suggest yeast infection in vagina? |
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? | 1,905 | 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. | 1,906 | 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. | 1,907 | 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. | 1,908 | 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. | 1,909 | 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, My daughter has skin irritation near hands in the joining area. After itching, she gets blood in that area. And at night time she is having itching on her whole body and she has dry skin. My daughter is 6 years old and she is a thyroid patient. Please suggest solution. Currently, she is on Erythromycin and Lecope. | 1,910 | Hi. Kindly attach the pictures of the skin problem and old prescription. The picture you sent is that of blood soaked cloth (attachment removed to protect patient identity). How much is her thyroid level? Is she taking Eltroxin? Is she having wheezing or dust allergy? Send me the pictures of the hand and joint. | Q. My daughter has skin irritation with bleeding in hands. Please suggest solution. |
Hello doctor, Patient is a 61 year-old female. Six months ago she was diagnosed with bone TB and undergoing medication (Ethambutol, Rifampicin, and Isoniazid). After six months of usage, her eye vision is suddenly diminishing. Then her doctor told to discontinue Ethambutol immediately and started using some B12 1500 mg injections on alternate days. After one week they started steroids just to rule out if there might be any optic nerve inflammation. We have done MRI and the findings are below. 1. Tiny FLAIR hyperintense foci in the frontal and parietal and white matter small vessel ischemic changes. 2. Widened perioptic CSF space. 3. T2 hyperintense signal is seen in the chiasm and optic tract. Kindly suggest what to do? | 1,911 | Hello. I passed carefully through your question and reviewed your uploaded MRI (magnetic resonance imaging) report. (attachment removed to protect patient identity). I would explain that these MRI findings (T2 hyperintensity in the optic nerve and the optic chiasm) are indicative of optic nerve inflammation (neuritis), which could be related to Ethambutol adverse effects. The troubles with vision are a clinical sign of optic neuritis too. So, considering that there is a correlation between radiological and clinical findings, I would conclude about optic neuritis and would recommend to stop Ethambutol as soon as possible in order to avoid possible blindness. I hope this helps. | Q. Vision is diminishing after taking 6 months TB treatment. Why? |
Hello doctor, I am a 33-year-old female. I am concerned about a lump on my genital area and I am very worried it is a wart. I have had this problem on and off for about eight months now. I also have vaginal itching, soreness, and discharge. I visited a sexual health clinic and they said it was not herpes, but I am still suffering with the symptoms and the lump seems to have grown. Please help. | 1,912 | Hi. Please provide me dome details. Do the blisters appear first then this type lump? Is it painful? Does every time you get only one such lump or multiple also? Do you have any fever? Have you noticed small blistering anytime? It will help me figure out your problem. For time being it is difficult to conclude it as a wart, but if you give the above information then it will be easy to conclude. Serum IgM and IgG for HSV (herpes simplex virus) 1 and 2, if possible serology for HPV (human papillomavirus). Follow up with details. | Q. I have a lump in vaginal area with itching, soreness and discharge. Please help. |
Hi doctor, This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate, or just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in my prostate. It is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. I am just turning 20. I am very active and healthy, so something like this has harmed me physically and psychologically. Please help. | 1,913 | Hello. You need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychological causes with the partner. (I do not think you fall under later categories). Please answer some of my queries. Do you have intercourse before? Any relationship issues? Do you have hematospermia (blood in semen) anytime? Any surgeries in childhood? Any testicular swelling or UTI (urinary tract infection) in the past? Any foul-smelling discharge from urethra? Any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you a diabetic? Though I still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis. | Q. I get excruciating pain in prostate after ejaculation. Please help. |
Hello doctor, I am a 35-year-old male. I feel pressure and a sort of burning sensation in my food pipe. My very first symptom occurred in the form of trapped burp in the chest last month. I had a bit of bulgum alongside which I keep throwing out. I took Pan 40 for two weeks and stopped thereafter as it was not doing much wonder. I consulted one doctor online he suggested me a five-day course of medicines Rifagut 550, Librax, and Rabium DSR. I started feeling better in the due course. Now it has been two days there have been mild symptoms like burning and pressure feeling in the food pipe post taking meals. Kindly suggest what to do? | 1,914 | Hello. Your symptoms sound more of a problem known as gastroesophageal reflux disorder which is due to reflux of contents into your esophagus from your stomach. Have short frequent meals. Do not overload yourself. Have a walk after meals and do not directly lie down. Cut down your intake of coffee, and alcohol. I would suggest you to continue a couple of medicines that will make you feel better. | Q. I have recurrent pressure and burning sensation in food pipe. What should I do? |
Hello doctor, I am having a lot of pimples on the scalp. Pimples are with white pus. There is a lot of pain and a lot of dandruff along with this. What should I do? | 1,915 | Hi. You seem to be having scalp folliculitis which is an infection of your glands on the scalp. It can sometimes be related to dandruff in which case scalp pustular psoriasis has to be ruled out. You need to reduce your sugar and milk or milk product intake. Reduce eggs and red meat. Folliculitis can sometimes be recurrent which would then require a long term treatment. I need to know if you are on any other medications, have any known drug allergies or other health issues? So as to give you the right treatment. In case nothing of these are there you can take tablet Minoz 50 mg (Minocycline) at morning and night after food along with tablet Oflox 200 mg at morning and night after food. You can use Fusiscalp lotion at morning and night over the scalp and wash your scalp with Tarscalp shampoo. | Q. I have a lot of pus-filled pimples on scalp with pain and dandruff. What should I do to get rid of it? |
Hello doctor, I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis? | 1,916 | Hi. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your's should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. | Q. Are there any methods to increase the size of penis? |
My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain. So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,, Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones) I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night) | 1,917 | Hi. Welcome to icliniq. I am Dr Anshul Varshney for your help. What we know about corona with current available experience is that it has presentation in most cases with Dry cough and Fever which may later turn into breathlessness. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good drug for respiratory tract infection. However in case you have any recent contact with corona patient, or there is a community spread in your area, then you should get in touch with your doctor. If he doubts, he would get you tested for COVID. Or you can request him for a Chest X-ray as well as Complete blood count that would help in confirming. So, I hope it helps you. And I wish you as well as the whole world a speedy recovery. Regards Dr Anshul Varshney, MD | Q. For the past four days, I have chest congestion and mild chest pain. Is it due to COVID-19? |
Hello doctor, I am having an allergic reaction on both of my feet. It will start like fluid-filled vesicle, then it will get hardened and will start peeling off the skin. There is an excess of itching in that affected area. I had consulted a dermatologist and was told that it is contact dermatitis. Doctor prescribed me Momate-F ointment for two weeks and asked me to change the footwear. It did not subside after two weeks and then the doctor prescribed Halovate-F ointment and Levocetirizine for two weeks. Then also it is not subsiding. It has been more than two months and still, eczema is present and new areas on my foot are getting affected. | 1,918 | Hi. Very itchy rash over the feet with fluid-filled vesicular lesions is tinea pedis vesicular type. No response to steroids also confirms that. Contact dermatitis also mimics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids. I can see some involvement of toe clefts. Please tell me are clefts involved? How much duration since the start? How it started, like which area and which foot? Do you buy any new shoes, or anything new when they started? Do you have wet work of feet often? Any other medical condition you have like DM, BP, etc., renal or liver disease? Start the following treatment. Capsule Itraconazole 200 mg bd after meals for three weeks, Terbinafine cream twice daily for three weeks, Loratadine 10 mg once daily for itching for 10 days, KZ dusting powder. Avoid wetting or sweating of feet. Keep dry. Dry shoes in sun. Change socks daily. Fungus. Contact dermatitis. Antifungals. Keep dry. After three weeks. | Q. I have allergy in feet with fluid-filled vesicles and itching. What is my problem? |
Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately. My issue is I feel like crying very often. I feel being hated by my friends and acquaintances. I fell into a toxic relationship one and a half years back. He betrayed me but I cannot let him go as I am so addicted. And now I do not have any close acquaintances to turn up on. I was under psychiatric treatment for the past one year. I was put on Fluvoxin 100 and Dicorate which I stopped due to weight gain. Now I do not want to be under medication. Some therapies or strategies would be better for me it seems. Please help. | 1,919 | Hello. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. I will give you one example. In fever, Crocin /Paracetamol helps is given. To this, you can add cold water sponging which helps, but you cannot replace Crocin with sponging. This is the exact same thing. There are medicines which also help you not gain weight, or are weight neutral. You can ask your doctor for the same. One example of such a dose plan would be Fluoxetine 20 mg and Lithium 300 mg and Aripiprazole 2 mg. Also if u wish, you can consult a psychologist for some sessions of CBT (cognitive behavioral therapy) and undergo six to eight sessions online or locally. | Q. Due to betrayal from a bad relationship, I am completely stressed out. Please suggest solution. |
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? | 1,920 | 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. | 1,921 | 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. | 1,922 | 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. | 1,923 | 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. | 1,924 | 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 a pretty severe case of shingles. Starting on the left side mid back and goes around to the belly. She has been prescribed Pregabalin and it is not helping, they tried Gabapentin and she has bad side effects from it. We have tried compounded pain ointments, ice, cool water, etc. Nothing is helping. She is 74 with late stage COPD, diabetic and has osteoporosis severely as well. Is there anything else we can do to try to ease her pain. She is bellowing out in pain every 5 minutes. | 1,925 | Hi. Shingles or Herpes Zoster occur due to reactivation of chicken pox virus which hide in spinal nerve ganglion during childhood. Reactivation can occur in immunosuppression or old age, thus it runs along a nerve in girdle like fashion. It starts with fluid filled lesion which heal within upto 2 weeks but nerve damage can give severe pain which may last longer. It is called post herpetic neuralgia. I hope there is no active fluid filled lesion. If so kindly send a photo and Renal function test report. Otherwise start SR tablet Pregabalin 25 mg plus 1500 mcg Methylcobalamin tablet twice daily. Capsaicin or Lidocaine patch application. Tablet Tramadol if severe pain SOS once daily. Calamine lotion thrice daily. Review after 4 weeks. It is sometime resistant. Other modalities like intraspinal steroid or botox injection can also be tried but let's fist see how this responds. | Q. How can shingles be treated? |
I've been having stomach issues for almost 4 years now, when I was put on two rounds of back-to-back antibiotics for a bad tooth abscess. I was put on Augmentin and then Clindamycin, along with the use of Motrin and Tylenol as directed by my dentist. Since then, I have had stomach issues including: going to the bathroom more often, feeling pressure when having to go to the bathroom, occasional mucus in stool, and more recently, bouts of nausea, bloating/cramping, and very smelly gas. I have had various blood panels, tried probiotics (including VSL), rifaximin, diet changes, and I'm currently on Viberzi, which helped but made me a bit constipated/tired/bloated, so I lowered the dosage to 1 pill (100mg) per day instead of 2, which decreased side effects but also decreased effectiveness of the drug. Also, it seems my metabolism has shifted after the antibiotics and I gained weight faster than I ever have, and I am still struggling to keep my weight down after making significant diet and lifestyle changes. Any insight here into the weight gain and then anything else I could try for the stomach symptoms? Thank you! | 1,926 | Hello, Welcome to icliniq I have reviewed your concern. After taking antibiotics your gut bacterial composition has been changed and it has started to cause troubles for you. Weight gain is also seen in such cases. Since you have tried a lot of things and finally viberzi showing some results for you. I am happy things have finally got some control. For your concern regarding relatively rapid weight gain and metabolic shift is genuine. I would say, you are a good observant. What further helps you to restore your gut bacterial composition is to opt for natural selection. Like food changes, you have to avoid junk and bakery products as much as possible, Take alot of yoghurt (natural probiotic) and fruits. Increase use of vegetables. Avoid alcohol if you are taking. Continue exercise or at lease try to remain active. Collectively, this will change the story, you will feel better, but definitely process is slow and it will take time. So you have to exercise patience. I hope you will find it super helpful, give your feedback, let us know after a week, how you feel. If we could do further for you, we will definitely do but it depends how you take the things from here. Humble regards | Q. Since the time I took antibiotics four years back, I am having stomach issues. What to do? |
Good evening, I have a 9 month old daughter who fell off the bed yesterday at around 4pm. I didn't saw if she hit her head or how she hit her head. I gently attended to her and looked for signs of any injury. After making sure that there is no injury, I started consoling her because she was crying uncontrollably. When she stopped crying and calmed down, she started being drowsy but I did not let her sleep because I was worried. At around 5:30pm she vomitted. At 6pm, she finally went to bed but I was still monitoring her. After monitoring her for 24 hrs, I noticed that her sleeping pattern changed and she cries very easily, becomes angry easily and exhibits extreme emotions. | 1,927 | Q. My 9-month-old baby cries and becomes angry very easily since she fell off the bed. Please help. | |
Hello, I am writing an enquiry regarding my weight. I am a 18year old female and I weigh 42.8kg and my height is 158-160cm. I have been this weight since I was around 13 years old, my weight has always been around 40kg I was wondering how I could gain weight in a healthy manner. The main reason why I do not eat a lot is that I am not hungry so on some days I eat one meal in a full day, however, there are some days where I will eat 3 meals including snacks, however even on those days, even if I feel as if I have had a lot of food, my weight remains the same. I am concerned as I have realised that I am well below my average age group in terms of weight and I am not sure what to do, also I am not sure how much I should eat in a day because when I ask people around me I realise they eat less than me but maintain a healthy weight so I am really unsure how to approach my problem. Thank you | 1,928 | Q. How much should I eat in a day to gain weight healthily? | |
Hello doctor, I am 46 years old. I no longer get my periods. What are my chances of conception? Doctors say I am at menopause. Can I have a successful IVF? | 1,929 | Hi. The best age for a lady to get pregnant is 19-35 years. The principle behind this is, every day your eggs are growing and out of the cohort of eggs, the best egg is selected, and remaining growing eggs go for atrophy. So by 35 years most of the good eggs are gone. After that age too, you have the chance of pregnancy, but lesser than the age of 35 years. After 40 years of age, the chance of pregnancy further reduce. As the age of lady increases the eggs left behind are not as healthy as the previous month. So even if you get pregnant, the baby is at risk of developing anomalies. But if your period has stopped, then you need to know if there are any eggs in ovaries. You can have any of the birth control pills (packet of 21 pills) twice daily for 10 days. No matter what the cause is, you will have periods within 7-10 days. On day 3 or 4 of the period do serum FSH (follicle-stimulating hormone) and AMH (anti-mullerian hormone). FSH >7 Miu/ml and AMH < 1.1 ng/ ml means egg count is below normal. The only option for pregnancy is IVF using donor eggs. This can definitely be the best option to get pregnant. I hope this helps. | Q. How likely is IVF successful during menopause? |
Hi doctor, I was diagnosed with endometriosis and had surgery last year. Now we are married for four years and I am not getting pregnant. My age is 40 and my husband is 42. Please suggest. | 1,930 | Hello. I understand it has been a year since your endometriosis surgery. I am not clear if you have taken any treatment following that to enable conception. From the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), I will try to make my suggestions. As age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down. Endometriosis is a disease that not only affects the ovaries but later causes adhesions, which also hamper your chance for pregnancy. It is also notorious to recur. Putting all these together, the chances of a natural pregnancy comes down, though definitely not impossible. But the medical advice here and the ideal thing would be not to lose too much time and go in for ART procedures like IVF (in vitro fertilization). Because once the maternal ovarian reserve becomes too low, the chances of pregnancy in an IVF cycle also becomes less. So it would be ideal not to waste time and think of approaching any of the IVF centers. Also, I would like to add that this COVID time is not the right time to start an IVF treatment though. I hope this helps. | Q. What is the chance of getting pregnant at the age of 40 after endometriosis surgery? |
Hello doctor, My mom is 67 years old. She got exposed to a sudden loud noise from fireworks about a month ago, and it caused loss of hearing to about 50% (audiometry). She started taking Prednisolone three days after the incident, and also some multivitamin pills, but no improvement yet. Mixed voices or phone calls teases her ears, and she can stand only for a few minutes. I wanted to know if you have any recommendations? Are hearing loss pills or Hear All pills effective? | 1,931 | Hi, Welcome to icliniq.com. With age, the hearing ability reduces for all, no partiality. That is called presbycusis in medical term. Moreover, the loud noise added to the process of deterioration. If she is diabetic and hypertensive those factors will add on to the deterioration process. Now coming to the point of using medicines, please get it very clear these medicines can help 5% improvement in hearing, but that has no visible effect. Whether it is 50 dB loss or 45 dB loss, the problem is all most the same right? So without wasting further time, kindly (with the report) go the audiologist and fit her with digital programmable hearing aids (if both the ears are affected then both ears should be fitted to have balance hearing and to make hearing areas of the brain active in both sides of the brain). | Q. My mother has 50% hearing loss after exposed to loud noise. Will Hearing loss pills help? |
Hi doctor, I am a 30-year-old male. In the space of two weeks, I developed an allergic reaction to three different foods peanuts, shellfish, and Avacado. I never had problems with either of these foods (or any food for that matter) before and this hit me very suddenly. So far the reactions are mild, just some minor tingling and flushing of skin, particularly on my arms, but they are significant enough to be noticeable. I have always been into health and fitness and take a variety of vitamins and supplements though I am cutting back on those out of concern that they may have aggravated my immune system into producing this allergic response. My questions are: is it normal to develop an allergy to multiple foods simultaneously? And what can I do to prevent the onset of any further reactions developing? I am currently on Memantine and Adderall. | 1,932 | Hi. First of all, allergic reactions to food are sudden and happen without any prior history. It is very common for people to develop allergies. Yes, it is common to have these kinds of food allergies. Some people have episodic allergies and they subside completely and for few people, it stays. No one can prevent an allergic episode in the future. It is your genetic system that has caused this. You should always keep anti-allergic tablets, steroid tablets, and always have a back up to get a steroid shot for allergies. Because sometimes these might range from basic skin rashes, itching and flushing to life-threatening spasms. Hence should always be careful. When you consume the above foods next time, keep observing for symptoms. I hope this helps. | Q. Is it possible to get sudden allergy to certain foods with no prior episodes? |
Helo doctor, I am a male. I have discovered a lump in my right chest area, just below my nipple. It appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. No pain, no visible changes from outside. I am 49 years old and have the following established preexisting conditions like Hashimoto's, slight hypertension, migraines since childhood, and some allergies. I do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. A blood panel ordered by my GP now returns a slightly elevated free beta HCG level (3.24 mIU/ml with a reference value of 3.0 for males). All other results including CBC are normal, PSA and AFP, as well as HCG are negative, sexual hormones panel is normal. I cannot detect any abnormalities with my testicles. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? | 1,933 | Hi. First of all, I must say you have written your history very well. What I searched and concluded is: 1. About your HCG (human chorionic gonadotropin) level, your b-HCG is raised while total HCG is normal. Get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. Get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. Get FNAC (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? To answer this question, I was just wondering why you got HCG done in first place as you were asymptomatic? Neither of the drugs you are taking does not interfere with this test (b HCG). You cannot just ignore and sit on it (if b-HCG is deranged), you have to find a cause be it faulty lab investigation itself. | Q. Does the presence of beta-hCG in male indicate malignancy? |
Hi doctor, I am a 35-year-old male. I have a problem in my skin, especially, on joints. I have had already consulted a dermatologist and she suggested consulting a rheumatologist based on the symptoms. Due to COVID-19, I could not consult but now it is spreading very fast. Could you please help? I also have vitamin D deficiency and taking D-rise and Lobate S ointment. | 1,934 | Hi. I have gone through your query and reports. (attachment removed to protect patient identity). Your vitamin D is significantly low for which you are already on the supplement. I want to ask you about skin problem and joint pains. Since the prescription was not fully loaded, I could not figure out the exact diagnosis of what the dermatologist has said. Did they mention about psoriasis? As psoriasis and joint pains can be related. If you could attach a picture of the skin lesion, it may be helpful. Is there any early morning stiffness in the joints? Any backpain or neck pain? Any one in the family with a history of skin problem? Do let me know these answers and picture of your skin lesion to guide you further. | Q. I have skin problem in joints with vitamin D deficiency. 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? | 1,935 | 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. | 1,936 | 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. | 1,937 | 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. | 1,938 | 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. | 1,939 | 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 was smoking weed for almost six years daily. Last July, I stopped, and then I started to have panic attacks with heart palpitation. I went to a cardiologist and everything was fine. But since then I became so anxious and I was aware of everything going on in my body. After that, I started to notice muscle twitching, in every muscle. At first, I thought it was a heart issue but after seeing three cardiologists the results were the same, my heart is fine. Then of course, I Googled it and I see some scary diseases like ALS. I went to a neurologist who, after some questions and examination said that it was due to an anxiety issue. To be sure he sent me to an institute specializing in the detection of neuromuscular disease, a neurophysiologist did a clinical examination (strength, reflex) and an EMG, and no abnormalities was showed, it were before three months. A month later, as my twitching was still going on, I went to another neurophysiologist, he did another EMG and again everything was normal. My neurologist said that it is impossible its ALS because muscle twitching for nearly eight months without any weakness. And I started to have so tingling and buzzing sensation. Again my neurologist said that it is very common with an anxiety disorder like mine. I started to take pills and to see a therapist for one month. I have to say that twitching is way better when my anxiety is low but sometimes it came back strong. I am so worried about ALS. My questions are: is EMG test reliable? Is it true that usually fasciculations come after or along with the weakness in ALS? Fasciculation for eight months without any weakness does rule out ALS? Does ALS cause pain? | 1,940 | Hi. I understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. Coming to your specific questions: Yes, fasciculations and weakness in ALS (amyotrophic lateral sclerosis) come together, actually, weakness comes first and fasciculations are generally unnoticed by patients, they are usually revealed upon asking or found by EMG (electromyography). EMG is reliable and diagnostic for ALS. Fasciculations without weakness ruled out ALS, eight months are a long duration for ALS, if it would have been ALS, it would have progressed to much extent. And ALS is painless, it is motor neuron disease, so the sensory system is perfectly normal. I would suggest you to try one tablet called Carnisure plus (contains Levocarnitin 500 mg and Methylcobalamin 1500 microgram). It is a vitamin for muscle and nerves, you can take it in the night daily for a few weeks and see the effect. Avoid coffee and other stimulants. | Q. What is the possibility of muscle twitch for a long period without any related symptoms to be ALS? |
Good day Doctors. I'm 22yo. My last period was on 18th to 21st last month. I just took 2 pregnancy test this 26th and it's positive. First baby. I bought anmum materna Q+ milk after i knew I'm pregnant but I'm having diarrhea and i vomit more than usual. Since it's still ECQ, i can't go out to have prenatal check up. I wonder how many weeks I'm pregnant and I'd like to know if is it bad to sleep in the morning while awake in the evening. I slept a lot in the morning. Thanks for the response. Take care. | 1,941 | Hello, Welcome to i cliniq , Congrats for your pregnancy So LMP of yours is 18th last month so you are 7 weeks +5 days .You have to perform a ulrtasound to evaluate the embryo and heart activity . Second vomiting is one of the most commen symptom of pregnancy that may accompany you still at 12 weeks . There are some minor side effect of anum materna like diarrhea ,upset stomach ect .If the diarrhea is moderate to severe ,or tha last for a long time you can stop the supplements. The most important tablette to take during 12 weeks of pregnancy is folic acid 400mcg ,one table a day . You can sleep and rest as you want ,but a light activity will mantain you healthier. I hope ,i've been helpful. Best regards | Q. Can Anmum Materna milk result in more vomiting and diarrhea during pregnancy? |
Hi doctor, I just wanted to find out is it possible to lighten a dark skin tone without damaging it? If so could this be done at home or at a dermatologist? Would you recommend a teenager getting it? When I was younger I had a light skin tone but due to alot of swimming and sun exposure I damaged it and got dark, is it possible to get the same skin tone I had? I am a female, 18. | 1,942 | Hi. Skin color is genetic. Amount of sun exposure can increase or decrease it, as per your genetic constitution of skin melanocytes the dark pigment producing cells. Dark skin is healthy as it prevents its bearer the side effects of sun exposure thus lesser chances of dreaded skin cancers and delayed skin ageing. Still ignorant people think white skin is better and a false psychological cosmetic superiority is associated with it. This is fostered by fairness cosmetic industry to promote their interests.White skin need additional sunscreen protection to prevent aging and cancers but for those who still need fairer skin can avoid sunlight as much as possible and also sunscreen then the melanocytes in their skin will produce less dark pigment and thus fairer skin. So you can avoid sun exposure and use regular sunscreen that much is best non harmful way to be so called fairer. | Q. What are the ways to lighten a dark skin tone without damaging it? |
Hello doctor, I have experienced ringing in my right ear 3 days ago and it has not stopped since then. It is not that loud and I do not hear it when the environment is noisy. It is really bothering and stressing me out and I do not know what to do. I wanted to have this checked but it is just so hard to get an appointment and go out right now given the covid situation. Please help me understand this. Thank you. | 1,943 | Hi. Taking your age into account I would like to recommend you not to use earphones or listen to very loud music, avoid caffeinated drinks like tea, coffee, alcohol, if any. Sleep completely, do not take stress. Please mention which type of sound you are perceiving, tone type or noise type. Use resound relief app (android/iOS) on speaker with moderate sound during silence, because the inside sound must be bothering you during silence and sleep. This is called tinnitus that you are suffering from, most probably with these practice it will go away, please after this situation goes normal go for puretone audiometry test and immitance audiometry test along with otoscopy. | Q. What causes ringing sensation in ear? |
Hello doctor, For the past one year, I am having diarrhea. I went to the doctor. He wrote me some tests. My blood, urine, and feces are normal and negative for parasites. My stomach ultrasound, colonoscopy are normal. Six months later, I went to the dentist. She asked me to take Flagyl 500 mg (Metronidazole). On the next day, my feces was normal and tight. I asked another gastroenterologist and he said to continue the Flagyl for 14 days. After 10 days I had diarrhea again. The doctors are telling me that I have very sensitive intestines and advise me to take probiotics and Ibutin gelsectan. I still have diarrhea. What is your idea about my problem? | 1,944 | Hello. As you described this condition to be lasting for almost more than a year, it can be IBS (irritable bowel syndrome), but IBS usually starts at an early age than this, although it can happen at any age. That is why it is important to rule out all organic causes before labeling it as a sensitive bowel (IBS). Please answer the following questions to rule out organic causes. Do you have any weight loss with it? How many episodes of loose stools do you have in 24 hours? Do you get up in the night for stools? Do you have any crampy abdominal pain with it? Is there any blood in stools or mucus? Is your sleep disturbed? Any stress? Any travel history to tropics? Any biopsy was taken during the colonoscopy to rule out microscopic colitis? Meanwhile, do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics. 1.TSH (thyroid-stimulating hormone). 2.CRP (C-reactive protein). IBS? Tablet Rifixamine 550 mg 1+0+1 for 21 days. | Q. I get recurrent diarrhea and doctor suggested sensitive intestine. What is my problem? |
Hi doctor, My question is about COVID-19. I am very worried about this virus. I am 29 years old and my job is essential so I am still out in the field. I am overweight and take medications for high blood pressure including Lisinopril and Metoprolol. Everything I read said this puts me at way more of a risk for severe complications or death if I catch it. I am also worried about my children who are both under the age of two. Is there anything I should know or to help in preventing this virus or help not take a turn for the worse if I contract it due do being overweight and taking high blood pressure medications? | 1,945 | Hi. Certain important points that can be put to good use by you: 1. Wear a surgical mask or an N95 mask (it is a little suffocating) when you go out to work. 2. Make sure to not touch any part of your face, ears, or head after touching any object outside your house. If you have the urge to touch or scratch your face, please wash your hands with soap and water and then and only touch your face. 3. Push buttons and open doors and handles with the elbow or with the forearm or arm and not with the hand. That way your hand surface will not be contaminated for a long time. 4. Maintain social distancing (3 feet between two people) and no gathering of four people or more in a place for more than 15 minutes. 5. As soon as you reach home from outside, prevent your kids from touching you. Head straight to the bathroom, have a warm bath with soap, and keep all your clothes that you were wearing for washing. 6. Continue taking your medication on time as going on. Also, maintain a healthy diet. I hope the above points help. | Q. I am obese and hypertensive. Please suggest tips to prevent contracting COVID-19. |
Hi doctor, I am a 27-year-old male. I have never had an increase in moles, except for the past two weeks I have had over 50 show up on my chest. In the past two months, I moved from one country to another, and a month ago, I had a really bad sunburn in Indonesia. | 1,946 | Hi. Moles are genetic collection of melanocytes which go through a cycle of emerging in childhood then become darker and fade by middle ages. In fair skin up to 50 are normal more than that increase the risk for skin cancer. And change in size, symmetry, color, symptoms also is a risk factor. Mole or nevi as called in medical term appearing in adult age like in you are always a risk factor. And in such an abrupt manner more so. They need to be followed up for any change in color, size, symmetry border, symptoms, and so. All your moles that I can see in the photo are harmless. (attachment removed to protect patient identity). Mole does increase after prolonged sun exposure as you give history. I hope you do not have any other medical problems. I advise you an initial in physically examination by a dermatologist, you can wait for lockdown, not an emergency, then you can do it yourself, all the mole for the changes described earlier, at least once a month and a complete work done by a dermatologist once every six months. Lifetime risk is very low but if you have fair skin, adult moles, more than fifty you need that follow-up to be on the safer side. I hope this helps. Sun exposure. Workup for changes. Seborrheic keratosis. Screening for changes. Every six months. | Q. I get moles in my chest area after a sunburn. Why? |
Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux. I am currently on Montelukast, Advair and Omeprazole. | 1,947 | Hello. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. | Q. I get frequent urination and increased thirst only during night. Is this diabetes? |
Hello doctor, I have tooth and gum ache (not sure where it comes) but on the below right jaw. On day 1, the pain was there continuously and used Naproxen. (I was able to have coffee and tea). On day 2, pain was there then contacted physician on icliniq and suggested Ultracet for 3 days. On day 3, I used Ultracet twice a day, pain was there sometimes (continuous pain gone). On day 4, I used Ultracet twice a day, pain was there sometimes (not able to drink hot coffee). If I take coffee pain comes immediately and after gargling with water it goes away. On day 5, today I had breakfast, had one Ultracet tablet. Pain was there for some time after having breakfast and now it is fine. But I am scared of taking any hot coffee or tea. (now I stopped completely). | 1,948 | Hello. I have gone through your query and attachment. (attachment removed to protect patient identity). I can see some gingival inflammation and also abrasion of teeth near the cervical area. That abrasion is also a cause for severe sensitivity to hot that you are having. Abrasion needs to be treated clinically with restoration. Once this pandemic of Covid-19 gets subside then you can get it treated in a dental clinic. For time being use Sensoform KF toothpaste. First, apply it on your teeth then keep it for 30-40seconds then brush it as you do daily. This is the way to use sensitivity toothpaste. Use mouthwash for gargling at least at night before going to bed after tooth brushing. For pain, if severe you can take Ultracet P or if not severe then can continue with Ultracet when needed. It will be better if you upload images of your teeth from the occlusal surface so that I can see any caries or gingival infection. | Q. I have tooth and gum pain below the right jaw. How to get rid of this? |
Hi doctor, I am 38 years old. I am diabetic for the past three years and sugars are not always in control. I am taking medicine Euclide 80 mg and Galvus met 50/500 and Novomix 30 injection 10 units (injection only for few days). My issue is, post diabetes I am experiencing severe recurring yeast infection in vagina and itching in groin area and near anal area. Due to scratch the area has become sensitive and scars and cuts are there. There is burning sensation when the area comes in contact with water. I have tried all Clotrimazole creams (Dres V, Surfaz B, Candid, etc.), but no relief. Itching is severe at night and very uncomfortable. Please help which medicine or cream to apply to stop this infection everytime. I am unsure if that is eczema. Are there any tests which show what kind of infection is that? | 1,949 | Hi. Diabetes is comorbidity that makes patients prone to fungal infections and some times there is a secondary bacterial infection too. I advise you to follow certain steps. 1. First step, proper sugar control. 2. Anti-diabetic diet and exercise. 3. Proper genital hygiene. 4. Use of clean cotton underwear. 5. Keeping the area clean and as dry and aerated as possible. 6. No tight clothing. 7. No talcum powder application. 8. Do not use regular soap and hot water to clean genital areas. Take Itraconazole 100 mg two times a day for two weeks, Luliconazole cream to be applied three to four times daily on area of infection after proper cleaning and drying. Combinorm wash to clean the genital area. I hope this helps. Tinea cruris. Tinea cruris. Tablet Itraconazole 100 mg two times a day for two weeks, Luliconazole cream to be applied three to four times daily on the area of infection after proper cleaning and drying, Combinorm wash to clean genital area. Please follow up after completion of the above course and sos if need be. | Q. After diabetes, I get recurrent vaginal yeast infection with itching in groin area. 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? | 1,950 | 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. | 1,951 | 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. | 1,952 | 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. | 1,953 | 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. | 1,954 | 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? |
A small piece of my tooth broke off 2 weeks ago and I feel pain since 1 week. Pain is getting worse. I went to a dentist today and he took a xray. After looking at the xray for 30sec he said there are only 2 options: root canal treatment or extraction. Is this really necessary? What is your opionion. Thank you soo much! It is the tooth in the middle of the xray. | 1,955 | Q. My dentist suggested extraction or root canal treatment for my broken tooth. Is this necessary? | |
Hello doctor, I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium. | 1,956 | Hello. I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity). You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time. My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well. Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis. Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need. Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. Drink plenty of water. One hour regular excercise. After 10 days. | Q. I have hiatal hernia with intermittent moderate pain. Please suggest medication. |
Hello doctor, I am 34 years old. I am concerned about my absence of menses. My last menses was on the 16th of previous month which was about a week earlier than the before periods. I was diagnosed with autoimmune hepatitis and under medication of steroid 10 mg (prescription attached). Now I am completely normal and my last LFT test was completely under the limit. Please inform me whether the delay of menses is due to the side effect of steroids or due to other reasons. Is it a serious worrying issue? | 1,957 | Hello. I have gone through your history and also saw the prescription you uploaded of your recent visit to your hepatologist/gastroenterologist. (attachment removed to protect patient identity). As I can see from the prescription he had asked you to continue the medications you were taking for autoimmune hepatitis which includes immunosuppressants like steroids (Omnacortil) and Azathioprine. Let me tell you that chronic steroids therapy can hamper with your menstrual cycles by disturbing the regulatory hypothalamo-pituitary-ovarian axis. So what I mean is it is common to have disturbed cycles when you are on chronic steroid therapy. So most likely that is the cause for delayed cycles, as I see even your thyroid level (TSH) appears to be within the normal range, (although close to the higher side of normal range). Please do not worry or panic as there is nothing grossly serious to worry about. As of now you will most likely be requiring this treatment and will take some time to wean off from these medications as they are more important medication, saving your life from redevelopment of autoimmune hepatitis. So, please continue these medications as advised by your gastroenterologist. Cycles should mostly resume or get regularized once you are slowly taken off from the steroids. Steroids therapy for autoimmune hepatitis (presently on Omnacortil 10 mg daily). Serum Prolactin levels. Continue vitamin D3 supplements as advised. Continue Omnacortil, Azoran, Folvite. Follow up with your endocrinologist as advised. | Q. I have delay in menses with a history of steroids for autoimmune hepatitis. Please suggest. |
Ear ache/ pressure. Headache on same side. Pain when I wash that side of my face near my ear for almost a month. | 1,958 | Hi, I hope your doing well. I understood your concern regarding headaches. I learn that you're having a headache and earaches on same side. Also, it is more when you wash your face. I like to know the nature of pain whether its electric shock-like, whether its comes and go or it's dull boring continuous in nature. This type of pain mostly due to inflammation in-ear or trigeminal nerve pain (trigeminal neuralgia). If it is associated with light and sound sensitivity it could be due to migraines. Sometimes ear wax can harden and block the ear canal, causing discomfort and itching, earache. I like to suggest simple antiinflammatory to try first. such as Paracetamol or ibuprofen. You should take them after food. further plan : If no benefit, we should evaluate for Trigeminal neuralgia, depends upon your symptoms. If it is Trigeminal neuralgia, Pregabalin 75 mg HS or Caobamazepin 100 mg at night time initially then gradually increasing to 3 times a days. Both this medication has significant side effects like dizziness and allergic skin rash, so it needs to take with a doctor's prescription. Hope this will be helpful. Regards | Q. For a month, I have earache and headache on the same side. What to do? |
My left ear hurts. If i press the back of my ear, it would really hurt. Sometimes it feels itchy and throbbing. Also, it feels like it's clogged inside. Last month my other felt like this too, I had to take medication for it. | 1,959 | Hi! There are only 3 possibilities with the complaints you have mentioned. 1. Impacted wax in the left ear which is causing pain and a blocked feeling For this, you can use wax solvents which liquify the wax and resolve the issue 2. Infection involving your outer ear, which can be the cause of itching and pain 3. Eustachian tube catarrh which is associated with allergy and usually does present with only feeling of pain and blocked sensation The treatment you would have taken earlier using anti allergic would have been to treat the eustachian tube catarrh. You can consider taking a combination of paracetamol with fexofenadine / montelucast/levocetricine/ phenylephrine combination whichever is available in your country. In addition you can use ciplox ear drops 3 drops 3 times a day. If your having allergic issues, it has be effectively treated to prevent recurrence of such episodes. However, if the above treatment does not work , consider meeting an ent specialist to get your ear examined and get treated accordingly. | Q. My left ear hurts, and sometimes it feels itchy. What to do? |
Hi doctor, I am curious about my friend's blood results. Blood tests show that his lymphocytes abs is 5.71 before six months, and 5.35 before three months. (Compared to the normal range that came with the results which is 1.30-3.60 x 10^9/L). Do you think is there something to be worried about? | 1,960 | Hello. I reviewed the records. (attachment removed to protect patient identity). Having more lymphocyte count is known as lymphocytosis. 1. Benign or reactive lymphocytosis: Transient nature can be seen in an infectious disease like viral illness. This does not seem to be the case as it persists for a few months. Other causes, that could persist are noninfectious causes like stress, drug reaction, having spleen removed in the past, etc. 2. Malignant lymphocytosis: There is an entity called chronic lymphoproliferative disorders (CLPD), this is a very slow-growing blood malignancy, usually happens in individuals more than 60-65 years. Some times patients do throw symptoms like low-grade fever, weight loss, anemia, night sweats, etc. They may or may not be associated with low platelet count to anemia which is not the case with your friend. With all this background knowledge, please see which ones is fitting for him. I will discuss the worse scenario because I guess you will be curious otherwise. Having CLPD is less likely as your friend is young, and he is not having anemia or low platelet counts. Regarding the CLPD prognosis, it is one of the very slow-growing entity. We do not treat the early stages, as well as they, are so slow, treating has more drug side effects than the CLPD itself. Getting a flowcytometry is rational in his case. But it is not urgent, you can wait for even few months if there is an issue of lockdown due to Coronavirus. Again, I am not saying he has any particular disease, but I want to explain everything in detail so that you have a good understanding. | Q. What if lymphocytes are higher than normal? |
Hello doctor, I had a spinal fusion surgery down my entire back about two years ago when I was 17. I never had terrible back pain but as of recent, it is been somewhat bad. I feel like a 97-year-old woman. I have difficulty in sleeping because some positions just make the pain worse. Will this last forever? | 1,961 | Hello. I read your concern. In my opinion, post-surgery you should start work on a little bit of rehabilitation to strengthen the spinal muscles. That would have prevented these kinds of issues. Do not worry. I would like you to have a good recovery session frequently inside a pool and stretch your body to work on whole body flexibility within the limits it allows and progressively extend more. Do not try to push too hard as it will increase tightness. I would like to know if you have any sort of pain and spasm or pins and needle sensation or tingling sensation anywhere in the upper and lower body. If so get yourself properly checked up with your surgeon. I would also recommend you to be active. Keep moving around and hydrate yourself properly. Have good food and support yourself in every position properly especially those positions you are required to maintain for a longer period. Kindly try these things and then let me know how you feel after three days. I hope this helps. | Q. I have terrible back pain two years post spinal fusion surgery. Will it last forever? |
Hello doctor, My infected sebaceous cyst has burst 10 days back and daily dressing is being done by professional. I was on antibiotics but the course is over. What should I do next? I do not want to go to the hospital and get the surgery done. Since more than ten years two cyst was there and of late it merged into one. May be in the second week of last month, I started getting an itching sensation and the place becoming red and after a few days it burst. Since then regularly it is being dressed with the removal of pus. It has created a deep hole. Please help. | 1,962 | Hello. Do not worry, I will solve your problem. Wound healing is a very common problem in diabetic and hypertensive patients. Even when they are controlled I will advise you treatment with some basic precautions and investigations. Check your blood sugar levels regularly. Pus is still present so the antibiotic course is required for further five days. I will advise you some dressing spray to heal early. Wound dressing with removal of pus and black margin is essential every day. HBA1c (glycated hemoglobin). Ruptured cyst. Tab Zifi (Cefixime) 200 mg BD for five days, Chymoral plus (Trypsin-Chymotrypsin) BD for three days, Limcee OD for 10 days, capsuke A to Z OD for 10 days. Dressing With Oxum spray and Megaheal ointment. | Q. My antibiotic course for bursted sebaceous cyst is over. What should I do next? |
Hello doctor, My son took Accutane to treat his acne and stop taking the same. His acne is gone but he said he started having burping sometime after he took Accutane, mostly every day in the morning and whenever he eats. To prevent his burping he does not eat much. He does not feel bloated nor pain in his stomach. Whenever he burps he does not even feel acid in his throat. The burping does not bother him much, and the frequency has reduced. Doctor prescribed Pepcid for 30 days, but nothing changed. He was tested for H.pylori which came back negative, and all his lab works were fine, except his low on vitamin D 10.6 and his A/G ratio was slightly elevated 2.5. He drinks water last night before his test and no water since which may or may not explain his slightly elevated A/G. Doctor scheduled him for endoscopy and told him to take Align probiotics. My son does not want to do the endoscopy and will not do it. Is this endoscopy really a must? He just wants to take the supplements. No cancer history of the stomach in our family. Is there any other different and saddle approach for handling this, like just take his probiotics and other digestive enzymes for months and wait and see. | 1,963 | Hello. Thanks for providing a detailed history of your son. This excessive burping usually occurs due to aerophagia. Patient is usually not aware of it and they swallow a lot of air during eating or drinking. We normally swallow a little air and we sometimes have one or two burps in routine but those who swallow more air have more burping. Coming to his lab tests, this A/G ratio is not that significant and his Vitamin D should be replaced. Both these tests are not associated with burping. He has no alarm sign so endoscopy is not mandatory and he can avoid it. His endoscopy report will be most probably normal. He needs diaphragmatic exercises to avoid burping. The way forward is that after eating or drinking he should hold a pencil in his teeth and take a deep breath via nose and exhale via mouth for about five minutes and it will help out. He can take tablet Baclofen 5 mg three times daily before meals for 10 days and should avoid chewing gums. | Q. Accutane is causing constant burping problem. Why? |
Hello doctor, I had voice box swelling before two months. I had taken medicines for around 10 days, it subsided and my voice was getting better. But at the beginning of this month, it started again. I could not visit any doctor due to the lockdown. I tried to rest my voice and did continuous steaming. But it is impossible to not talk because I have a day job that involves talking to clients. I am unable to sing now. I do not know up to what extent my voice is damaged? | 1,964 | Hi. First and foremost, acute inflammation of the vocal cords what we call acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing of which the problems will recur again after a short span of relief. My advice to you would be to give an absolute voice rest for the next 10 to 14 days. Now absolute voice rest means you should not even be saying yes/no during the day. If your work involves the use of your voice I advise you to take complete off from your job for the next 10 to 14 days. The vocal cords require time to heal completely and this takes usually 10 to 14 days. Your voice might return to normal in five to six days, however, there is always a hidden inflammation in your vocal cords which can resurface if measures are not followed adequately. Treatment: 1. If you are having gastric issues, consider taking tablet Pantoprazole 40 mg once a day for 15 days. 2. Tablet Wysolone (Prednisolone) 20 mg once a day after breakfast for two days followed by 10 mg for two days and finally followed by 5 mg for the next two days. This is a steroid tablet and is effective in reducing inflammation in the vocal cords, but the above preventive measures should be taken if you want your voice back. | Q. Recurrent swelling in voice box prevents me from singing. 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? | 1,965 | 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. | 1,966 | 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. | 1,967 | 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. | 1,968 | 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. | 1,969 | 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 have been experiencing headaches for the last three days. It is more of a burning or tingling feeling at the back of the head that seems to travel to the front sometimes. It is not a severe headache it is more of a dull ache and also my scalp feels sensitive when I scratch or touch in those areas. I have no eyesight problems besides blepharitis and no unsteadiness or vomiting. I have done an MRI of head and neck six months back and it was clear, and I was diagnosed with fibromyalgia four months back. | 1,970 | Hello. Regarding your concern, I would explain that your symptoms are suggestive of tension type headache, which is a benign type of headache related to psychological stress. A wrong posture can also cause such type of headache. So, in my opinion, there is no reason to panic. I would just recommend taking painkillers (Acetaminophen or Ibuprofen) and try to relax. A warm bath can help too. If the headaches persist, I would recommend taking Duloxetine (considering also the diagnosis of fibromyalgia) or Amitriptyline. There is no need for brain MRI, as I am sure that it will result in normal. I hope this helps. | Q. I have dull headache with burning and tingling at the back of the head. Please help. |
Hello doctor, This is for my 19-year-old son who has been struggling with not being able to regulate his sleep schedule for several years. He is up all night and sleeps all day. He consulted a sleep specialist once. He suggested sleep modifications but they did not work. This has really not allowed him to graduate or be involved in life at all. I believe it is also making him withdraw and depressed. I am very scared of medications, side effects, and becoming addicted to them. Can you suggest any advise to help him? | 1,971 | Hello. Sleep disorders to the extent like your son which is continuing for so long and it is not getting better need a evaluation in my opinion. 1) Thyroid function test. 2) Serum vitamin B12 are the basic blood tests need to be taken. Sleep modifications is must and do not worry about medicines and their addiction or side effects because his future life is more important than any medicine side effect. Also, nothing is addictive if it is taken under the supervision of a qualified doctor. You can choose to give him over the counter hormone called Melatonin in doses between 3 mg - 9 mg to induce sleep in night. This hormone is produced by the body naturally to induce sleep. Once your son has a good night sleep, his sleep cycle would be fine and his issues will solve. | Q. My son stays up all night and sleeps whole day. Please provide your expertise here. |
Hi doctor, I am a 63-year-old female. I started getting flashes in the right eye a couple of days ago, and now have a floater in the shape of the flashes. I was not too worried. But today flashes have started up again in the same area. Given the pandemic, eye doctors are only open for emergency care, and I really do not want to get exposed. At what point is this situation an emergency? I am currently on estrogen patch, Sertraline, and Nexium. | 1,972 | Hello. Flashes can signify many conditions affecting the inner layers of the eye starting with the vitreous (the gel structure pressing down the retina - in high myopes it is usually dissociated) where floaters are usually located. If you have high blood pressure or diabetes, elements of blood can form in that space and start floating (floaters). The way to detect if it is in the vitreous is to look sideways and if the floater follows the motion of the eye (slowly in the same direction) then it is in the vitreous and does not require quick intervention. If the distortion is in the same position in whatever direction you look then we are talking about the retina and retinal detachment which should be urgently excluded. If you are seeing a halo around the source of light then your eye pressure might be increased and requires urgent attention. | Q. I get recurrent flashes in the right eye. At what point is this situation an emergency? |
Hello doctor, I have an erection problem and I cannot have a morning erection too. I am married but my penis becomes soft while having intercourse. I have done all tests like penile doppler, scrotum, diabetes, and prolactin but all were normal. What is wrong with my sexual organs? Please guide me to solve this problem. I am currently taking Eract X twice daily. | 1,973 | Hi. Coming to your query, I have some questions. Do you have diabetes or hypertension? Are you on any kind of medication other than you mentioned? What does Eract contain (is it L-arginine with a multivitamin)? Is your erection tight enough such that you able to penetrate into the vagina and after that it becomes flaccid? Are you able to masturbate and ejaculate? | Q. I have erection problem with penis becoming softer during intercourse. Please help. |
Hello doctor, This query is for my father in law aged. He is 58 years old and is diabetic and currently under medication for BP also. He has a history of two major heart attacks. In the last five years, he did not have any major heart issues. Recently due to extensive amount of medications taken for a long time, he started showing signs of high amount of creatinine (currently 6.9). We did a few dialyses. Now doctors have advised doing an AV fistula on his left hand. His left hand is partially amputated from a previous septic shock treatment about four years back. His right hand is fine but an AV fistula there might terribly limit his movements and self-care. We wanted a medical opinion about where the fistula can be placed or can it be near to chest area as an alternate option? | 1,974 | Hi. There are three main types of AVF (arteriovenous fistula). The radiocephalic fistula is a forearm fistula created by anastomosing the side of a radial artery to the end of a cephalic vein. It is also referred to as the Brescia-Cimino fistula. The brachiocephalic fistula is an upper arm fistula created by connecting the side of a brachial artery to the end of a cephalic vein or slightly central to the level of the elbow. Finally, the brachial artery–to–transposed basilic vein (BTB) fistula is another upper arm fistula. This fistula is created by anastomosing the side of a brachial artery to the end of a basilic vein that has been transposed laterally and elevated superficially to make it amenable to dialysis cannulation. Other sites could be leg also. I advise you to discuss it with your doctor. The patient requires dialysis for sure or you can put a central line and replace it every 15 to 20 days. But AV fistula is the best option. | Q. What are the recommended options for AV fistula placement? |
Hello doctor, I took i-pill on 17th of last month and had a withdrawal bleeding on the 27th. When will I get my next period? I again had unprotected sex today. Do I need to take i-pill again or is this safe period? My period cycle is 28-32 days. | 1,975 | Hello. I have gone through your details. Many times some people do experience some kind of disturbance in menstrual patterns after taking an i-pill. As you got your periods on 27th March which was a withdrawal bleed, ideally speaking you should have been getting it around 24-28th April as per your routine cycle length. And this also not your fertile period as your cycles were always regular. But I would still advise you to take an emergency contraceptive pill because the previous cycle was disrupted with high dose hormones contained in i-pill. And the present cycle we do not know when exactly you ovulated. So it is better to take a preventive method as precautions (although repeated emergency contraceptive pills are not advised). Please use a more consistent method of birth control in the future like condoms and oral contraceptive pills which give a wider window of safe period and also would not disturb the menstrual cycles like emergency contraceptive pills. I hope this helps. | Q. When will I get my actual period after withdrawal bleeding due to i-pill? |
Hello doctor, I am a 22-year-old female. I have some mouth and throat concerns. I have ulcers, sore throat, occasional oral thrush, difficulty swallowing, lump on the throat (larynx), night sweats, fever, loose teeth, and abnormal discoloration in mouth. I am currently on birth control patch, Dextro-amphetamine and Cymbalta. I have been struggling for months now with quite a few mouth and throat issues. I have constant mouth ulcers that are taking weeks to heal, I get the sensation that I have not swallowed something completely down and that it stuck so I will keep swallowing and swallowing it drives me mad. It is not easy for me to keep doing this because swallowing feels harder than it should be almost like my throat is too swollen. I have a sore throat 80% of the time. I have odd waves of oral thrush and my mouth also has pale and red areas on my soft palate, my hard palate is just very pale. I have a couple of loose teeth but otherwise in very good shape. Frequent random nose bleeds that are usually heavy but can be light at times. Night sweats every night and feeling easily overheated during the days. I have also now become more concerned since my throat developed a hard lump on the top of my larynx. It feels very swollen where it is almost like it is ready to explode. It does not move and it stays firm putting a lot of pressure on my throat. I am assuming this is why it feels hard to swallow. It does not hurt but if I push on it to feel the firmness it causes discomfort to the surroundings mostly underneath the lump. | 1,976 | Hi. First and foremost, I would advise you not to panic or get disheartened. According to me, there is no major issue out there and we usually encounter such issues very often in our outpatient department. Now looking at your case, oral ulcers can be due to various causes right from nutritional and vitamin deficiencies to infections or repeated trauma. Getting each and every parameter tested often becomes extremely expensive and might frustrate you even more. Coming to your second major concern, difficulty in swallowing with no major pain as such can be due to some ulcers down in your throat, or infection in your pharynx (throat), or constant gastric irritation. Advice: 1. Consider taking a good multivitamin for two to three months. 2. Follow a healthy, hygienic lifestyle. 3. Avoid smoking, alcohol, etc. 4. Avoid having spicy, oily, and junk food items. 5. Salt water gargles at least 8 to 10 times a day. You should keep your oral cavity free from contaminating organisms and hence the throat infection. 6. Keep sipping on boiled warm water. 7. Consider antireflux therapy if you have the slightest of reflux issues. 8. Get your viral markers for HIV, HbsAg and blood sugars done too. 9. Do not Google too much of your symptoms out. 10. Do not correlate too many unnecessary things and do not take stress at any cost, sometimes stress can be responsible for non-healing ulcers. | Q. I have ulcers, sore throat, and oral thrush with swallowing difficulty. Please help. |
Hello doctor, I am having back pain at rest for the past for one month. I am also having an issue with sleep since it is hurting and it keeps on tingling when at rest. Please advise. | 1,977 | Hi. You are very young to actually have persistent back pains. There are many causes of pain in the lower back region. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, or any bony instability besides many others. So accurate diagnosis is the key to proper management of the condition. You will have to elaborate your problem as to a detailed discussion of your back pain which means the duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations), or any weakness in limbs? Any associated symptoms like fever, weight loss, etc? What medications are you generally taking until now for your existing problem? If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesia, etc, then you can start with the following recommendations for an initial period of two to three weeks. 1. Maintain proper posture of your back while working and sleeping. 2. If pain is more then you can take a short course of anti-inflammatory medication like Etoricoxib or Paracetamol or one which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and Vitamin D intake, if levels are low in the body. 5. Ice packs can be applied if your pain is acute, then hot fomentation can be done at home. 6. Analgesic spray for local application can be used and is easily available. 7. Avoid lifting heavyweight, acute forward bending in the mornings, etc. We will observe you for the next two to three weeks how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation. | Q. I get back pain at rest with tingling sensation during sleep. Why? |
Hi, I had hard stool 4 days back n since then i m facing enormous pain while passing stool each day. i visited Doc and he has prescribed me Ano-metrogyl cream to be used 3-4 times a day but it inst helping. Also i drink Softovac powder once at night. Situation is not getting better though | 1,978 | Dear. Welcome to icliniq You developed acute anal fissure due to hard stools which are now causing pain to you. There are 2 ways of sorting it out. 1. You have to use local cream to relieve pain and made the anal Sphincter relax. 2. You have to take medications to make your stools soft. I am prescribing following medications, it will help out. Try to drink plenty of water and avoid hard stools. Thanks Hard stools Acute Anal fissure 1. GTN Cream, mix this cream with ano metrygl cream in equal quantity and apply it 4 times daily locally. | Q. I had a hard stool four days back, and since then, I have pain while passing stools. Please help. |
I have right basal pneumonia but why is my left side hurt much? When i cough and taking deep breath its very painfull... I started taking antibiotics yesterday. It will just go away? For how long the pain will ease? | 1,979 | Hi, I hope you are doing well. I have gone through your symptoms. You are having Pneumonia on the rt side. Pneumonia is inflammation of lung parenchyma. It can result in fever cough with expectoration and breathlessness. Sometimes it can result in pleural effusion (fluid accumulation in between the lung covering) and pleurisy (inflammation of lung covering ). when there is inflammation of lung covering it can cause sharp pain when you take deep breath and cough. It is possible that you are having pleurisy. It is part of early infection to your left side of the lung. This infection could be due to bacteria or viruses. I suggest you continue to take a proper antibiotic in proper doses and proper duration. You should watch red flag signs such as persistent fever, breathing difficulty, increased breathing rate and heart rate. If this happens you should report to your physician. For pain, you should take PARACETAMOL 650 mg twice or thrice in a day as required. You should take this after food. You can also youse Ibuprofen if you are not allergic to it. Regards. | Q. I have right basal pneumonia, then why is my left side hurting so much? |
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? | 1,980 | 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. | 1,981 | 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. | 1,982 | 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. | 1,983 | 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. | 1,984 | 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 a 46-year-old female. I have been suffering from melasma for the last four years. It is only small patches on the cheekbones but very dark. I have been told it is dermal which is very stubborn and does not go easily. I took lots of treatment from good dermatologists like used topical creams like hydroquinones, retinoids, etc. Few chemical peels are done but no effect and that area became thin and wrinkled. What treatment should I go for? Currently, I am using only Kojitin. Is it safe to use it for a long time? I hope it will not make my skin thinner. | 1,985 | Hi, Welcome to iclniq.com. I have seen your query. With your descriptions it seems you have developed dermal melasma. Kojivit is safe and it is non steroidal. It does not cause thinning of skin, and safe for long term use. Beside this must use sunscreen like Blynds sunscreen daily during morning and use Dermadew glow face wash twice daily. Also take antioxidant tablet once daily. Protect from UV (ultraviolet) radiation, and repeat sunscreen after four hours if you are going out. | Q. Is it safe to use Kojitin gel for melasma for a longer period? |
Hi doctor, I am a senior year medical student in Greece and I would like to ask you a question about my mother. She had a history of hyper/hypothyroidism about 10 years ago, but the last two years her thyroid has been managed and she stopped taking T4. Her cardiologist told her about 10 years ago to start taking Inderal (Propranolol 20 mg per day divided in a two time dose) because she had palpitations and some arrhythmias. She had an echo/ecg about a year ago and her heart was fine and her cardiologist suggested stopping Inderal. But being a very anxious person and having frequently anxiety tachycardias she did not stop it. Which brings me to the present, having been diagnosed the past six months by her pulmonologist with allergic rhinitis/asthma and having frequent wheezing episodes, even though she takes antihistamines when the episodes occur. Shouldn't she change her beta-blocker to a cardio-selective one? She finds herself not being able to breathe while on Inderal, but the symptoms reappear when she takes it. What would you recommend as a cardioselective beta-blocker? Would it be safe to change from Inderal, to let us say Atenolol? If yes, how would she do it? | 1,986 | Hello. I have gone through the history you have described for your mother. I really appreciate the way you have presented it with all details. It is very important to know the reason to start tablet Inderal at first point. What kind of arrhythmia it was and all in order to evaluate does she really need to continue any beta blocker. As your Cardiologist year ago after cardiac evaluation did not find any reason to continue the medication as per your history. As we see in a day to day practice patients with palpitations just due to anxiety or stress and without any cardiac issue, non-selective beta blockers would definitely aggravate her symptoms. BP you have mentioned in your description is wrong I guess. As it appears to be 12/20 something, might be a type error but looks normal to me. For time being you can change the beta blocker to a selective beta blocker like Metaprolol (12.5 mg) or Nebivolol (2.5 mg) or Atenelol (25 mg)on a very low dose. Get her evaluated again with her cardiac reports whenever possible and if not required better to slowly taper her beta blocker medication and stop as well. Because though cardioselective beta blockers has some or minimal effect on beta 2 receptors as well. Even I would advise to start meditation and yoga to overcome her anxiety issue, that will help her in controlling palpitations if they are related. Would like to review her all previous and recent cardiac records to further discuss and clarify management strategy. | Q. Will Inderal provoke wheezing and allergic episodes in cardiac patients? |
Hello doctor, I was diagnosed with OSA and parasomnia/sleepwalking. I have been on CPAP for several months now with success, but still having some episodes at night, where I act out my dreams and I am afraid and run out of the house onto the street. I was also violent and aggressive towards my partner during this time of the last episode, which was two nights ago. She has children that live with us and we are extremely concerned about their safety if I have one of these episodes. I do not drink alcohol, smoke, and try to reduce my stress level. I have been using the CPAP religiously but would like a backup method to suppress these violent episodes that may/may not happen. It is really affecting my sleep, especially since I broke my foot. Please help. | 1,987 | Hello. I understand your concerns. Your sleepwalking is mainly because of your OSA (obstructive sleep apnea). But as you said it is under control then sleepwalking should also be in control. You can try some measures to prevent any harm to others and yourself. 1) Always cover your window and doors before going to bed. 2) Place an alarm on door and on windows. 3) Remain away from stress you can try some pranayam and meditation as well. 4) Exercise during day time so that you feel tired physically which leads to a deep sleep. We start you on some medication as well like Clonazepam in the range of .25 mg to .5 mg. You can repeat your sleep study also. If you have any other doubt you can always consult me here on icliniq. | Q. I have a habit of sleep walking after diagnosed with OSA. Please help. |
Hello I was due to have my upper left wisdom tooth taken out last Friday, but my dentist has been closed due to the Corona Virus. I had an x-ray done on my last visit and my dentist said it was a very awkward tooth to remove and not straight forward. I am in a lot of pain at the moment as my wisdom tooth is only half way through but has split into the side of my cheek. I am struggling to eat, clean my teeth, it's constantly throbbing and my face has swelled out on one side. I work in a hospital and had a telephone consultation today with a doctor who asked me questions over the phone, one being how many fingers could I fit into my mouth. I can only fit one finger in my mouth right now. My mouth tastes of blood and it bleeds lots when I try to clean it. I have been prescried anti-biotics for now, but I am very worried as after I finish the anti-biotics I don't know whether I will be able to have the tooth removed due to not being able to even open my mouth properly. Any help / advise is appreciated. Thank you. | 1,988 | Dear Patient, -I read your complete writing and I totally understand your concern, your mouth opening is really less now, I am sorry for the pain you are bearing. -The first thing you need to do urgently after reading this kindly begin warm water salt rinse 5-6 times a day.It will surely relax your mouth opening a bit. -Continue your antibiotics and stop as and when said, won't prescribe any medicine for now as you are already taking one session of antibiotics can't continue with this . Although you can give a gap of 4-5days and can again take a five day regimen. -If it still pains sometimes you can take a pain killer paracetamol or ibuprofen temporarily (as you haven't mentioned any allergies). -Do revert back for more queries. -I hope it helps. -Feel free to contact me again. -Kindly keep me posted about the improvements. -Stay safe.take care. | Q. My wisdom tooth has cut into my cheek, causing pain and swelling. Please help. |
Hello,This is not an average question but I hope someone may help me. A few months ago I have been diagnosed with atypical dermatitis. My simptoms were red spots regularly appearing and disappearing. They were not itchy except (slightly) on the scalp and forefront. Shower was exacerbating the symptoms for about 30 min, but a reaction to shampoo and soap were excluded as this was happening even only with water. I took oral antifungal on GP prescription, but nothing changed. Now for the wierd part. I work as a PhD student in preclinical oncology. I often work with mice and I realized that some of the mice I came in contact with were developing red spots. The only difference is that while my spots are slightly swallowed, on the mice they are deep like the outer layer of the skin is missing. The vet said they are not in pain. They seem not to spread the disease (e.g. 6 mice per cage, only 1 with symptoms for several months). This happens only on mice I came in contact with. The spots on mice extend with time up to 20% of the skin surface (for what we observed), but causing no mortality. The mice used here are NMRI nude mice lacking T-linfocytes. I think an atypical dermatitis is not contagious, so how could it be? Could my diagnosis be wrong or are the spots on the mice an uncorrelated thing? Than you in advance for any help! | 1,989 | hi the type of description of your reasons it appears that you are having hives or urticaria. it is a slightly raised red or white lesion which occur on the skin and disappear on its on after few minutes or hours this occur due to allergy to some internal or external agent that maybe water, in case of aquagenic urticaria. had you included a photo I would have helped you more. as far as the lesion in mice are concerned you are saying that outer layer of the skin has gone so it actually appears to be type of skin like necrosis . and in your case there is no such lesion, a typical dermatitis as diagnosed by GP is vague term and general term sometime used when you cannot reach a specific diagnosis. please send a photo if it is due to water note that whenever you touch water to some part of the skin it happens or not. take fexofenadine 120 MG once daily for a week and then tell me how much response you have, you can also take it as per need like alternate day for every 3rd or 4th day. do lot of oiling of the skin, dont use Harsh soaps and avoid any irritant application thankyou | Q. The mice I came in contact with developed red spots on the skin like me. Did I infect them? |
Hello doctor, It has been more than a month. The problem started with gastric issues in my stomach. Then it started with some stomach irritation and cramps. And then gradually I felt like whenever I ate something I feel like going to toilet. I reported it to my GP and she said to take Pantaprazole which I took for two weeks but then the situation was not improving and I insisted then she wrote a stool test for me and in the report helicobacter antigen bacteria was detected. She then prescribed medicine Amoxicillin 1000 mg, Pantoprazole 40 mg, Clarithromycin 500 mg which I took for one week. On the fifth day I felt like my body has no energy at all. Anyhow, I took the entire 7 days dose. Now it has been close to two weeks after completing the antibiotics, but even today I feel unbearable weakness in the morning after toilet. The weakness is so much that I lie down and the body starts shaking. For medicines, as of now I am only taking probiotics and multivitamins. Though the frequency of the days when I feel the weakness is reduced but yes once or twice in a week I have it. And also when I am having food I feel like going toilet. Please suggest the best I can do in such situation. | 1,990 | Hello. You have two problems: 1. H.Pylori associated dyspepsia for which you received treatment and hope that it will improve. 2. You have postprandial defecation and going to toilet, which is more suggestive of irritable bowel. I will advise to continue your Pantoprazole, probiotics as per the prescription of your GP and take the following medications in addition. It will help improve your bowels and subsequently your weakness in two weeks time. Dyspepsia. Irritable bowel. Tablet Mebeverine 135 mg one tablet three times daily before meals for two weeks. | Q. I have stomach irritation and cramps with the feel of going to toilet. What could be my problem? |
Hello doctor, I am a 31-year-old female. My right eye is red and very sensitive to light. It is painful while I move the eyeballs. Center of the eye is paining with irritation. | 1,991 | Hello. A couple of things come to mind when an eye presents like you described red, painful, photophobic. The first one is an eye inflammation, officially called an anterior uveitis. This is usually an isolated incident. It is considered idiopathic, which is just a fancy way of saying we do not know what causes it. If there is a history of this happening before sometimes lab work is ordered to rule out various diseases. Those might include things like Crohn's disease or Sarcoidosis or Spondyloarthritis. For an anterior uveitis there is nothing over the counter (OTC) to treat it. A visit to an eye doctor to confirm this tentative diagnosis is in order. If you are a contact lens wearer this could be a corneal ulcer, those present the same way as an anterior uveitis. Anterior uveitis. Again, there is nothing over the counter for this. If you indeed have an anterior uveitis it would need to be treated with prescription steroid drops. And we need to be careful with steroid drops, if you have an eye infection the steroid will make the eye infection much worse. And steroid drops have other side effects that need to be monitored, they can cause cataracts and they can cause an increase in the eye pressure (putting the patient at risk for glaucoma). Nothing can be done to prevent this. This does not appear to be self-limiting. I am happy to give you all this information but follow up with a doctor is definitely the next step. | Q. My right eye is red, painful and sensitive to light with irritation. Please help. |
Hello doctor, I am having severe heartburn and acidity issue. Today I got blood in stool and after I felt burn around the anus. Is anything serious? What should I do? Stool antigen (ICT) result is negative. My symptoms are heartburn after eating, bad breath from stomach, sometimes feeling bump on the right side only in throat while eating or drinking water, red bumps on the back of the tongue, tongue with white-coated color or sometimes yellow on the back of the tongue. I also have red acne on back of body, after eating need to go washroom for passing stool sometimes I feel burn while passing stool with more gas issues continuously. I feel burning at the upper side of the stomach when I eat spicy foods it becomes worse. Whenever I think I am having issue in stomach it triggers more burn. When I woke up I feel dryness in throat and smell comes from nose and throat too. Any permanent solution? | 1,992 | Hello. You have two main issues: 1. The heartburn and all the throat problem is due to reflux disease which aggravated by your hiatus hernia. This disease is controllable with medications but it could not be eradicated. You have to change your lifestyle and use some medications regularly for some time and then as per need. 2. The blood in stool occurs due to hard stool and burning in the anal area is due to fissure. I am giving you treatment and it will help out. GERD (gastroesophageal reflux disease). Anal fissure. Capsule Dextop 60 mg in the morning and evening before meals for four weeks and then only in the morning for four weeks. Syurp.Dijex MP (Alumina magnesia) two teaspoons three times daily after meals for 20 days. 2% Diltiazem gel apply at the anal area twice daily. Fibrocal sachet one sachet two times daily. Avoid spicy and junk food. Avoid late night eating. Elevate the head end of the bed about 5 inches. | Q. I have severe heartburn and acidity with blood in stool. Is this dangerous? |
Hi doctor, I have been very prone to acne and I have pimples and pimple marks almost everywhere on my face for three years, even though I use Master anti-pimple facial wash and Master anti-pimple cleanser every night, it does not seem to be the solution. I am about to use Skinlight body care rejuvenating set and I also have a Skinmate shark oil. Is it fine to use the set with the shark oil? Can you please suggest a solution? Is it necessary for me to use pore minimizer? Are my pimples might be caused by strong products? Do I have to buy stronger products to get rid of my pimples and pimple marks? | 1,993 | Hi. Pimples present on whiteheads, blackheads, abscesses over the face. This is the spectrum of acne vulgaris which is common at a young age. In your case, as you have reported there are active lesions as well as active acne. This occurs due to androgen production during the young age, which leads to sebaceous gland overactivity and their blockage and inflammation. It can be cured by drugs as well as general prevention. General prevention includes avoiding oily things over the face and over the scalp. Avoid steroid creams over the face. Diet has no much role in acne vulgaris. Some cosmetics also increase acne. Drug treatment includes capsule Isotretinoin 20 mg OD with meals at night for four weeks. Clindamycin gel twice daily for four weeks. Salicylic acid 2% face wash use for 30 seconds daily if there is a lot of dryness due to this treatment use salicylic acid face wash only alternate day. Take plenty of fluids. Do not touch the face too often. This treatment sometimes has to be continued for three to four months as per response. When active acne stops coming, acne star are treated according to their type by microsurgery methods. Please review after four weeks with photo. I do not advise taking any other extra tonics, oils, or any food supplements as they can increase acne. I hope this helps | Q. I have pimple scars all over the face and seeking permanent solution. Please suggest. |
I have painful swelling of lateral nail fold of the ring finger (right hand). I also had chronic paronychia of index finger of Right hand. For the index finger, I used Onabet cream - twice a day - for three weeks on the nailfold (completed). Also, Loceryl nail lacquer once a week for 6 months. I cannot take oral antifungal due to previous allergic reaction so my doctor recommended Nadoxin cream twice a day on ring finger nailfold (for 1 week) along with Augmentin 625 mg (for 5 days). I followed the doctor's advice but there seems to be no improvement, rather the symptoms have aggravated. Kindly assist. | 1,994 | hi chronic paronychia is very resistant disease you have used almost all treatments which are actually recommended in this case. treatment also depend upon the incriminating factors of the disease, most of the time it is due to irritants which come in contact of your hand,, repeated washing also lead to increased fungal growth, sometimes on drugs also lead to this condition and some diseases also likes psoriasis, pemphigus, cancers at other sites of the body. so you can tell me if you are having any of these conditions but if not I will advise you following treatment plan according to the history that you are not able to take antifungals and antibiotics and topical has not worked on you. kindly follow this treatment for 4 weeks and then tell me with photo how much improvement you have. I must tell you at this moment that some cases medical treatment is not successful in such cases some surgical treatments has also been used like complete removal of the the nail folds. Rx tacrolimus 0.1%at night. hidrocortisone cream in morning both for 4 weeks. tab cefuroxime clavulinate 500mg twice daily for five days. avoid cold to body and hands. cover your hands with gloves to avoid contact with some allergens you may be exposed. review after 4 weeks. | Q. I have chronic paronychia and painful swelling in the ring finger's nail fold. Kindly assist. |
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? | 1,995 | 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. | 1,996 | 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. | 1,997 | 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. | 1,998 | 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. | 1,999 | 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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