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I having uneasyness in my lower left side of my belly since a year. I visited several doctors but tge problem persisted despite so many medications and endoscopy. First i was told that its a normal infection of my gut and that i will recover after few months of medication. Nothing such happened. I went to another doctor. But after medicine intake period is over, loose motions and stomach cramps in my lower left side continues. I'm very much disappointed by the way i lost so much money without treating the core of my problem which i Don't know as i don't have such equipments at home nor the medical qualifications to treat myself. Can you help me ?
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Hello, I can totally understand your pain . I have come across several patients with similar pain . Most of whom have undergone upper Gi endoscopy and lower Gi Colonoscopy and some have found to have irritable bowel syndrome. Which is often missed if it is of the mild form . It will be apparent on a colonoscopy only when it gets severe. I see from your treatment history you have been treated for colitis or the infection of the bowel which is usually the most common diagnosis and subsides after the antibiotics . In your case as it is chronic I would suggest a closer look And further investigation so starting with the simplest stool fOb , stool for Ova test. If both of them are inconsistent then we may think of IRRITABLE BOWEL SYNDROME. you will have to modify your diet and find out if you have any food allergies avoid any kind of spicy diet and certainly avoid RED meat for the time being . I will also prescribe a medication which you can take it twice a day for a week and follow up . i would like to know if you had had any previous surgeries. Follow up with the stools tests .
Q. I have loose motions and stomach cramps despite medications and endoscopy. Please help.
Hello doctor, I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD. Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated.
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Hi. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce's spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance.
Q. I have white bump on penis with no pain or symptoms. What could it be?
Hello doctor, I have had a mild cold symptoms over three weeks ago. Because of this global pandemic I got stressed and started feeling chest pain and abdominal muscle pain, etc. I did not have a fever, like not a single day. So I know that chest pain can occur due to stress and anxiety and to make myself feel better I went to the doctor's office so my doctor can listen to me breathing with a stethoscope. She said that my lungs are totally clear and that there is no strange noises. She said that I should take vitamin B and I was diagnosed with oral candidiasis. Now I am feeling a sort of bubbly feeling at the top of my chest and in my throat but only when I lay in bed and I feel like there is something stuck in my throat and I have a bit of discomfort when swallowing. So if my doctor said that my lungs are fine, what can it be?
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Hello. Most common symptoms of Covid-19 are fever, cough, and dyspnea. You mentioned you do not have fever, cough nor dyspnea so it is least likely you have Covid-19. Moreso, your lungs were clear. However, since we are in a pandemic, observation and self-quarantine is still advised. Yous symptoms of lump sensation in the throat and difficulty in swallowing may be caused by gastroesophageal reflux disease or GERD. Stress may have triggered it. I recommend you take Omeprazole 40 mg one tablet for two to four weeks. Avoid eating spicy, oily, fatty, and dairy foods. Avoid drinking alcohol, carbonated, caffeinated drinks. Avoid smoking and avoid lying down within an hour after eating. I hope this helps.
Q. I have mild cold with something stuck in throat and swallowing difficulty. What could cause this?
Hello doctor, I have severe groin pain days after sexual encounter. I have no lesions or bumps. I have prior HSV 1. I had no other symptoms but bad pain. I had pain in the penis and testicles. Now three months after I have a tingle in upper thighs and pelvis when laying down at night. Lymph nodes in groin never swelled but I can noticeably feel them in the groin and are tender after sex or to touch. I have been painful for years on and off though but not as bad as now. I have tingle weird feeling in testicles when sitting down during the day. No outbreaks ever. I am thinking and scared it is HSV 2. What is going on? IGM and IGG are negative six weeks after sexual encounter. What else could possibly be causing this?
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Hi. Generalized body aches are most probably not due to any STD (sexually transmitted disease). If there is no swollen lymph node again it is not STD. HSV 2 (herpes simplex virus) do not present like that. it has blisters which periodically you should not worry about that. If there is no burning micturation, no discharge from the urethral opening, no itching over the penis, no ulceration on the penis it is probably not STD. But still, you should avoid unprotected sex. For these symptoms you can take Paracetamol tablet SOS, Azithromycin 500 mg once daily for five days and show to the physician as these are medical symptoms.
Q. I have severe groin pain after sex with tingling in penis and testicles. Why?
Hi doctor, I was having a small boil under my lower lip edge and I pressed it and opened the pus. My lower lip is fully swollen with yellowish and there is a small cut while pressing for pus. This is very painful now.
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Hello, Welcome to icliniq.com. According to your statement, you have a boil under your lower lip edge and your lip is swollen after pressing it. It is painful too. Boil is a skin infection caused by Staph.aureus and its aggravating factors are DM (diabetes mellitus), immune-compromised, anxiety, etc. You should continue your current medication. You can add Flucloxacillin (Neoflox for 14 days) along with your antibiotic Cephalexin as it is caused by staphylo aureus. Apply warm compresses and soak the boil in warm water. When the boil starts draining wash it with an anti-bacterial soap until all the pus is gone and clean with rubbing alcohol. If any complications occur please inform me I will try to help you further.
Q. I have a small pus-filled boil under my lips and is painful. Please suggest treatment.
hi doc good morning. i have been having really bad headache for 2 weeks now. its a throbbing headache that affects the front and back part of my head. i also notice that it gets worse when i am lying down. there are times i vomitted also. last week i noticed that i have fever for 2 days but the fever went away this week. i tried drinking painkillers to. last week medicol seemed to work. but i noticed the headache was getting worse and the painkiller is no longer working.
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Hi, good morning headache, vomiting starting with fever is suggestive of infection, we need to rule out meningitis and raised intracranial pressure my questions 1. Do you have blurring of vision or double vision? 2. Do you have neck rigidity? ( you will feel like stiffness and pain in back of neck, you won't be able to touch your chest with chin) if any of the above is there, please consult locally as early as possible to your GP/Neurologist, if above things are not then you need to do two things 1. Get on MRI brain with contrast done to look for infective focus or parenchymal lesion. 2. Get your Eyes checked for pappiloedema to look for raised intracranial pressure. meanwhile you can take pantoprazole and domperdon (pantocid - D) before breakfast take tablet Naproxen 500mg (in place of Medicol ) when required for headache thank you
Q. I have a throbbing headache for two weeks now, which is getting worse. Please help.
Hi, I have a problem in throat for the last one month, Initially, i have a stomach problem, so i Just start Stomach relief medicine, like Rebicid and Gavascone Syrup. I feel better after some days and now my stomach is good, but i have a problem in the throat, i feels like some thing stuck in my throat and it irritate me a lot and i am feeling this for the last one months, i was feeling good after 10 days and 10 days of the middle of month was good and i was not feeling something stuck feeling, but after 10 days again i am feeling that something stuck in my throat, and it irritate me a lot and sometimes i lose body energy and i feel weakness and also a little fever. I have a history of Depression and Anxiety, i was taking anxiety and depression medication for 5-6 years approximately 10 years ago. For the last 10 years i am not taking any anxiety and depression medication. i have a stomach problem GERD but i was okay for the last 2-3 years. Now again i have a GERD problem, i think due to this i have a throat problem that i am feeling that something struck in my throat. Please advise me what should i do, due to COVID 19 i have no facility to check the ENT specialist, i will be very thankful
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Hi, Your prediction is almost as right as what I am also considering. The most common reason of having this irritation in throat with a feeling of lump or something obstructing while swallowing can definelty be a feature of chronic GERD. Eve though you might asymptomatic in between, the inflammation in the throat often exists in the hidden form and can resurface when adequate care is not taken. What can be done? (these precautionary measures have to followed for life since your chronically have gastric issues) 1. Maintain a strict diet, eating on time 2. avoid spicy oily and cold food/drinks 3. Keep a gap of 2 hrs between meals and going to bed 4. Don't over eat, rather keep your stomach half empty and have regular intermittent light food like fresh cut fruits in between major meals. 5. Salt water gargling 8 to 10 times a day for 15 days 6. Follow the prescription as adviced and you can come for a follow up consultation after 2 weeks Tab pan d 40 MG once in the morning before bfast for 14 days Syp mucaine gel 1 tsp three times a day 20mins before meals for 14 days
Q. I feel something is stuck in my throat, and I have a history of GERD. Please help.
Respected doctor. I need few clarifications on how to protect testicle of us and right foods to eat for good testicle as well as for prostate and scrotum health. Also provide how one can prevent cancer in these areas like prostate testicle and scrotum
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Dear, Hope you are doing well Very nice question at a very young age i must say Diet / things to avoid Things to eat more If i come specifically for avoidance of prostate cancer then in non veg fish (salmon, sardines) as these containers omega 3 fatty acids, berries (strawberry, blueberries, raspberry, blackberry) as they contain antioxidants, green tea as again contains antioxidants, Broccoli contains phytochemical, tomatoes as it contains Lycopene which is also good antioxidant. For Scrotum health as it is a skin covering over the testicles you have to do things like you do to take care of your skin anywhere else like keep proper hygiene, proper cleaning with soap and water everyday, avoid unprotected sex with unknown partner etc I tried to answer your questions as far as possible Thanks Regards Feel free to ask anything else you have any query related to sex education or related to keep your kidneys and bladder healthy
Q. Please suggest ways to maintain good prostate and testicular health and to prevent cancer.
I’m hoping you can give me some answers/insight about what I can do for health optimization going forward. About myself, I recently turned 25 and have been lifting weights seriously since 18 years old. I am 6’, 198 lbs and about 14% bf. When I was 19 I did an anavar solo cycle with Clomid pct and I did one halodrol cycle at 21 with another month of clomid pct. I have been off all anabolics since and wish I had never touched them. I have some fear that this brief usage impacted my hormonal profile going forward. My recent hormonal panel at 25 was a total test of 535 ng/dl, estradiol 30 pg/dl, and I had a tsh of 4.9. 1. Do you think the brief usage impacted my natural hormones going forward? 2. I wish these levels were higher, as I don’t have the libido that I used to. However, these are totally within the normal range and I wouldn’t do anything but low dose clomid or Aromasin to slightly increase. Could this work? 3. Would watching these levels and starting trt at 30 be a healthy decision? 4. Would you pursue Levothyroxine to get tsh below 2.5? I am starting medical school soon, and mainly trying to start with confidence in my health.
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Q. Will the brief use of anabolic steroids impact my hormonal profile in the future?
Hello doctor, I am 30 years old. I am facing premature ejaculation and my ejaculation time is less than one minute. Please help. I am currently taking Prodep capsules daily.
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Hi. Do not worry. It is completely curable. You need to send me a detailed history of your condition including the onset and progression, dietary habits, and addiction. Then we can proceed with your treatment. And please stop Prodep (Fluoxetine), because it will do more harm than good. Follow up after two days with detailed history.
Q. I have premature ejaculation with ejaculating period less than a minute. 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?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> 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.
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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.
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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.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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.
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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 a circular rash beside my nose and did not subside. I have tried antibiotics, face cream, and face wash. Nothing seems to work. It does not itch though, it burns when it is really hot.
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Hi, Welcome to icliniq.com. I went through your case. I need to know the following things before arriving at a final diagnosis. What is the total duration since it first appeared? Is it sensitive to touch? Does it burn in sunlight? Any similar lesion elsewhere in the body? Is it thick on pressing? I need a clear photo to see if the skin over it has any scale or you ever notice any scale over it? Any variation in size or always progressing and never became normal? Please reply to the questions. DLE (discoid lupus erythematosus), Tinea faciei, Facial granuloma, Hansen's, PMLE (Polymorphous light eruption).
Q. I have a circular rash beside my nose and medications did not help. Please suggest solution.
Hello doctor, I am 16 years old. My eyes were yellow, ALT level was 226, Hepatitis E result was 9.4 u/ml. I went to a gastroenterologist for checking and he prescribed me few medicines Siliver, Sulvorid, Dexxoo. In the follow up he prescribed me Ipride. After taking that medicine I am having loose motion and feeling cold now.
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Hello. From your symptoms and your test reports (attachment removed to protect patient identity), it looks like you have viral hepatitis, particularly hepatitis E. Viral hepatitis affects your liver cells and causes their inflammation which can lead to dysfunction in the normal functioning of the liver. The disease can vary from being self-limiting to highly fulminant. Hepatitis E has been known to lead to fulminant hepatitis which has quite a high mortality. The course of infection has two phases, the prodromal phase, and the icteric phase. Prodromal-phase symptoms include myalgia, arthralgia, fever, anorexia, nausea, vomiting, weight loss, dehydration, and right upper quadrant pain. Icteric-phase symptoms may last days to several weeks and include jaundice (yellowish discoloration of skin and eyes), dark urine, light-colored stools, itching (pruritus). I would request to see a doctor and get admitted as soon as possible for further evaluation. Your liver enzymes have to be monitored regularly along with pt/INR (prothrombin time) report to see whether liver is synthesizing the clotting enzymes well. Now coming to the treatment. Acute hepatitis E in immunocompetent persons usually only requires symptomatic treatment, as almost all of them are able to clear the virus spontaneously. The acute illness may result in anorexia, nausea, and vomiting, predisposing patients to dehydration. These symptoms tend to be worse in the afternoon or evening. Patients should attempt to ingest significant calories in the morning. As they improve, frequent small meals may be better tolerated. Hospitalization should be considered for patients with dehydration. Ribavirin an antiviral drug is reserved for people who worsen. You can continue taking Dexxoo (Dexlansoprazole). Stop Ipride (Itopride Hcl) if it causes loose stools. Eat light food and drink plenty of fluids. Take tablet Paracetamol 500 for fever. Consult a doctor immediately if you think your condition is worsening. I hope this helps.
Q. My hepatitis E result is 9. 4 u/ml with yellow eyes. Please suggest medication.
Hello doctor, I have noticed a scar like bump on my penis shaft, and it has not gone away for one month since I noticed it. I did have sex related sore in the same location several months earlier for what I believe to be friction burn, but have not been sexually active since one month. The mark does not cause me any discomfort and no change in appearance since I noticed it.
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Hi. Is the bump itchy? Or any discharge present? If itching present then whether it is more at night? When you had it the first time, did you took any medication for the same or it went of its own? In how many days? What about the size at that time? Do you have any history of unprotected sex with a new partner two or three weeks prior to this lesion? Are these lesions present anywhere else on your body or on the body of your partner? Are you diabetic or hypertensive or any kind of medications unrelated to this also?
Q. I get recurrent scar like bump on my penile shaft. What could it be?
Hello doctor, I am 25 years old, unmarried. I think my penis size is small. Because of masturbation, I have a problem with ED. I would like you to suggest medicine for these two problems.
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Hello. Before jumping to any treatment follow the advice as given below. You are indeed developing signs of ED (erectile dysfunction). You also seem to have exaggerated guilt of masturbation. Understand that 90% of males start masturbation by the age of 14. Rest 8-9% start after 14. So, virtually every man masturbates. It is a normal male sexual behavior if done in moderation. But excess of everything is bad. We may need reports of the following tests to rule out the physical causes of erectile dysfunction. 1. CBC (complete blood count). 2. T3, T4, TSH (thyroid-stimulating hormone). 3. HbA1c (glycated hemoglobin). 4. Serum testosterone. 5. Serum prolactin. To rule out psychological causes, please answer the following questions. How is your mood? How are your energy levels? How is your appetite? Do you have any sleep disturbances or do you oversleep? Any past history of anxiety or depression? Any family members suffering from anxiety or depression? Please respond and send me the reports to make a complete assessment.
Q. I have short penis and ED with history of masturbation. Please suggest medication.
Hello doctor, I have pain in the upper right abdomen. The pain goes to the back and side especially when I sleep on the side. Sometimes the discomfort is in the middle right and lower abdomen. I have taken a CT scan of the abdomen and pelvis with iv contrast. I had an ultrasound done a few months ago which revealed grade 1 fatty liver. I feel tired all the time. I have gained 3 kg within four months. I also get frequent leg pain and weakness especially in the morning when I wake up. I had vitamin B12 deficiency and have taken 15 injections before three months. I have a lot of gastric issues with this as well. I am uploading my CT images. Please help.
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Hi. I have seen the attachment. (attachment removed to protect patient identity). The CT abdomen scan is showing mild fatty changes in the liver and a left inguinal hernia. The ultrasound scan abdomen is showing fatty changes in the liver. The upper gastrointestinal endoscopy report is showing a small hiatus hernia. The blood test is showing upper limit of normal SGPT (serum glutamic pyruvate transaminase) and SGOT (serum glutamic oxaloacetic transaminase). The contrast CT scan images of the abdomen are viewed. The fatty changes in the liver are not significant. Such fatty changes are visualized in many people. However, if you are having a high-fat diet or alcohol regularly then you need to discuss with your doctors and take precautions. The hiatus hernia is a small herniation of the stomach above the diaphragm. This causes discomfort on bending down. Please avoid bending frequently, avoid lying down for two to three hours after a meal. Avoid smoking. Take meals in small amounts, if you feel discomfort when eating too much. For the left inguinal hernia, you need to consult a surgeon and take an opinion. It might need surgery and repair. Coming to the pain, it is possible that the hernia can cause pain in the lower abdomen. At the same time, other causes of weakness need to be discussed. It will help to know if you got a complete blood test done (other than given liver tests and vitamin B12 test) and if there are other areas that need attention.
Q. I have pain in upper right abdomen with grade 1 fatty liver and vitamin B12 deficiency. Please help.
Hello doctor, I need a urologist to look at my labs. I also have prostate PSA biomarkers like total PSA, free PSA, and prostate-specific antigen free ratio.
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Hi. Let me tell you, your reports are absolutely fine (attachment removed to protect patient identity). This ratio has got significance only when your total PSA (prostate-specific antigen) level is out of normal range. You can repeat this test annually. No intervention is required right now. Some of my questions are why did you get PSA done as it is not indicated at 31 years of age? Do you have any urinary complaints (frequency, urgency, poor stream, nocturia, dribbling, etc)? Do you have any previous episodes of UTI (urinary tract infection)? Are you diabetic or hypertensive or on any medications?
Q. Please evaluate my prostate PSA biomarker test for any abnormality.
When I lift my left side of my lip it feels like a muscle is pulling. It is just to the left of my nose. My face is not drooping nor is my mouth. I do not see any red or white spots and there is no pain. It just feels weird. It started about a week or so ago. I do not smoke.
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Hello Your description of your symptoms sounds a bit strange to me but if your lip moves involuntarily, then you may have muscle twitching due to too much caffeine if you drink a lot of coffee, but there are also other less common causes. If you have tingling, this could be an early sign of recurrent herpes infection though it lasts only a few days before the vesicles start to appear and one week is a long time. There may also be a spasm in your lip muscles so try hot pads on your lip for starters to relax the muscle and if you take a lot of caffeine, reduce your consumption and eat foods rich in potassium like banana. If you start to feel tingling or see any redness in that area you may need to consult a doctor (an oral medicine specialist or dermatologist) for an antiviral prescription. There are other rare possibilities that may be the reason behind your symptoms but as they are uncommon I would not worry about them at the moment. Having said that, I suggest seeking further medical attention if you don't improve after a few days.
Q. Why do I feel like a muscle gets pulled when I lift the left side of my lip?
Hello doctor, I am a 17-year-old female. There is a milky vaginal discharge that I have been experiencing every day for six consecutive months. The first time I went to a doctor was when I was experiencing a cottage cheese like white discharge with super itchy feeling and burning sensation when urinating. The doctor gave me Itraconazole Sporanox and Imiquimod Aldara. It got better. My white discharge started after that. But I did not mind it because it was not accompanied by itching. I went to a different doctor again because I was experiencing a cottage cheese discharge again with itching, she gave me Clotrimazole vaginal tablet. The only problem I have now is I am having a white milky discharge every day. It does not seem normal to me.
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Hello. Some amount of vaginal discharge is a normal phenomenon. But if the discharge is thick white like curds and offensive in smell or is associated with itching then it is candida or yeast infection. If you again having the cottage cheese like thick discharge with itching, you start taking Clotrimazole vaginal tablets for seven nights along with a tablet Fluconazole which you need to take by mouth (single tablet). Maintain a good genital hygiene. Try to change your undergarments twice daily. If there is no itching and not a thick curdy white discharge then rest assures it must be a normal vaginal discharge. Check your blood sugars (fasting and Postprandial). Tablet Fluconazole 150 mg by mouth (single dose). Clotrimazole vaginal pessary for seven nights continuously.
Q. I have milky white vaginal discharge with itching. What is my problem?
Dear sir, I have right side throat pain from last 1 months. When I take the antibiotics then pain is gone. When I stopped antibiotics it will start again. Doctor said it is pharyngeal wall congestion. How I can cure from this disease. Kindly help me.
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Hello. Good to hear from you. I understand your situation. The typical recurrent pain you complain might be because of the following most common causes.. 1. Chronic tonsillitis/pharyngitis 2. Chronic gastritis. 3. Persistent post nasal discharge. As you say it’s subsiding with antibiotics it might be because of a recurrent infection. Whatever be the reason firstly, start yourself on the medication I suggest. Later make certain lifestyle changes. Medication: 1. Tab amoxyclav 625 mg twice daily after lunch for 5 days . 2. Tab aceclo plus twice daily for 5 days 3. Tab pantop dsr once daily before breakfast for 15 days 4. Betadine gargle, 10 ml in 150ml of Luke warm water thrice daily after food for 5 days. Life style changes: 1. Avoid cold food 2. Make sure the food and water you take are hygienic. 3. Avoid Spicy food 4. Eat on time. Don’t let your stomach be empty for more than 2 hrs. 5. Do not sleep soon as you eat. Infection  | 
Q. I have throat pain that gets better with antibiotics and then comes back. How to cure this?
I have severe pain in my upper abdomen possibly because of an acid reflux and i can't sleep. After eating I feel a sudden pain in my upper abdomen or more specifically in the epigastric region. Last week I'm surprised that even though I don't have any problem digesting milk or dairy products I got suddenly become lactose intolerant after drinking an sterilized milk. I thought first it's just a common digestive problem so I take loperamide however after a few minutes I suddenly feel the symptoms of a heartburn so I take kremil S. Is there's a home remedy that can lessen the pain!
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Hello,, I am a family physician with Icliniq and would be glad to try and answer your question. Thanks for all the information you gave about your question. Whenever you share with us a problem, it is always helpful to the doctor when you give information like when the problem started, it's location and severity, other accompanying symptoms like diarrhea, vomiting, fever... if you have had it before, and what response there has been to treatment. Also it is important to know if a doctor has seen you for this problem in the past,, whether you smoke or drink, and whether or not you have other medical problems for which you regularly take medicine. There can be many reasons for upper abdominal /chest pain in your age group. I will list them for you as well as the most common treatments. If none of these help you, you would need to contact us again with more information. Gastritis/ulcer disease can cause severe pain and sometimes bleeding in the upper abdomen. You might have dark stools, feel dizzy from loss of blood or have lots of soreness to touch in your belly. Often patients do better when they stop taking any pain medicines like aspirin or ibuprofen which can irritate the stomach and use a proton pump inhibitor like omeprazole 20 mg 30 minutes before breakfast every day for 2 weeks. Some people use a 1/2 teaspoon of baking soda in a 120 ml glass of warm water, which can help but isn't used regularly Another problem is acid reflux. It is very similar to gastritis, but usually causes heartburn as the acid goes up into the esophagus in the chest. It also responds well to omeprazole. Abdominal pain can come from stress which irritates the large intestine. Loperamide often will help that pain, usually 2-4 mg at a time when you feel the paint, up to 4 times a day. A stomach and intestinal infection can cause pain. It is usually accompanied by diarrhea and sometimes fever. Most stomach infections respond to loperamide and increasing your fluids. Gallbladder disease (stones) can cause intense pain, especially after meals that are fatty. This problem is best diagnosed by having an ultrasound done and seeing a surgeon. Pancreatitis is an inflammation of the pancreas which is often caused by drinking alcohol. There is often very severe pain and vomiting. Patients can get better by stopping any alcohol and not eating for 1-2 days. Often they need to see the doctor. Lastly, COVID-19, the virus which is causing the pandemic worldwide, can cause diarrhea, fever and cough. It is always wise to think about whether or not you have had contact with a patient who was diagnosed with the virus, and consider getting tested. As always, any problem that is not getting better or is getting worse despite what you can do at home needs to be seen by a doctor. Hope this information is helpful to you!
Q. I have severe upper abdominal pain and cannot sleep. Is there a home remedy to relieve pain?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> 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.
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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.
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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.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hi doctor, I am 25 years old. I am a breastfeeding mother for 6 months baby. I have a sore throat from yesterday and feel difficulty in swallowing with light fever but not continuous. Today my right eye is slightly reddish and I had a cough again but not continuous. Currently, I am taking Azithrol, Rantac, and Montec. These medicines were given to me while I had a cold before 1 month. Doctor said to continue it if I had further cold. I am frightened to go to doctor in this pandemic time. Please help.
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Hi. Thanks for sharing your medical info with us. I totally understand your concern and I will try to recommend the best you can take to help you relieve your symptoms. Please do not take Montac and Rantac since they are not the best options for your current situation. You are dealing with an upper respiratory tract infection so you need relevant medications. Take Azithromycin tablet (two tablets on the first day then one for the next five days). Loratadine tablet is recommended, if not available go for Fexofenadine, both are perfect antihistamines with minimal to zero side effects (they are non-sedative unlike others). Tylenol is alright, it helps with the fever, and generalized symptoms, also safe while breastfeeding. Try an herbal cough depressant (the ones with ginger and honey). Take lots of fluids and I also recommend a bit of isolation at home, for a tiny chance of having the virus. I hope this helps.
Q. I have sore throat with mild fever and I am breastfeeding. What medication should I take?
Hi doctor, I had an ultrasound last week and I just got a few informations. They said that my baby was around 6 weeks and 3 days with a heartbeat and measuring 6 mm but they did not said about the frequency. I had a brownish discharge this week and I did a blood test and the Beta HCG was growing since my last Beta HCG that was on Saturday. I am with a few cramps with progesterone and bed rest because of this brownish discharge. Is there any chance that I may have an abortion? I am very concerned and everyone is freaking out because Covid-19 and they do not want me to have another ultrasound should I need to be concerned?
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Hi. I have seen your reports. (attachment removed to protect patient identity). As of now, you are on the best treatment possible to prevent abortion as your gynecologist has already started you on Progesterone too because of your spotting, which is helpful in supporting the pregnancy. Yes, definitely having spotting in early pregnancy can pose you for risk of miscarriage but there is nothing more anyone can do that start with progesterone supports, and take good rest. Stay positive and everything should be fine hopefully. Avoid going out unnecessarily as the risk of Covid-19 can be more life-threatening. Once the crisis gets over you can follow up with your gynecologist for a follow up scan to check for the baby's heartbeat. Bed rest, continue progesterone, avoid intercourse.
Q. I got brown discharge and started on Progesterone. Is there any chance of abortion?
Hi doctor, For the past eight months, I have been struggling with brain fog, tension headache, fatigue, and inability to concentrate. I have been trying to identify the source of my problems with no luck. An MRI of the brain coincidently showed fluid retention in the left maxillary sinus, so I have done a CT scan of the sinuses to confirm the findings. I need to mention that I smoke water pipe (shisha) and after smoking, I find mold growth in the humid parts of the shisha, so I thought this must be fungal sinusitis. In addition to the previous symptoms, I sometimes feel pressure behind my right eye, and I always feel sputum in the back of my throat. My doctor thinks that the sinus in the CT scan is minor and would not have contributed to my issues. Please suggest an opinion. I am currently taking Lexapro 10 mg.
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Hello. As per your CT scan (attachment removed to protect patient identity), there is some mucosal thickening in the left maxillary sinus and some inflammation in both posterior ethmoid sinuses. The nasal passage are very much compromised. The turbinates are hypertrophied. This may be due to sinusitis as well as your smoking shisha. The findings explain the dullness you might be feeling behind the eyes and on cheeks, the occasional headache, and pressure behind the eye. This, however, does not explain the brain fog, tension, and fatigue. You will be benefited from some sinus medications. You should quit shisha. You will need to use steroid nasal spray for many weeks. You will need an antihistaminic also. However, since the nasal passages are obstructed the medicines may not reach the destined areas. If we encounter that problem we will have to think of surgery. But for now, you start on a steroid nasal spray and antihistaminic.
Q. MRI brain shows fluid retention in sinus with pressure behind eye and neck. Please explain management.
Hello Doctor, I have a back pain that earlier moves to my right leg through hip, knee and upto downside of foot. For last one year it has been started in left leg also. Though left side pain doesn't move to foot but at hip it pinches like a needle while driving specialy. Now during lock down due to excess use of mobile and sitting etc pain and stiffness has been started in my neck that moves from left back side of neck to head sometimes. Though I have started some Yogasans with help of Utube but have no relief rather it is increasing I think. Earlier I had taken physiotherapy for 1 month but all in vain. Kindly help me and suggest me some exercise or Yogasans, if possible online.
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Hi. i got your point and understand how you feel when it pains. as per MRI reports you mentioned, its a LBA (low back ache) which radiated to leg and now shifting to left lower body as well. and about your cerical problem may be there's a nerve compression and that neck pain radiating to shoulder if ignored it will pass through arms. so i suggest you some best and pain relieving exercise and plz follow it if you want to reduce and stable the pain. actually you need IFT and ultrasound theraoy for 2 weeks with immediate effect but may be not available due to lock down, but at home you can try the following which is also very effevtive in reducing pain. Apply diclofenac ointment in the area of pain mainly at lower back, neck, shoulder and knees and cover it for 10 - 15mins with a cloth. then clean it with warm water following hot water fermentation. repeat this twice a day and if laun is severe you can take Zerodol-P tablet once a day. EXERCISE'S TO BE DONE ARE AS FOLLOWS. 1. Lower Tummy strengthening. It is important to strengthen your lower tummy muscles because these muscles work in partnership with the lower back. 2. Deep Abdominal strengthening. 3. Bridge 4. Pelvic tilts. 5. Lowe back stretch 6. leg stretch 7. Piriformis stretch. these exercise's need to be done daily once for first week. each exercise 10 times and two sets of each. and for cervical do the following. 1. neck stretch 2. neck tilt 3. neck turn 4. head rotation. these exercise will help in reducing cervical pain and strengthen muscles. please do not over pressure while doing it as it may increase pain. so do all the exercise gently and in a proper posture. if you can get a MRI report it will be very helpful to study further about the condition. as you pain history is long so it takes easily 3-4 months to complete the treatment. hope you'll follow the treatment plan as adviced follow up after 4 days over audio call if possible. take care thank you. stress improper posture MRI LS Cervical pain disc bulge exercise and medicines ( zerodol, diclofenac ) no forward bending, no heavy object lifting 4 days
Q. I have back pain that radiates to my right leg, hip, knee, and foot. Please suggest some exercise.
Hello dear doctor. my mother had a issue about her abdomen.it has been 1 or maybe nearly 2 month she is felling an unusual pain in the abdomen Which is accompanied by bloating and severe intestinal gas. we saw an expert doctors.one of them said The gallbladder is oily after After seeing the result of the ultrasound and another doctor said The bile duct is dilated and due that he recommend us to take MRCP image and we did that and recieve images but due to corona virus outbrteak and especially my mother age which is 54 years old we afraid to go to hospital and show that to the doctors which recommend us to do MRCP and we cant make online contact with him. maybe to be helpful and For more information, my mother has been using opium for 25 years.i will realy appericiate if you help us. Thank you for your attention. Best Regard
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Dear, Great to meet you, welcome. I reviewed the history and MRCP report of your mother. Oily liver or gall bladder is not an issue.Her Biliary ducts are dilated but ther e is no obvious cause of dilatation.There is no stone or tumor in it.It may be secondary to chronic use of opium but It will needs further evaluation by endoscopic procedure called ERCP but in my opinion that is not an emergency. Meanwhile start using following treatment and it will help out in her symptoms. Opium/ Periampullary lesion ERCP LFTs CBC Periampullary lesion Opioid induced Opioid Induced SOD Dysfunction Tab.Levosulphride 25mg three times before meals.
Q. We did MRCP test as my mother's bile duct is dilated. Can you please interpret the report?
i was wondering if i can speak to someone about pain while insertion. i’ve never been able to insert a tampon, and i experience discomfort and a blockage when i try to insert a finger. it’s most likely related to psychological and irrational fear of sexual activity and also stress. i’m afraid to ask my doctor about this, and plus, with the pandemic, i cannot see a doctor expect for emergencies, or i’d like to see if there are home solutions. it’s even frightening to ask on here, so.
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Hello, Hope u r safe I understand your anxiety.Many people do have this issue,but with slow and persistent efforts you can overcome it. From your history ,I realise you are slightly on the bulkier side .If you could try Nd reduce your weight(say about 5kg in the next 2months),u will feel considerable difference in your sexual interests too. please take care of your vaginal hygiene too to avoid itching etc. Please get your thyroid and prolactin also tested. Meanwhile once the pandemic is over ,pls get a gynaec to examine you becoz at times a rigid hymen or a septum may be the problem (since you mentioned a blockage). Later if these do not work we can try vaginal dilators which are available in the market . Hope this helps.
Q. I have discomfort while trying to insert a finger in my vagina. Is it due to the fear of sexual activity?
hello sir/madam actually my father has DM ,htn ,psoriasis and psoriasis arthritis. now from some days he has neck stiffness, sudden severe head ache . pain usually start from back of the head or temple side . pain start anytime throungout the day . weakness in leg . hand tingling. walking weakness . sir the is suddenly occur 2 or 3 times a day. please help. gabapin 100mg ,betacap 20 mg and naxxdom 250 at sos. these three medinice are recenty prescribe by local medical. note i have latest Ct scan available.
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Hello. Welcome to icliniq. The symptoms that you have mentioned in your father suggest towards brain infection or meningitis/encephalitis or cerebral vascular accident/cva which means either a bleeding from the vessels or blockage in the vessels. The good thing is that the most lethal out of the above which is bleeding in the brain has been ruled out by the CT scan. The other things still need to be ruled out by some more evaluation. Based on all this I will be able to narrow down my differential diagnosis but you still need to visit a doctor in the hospital where they would examine your father completely and will be able to come to a diagnosis. Your father might need a lumbar puncture test in which a needle is inserted into the back to take minute quantity of csf which is the fluid that circulated around the brain to come to a diagnosis and for all these things he would need to go to the hospital. Also an mri scan may be required as a CT scan only picks up gross abnormalities and some pathologies may be missed in the CT scan. Mri brain Lumbar puncture Cbc Renal function tests Liver function tests Cva Meningitis Meningoencephalitis Miagraine Meningitis To be decided after the investigations Follow up with the above reports
Q. My dad has neck stiffness, severe headaches, leg weakness, and tingling hand. Please help.
Hello doctor, I have nerve pain in my left hand. I had fallen from a bike last one week. Since then I thought it was muscle pain. Today I consulted an MS ortho and he said there is no issue. He gave medicine for pain relief. I was feeling nerve pain in the left hand and the pain is getting severe at night. Currently, I am taking Lupiflex-8, Pantop, and Enzoloy H.
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Hello, Welcome to icliniq.com. I would like to know some details about your symptoms. In which part of the left hand, you have pain? At shoulder? Between shoulder and elbow? At elbow? Between elbow and wrist? At wrist? or In palm and fingers? What kind of pain is it? stretching, or heaviness, or pins and needle sensation? Burning type or some other type? Is pain persistent? or intermittent? Do you have any neck pain also? Is there any weakness in left hand grip? Have you noticed any factor which increases or decreases the pain like neck movement, arm movement, gripping something in hand, touch, or pressure at some point? Was there any swelling or redness at the site of pain? Please revert with above mentioned information. If possible, also send pictures.
Q. I have pain in my left hand due to accident and it disturbs my sleep. Why?
Hello doctor, I have a sore throat since this Wednesday. My dad is a doctor and he gave me Augmentin every 12 hours. The pain has not gone yet, but I feel like an object anytime I swallow. It hurts and it feels dry and sore. Just on the left side, it is been a few days but nothing new yet. It hurts everytime I swallow and it feels full and pressured. There is some yellow mucus close to the crypts but cannot understand if it is a stone or infection. I tried to remove possible stones but ended up making my tonsil bleed every time I try to clean possible stones and gargled with salt and water. I am really afraid it is something bad. I am 24 years old.
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Hello. Your tonsil looks infected (attachment removed to protect patient identity). I can see pus coming out of your tonsil. You complete the course of Augmentin (take it for seven days, 1 gm 12 hourly). Along with that take plenty of fluids (at room temperature i.e. not very cold and not very hot), do mouth gargles (combination of Chlorhexidine and Benzydamine) three times daily for five days which will soothe your throat as well as remove debris from the crypts. Take proton pump inhibitor (Pantoprazole 40 mg twice daily on empty stomach for a week) and also Paracetamol 650 mg thrice daily for three days. Do take all the medicines, just Augmentin is not enough. Do not touch your tonsils and do not try to remove the debris with fingers. Also, if possible send more pictures of your throat. I want to see your right tonsil and posterior pharyngeal wall clearly.
Q. My sore throat and discomfort while swallowing has not subsided on antibiotics. Why?
Hello doctor, I have small rashes in pubic area. I masturbate with a fabric usually so thinking this might have irritated it in small scales. I used Neosporin on it and it healed. I just heard people can get herpes with mild symptoms or be asymptomatic. The itchiness at first is what worried me. No blisters or lesions just white scaly flat skin. Please suggest.
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Hi. Scaly itchy rash in your pubic area is fungal infection exacerbated by irritation due to fabric. You have to be gentle with yourself and use ample lubrication like oil and it should not be irritating. As it is going on since 1 year as I can make out from the history you have given and it responded to Neosporin, there may be a secondary bacterial infection. As you worry about herpes, herpes simplex do cause lesions in genital area but lesions are different. They occur recurrently like every month or every two or three months in susceptible individuals. The lesions in you are not suggestive of herpes simplex. They are like blisters. Even if you may be infected with herpes simplex if you do not have lesions, you need not worry you will never have. You are actually immune to herpes but still can transmit to others. For the present lesion, I advise you not to irritate the area, do not use infective things over the area and keep it clean and dry. Do not use any harsh soaps or solutions which may irritate. For fungal infection I advise you tablet Terbinafine 250 mg BD for two weeks with meals. For itching, tablet Loratadine 10 mg OD for 10 days or when itches, Terbinafine cream twice daily for two weeks, Mometasone cream once daily for five days, Mupirocin ointment twice daily for five days. Review after 2 weeks. Fungus. Koh scrapping. Herpes genitalis. Tinea cruris. Antifungal and general measures. Avoid irritants. Use moisturizers, be gentle.
Q. I masturbate using a fabric and it caused small rashes in pubis. Can this be herpes?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> 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.
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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.
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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.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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.
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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?
My head hurts, but only on the right side--specifically around the area of my temple. Sometimes, the headache spreads to my right eye. The pain in itself is tolerable but every time I lay down to sleep, it becomes more painful. Next to that, my stomach also hurts since the other day. I feel nauseous too. Earlier this morning, I experienced a weird thing. At breakfast, I was feeling nauseous. And then suddenly, my eyesight was blocked by this wall of black and white dots. My ears were ringing. I closed my eyes, thinking it was just an illusion, but when I opened my eyes the wall of black and white dots was still there. I felt really weird all over my body too. There was this tingling feeling on my limbs and when the wall of black and white dots finally cleared up a bit, I looked down and I was surprised when I felt the wetness between my legs. I urinated. I didn't even felt it until I saw the puddle below my feet. I felt like I blacked out. My blood pressure is 90/70. Temperature is 36.2. PR is 85 (resting). PI is 2.1 and blood oxygen saturation level is 97%.
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Hello! Thank your for reaching out Your headache may be a of migraine type. I would recommend you take celecoxib 200 mg/tab, twice a day for pain and topimarate 25 mg/tab at bedtime for 1 week. I would then recommend further consult done after 1 week of taking topimarate. I would also recommend that you check your CBC to check for anemia and your serum electrolytes since you mentioned you blacked out. The results will help us understand your condition better. Is there anything else I can help you with?
Q. I have right-sided headaches, and I blacked out and urinated today morning unknowingly. Why?
Last monday, we went to the hospital to check what's on me. Before we go there, i feel that for 3days long. I search about the symptoms and the internet says it's MIGRAINE. But when the doctor have checked me, they said it's just a TENSION HEADACHE. He gave me a 2 medications. Openadrine Citrate Paracetamol for my headache and Benadryl for my night sleeping pattern problem. I have taken these medicines for 3 days now. I can say that these meds aren't enough to deal woth headache and also with my sleeping. Day 1 after the check-up. (Afternoon )I eat food that triggers the migraine, they said its a tension headache so i thought there's no effect for me. I also take the meds they recommended to take those meds every 6 hours or 12 hours. Sadly, it triggers me to the point that i slept with the pain. I end up being awake in the evening around 8:30-9:00pm. (10 pm) I tried to eat but not the foods that triggers migraine because i know that it happens again if i try again. After i eat, i take the my meds. 1 for my headache and 1 Sleeping Pill/Medicne just to feel sleepy. It takes 2 hours when i get to sleep. It's 12 when i fall asleep. But i wake up again at 2am. After that i can't sleep again and i feel the pain in me, i feel fatigue in my whole body and a mild headache that different headache that i feel compare to the previous headaches i felt. I spend the night sad, feeling nervious and confused. All i want to do is to cry and i can't stop myself. DAY 2 It's 6am when i feel better, i tried to eat for my meds. It feels like the pain is like already gone but i still took my med for assurance that i'm okay. so i take my meds around 9am-12nn. After i took my med i feel something a mild mild headache so i end up go to bed and sleep to not feel the pain. When i wake up around 6-7pm, i feel hungry and its different from the days before i checked up by a doctor because before, when i eat more the more the headaches occurs, but that time its different because i feel hungry and that caused the headache. After i eat i took my meds and this time i took my meds earlier to make myself sleepy before 11pm so took my meds 9pm and i sleep around 11pm-1am that caused me stressed and i end up crying again. I feel so hot and outside the body and inside the stomach, i dont know what to do that time. After that i tried to make myself busy to elimiante stress. I tried to watched a drama even though i know that it also triggers me everytime i feel sad or happy or highly emotion in the drama. But that night it was different, i spent the night with that drmaa from 3am to 8am. Day 3 Again, i feel okay. I try to ride a bike to excerise my body to get tired to help my sleep pattern be normal. So i ate breakfast before i ride a bike. It feel like normal and ieat alot compare to the other days. I stop exercise at 10am. And i took a bath because i'm smell bad. After that i watched a drama again from 11pm, i dont know why but i feel that my stomach is still full. So i continue watching until 2:30pm. I took my lunch even i still feel im full cause my tummy says i'm hungry. So i took my lunch and i didnt take my meds cause i know it still gives me headaches. So i dint take it. I don't feel headache but i feel my stomach looks like burning cause its hot inside so i search it on interenet and its say stomach burn. This was the point when i realize that i have this last night and today. I was hoping if its still just a TENSION HEADACHE or it turns out into other decease. I have seen some information to the internet about MIGRAINE + STOMACH BURN/ACID REFLUX. They said it was a Gastric Headache. I want to know your approval if what is true about what i supposed to do now..... thank you
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Hi The difference between the pain of migraine and headache are that migraine pain has a throbbing quality, and many people report even slight physical exertion (such as walking up a flight of stair case) may worsen the pain. in contrast the pain associate with tension type headache tends to be more chronic and steady also in migraine one can feel aura, means person knows that he or she is going to get headache. I think you have provided non of such details so I am assuming on bases of your history that it looks like tension headache. Take care
Q. I was diagnosed with tension headaches, but could my headache be due to some other disease?
Hi doctor, I have a few small painful bumps at the back (right side) of my tonge on the skin that attaches to the mouth (in front of the right tonsil). Bumps are hard and I have lots of pain when swallowing only on that one side (not throat). I have a burning sensation and swelling.
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Hello. According to your statement, you have been suffering from a few painful, hard bumps at the back right of the tongue, and in front of the right tonsil and feel uncomfortable during swallowing. Usually inflamed papillae or taste buds are small, painful bumps that appear after an injury from a bite or irritation from the hot foods. Herpes is a common viral infection that can develop blisters on the tongue or gums. Oral herpes is contagious and can spread through saliva, direct contact, sexual exposure, etc. Canker sores may appear on the tongue which are red, white or yellow in appearance and can feel raw and very painful. Some foods seem to trigger cankers sore. Again food intolerances and allergic reactions may cause bumps on the tongue and it may swollen. An infection in the mouth or on the tongue may cause swelling and pain at the site of the infection. People with syphilis sometimes develop tongue sore as an early symptom of the disease and can contract the infection through direct contact during vaginal, oral, or anal sex. People with oral thrush usually notice rough white patches on the tongue and there is often redness and a sour mouth as well. It can result from DM (diabetes mellitus), HIV, nutritional deficiencies, some medications like corticosteroid, etc. Even TB (tuberculosis), carcinoma can develop bumps on the tongue. Treatment depends on the causes of the bumps. You can use antifungal medication, antibiotics, antiviral medication, and maintain good oral hygiene. You should provide some additional history like smoking, substance abuse, previous disease, medications, history of sexual activities, fever. etc.
Q. I have painful bumps at the back of the tongue with swallowing difficulty. Please help.
Hello doctor, I have acne (inflammation) on the hair follicles on my butt for a long time, which goes on and off, but the marks and blackness of skin have been there forever. The marks are dry and persistent. When a particular one dries, the skin can be easily pulled off and it often has a tiny whitish needle in the middle. It does not pain, but the marks are really bad. I have just used home remedies like aloe vera and coconut oil. Please suggest a lasting solution.
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Hi. I went through your case. Though photo are bit blurred. Upload a clear one if possible. (attachment removed to protect patient identity). Characteristics you mentioned are spines, dry, and their persistence but again you said they go on and off. I can see some are having small pus. That is important, make it clear if they are always or have any seasonal variation. You did not mention itching, I want to be clear do they itch or not. Do you have a history of allergy in the form of itchy rash? Are these bumps only on buttock area or elsewhere also like elbow, neck, etc? Did they ever make large pus-filled abscess? Do you have any other medical conditions? It is a chronic and rare disease but to be sure I need above history. Then I may advise you a biopsy to confirm the diagnosis. Constitutional. Biopsy for HPE (histopathological examination) Keratosis pilaris, lichen spinulose, and follicular eczema. Ureative20 cream in the morning. Tretinoin 0.05% cream at night. Moisturizer. Review with history and photo then plan further.
Q. I have intermittent acne on butt with permanent black marks. Please suggest solution.
Hello doctor, I am a 32-year-old female. Whatever I eat within one hour I am urged to go to the toilet. My stomach hurts every time I go to the toilet. I cannot eat fish, milk products, some gluten products, or chicken. My sister thinks I may have Crohn's disease. I need to find out what is going on. I have been dealing with it since I had e.coil four years ago.
2,049
Hello. I can understand your concern. According to your statement, you have been suffering from abdominal pain followed by defecation one hour after taking your meals. You cannot eat fish, milk, some gluten products, or chicken which can aggravate your sufferings. The most likely cause of needing to pass stool right after eating is the gastrocolic reflex. The reflex is a normal involuntary reaction to the food entering stomach. For some people, it is mild causing no symptom. For others, it may be intense and the urge to poop after eating can be severe like you. Certain health conditions such as irritable bowel syndrome or IBS can cause a person's digestive tract to move food through their system at a much faster rate. Other conditions like food allergies, food intolerances, anxiety, gastritis, celiac disease, inflammatory bowel disease or IBD, Crohn's disease, etc., all can give rise to digestive symptoms like abdominal pain, bloating, increased frequency of defecation, diarrhea, constipation, alternating diarrhea, and constipation, etc. So you should undergo some investigations like CBC (complete blood count), USG (ultrasound) of W/A, stool culture, sigmoidoscopy, and rectal biopsy, colonoscopy, and jejunal biopsy to find out the underlying cause of your present conditions. In the meantime, you can avoid some foods like fatty or greasy foods, foods high in fiber, dairy products, etc. Again if you are suffering from anxiety, stress, or any other psychological distress, then you should take steps to remove them. After getting your investigation reports and knowing some additional history like weight loss, hormonal imbalance, previous diseases, medication history, family history I can help to treat you further. You had an e.coli infection four years back and from then you have been suffering according to your description. I think you took medication for your e.coli and e.coli usually disappears from the body with 7-14 days, but it may aggravate some rare long-lasting complications like IBS, Crohn's disease, ulcerative colitis, etc.
Q. I am passing stools immediately after my meals. Why?
Hello doctor, My mother is 65 years old. She is RA positive for the last 25 years. Currently, she takes HCQs, Methotrexate, pain killer, and Rantac. At present, she has pain, nodules in hand, and turned feet. Please suggest proper medication. Her LFT and KFT are normal.
2,050
Hi. I have gone through your query. But the report images could not reveal anything. (attachment removed to protect patient identity). I would like to ask you a few more queries before suggesting the medicine as any new DMARD (disease-modifying antirheumatic drug) started has to be taken with caution. You mentioned pain, is it in the joints or the whole body? Is there dryness of eyes or mouth? Is the sleep normal or disturbed? Any forgetfulness? Irritability? When is the pattern of pain more, mornings after waking or constant throughout? Please message me the dose of Folitrax as well which she is taking and the name of the pain killer? Do you have the last ESR (erythrocyte sedimentation rate) and CRP (c-reactive protein)? Is she taking calcium and Vitamin D supplement? I understand she has an aggressive disease considering nodules, deformities persisting. But lot of times people with long-standing arthritis develop secondary fibromyalgia and the management is very different. We can only be 100 percent sure after clinical examination but will help you in the best possible way we can. Try to reattach the reports as well.
Q. My RA positive mother has pain with nodules in hand. Please suggest medication.
Hello doctor, The first day of my last period was on the 2nd of March, it lasted till 6th of March. I had unprotected sex on the 10th of March, but he did not ejaculate inside me but there is a chance that pre-cum may have gotten in. So for safety, I took contraceptive pills (Postinor 2) on the 11th. On the 16th, I noticed light bleeding, and it lasted till 19th. I am yet to see my period for this month. Although, I usually experience irregular menstrual cycles, is it possible I am pregnant? Or has it worsened my case of irregular menstrual cycle?
2,051
Hello, Welcome to icliniq.com. I have gone through the details and the sequence of events you mentioned and totally understand your anxiousness. See, the emergency contraceptive pills are high doses of progesterone hormone, so at times there can be withdrawal and some times there can be a delayed period too. The effects vary from a person to person. As you already had a history of irregular periods, it is difficult to predict just based on the sequence of events whether you could be pregnant or not. So a definitive test would be to check for a urine pregnancy test, preferably with an early morning urine sample. If that is negative, then you can rest assured that you are not pregnant. And you can take the medications mentioned below to get your periods and get yourself evaluated for the cause for your irregular periods. Regarding your irregular periods, I see that you are slightly overweight for your height. So mostly this could be due to PCOS (polycystic ovary syndrome) too that you have your irregular periods which need to be evaluated or maybe some hormonal changes in thyroid or prolactin hormones. Ultrasound abdomen and pelvis. Complete hemogram. Lipid profile. LFT (liver function test). RFT (renal function test). 75 g glucose tolerance test (fasting/ 1 hour / 2 hour). HbA1c (glycated hemoglobin) level. Serum calcium, vitamin D and B12 levels. Serum fasting and post prandial insulin levels. Serum FSH (follicle stimulating hormone), LH (leutenizing hormone), free testosterone, estradiol, prolactin levels, thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of the next menstrual period. PCOS. Tablet Meprate or Deviry 10 mg twice daily for five days and then stop. To wait for withdrawal bleed within next 7-10 days. To get blood tests done on second or third day of periods. Reduce weight. Maintain menstrual diary. Regular exercises at least one hour daily. Lifestyle and dietary modifications.
Q. Will contraceptive pills worsen pre-existing irregular period?
Hello doctor, I have chest discomfort and upper and lower back discomfort since yesterday. I passed stool twice today and the last one was cloudy. I am a 32-year-old male. My height is 5'6" and I weigh about 77 kg.
2,052
Hi. I reviewed your history. Do you have a burning epigastric sensation? Difficulty in breathing? Do you have hypertension or diabetes? What is your last meal? All these significant history points are important to exclude any cardiac problem or any gastric problem.
Q. I have chest discomfort with upper and lower back pain. Please help.
Hello doctor, I am 38 years old and I have been taking HGH and Anavar for six months for my training and weightlifting. I am also single and had no plans for ever getting pregnant but I am now 5 weeks pregnant and do not know a safe way to get off the GH. I was taking 4 IU a day. I am not sure if it contributed to me getting pregnant as previously I have had two miscarriages and an ectopic pregnancy when I was married (two years ago). I have stopped the Anavar as soon as I found out. What is the best way to come off GH? Shall I just stop or do I need to wean off of it? I am worried if I just stop my body would not produce for a while and it will cause pregnancy at a risk to survive.
2,053
Hello. Congratulations on your pregnancy and on having escaped literally in the nick of time from the potential risks of Anavar. Anavar contains Oxandrolone, which is a male hormone derivative, if taken inadvertently during pregnancy, then it causes virilization (masculinization) of the female fetus. It takes a few days to metabolize form the body, so I recommend you to stop both with immediate effect and start on folic acid supplementation sooner. The gestation is only 5 weeks as on date and the fetal pole has not yet arrived. If you do not stop, then there are high chances of you getting an anembryonic pregnancy which is pregnancy without a fetal pole or a chemical pregnancy which can be confirmed only after two weeks with a scan to check if fetal heart rate has arrived or not. It would confirm if the pregnancy is viable or not. If no heartbeat, then there are chances that it may have been affected by the effects of Anavar and HGH (high growth hormones) and hence non-viable. Avoid exposure to any teratogen during the length of the pregnancy.
Q. What is the recommended way to wean off HGH during pregnancy?
Hi I am writing this because lately I have been having some issues lately related to my health and I was hoping to get some answers, advice and help because I want to stop the problem from getting worse and start getting better and i am a male and I’m 22 years old. Now one of the symptoms I’ve been having are headaches like they would happen imma say every couple days like it comes and goes like now I don't have a headache at the moment. Second symptom I had was nausea and I had it yesterday for a short period of time but I managed to eat something and I don’t have it right now currently. Other symptoms I’ve been experiencing to like eye pain to that comes and goes but mainly in my left eye like twitching and tingling to,Little loss of balance when I get up out the bed I guess from resting for a certain period of time like now my balance is fine now but I have this Cold feeling in forehead and lips now which is new to me I never had it before so it's happening right now but yea and Little tingling feeling in throat And Tingling in private area that comes and goes. I was wondering if a neurologist can help me out here because I’m wondering if this is a nerve problem and how serious this is. Please
2,054
Hi , Welcome to Icliniq, I have analysed your complaints. You are suffering from Episodes of headache with nausea , which are not present every day. also having left eye pain and twisting with tingling, imbalance while getting up, tingling in throat and over genitals, coldness over forehead ... I would like to suggest to do some routine blood investigation tests and this symptoms seems like vitamin B12 deficiency or hypothyroidism. Are you Vegetarian? any history of weight gain, constipation? is there any addiction of alcohol or drugs ? please check your CBC Serum electrolytes(Na, K, Cl, Ca, Mg) S.Vitamin B12 level Thyroid profile
Q. I have episodes of headaches, nausea, and eye pain. Is it a nerve problem?
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?
2,055
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.
2,056
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.
2,057
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.
2,058
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.
2,059
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 stool is hard first and then it becomes soft. Otherwise, it is soft always. I pass stool once daily like other people, also I have no pain in the stomach. But due to soft stools, my legs and other body parts are always in pain. When I get up early in the morning I feel very tired due to soft stool condition of my stomach. And when I take pills like Flagyl or Imodium my stool becomes correct and my legs and other body pain get some relief. Please suggest.
2,060
Hi. Two important points that I find in your history are others in the family also have it but you have told only about the male members. What about female members of the family? Secondly, it improves with Flagyl or Imodium. So the possibilities are water-borne disease which is now in chronic phase or incomplete treatment. Or irritability of bowels which could be because of type A personality-related anxiety. I would suggest the following investigations: CBC (complete blood count), SGPT (serum glutamic pyruvic transaminase), Widal, stool for routine microscopy and occult blood. Also, following medicines should be given one course. Ofloxacin 200 mg twice a day for five days, Ornidazole 400 mg twice a day for five days, Ivermectin 3 mg and Albendazole 400 mg once a day for three days, Capsule VSL#3 once a day for 10 days. I hope this helps.
Q. I have a problem of hard stools and it becomes soft with leg and body pain. Why?
Hello doctor, I have a problem with the second last toothache of left side lower jaw and also headache. What can be the problem? And the medicine used by me does not give me any relief Mox 500, Limcee, Oxalgin. (twice daily for three days). Then the other dentists suggested me these medicine Ordent, Seradic P, Pan-DSR). But also no permanent relief from toothache and headaches. What can be the problem and solution?
2,061
Hello. I have gone through your query and understood your concern. Unfortunately, taking medicines is not a permanent solution to dental pain. There are several factors that cause dental pain and associated headache. The most common cause is tooth decay. However, a clear clinical picture or an x-ray will help determine what is causing your pain. When decay reaches the nerve of the tooth, it starts to give out symptoms. The nerve which supplies the tooth also supplies that side of the face. Hence the referred (associated) pain. Taking painkillers will help control the pain to some extent but it does nothing to cure the decay. It can only be manually treated by removing them. You may require an x-ray procedure to determine the extent of the decay and if the nerve of the tooth is involved, a root canal treatment is generally done to remove infections and decay. Since it is the time of the pandemic, dentists are providing emergency care only and some dentists prefer telephonic consultation prior to dental visit and treatment. If the pain is unbearable even after taking medicines, it is best to call up a dentist providing emergency care and get it treated. I hope this helps.
Q. I have pain in my lower left back tooth and medicines are not helping me. Why?
Hello doctor, Does cervical neck lordosis affect the quality of sleep? This week I have not enough sleep at night or even day and my arms are in pain. I cannot understand because sometimes my nose are clogged at the right, sometimes at the left and my neck hurts when I do my exercise as recommended by my chiropractor. I had my three adjustments last month which supposedly should be 36. It stopped due to the COVID pandemic and now I am at home but I cannot sleep well. It feels like my body is not straight. By the way, my pelvis is tilted to the right and also my spine but just a little bit. Can I ask some help or tips from you with regard to what can I do to at least ease the pain or sleep way better? Or a few stretches to at least help my body to slowly reposition to normal?
2,062
Hello. I read your concern. Yes, the position of cervical lordosis will affect your sleep if it is not properly supported. The tightness and pain could be due to irritated neck muscles. So support them, ice them up so that spasm gets reduced and neck feels better. As of now, I recommend you to maintain good posture and support your neck properly in everything you do like sitting and sleeping. Avoid postures that might aggravate the issue like texting a lot. Watching movies in an upward position, etc. Do not do exercises while in pain. Do icing and relax. Support will help you come out of the issue faster. First, sleep properly and things will automatically fall in place. Keep hydrating properly. Back and other issues could be due to faulty postures and irritable muscles. They will reduce once you do the above-mentioned things. I hope this helps.
Q. Does cervical neck lordosis affect sleep?
Good evening Dr. I require your kind advice regarding my mom's medication. She is 53 years old. You see my mom had persistent UTI & E-coli infection for almost a year throughout 2018-2019. Her health deteriorated due to which she had a fall last year & got fractures in her spine & right shoulder, for which she was operated with screws & rod insertions i.e. dorsal spine fixation & proximal humerus plating. However she had incidents of granulation tissue pouring out on the spine suture area twice after the initial surgery, due to which she had been operated two more times to sort out the problem. The reason for the granulation tissue pouring out was described as the Dr. as being due to high UTI & E-coli infection. She took IV antibiotics for 7 weeks and was also prescribed Nitrofurantoin 100mg for 1year which would completely eliminate her UTI & E-coli. My mom however had for only 5months & quit. It's been 4months now since she quit, & now suddenly she's experiencing frequent urination, overactive bladder and urine incontinence since 3days. Also there is inflammation during urination. Kindly suggest me if there is no harm if she starts Nitrofurantoin 100 again and so for how long i.e. remaining 7months or any other period?
2,063
Q. My mom has persistent UTI and E. coli infection for almost a year. Can she take Nitrofurantoin?
Ok so, I'm a 20 yo femal, for 5 years I've had inconsistent periods, I would bleed nonstop for 3 months, then go for 4 or 5 without a single drop, I've had normal cycles (as in a 6 days cycle normal flow) only a couple of times in my life, I went to 3 different obgyns did ultrasounds and everything looks normal, they would just tell me that I'm still young and that my hormones are just all over the place, I'm sure if my anemia wasn't as severe, they would just brush me off, but they give me pills (I really don't remember the names) that would work for the 6 months that I'm on them, and the sec the treatment finishes, everything goes back to usual. I don't get cramps, like ever, and I get blood clots and obviously really really heavy flow (pad change every 30 mins) It seems to be triggered by anxiety attacks or just depression episodes. Now, I've been bleeding for 2 weeks and I already feel the symptoms of anemia, and with covid19, I can't go to a doc, pls help I feel like I'm losing my mind, and blood.
2,064
hi !! welcome to iclinq... what you're going through is just the hormonal imbalance.... for a perfect normal monthly cycle the hypothalamus, pituitary, and your ovaries should work in coordination..... that cordination takes few years and varies with individuals...... as of now correct your anemia with hematinics ...would give a prescription on pills.. continue the pills everyday for all 21 days without fail ,at the exact time without missing it...generally bleeding stops by second or third day once you start the tablet....... that would stop the problem.... anxiety / depression / diet u consume also regulate the quantity of flow. .. no worries hormonal/ stress HB, TSH pcos hormonal ocp, hematinics iron rich diet u need take the pills for two cycles and review
Q. I have been bleeding for two weeks, and I feel the symptoms of anemia. What to do?
Hello sir This query is about a pain in veins of my mother which is started from her left side hip and spread in whole leg... this pain is unbearable. She is 46 years old. Her height and weight is 5'4" , 83 kg. She have problem in her knees too due to over weight Kindly advise me the best solution to resolve the problem.
2,065
Hello. Welcome to icliniq.com Can you describe the pain a little more and share some pictures of the affected leg if possible. Usually the various causes of unilateral leg pain include: Usually the following investigations are required to diagnose: Kindly answer the above questions so that I can tell you the further course of management. Meanwhile if the pain is unbearable you can try local analgesic spray like Vovran spray and tablet aceclofenac sos whenever the pain is present.
Q. My mom has pain starting from the left side of the hip to the leg. Please help.
Hello doctor, What does high risk 1:50 trisomy 21 mean, at an age of 32 and 18 weeks pregnancy?
2,066
Hello. I totally understand your anxiety. But please do not panic. The risk for Trisomy 21 (or in other words Down's syndrome) mentioned is 1:50, which is above the general population risk of 1:250. In other words, if we take a general population, and consider any women in general, there is a risk that one in 250 women may have a baby who is affected with Down's syndrome. But in your case, the risk appears to be increased compared to the general population which needs to be evaluated further. This is a test that determines the risk, which means it is only a screening test and not a confirmatory test. Meaning, the baby may or may not be affected by Down's but the risk appears to be high compared to the normal population. It would have been helpful if you had the shared few more details like your period of gestation of your pregnancy, when and at what gestation was the test taken, and any previous scan reports in the first trimester you have done. Kindly share the reports to guide you better. And, also provide details if you had any previous pregnancy, or miscarriages, etc. Now coming to confirming this, for definitive and accurate methods, it includes amniocentesis with karyotyping and FISH test, which are little expensive tests and not done in all individuals except those with high risk for Down's syndrome. For this test to be done, the water around the baby inside the uterus is taken in a small amount which contains the shed cells of the baby and are cultured so as to do the chromosomal analysis of the cells. This is an invasive test as it comes with the risk of 0.2-1% risk of miscarriage as we are putting a needle inside the uterus. Another recently introduced test which almost as closely accurate to this is NIPT (noninvasive prenatal test), which is again a screening test but highly accurate and involves only testing your blood for fetal cell-free DNA and then they are analyzed for the same. You can consult a fetal medicine expert or your gynecologist for further information on these and necessary timely action. I hope this helps.
Q. What does high risk 1:50 trisomy 21 mean?
Hello doctor, I began to see streaks of light across my vision in the dark and realized I have a gray shadow in the left peripheral vision of my right eye since yesterday evening. I have been spending time on my laptop or phone for more than 10 hours a day and sometimes, I watch the screens in the dark. I slept for 12 hours and still seem to have the shadow area. It disappears if I look directly at it. Please tell me what to do.
2,067
Hello. Using a computer for a long time causes dry eye syndrome due to decreased blink rate. Take frequent breaks and look at far objects as the eyes are strained looking at close object for a long time. Keep the brightness of the system to minimal. Use tear drops twice a day along with antiglare glasses. About the peripheral shadows, there is a jelly-like substance in the eye called vitreous and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked once the lockdown is over.
Q. I experience streaks of light with dark and gray shadow in peripheral vision. What it is?
Hello doctor, I am a teenager and I got periods five and a half years back. In the start they were irregular. I took medicines for 21 days and I got my periods after a month but as soon as I left them after three months my periods became irregular. Then for some time I did not take any medicine, but still, my periods were irregular. I used to get two to three menses in a month. I got very sick and anemic. I stayed in the hospital for three days where I was given intravenous iron treatment, three bottles. I had regular periods after that for a year or less. But my doctor told me to consult a specialist. After that, they were again irregular and then I had them for five months without stopping. I have taken many medicines but all in vain. It has been five years and my periods are irregular. Still, I have got two menses in this month. I have become so skinny and my weight has not increased for the last five years. I will be very grateful if you suggest me something to get better. My ultrasound results do not have any problem.
2,068
Hello. I understand you are deeply troubled by your menstrual cycles. Heavy and frequent bleeding as you suggested will cause anemia and weakness and needs to be treated. On the other hand, if periods are infrequent and less flow, you can treat it without medications too. In your case, your BMI (body mass index) is very low which is not healthy at all. First, you need to eat healthily. Include lots of proteins and lots of iron-rich foods in your diet. Secondly, the cause of this bleeding is a hormonal imbalance which usually gets better as you move on to your 20s. Meanwhile, you will have to take hormonal tablets regularly for at least one to two years at a go without changing the medications. I hope this helps.
Q. What could cause frequent irregular periods resulting in anemia and weight loss?
Hello doctor, I am a 55-year-old male. I am having a slight pain in the middle of my throat (Adam's apple), as if some small inflammation is there at the end of the tongue or neck for the past one week. I am not having any difficulty in speaking or eating but some kind of irritation prevails. I tried salt-water gargling twice or thrice a day and feel relief to some extent. It is to state here that about five days back, I was reciting slokas a little loudly for about one hour and I had the pain. I stopped reciting in loud and the pain came down. Yesterday, when I recited slokas a little loudly, my pain returned. No cold, no cough, no fever and no difficulty in breathing. My hearing is good. No reduction in appetite or in taste. I feel comfortable when I take warm liquids. I have (long) belching for at least five to six times after intake. Since lockdown is continued, I am unable to visit an ENT specialist now. Can you please assist me?
2,069
Hello. You might have caused some mild injury to the vocal cords while reciting the slokas loudly. You need to give your vocal cords rest by not talking or singing for a few days followed by restricted use of voice for the next week. You must not sing or speak loudly or in unnatural frequencies. You should not shout or whisper also. You will need medicines for stopping belching and acidity. Antiallergics and antacid syrup may help. If there is any nasal complaining please let us know as we would have to give some medicine for that too. Do revert back if you need details.
Q. I have slight pain and irritation in throat which aggravates when I speak louder. 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?
2,070
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.
2,071
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.
2,072
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.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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.
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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 a missed period for four months. This has happened before and my period came normally for one to two years after. There is no pain and no medications for that. No symptoms or chances of being pregnant. Please suggest.
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Hello. Irregular periods can be due to many reasons. A little bit more information will help in making the right diagnosis. May I know when you had your first periods? Have you lost or gained weight recently? Any change in lifestyle or stress recently? Are you having any pimples, hair growth in face, chin, etc? All the above reasons can contribute to irregular periods. You could also be dealing with a condition called PCOS (polycystic ovary syndrome).
Q. I did not get my periods for four months. Please suggest what to do.
Hello doctor, I have severe acne with the scar left on the skin. I have very oily skin and the acne is a little painful and sebaceous. I am currently using Benzoyl peroxide.
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Hi. I went through your photograph and found that you are suffering from nodular cystic acne with scarring. It is a severe type of acne. Acne is common at a young age. It occurs due to blockage and inflammation of sebaceous glands under the influence of androgen hormone. They also occur due to cosmetics. Diet has a little role and generally, they subside in mid-twenties. They need treatment to avoid scarring which may be permanent. If you have increased hair growth and menses irregularity you have to rule out PCOD (polycystic ovary disease). You can take capsule Isotretinoin 20 mg once daily with meals for four weeks, Clindamycin gel twice daily over the pimples, Salicylic acid face wash once daily, only for 30seconds, and tablet Azithromycin 500 mg once daily on empty stomach for one week and three on consecutive days per week for three weeks. If you want to use sunscreen. Review after four weeks. Scarring or pores left after healing can be treated surgically by needling, microderma abrasion, or by laser only after remission. Hormonal. Lipid profile if history of cholesterol disorder in the family. Acne nodulocystic. For three to four months as per the response. Do not touch the face too often. Do not use oil or greasy cream over the face or scalp. Take ample amount of fluids. If there is intolerant dryness with this, use Petrolatum or Vaseline on lips. Dryness generally subside within one week.
Q. I have severe acne with scars and oily skin. Please help.
Hi doctor, All day I been have constant worry thinking something is wrong with me. I had a fever last week but all symptoms are finished. The only thing I feel I have is when I breathe through the nose it feels 5% blocked but I can breathe fine. Since the day I got unwell I have been feeling I have serious illness my whole body feels tense.
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Hello. Your concerns are valid in light of the current pandemic related to Coronavirus infection. The good news is that your symptoms have improved significantly and you can breathe much better than what you were feeling before. You also do not have any fever or shortness of breath (difficulty in taking a breath in and out). If anything I would say you are over the difficult part. You can try using a nasal spray that has steroids or Saline. You can also take an antihistamine if your nose is running which would include Loratadine among others. Since you are almost symptom-free I would suggest you wait another one week before coming in full contact with other people around you. It is hard to say if you had the Coronavirus infection or not but you are doing much better which is excellent news. Please make sure that you are washing your hands thoroughly and cleaning the surfaces around you. I would also suggest wearing a mask at least for another one week.
Q. I had fever with nose block and there is no breathing difficulty. Should I worry?
Hello doctor, I am a 29-year-old female, 250 lbs. I do not smoke or drink. Tonight while looking at my throat, I discovered my right tonsil is swollen, lumpy, and covered in a thick, white layer of skin. Upon initial inspection, I mistook these white patches for tonsil stones, but they are not. They seem to be stuck to the surface of my tonsil. I managed to scrape some off with a bit of effort. The tissue underneath began to bleed. The white layer appears to be skin. I do not feel sick, apart from allergies (the pollen count is quite high here right now). Any thoughts as to what could be causing this? I am currently on HCTZ, Metoprolol, Lexapro.
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Hello. I can understand your concern. According to your statement, your right tonsil is swollen, lumpy and covered in a white, thick layer of skin. White spots on the tonsils usually indicate an infection. Infections may be due to bacteria, fungus or viruses. Strep throat is a bacterial infection caused by Streptococcus. Complications include rheumatic fever and ear and sinus infections if infection spread to other parts of the body. Additional symptoms that may indicate strep throat include sore throat, fever, swollen glands in the neck, and headache. Oral thrush is a fungal infection in the mouth. It can occur in people with a weakened immune system or oral steroid ingestion. White spots may the only symptom of oral thrush but when additional symptoms develop they may include sore throat, pain when swallowing, loss of taste, etc. Tonsillitis can develop due to viral infections such as rhinovirus, adenovirus, respiratory syncytial virus. Symptoms may include swollen tonsils, painful swallowing, fever, earache, nasal congestion. Infectious mononucleosis is a viral infection caused by Epstein Barr virus. Along with white spots on the back of the throat symptoms may include fever, sore throat, and fatigue. You should undergo throat culture, and blood tests indicate if certain antibodies are present which helps identify specific infections. So treatment depends on finding the causative agent which are responsible for your present sufferings and treat them accordingly.
Q. My tonsils are swollen and covered with white layer. What could this be?
Hello doctor, Due to lockdown, I have a bad schedule of sleep. I am not able to sleep at night and when I sleep in the morning I can sleep only for four to five hours and wake up with a bit of pain in my hands and feet. I am 20 years old.
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Hi. Well, let me tell you that this is a very common problem for people these days during the lockdown. It is because our body is used to a certain amount of work that makes it and especially the mind tired which makes you sleep normally during your routine days. So you do not need to panic and just make a few changes to your lifestyle. First of all, keep yourself engaged in activities throughout the day. Workout a little. Try reading a book. Do not spend too much time on the bed all day and only use it when you want to relax. Do not drink any caffeinated beverages after 6 PM. Get your body and mind to constantly engage in something so that it is tired and it wants to relax during the night. Try this for seven days. Sleep pills usually work but I will advise you not to use them as the mind and the body get used to them easily and it is very hard not to use them later. I hope this helps.
Q. I am unable to sleep at night due to inactivity during COVID-19 lockdown. Please help.
Hi, I'm 14. I really never cared much about brushing my teeth, and it's been awhile since I haven't brushed them. I woke up one day and it felt like the right side of my gum was hurting, and I went to go brush my teeth, cause I figured maybe it was a tooth growing in or something, and to my surprise, when I went to go brush them, my teeth or my gums started bleeding, as I noticed on the toothbrush. I kept brushing because I figured I got something. This gum or tooth pain, I don't know which one, has been going on since a month.
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Hi! Greetings for the day! As you said you are 14 years old and at this age it is very common to have bleeding gums. There could be two reasons as you are getting new teeth and another one you are attaining puberty. When you attain puberty there will be harmonal imbalance which is happening inside body which leads to swelling in gums and further bleeding whenever you touch it. If it is painful you can take paracetamol tablet whenever it pains otherwise just use mouthwash and keep ice on the area where there is swelling. It would be of help if you would send me a picture of the area concerned. Don't worry it happens during this age and you will fine. Follow up after a week if the problem doesn't resolve will prescribe other medicines. Regards Icliniq.com
Q. My teeth or gums are bleeding and paining for more than a month now. What to do?
I have developed some skin allergy on my back and it itches a lot and sometimes uncontrollably. The allergy is fading but the burning and itching is still there. The affected skin area has got rough and it feels weird also. For the past year I have realized that all my wounds never recover fully and they keep itching forever. I have had scratches from 8 months ago and they still itch. The affected skin area is rough just like the one I have developed now and by the looks of it, it seems like its a burn or something. All my wounds/scratches turn into something horrible and don't recover. What could be the reason? Please help me It's frustrating, especially now since all the clinical are shit and I can't go consult someone or get it fixed. Thanks, Taha
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Q. For the past year, my skin allergy does not heal fully and keeps itching. Why?
Hi doctor, I have a deformation on one of my fingernails with a deep crack and it is a bit yellow on a small part near the skin at the start of the nail. Please help.
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Hi. I went through the photo you sent. (attachment removed to protect patient identity). Most probably it is a fungal infection of the nail. But I want to confirm a few things before. How long it is there? Any history of trauma? Are you having high blood sugar or any other disease? Is it painful? Please answer these questions in the follow up because the short duration and more pain will be indicative of bacterial infection. For fungal of the nail, take capsule Itraconazole 200 mg twice daily after meals for seven days per month. (seven days then no dose for three weeks, then again seven days like this). Continue for three cycles then review. Fungal or bacterial or growth. GTT (glucose tolerance test). KOH test. Acute infection secondary to trauma. Beau's line due to internal disease. Onychomycosis. Antifungal for one week per month for a minimum of three months. Avoid wet work. Keep hand dry.
Q. I have deep crack in only one nail with yellow discoloration. Please help.
Hello doctor, My wife is feeling pain inside her right ear. According to her, she feels the pain more when she lies on the bed or recline her head for any purpose. The intensity of the pain is also showing up around her ear too. It is her feeling that there is something inside the ear, which may be water or something like that. All these have started the day before yesterday. Please help. She used Paracetamol for the same.
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Hello. Your problem could be due to an infection inside the ear or secondary to nose and throat problem. I would like to know if she has any nose block, excessive sneezing, or throat irritation? Any ringing sensation in the ear or giddiness? Any discharge from the ear, if yes, for how long? Any relief after taking Paracetamol? Please get back to me with the reply.
Q. My wife has pain in right ear on reclining with a feeling of something inside. Please help.
Hello doctor, Are implant supported bridges good? Will they cause bad breath in the long term? I have dental bridges in my four front teeth for about eight years, but now it is causing bad odor.
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Hi. Implant supported bridge is an extremely good option for replacement of missing teeth. Implant is the best treatment option in dentistry and it is a lifelong treatment option. It stays for ur whole life without causing any problem. Once osseointegration has taken place successfully it acts extremely perfect. But you have to maintain your oral hygiene nicely. You have to use electric brushes for maintaining your implant and you have to visit the dentist every year for follow up for scaling and polishing, just for maintaining your oral hygiene. Go for It. It is the best treatment option if you are healthy systemically. Patients suffering from high blood pressure or diabetes might have some problems. So your dentist will decide what is best in those conditions after all the blood tests, OPG, and CBCT (will decide your bone condition) diagnosis. I hope this helps.
Q. Are implant supported bridges good?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> 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.
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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.
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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.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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.
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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 think I have Telogen effluvium because my hair has been diversely thinning for over a year and I have even lost hair on my neck area and sides of my head, along on top the scalp. I went to the dermatologist once last year and he thought it was TE, but it has not gotten any better and they did not prescribe me anything. Please help.
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Hi. In telogen effluvium, there will not hair loss involving the neck area. Is there any history of acute illness or systemic upset before the start of this problem? Why telogen effluvium was diagnosed? Is there any family illness of baldness? Hair loss over neckline is looking like alopecia areata type of hair loss. Diffuse type of hair loss can be seen in alopecia areata and also in telogen effluvium. Nutritional deficiency is the commonest cause. Keep your hemoglobin above 12g/dl. Take Biotin containing hair supplements. Have dates, fresh vegetables, and fruits rich in iron. After the Corona crisis meet your doctor and do a scalp biopsy to confirm the diagnosis.
Q. I have telogen effluvium. Kindly suugest me the treatment to get rid of it.
Hi doctor, I need a consultation on my diabetes. My fasting plasma glucose is 226 mg/dL and in PP it is 390 mg/dL. I am currently on Diamicron MR, Volix 0.3, and Novomix pen 30/70. Please suggest.
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Hi. Your sugar is uncontrolled and Vitamin D is low as well. You did not tell how much you are using Diamicron, Volix and Novomix. Please let me know the doses. Another thing is you should get checked urine albumin creatinine ratio and I think you may need a change in medication. Your overweight is also due to these medications.
Q. My fasting glucose level is 226 mg/dl and PP is 390 mg/dl. How to control it?
Hello doctor, I have psoriasis vulgaris, anxiety disorder, and dry cough for a long time. Recently, I have taken Hydroxychloroquine and Azithromycin along with my usual medicine like topical corticosteroid, Sertraline, Montelukast and Rosuvastatin. Is taking these medicine like Hydroxychloroquine do any harm? Or do I need any adjustments with my regular medicine?
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Hello. I am sure some healthcare providers must have advised you to take these drugs and he would be aware of these interactions before starting. If you are self-medicating yourselves I would strongly advise you against that. Using Hydroxychloroquine together with Sertraline can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea). Your doctor may already be aware of the risks but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. With Rosuvastatin, the risk of peripheral neuropathy may be increased during concurrent use of two or more agents that are associated with this adverse effect. Patient risk factors include diabetes and age older than 60 years. In some cases, the neuropathy may progress or become irreversible despite discontinuation of the medications. It does not have any interactions with topical corticosteroids and Montelukast.
Q. I have psoriasis vulgaris with anxiety disorder and dry cough. Will Hydroxychloroquine be harmful?
Hello doctor, I am a 42-year-old female, in good health aside from anxiety (currently taking 5 mg Citalopram). A month ago, I suddenly experienced muscle twitching all over both legs and this went on for two weeks. I took magnesium and it subsided and has not really returned except for an occasional twitch here or there. I am extremely concerned because over the course of the month, I have had three episodes where I forgot how to swallow for a second. It was scary and now I am afraid I have the onset of ALS. I do also have a long time habit of throat clearing. Although I have not experienced any muscle weakness, are those symptoms indicative of ALS?
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Hi. Twitching of muscles can be due to anxiety as well as Citalopram. What is important is that you mention having them before initiating Citalopram. So it is unlikely to be due to the drug. If it is occasional then you should rather not bother yourself because twitching intermittently is there even in an otherwise healthy individuals. What is important is your sensation of forgetting to swallow. This is drug-induced akathisia or abnormal movement. Citalopram is known to have abnormal sensation restricted to tongue also. Hence, if you feel that this is bothersome and progressing then you may change the medicine. But my experience is that 5 mg is a very small dose to be causing side effects. These symptoms are due to your anxiety. As twitching was there before too and improved with magnesium. Your habit of throat clearing along with anxiety may be the cause of your feeling of forgetting how to swallow. I have personally seen people having this because of acidity with reflux, people with a habit of gulping food, etc., in many simple life situations. I would rather like you to assure and to get relaxed with behavioral techniques and meditation if possible. If it still persists then change of medications may be considered. As far as ALS (amyotrophic lateral sclerosis) is considered I can only say that it requires NCV (nerve conduction test), EMG (electromyography) and MRI (magnetic resonance imaging) for definitive diagnosis. About 5% have a family history. But one should get thyroid function, parathormone and Vitamin B1 tested. Because these are common and mimics ALS. Twitching if reduced should be a reassurance against ALS. I hope this helps.
Q. I get occasional muscle twitches and I forget to swallow. Are these symptoms of ALS?
Hi, doctor I am 13 weeks pregnant last week I undergone for NT scan the report was normal and the same time I gave double marker blood test. Yesterday from the hospital they called me for blood test because the first report shows abnormal. I am so scared whether second time double marker test shows normal. They didn't give the report of first test but simply told first test was abnormal so we sending for second time. I am confused. Please tell me whether second time test shows normal result. If it is abnormal is there is any early treatment to protect the baby from down syndrome.
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Hello, First of all congrats on your pregnancy. Let me clarify that double marker is only a screening test .It's not a confirmatory test. Double markers are not repeated if they r showing high risk.Sonif the lab has asked for a second sample ,it may be due to some other reason. It means even if we say ,ur second test shows a high risk (chances of which r less) ,it only means that this baby for some reason has a higher risk for a genetic problem.you still need to do an amniocentesis and do a karyotyping to confirm the genetic problem. We see many double markers which r abnormal,but very few if those have an abnormal Karyotype on confirmation. So rest assured and enjoy your pregnancy .let the results come .Nothing is decided by a double marker test. Taking folic acid 3 months prior to pregnancy is onevway of preventing a downs syndrome. So pls wait for the result.Theres no need to panic. Have a safe pregnancy.
Q. What does an abnormal double marker test indicate?
Good day doctors. I have a concern with my tattoo that I got 2 months back. I have five tattoos with different colors (blue, yellow, red, green and purple). I've been experiencing itching on my yellow and green tattoos from time to time, that lasts for about 2 weeks. It subsides eventually for 5 -8 days then itching comes back again. The itching tattoos are bumpy and hard. What should I do? Thank you.
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Q. Some of my yellow and green tattoos are itchy, bumpy, and hard. What should I do?
I cannot rotate my left shoulder from 5 days and continues sever pain which dont let me sleep
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Hi. The main shoulder joint is a ball-and-socket joint, which allows a very wide range of movement. The joint is surrounded by a tough fibrous sleeve called the capsule, which helps to hold the joint together. A group of four muscles and their tendons make up the rotator cuff, which controls movement and also helps to hold the joint together. There’s another smaller joint where the top of the shoulder blade meets the collarbone, the acromioclavicular joint. You can take ACCELOFRNAC+PARACETAMOL tab for severe pain once a day for two days. Following exercise will help reduce pain and increase range of motion. Reducing the strain When raising your arm or lifting objects, reduce the strain or pull on your shoulder by: keeping your elbow bent and in front of your body keeping your palm facing the ceiling. To lower your arm, bend your elbow, bringing your hand closer to your body. Your pain should ease within 2 weeks. you should carry on with exercise for 6-7 weeks to help prevent symptoms returning PENDULUM EXCERCISE: . Let your other arm hang down and try to swing it gently backwards and forwards and in a circular motion. Repeat about 5 times. Try this 2–3 times a day. SHOULDER STRETCH: . Stand and raise your shoulders. Hold for 5 seconds. Squeeze your shoulder blades back and together and hold for 5 seconds. Pull your shoulder blades downward and hold for 5 seconds. Relax and repeat 10 times. RAISING ARM AND BENDING TOWARDS SHOULDER. WALL WALK all these exercise will not only help in reducing pain make shoulder to normal. Also you can apply Diclofenac ointment and clean it with warm aftern10-15mins following hot water fermentation. it will help you reducing pain fast. follow up after 3 days for further investigation and medicines and exercise. thank you.
Q. I have unbearable pain in my left shoulder for five days. What to do?
Hi Doc, My wife recently got pregnant. We checked with my relative sister (who is a Gynae) and her report is attached in the documents My Wife is facing below symptoms due to pregnancy: 1) Tireness/Fatigue 2) Continous Nausea type feeling 3) Lethargy 4) Unable to eat properly/Loss of appetite 5) Minor menstrual cramps 6) Constipation We want to know if we can have normal sex with mentioned condition of my wife. If we can have sex, does it needs to be protected or we can have unprotected sex too or will it affect the baby. Due to corona issue, we are reluctant to go to another doctor with our query and our current doctor is in our blood relation, so we are feeling shy to ask her the question of having sex.
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Hello, Congrats on your pregnancy. Though u have not mentioned clearly how many weeks of pregnancy,I assume in must be within the first 12weeks as u have said she is recently pregnant. The symptoms of tirednes,nausea ,lethargy,unable to eat r very common first trimester symptoms. The key is to eat small frequent foods which r good in protein .lots of fluid intake also is advised . Have u done a first trimester scan?? If not u r advised tobdo the scan to rule out any cause for the menstrual cramps and also the position of the developing placenta. If she has menstrual cramp like symptom ,I would advise to notbstrain yourself too much. Sexual activity is better avoided in the first 12weeks as it can lead to abortions.afterv12weeks if ur scan is normal and the placenta is not low lying ,unprotected intercourse can be done..avoiding penetration would be another way to keep it safe in the second trimester provide all other factors are normal. Hope this helps.
Q. Is it safe to have sex during early pregnancy?
Hi doctor, I noticed a little red bump on the top of my labia minora (right underneath the clitoris). It looks a bit swollen and it is sensitive to touch. I did notice a small bump on the outer side of that labia minora too but I cannot be certain that was not there before. I have had Bartholin's cysts in the past, so I know it is not that and I do have genital herpes and it does not seem like it is an outbreak either. I really do not know what it could be? Please help. If need be I will even attach a picture.
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Hi. Your text mentions the lump to be below the clitoris, so is it just above the opening where you pass urine (urethra)? In that case, it could be a urethral caruncle? You can search for the images of the urethral caruncle and see if it matches your problem. If not send me the pictures, so we can make a diagnosis.
Q. I have a little, red, and sensitive bump on my labia minora. What could it be?
Hello doctor, This is the 9th day after wisdom teeth extraction and I still have a painful swollen gland under my jaw.
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Hi. I know it is a bit hard for you at this stage after wisdom tooth surgery. Some of the times the wisdom tooth surgery is a little aggressive because the tooth is lying deep into the bone and to remove it a lot of work has to be done. And some of the bone has to be removed to achieve this. But do not worry this is a temporary phase and you have been through most of the hard time. Hot and cold application in the beginning may help to reduce the pain and swelling. You can still apply the cold application. You can buy a cold pack in the drug store, put it in the freezer and then apply on the area for at least 10-15 minutes. Also, take the pain killer your doctor gave you. In case you do not have any prescription medicine left, try over the counter painkiller like Ibuprofen 400 mg at least three times a day. Use Listerine mouthwash and clean the area with a soft brush. I hope this helps.
Q. Even after 9 days of wisdom tooth extraction, I have severe pain with swollen gland. Why?