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Hello doctor, I have a 6-week-old baby. He is only breastfeeding, no formula. He had gas problems like any other baby, and the doctor prescribed us Simethicone for infants (0.5ml) three times a day to help relieve it. He eats and defecates normally (at least once a day, sometimes once every two days). Lately, he has begun crying hysterically and inconsolably. We thought of it to be colic, so we exercise his legs (bicycle kicks) and massage his stomach. But that only soothes him for a few minutes, and then he resumes crying. Today, I noticed that he was grunting. We offered him the breastmilk thinking he is hungry. But he latched on, then immediately threw his arms up, stiffened his back and let go. Then it seemed like he was grunting while trying to poop. I know babies cry. It is how they express their feelings. But when he cried, we could figure out what the reason was hunger, discomfort, wet diapers, etc. But now, we are dumbstruck. Please help.
2,200
Hello, Welcome to icliniq.com. I understand your concern. Usually at this age babies have gas or colic problems. It seems like that only. I need a few more questions to be answered. Does he regurgitates feeds also? Any relation of such episodes with feeding? Is it happening since birth (not these severe episodes but milder ones)? Have you checked the perianal area, is it red? Anything other than mother's milk like ghutti, etc? What are all medicines been tried for how many days? Do you burp the child after each feeds? Is there a lot of flatus that baby pass? Does he pass stools with force? How is the child between episode, active?
Q. My 6-week-old baby has gas problem where Simethicone did not work. Why?
Hi, I had my IUD (Mirena) removed 2 months ago as I’m planning to start trying to conceive soon. I am 33, no prior pregnancies, and otherwise healthy. I have been taking an oral contraceptive pill since the IUD removal as I didn’t want to become pregnant immediately, but I am concerned now that both periods I have had while on the pill since the IUD removal have been extremely light. Both have only lasted one day, and only needed 2 tampons total. My periods were typical prior to the IUD, and stopped completely while the IUD was in for 3 years. Before that I was on an OCP so periods were regular, but I’ve been using hormonal contraception since I was a teenager so I’m not sure if my physiologic periods would be regular or not. I am a Pediatrician, so please feel free to use medical language. I am concerned that these very light periods indicate abnormal endometrial function or some other abnormality that may affect my fertility, and I’d be very grateful for any insight you have. Thanks, Roisin
2,201
Hello doc Welcome to icliniq i will explain you a little bit how estrogen progestin contraceptive and a levonogestrel DIU effect fertility : Combination of OCs suppress basal FSh and LH They diminish the ability of pituitary gland to synthesize gonadotropins when it is stimulated by hipothalamic GnRH.Ovarian follicles do not mature ,little estradiol is produced and there is no midcycle LH surge .Ovulation does not occur ,corpus luteum does not form and progesteron is not produced .This means that interferes ,and block negative and positive feedback of HHO axis . Also the IUD (Mirena ) which contains levonogestrel reduced the FSH ,there is less follicular activity ,less estradiol production and no LH surge also cause an local inflamatory rection inside the uterine cavity . The blocage of HHO is revesible ,as far as you interrup the coc pills,the estrogen and progesteron levels will fall (may be it will take a few months) ,so HHO axis will start to functionate normally ,and the cycle will be ovulatory again . So the change of the quantity of bleeding isn't so inportant ,if your cycle arw ovulatory . Only if you have amenorrhea more than 6 months after discontinuation of OCs pills shoyud undergo evaluation. So it' normal to experience change of menstrual cycle after IUD . I hope, I 've been helpful . Kinds regards
Q. My periods while on OCP since the IUD removal has been extremely light. Will it affect my fertility?
When I sit in class and try to focus in class , my pupils moves at corner of eyes involuntary my eyes . If try to focus to the blackboard i feel strain in my brain and feel difficulty in breathing. I am having this problem from last year. This arise when anybody is sitting around me. I used watch video more than 9 hours per day. I also had stress last year but this year I don't have any stress. I had checked my eyes but theese are normal ( -3 eye number)and also checked my thyroid test it also normal . I have already asked this question many times but I did not get satisfactory answer. Please give suggestions .
2,202
Q. When I try to focus in class, my pupil moves to the corner of the eyes involuntarily. Why?
Hello doctor, I've been suffering from TMJ for a long time and I had left it untreated for long. Now the situation has gotten worse where it has become difficult for me to smile,open my jaw fully and also I feel extreme discomfort facially but I have consulted a dentist and he has blamed jaw clenching and improper alignment and for treatment he has asked me to use a night guard. This problem of TMJ has made me unhappy these past few days and I just wanted to know that will it get better now that I am getting treatment and also will I regain my happiness as I believe I'm a jolly person in general
2,203
Q. TMJ problem has made it difficult for me to smile and open my jaw fully. Please help.
Hi, Im a 20y/o female, with average health. I've always been afraid to ask about sex whether with my gyn or my doctors. I'm not always sexually active, but when i am with my partner, I don't feel anything vaginally during intercourse, during foreplay I feel some but not much. However, when masturbating I'm perfectly fine, and I feel amazing. I have some slight anxiety, and I've had Major Depressive Disorder in the past, but now I'm doing much better on Zoloft 50mg, with limited symptoms now. Im aware that my medication has proven to have negative effects on my sexual libido, but my real concern is why there is such a difference in my sexual experiences when with my partner versus myself. Thank you !
2,204
Hello, Feeling satisfied in intercourse depends on a number of factors - Sexual desire (spontaneous sexual interest including sexual thoughts, erotic fantasies, and daydreams.etc.). Psychological issues. Relationship issues. Another important point is that during masturbation you are aware of the pleasure points in your body and can therefore attain maximum pleasure, while with a partner a lot of other factors are involved. Also, maybe you should consider using another drug instead of Zoloft 50? Sexual desire is typically more psychological and situational in women, influenced by how they feel about their bodies as well as the quality of relationship with their partner. I suggest you talk with your partner so that you can experiment with different techniques. Also to find what suits you and your partner best so that both of you can understand each other better sexually. (Many women do not experience desire until after they are genitally aroused, and arousal may require an extended period of foreplay)
Q. Why do I feel more aroused when I masturbate and not with my partner?
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?
2,205
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.
2,206
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.
2,207
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.
2,208
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.
2,209
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, My last periods was 4 weeks 5 days back, and I discovered that I am pregnant when I checked using the home test. However when we went for a scan today the doc says the sac measures 1.75 cms and it is 5 weeks 5 days. Why is there a difference of one week when from last period which is 4 weeks 5 days to sac weeks which is 5 weeks 5 days?? Is it normal??
2,210
Q. Is it normal for the gestational age to be a week more than the last menstrual period?
Hello doctor, I seem to get lesions or blisters maybe on my arms. They are usually round with one pus-filled bump and at times it could be many small ones. They rarely itch, burn or anything. They crust over and peel and leave dark acne-like marks on my arms it is so annoying because I am embarrassed by the marks on my arms. I always get at least one of them per month.
2,211
Hi. I saw the photo you sent. (attachment removed to protect patient identity). As you say there is pus formation and you are getting it recurrently almost every month. I like to know a few things before finalizing my diagnosis and treatment. Is there any pain? If pus discharge how much? Do you get them at the same site always or different or in any particular fashion like linear? Are you a diabetic? Since when are you having them any fever associated?
Q. I get recurrent pus-filled blisters on arms leaving pigmented marks. Please suggest solution.
Hi doctor, I am a 19-year-old female with constant gas, heartburn, chest pain, breast pain, dizziness, nausea, and back pain. I went to my doctor and was told it was due to anxiety so I started Zoloft and Prilosec. I had panic attacks and hyperventilation, but my severe gas and pain will not go away. I tried every gas/indigestion medication and these problems still persist. Could this be heart-related? No known family history of heart problems.
2,212
Hello. I have gone through your query and concern. (attachment removed to protect patient identity). Your ECG report is given as normal. I would like to know some more details about your present symptoms in order to suggest further management strategies. I would like to know that after starting medications for your anxiety do you still have chest and breast pain? Where is the exact location of pain? Duration of pain? Is it on exertion or at rest? Exact nature of your pain, is it dull aching, heaviness, sharp pin prick type, squeezing type? Is it associated with breathlessness? Kindly get back with the above details for further discussion and management.
Q. I have constant gas, chest pain, dizziness and breast pain. Could this be any heart issue?
Hello doctor, My 6-year-old son has a diaphragm problem. He has a heart problem post operated for VSD and having pacemaker from his 11th month. Now he have a new problem like vomiting, urine problem, fatty liver, gall bladder wall thickening, mega cardio, 30 percent heart function only. What is the main problem here? And what treatment to give?
2,213
Hello. I am very much concerned about all the problems your son is going through. Now, he has a few different issues overall not a single problem. His urinary problem looks like due to inflammation of urinary bladder called cystitis, which needs investigation of urine and if needed antibiotics for that. His heart functions are weak and that may be leading to fluid accumulation and back pressure on the liver leading to gall bladder thickening and liver congestion and enlargement. He may also be having some edema in his feet or some fluid in the abdomen. Kindly send me his ultrasound and all the reports recently done so that I can decide about his proper treatment and guide you accordingly.
Q. My 6-year-old son has heart problem with vomiting, urine problem and fatty liver. What is the treatment?
Hi doctor, I am a 20-year-old female. My height is 5'1" and weighs around 160 pounds. I am having sharp burning pain in my chest and back in the mid to left side between the shoulder blades and under the breast bone. It lasts between 30 minutes and a few hours of this sharp pain. Usually, it becomes difficult to breathe or move my upper body until it goes away. As a kid, we visited a doctor for some chest pains, but the doctor said they could not say anything wrong other than a possible heart murmur. There is a history of heart disease in my family.
2,214
Hello. I have gone through your query. I would like to know some more details about your present complaint. What type of murmur has your doctor described? History of which heart disease your family has and who has it? Is your chest pain associated with any other symptoms like breathing difficulty, palpitations, giddiness? Does this pain gets aggravated on movement or on exertion? Is it localized or diffuse? Is there any tenderness i.e. pain increases on pressing with the hand? Any reddish discoloration on localized area of pain? Since when you are having this pain? If possible attach all the available reports like ECG, echo and any other reports. Kindly get back with the above details for further discussion and management.
Q. I have sharp pain in chest with breathing difficulty and history of heart disease. Please help.
Hello doctor, I have eye floaters. I have done the retina exam by dilation, vision test, etc. Please help.
2,215
Hi. I hope you are enjoying good health. What are your questions about floaters?
Q. I am disturbed with eye floaters. When will it go?
Hello doctor, The scan for my maid's husband shows early liver cirrhosis. We need a consultation on the scan. He has stomach pain with water-filled abdomen. Is surgery necessary?
2,216
Hello. I have reviewed your given details. (attachment removed to protect patient identity). I agree with you that he is suffering from end stage liver disease and ultrasound is showing fatty liver. We need to look at the cause of this fatty liver, which could be due to excessive alcohol intake or obesity related or it could be because of certain drugs. For treatment of water filled abdomen, I need further information to decide whether it can be treated with drugs or he will require paracentesis. Paracentesis is a procedure in which needle is inserted into the abdominal cavity and inside accumulated fluid is taken out. I need to know about how much discomfort he feels because of this water-filled abdomen? Is there difficulty in breathing? And will need the following test. 1. CBC (complete blood count) 2. BUN (blood urea nitrogen) 3. Creatinine, serum electrolytes 4. LFT (liver function test). 5. Serum albumin 6. Urine analysis. Perfect cure for end stage liver disease is liver transplantation which is a long procedure. Before deciding whether he needs it now. We need above workup so we can calculate scores how early, he will need it. Viral hepatitis, Alcohol, Nash, metabolic cause. CBC, BUN, Creatinine, serum electrolytes, LFTs, serum albumin, Urine DR, PT-INR, AFP, HBsAg, Anti HCV antibodies. Liver cirrhosis. Liver cirrhosis decompensated with ascites. Will decide after investigations. Take low salt diet. Avoid constipation by taking syrup. Lactulose 30 ml at bed time (should pass two to three stools per day), if target does not achieved then take 30 ml twice a day. Follow after reports as soon as possible. Please answer the asked questions. History of alcohol intake? Weight and height of the patient? History of viral hepatitis? History of iv drug abuse? Family history of liver disease or cancer?
Q. Patient has early stage of liver cirrhosis with fluid-filled stomach and pain. Please comment on scan report.
Hi doctor, My son is 9 months old and weighs about 8.5 kg. He has reached all his milestones in time. But the problem is he does not sleep well at night, maximum at a stretch it is only one hour. He keeps walking up and only a bottle can soothe him. During the day he is active but nights are really tough. He does not wake up completely but will be crying in his sleep itself and can soothe only with a bottle. Please suggest something with regard to this.
2,217
Hi. Do not worry. It is a common problem among children aged between 6months to 2 years. Baby is asking for the bottle because it pacifies him. So to put him to sleep follow these steps. 1. Wake him up at morning 7 AM. 2. Do not allow the baby to take more than two naps per day. Each nap should be less than two hours. 3. Avoid all screens and gadgets. Screen time should be less than half an hour. 4. Give him a warm bath at night before going to bed. 5. Rocking motion that is cradle helps to make baby sleep better. Put him in the cradle. 6. Usually, babies wake up at night due to short sleep. You can make routine by putting him to sleep without picking him up. You can give the bottle once or twice during nights. 7. Engage the baby in physical activities in the morning like making baby crawl or creep. 8. Light should be dim at night and you have to make him see early morning sunlight because it resets clock in the body. 9. First try all this. If it does not help then I will prescribe a hormone. Behavioral.
Q. My 9-month-old baby, though active, is not sleeping throughout the night. Please guide me.
Hello doctor, I was diagnosed with fungal infection in hand fingers for more than six months. I was taking treatment with more than four different medicine for about a month long for each medicine but it was not cured. My physician said it was due to the winter season and also advised me to do not use detergent or any other cleaning products even if I maintained this and complete the treatment for a month after withdrawing the treatment with the doctor permission it would appear again. It was on the fingers near the nail and also between the fingers joints with water blisters it oozes out then dry and cracks. It hurts like burn some time especially when I use my finger to touch or peel onion or ginger or garlic it aggravates. Since it was lockdown I cannot go to the hospital and the doctor asked me to use the ointment until it looks normal then told me to stop using it. I followed him but after stopping it appear again but I do not know whether I could apply the same ointment which I used for treatment for two months because he said it will make the skin thinner.
2,218
Hello. I have read your query and understood your concern. As per history and pictures (attachment removed to protect patient identity), it seems to be allergic contact dermatitis to me. Such condition tends to recur very often. I would advise you to kindly use double-layered gloves always while doing household work using detergent or chemical. Since long term use of such creams make the skin thinner so it is advised to continue the creams containing steroids like Clobetasol, Halobetasol for a week followed by maintenance therapy meaning apply the creams over weekend like Saturday and Sunday. While active disease, you may use oral anti-allergics like Levocetirizine 5 mg once daily in the night time for a week. Use ample amount of moisturizer to keep the skin hydrated. I hope this helps.
Q. I got fungal infection between fingers and nails. Will steroid cream help?
Hello doctor, I am having gum pain and swelling near wisdom tooth in the lower jaw for three days. I am unable to open the mouth fully and eat or bite properly. Please help.
2,219
Hello. As per the description, you are suffering from pericoronitis. As per the current outside scenario of viral outbreak, one should not visit the dental clinic unless it is an emergency. So for temporary relief, I can tell you medication and a few home remedies, but for that, I need to know a few more details. Do you have any infection/pus to that site? If possible upload the image of your concern area. Until then gargles with lukewarm water and add a little salt in it, do it for two to three times daily. Get back with the above details for appropriate medication.
Q. I have pain and swelling near wisdom tooth area. How to treat it?
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?
2,220
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.
2,221
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.
2,222
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.
2,223
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.
2,224
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 would like to know about small freckles on the cheeks and forehead of 1-month-old male child. Also, the left eye is watery and collection of yellowish mass after few hours near the inner end of the left eye. Please suggest.
2,225
Hi. It is very normal for a newborn baby up to 6 months of age to develop such minor skin problems. It is called milia. There is no need to worry about it. It is due to insignificant obstruction in sweat glands. I will prescribe a lotion. Please apply the lotion three to four times a day for the next two weeks. Please stop using talcum powder if you are already using it. And regarding this watery discharge in the eyes, if the discharge is very mild, no need to give any medications for the same. If the discharge is significantly high, I will prescribe an eye drops, which is to be given four times a day for one-week duration (only if the discharge is significantly high). Please give a gentle massage on the inner side of the eye (nasal side) for four to five times a day. In some babies, such insignificant discharge can persist up to three to four months. It will settle with regular massaging daily for the next 12 months. Milia. Conjunctivitis. Dacryocystitis.
Q. My newborn has small freckles on cheeks and forehead with yellow mass in eye. Please help.
What could be the possible diagnosis of injury for someone who suffers from lower back pain, i started my office job approx 3 months ago, it is desk based but does involve some lifting and carrying and a driven commute of an hour each way.I have had an office job role for years. I have onset of pain around 8 weeks ago and is getting worse, pain is intermittent and sharp, 7/10 NPRS at worst. My symptoms get worse through out the way and i find it hard to get out the car. Pain is mostly at the left sided lower back which spreads down the back of the left leg and knee after sitting down for a while I get pins and needles into the left foot I find it particularly hard to perform lumbar flexion and left side flexion as they are painful also I feel tenderness over L4 and L5 towards the left And centre. Thank you
2,226
Hi, just gone through your query, it is nothing but you are suffering with LBA. Due to prolonged sitting, improper posture, bending straight down causes Low Back ache, which radiates from Knee to foot. only using paracetamol tablets wont help you, i advice you to go for X- ray or MRI of Spine to get exact Point of pain starting like L4- L6 or L4-S2. 1. As a precaution wear LS belt ( Lumbo Sacral Belt ) which helps stop pain during pain. 2. always straight sit 3. Do not bend forward if want to pick up something. sit and then pickup. 4. Take Accelofenac Tab. 1. per day after food. 5. Apply Diclofenac Ointment to lower back and cover it with cotton cloth for 10-15mins. following qith hot water fermentation. try this for a week and get back to me with MRI of spine or X-ray of SPINE ( AP/LAT VIEW ). Diclofenac ointment helps reduce pain, use it for twice a day if possible. if pain is severe do not do any excercise relating to back. if you can bear the pain you can do back strengthening excercises. after Xray can get back to me after a week or 5 days. you may further need Physiotherapy treatment, which includes IFT, ULTRASOUND, and TRACTION. hope you will follow the steps to stop i told to prevent more radiate of pain stay safe, take care thank you. Prolonged sitting, improper posture MRI OF SPINE Xray GIVEN REMEDIES TO STOP PAIN. LS belt, Accelofenac tab, diclofenac ointment. After 5 days.
Q. I have pain in the left lower back that spreads down the back of the left leg and knee. Please help.
Sir, Since yesterday evening, I am unable to open mouth widely, it is only opening 2 fingers long.... when i am trying to open more widely, i am feeling pain in right side of mouth jaw. I had also gone to a doctor yesterday's night and he injected me & given tablets,,, At morning 4:00Am, i tried to open mouth but after a once try i was successfully open mouth for 2 tries. after that once the jaw locked till now
2,227
Hello, 1. Any previous history of dental treatments like fillings, tooth removal, root canal treatment? 2. Habits history? ( tobacco chewing, smoking..) 3. Any associated tooth pain? 4. Any recent fall injury? This lock jaw could be due to several factors like tensed jaw muscles, wisdom tooth issues, jaw joint issues or could be a condition called OSMF which is caused by a long term pan chewing habit. Initially this condition is treated with painkillers and muscle relaxants. Please continue using the tablets for the said number of days. This will take atleast a week to come back to normal state. However, a clinical examination is required to diagnose and treat it suitably. And do not open mouth forcefully because this can restrict the mouth opening still more and delay the recovery. Please continue the meds and report back to your doctor for review and practice the mouth opening exercises that your doctor had instructed. Good day!
Q. I am unable to open my mouth more than two fingers wide. What to do?
Hi doctor, I am 37 years old. I have mild pain in left testes and it hangs more than usual. This happens for the last four to five days. I feel discomfort during walking and mild pain in the lower abdomen just above the left testicle. Please help.
2,228
Hi. Hope you are doing well. Coming back to your query, I think you are having an infection in your left testis a condition known as Epididymo-orchitis. First, you have to give yourself scrotal support (a langot /relatively small V shaped underwear) to support your testes from hanging. Second, start medication as in the prescription (see attachment). Are you a diabetic? Do you have any urinary complaints (night frequency, burning micturation, poor stream)? Any previous history of accident, trauma, urinary catheterization? Are you on any medications? Are you a smoker or alcoholic? If you can click a photo of both testis then it will be great. Last the ultrasound you uploaded has photos (attachment removed to protect patient identity), if you can upload a picture of the report then it will be better.
Q. I have mild pain in left testis with discomfort while walking and mild abdominal pain. Please help.
Hi doctor, I am 28 years old. I have been suffering from breast pain for the last one year. The pain was only on the left side breast. Consulted with a surgeon, took a scan and found fat necrosis and lymphadenitis on the left side and was told it was cyclic pain and was given vitamin E tablet and Neurobion forte for three months and a review after three months. A few weeks later, I found a small swelling under my left armpit and there were three to four small red bumps in that arm as well. I usually get these rashes on the left arm. Is this a matter of concern?
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Hello. Do not worry, I will give you the solution to your problem. Before that, I need some extra information from you. Whether you are married and have any child? I need your scan report also to see the exact condition. You can attach photographs of that here. As per your concern, probable diagnosis is cyclical mastalgia in which during periods there is some hormonal changes in the breast and axilla causing pain due to fat necrosis. It is self-limiting condition regress by own. There is no chance of cancer in this condition as cancer is a painless condition. Please share above mentioned thing and get back to me. Cyclic mastalgia. Mammography in both breasts. Cyclic mastalgia with fat necrosis. Tablet Evion 400 mg OD for one month, capsule Primosa 1000 mg OD for one month, Chymoral plus BD for five days after meal.
Q. I have pain in left breast with fat necrosis and lymphadenitis. Is this a matter of concern?
Hello doctor, I have a few medium-sized pimples on my penis. It was only one pimple a few days ago but now it has grown to four. I have started drinking garlic water after watching few suggestions on youtube.
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Hi, Welcome to icliniq.com. According to your description, there are multiple things that could present as such. It could be molluscum contagiosum, genital warts, or herpes. Sometimes even physiologic changes such as pearly penile papules can also present like this. If you are sexually active it could be an STD (sexually transmitted disease) as well. Kindly revert to me with photos and sexual history so as to aid in diagnosis and treatment.
Q. I have a few medium sized pimples on my penis for about a few days. What could it be?
Hello doctor, Patient V is a 35-year-old woman. Many years ago, she suffered from increased perspiration during night, from the child. When 7-year-old this was continuous making several changes of clothes a day necessary. The situation was worse during physical or emotional stress. In addition, she had polydipsia but urine volumes were normal. She was underweight even though she had polyphagia and was with tiredness and asthenia. The latter was increased in recent years. She tried many treatment types but none successful and improvement in her condition was not seen. By the time the patient was 37 kg, 160 cm and was eating 3,000-3,500 calories per day. Her blood pressure was normal with 100 beats per minute. Her temperature was 36.8°C - 37.8°C but sometimes rose to as high as 38.4°C. No thyroid toxicity or thyroid gland enlargement was present. Normal blood tests, except for an elevated 24-hour urine creatinine but it was noted that her basal metabolic rate varied between 140 and 210 percent above normal. Specimens of muscle tissue were taken under local anesthesia from the patient. The latter showed that respiration could proceed at a nearly maximal rate in the absence of ADP. When ADP was supplied in excess, phosphorylation to produce ATP proceeded as normal. I have to diagnose this patient, but I am in a dilemma because I think that from the details I have for her as mentioned above, the biochemical pathway that is likely to be dysfunctional is glycolysis or glucose. I am more towards the thought that she has a dysfunctional glycolysis pathway. Am I right for this or not what do you think? Also, can you please suggest me what might be the underlying cause for the symptoms of hypermetabolism seen at her and what can be an evolutionary advantage for her?
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Hi. I have gone through your case details. I am with your thought process of diagnosis. Let us try symptom analysis and the clinical syndrome that patient v has. The major symptom is hyperhidrosis that is increase sweating. This can be due to primary hyperhidrosis or secondary hyperhidrosis. This is less likely primary hyperhidrosis. Generalized sweating is mostly due to an underlying systemic illness or as a side effect of medication while focal sweating is generally due to a neurologic disorder or primary hyperhidrosis. In this case, it is generalized sweating, we need to find out are there signs and symptoms of: • Infection (acute or chronic). • Neoplasia. • Metabolic/endocrine disease (diabetes, thyroid, pheochromocytoma, carcinoid). • High catecholamine state (respiratory failure, heart disease, pain, drug/ETOH withdrawal). • Drug therapy (Propranolol, antidepressants, Pilocarpine, Physostigmine). • Neurologic disease (dysautonomia, diencephalic epilepsy, hypothalamic lesion, structural brain abnormality). In your case, it has a high metabolic rate with the childhood-onset disease process. So metabolic, endocrine, and high catabolic state is likely diagnosis. In the metabolic, it is more mitochondrial metabolic disorder likely diagnosis. The mitochondrial damage results in defects in the electron transport chain can affect any tissue. Tissues requiring the highest levels of energy production are the most severely affected. Certain “red flags” which should immediately increase the suspicion of a mitochondrial disorder. These include short stature, neurosensory hearing loss, progressive external ophthalmoplegia, axonal neuropathy, diabetes mellitus, hypertrophic cardiomyopathy, and renal tubular acidosis. Hope this insight will help you. Primary hyperhidrosis. Secondary hyperhidrosis, Metabolic myopathy. Mitochondrial disorder electron chain transfer. Morvan syndrome (autoimmune). Serum lactate. Muscle biopsy for metabolic myopathy. Mitochondrial disorder. Genetic analysis. Mitochondrial disorder. As per diagnosis antioxidants, vitamin E, and Riboflavin. Avoid excessive exercise to keep hydrated.
Q. What is the possible diagnosis of increased perspiration which gets worse with stress?
Hello doctor, My daughter went ice skating last month and she fell a few times but she was able to stand up and skate again. The next day, saw bruises on her legs especially the knee area but that disappeared after a few days. She mentioned that she still feels some pain but she can walk, move around and jump with it so I thought it is fine. However, recently, I noticed that she cannot stretch it to its maximum. Although she can move around with it, she says there is still a pain when she stretches it too much. What do you think is the problem? It is not broken, right? We cannot have it x-rayed due to lockdown.
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Hello. If she is able to walk putting her full weight, she might not have a major fracture. But I want to ask you a few more questions to come to a conclusion. Is there any swelling around the knee now? Is there any history of massaging it every time she fell? Is she able to straighten out her knee completely now? Probable causes here can be some joint fluid in her knee which is causing an inability to stretch completely. If she is limping now also, if she is complaining of pain with every step, we should think of any ligament injury. Or else if she does not have any pain on walking, do not worry she does not have any fracture.
Q. After a fall, my daughter has got knee injury with difficulty in stretching. Can this be fracture?
Hi doctor, I am a 30-year-old woman. I was diagnosed with PCOS last year and according to the doctor's prescription, I have been taking contraceptive pills since then. Now I and my partner want to have a baby for which I stopped taking the pills last month and we had unprotected sex during my ovulation time. For this month I was supposed to get my periods on 6th but until now I have not got my periods and today is 12th. I also did the pregnancy check which came as negative. Now I am not sure whether to take contraceptives to have periods or to wait until sometime.
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Hello. I recommend to wait some more days because there are false negative result from a urinary pregnancy test. Or you can exclude a pregnancy with a b-HCG (beta-human chorionic gonadotropin) blood test.
Q. I missed my period with negative pregnancy test. Shall I continue my OCP?
Hi doctor, I was eating wheat bread sandwich last night. After eating, I felt like something was stuck on my throat. I slept on it and the next day, I still feel that something is stuck like a knife feel. I am currently on Effexor 3 mg and Mirtazapine 7.5 mg.
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Hi. The bread could have caused injury to the posterior pharyngeal wall or larynx. Can you send me a picture of your throat?
Q. I have a feel of something stuck in the throat after eating bread. Why?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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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 docor, My father is a CHF patient, he always had normal kidney function levels but suddenly in one month, it got increased. Also, recently he was having 100 pus cells in the urine test. He was having burning too. But until last month it was fine and suddenly these numbers. He was admitted for shortness of breath for edema before two months, when he got admitted also the numbers were perfect now suddenly everything increased creatinine, bun uric acid, etc. What could be the problem? They are saying it is because of CHF but suddenly how it gets increased in a few days?
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Hello. Patient with CHF (congestive heart failure) has a baseline tendency for renal dysfunction. Also, the diuretics like Lasix which is on cause renal derangements which are usually reversible. Now in his case, the cause appears to be multifactorial. Over and above the baseline tendency, it is probably a urine infection which has initiated this and his infection was severe. Urine infection alone can cause renal dysfunction and probably it is a precipitating factor. Any infection can worsen CHF, which subsequently needs elevation in dose of diuretics and all of these can cause renal dysfunction. So, it is multifactorial and contribution from all three factors. But good thing is, usually this dysfunction is reversible and settles with time. I hope his urine infection was adequately treated and subsequent urine tests were clear. I hope this helps.
Q. My father has CHF with sudden increase in creatinine and uric acid. What could be the problem?
Hello doctor, I witnessed bleeding in my left ear all of a sudden. I am listening to recordings and on phone calls continuously for the last one month, to have a clarity of what other person is talking. I am using high volume. Please suggest.
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Hi. Your question was incomplete. Did you have pain or having pain now? How much was the bleeding? Is there any swelling in and around the ear? Did someone hit you on your ear? Were you exposed to sudden loud sounds like a cracker? Did you use earbuds or put any other object in your ear? If the answer to all these questions were no then we need to examine and evaluate the site from where it is bleeding and the cause for bleeding.
Q. I am bleeding in ears after hearing loud noise with headphones. Why?
Hi Doctor, I feel head numbness lightly or i can say its dizzyness like thing, since two days, but its not bothering me all the time, but it is kind of numbness I am feeling when after getting up from sleeping or sitting position as I do work from home most of the time. Note: I have dandruff problem I done a sugar test and blood test, all the reports are fine except below findings, - Lymphocytes 42.4 %(Observed Values) 20 – 40 (Biological Reference Intervals) - *Lymphocytes - Absolute Count 3500(Observed Values) cells/cmm 1000 - 3000(Biological Reference Intervals) Please help me with your valuable feed back and why I am getting this problem. Thanks in advance,
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Q. I feel dizziness and numbness after getting up from sleep for two days. Please help me.
Hello Doc! Every night for almost 2weeks now, I experienced itchy hands. Like only every night when I’m about to sleep. So itchy that I can’t sleep. I don’t notice any insect bites or red spots or rashes on my skin. I really can’t sleep well every night because of this. I think the itchiness is coming from the inside of my hands. Help me please. I tried taking cetirizin because I thought it may ease the itchiness but nothing happens. Thank you.
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Q. Every night when I am about to sleep, my hand itches a lot. Please help.
Hi Dr. My wife is pregnant in her 1st trimester.. Roughly she is in her 8th week of pregnancy.. Lately we went to a gynecologist for Consultancy. During her 6th week we able to see heartbeat but now on 8th week(as per our calculation) but the Dr said its her 9th week and can't see the heartbeat. He said it abnormal growth and asked to abort.. We are in big Confusion now. Can you help us on this. What shall we do..
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Hello, Based on the description you mentioned , it appears your wife has missed miscarriage. I am really sorry to say that in such case, the fetus fails to grow, as the fetal heartbeat has stopped. Even if you do not take Medications to abort it , it will eventually be removed by the body (as in it will abort itself in due course of time). It upto you, to wait for it to happen on its owns, or you can consider going for the medications for the abortion as advised by your gynaec. In case you wanna wait for it to happen spontaneously, it is advisable to get weekly blood tests monitored as advised below and you can wait for maximum 2-3 weeks for it to expel spontaneously or else it would be better to go for evacuation from your Gynaec. Hope I was able to solve your query. - Blood group & Rh antigen testing. - Complete hemogram with platelets & Coagulation profile weekly once if waiting for spontaneous expulsion. - Condition & Options explained.
Q. As there was no heartbeat in the 9th week, the doctor asked us to abort. What to do?
My teenage daughter has struggled with bad breath for at least two years. She has impeccable teeth cleaning habits and visitors dentist every 6 months. I can’t help but believe It has something to do with sinuses or perhaps tonsils. Any ideas/thoughts on this? This causes her to be very self conscience. Thank you for any help/advice you can offer.
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Hi, How are you. Sorry to hear about your daughter. Teenager has a problem of not having good oral hygiene. I will give some tips and hopefully it will be reduced. Buy an electric toothbrush if you dont have one. The good thing is the all electric brush has a timer in it. When you start it with pushing the button it will stop after 2 minutes so dont turn it off before that and if possible continue for a little bit more. Start from one side of mouth by placing it at the junction of gums line and tooth and keep the head of brush there for at least 4-5 seconds, do not move the brush in scrubbing motion nack and forth. After 5 seconds move to next adjacent area and keep it there again for 5 seconds. In this do the complete mouth, the outter surface of teeth, inner surfaces and the biting surfaces. Use of floss is very important, at least once a day all the teeth. Buy listerine zero mouth wash 15ml for 30 secs at least. Use 30 mins after brushing and not right away. Chew xylitol gum. If you have any other question please feel free to contact. Thanks
Q. My daughter has bad breath despite impeccable teeth cleaning habits. Why?
Hello doctor, I have a cough for almost eight days. My cough was not frequent and I have no fever till now. I feel like something is in my throat sometimes. Can it be a COVID-19? I take Azithromycin 500 mg once a day after meal and Rhinokast F before sleep.
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Hello. Do you have any recent travel to countries or areas with COVID-19? How about any recent exposure to someone who is positive with COVID-19? If your answer to these questions is none, then it is least likely for you to have COVID-19. COVID-19 initial symptoms would include cough accompanied by fever. On top of that most patients would also experience difficulty breathing. Since you mentioned you did not have a fever, it is least likely you have COVID-19 at this point. However, if symptoms, persist, worsen or new onset of symptoms such as difficulty breathing, and fever further consult is advised.
Q. I have a cough for about 8 days with no fever. Can this be COVID-19?
Hi doctor, I have major sleeping problems where I do not get sleep at night sometimes until late or sometimes at all. I also have a lot of mood swings where I am really happy at times and the next second my mood switches. I feel very confused about my behavior and in general, I do not like interacting or making conversations with people. So I get really conscious and think about scenarios about how to say what. I keep worrying a lot about different things and have difficulty focusing on things and especially because of irregular sleep I am having problems. I get scared of sleeping at times and have nightmares at times when I do.
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Hi. I am so sorry to hear about your situation, I can imagine how hard it must be for you. With the little information that I have, I think your sleep issues are just an external expression of underlying anxiety. It is the fear that is keeping you awake so to help you with your sleep issues. First, we need to take a few measures to help you in increasing your relaxation levels which would calm you down. For that, you can try why deep breathing exercises like box breathing, progressive muscle relaxation, meditation before sleep. You have to maintain your sleep hygiene which essentially means regulating your bedtime and your process of going to sleep which in common language is called night rituals. Once you have established this then you need to work on your anxiety. As you have also mentioned that you were sent for anger management 10 years ago, I would suggest starting psychotherapy as soon as possible which will help you understand the negative thoughts which are causing all these mood symptoms. Taking care of anxiety and anger is one thing, then the next step is finding the root cause of it and getting rid of it will help you solve the issue permanently. So I would suggest you to start psychotherapy. You can find a local counselor or we can start therapy online via video consultations. I hope this helps.
Q. I have major sleeping problem with mood swing and behavior change. Please help.
Hello doctor, I am a 28-year-old male. I am having mucus collected in my throat region for almost two weeks now. As long as I remember, maybe from 10 years or so, I have been suffering from this condition which some have called bronchitis, dust allergy, etc. Any change in weather, any perception of dust, any smoke and fragrance from vehicles, agarbattis, powders or scents, exposure to cold and cold items cause this secretion of mucus in my throat area. It usually is just a mucus collection in my throat for days together. Usually, no cough or fever or throat pain or running nose. The collection is more in the morning after I wake up from sleep. The condition is more prevalent in cold weather. I was outside of my home town for a few years but did not face this issue as much as I do it when I am visiting my home town. I want a permanent solution for this. I have not undergone any major tests or anything for this problem. It is more like visiting a local doctor when symptoms occur and take medicines for infection. I am taking Montek FX (Fexofenadine and Montelukast) and Flomist nasal spray from 10 days. While the condition has improved, I am still not back to the normal and I still can feel the mucus is sitting in my throat region. Kindly help.
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Hello. After going through your query, it seems you are suffering from allergic bronchitis. Usually, this condition is precipitated only if you are exposed to the particular allergens called triggers. Also, environmental pollution makes the situation more worse. As you said, it is very obvious that symptoms recur in your home town but never appeared in other places where you stayed. So it is very important to find out the particular trigger in our surroundings and avoid outside pollution as much as possible. To rule out any other pathology and possibility of asthma, it is advisable to do a chest x-ray and spirometry test. If the reports suggest the possibility of asthma then there is a need to start an anti-inflammatory inhaler called controllers. Expectorants work magically in any kind of bronchitis and help in expelling the thick mucus out. Allergen avoidance remains the main priority. You can continue tablet Montek-Fx and Flomist nasal spray. Rest of the medicines as follows. Environmental pollution and allergic triggers. Chest x-ray, spirometry test. Asthma. Allergy. Tablet Loxof 500 mg (Levofloxacin) daily once for five days, TusQ-X 10 ml 1-1-1 for seven days. Continue Montek-Fx and Flomist nasal spray. Avoid environmental pollution and known allergic triggers.
Q. I get mucus in throat with bronchitis which aggravates during cold season. Why?
For about a year now, I have experienced a lot of thick white mucous in the back of my throat. This inhibits swallowing, forcing me to hack it up and spit it out. I think this can make my voice scratchy but other than that I am not experiencing any other symptoms. I have gone to an ENT previously and I believe i tried a proton pump inhibitor but it did not have an effect.
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Hello . Good to hear from you. I understand your situation. There are two reasons for your complaint mostly. One as the doctor who has seen you previously suggest must be because of a reflux from your stomach. Second might be because of something called as a post nasal drip. For dealing with the reflux, just a ppi would not help. You should make certain life style changes such as: 1. Avoid spicy food. 2. Eat on time. Your stomach should not be empty for for than 2 hours. 3. Do not sleep soon after you eat. Give atleast 2-3 hours of time between your meal and sleep. 4. Try to keep your head end elevated by a couple of inches while sleeping. Now regarding your post nasal drip, do have frequent episodes of cold/nasal discharge..? If yes take the necessary medications for it. So I would suggest you with the following medication: 1. Continue your ppi( like pantaprazole 40 mg once daily before breakfast). 2. If u have a cold, take an antibiotic( like amoxicillin 500mg twice daily for 3 days), an anti histamine( like levicetrizine 5mg once daily before sleep), a nasal decongestant( like oxymethazoline thrice daily in both nostrils). Reflux X Ray PNS , Direct laryngoscopy Acute rhino sinusitis GERD Medical, life style changes Follow up in one week after the life style changes n medication suggested.
Q. A lot of thick white mucus at the back of my throat inhibits swallowing. What is the cause?
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?
2,250
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.
2,251
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.
2,252
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.
2,253
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.
2,254
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hello doctor, My front lower teeth have become extremely sensitive and I have very severe pain in them. The gums are not hurting but the tooth itself is hurting. How to relieve the pain?
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Hello. Take a painkiller like Dolo 650 mg or Acenext-P (Aceclofenac and Paracetamol) three times a day. Use warm salt water gargle twice a day for a week. Send a picture of the area if possible.
Q. My lower front teeth is extremely painful. How to get rid of the pain?
Hello doctor, I have a large, red, painful cyst-like bump on the left side of the clitoris. It hurts to walk, sit or stand. I have been doing a warm compress three a day and a hot shower once. It seems to be getting more painful. I cannot go to the doctor because of COVID-19. Please suggest.
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Hi. From your history and pictures (attachment removed to protect patient identity), I gather that it is vulvitis, which has got localized to a single point. Usually, infection starts in the vagina and later it gets localized. It forms a blister and over time it forms a pustular lesion (pus as in your picture). Steps to solve this: 1. Avoid tight undergarments. No undergarments at night, so the area will be dry. 2. Abstinence until the infection resolves. 3. Have a course of antibiotics which will reduce infections and pain. Take tablet Azithromycin 500 mg two tablets after food, Fluconazole 150 mg after food, capsule Amoxicillin and Clavulanic acid 625 mg twice daily for five days. Use pain killers with Serratiopeptidase. 4. Use vaginal wash, douches, and avoid any vaginal discharge soiling the area. Do not use any local antibiotic ointments, this will form antibioma. To reduce the local edema and pain, you can apply little Glycerine and Magnesium sulfate ointment over the painful area. Then place a small gauze over it. This will immediately reduce the pain. Apply twice daily for three to five days.
Q. I have a large painful cyst-like bump on the clitoris and it hurts. Please suggest solution.
Hello doctor, I am experiencing severe pain in the first molar teeth. I did the filling one year back. I had three Combiflams to reduce the pain. Please advise.
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Hello. As per your description, it seems that there is a reinfection in your treated tooth. Do you see any discoloration over that tooth? For permanent solution. you have to get it done in the dental clinic. As any reinfection can be confirmed only after x-ray of that tooth. But as per the current outside scenario of viral outbreak, one should not visit the dental clinic unless it is an emergency. So what you can do at home is take tablet Augmentin 625 mg (Amoxicillin and Clavulanic acid) twice daily for three days after food, Ultracet P (Tramadol) twice daily for three days after food, gargling with lukewarm water and add a pinch of salt in it for two to three times daily. If possible upload the image of your concern area. I need to know a few more details. Is there any swelling or pus associated with that tooth or gums? Is there is any reddish discoloration or are you having any fever? I want to know what kind of restoration you had?
Q. I have severe pain in the filled molar tooth. Why?
Hello doctor, I am having itching in throat and little cough for more than two weeks and cold. No fever, no body pain. My BP and sugar are normal. I am taking Cetirizine and Calvam 625 with little improvement.
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Hello. Do you have any postnasal drip or cold? Do you have any acid reflux, stomach ache, or sour eructations? Is there any cervical lymph node? Do you smoke? Can you attach a picture of your throat?
Q. I have itching in the throat with little cough. Are Cetirizine and Calvam 250 enough?
Hello doctor, I am 32 years old. We are planning to extend our family whenever I will be perfect in health so that there should not be any health issues to the baby and the mother. I would like to elaborate on my health condition so that you can advise us on how to improve my health condition. Please note that the below tests have conducted before three months and after that, I have gone through some medication for one and a half months. 1. Iron, vitamin D, and hemoglobin: My hemoglobin remains low every time I go for annual health check-up (for the past seven years). Currently, it is 10.8. Iron - 18, TIBC - 492, transferrin saturation – 3.66, vitamin D - 19.91. 2. Yeast infection in vagina: I have been suffering from recurrence of yeast infection in the vagina for the past one year. It comes again and again and I am taking Fluka every week one tablet. After taking Fluka, I feel no itching and no yeast infection but within a week or so it happens again. 3. Boobs itching and enlargement of area around nipples: for the past four to five years, I have been observed that area around my nipples has enlarged, and that area is really very dry and itchy. Although, there are no lumps in the breast and armpit. I visited a gynecologist but they told that it is a dermatology issue. Hence, I also visited a dermatologist and the doctor suggests that it is just because my skin is extremely dry and it can be cured after applying good moisturizer in the long run. But I have not seen any improvement till date. I really want to be healthy and want to get rid of the above issues before conceiving the baby.
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Hi. First thing, I would like to tell you that you are a healthy individual. Even though you were anemic before, now you have made good progress in your hemoglobin. Now coming to your recurrent fungal infection in the vagina, it seems that you have adequately taken antifungal and antibiotics. I would recommend you to get done your 1) Blood sugar level. 2) Thyroid profile test. Now coming to soreness and itching at nipples, yes, it happens due to dry skin and micronutrients and minerals deficiency. I would like to suggest you to apply the moisturizer and take nutrients supplement. Nutritional deficiency. Blood sugar levels. Thyroid profile test. Multicomponent deficiency. Tablet Azithromycin 500 mg once a day for three days, Candid V6 pessery every night intra vaginal for six days, tablet Omeprazole 20 mg twice a day for three days. Avoid sexual intercourse until recovery from infection. Follow-up with the above said investigation after 3 days.
Q. I am trying to conceive with recurrent vaginal yeast infection. Please help.
Hello doctor, I am 38 years old. I am having pain in the neck and it has gone to my left arms and there is stretching like pain. I have consulted an ortho doctor who asked to do MRI as initially post taking x-ray and doing physiotherapy for a week did not give relief. I took MRI and now due to Covid-19 OPD doctors not available. He asked to check with spine specialist what needs to be done. The pain is severe in the upper arms and it is from the last one week. I would like to share the MRI report for reference. Please suggest some medicines. I am diabetic too from the last three years.
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Hello. I have seen your MRI reports (attachment removed to protect patient identity), but as no films were included I will go by your description and MRI report. You have a C5, C6 level issue with indentation of the exiting nerve root on the left side which matches weakly with your symptoms. At present, there is no need to panic. Take a course is antiinflammatory tablets like Voveran 75 mg twice daily after meals and antacids before meals.Secondly, take Pregabalin tablets 75 mg twice a day for three to four weeks this may make you feel a bit sleepy but it will go away. Avoid working on the computer for too long or on the phone. Do simple mechanical strengthening exercises and shoulder weak elevation exercises. Give yourself a couple of weeks minimum and come back if this does not improve.
Q. I have neck pain radiating to left arm and not helped by physiotherapy. Why?
Hello doctor, I just want to consult about my skin condition that happens annually. Every year, my hands has this condition where it will itch and form rashes with liquid inside then skin itself. Most of the time, it starts on December then end on February, however it differs every year. This year it started on March and up to now. I experience this every year, as in yearly so I assumed it is normal. It is not hereditary, I assume, because none of my family members is experiencing it other than me. My mother told me that maybe it is because of cold weather which I agreed. It is there for the past 11 years. I have never consulted any professionals about it since it does not look severe. However, I am curious what is this condition called.
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Hi. Seasonal itch and swelling over the exterior parts of the palms, soles ear, nose occur due to a type of cold allergy called perniosis orchilblains. Lesions for increased itchy sweling occurs mainly during the start of cold weather and end of the cold weather when there is temperature change in the environment. I am not sure which part you are living in as you have not mention. Treatment for this is avoidance of cold exposure, wearing warm clothes. Calcium dobesilate gel twice daily. Diltiazem 30 mg tablet BD for 2 weeks during the lesions. For itching you use Loratadine10 mg once daily for two weeks or whenever there is itching. Apply aloevera moisturizing cream over the hands multiple times with rubbing of the hands and feet and the parts so that good circulation bring warm blood flows into those area.
Q. I have itching and rashes in hands during specific climate. Please help.
Hi doctor, I have had this issue for two to three months now and my symptoms are changing. It started with my throat feeling like it was closing every now and again and between my ears and jaw was sore for weeks. My tongue feels swollen and irritated all the time with little red dots around the edges. My tongue also gets sore around the edges mostly in the morning. I have had blood test and after that one doctor told me it was in my head but my recent GP says it is definitely not. I cannot get to see a specialist due to this Covid-19 mess and my symptoms are worsening and now my throat around my glandular area is sore and throat feels restricted and swollen. I do not have trouble swallowing food or drink but just swallowing saliva sometimes gives a choking feeling. No one so far can tell me what is going on. Please help. I am currently on Pantoprazole 20 mg and Advil.
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Hello. Having read through your symptoms I think, if any of doctors could not find any particular cause it might be what we call as burning mouth syndrome with globus sensation. It may be due to certain local conditions like ill fitting dentures, jagged sharp or carious teeth. It may occur due to acid reflux or in disease like diabetes. Even post nasal drip due to sinusitis can cause burning in mouth.Prolonged intake of any medicine can cause this. However, do you have any of these? Of these gastric acid reflux is often the most important cause. Do you smoke? Can you attach a picture of your throat and tongue lesions.
Q. I feel choking with swelling and irritation in the tongue. Please help.
Hello doctor, Is beta blood hCG test (quantitative) done post 12 days of missed periods considered as accurate? My hCG level came less than 2. Does it mean that I am not pregnant.
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Hello. Based on the present hCG levels, it suggests that you are not pregnant at present (or today), as beta hCG level is quite low. But if you frequently have irregular periods and there had been history of sexual contact, (and if you had delayed ovulation then there may be chances of pregnancy, or in other words chances of beta hcg increasing in next few days , depending on the time of ovulation and sexual intercourse). And if your cycles have been previously regular, and if this is the first time it got delayed, then you need to evaluate for the causes of it. Please get back to me if you have further queries with the exact timeline of events and your suspicions based on the event. Meanwhile you can take medication for withdrawal periods as already 12 days have lapsed from your expected date, or you could wait for another 3-4 days, and if still not getting periods you can start taking it and evaluate yourself for the cause for delayed periods. Ultrasound abdomen and pelvis, complete hemogram, thyroid profile, serum prolactin level. Tablet Meprate or Deviry 10 mg twice daily for 5 days and then stop. (This medication is not harmful even in case you turn out to be pregnant later). To wait for withdrawal bleed within next 7-10 days. To get blood tests done on 2nd or 3rd day of periods.
Q. Will testing beta hCG after 12 days of missed period give accurate pregnancy results?
Hello. 7 yrs ago I had chicken pox. Last year, I did a herpes test and they said I had antibodies to HSV1 n 2. With a range of 0.6 and 2.2. I did another test after 2 months with a range of 0.6 and 2.3. I have never had any of the symptoms I read about I am concerned. So what do you think?
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Q. I had no symptoms, then why did my blood test show antibodies for HSV-1 and 2?
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, I’ve been having symptoms for a long time now, about 6 years. Something constant that I feel is a “pressure” or imbalance on the upper left side of my body. I get brainfog frequently. Other symptoms come and go. Sometimes my upper rib feels tight when inhaling, sometimes I get dizzy and heart races/palpates. I’ve had some exams done recently and found out I have an inflamed supraspinatus tendon. Since that, Ive tried doing exercises and stretches but they haven't helped that much. I’ve even tried palpating the tendon but it doesnt even feel tender. Recently I’ve tried doing some neck stretches and the next day my upper left shoulder went almost completely numb. One thing I feel I have to mention is before these symptoms starting appearing, I had an incident at the gym where I pushed too hard doing an exercise and something happened that my vision went dark and I had constant pain on shoulder/neck area for a few weeks. I apologize for the wall of text but I’m at a standstill. Whatever this is, it’s keeping me from being able to function in everyday life. I’m currently a shell of my former self.
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Hello, After going through the detail you provided, its clearly a symptom of jerk you felt at the gym while excercise. i advice you to stop doing any excercise related to shoulder or neck. take accelofenac paracetamol tablet twice a day fir 3 days and consult in person with any physiotherapist near you. you need personal attention and proper treatment. a physiotherapist will guide you during this time on how to perform excercise properly during pain and if needed he will apply IFT and ULTRASOUND to reduce pain and for relaxing muscles. stay safe. thank you.
Q. After doing some neck stretches, my left shoulder went completely numb. Why?
Five days ago I had thick mucous in my nose and from the carving of my nose I had a wound without special nosebleeds ... I put Vaseline and it stopped the next day but the mucus continues. they are yellowish sticky and odorous and every time I try to blow my nose I bleed again. I put only rinopanteina when I see bleeding. what can I do?
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Hello, welcome to iCliniq Can you tell me if this discharge is unilateral or bilateral. how profuse is it? do you have any nasal blockade or obstruction of any type? Do you have cold? how is your smell? Do you get sneezing? Is your nose tender?
Q. Whenever I blow my nose, I have nosebleeds. What can I do?
Query regarding chronic cough almost dry not completely dry from last 5 days. Gets more persistent during sleep. No fever whatsoever. Took 1 tab of citrizine on day one thinking its allergic since no fever or stuffy/running nose. So ruled out allergy since then. No medication taken, just some otc antacid "digene". Mild heartburn. Twice at night coughing was so strong that I puked. Looks like GERD to me. Non smoker. Male. 25 years old. No history of any other illness. Height 167cm Weight 64 kg
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Dear, Welcome to Icliniq. Thank you for providing a detailed history. I just want to clear one thing what do you mean by CHRONIC cough? The history you provided is of just five days so it is not chronic but you used word CHRONIC which means cough for months or years. So if it is just five days of cough then yes it is suggestive of some reflux episode which is leading to laryngeal irritation followed by cough and occasionally can lead to choking like sensation in sleep. I will like you to start the following medications and it will help out. 1. Cap.Deslansoprazole 30mg 1 cap twice daily before breakfast and before dinner for 2 weeks. 2. Syp. Rondec ( Dextromethorphan) 10ml three times daily for 10 Days. You need to avoid late time eating. Three should be a gap of at least 2 hours between dinner and going to bed. Avoid Smoking. Avoid Evening Coffee or tea. Thank you. Incase of any further query get back to me.
Q. I have a chronic dry cough and mild heartburn from the last five days. Please help.
Hello doctor, I cannot concentrate because when I study I feel I am not able to memorize. I want any medication maybe for 1 month for concentration. My doctor gave me Bupropion but it is no good for me.
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Hello. From your query, I can understand that you are having difficulties related to poor concentration. There can be different reasons for struggling with poor concentration. More information will be needed to clarify the etiology behind poor concentration so that you can be guided about getting appropriate medication and treatment. How long have you been experiencing concentration difficulties? Was it present when you were a child and did you have problems with studying whilst at school? Or did the concentration problem start in recent months or years? Are you experiencing any other difficulties? Are you sleeping well? Are you eating normally? Are you using any alcohol or recreational drugs? If poor concentration has been a problem since early childhood, you need to be assessed for neurodevelopmental conditions like ADD/ADHD. Following a comprehensive assessment, if you fulfil criteria for ADD/ADHD, stimulant medication can be considered to improve concentration and inattention difficulties. Stressful situations and conditions like depression, anxiety can also cause poor concentration. I see that your doctor has prescribed Bupropion which is a helpful antidepressant medication. Have you been having problems with low mood ? How long have you been taking Bupropion? If it is not effective despite taking for more than 6 weeks, discuss with your doctor about optimising the dose or alternative antidepressant needs to be considered. Also, physical health problems like low iron levels, low thyroid, etc can also cause concentration problems. So this needs to be ruled out as well. So, if you are able to provide further additional information regarding your symptoms we can guide you appropriately.
Q. How can concentration be improved?
Hello doctor, Overall tightness in right side of the body. Especially tightness in the right knee, above knee cap leading to pain front and top of knee. Also tightness in the groin both sides. Unable to feel the groin stretch on inside of the leg, more of a locking feeling at the upper inner groin and outer hip. Tight hamstring only on right side. I do not feel a stretch when stretching right quad but do feel a stretch on the left. Right shoulder/ discomfort and tightness. Tightness in the back lower right side and right hip looks to be slightly lower when standing.
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Hi. It may be due to weak muscles, apply Diclofenac ointment on the pain above knee and shoulder, cover it up for 10 minutes, give it hot water therapy, try to slowly strech your thigh muscles untill you feel pain more and relax yourself, repeat it for twice a day. Take Aceclofenac tablet for a day if you have more pain and for shoulder do shoulder excercises at home. After trying these if you still feel the pain after three days, you can go for ultrasound therapy following IFT. This will surely help you get rid of the problem. Jerk while running or walking, sleep distress X-ray for shoulder IFT, ultrasound Avoid lifting heavy objects, do not bend.
Q. What causes tightness in knee and groin with pain?
Hello doctor, My sister, a 15-year-old female patient complains of intermittent pain on R sublingual area and neck (submandibular area) graded 6/10 at rest and aggravated when eating to 8/10. Past medical history: She developed fever recently and was diagnosed with UTI and was given cough remedy. Persistence of cough prompted us to another MD consult and was diagnosed with pneumonia of the lower lobe. She was on antibiotics for 10 days. She started complaining of the pain on March 25. MD thought of tonsilitis and was asked to gargle warm water with salt. Up until now, there is still pain on the area. Grade 1 tenderness on the R submandublar triangle area, no fever, mild cough still, feeling of lump on the R sublingual area, pain when tongue presses on the area. Patient complies with MD recommnedation of drinking a lot of water and gargling.
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Hi. It is 23 days now since the infection started, that is quite a long time. Her chief complaint is pain in the submandibular and sublingual region which can happen due to tonsillitis as well as infection of the salivary gland which is located in that region. Typically these are both treated by Antibiotics. The best way to differentiate is take a look inside her mouth with a torch and see if there is reddness in the tonsils. However, the treatment you need is a proper course of antibiotics and pain killers with antiseptic gargles and chewable Vitamin C. Acute tonsillitis, acute sialadenitis. Tablet Amoxicillin and Clavulinic acid 625 mg twice daily after food for 7 days.
Q. What causes pain and swelling in sublingual and submandibular area?
Hello doctor, I underwent a hair transplant before three months. I might not be sure but I may have roughly massaged my head or while wearing t-shirts a scab fells off, will this result in failed hair transplant?
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Hi. Hair transplant failure or success is evident within four weeks. The follicles which have been implanted into our skin of the scalp would die initially within two weeks or they lead to the growth of the good hair. After that you massage it or do anything it will not have any effect on the hair transplant, because the hair follicle by that time would have established at that place as the original ones. So the effect of rubbing, friction or any disease will be the same whether transplanted or not. So I do not think you need to worry about that. But what you should worry is that there is not any other infection like fungus on this lesion which I can see on your head. If there is anything itch or burning and the lesion is expanding kindly tell me with a clear photograph of the skin of the forehead. Regarding hair transplant, it is successful you need not worry about it. I hope this helps.
Q. I had a scab fall off from hair transplanted site. Is this due to hair transplant failure?
Hello doctor, I am 27 years old. I have sinus issues like night time colorless running nose for about one to two hours. I also have throat pain and sneezing. Problem increases if I have milk or cold food.
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Hello. To start with if you have throat pain with fever and cough or weakness in the body, please consider going to a Coronavirus OPD to get tested. Considering the present times, it is possible. Now assuming that you do not have the above symptoms, it is very likely that you are suffering from allergic rhinitis which is worsening your sinus problem. It typically presents with bouts of sneezing, more at a specific time in the day and related to some material for eg: dust. Apart from dust, there are many other materials that can cause allergic rhinitis also. Patients also may not have itching in the eyes, itching in the nose, eye watering, headache, watery nasal discharge. Since your CT (computed tomography) scan is normal, we can start with treatment immediately. However, remember that allergic symptoms have a high likelihood of reappearing after treatment is complete, so u will have to follow up after 7-15 days. Take tablet Levorid D (Levocetirizine) every night half an hour before sleeping for seven days. Duonase nasal spray two puffs in the morning and night for 15 days and whenever you feel symptomatic thereafter.
Q. I have sinus problem with runny nose in the night. Please suggest.
Hello doctor, I have a rash on my penis head, it does not hurt much and it does not look severe, but it is uncomfortable and I feel very sensitive now and also it stings when I urinate but not always. Beacuse of Covid-19 I do not want to visit a doctor, so I browsed the internet and I am afraid it is not getting better as it is. It has been a month now and it comes and goes. I took Zithromax for three days and Locoid lipocream but nothing happened. After one week, I am taking Zithromax and I took Augmentin 1 g every 12 hours for one week and Fucicort cream, it got better but the skin felt very sensitive and stinginess inside shaft started. I stopped Fucicort now and using Elica-M at night and just vaseline in the morning for three days now as I am afraid to get worse. It does not hurt much but I still have slight redness and stinginess on the outside.
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Hi. You have used steroid creams and a lot of antibiotics. But I do not know how it started at all? Was it itchy to start? Urine burning or after you urinate, because steroids change every morphology and just cover symptoms and signs. I want to know if there was any discharge from the urethra to start with? Any history of unprotected high risk sex? Fever, or itchy red rash in partner? If none of the above then follow this. Take tablet Fluconazole 150 mg of for seven days, Sertaconazole cream twice daily for seven days and coconut oil. Review after seven days. Single dose Fluconazole for your partner. If you are diabetic control it and keep dry.
Q. I have a rash on my penis which comes and goes and is sensitive. Please help.
Hello doctor, For the last six weeks, I have a feeling like a lump inside my throat on my right side. No pain, no problem with swallowing. It also feels a little dry if that makes sense, and it is worse when I workout with open mouth breathing. I think my tonsil is bigger on that side although I do not think it is inflamed as it is not red. ( I have photos I can show you). I did call my doctor but with the virus, he cannot tell over the phone so he put me on 250 mg AZ and it made no difference. He ran an ultrasound and bloodwork and it showed nothing. He wants to send me to an ENT but with the virus, they are not taking appointments. If I show you a photo can you give me input as to what this can be?
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Hello. The pictures are very clear. (attachment removed to protect patient identity). It appears you have a milk reflux problem that is causing these symptoms. Additionally, there seems to be a small element of post nasal drip chasing the dryness and worsening of lump feeling down the throat. I am suggesting some medicines for you. These will be over the counter. Please take those in the way I am telling you. Let us see after a week and you can get an online consult with me to let us know the progress and change any medicine if necessary. Tablet Nexium 40 (Esomeprazole) one tablet once daily before breakfast, for a week, Zyrtec 10 (Cetirizine hydrochloride 10) one tablet once daily in the evening for a week, Flonase nasal spray (Fluticasone furoate or propionate 27.5 MCG) two puffs in each nostril once daily after breakfast for 4 weeks. 4. Avoid smoke, dust, cold pollution, direct air-conditioned air, spicy oily foods. Take food at regular intervals, do not fast.
Q. I have a feeling of lump inside my throat with no pain and difficulty in swallowing. What is it?
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.
2,281
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.
2,284
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 taking rabies vaccination. Right now I have completed two doses of my injection. My question is if I get another bite during my vaccination do I have to restart my rabies course from starting or should I continue the same course?
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Hello. I can understand your concern. According to your statement, you are taking rabies vaccination and you have already completed two doses of rabies vaccine. Now you want to know what will you do if you get another bite during your vaccination. And the answer is simple there is nothing to be worried. Just complete your rabies vaccination schedule. No need to start the vaccination from the first dose again. So you should complete your current schedule and rest of the doses of rabies vaccination should be given.
Q. After completing 2 doses of rabies vaccination, I got hurt by a dog. Should I start vaccination again?
Hi doctor, My daughter is 2 years 8 months old and she is stuttering a lot for the last four months. Initially, it used to come and go but in the last three weeks we are noticing it very constant and she is struggling a lot to speak. She never used to have this problem before and she is a very talkative person. We wanted to know if this is temporary or it will be permanent and do we need to go for any speech therapy now itself?
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Hi. Being parents overprotective is a common phenomenon that is observed. Do not point out the mistake like you have pause, oh see you struggled, by this the little one will be more conscious and surely avoid talking. Better talk to her in a normal way. Follow these points. 1. Tell her to inhale then say two to three words then again inhale to say some more. 2. Finger tapping while saying, one word one tap. 3. Tell her to count backward (20,19,18, etc). 4. Tell her to stop where she is feeling problem without trying to say it with stress. Stop then relax again start saying. Most important: It is not stuttering, it is a part of developmental process called normal non-fluency.
Q. My 3-year-old daughter has stuttering problem. How to correct this?
Hello doctor, I feel a little uneasy sensation around my waist (kidney area). I got my complete blood checkup done that included KFT and CBC. In it my red cell distribution width, mean platelet volume, and eosinophils are little high and absolute basophil count is low. Due to this I also got my UTI test which is normal. Can share both test results. Please guide me with the reasons behind these and advise me on good medication.
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Hi. Results are normal need not worry. (attachment removed to protect patient identity). Do you have any pain in and around the pelvis area or back? Is uneasiness present always or intermittent? Passing stool freely, no constipation? Do US (ultrasound) abdomen. Now you can take tablet Pan 40 (Pantoprazole) one tablet before breakfast, syrup Sucralfate 10 ml tid after food. Review with the US abdomen report.
Q. Will UTI result in uneasy feeling around the waist?
Hello doctor, I went to the dentist recently and they told me I have gum disease and receding gums but there is no damage to my teeth or bone so I just have to improve my brushing. Since then I have taken their advice but my gums still bleed, my whole mouth is sensitive and I have noticed my teeth feel slightly loose. It is currently impossible to get to a dentist so I am concerned. Please help.
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Hi. Yes, I can make out from x-ray and picture (attachment removed to protect patient identity), it is gum disease for obvious. Your lower front teeth have grown gingival inflammation better called gingivitis. Gingivitis needs to be treated by a procedure called gingivectomy, means removal of excess gingiva. Home remedies as such there are not many or much effective in this case yet I can understand the situation cannot permit you to go out. For now only until the situation gets better try the following: 1. Warm water salt rinse three to four times daily. 2. If you can get some guava leaves crush them and mix with warm water use as mouth rinse for one to two minutes and spit out. 3. Crushed cloves act as good oral treatment in pain and gum diseases or if you can get clove oil that will be great to apply. 4. For loose tooth, you can apply a mixture of table salt and mustard oil where there is loose gums and then later spit it out. 5. Rest, keep brushing teeth twice daily. Kindly use soft bristle brush and do not brush very hardly or for very long. You need to brush softly for one to two minutes only. 6. Before brushing apply toothpaste all over teeth and at place teeth attaching to gums, leave it for two to three minutes then do the brushing. After brushing must give soft finger massage overall teeth and especially gums. 7. Brush in a circular manner and not in up and down motion. I hope this helps. I advise you for a complete deep scaling and root planning as soon as things get better in your area.
Q. I have gum disease with receding gums and bleeding. Please suggest.
Hello doctor, I have always had a weak urine stream. I had medicines several times for bladder infections, never feel like I fully urinate. But lately, I have a bigger issue, I find myself not able to urinate sometimes, I recently realized if I ejaculate then it is worse. Two nights ago, after sex I went to urinate and not a drop, by morning I felt like I was gonna explode so I was headed to the ER when on the way it finally released. I decided to wait till I got home (I am a truck driver) to go see someone, probably tomorrow. I am currently able to urinate. I am a 36-year-old male, been going to the doctor all my life for bladder problems but this too much. Please help.
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Hi. I have a few queries before jumping on to the conclusion. Have you ever been catheterized? Any history of trauma? smoker? Or any chronic illness (diabetes or hypertension)? Any record of RGU or MCUG or ultrasound is done before? Have you been on any medications for this improper urination other than antibiotics? How many times in the past year did you take antibiotics for a bladder infection? Where do you live? If you have that much recurrent infection why you never get investigated thoroughly until now? Any blood investigations or urine culture done in the past? During sex what happens is bladder neck contracts just before ejaculation so that one can ejaculate properly, but in your case, it does not relaxes due to which you feel retention like condition. Before prescribing your medication I want to know certain answers to the above questions which are very important.
Q. I get weak urine stream with incomplete urination. Please help.
Hello doctor, If nasal bone is absent due to trisomy 21, will that fetus suffer from mental retardation? Can mental retardation or other such problems detected by ultrasound at 30 weeks?
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Hi. Absent nasal bone is a soft tissue in ultrasound to diagnose Trisomy 21. Absent fetal nasal bone is one of the strongest soft markers in the second-trimester ultrasound screening. Detailed prenatal diagnosis is advisable to rule out abnormal karyotype when absent nasal bone is associated with other ultrasound markers of fetal aneuploidy or structural abnormality. Nearly two-thirds of 15-22-week-old fetuses with Down's syndrome lack a nasal bone according to fetal-medicine specialist. For normal fetuses, the figure is 1%. This makes it unlikely that the test would wrongly diagnose Down's syndrome. Mental retardation cannot be diagnosed in 30 weeks scan. But if only an absent nasal bone is there with no other structural abnormality and NIPT (noninvasive prenatal testing) or amniocentesis is normal then please understand that the risk of isolated NB absence compared with non-isolated NB absence is much lower.
Q. Does absence of nasal bone due to trisomy 21 suggest mental retardation in fetus?
Hi doctor, I have small lesions near the groin area. I just noticed this three days ago. It is not very painful but a little irritating with little pus.
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Hello. I have seen your query and the image as well. (attachment removed to protect patient identity). I need to know some more details about your problem that will help in appropriate management. Do you have diabetes? Do you have a fever? Did you get any injury, trauma there or a bite? Or it just started as a boil and further had pus and all? Kindly get back with the above details in order to modify treatment if required. Until then follow the following management: 1. Wash the area with warm water and soap two to three times a day. 2. Avoid spreading the pus in nearby area that may increase the wound. 3. Apply warm compression if very painful. 4. Apply topical antibiotics ointment like Mupirocin or any that is available in your country. 5. Oral antibiotics tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg twice a day for three days. Review with above details.
Q. I have small lesion on my groin area with irritation and little pus. Can this be STD?
Hi doctor, This is regarding my mother, who is 67 years old and has a previous history of slightly high BP and sugar and she is taking medicines for both. The issue is that on Sunday she experienced a burning sensation while urinating and then the sensation was gone, but on Monday night she again felt the burning sensation while urinating. She also said that the urine was darker yellow and also a bit warmer than usual. She has not been taking too much water, and I have told her to drink more water and see tomorrow if the burning sensation returns when peeing. However, since she complained I thought of at least contacting a doctor on a preliminary basis. What could be causing this sensation and if it persists what steps to take?
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Hello. Sorry to hear about your mother's problem. Most probably your mother is having a urinary tract infection (UTI) which is quite common at her age but still not normal. I recommend (as she is diabetic as well as hypertensive) to get investigated. The following test should be done. CBC (complete blood count). RFT (renal function test). Urine routine and culture. Ultrasound abdomen with PVRU and HbA1c. I am going to start her on empirical treatment (see prescription) for three days so that she gets herself investigated meanwhile and relieved of her symptoms. But if there is any obvious underlying cause of UTI (which will get clearer after all investigations) we may have to act further. She is overweight, try if she can shed some weight with exercise. UTI. UTI. Plenty of fluids. After three days.
Q. My diabetic mother has burning sensation while urinating with dark urine. What steps should we take?
Hello doctor, My child is 6 years old. Since one month he is repeatedly urinating for more than 30 times a day. We consulted a doctor and he prescribed for an antibiotic but it is not working. He went through urine culture and ultrasound, everything was normal. Is there any way to come out of it? Please help. He is currently taking Ofloxacin oral suspension IP 50 mg/5ml and also lactulose solution USP 10 g/15 ml.
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Hi. See, your child is suffering from urinary tract infection (UTI) as per the symptoms. Can you please describe the other symptoms in more detail like any history of fever or chills rigor/pain abdomen/pus or blood in the urine or any stool abnormality? Any history of burning urination or any history of local inflammation in the genital area? Any previous significant history? Any history of similar complaints in the past? How is the hygiene of the genital area? Also, birth history of child? Is there any other chronic illness in child? Along with the above history kindly upload urine culture and sensitivity reports along with all other investigations done along with the date of investigation. If not done then get one complete blood profile, urine culture sensitivity, blood pressure, serum urea, creatinine, and electrolytes and follow up with reports. Till then continue with same antibiotics and lots of fluid intake. Give more vegetables and maintain proper hygiene. See, maybe antibiotics are resistant for the infection that is why it might not be working. So we need to change the antibiotics as per the reports. So kindly attach the reports in the same follow up.
Q. My 6-year-old kid is urinating frequently for about 30 times a day. How to stop it?
Hello doctor, I am 30 years old. I am a healthy individual with no signs of BP or heart issues. I have done a healthy heart screening where they checked heart plus blood flow in legs, lipid profile, liver function test, vitamin D and everything is normal. My morning erections frequency is fine, (not every morning I get it) sometimes during afternoon sleep. I have a phimosis issue. Recently last three attempts I had an issue with erections and unable to maintain it. I am worried and piling up stress. Another issue is ejaculation. I feel I have delayed ejaculation as I am not able to ejaculate. When I masturbate I can ejaculate in the normal interval, I am not able to understand if phimosis causing delayed ejaculation and ED issue? Apart from the last three instances, I had this issue for a few months and then it resolved, I got erections for the next 10-12 sexual instances. In addition, I do not have diabetes, I used to masturbate a lot by watching porn (kind of addicted) a few years ago then the frequency reduced as I became more mature. I am worried if this is the reason for ED? When I start sex all my attention goes to whether I am getting erections or not. I eat a healthy diet and do cardio three times a week. Please guide.
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Hi. I have gone through your query and find that you are physically active and healthy. You have phimosis but that is not causing you much problem. For the last few occasions you have erection problems and delayed ejaculation, it can occur because of many issues including the stress or performance or time hurry. Once you had one episode of ED (erectile dysfunction) or delayed ejaculation it can cause you anxiety and that can lead to ED for the next sexual activity. If the issue is not affecting you regularly or at least 50 percent of your sexual activity then it is not required any medical treatment. Just continue your cardio workout and take healthy food and take adequate sleep.
Q. I am facing ED and delayed ejection. Can phimosis be the cause?
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?