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Hello doctor, I have a few sores on my penis. I have taken a few pictures. Can you check it is herpes? | 2,300 | Hi. Some more questions to come to the diagnosis. Are these spots painless? Did these appear first on glans and then on the shaft? Do you have a mild fever, headache, myalgias? Any discharge from these lesions? Lesions present anywhere else e.g. mouth lips? Are you on any kind of medication? | Q. I have few sores on penis. Can this be herpes? |
Hello doctor, I have been taking intermittent treatment for allergic cold and bronchitis with my family doctor pulmonologist and for some time for ET ear problem with a local ENT doctor. I had allergic sneezing and irritation for about 12 days, but no fever or cough. A local ENT gave me Azithral 500 and Nasivion drops for five days. However, as I got diarrhea on the fourth day, I called my family doctor in another city who prescribed Guncef 325 twice for five days, Montair LC once daily, and Formonide inhaler in case of heavy breathing. I have completed four days and infection is better and spitting of whitish phlegm is very less. But I still get nose irritation, sneezing, and intermittent throat sore. I do not have a fever or cough. Kindly advice. | 2,301 | Hello. From your description, it seems that you are suffering from allergic rhinitis and mild intermittent asthma. From the symptoms, it is very obvious that the symptoms like nasal irritation and frequent sneezing are because of nasal allergy. You have already completed the antibiotic course so it is not advisable to repeat it again. Start Avamys nasal spray (Fluticasone furoate) one puff twice daily in each nostril and continue Montair-LC (Montelukast and Cetirizine) for the time being. Nasivion nasal spray can be taken as required. Formonide inhaler must be continued if you have a cough and breathing difficulty disturbing your daily activities. You should always gargle after taking Formonide inhaler every time. You should try to find out and avoid the allergy trigger responsible for your symptoms. Once you start taking these medicines regularly all your symptoms will automatically get controlled. In case no improvement, you should visit your local pulmonologist to find out any other pathology. Nasal allergy. Spirometry to confirm the diagnosis of asthma. Avamys nasal spray 1 puff twice daily in each nostril, Montair-LC daily once at bedtime, Formonide inhaler as per need, Nasivion nasal spray as per need. Avoid known allergic triggers. | Q. Though I took medicines for allergic cold and bronchitis, my symptoms still persist. Why? |
I am 18, and I am sexually active and had sex twice last month, both using a condom but I’m not on birth control. I did not get periods in these last two months. I have frequent late period by a few days but they always come. So I took a pregnancy test a week ago and it came out negative. I have no idea if I’m actually pregnant or how I could tell that something else is wrong. | 2,302 | Hi, Don’t worry,I am there to help. I need to know about the date on which you got last periods.Also please give me certain details- -Are you having weight gain? -Is there excessive facial or body hair? -How much delayed are your periods? -Any dark pigmentation around neck or armpits? Since your pregnancy test is negative-you may not have conceived. It’s probable that you are developing PCOS too. During lockdown period the physical activity of most of us is a bit restricted and also there looms a lot of stress regarding Covid 19 These are factors that may lead to hormonal imbalance and hence delayed cycles. It’s important to engage is some exercises that can be done at home and it’s advisable to eat green vegetables and fruits and drink milk regularly. Meditation ,diet and exercise forms the primary regime to avoid irregular cycles.Its better to avoid excessive cheese ,fat,butter ,ice cream and fast and junk food. Hope this helps Please follow up with above details. | Q. I did not get periods for two months, and pregnancy test was negative. What else can it be? |
I have a gynaecological issue. My husband and I haven't had intercourse for more than 6 months. A few days back when we tried to have one, it hurt a lot and he withdrew. He didn't ejaculate inside. The very next day I had a brown discharge and since then tiny blood clots ranging from red to brown have been surfacing along with light stomach cramps. Is this a sign of an internal injury. My husband's erection lasted a few seconds and he couldn't penetrate properly since I started to get hurt. | 2,303 | Hi, Hope you are doing well. From the history that you have posted -I believe that you may be suffering from a dry vagina due to some reasons. 1.Were you experiencing pain during cycles previously? 2.How are your periods now-interval and amount of bleed-normal or reduced? 3.Are you breast feeding? 4.Have you ever gotten Pap smear done? Sometimes dryness may be due to allergy and anti allergic medications that probably you could have taken due to pharyngitis. It’s necessary to involve in enough foreplay before actual penetration-it helps in stimulating your genital glands to provide proper lubrication for penetration. Normally, the walls of the vagina stay lubricated with a thin layer of clear fluid. The hormone estrogen helps maintain that fluid and keeps the lining of your vagina healthy, thick, and elastic. A drop in estrogen levels reduces the amount of moisture available. It can happen at any age from a number of different causes. It may seem like a minor irritation. But the lack of vaginal moisture can have a huge impact on your sex life. Fortunately, several treatments are available to relieve vaginal dryness. You can use KY jelly locally in and around vagina before attempting intercourse. An internal injury is unlikely but please follow up with a gynaecologist If pain or bleeding is severe to get an examination done. Please use Tab Dolo 650 to ease off pain and hot water bag around lower abdomen during menses to avoid cramps. And the jelly I prescribed above to help reduce discomfort during intercourse. Since menses are heavy -your estrogen levels aren’t sufficient- so no hormone supplements needed. Premenstrual syndrome manifests as severe cramps sometimes and since you do not plan to get pregnant as of,you can consider taking contraceptive pills- it will slowly reduce the excessive cramps and will make your bleeding volume moderate Hope this helps | Q. I had severe pain when I tried to have sex after a gap of six months. Why? |
Hello doctor, I am getting dizziness while getting up from the bed for the past three days. My vitamin B12 is low in the report taken last month. Whether my dizziness is due to that or it is vertigo? Please suggest me some medicine. | 2,304 | Hello. The giddiness does not appear due to vitamin deficiency. The symptoms are suggestive of benign paroxysmal positional vertigo (BPPV). We need to confirm the diagnosis. For this you have to provide details as follows. Is it spinning sensation or is it weakness? Does it get triggered by turning your head or getting up from the bed? How long does the spinning last, say few minutes or a few hours? Is there vomiting or nausea along with it? Is there any hearing loss or ringing sound inside the ear or fullness of the ear during this giddiness? Is there any ear discharge or decreased hearing? Based on your replies we shall confirm the diagnosis and suggest the right exercise and medicine for you. The exercises cannot be explained via text. You would need to confirm for a video consultation so that we can show you the same. If the diagnosis is BPPV then I shall guide you on what to do next. | Q. I get dizziness only while waking up from bed. Why? |
Hello doctor, I have chronic granular pharyngitis. I was having throat pain for the past eight weeks. Initially, I took homeo medicines and it did not cure. Then I took Azithromycin and Metronidazole for a few days and I stopped this. Currently, I take tablet Claribid 500 mg twice daily morning and night after food, Betadine gargle, tablet Nexpro-RD once daily on empty stomach, Acecloplus for pain if required (I do not have too much pain), Montek- LC at bedtime after food. I started these tablets for two days but it seems that my condition is worsening. | 2,305 | Hello. Please send photographs and report of your throat. | Q. I have chronic pharyngitis and it is getting worse in spite of medications. Why? |
Hello doctor, I had sex with condom. Is there any chance to get affected with HIV? Until now, there are no symptoms. Generally, how many days will it take to identify HIV after sex? Please suggest, and I am a bit worried. Generally, in my company, they conduct medical tests yearly and in that it shows negative. | 2,306 | Hello, Welcome to icliniq.com. Doing sex with condom is safe unless it has torn or leaked. Was your partner a known case or later diagnosed to be HIV positive? Company tests that you have done, if it was for HIV and if it is negative, then you need not worry about it as test results will be positive in four to eight weeks after exposure. And the symptoms and presentation may be late and vary depending on the patient's immunity and other things. It is present with some symptoms be delayed even up to a decade or more. If you are already tested for HIV, and it is negative, then I do not think there is any reason to worry about your incident. If not yet tested and you want to clear your doubt, get it checked after this Covid period. It is not an emergency. Be careful and take safety measures. | Q. I had sex with condom before some years with no symptoms. Will I get HIV? |
Hello doctor, My daughter is almost 14 months old. She had a rash on her vulva for maybe one and a half months. We have tried everything Desitin maximum strength, A + D ointment, Triple paste, Aquaphor, Boudreaux's butt paste, and prescription Hydrocortisone. We change her every four hours and blow-dry her privates for about five minutes. Her diet has not changed much since turning one because she still only has two teeth, so we continue feeding her pureed jar foods, but introduced Ritz crackers and string cheese as snacks. We do switch out her powder formula for whole milk, but her stools are still the same. There is no blood or diarrhea. My mom rarely has cold sores and when she does, she is careful about washing her hands and generally avoid the baby. What can this be and what should I do? Do you think she has herpes? | 2,307 | Hello, Welcome to icliniq.com. Is there any itching? Any other area affected? Is it increasing or persistent in nature? | Q. My 14-month-old daughter has rash on her vulva and many medications failed. Please help. |
Hello doctor, I have a painful armpit lump. Please suggest. | 2,308 | Hi, Welcome to icliniq.com. It is an infection. Take tablet Cefixime 200 mg twice daily for five days, Mupirocin ointment daily for five days. Take antiseptic soap for bathing. Tablet Aceclofenac and Serratiopeptidase once daily if there is pain. Review after five days. Infection will subside, if lump remains it need to be removed surgically. Send a photo after five days. Bacterial infection. Fasting blood sugar. | Q. I have painful lump in my armpit. Please help. |
Hello doctor, I have an urge to urinate since 15 days. Top of my penis glans become darker some days before I get the urge to urinate. I have constant urge throughout the day. I am 27 years old. | 2,309 | Hi. Coming back to your query, have you started the treatment of your own? Though the picture you provided (attachment removed to protect patient identity), is of low quality but I can make out some bluish discoloration near the tip, is that you are talking about? Have you had any history of unprotected intercourse or oral sex, have you encountered similar problem in the past? Have you seen this kind of discoloration after use of condoms before or you can correlate this time? Any history of diabetes or hypertension? I am writing you the prescription for the complaint you told me. Do update me with answers Tablet Roliflo (Tolterodine plus Tamsulosin) 2. 0-1-0, Syrup Alkamax /Citralka 10 ml 1-1-1, tablet Chymoral forte 1-0-1. Stop Ibuprofen after three days from the day you start. Continue rest of your medications as before for total of seven days (if not get settled we will get some investigations done). | Q. I have an urge to urinate constantly for the past 15 days. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 2,310 | 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. | 2,311 | 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. | 2,312 | 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. | 2,313 | 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. | 2,314 | 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, About a week ago, I started to notice a fuzzy tingling sensation going down my neck and back when I look down at the floor. If I continue to stretch my head forward and back, I no longer get the sensation down my back and neck, but this sensation will come back after I have not looked down for a while. The closest thing I can find that matches my symptoms is the L’Hermitte sign. I do not have any other symptoms, my vision is fine, I have no problems with balance or anything else associated with MS (as L’Hermitte is typically found in MS sufferers) but this was the only disease I could find that fit my symptoms best. Nothing is painful it is just a weird sensation. I have had no accidents or traumas to my neck or anywhere, and I do not take part in any aggressive physical activity. I am otherwise active and healthy, BMI of 26.2. I am a 25-year-old male. Just to mention, I do have a bad back posture if this is contributing? | 2,315 | Hello, Welcome to icliniq.com. Your query will be addressed properly and you will be provided with best of the treatment, I assure you that. Now Coming to your condition, your BMI (26.2) comes in preobese category which could be one of the cause of tingling sensation because weight puts more pressure on your spine and your bad posture may add up to your condition. Do you spent lots of time in front of screen like mobile or laptop? Given your medication history, are you taking it for asthma? Which other medications have you taken for it before? Is it under control? I can prescribe you proper drugs and exercise, but I have a few questions about your condition that need to be asked. If you can join me for the follow up, or hotline chat, it will help me to analyze you properly and you will be fine with proper guidance. follow up with details. | Q. I have tingling sensation in my neck and back which reduce on stretching the neck. Why? |
Hello doctor, My contact scratched my eye the other day. My eye has become progressively worse. It is my right eye and it is red closet to the inner corner and when I blink, it feels gritty. I think it is just an eye infection. | 2,316 | Hello, Welcome to icliniq.com. It is conjunctivitis. Use Moxifloxacin eye drops four times a day for two weeks. Just Tears eye drops (Carboxy methylcellulose) four times a day for two weeks. Do warm compress three times a day. Stop using contact lenses until the eye is quite. If the black part of the eye (cornea) starts becoming white at the corner, it is corneal ulcer which requires vigorous treatment, and you need to consult a local ophthalmologist as soon as possible. (since you gave history of scratch). Keep checking the cornea (black part of the eye). | Q. After scratching, my right eye becomes red in the inner corner. Is this eye infection? |
Hello doctor, I have had these red bumps on my stomach for six days. A little up my chest, neck, and arm. They are not itchy too much. I have been using Cortisone and it has not gotten any better. Now it sort of looks like my boyfriend might be starting to get them on his back. Not 100 percent sure. I am currently on Lexapro. | 2,317 | Hi, Welcome to icliniq.com. Lesions are looking like red papules. (attachment removed to protect patient identity). Miliaria is common if you are sweating more. Some are looking infected. Is there any fluid coming out of some lesions? Any chance these are subsiding after a few hours? If your friend is also getting it then it can be folliculitis. It is a mild bacterial infection. If available please use Mupirocin or Fusidicacid cream. Apply Calamine lotion once. Anti itch medications in the night. Drink a lot of water. | Q. I have red bumps on stomach, chest, neck and arms. Please help. |
Hello doctor, I am having frequent urination for the last four to five days coupled with bloating. I used to have the same problem in the last year also. Please guide. Can this be symptom of ovarian cancer? Recently I lost 6-8 kg of my weight. | 2,318 | Hi. Do not think of ovarian cancer as such with a single symptom. Frequent urination can be due to UTI (urinary tract infection), cystitis, bulky uterus, or uterine prolapse. It's acute onset points towards infection more likely. Just drink more water that keeps urine clear. Keep the vaginal area as dry as possible. Avoid having sex. You can take liquid Cital 2 tablespoons two to three times daily, tablet Niftas 100 mg two times daily for 15 days. If not relieved then only we have to look for other problems. Right now I am giving treatment and precautions for UTI only. For bloating, it may be due to acidity or stomach upset. Starvations or not walking like home lockdown can also increase the acidity. So avoid spicy and oily food. Do not starve. Do not take stress. You can take tablet Ondem 4 mg like tablets two times a day or Pan 40 once daily. If weight loss is without decreasing food habit and other things then need to do one ultrasound abdomen and pelvis along with one chest x-ray may be required. Means need to investigate for finding the reason. Ultrasound will also tell about any other pathology if you have doubts about your ovaries. And if symptoms are increasing then urine routine test and if pus cells found than culture sensitivity of urine also required. You can start with drinking more water and precautions and other medicines. Will see in two or three days whether decreasing or not. | Q. I get frequent urination for about a week. Can this be a symptom of ovarian cancer? |
hi, male, age 36, i have 2sides bottom big teeth its infected completely, every six months i get severe ache, the teeth is hallow, do i need to close the gap what do u suggest. this teeth is infected almost 6years above i hope. but recently since a 20days the tooth ache is severe. bottom end munching big tooths both sodes are infected and its Hallow, cant munch anything just having liquid type food, avoided sugar content foods.very rare Tea. Taking antiboitic and pain killer from Medical stores and Gogling salt water. also 2cloves near infected tooth for Relief. | 2,319 | Hello, I have gone through your query and understood your concern. A clear clinical picture or an x-ray of the teeth will help determine the present condition and the extent of the decay. This tells whether the teeth can be saved with a root canal treatment or it needs to be extracted. If this pain is manageable with the meds, I suggest you to continue using the same meds and home remedies. Let this pandemic settle, after which this can be treated safely. If this pain is unbearable even after taking meds, please visit a nearby dentist for an x-ray and an emergency procedure. Since it's the time of the pandemic, the dentists are providing emergency care only and sometimes with prior telephonic consultation. Call up a nearby dentist to get an appointment. And if your planning to go out to get this treated, make sure to follow measures for self-protection. I hope this helps. Good day, and stay safe! | Q. My two lower teeth are infected and pain every six months. What do you suggest? |
Hello doctor, I have been experiencing a chronic cough and it has clear-bubbly phlegm and I am so bothered about it because it has been a year since I have it. Sometimes, I vomit especially when my cough is severe and it sometimes makes me breathless. I have been taking antihistamine for it but it has no effect. I am so bothered and worried because it is been a year but still I am not well. Please help. | 2,320 | Hello. According to your statement, you are suffering from chronic cough for almost a year now that makes you breathless. You did not mention here about your family history, working history, living history, allergic history, smoking history, and the factors that make you breathless sometimes. There is no history of nutritional status, night sweating or weight loss. As we know, chronic persistent cough that occurs most of the days for three months for two successive years is called chronic bronchitis. Again, COPD (chronic obstructive pulmonary disease) includes chronic bronchitis along with emphysema. So, my probable diagnosis is COPD. COPD can be confirmed by reversibility test, as it is irreversible so FEV1 will be <15% after Salbutamol or steroid trial. You should undergo lung function test that will reveal FEV1/FVC <0.7%, TLC-increased, RV-increased, CXR, sputum for C/S, blood gas analysis, etc. By using Salbutamol or anticholinergic inhaler, corticosteroid or oral steroid intake, occasionally oxygen inhalation, you may control your chronic cough to some extent. Please inform me about your investigation results as soon as possible. | Q. I have chronic cough with breathlessness problem. Please suggest treatment. |
Hello doctor, I got on an airplane and started having stomach pain. When I landed I used the restroom but could not empty my bowels. I then drove for two hours and had terrible stomach pain. I then used the restroom and was able to terminate a little but it was not a normal amount. I continued to be constipated for days. I finally took ex-lax and that cleared me out but I could not go the next day. So I waited a whole day and took it again (it worked) but I cannot terminate. It has been days. I usually go three times a day. I have been running, hydrating and eating well. I am not stressed. My stomach is completely bloated and each time I take ex-lax the bloating is gone and my stomach is four times smaller. I took some prune juice and my lower abdomen started having painful contractions for an hour followed by diarrhea. I am at a loss. I have tried fiber too and nothing helps. Please help. | 2,321 | Hello. A couple of things, use of stool softener or laxative is not recommended unless you have constipation for three days and you are passing gas. You are most likely to have diarrhea if you use it earlier also you may have post diarrhea ileus (the gut can go into a stunning situation and you would be constipated). My recommendations would be not to use any stool softener or laxatives and allow your natural habit to return. Please add vegetables in your diet and salads. Please only use MiraLAX (Polyethylene glycol 3350) it is a laxative solution from day 3 if you are not still going. Also, the bloating is a side effect of the product you are using. | Q. I had Ex-lax for constipation and bloating, but I was not benefitted. Why? |
Hello doctor, I am having pain in stomach and having loose stools. I also have a bad taste and feel like vomiting. Please tell me the treatment. | 2,322 | Hello. Kindly tell me how long these symptoms appeared? Do you have past history of any illness? Do you take any medicine on a regular basis? Are you married? Current history of pregnancy/delivery? Do you have regular periods? Any recent lab test or report? If these symptoms appear recently without any history of cough, fever, sore throat, no chronic illness, not taking any medicine on regular basis, no history of pregnancy, delivery, breast feeding, having regular periods, no recent labs then take the following treatment. Tablet Flagyl 400 mg three times a day, Motilium 10 mg three times a day, half an hour before meals. Take the above treatment for five days then followup. If you have any history other than the above issue or if you have positive answer to any of the questions mentioned above then please do not take this treatment and immediately take the opinion from a doctor. I hope this helps. | Q. I have pain in stomach with bad taste, nausea and loose stools. Please help. |
Hi good morning. I am 41 yo ,female, with partner, H5'6"; W 65 kgs. I would like to consult about the chest and back pain that i am feeling lately. Chest and back pain usually happen 1-2 hours after i eat or at night. No fever. The pain usually take 15 minutes or longer. I felt like i'm being choked by the air in my esophagus and my stomach bloated. When i take antacid like kremil-s chewable or omeprasol i felt a bit relieved but still too much gas in my stomach. My bp is normal. Is there any alternative medicine that i need to take? I have no allergies to medicines. Hope to have meds that are not harmful to liver as I am diagnosed as HepaB asymptomatic or HepaB carrier. Thank you in advance for your help. God bless | 2,323 | Hello Sorry to hear that you are suffering from chest and back pain. If it's happening after eating then probably it's more of a stomach issue. As your query goes regarding alternative medications apart from Omeprazole and kremil syrup we can definitely change to lansoprazole which is similar to Omeprazole but slightly stronger. Dosage would be 30 mg twice a day for 7 days. There are other things that I would like to discuss. As obvious the above medications are for symptomatic relief but we need to find the root cause of the problem. Possibilities include gastritis, H pylori infection( a type of bacteria affecting stomach), ulcer in the stomach or upper part of small intestine. To rule out any of these you would need to see a Gastroenterologist who can then do an endoscopy and get a tissue sample from your stomach to check for H pylori. I know that you might be afraid of these tests but there is nothing to worry as the procedure is usually painless and done as a day care so that you don't have to stay in the hospital. Atlast maintain a healthy diet. Reduce spices and carbonated drinks in your diet. Some aerobic exercise like yoga should also help. All the best. Take care. I hope you get well very soon. | Q. Lately, I feel chest and back pain 1 to 2 hours after I eat or at night. Please help. |
I am 32 years old healthy male without any relevant medical history. I am married since 2 years and do not have kids. Till 3 months ago I used to have weekly sex with my wife but now since last 5 months I have been staying without her in some city so meet her only once a month. I also masturbate once a day mostly. In last 45 days we have met three times but I felt less confident in maintaining erection enough to have sex, so I had 5 mg tadalafil and did intercourse comfortably. But yesterday I had to to take 10 mg tadalafil and then also I was under confident. Kindly suggest: 1) if I have erectile dysfunction and need to take medicine 2) If it is just psychological condition and need not worry 3) Or keep consuming 5mg/10 mg tadalafil every time having sex. But I am afraid this will be habitual and long term usage for next 15-20 years shall have side effects on my body and family planning 4) Or whatever you suggest is right Thanks a lot. | 2,324 | Erectile performance and ejaculation can be influenced by many factors, if you are anxious, sad or stressed this can get lower performance, if you are relaxed and happy you will have better performance because it is affected by neurotransmitters, which is influenced by mood, stress level, etc. the more relaxed, happy and stress free you are the more levels of these neurotransmitters and better performance, it's also influenced by emotional factors with your partner, if any problem between them can lead to psychological erectile dysfunction which is common in young couples. and when partners stay away they are not doing sex often and they get distanced in emotions and some level of anxiety builds up when they perform. | Q. I am not able to maintain an erection even after taking Tadalafil. 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? | 2,325 | 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. | 2,326 | 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. | 2,327 | 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. | 2,328 | 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. | 2,329 | 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? |
I have been having deep ear pain on and off for months now with the feeling of drainage going DOWN my throat from my ear. No drainage to the outside whatsoever. A few years ago I had eustacian tube Dysfunction with all of the pain, pressure, hearing loss, etc. this is NOT that. It’s been going on on and off for the past few years after that time. Right now I’ve had a low grade fever for 6 days, generally feeling unwell, have lost about 6 lbs, and this ear pain and TONS of drainage which is starting to drive me just crazy. I don’t know what’s wrong with me. Can you help? | 2,330 | Hello, I would consider a low grade otitis externa as a possible source of some of your symptoms...Consider clotrimazole 1% DROPS---this can be ordered online, as it is hard to find in pharmacies sometimes...use twice a day X 7 days. If this doesn't help, then get back with me. In the meantime, if you cannot "pop" your ears and relieve the pain/pressure, then you are probably right that it is NOT ET dysfunction---but if you can, start a nasal steroid spray twice a day C next few months. You could also have sinusitis causing the drainage...that would require a visit to an ENT. Finally, if you have poor sense of smell and fatigue with the low grade fever, there is a chance that you have COVID. If symptoms worsen, then get this checked out. In the meantime, follow strict social isolation. | Q. I have ear pain on and off for months with drainage down the throat and fever. What to do? |
Recent blood tests revealed that proteins in urine is 486 against 130 in the 24 hour unit test. I am diabetic, however it is under control. Fasting sugar is 106 and after break fast it 120. I am using Diapride M 0.5 for Blood Sugar and Citanil T 40 for BP. I consulted nephrologist and he told me that for my age of 62 and being diabetic, the said protein loss is not unusual and the tablet Citanil T 40 will take care of the problem of protein loss. My present problem is I am feeling terribly weak . Should I need to change the tablet or take medicines for weakness. | 2,331 | Dear, Thanks for the query As per the records you have diabetes, hypertension and related complications such as retinopathy, nephropathy Your blood sugar control is good and other investigations also look fair Your doctor has rightly prescribed you Cetanil-T which contains Telmisartan which is used to treat proteinuria The proteinuria can not explain the weakness Two main reasons for weakness in your case may be low blood pressure or low blood sugar- so monitor thess. Check your blood pressure in lying down position and after that stand up and after 3 minutes check it again. if there is a fall of more than 20 mm Hg in systolic blood pressure or > 10 mm Hg in diastolic blood pressure then we need to reduce your antihypertensive medications. Diabetes related complications Monitor BP as advised Postural hypotension to rule out May require antihypertensive reduction after checking BP | Q. I am diabetic, feel weak, and proteins in urine are high. Should I change my tablets? |
helo respected dermatologist i have pigmentation dark spot melasma on my face since last 16 year i have taken alot of medication and consulted alot of dermatologist which are well known by every one in our country sir, but is was in vain. Past medications include clripex,clarimax.dermaclean,cybelle bellence,tablets =feefall ,sangobian,evion,glutamax, seapio,colophylum,lycopodium.and much more if i will startt writing i thing this text box is not enough too complete my whole medication i have used too many creams wiyh passage of time i have also used this commercial creams(stillmans,goldenpearl,arina,etc). | 2,332 | Q. I have melasma on my face for the last 16 years. Why does not any cream help? | |
My daughter Age 12 yr. has gone under CXL Eye surgery a month back. Due to lock down its not possible to consult the doctor, I would request kindly advise, till when we have to continue these eye drops. (from 27 days ) we are continuing (Vigamox-Moxifloacin Ophthalmic solution IP 0.5% W/V 3times a day and Carboxymethylcellulose eye drops IP 5times a day) how long we have to continue this or what other basic precaution should we follow please help..If it possible I would like to consult from you either video/audio. | 2,333 | Hi. Good afternoon. I hope you doing well. Most probably CXL done for keratoconus. usually post op antibiotics drop (vigamox) are prescribed for 4-6 weeks so you can continue vigamox 2-3 times a day till 6 weeks. Second drop is lubricant/ artificial tear that can be used long term to avoid dry eyes. so continue that till you ger re-examined by a doctor. if there is no redness/pain or any other problem nothing to worry about. after CXL you would need long term follow up to assess that disease is stable or still progressive. for that your de may advise Topography scan after 6 months or 1 yearly. So stay at home, stay safe. You are most welcome for any queries. GOD BLESS YOU | Q. My daughter underwent CXL eye surgery a month back. How long to continue the eye drops? |
Hello, My wife and I had unprotected sex exactly two weeks ago. She mentioned that it was 6 or 6 days after the end of her last period. She has mentioned that she has felt soreness in her breasts since three days back, and we are worried that she may be pregnant. We do not want her to have a baby at this point, and no abortion pills or abortion clinics are available in the country we live in. With the Covid-19 spread around the world at this time, travel to conduct an abortion at a clinic is not possible for us. The closest thing we have here are Yasmin pills, will taking them two weeks after having sex have any impact? Please help | 2,334 | Q. Will taking Yasmin pills after two weeks of unprotected sex prevent pregnancy? | |
Hello doctor, For the past two and a half months, my son 2 years old has had total bright green poop. Sometimes pasty. He is in daycare. For the past two months, I have also started to have total bright green stool inside and out with bright green mucus. 80% of the time without eating anything green significantly enough to cause consecutive green BM’s consistently in and throughout even while missing meals due to lack of appetite. I had lost 15 lbs in a month and a half. I have to force myself to eat. Due to all the complications I had been facing (I am a particularly healthy individual. Eat fairly healthy, have healthy habits. Never been to the hospital except to have pregnancy and delivery. But have been four times in the past two months for feelings of passing out, fast, and high heart rates. From out of no where very scary, feelings of extreme exhaustion, low energy, and tired quickly. Feeling dizzy with feeling off balance). I forgot about the bright green BM of my son that had been ongoing and decided to tell his doctor. She said it could be an infection. I have had test on my heart from cardiology they ruled out everything cardio, test for vector like illness from my travel and ID ruled out those things like dengue fever. (I did not stress the BM at that time). And for the virus going around presently. All negative. I am feeling defeated. My job has started to suffer and I am a very hard worker? What type of infection causes bright green BM? And could this be the culprit of my all of the sudden odd symptoms? | 2,335 | Hello. I am very much concerned with all the problems you are facing. As both of you have the same problem and at the same time you are losing weight and also developing some vitamin deficiencies due to which you are feeling exhausted and having problems with your memory. You are also having some travel history. To me it looks like to be chronic giardiasis but needs to rule out other causes as well. I will like to suggest some tests and will advise some initial treatment. Hope that it will help out in your and your baby problem. If you still remain symptomatic get back to me early. Try to use multivitamins and a lot of fluid intake. This you dont have to worry alot, it all will settle with treatment. And I think that all your symptoms are associated with these loose stools which are leading to nutritional deficiencies. I will advise you to take multivitamins containing Folic acid and Vitamin B Complex. Complete blood count, electrolytes, stool for ova and cyst. Giardiasis. Tablet Tinidazole (Tindamax) 2 gram once as a single dose for you and 50 mg as a single dose for your child. Use boiled water. Get back to me with these lab workup. | Q. What type of infection would cause bright green stools? |
Hello doctor, My head has red patches for the last six years. My hairs are falling (white hair only). I also suffer from low testosterone level for the last six months. Please help. | 2,336 | Hi. You have a condition called as scalp psoriasis. This happens due to an increase in turnover of cells at the level of skin. Stress, infections, climatic change, and consumption of eggs or red meat can cause this to increase. You can use a Clobetasol with 6% salicylic acid lotion on the patches everyday morning and night for two weeks. You can also use a coal tar based shampoo to wash your scalp on alternate days. Consuming fish is beneficial, you can also take fish oil capsules like Seven seas. You can apply Cobiwell S (Salicylic acid and Clobetasol) lotion over the patches morning and night for two weeks. Use Polytar shampoo thrice a week, leave on scalp for five minutess and wash. | Q. I have red patches on head with hairfall. Please suggest solution. |
Hi doctor, I had consulted earlier here. I had complained with issues of cold and strep throat. Doctor had prescribed Azithromycin, Crocin, and Fexofenadine. The strep throat is recovering. I no more have running nose but I feel that my chest is heavy while breathing. Could you please tell me what it is?Nothing to worry right? | 2,337 | Hello, Welcome to icliniq.com. According to your statement, you had a strep throat and now your chest is heavy while breathing. Upper respiratory tract infection is very common complication of untreated or partially treated strep.throat it makes your chest heavy while breathing due to thick mucus production. You do not mention here about your fever or joint pain or shortness of breath or chills or cough, etc. Again strep.throat can cause several complications like pneumonia, bronchitis acute and chronic, streptococcal toxic shock syndrome, rheumatic fever, etc., which associated with chest pain, heaviness, fever, cough, etc. You are on medications like Azithromycin, Fexofenadine, Paracetamol, etc. You can add Montelukast, nebulizer with Salbutamol three to four times daily with mucolytic agents like Mucinex, Carbocysteine, Bromohexine, Pulmozyme, etc., to make your thick mucus loosen and remove easily through coughing. You should undergo CXR (chest x-ray), CBC (complete blood count, ECG (electrocardiogram), etc., to find out the cause and carry on your medications. If any complications occur inform me I will help you to treat further. | Q. After recovery from strep throat, I feel chest heaviness while breathing. Is there any problem? |
Hello doctor, I got liposuction surgery last month. I was in the hospital for two days and then I was discharged. I come from a small town so I had to go a bit far from my hometown for the surgery. My doctor claims that he has 22 liters of fat removed from my body. My bodyweight before surgery was 90 kgs and post-surgery it was around 79. I got liposuction in my thighs buttocks abdomen and arms. I searched online and it says that this much amount of fat removal from one surgery is not healthy. To give an idea of my BMI my height is 5'2". The problem is it is already 21 days since surgery, and I have one of the drains which my surgeon kept open still draining, it started to drain post 7 days of surgery and it is on the back of my right thigh, and this is the third that opened since surgery but the two drains have already closed and clean, I still have swelling all over my body and I am facing a bit of problem in walking normally. Because of the lockdown in my city I am unable to meet my surgeon and get post-op care, but he suggested that any general surgeon can help me so I consulted a general surgeon in my town and he said everything is fine. Also, I have skin necrosis on my left thigh. I do not know what I should do? As I have read online that most of the patients get well after 21 days of surgery and here I am still going through drain let alone nowhere close to healing completely. | 2,338 | Hi. Drains left open for fluid discharge generally close within two weeks. I think you were done a tumescent type of liposuction. You do not have any immediate complications as per your description, so I think it was done nicely. But prolonged complications in drain discharge needs some supervision. I hope you do not have any fever, because that indicates infection in that case you have to start antibiotics as per culture sensitivity immediately. I also wanted to know about your urine intake and swelling and thus you need to be done kidney function tests for the swelling. If there is skin necrosis it also needs immediate intervention. I advise you to have some tests which I am writing and get help from a good surgeon. Infection which spread to internal organs can be dangerous and so the skin necrosis. Emergency services are not blocked in lockdown. Liposuction. RFT (renal function test), LFT (liver function test), complete hemogram. | Q. Is it dangerous to remove large quantity of fat in single session of liposuction? |
Hello doctor, My daughter is 11 years old with a tube in her left ear and a perforation in her right ear. The doctor does not want to fix the perforated ear until the tube falls out of the left ear and is healthy for a year. In the meantime, it is suggested that a hearing aid be used until the perforation surgery. Does this sound like a normal course of action and will ear perforation surgery improve the situation? | 2,339 | Hello. We shall do the ear perforation surgery only when we are sure that eustachian tube ventilation to the middle ear is normal and not hampered by any reason. The functioning of the eustachian tube is indicated by the successful falling off of the ventilation tube (the grommet). The falling off indicates that middle ear pressures are getting maintained by the natural eustachian tube. Usually, kids of this age have some remnant adenoids which causes tubal obstruction causing recurrent ear issues (like in your kid). Usually, the adenoids regress by this age. If they don't, then the kid will have symptoms of mouth breathing, snoring, teeth crowding and protrusion, and other signs of adenoid facies. If these issues are there then before we attempt ear surgery we will have to remove the adenoids (and +/- tonsils). Because the source of ear infection is adenoids (+/- tonsils). Otherwise we can wait for a while until the natural eustachian tubes function well and then we can repair the eardrum. We would need to do an adenoid x-ray to check for the adenoid size. Meanwhile, hearing aid is the best option because you cannot risk your child not hearing properly at this age as it would adversely affect his speech and development. For any queries on this matter please revert back to me. | Q. My daughter has perforation in right ear and doctor suggested hearing aid. Is this the right treatment? |
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? | 2,340 | 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. | 2,341 | 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. | 2,342 | 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. | 2,343 | 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. | 2,344 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have absence of ductus venosus during pregnancy during the first and second trimester. Please suggest. | 2,345 | Hi. Absence of ductus venous during the first and second trimester scan is a vascular condition that might be of concern for fetal abnormalities. It can put the fetus at risk of other congenital anomalies including facial clefts, hemivertebrae, cardiac, genitourinary, and gastrointestinal anomalies. | Q. There is no ductus venosus during 1st and 2nd trimester. Will it harm the fetus? |
Hi doctor, I have done some research and I am pretty sure I have depressive bipolar disorder. I have struggled with something I thought was depression for a long time but it was always more like episodes of suicidal thoughts and me being in a deep depression. Like if I do have it the other night I had one that lasted four hours and last year I had one that lasted three months but I did not tell anyone. I would like to do something about it now or know what I actually have. By the way, the episodes are completely random but there have been a few times when there is a trigger. I also want to be on medication because I have tried everything else as nothing works. | 2,346 | Hello. What are your symptoms exactly? If they are of depression, then the treatment with an SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic and hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder. So if you are just depressive then SSRIs are to be used and if you are bipolar then a mood stabilizer will be added to the prescription. | Q. I get random suicidal thoughts which increases on trigger. Please help. |
Hello doctor, I am experiencing irregular periods, sometimes two times a month (latest before three months) and sometimes it will skip for two or three months. I also noticed that I suddenly have hair growing on my stomach and chest. Also, I do not have hair on my legs before but now I have a few hairs growing on some spots. I also noticed that there are suddenly pimples on my back which never happened before, this occurred last month. I have not done any tests on my thyroid or hormones. I used to also take pills (Diane) to regulate my menstruation but after two months I stopped. | 2,347 | Hello. I can understand your concern. According to your statement, now you are suffering from amenorrhea (absence of menstrual cycle), hirsutism (hair growth in women in the male pattern), acne (pimples-one type of acne on the back) and having no history of thyroid or hormonal test and issues cause you are on childbearing age suggests that it may be PCOS. Polycystic ovarian syndrome (PCOS) can be established by your clinical features with some investigations result. You should undergo abdominal ultrasound which can detect bilateral polycystic ovaries. You can undergo some blood tests too like blood for testosterone (increased), sex-hormone binding globulin (decreased), LH:FSH ratio (increased) and thyroid test to exclude hormonal diseases. You can start Metformin (Bigunide-therapeutic class) to restore your regular cycle and fertility and supportive management for your other complications and estrogens therapy. | Q. I have irregular periods with unwanted hair growth and pimples. Please suggest. |
Hello doctor, I was going on a regular day without fever or feeling anything bad with my body. Then I suddenly started sneezing every ten to fifteen seconds. My eyes became a bit watery. I went home and suddenly started to have a nosebleed. It happened once only this afternoon but now I feel a bit of weakness and headache. I would like to know what possibly caused the nosebleed? I cannot get into a hospital to consult because the roads here are still blocked by the military because of the Covid-19 situation. By the way, I am a 24-year-old female. I am not taking any kind of medication as of this moment. | 2,348 | Hello. I can understand your concern. Is this the first time you have noticed that bleeding from your nose? Since you do not have other symptoms that can qualify to suspect for Covid-19, you do not have to worry for time being. However, you must follow the WHO (World Health Organization) guideline and keep yourself safe and isolated at least for two to three weeks and wash your hand with soap and running water with an adequate amount of time before and after touching any things, place which might be contaminated also avoid touching your face mouth as much as possible. As for now, you do not have any symptoms and sign so you do not have to worry about Covid-19. For bleeding from the nose, kindly press that area using your clean hand for a couple of minutes and it will be stoped normally. Keep yourself hydrated with having enough fluid (water, juice, etc). I hope this helps. | Q. What could cause sudden sneezing with nose bleed? |
Hello doctor, I am 19 years old. I weigh about 70 kg and my height is 5’7". My semen has been yellow color for the past one week and now it seems like it has urine in it (but it has no foul odor). And my penis is quite itching, also sometimes I experience discomfort when urination. I wonder what is this condition I am having right now and what is the possible treatment? | 2,349 | Hello. According to your statement, you are 19 years old sexually active person suffering from discharging of yellowish colored semen, itching of penis and feeling of discomfort during urination and all your symptoms indicates STD (sexually transmitted disease). Your STD is either chlamydia which is caused by chlamydia trachomatis, most common or gonorrhea which is caused by N.gonorrhea or both. Both diseases present similar clinical symptoms and treatment is almost the same. Single dose of Azithromycin is the treatment of choice. By collecting urethral swab, it can be specified either chlamydia or gonorrhea. In gonorrhea, urethral swab shows the presence of gram-negative diplococci and in the case of chlamydia, swab shows non-specific urethritis. Urine for C/S can also be done. After undergoing the investigations, please inform me about the results. | Q. My semen is yellow colored with penile itch and discomfort on urination. Why? |
Hello doctor, I am concerned about a head twitch. I have gotten in a habit for seven months of twitching my head. If I am consciously thinking about what I am doing, I can stop it. However, it is extremely difficult and I feel an overwhelming impulse to do it, similar to how one would feel when cracking his or her knuckles. It seems like it has become a habit and I do not know how to stop it. I also want to make sure there are no underlying medical conditions, however, as I mentioned, when I pay attention I can control it, even though it is difficult and uncomfortable and I have to put a lot of effort into not doing it. I read online that it may have something to do with stress or anxiety? | 2,350 | Hello. From your description, it looks like you are experiencing a motor tic. Do you have any other symptoms? How old are you at present? You mentioned this tic started befor seven months. Have you experienced any tics before? Any vocal tic? Tics can be suppressed temporarily but can be uncomfortable as you mentioned. Tics can wax and wane depending on stress, anxiety, tiredness, etc. Usually, tics are common and harmless. It is advisable to consult your doctor to clarify the diagnosis and to exclude any conditions that can mimic tic disorder. Mild tics can be managed by stress management and relaxation exercises. If tics are severe and persistent, it can be managed by specialist therapy cognitive behavioral intervention for tics (CBIT). Sometimes medication can be used as well. I hope this helps. | Q. I am getting head twitch for about 7 months and could not control on my own. Why? |
Hello doctor, I am 19 years old. I am facing some kind of fear from about six to seven years. I thought it naturally demolish with the time but now it is increasing day by day. Before I have the only fear of suffocation and inclosed space like jet, lift, etc. Now from about two months, I am facing one more new phobia which is I cannot catch my breath then my heartbeat rise rapidly. I cannot focus on my life goals. Due to these problems, I cannot go foreign or everywhere where I want to go. Please help. | 2,351 | Hi. Yes, you are experiencing panic-related symptoms under anxiety issues. As you have shared of phobia. It requires adequate counseling and brief psychotherapy to deal with anxiety problems. The symptoms you are experiencing are part of panic attack. Feelings and symptoms like palpitations, getting heart attack, difficultly in breathing, digestive concerns, and sleep problems can be a part of heart related problems or anxiety. At first, you must need to get proper assessment identifying the cause of this anxiousness whether it is work related or some personal issue. It can be done by analyzing thought processes when you are having such symptoms. After analyzing thoughts, cognitive behavior therapy, thought channelization, and restructuring are quite helpful. In addition, to make yourself relax you can do the following: 1. Deep breathing exercises. 2. Walk for at least 30 minutes per day. 3. Workout if possible to release toxins out of your body. 4. Reduce smoking (if you do). 5. Avoid junk and spicy food, soft drinks. 6. Increase water intake. 7. Thought diary or journaling will be also helpful for analyzing and restructuring of thoughts (underlying cause) of the problem. You can also have an appointment with the counselor to help you in assessing and provide you with individualized therapy as per the requirement. | Q. I have phobia of closed spaces with breathing problem. Please help. |
Hello doctor, I have erosion in my stomach, severe burning sensation and sometimes vomiting and bloating. I have done endoscopy, colonoscopy, angiography and hospitalized for about four times. Recently, again I have done endoscopy found antral erosion. Please advice. | 2,352 | Hello. You have recurrent complaints of antral erosions and ulceration. I will advise some treatment and hope that it will help out. You should send me all your previous endoscopies and other reports done until now. I will also like to know about your H.pylori status. None at the moment. Peptic ulcer disease. Capsule Dexlansoprazole 60 mg one before breakfast for four weeks, Levosulphride 25 mg three times a day before meals for two weeks, syrup Gaviscon (Alginate) 10 ml three times after meals for 10 days. Avoid spicy foods. Follow up after one week. | Q. I have stomach erosions with burning sensation and bloating. Please suggest treatment. |
Hi, I straightened my hair for 3 times. After my third time my hair became really dry and curly also there is a lot of hair fall while shampooing.Please let me know whether i can make my hair better | 2,353 | hi, hairs are basically dead keratins only the hair follicle inside the scalp skin from which hair grows is living. so when you straighten them or when you bleach or when you do any styling over them some part of the is always damaged. so that cannot be repaired by the hair itself only the new hair which will grow from the follicle below will be normal. so as you have said you have straightened them three times so you can imagine they are quite damaged. they will break there will have split ends and there will be lusterless without any good conditioner. so if your otherwise hair growth has been normal you have no other option but to just wait for the new hairs to grow and replace the existing damaged ones.. to increase hair growth you can use minoxidil 5% twice daily over the scalp tablet calcium pantothenate + biotin for 4 weeks. both minoxidil and Calcium pantothenate increase hair growth and hair are thick also. I hope this help. thank you | Q. My hair has become dry and is falling out after getting it straightened. How to make it better? |
Hi, My mother is 48 years old. She experienced irregular spotting and missed periods last month. Consulted a doctor and got blood tests, sonography done. Sonography was normal but her TSH was high..around 17 and she is suffering from hypothyroidism. The doctor prescribed Eltroxin 50mg tablets and she has been bleeding in low to medium period flow since 2 weeks. The doctors aren't available due to COVID-19. Please advise. | 2,354 | Hello, Could you share the scan report if it's possible for you. Thyroid abnormalities do cause some bleeding irregularities, and also you mom is in the perimenopausal age group, where anovulatory cycles are common which can lead to irregular periods. As she has been bleeding for the past 2weeks , and is not stopping, it would be better she starts of with the Hormonal medications to control the bleeding right away. I have mentioned the same below. Also some supplements to improve her hemoglobin which she would have lost in the bleeding would be helpful. - Ultrasound done recently says Normal, - TSH- 17, started on Eltroxin 50mcg already. - Tablet. Livogen Z Daily once after food for a month (Iron supplements). -Tab. Trapic MF or Pause MF thrice daily after food during heavy menstrual flow (can stop if flow is normal). - Continue Eltroxin 50mcg daily once empty stomach after brushing teeth. - Tablet Primolut N 10mg (5mg - 2tablets, 2-2-2) THRICE daily TILL BLEEDING STOPS followed by dose reduction to --> Tablet Primolut N 10mg (5mg - 2tablets, 2-0-2) TWICE DAILY for 5days followed by dose reduction to --->Tablet Primolut N 10mg (5mg - 2tablets, 0-0-2) ONCE DAILY for next 14days. & then complelety stop it. - She will get her periods after stopping. - Avoid missing the pills in between that may lead to irregular bleeding again. - Other branda to consider Sysron N, Regesterone. -Weight reduction. - Regular excercises. - Diet modifications. - Avoid goitrogenic foods like Cabbage ,Cauliflower, Broccoli, Radish & soya products etc. - To upload the reports on app prior to next consultation. If bleeding keeps persisting, may need endometrial evaluation. | Q. My 48-year-old mother has hypothyroidism and is bleeding for two weeks. Please advice. |
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? | 2,355 | 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. | 2,356 | 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. | 2,357 | 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. | 2,358 | 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. | 2,359 | 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? |
I was accutane for 10 months at 40 mg for the majority. I have been off of it for 3 months and am noticing bumpy skin, they are not pimples, just small slightly elevated bumps. | 2,360 | Q. I took Accutane for 10 months and stopped it three months back. Why is my skin bumpy now? | |
Hello doctor, I have the following symptoms. Bladder cannot be emptied fully, due to this I frequently go to the bathroom. During urination, I have to do forcefully. BP due to anxiety. Forget learning and memory skill is weak. Before taking medicine for anxiety my heart pounds during tense. After taking medicine I am comfortable. But presentation skill, memory skill is very low. | 2,361 | Hi. Did you have investigation related urine problem like CBC (complete blood count), renal function test, USG (ultrasound) whole abdomen (to rule our protest pathology)? Did you take any medicine for anxiety? You have mentioned High BP, now what is your BP? Any medicine for this? How long do you have all these problems? | Q. I am suffering from BP, memory problems and incomplete bladder emptying. Please help. |
Hello doctor, I have swelling on my feet and tongue as well. KFT report was normal only my creatinin was 1.6. It is a chronic problem. I have already used Lasilactone 50 mg and Torsemide 10 mg. But no relief. I use insulin Mixtard 40 units twice and Galvus Met 50/850 1 bd for my diabetes type 2. Maybe Galvus causing swelling so I stopped it recently and want to switch over to Janumet. | 2,362 | Hello. According to your statement, you are suffering from chronic kidney disease. Now you have swelling on feet, ankles, and tongues. You have DM (diabetes mellitus) for 20 years. Do you suffer from an allergy? Or are you allergic to some foods, medications, irritants, etc? Hypersensitivity reaction can be a cause for your present swelling. Again you are a patient of chronic kidney disease, so you can suffer from anemia either caused by chronic disease or vitamin B12 deficiency due to taking Metformin for DM. If you have anemia, you can suffer from the present swelling too. Again you are using drug like Solitral for BPH, Telma for HTN (hypertension) can cause swelling as their side effects and hypersensitivity reaction. In case of heart failure, liver diseases, obstructive uropathy, hormonal problem, etc., can cause swelling too. So you should undergo some investigations like CBC (complete blood count), HB% (hemoglobin), ESR (erythrocyte sedimentation rate) to detect anemia status at present, USG (ultrasound) to detect obstructive uropathy or any other abnormalities. Skin prick test, RAST test to detect hypersensitivity or allergens, thyroid hormone (T3, T4, TSH) to detect hormonal deficiency, CXR (chest x-ray) to detect any abnormality in the chest, ECG (electrocardiogram) for cardiac status, liver function test, serum electrolytes, etc. At first, we should find out the causes that are responsible for the swelling and then treat them accordingly. So you should continue your current medications and inform me after getting the investigation results in your hand, then I will try to treat you further. | Q. I have swelling on tongue and feet with history of kidney problem, HTN, and diabetes. Please help. |
Hi doctor, So I am experiencing a loss of sensitivity in my penis. I still get erections but it takes way to much effort. I mainly just get them at night. I have no conditions that I know of and I am 24 years old. | 2,363 | Hello. I have some questions. Do you smoke or drink? Are you diabetic? If not still get your RBS done (blood test). What about your blood pressure? Any sleep disorders? Any previous surgeries? Your cholesterol and testosterone level? Any other mental illness such as anxiety, depression, stress, and relationship problems? Kindly let me know the answers to the above questions. | Q. I have loss of sensation in my penis with difficulty in getting erection. Why? |
Hello doctor, I feel itchy but I do not see any weird symptoms like foul odor, yeast, etc. | 2,364 | Hello, Welcome to icliniq.com. If no unusual foul odor or curdy white discharge, therefore no sign of infection. Itchiness can be secondary to irritation whether chemical or mechanical. Chemical in the form of the soap used or feminine wash and mechanical in the form of panty liners, pads, or even underwear. For now, infection cannot be totally ruled out since it can be early infection wherein the discharge is still pooling inside the vaginal canal. I would suggest for you to use feminine wash with Chlorhexedine content once a day for three consecutive days like gyne pro feminine wash. For bath soap use only hypoallergenic soap or mild baby soaps. Do not use shavers in the feminine area. Use cotton underwear and no panty shields, please. Pat dry the area every after washing and change underwear as often as possible. Take also antihistamine tabs like Claritin, or Loratadine 10 mg once a day or any anti-allergy medicines once a day to decrease the feeling of itchiness. Irritation. If there will be discharge or foul-smelling discharge on the succeeding days, it needs follow up. Yeast infection. Chemical dermatitis. Hygiene, antihistamine and lifestyle modification. Hygiene. Follow up after three days. | Q. I have itchy vagina with no foul odor and discharge. Please help. |
Hello doctor, I have been experiencing upper left abdominal pain just beneath lower ribcage and on the opposite side in the back. I have intermittent, dull, and deep chronic pain. I am 43 years old, nonsmoker but consumes alcohol (not for the last four months). My blood pressure is 120/80 mm Hg. I am currently on Omeprazole 20 mg daily (one month). I am diagnosed with pneumonia and pulmonary embolism. It is confirmed by chest CT. I was prescribed Pradaxa for three months (stopped taking medication on Mark 26). I have a history of acid reflux, sleeps on a 6-inch wedge pillow to manage the symptoms. Tests I underwent are: Abdominal CT with contrast: unremarkable, mild diverticulosis, not considered relevant to pain. Chest CT with contrast: unremarkable, PE and pneumonia cleared. Blood tests all normal, no sign of pancreas or kidney trouble. My primary care physician suggests pain is associated with PE. My pulmonologist says it is very unlikely to be associated with PE and recommends to confer with a gastroenterologist. Could this be an ulcer or some other issue within the stomach or GI tract? Perhaps caused by the Pradaxa medication? Would the abdominal CT have uncovered peptic cancer or other serious GI issues? What further testing would you recommend? Should I wait to see if things get better or act soon? If it is safe to wait, how long should I give it? | 2,365 | Hello. I must appreciate the detail history you provided which is very helpful in diagnosing your condition. After reviewing your history, in my opinion, this pain is not related to pulmonary embolism. It looks like to be associated with some gastritis and stomach issue. Now coming to your queries, the CT Abdomen has ruled out serious abdominal issues such as malignancy but it could not rule out peptic ulcer disease. You can just wait for it and take the medications which I am prescribing. I do not think that waiting is going to cause any further issues as it does not look like to be something serious. Take the following treatment for two weeks and if no improvement then we can consider EGD. None at the moment. Gastritis. Peptic ulcer disease. Esophagitis. Gastritis. Continue Omeprazole but increase it to twice daily before meals. Syrup Gaviscon (Alginate) 10 ml three times daily after meals. Both these for two weeks. If no improvement will consider EGD. | Q. I have intermittent, dull, chronic left abdominal pain below ribcage. Can Pradaxa intake cause this? |
Hi doctor, I would like to ask for your advice about the pain at the base of my right thumb. I suspect this is the result of what I did back before two months, I always squeeze a lemon fruit using my hands. This pain started last month and still continues to this day. I feel pain when I stretch open my palm. The thumb is in pain when I use it. I do not feel so good because I cannot play table tennis and the piano because of this. Can you help? Your advice is greatly appreciated. | 2,366 | Hi. I totally understand that you are suffering from first metacarpophalangeal joint arthritis. This condition occurs when you involve in repeated twisting motion of the thumb. This is partly confirmed by the vague bulge at the joint region. I would suggest you to get an x-ray of the hand once to confirm the same. Meanwhile, I would suggest you with treatment protocol. Repeated usage of the joint. X-ray hand AP, lateral. Rheumatoid nodule. Arthritis of first MCP joint. Tablet Lornaxicam and Paracetomol BD after food for one week. Tablet Rabeprazole 20 mg OD before breakfast for one week, tablet Tendofit forte BD after food for one week, Diclofenac sodium gel twice a day for local application, hot fomentation twice a day. Do not use the same thumb at least for two weeks. Review with reports. | Q. I have pain in right thumb due to excess of squeezing lemon. Please help. |
I have had nerve issues for a couple of months, such as random stabbing pains, loss of sensation, heavy limbs and a constant mild pressure in my head with occasional increased pain. 4weeks ago i had shortness of breath, a tight chest, constant burning sensation in my chest with sharp pains into my back when inhaling deeply. The doctor put this down to pleurisy after listening to me breath through a stethoscope but as I had no cough or virus leading up to this, it seemed odd. The burning sensation and pain when inhaling deeply went after a course of antibiotics, but I am still left with nerve issues, headache and muscular pain. I have recently noticed one of my shoulder blades is far higher than the other in a relaxed standing position and from the front my left rib appears to be further outwards and I'd say an inch or so lower. Do you think it's possible that some sort of rib/shoulder trauma could be the culprit of the pleuritic symptoms and nerve problems and what can I do about it if so? | 2,367 | Q. Do you think that rib or shoulder trauma could be the cause of my nerve problems? | |
Gender: Male Age: 21 Height: 5 ft 5 inches Weight: 112lbs Symptoms in chronological order: 1. Extreme fatigue for days. 2. Unbearable pressure in the head, including behind the eyes(along with pain) and in the ears(my head felt like it was going to explode). 3.Neck stiffness(complete inability to move my head in any direction), this lasted for around 40 minutes. 4. Adverse reaction after eating full meals (pressure build up through chest and left side of neck up to head, this was mainly left sided), this would last for hours. The left side of my neck felt like it was gonna burst open. After one adverse reaction i was unable to move my left arm for about a half hour(i could feel what felt like the hindering of my heart beat, it was very slow). 5.Breathing was a struggle before being hospitalized, my lungs felt heavy. 6.Shivers and shaking. 7.Any exercise (even slight) resulted in shortness of breath and chest pain for hours. 8. Gastro-intestinal issues, being extremely gassy. What felt like acid buildup that at times would come up to my back and chest. 9. Remember what felt like an intense heat (felt like my whole head was cooking). 10. Headaches of 4 types; An occasional kind of spacing out like i'm under water, everything just feels so slow. Brain Fog. type 1: A headache or something that i can only describe as an unbearable head pain(every time it happened i accepted my death), my body would go completely limp(i could only slump in the spot i was whenever it occurred. type 2: Confusion and what i'd call light thoughts. Made me very uncomfortable, could not complete a single task in any intended order. type 3: A headache that was like someone torching my head, would last for hours(this headache radiated from the back of my neck and up into the middle of my head). type 4: It felt as though someone had cupped their hands around my brain, an intense pressure(i remember just wishing someone would bore a hole in my head to ease the pressure). Generally feeling like my head was gonna blow up. 11. Nerve issues (coldness and tingling in my hands and feet), noticed blurry vision at this point. 12. Occasional muscle spasms (spasms of my neck muscles got so bad it straightened my cervical spine). 13. Occasional loss of ability to walk properly or walk at all if unaided. 14. Occasional unresponsiveness to questions (i can hear but i can’t answer), full body numbness. 15. Extreme anxiety and depression. 16. Constant headache, ear pain and occasional chest pains (center of chest). 17. Joint pain especially in legs. 18. Everyday i wake now i just feel very unwell (i have been unable to go back to my studies in Actuarial Science). I just don't know what is happening to me :( I'm truly sorry, i know it's allot but i really would just like to know what is happening. Peace of mind would help even if there is no real assistance i can get i just want to know the source of my pain and suffering, it's been 3 months+ now. More details about the presenting complaint: Sudden onset on December 26th after eating then exercise(was breathless for about 2 hours). Previous history of the same issue: None. Current medications: Fourts B Capsules and Panadeine Past medications of the same issue: Augmentin(7 days), Relcer Gel, Otrivina(Had a weird reaction to this), Fexil(Had a weird reaction to this), Calcort, Another Antibiotic(got this on 2 separate occasions), Cetamol Cold and Flu(Had a weird reaction to this), Vitamin C, Avamys, Lanzaparazole and Panto-Denk. Lab tests performed: CBCs, Liver Function Tests, AutoAntibodies, H-Pylori, Cortisol (Urine and Serum), 5-Hydroxyindoleacitic Acid, Creatine Kinase, Bun and Urea, Electrolytes etc. | 2,368 | Q. I am experiencing a lot of neurological and other symptoms. What is happening to me? | |
am a 37 year old Male who Has been getting bouts of dizziness as well as what can only be described as electric shocks in my head. There has also been what feels like a nerve twitch in my temple. I have also found that my reaction time is a little slower. I have gone for cardiac screening which involved a stress echo, echo blood test and holster monitor all clear. My doctor the referred me to an ENT as well as sent me for MRI of the brain and a second MRI of the ear both clear. The ENT sent me for tests to check my vision and also check for vitigo the test came back listing that my eye movement was out of coordination which they said is consistent with a central leason My questions are 1) what is causing the brain zaps ,spermatic dizziness 2) what is a central leason and surely it would have shown up on an MRI 3) is a central leason a degenerative diease and does it lower life expectancy. 4) is it curable or reverseable Hi Marc, Welcome to Icliniq, I am a Neurologsit and here to help you. You are suffering from dizziness and electric shock over your face. . with some indoctrination of eyes as per your ophthalmologist. . Nothing from Cardiac, Eye and ENT side but it seems neurological disorder. It's good that your MRI Brain is normal that means no structural lesion like tumor or mass or demyelinaion. Still there are many reasons that can not be seen on MRI And we need to evaluate those. Answer 1. we need to find out those causes with further testings Answer 2. Central leasion means brain or brainstem related causes of your dizziness Answer 3 &4 . Degenerative lesion at age 37 is less likely , we need to evaluate it and only after that I can say. So firstly. 1. give me detail description of your dizziness bouts , how it starts , any trigger , lasting how long, duration of your disease, is it aggaravates with position change ? 2. have you suffering from slurred speech ,imbalance while walking , 3. I wants to see your MRI Brain, you night need MRI Brain with Angiography and Contrast injection study then I'll give further advise. Thanks. . . I have had these symptoms for over 2 years They come and go and can last anywhere from 2-3min to 2hours I also wanted to advise that in the last three years I have had 3 mri’s Hello Marc, Ok. . . I have seen your MRI which is done on 10/12/2019, which is normal Are you suffering from ringing sound in ear or Vomiting like sensations? Any history of slurring of speech or blurred vision? Are you suffering from headache ? like migraine ? You 'll need MRI Brain with Angiography and if needed Gadolinium Contrast study Are you having any kind of addiction ? Please give me your medication history , if any ? I wants to see your routine reports like Complete Hemogram ESR Serum Electrolytes - Na , K , Mg , Ca Serum Creatinine SGOT SGPT HIV HBSAG ANTI HCV URINE ROUTINE Regards. Okey. . . What about headache ? that means Episodic dizziness and Tinnitus I think it looks peripheral vertigo not central. . . ok. . . I saw the Blood routine reports. Now please do. Audiogram with BERA MRI with cobtrast Regarding follow up:
Doctor's follow up messages:
16-Oct-2019 07:22am: hii plz answer me
Hello I have now had ringing in my ears lasting for four 1 week what does this mean is this a risk for stroke. (1) what are the stroke risks. (2) Can now confirm that I have now had the MRI with contrast and it was unremarkable. When I went to the ENT they checked my hearing and advised it was fine the. I have also been for more blood work which came back fine. I don’t know what else it could be Hello I have now had ringing in my ears lasting for four 1 week what does this mean is this a risk for stroke. (1) what are the stroke risks. (2) Currently I am getting these brain zaps sensations around 90 times a day I have had these things for over a year now but only with in the last week I have been getting them that often. Sporadic dizzy spells lasting 2min to 10 hours, electric shock ,pulse pressure type feeling, ringing in my ear for the last 2 weeks -no hearing loss, can watch tv and have a conversation with out a problem. what could this be? | 2,369 | Q. For two weeks, I get bouts of dizziness and electric shocks in the head. What could it be? | |
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? | 2,370 | 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. | 2,371 | 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. | 2,372 | 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. | 2,373 | 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. | 2,374 | 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 want to know what is wrong with the test results. I have done blood test, urine, liver, and kidney function tests. Urine test shows pus cell 4-6 and RBC 1-3. | 2,375 | Hello. I have reviewed the lab results (attachment removed to protect patient identity), that you have sent and I see that the urinalysis shows RBC 1-3 and pus cells of 4-6. But there were few epithelial cells seen. May I ask how did you get the sample? Did you get it midstream? Because a poor catch may yield unreliable results. Your CBC (complete blood count) also showed relative lymphocytosis but aside from that, all rests are within acceptable limits. Any recent history of cough or colds? In addition to that, may I also know your symptoms and why were the tests requested? Do you have painful urination or back pain? Any other medical condition such as hypertension or diabetes? I would be needing this to clinically correlate your test results. | Q. My urine test shows presence of pus cells and RBC. Please explain my result. |
Hello doctor, My gums surrounding my third molar/ wisdom tooth (lower left jaw) seem to be swollen. I started to feel pain on it yesterday morning and gargled with Bactidol. This morning the pain seemed to intensify. I feel pain when I swallow, open my mouth, and when I gargle. Somehow I feel the pain in my throat already. I took my first Amoxicillin as advice by a dentist friend. Any advice? | 2,376 | Hi. It is a case of pericoronitis. Do not worry take tablet Oflox oz twice daily for five days, Hexidine mouthwash do gargles with it thrice daily for one week, tablet Zerodol SP twice daily for five days. It will relieve it. I tell you Amoxicillin will not help with this problem. Get these medicines you will be relieved. | Q. Gums surrounding my third molar are swollen with pain. Will Amoxicillin help? |
Hi doctor, My son is 6 years old. He has one black mole on the left hand measuring about 5 mm in diameter with some elevated surface. It is from the last about one year and looking growing but can not sure about the growth. He has no complaint of itching and pain but when asked yesterday about this, today he is complaining of some itching and pain. I have one photograph of this for your review. Please advice. | 2,377 | Hi. I have seen the pictures. (attachment removed to protect patient identity). This is a mole in medical terms it is called melanocytic nevus. Majority of them are benign and go through growth cycle of inapparent to getting dark and with age slowly losing the color. But in some rare cases, they do have inflammation and can have itching or pain. In some patients there are numerous melanocytic nevi over the body in those there is a risk factor of melanoma. Moles which is present with itching and inflammation are not necessarily melanoma, but to be on a safer side they need to be removed and sent for histopathological examination to rule out any malignant changes in them. If your child has only one nevus and it is having inflammation but no sudden increase in growth it can be safely treated with anti-inflammatory cream. But if inflammation or increase in size or different color on different parts of the mole appears you should immediately remove it and send for pathological examination. You should share the histopathology report examination with me because some melanocytic nevi they do present histopathologically as malignant but actually are not so that has to be reviewed clinically. Histopathology report will be of malignant changes but only with clinical consultation and growth parameters, we decide whether it was melanoma or not. For the time being you can apply Hydrocortisone cream twice daily and Fusidate cream twice daily for five days. Give syrup Citizen one teaspoon once daily if there is itching. I advise not to irritate it or fiddle with it that will lead to more irritation. Kindly review after five days, if inflammation persists or there is an increase in size, it needs to be removed and sent for histological examination. By the time lockdown will also be over so you can always do that it will be a minor procedure and will be done under local anesthesia can be completed within half an hour. Genetic. Excision biopsy. Excision. No fiddling. Five days. | Q. Mole in my son's hand is 5 mm in diameter and is growing with no pain or itch. Please suggest. |
Hello doctor, I got these scars post scabies some eight years back. I want to know of a procedure to remove them immediately. | 2,378 | Hello. I understand from details and image (attachment removed to protect patient identity), given that there is dark pigmentation mainly on the lower portion of both buttocks. The skin over this area looks a little dry and thick as well. I recommend you to use a thick moisturizer body cream twice a day which helps in softening and renewing the skin. Avoid wearing tight-fitting clothes that may rub over this area. Very important if you have any itching, please seek to get the symptoms treated first before moving on to pigmentation treatment. Once the skin is softer, a skin lightening cream containing Glycolic acid or Kojic acid can be applied at night to the affected area. | Q. I have some scars due to scabies. How to remove them? |
Hello doctor, I have by-pass surgery done. I am having respiratory problems and broncho asthma. I have swelling of body parts like face, feet, and legs. | 2,379 | Hi. Your respiratory issue could be due to chest infection. Kindly answer the following questions for a better understanding of your health issue. What is your BP status? Is there any cough and sputum or fever? Do you feel breathless on walking or even while sitting or lying? Has the swelling appeared suddenly or was it always present? Is there any other issue like burning in urine, etc? Please reply in detail, so that a preliminary diagnosis can be reached. | Q. Post by-pass surgery, I get respiratory problems with swelling on face and feet. Please help. |
Hello doctor, I am a 24-year-old male who has spent the last three years severely overweight. I had a sports injury and I packed on a lot of weight afterward. In total around 100 pounds. I felt fairly healthy at 6'1 280 pounds I was playing collegiate rugby. I decided to make a change in the last two weeks and I have completely cut out sweets, candy, soda, fast food, and junk for the most part. I have been eating once a day, midday a meal that consists of rice, fish, chicken, salad, and sweet potatoes. It would be around 800-1000 calories. I take around a 30 minutes walk that I have been building upon with light bodyweight exercise. Just going as I feel comfortable. So my question is do you think going from a 3000-4000 calorie a day diet and dropping to 1000 a day is too drastic? I am trying to cut a lot of weight I am hoping around 75 pounds in the next three months. I feel fine and it is not overly fatiguing. I take multivitamins and if I feel really hungry or have a sweet tooth I just have a spoon or two of peanut butter. When I started I was 388 pounds and today I weighed myself at 373. My water intake has been consistent as well. Just wondering if what I am trying to accomplish is attainable or realistic and if it is fine for my long term health. I feel like obesity is just as bad. Looking forward to your response. | 2,380 | Hello. Well, yes gradual loss of weight is always advisable for your health. It will be difficult but needs patience over time. You can continue with the amount of items taking but do jot skip any meal. Always have a natural source of multivitamins like fresh fruits or vegetables. Have some chicken slice vegetable salads which will include protein and vitamins. It can be taken as a wholesome meal per time. Exercising twice daily for at least 30 minutes is best. Treadmill walk or pilates or dance aerobics also helps in cutting out the weight. Never starve yourself. You can have juices of all kinds without sugar which will keep your stomach full. Water intake should be optimum but not over drinking. Diet and workout both will aid in maintaining a healthy weight. Meditation and good sleep contribute a lot in maintaining a good mental state. | Q. After sports injury, I gained a lot weight. How to lose my weight? |
Hello doctor, I have high blood pressure and I take Labetalol 200 mg once a day. I was started on this before eight months after my daughter was born. I notice now while monitoring my blood pressure that my heart rate is very low like 53 bpm. Should I be concerned? | 2,381 | Hello. Your pulse rate at 53 bpm is slightly low but not too low to cause any concern. It can be of concern when it becomes lower and presents with symptoms such as lightheadedness or fainting. In case you develop these symptoms please contact the physician that prescribed the Labetalol about adjusting the dosage. | Q. I am on Labetalol for high BP and my heart rate is quite low. Why? |
Hello doctor, I have chronic kidney disease and wanted to know about the treatment. Before they consulted doctors for nearly six months for prostate that is urine infection they were told it is urine infection and were under medication and taking painkillers. More but recently, they come across these kidney problems which is serious. | 2,382 | Hello. Have you done any KFT (kidney function test) before? From the reports (attachment removed to protect patient identity) and diagnosis, it seems you have underlying kidney disease which got aggravated by urinary tract infection. You have received appropriate antibiotics and hopefully, it will improve. Regarding dialysis, you would need to continue it and monitor kidney function tests. Also, you have anemia for which you are getting injection Anfoe which should help. You would need to make AV (arteriovenous) fistula at earliest. Also, tell me what was your serial kidney function tests for the last six months. | Q. I have chronic kidney disease with a history of UTI. Please suggest treatment. |
Hi doctor, I am 16 years old. I am hypermobile, especially in my knees, and almost every day. Especially nowadays I get horrible pains in my whole knee, deeper than the surface. My knees are bent inward, so like the opposite of being bow-legged and I was just wondering if these were just growing pains? or anything more? | 2,383 | Hi. Your knee pain could be due to certain reasons but common ones are chondromalacia, pain due to knee instability, inflammation, etc. If there is no history of any injury, and no inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: 1. Intensive physical therapy with a focus on strengthening of quadriceps and stretching of other groups of muscles. 2. Gentle anti-inflammatory medications like tablet Etoshine or Paracetamol can be taken in small doses for five to seven days. 3. Adequate calcium and vitamin D supplementation as per the requirement. 4. Ice packs at home three to four times a day. See how it goes for around two weeks time. If your condition does not improve, then we will have to get certain investigations done including x-rays of the knee and a few blood tests. | Q. I am 16 years old with hypermobile painful knees. Please suggest treatment. |
Hello doctor, My mom is suddenly getting breathless for about a month. It never happened before. Now, the shortness of breath has increased a lot and she cannot even sleep all night. Please help. She is 46 years old. | 2,384 | Hello. I can understand ur concern. According to your statement, she has been suffering from breathlessness for one month and it becomes worsen while she is lying. Sudden breathlessness can occur in asthma, heart failure, COPD (chronic obstructive pulmonary disease), interstitial lung disease, pneumonia, psychogenic problems like anxiety, etc. At first, we should find out the cause for which she is suffering now. In case of nocturnal asthma, patient suffer from breathlessness, chest tightness, etc., more at night. But you do not mention if she had past history of asthma, allergic rhinitis or repeated respiratory tract infections. Again we do not know about her physical structure like lean and thin or healthy, her occupational history, environmental history like living status, cooking history, history of fever or sudden weight loss history or hypertension history or is there any added sound with her shortness of breath. You did not mention, is there any swelling in her ankle or face or any parts of the body? Her nature of breathlessness is constant or not, that means is she suffering more at night than day? Become weak or breathless after light exercise? Is her chest movement is restricted or not? If she is obese then she can be suffered from obstructive sleep apnea. She should undergo CXR, pulse oxymetry, ECG, monitoring blood pressure, etc. For her breathlessness, she should be placed on propped up position during her sleeping time along. By using nebulization with salbutamol solution (Saltolin) along with inhaler Azmasol (two puffs four times a day) and Inhaler Iprasol (two puffs two times a day) with weight reduction and BP monitoring she can get some relief. | Q. My mom is suffering from breathlessness for a month with disturbed sleep. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 2,385 | 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. | 2,386 | 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. | 2,387 | 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. | 2,388 | 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. | 2,389 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am suffering from penile yeast infection since a week (candidal balanitis). Due to lockdown I could not see a doctor and researched online and used Clotrimazole cream IP but no betterment. Since yesterday, itching and pain has increased. Can you please help me out with this. | 2,390 | Hi. Candida infection present as a whitish membrane over the penile head with reddish mucous. It is very itchy. I hope it is diagnosed by a dermatologist only. Clotrimazole is effective in most of the time. Candida is a normal commensal in our body but in some it causes symptoms and balanitis. Aggravating factors are diabetes, moisture, and some are allergic to it. So first thing is wash with mild soap and dry always after intercourses. If you can keep your penile foreskin retracted, good that will keep it dry. But if not possible, as it is painful if you are not used to it make sure it is dry. Take capsule Fluconazole 150 mg once daily for seven days. One single dose for your sexual partner, tell her to keep dry especially during menses. Miconazole gel (DK gel) twice daily for seven days, tablet Fexofenadine180 mg once daily for itching. Keep dry. It will cure it. Follow up after seven days. Candida. Blood sugar. GTT (glucose tolerance test). Candida allergy. Candida balanitis. Antifungal. Keep dry as far as possible. Always send a clear image with symptoms. | Q. I applied Clotrimazole for penile yeast infection but no improvement. Why? |
Hello doctor, I am a 23-year-old female. I am having some problem in my throat and I think those are tonsils as I am not having any pain or difficulty. But whenever I am looking into my mouth I feel something around tonsils. Please help. | 2,391 | Hello. I can understand your concern over the swelling in your throat that you observed recently in this period of Covid-19 outbreak. I checked the image and I can definitely see some swelling there. (attachment removed to protect patient identity). I have a few questions for you. Have you observed this on the back of your throat for the first time? In the past did you have a similar issue? Have you been in contact with anyone who had respiratory tract infection recently? Do you have a fever or a cough? Sometimes this type of swelling is a result of an allergic reaction to some specific food or allergen which can be triggered after you consume anything cold. As far as there is no pain and difficulty swallowing food and water, you do not need to worry much. Although keep a check on it for a week or two and see if there is any change in the swelling. You can gargle with warm water and adding little salt in it for four to five times a day and avoid eating anything cold for some duration. Feel free to contact me if you observe any change in the swelling. And stay safe as the Covid-19 is spreading quickly. Maintain social distancing and wash your hands before you touch your face, nose, or eyes. | Q. I have swelling in throat involving tonsils. Please help. |
Hello doctor, I would like to get a second opinion and ask a few more questions regarding the condition that I have on my foreskin. I am 43 years old and I have two brown spots on my foreskin. They are there for about one to two years, possibly longer. They do not itch, or bleed, or change in size. Only the one is closer to the glans is possibly getting a bit lighter. Can you please have a look at the photos and opinion of a dermatologist. They suggest that it could be condyloma, bowenoid papulosis, or seborrheic keratosis. As I mentioned, when I was younger I went to visit a urologist and they told me that I have a mild case of phimosis. I do not have any issues in maintaining hygiene, or having sex, except sometimes if my foreskin stretches and it is dry, I feel a bit of pain and discomfort. What I would like to add is that I am straight and married for the past eight years and in those eight years I only had sex with my wife, not sure how long is the maximum incubation of condyloma, or papulosis and does it exclude it. Also, it mentions that condyloma is cauliflower shape, which I am not sure about these spots, one closer to glans is totally flat and the other one that has a shape of a mole is slightly above the skin, but I cannot say it is cauliflower shaped. Could you please let me know do you agree with your colleagues opinion? I am very cancerophobic (if that is even a word for a person who is generally scared of cancers, so my main concern is to rule out that option). I am currently away from home and cannot go visit urologist in person for at least two months. | 2,392 | Hello. I have gone through your queries and attachment. (attachment removed to protect patient identity). You are having viral warts on your preputial skin. You need to contact your local dermatologist. There are several methods of managing viral warts. That may be electrocautery or simple local application of antiviral or keratolytic ointments. That will be decided by your dermatologist. If you are having phimosis, then contact your local urologist as you may need circumcision. If you undergo circumcision, the skin with these lesions will automatically be excised out and biopsy report will tell the final story. | Q. I have two brown spots in foreskin with no itch, bleed or size change. What could it be? |
Hello doctor, My girlfriend is having light cramps and today she observed slight spotting. Her last two menstrual cycles were 32 and 37 days long and her last periods started a month back. We engaged in unprotected intercourse one week later once with us stopping and taking protection in between. I did not ejaculate inside her. We are concerned about a possibility of pregnancy. | 2,393 | Hello. I can help you with this. With the history I think her periods are a little irregular. The time of sexual intercourse is not much near her ovulation time and if you have not ejaculated inside, the chance of pregnancy is very rare. If you have had no unprotected intercourse thereafter, and if she by chance had become pregnant, urine pregnancy test should show positive by now. So to be on safer side it is better to do a urine pregnancy test now even though she is having spotting. If it is negative now then definitely she is not going to be pregnant due to the sex. So then you can wait for another week for her to get her periods. Finally light cramps and spotting may be preceding her normal periods. Urine pregnancy test Review with urine pregnancy test result | Q. There are light cramps and spotting. Is it due to pregnancy? |
Hello doctor, I am 33 years old male, I have very mild asthma since my teenage years into my mid 20s. For the past 6 years or so my asthma has been very rare, maybe once every couple of months, but now it seems to be coming more recently active after doing yard work or exercise but no medicines needed as symptoms would go away on its own. Unfortunately, for the past 3 months I have been getting more symptoms which I assume is due to season and high pollen count. I am now taking Albuterol sulfate as needed and going on my third dose of Symbicort 80/4.5 as of yesterday. My concern is with this coronavirus am I considered high risk with my level of asthma? Is it a good idea to start a corticosteroid like symbicort or should I be on something more mild? I am considered an "essential mail worker" so I am wondering if I should continue to work. (Side note: my wife is 7 months pregnant on top of all this). | 2,394 | Hello. I can understand your concern. According to your statement, you are suffering from childhood asthma which is worsening now due to season and high pollen count and occupational hazards. You should undergo serial measurements of peak expiratory flow/FEV1 at work and away from work that will determine whether you should go outside for your job or not. You can also undergo RAST (Radioallergosorbent test) that will determine the amount of IgE that reacts specifically with pollens. You have history of atopy and you are on Corticosteroid now and your occupational history suggest that you are immunocompromised now. An immunocompromised person is more vulnerable to Covid 19 or Coronavirus . If you are attacked by Coronavirus , it will be a life threatening condition as ur respiratory tracts are weak and history of repeated respiratory tract infections recently. It is also very contagious too. So from you it can be spread to your wife and your unborn child which is life threatening to both of them. If you are feeling better with your current medication, you can continue. You can also add nebulization with Albuterol 3to 4 times daily along with inhaler Albuterol SOS. You should abstain yourself from work and environmental exposure that will be beneficial for you and your family. If any complications occur inform me and I will try to lessen your sufferings. | Q. Kindly explain the risk of getting Coronavirus infection in an asthmatic. |
I feel like sore throat and feel weak sometimes , but don’t have fever and cough | 2,395 | Hello, If you have sore throat and weakness, and you don't have running nose, neck pain , high fever probably you have simple flu or bacterial infection. You don't have to panic about covid 19( coronavirus ). You can use Augmentin 625mg for 5 days( THREE times a day tablet) and have plenty of lukewarm water to keep yourself hydrated. As in India right now lockdown is going on if you have other antibiotics available you can tell us we can reply which you can use for current symptoms. Also if you want you can wait 2-3 days , if the symptoms persist or increase contact us we can help you out with the best possible treatment for you. Don't panic, stay healthy and eat healthy , keep wash your hand before touching your face mouth nose. if you have any symptoms persist let us know. | Q. I have a sore throat and feel weak sometimes. Please help. |
I’m 40 & I’ve had glandular fever, shingles, influenza and have an autoimmune condition (Hashimoto’s disease). I believe I may be more vulnerable than the average person my age to get Coronavirus, due to my weakened immune system? Should I be self isolating? I am ok to do so | 2,396 | Hello! Thank you for reaching out I understand. Bases on the available data, those who are 60 above, and with medical condition such as hypertension, cardiovascular disease and diabetes are the most vulnerable population. Thyroid disease and any other autommine condition is not known to be associated with increased risk of viral infections in general, nor is there an association between these disease and severity of the viral infection However, if you mild symptoms of cough and fever, I would still recommend that you do self quarantine and monitoring. I would still recommend that you wash your hands regularly with alcohol, soap and water and practice social distancing. I hope i wa able to answer your concern. Is there anything else I can help you with? | Q. I am more vulnerable to get coronavirus due to a weak immune system. Should I be self-isolating? |
Hello doctor, I have been dealing with some health issues for three years. I had an ultrasound before showing my spleen was mildly enlarged to 12.8 cm. Since then I have had on and off spleen enlargements. Last week I had an ultrasound with again a mild spleen enlargement at 12.8 cm. Sometimes the spleen returns to a normal size of 11.8cm. I have also noticed in my ultrasound that my liver was enlarged to 16.8 cm when my liver was previously normal at 15.5 cm. I have also done a bunch of blood work and my bilirubin levels went to 27 when they should be below 20 and my conjugated bilirubin was 9 when it should be below 7. I have had my ALT and AST testing and all is fine there. I have had my CBC and differential and all is good with this too. I am very concerned about what this could be and what is happening to my body. My doctor is sending me to a hematologist, please help me to understand what is happening. If this is cancer or something serious. Please help. | 2,397 | Hi. I hope you are safe. I reviewed your doctor's report. (attachment removed to protect patient identity). While I can understand your concern, but as of there is no one pick and choose a reason for your case. To be frank, I am not bothered by your spleen size or liver size. Yes, they are close to the above normal range. I do not know if you have some component of fatty liver, your USG (ultrasound) may tell you that. If you drink alcohol? Do you think it is worth trying to see what happens to the size? Sometimes we take a few medicines which tend to increase the bilirubin, etc. Examples are OCPs (oral contraceptive pills), birth pills. There are many more. Just get your medicine list reviewed by your PCP. Easy bruisability over the skin, do you have gum bleeds as well? But your platelet count is well above the normal range as well. Do you have any family history of bleeding and do you have excessive menstrual bleeding? | Q. Why do I get occasional liver and spleen enlargement? |
Hello doctor, I am having some chest pain on my left side. It feels like it is around my heart. Kind of a slow, deep ache from my armpit, over the whole chest, up to the clavicle. I have been having a bit short of breath, and when I stand up I feel really dizzy and light-headed. It takes about 10-15 seconds to feel normal again. It has been like this for the last three to four days. But I have experienced pain in my chest like this before, but it has gone away in a day or two. I am 29 years old. I have a healthy diet and no previous health concerns. | 2,398 | Hello. Firstly, this does not appear to be CAD (coronary artery disease) related pain to me, however, it should be evaluated to rule out some unusual cardiac causes, especially valvular problems. Because of your age, long duration of symptoms without treatment and atypical nature of pain, it does not look like pain due to CAD. Now anginal pain would typically increase or occurs on exertion and relieves with rest. And cardiac pain would persist for a few minutes rather than seconds and does not remain round the clock. Intermittent chest pains may not be cardiac. Such pains are usually due to acid reflux. Acid reflux pain occurs more frequently in lying down position, occurs intermittently, persists for a few seconds to minutes. So, yours may be related to it. Other gastric symptoms may be associated like epigastric pain, bloating and burping, etc. Another possibility should be considered is of costochondritis, if there is definite tenderness over the chest wall. See if you also have any neck pain, tingling, numbness, etc, for cervical pains. Regarding dizziness, it is likely postural hypotension. This may occur due to dehydration so keep yourself well hydrated and have a proper diet. If you have a BP apparatus then should check your blood pressure (BP). Now if shortness of breath is significant, then this needs early evaluation with examination and tests like ECG (electrocardiography) and echo. So, your symptoms are nonspecific and overlap with many non-cardiac and benign causes as well. But you will need a thorough evaluation with an examination, ECG and echo to rule out cardiac problems. I hope this helps. | Q. I have chest pain on left side involving armpit upto clavicle. Please suggest. |
Hello doctor, I am a female, and weigh about 50 kg. I am currently having chest tightness and anxiety. I have been prescriped Zapiz 0.25. However, it is not helping much. Can I take another? About a year ago, I was asked to start Serlift and I started weaning off them about three months ago. Sometimes I feel chest tightness, difficutly in sleeping and butterflies in my chest for which I was prescribed to take Zapiz 0.25 as an SOS. I took a tablet about half an hour ago however do not see any relief. I wanted to know if it would be fine if I took another tablet of Zapiz 0.25. All my respiratory, heart, and chest tests, etc. are clear. | 2,399 | Hello. Your symptoms are of active anxiety, but only Zapiz (Clonazepam) is not going to cure anxiety for you. Zapiz is a temporary relaxant (Benzodiazepines are relaxants used in an emergency) and works well when there are active symptoms of anxiety. But it is not a permanent solution. Why was Serlift stopped? And have you taken any therapy sessions? Cognitive-behavioral therapy will help you recognize the negative thoughts which are keeping you in the loop of anxiety and you will be able to not let yourself get affected by them. Because we have to also focus on why you are getting anxiety at all. Medications and Cognitive behavioral therapy combined are a good way to treat anxiety disorder. Also, long term use of Zapiz is not good for health. As of now, you can take Zapiz 0.25, twice it will relax you a little. I would suggest you to reconsider your medication and also start therapy sessions to get good results. I hope this helps. | Q. I get chest tightness and difficulty in sleeping with normal results. How is it possible? |
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