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Hello doctor, I have a sore throat since yesterday. There is also a slight fever of 37.4. I suspect my swollen tonsil. I had taken juices and gargled warm water with salt. For the fever, I took paracetamol if needed. | 2,600 | Hi. Do you have any other symptoms such as cough or difficulty breathing? Any recent history of travel to China? Or any exposure to someone who may be possible with Covid-19? | Q. I have sore throat with mild fever. Is it due to swollen tonsils? |
Hello doctor, I have been diagnosed with catastrophic antiphospholipid syndrome before three years and had a brain stroke in the same month due to blood clots. Since then I have not encountered any blood clot and have been on Acitrom 5 mg, Ecosprin 75 mg and Azathioprine 100 mg. Three weeks back neurologist had replaced Azathioprine with HCQ 300. My ANA test was done before changing. ANA result was negative. Now for the last two days, I am experiencing pain near the heart line. The pain lasts for around one minute. Pain is such that it starts from deep inside and it pulls the skin/organs inwards. I have experienced such pain three to four times since two days. My query is, is this due to a change in medication? Whether HCQ be stopped and Azathioprine be restarted? What is the use of Azoran in APS and are these both drugs somewhat similar? Kindly guide as I am worried. Should I continue with HCQ and if not is Azoran safe in the long run? I am taking Azoran for more than 2.5 years. | 2,601 | Hello, Welcome to icliniq.com. What treatment did you get during Catastrophic antiphospholipid syndrome? Was your APLA, LA test was positive? Azoran is an immunomodulatory drug and has some role in APLA syndrome. HCQS is a good drug for APLA as it has an anti-inflammatory plus anticoagulant effect but your symptoms started after three weeks of HCQS. Please try to consult your physician as he has examined you and he knows complete details. So he can guide that Azoran should be restarted or not? According to my opinion in your case, I think you should restart Azoran and stop HCQS. | Q. I experience heart pain after relpacing Azathioprine for HCQ. Why? |
Hi doctor, I have had one ear plugged completely with limited to no hearing on that side. I have been to the doctor and received Amoxicillin and steroids for it as well as Ciprodex ear drops and a Bromide nasal spray but my ear is still plugged. I woke up last week with this condition and debilitating vertigo as well. This is the first time I have had such debilitating vertigo in general. I went to urgent care and received a shot of Zofran to stop the nausea and purging. The dizziness has tamed down a bit, but still, I get woozy when I turn my head or look up and down. I am worried about the lasting condition of my ear and would love some help as I have not been to an Otolaryngologist yet. | 2,602 | Hi. Your ear bulging is mostly because of eustachian tube dysfunction and middle ear inflammation. Use nasal decongestant drops as Otrivin while lying down on your back and your head is lower than your whole body (Trendelenburg position). Chewing gums may help in opening the obstructive eustachian tube too. Now about vertigo, it is now related to certain positions as looking up or down. So, this type of vertigo is related to your inner ear. Many drugs can end this vertigo but it has a dramatic side effect as it destroys the normal compensatory mechanism of your vestibular system. So, the best choice is to get help from an audiovestibular specialist who can help you performing a maneuver (something like physical therapy) in the form of 1 or 2 visits after which the vertigo can be completely treated. | Q. How to treat plugged ear and vertigo? |
Hi doctor, I am a 21-year-old female, 129.14 lbs. Over a year ago, I was diagnosed with anorexia (eating disorder) by my initial counselor and I have been under-recovery for the same for over a year. During the course of my recovery, I had to change my therapist. The new therapist, recently, during one of our session told me that I do not have anorexia but just an eating disorder. However, all my symptoms are that of anorexia, restricting food intake, starving and inducing vomiting. I have lost my weight from 73 kg to 58 kg. I have been confused, immensely, since then regarding what illness do I really have? My query is can a person show symptoms of anorexia but not be anorexic? Can they just have an eating disorder? What is that even supposed to mean? I have also been diagnosed with PTSD, depression (mild), anxiety. I am currently on Flunile 50 mg, T-spenzo 1 mg. | 2,603 | Hello. Anorexia is a type of eating disorder where the weight is 85 % or below the normal range. In addition to eating disorder symptoms like restricted food intake, self-induced vomiting, menstrual disturbances, etc., the body weight has to be 15% below normal to diagnose anorexia nervosa. Based on your reported weight and height, your body weight and BMI (body mass index) fall within the normal range. Perhaps that is why your counselor may have said it is an eating disorder and not anorexia nervosa. Irrespective of this technicality, it is important to get appropriate treatment to address the eating disorder cognitions and behavior which is important. If you are still having self-induced vomiting discuss with your counselor /doctor about having a blood test and physical examination to ascertain your physical health status. I hope this helps. | Q. Can a person have symptoms of anorexia without being anorexic? |
Hi doctor, I am writing this to inform you that I have had a crushing/pressured injury in my hands while I was at work three weeks ago as I was pushing set of 10 chairs with the chair trolly and they were quite heavy as I was pushing the trolly forward it managed to almost lean towards me in other words it pressed on my right hand underneath my knuckles (back hand to be specific) for at least seven seconds. My colleague and I managed to push the chairs away from me. Eventually my right hand was sore causing me to hand tingling feels and irritation to cold weather which I did not have before but no pain. This Monday that had gone by it started causing me burning sensations on both my back hand including the one that has not been injured. It was extremely discomfortable and unpleasant feeling. I even found it hard to sleep at night. By Tuesday and Wednesday it began to slowly progress the burning sensations, inflammation towards my wrist and towards my arms through the biceps and even towards my neck. I have started taking Amitriptyline, and anti inflammatory medicines which have slightly helped but not much. I did see an emergency doctor in between and suggested that it could be potentially CRPS or nerve irritation but they cannot know for certain. Due to the pandemic of Covid-19 it is very difficult to see any doctors at this present moment and I am self-isolating myself at home. Having said that I am very worried about my situation and would like to get more clarity to this situation. Is this a continuous problem that will go on? Is this CRPS and if so can I recover? Can it be a nerve compression and is my nerves misfiring or is this a sign of recovery? Currently, these are the following feelings I currently experience burning sensations in my hands and neck now, hypersensitivity skin irritations wearing clothes using blankets, etc., affected areas feel weak and sore. | 2,604 | Hello. I read carefully your question and would explain that your symptoms are suggestive of a pinched nerve (nerve compression). The nerve compression could be on the wrist (carpal tunnel or) or in the neck (a possible bulging intervertebral disk), which is causing radicular nerve pain in the arm and hand. For this reason, it would be necessary consulting with a neurologist for a physical exam, a cervical spine x-ray study and nerve conduction studies. Anyway, considering the virus infection, I think that all these tests can wait as it is not a serious medical condition. I would recommend avoiding weight loss and wearing a splint in the hand during the night (wrist splint for carpal tunnel syndrome), which you can find in the drug store. If it helps improve your situation, it would indicate carpal tunnel syndrome as the main cause underlying your complaints. I would also recommend taking Gabapentin, to help relieve the burning sensation. I hope this helps. | Q. I got injury in my hands with burning sensation. Is this CRPS? |
Hello doctor, My son is 10 years old. He is having a problem in the left ear where a yellow liquid comes out with pain for the last three days. Please suggest. | 2,605 | Hi. I can understand your concern. The possibility of left ear infection is more likely. I would like to know, Is there any fever? Any reduced hearing in that ear? Please reply, so that I can guide you better. | Q. My son has pain in ear with yellow discharge. Please suggest treatment. |
Hi! I had enlarged lymph nodes on both sides of the neck. I sought consult and had a neck dissection and biopsy. I believe i'm healthy.I dont feel anything except for the enlarged lymph nodes.It was noted in the result: Histiocytic Necrotizing Lymphadenitis consider: 1.Kikuchi Fujimoto 2.Lupus Adenitis Correlation with serum studies for SLE is suggested. So what to do? I was advised to consult with Rheuma Doctor. I hope you can help me. Thank you so much. | 2,606 | hello, Have gone through the details submitted Localised painless cervical lymphadenopathy , Kikuchi's Lymphadenitis is a well known , though uncommon Idiopathic Lymphadenitis .Its a self limiting entity and will remit on its own Its close Differential diagnosis is Lupus [SLE] Lymphadenitis , has to be ruled out Any Joint pains ? Any fever ? Any Myalgias , Fatigue ? Other region of lymph nodes like in arm pits , inguinal regions if enlarged , Just slide your fingers in these regions and see for any enlarged nodes ? Any Skin Rash ? any other systemic symptoms ? If you have any of the above symptoms , You need to get Screened for SLE to rule it out ,ANA screening and them ANA profile Else , stay cool , Dont even think about it , maintain good oral hygiene , Do warm water or salt water gargling frequently If any of the above complaints appear positive , Do revert Get Peripheral Smear , ESR ,Seum LDH done along with above in case your symptoms increase Take care Regards Dr Geeta | Q. Kindly diagnose my condition based on the biopsy report done for enlarged lymph nodes. |
It has been 3 weeks that I am experiencing front neck pain. First 2 weeks it is just the right side that is painful and the pain is just manageable. On the third week (this week). The pain worsen that I have to take pain reliever. The entire front of my neck is painful and I can feel swollen lymp nodes already. The pain radiates to my ears and it is painful to swallow. I also experience dry cough only at night. I took paracetamol (neozep). Then the pain stops but recurs after 6 hours. In the last two days, my body temp increase. The highest is 37.6 celcius. But it will be lowered when I take paracetamol. I take paracetamol (tylenol) every 4 hours and consumed 5 tablets already. The pain subsides but still recurs. I try to compare what I am feeling with covid 19 symptoms. But I only scored 3 based on specified symptoms of DOH. | 2,607 | Q. I am experiencing throat pain that radiates to my ears. What should I do? | |
Hi Doctor, having shoulder pain from yesterday right after getting up from bed. Yesterday it was mild but today it got increased and having pain while moving shoulder and during shoulder movements. Having pain during shoulder movements like lifting and feeling shoulder stiffness. | 2,608 | Q. I have shoulder pain since yesterday after getting up from the bed. What to do? | |
Hello! I'm 28 years old and currently have a medical issue. Every time after a meal I feel this sort of soreness in the root of my tongue. It feels like the root is pushing the tongue up. The same happens when I drink coffee and coca-cola. I was wondering if I could get some help diagnosing the issue. I'm an asthma patient but don't feel like the two are connected. Thanks. | 2,609 | Q. After every meal, I feel soreness at the root of my tongue. Why is that? | |
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? | 2,610 | 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. | 2,611 | 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. | 2,612 | 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. | 2,613 | 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. | 2,614 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have been trying to conceive for one year. I am 30 years old. I have children already. Tracking BBT and LH to determine ovulation days (which I have found my peak). I had lots of irregular periods with 20-day cycles. Last cycle was 26 days. I want to try Clomid because I believe I may be having problems with the release of eggs. Please help. | 2,615 | Hello. Before opting for ovulation induction in your case, it would be important to learn if your partner's semen analysis is normal on the first hand. Your cycle seems to be regularly irregular, which is often seen in cases of women with estrogen deficiency and the ones with progesterone deficiency. As you have mentioned that your thyroid is normal, but my primary concern with regards to ovulation remains the estradiol levels, FSH, LH, AMH, serum testosterone on day 3 of your cycle and serum progesterone on day 21 of your cycle. Without having these reports handy, it would not be recommended to opt for Clomiphene citrate to induction ovulation. Please share your latest ultrasound pelvis as well to check for your endometrial thickness in proliferative or mid-cycle. Also, app tracker for LH is futile, rather it is suggested if you can opt for LH ovulation kits to actually determine your LH surge during cycle as that would be more objective. | Q. I am trying to conceive with irregular periods and egg problems. Please help. |
Hello doctor, My partner is schizophrenic. She is not medicated because she does not have health insurance. For the past five days, she has been talking to herself thinking she is having a conversation with others. For the last two days, she has been having episodes thinking that the imaginary people are putting snakes inside of her. I have taken her to emergency room 11 times but she leaves shortly after arriving because she is being told by the voices that she is not at a real hospital. I am worried that she might hurt herself not purposely but by accident since she truly believes the voices are putting snakes inside of her. I do not know what to do please let me know what to do? | 2,616 | Hello. Yes, those are symptoms of schizophrenia. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased and medicines will help reduce the level and get it back to normal and restore the balance. Medicines like anti-psychotics are usually prescribed by psychiatrists. Please take her to a psychiatrist and get started on medicines. Most such patients, do not comply with medicines, so in that case, there are other options that you can discuss with your psychiatrist. Some medicines can be given in food or water or any beverage which are tasteless, colorless and odorless. Once her acute symptoms are reduced she should comply with medicines. Also, there are Depot injections that can be given once a month or two months. | Q. My partner has schizophrenia with imaginary conversations and thinking. Please help. |
Hello doctor, I am male, 26 years old, sex insecure and low experienced, first trauma got 99 during bombing of Yugoslavia, had to get new urinal channel, and product of that is I am circumised. Later in school, I have been bullied for 4 years constantly, physical and mentally by my "school friends". Could not get into relationship till 25th year old, had 7 times sex, with 10 seconds each. Troubling to stay erect, fast ejaculation, and even lower self-confindence than before. Now I am troubling and overthinking what will happen next time, will there be next time, although it is hard to get into relationships because of that, cannot stop pressuring myself with being bad in bed and unexpirienced, as time pass, it only gets worse. | 2,617 | Hello. I am so sorry to hear about your situation, I can imagine how hard it is for you. So you are describing a few things here, when is the problem of premature ejaculation, second is performance anxiety which is making you overthink, third is low self confidence. Probably that came from the bullying and the trauma that you endured. I would suggest you to start therapy sessions to help you build your confidence which will help you in decreasing the performance anxiety and then it will of course improve the problem of premature ejaculation. If the mental health is stable, sexual issues often resolve. Is there some neurological issues you will need to talk to a neurologist or a urologist for that. Try doing kegel exercise regularly which will help you in strengthening the muscle of pelvis which helps in premature ejaculation. Apart from that you will require therapy sessions to work on your confidence building and reducing anxiety. Cognitive behavioral therapy will help you in achieving this. | Q. How can low confidence associated with premature ejaculation be managed? |
Hello doctor, I am female, 25 years old, 159 cm and 52 kg. I have experienced sinusitis last year, I felt pressure behind my left eyes and it went away after 4 days. Then I noticed my left ear is slightly blocked and slight post nasal drip, I went to a ENT specialist at my vacation destination and was given Amoxicillin for 3 days, and later Augmentin and Amoxicillin for 5 days. I felt my ear was getting better but it did not fully recover. Back in my country, it is dificult to see a specialist so I finally went to onenext month. Eardrum normal, hearing test came back normal and I was given Nasonex and Loratadine and was told to give it sometime and wait for the next appointment. I went to another specialist and was given another course of antibiotics and oxy-nase for 2 weeks and was told to do the exercise of pinching my nose and swallow. Due to covid19 I am unable to visit the doctor again. Recently I found out if I lay on my left side for a period of time my left ear will feel more blocked and a slight hearing loss, it goes away 5 to 10 mins after I sit upright. When I am bloated in the morning after waking up, my swollen left eye would go away slower than my right eye. What is wrong with me? | 2,618 | Hi. I can understand your concern, happy that you could connect over here, in times of outbreak when going outside will not be safe. I have read your query and you have mentioned everything so clearly. Now coming to the point of your query, the symptoms you are experiencing is due to middle ear infection, one thing I would still need to know that if the doctor had a look inside your ear and told there was no rupture of tympanic membrane, if not, then this can be purely middle ear infection and may take some time to subside. Other reasons can be sinusitis, wax impact, which can take longer time to recover. Although clogged ear can be annoying, here are some tips that can help alleviate the symptoms. Continue to do Valsalva maneuver, inhale steam, take OTC medicine as advised by your doctor. Do not use earplugs, earbuds, avoid any kind of water going to ears. Resting or sleeping sitting up rather than lying down can help fluid in your ear drain. This could ease pressure and pain in your middle ear. Prop yourself up in bed with a stack of pillows, or sleep in an armchair that leans back a bit. If all of the above things are helping alleviate the symptoms, then I would not worry and only give time for sinusitis to resolve. Please feel free to reach out in case of any doubt | Q. What can be done to manage sinusitis with ear blockage and nasal drip? |
Hello doctor, I am a 31-year-old male, suffering from hair dandruff for the past one year heavily. I have a history of dandruff but I only used anti-dandruff shampoo before, only this last year it got so intense, that now it is not only in my scalp but it started to show on my face. It is showing a little bit above my upper mouth lip but a lot more intensive on my eyelids, and I always have a burning sensation above my eyes when I wake up and sometimes it is itchy and looking red but it is burning intensely these days. | 2,619 | Hi. These are typical symptoms of seborrheic dermatitis. It is a chronic condition due to overactivity and inflammation of the sebaceous gland sometimes aggravated by fungus Malessezia a normal inhabitant of the body. You need to stop all oil application. Keep dry. 1. Use anti-dandruff soap Ketoconazole soap. 2. Capsule Itraconazole 200 mg twice daily for two weeks after meals. 3. Tablet Levocetirizine 10 mg once daily at night. 4. Tablet Deflazacort 30 mg after breakfast once daily for five days. 5. Tablet Pantoprazole 40 mg once daily 30 minutes before breakfast for five days. 6. Ketoconazole shampoo to apply it twice weekly over the scalp and affected area for 10 minutes before bathing. I hope this helps. Depend on the body some are more prone. None. Sebopsoriasis. Less oil. After two weeks. | Q. My dandruff problem is concerning with its spread over face and eyelids. Please help. |
Hello doctor, Does spotting on birth control mean your pill is not being effective? | 2,620 | Hi. How are you doing? Spotting in between cycles, when you are regularly taking birth control pills means that, the endometrium or the inner lining of the uterus is not being fully supported by the hormones. If you are not punctual on taking pills or had vomited immediately after taking the pill, then that will be the problem, so you have to make it a point to take the pill regularly, preferably at the same time every day. If you are taking low dose pills, then the dose is insufficient, so you have to switch to the higher dose pills. Component of Ethinyl estradiol in the pill of 30 mcg is a high dose and good for these spotting instead of the 20 mcg pills. If you have been putting up weight recently. Hormones may be insufficient for that new weight. I hope pregnancy had been ruled out before starting the pills and local factors like polyps or fibroids projecting into the uterine cavity have been ruled out by ultrasound scans of the pelvis. Local factors like spotting or discharge from the cervix, especially after sex need a local examination and treatment. If all possibilities have been ruled out, then just give support of tablet Estradiol valerate 2 mg (Progynova) two tablets a day until the day of periods. This will support the lining and spotting will stop in a day or two. | Q. Does spotting on birth control pills indicate its ineffectiveness? |
Hello doctor, I am a 25-year-old girl. I have been feeling symptoms for two days but this is happening to me between periods and the other but now it is I feel constriction in the heart area. There is no pain, but I feel constricted and disturbed, this increases when I stand for a long time. But when I eat something sweet or salty, these symptoms disappear. This symptom is also accompanied by simple stomach pain, gas, and some muscular pain in the back. Pain ratio I would say about 10%. I suffer from depression and anxiety. | 2,621 | Hi, Welcome to the icliniq.com. Your main complaint is pain and fatigue with some gastric issue. Let me know you that excess stress with anxiety can lead to chest pain as well as gastric ulcer. For gastric issue, Pantoprazole tablet can be prescribed for two weeks. If gas excessive then Simethicon containing tablet or syrup can be taken. For stress try to solve problems leading to stress. If exams were not good, you can read well now and can make goals for better reading. Yoga, meditation, and exercise will be having great effect in reducing stress. If panic attacks comes frequently than Fluoxetine like SSRI (selective serotonin reuptake inhibitors) group of drug can be started after doctor consultation. If needed for anxiety issue you can consult a psychiatrist. Here, I do not think you are having any heart problem. If pain is increasing in severity then investigate with EKG (electrocardiography). Also, check your CBC (complete blood count) report to look for low Hb (hemoglobin). | Q. I get a feeling of chest congestion with stomach pain and gas between periods. Is this heart probem? |
Hello doctor, I wanted to ask which medicine I can take that does not have any side effects so that I do not discharge early as I have once taken Suhagra force which contains Dapoxetine. Is there any medicine for it without any side effects? And how often can I take it before intercourse?Secondly, I want to ask is there any medicine to increase the size and width of my penis? If yes, then how it should be taken? If there is any ayurvedic medicine then also you can suggest? | 2,622 | Hello. There is no medicine available to increase the size of the penis. But by cosmetic surgery, the size can be increased by one to two inches. Premature ejaculation is mostly psychological. First, you try to divert your self in between while having sex. If you are about to cum then squeeze your glans in between your thumb and index finger. You can also use local anesthetic gel but then it is better to use a condom with that. Finally, there are a few medicines available which will increase your timing like Dapoxetine which you have used, but there are some side effects of all the drugs. | Q. Please suggest a medicine for early ejection without any side effects. |
Hello doctor, Feeling of something stuck in the throat that comes and goes. It is mostly there all the time but sometimes it will go away. It actually feels more like that flap in my throat is twisted or I am swallowing it or something. I had a scope down by a GI last week and they said they only thing they found was a hiatal hernia. I just did a barium swallow test today. Waiting for the results. A few weeks ago, I had a swallow study done and they could see somewhere food was catching there on my epiglottis. I just do not know how much more of this I can take. I feel like it is a hairball or something stuck there or like a small flap or skin. My question is would not GI doctor have seen it if that little flap in my throat or epiglottis? Or it was messed up or swollen or something? | 2,623 | Hi. The feeling of something stuck in the throat is usually due to gastric acid reflux causing pharyngeal irritation. Gastroenterologist will definitely see the epiglottis but it is not the pathology. The regurgitation of swallow can be seen only on swallow studies that tell functional problems. Endoscopic examination can tell anatomical causes. Hiatal hernia is a cause for it. Even your swallow study is suggestive of this. You should take some antacid regularly but the best solution for this is surgical correction. This can be done laparoscopically too. I hope this helps. | Q. I have a feeling of something stuck in the throat. Could it be a flap in throat or epiglottis? |
Hello doctor, Approximately one week ago, I had my wisdom teeth removed. On my lower left, I have a dry socket, which I am getting treated for via packing (at least I think that is what it is called). On the right side, healing is just fine, however, I noticed some white stuff lodged in the gum. I am not sure if it is food or scar tissue because when I tried to get it out with a toothpick, it did not come out very easily, so I left it alone. Is this food or scar tissue? It is mildly bothersome. I brush my teeth but know to be careful around the surgical sites so they do not get irritated. It seems like a lot of plaque builds up back there because of this, and I am not quite sure what to do. Also, there is a very small spot of red gums on the front side of my second molar. I put a bit of mouthwash on it with a toothpick and left it alone. I have two questions, what is the whitish stuff that feels like food trapped in my healing gum socket? And what is this small patch of irritated gum on my second molar? Any help is appreciated. I am currently on Celexa (for depression), 600 mg of Ibuprofen (for wisdom tooth pain). | 2,624 | Hi. As it is just one week of wisdom teeth extraction, the white stuff seems to be most probably healing tissue only. It is a normal appearance of healing tissue post-extraction. A white patch of irritated gum can be due to injury or ulceration that can be due to accidental injury with the extraction instrument or can be due to injury with a toothbrush or any hard food. You can apply Chlorhexidine gel over it. Do warm saline gargles, antiseptic mouthwash gargles and brush your teeth twice a day for keeping plaque and deposits less accumulated. I hope this helps. | Q. Post wisdom tooth extraction, I get a white patch of tissue near surgical site. Is that scar tissue? |
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? | 2,625 | 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. | 2,626 | 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. | 2,627 | 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. | 2,628 | 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. | 2,629 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am constantly unable to focus on anything in my life. My brain just seems like damaged. I feel alone, depressed, sudden anxiety attacks, shivering, numbness, extreme mood disbalance, fatigued, extra exhausted, strange short feeling in which I feel very bad for myself like guilty of anything. My mother always curses me and my brothers. Our family is wealthy, educated but my mother and father have some domestic issues which have never ever been closed even I have become 18 years old. I do not want to kill myself but I do not have any light ahead for living. I am not able to describe each and everything right now. I need to contact a psychiatrist or psychologist for better consultation. | 2,630 | Hello. You seem to have a mixed anxiety-depressive disorder. This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI type of medicines (such as Escitalopram 10 mg, or Fluoxetine 20 mg, etc) which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. In addition to the medicines, you can also undergo a few sessions of cognitive-behavioral therapy from a clinical psychologist. Also, do consider doing deep breathing exercises or progressive muscle relaxation daily. T. Nexito 10 mg (Escitalopram 10 mg) daily one at night after food. | Q. I am unable to focus on anything with anxiety and depression due to family problems. Please help. |
Hi doctor, I have a general question that relates personally to myself in relation to Covid-19. I am a woman of 45 years and several years ago I had a severe case of pneumonia and I was hospitalized for a few weeks (which I have completely no memory of). It took me further 12 weeks to start to feel normal again. Since then I have had at least two chest infections a year and have also in the past two years I had many UTI's and kidney infections one of which was a few weeks ago and took lots of antibiotics to help. At the moment, I have a slight sore throat and like many do not know what and how to react to this. I have never been diagnosed with any conditions but as I said get chest infections, UTIs, and kidney infections often. Am I more at risk of catching COVID-19 and would I be put into the category of someone who has for example, COPD etc.? I am very worried and scared as I know how ill I was when I got pneumonia and also my husband has diabetes and high blood pressure, which makes me even more concerned? I am currently on Naproxen, Co-codamol (when required due to back and neck pain resulting from a car accident) Fluoxetine (daily). | 2,631 | Hello, Welcome to icliniq.om. We all are at risk to COVID19, but regular washing, sanitization of hands and use of masks outside the home can reduce the risk. Since you have encountered pneumonia earlier, your defense system must be boosted up. Still, I would recommend that you talk to your physician and get yourself vaccinated with: 1. Influenza (Quadrivalent) vaccine yearly. 2. Pneumococcal vaccine every sixth year. These vaccines provide good prophylaxis against typical bacterial and viral infections. | Q. Is a person with previous pneumonia attack more prone to Covid-19? |
Hello Doctor, My foot is swollen right now and I'm sure that my uric acid went up again. It happens in the past and I need some medication for the pain and the inflammation. My height is 5'6 ft and my weight is 95kg. | 2,632 | Hello, Firstly, the photo uploaded isn't informative , as the extent of redness or inflammation isn't well demarcated Secondly , do you have any past history of gout If yes , how many Acute flares did u have in the past? How severe , only foot , single joint or multiple joints ??? Any Triggers like boozing , food intake rich in Urate ? Any history oh Physical exertion ? Well, management of gout includes three steps Acute Flare Management Acute Flare prevention To clearThe Uric Acid stores and ti decrease deposition in joints For now , Management of pain is crucial T.Naproxen 750 mg stat and then T Naproxen 250 mg Thrice for %5-7 days with meals T.Pantop 40 mg in the morning before breakfast REST Avoid Purine rich diet , No to Alcohol , Beverages Get the Uric acid levels Checked Revert to me with 1)Uric Acid levels 2)Good photograph with proper focus on the affected area along with normal leg for reference 3)Detailed Past history 4)Diet And Drug history That includes both medicines and else as well Very important is to follow proper Diet (keto Diet NO000), Loose weight Finally , the urge to treat without a proven diagnosis is always resisted , Hence diagnosis is mandatory for best management as we practice evidence based medicine Get well soon Regards Dr Geeta | Q. My foot is swollen, and I think my uric acid is up again. Please suggest some medication. |
Hello doctor, I have been diagnosed with osteoarthritis in both hands. One doctor suggested erosions in the left hand while another read that the right hand did not see evidence of that. I was wondering what your opinion is, do you agree with osteoarthritis diagnosis and if so is there evidence of erosions? All blood were negative for any autoimmune causes, ANA, RF, ESR, CRP, etc. | 2,633 | Hi. Osteoarthritis is not an autoimmune disorder, so autoimmune markers are expected to be negative. In an osteoarthritic joint, as cartilage is irreversibly destroyed and bone abnormalities develop, movement becomes painful and more difficult. In my opinion, regarding left-hand x-ray (attachment removed to protect patient identity), I agree there is interphalangeal joint (distal more pronounced) narrowing and sclerosis. I hope this helps. Osteoarthritis. Anti-inflammatory and pain medication such as Acetaminophen and non-steroidal anti-inflammatory drugs, topical analgesics. Injections of Cortisone to decrease inflammation and physical occupational therapy, self-management strategies. | Q. What is the chance of osteoarthritis in hands being erosive? |
hi doctor age 26 year, sex - male the problem is my knee pain befor 3 month my knee pain when i sit and up for 2 or 3 minut . please consult me for the relief my knee pain | 2,634 | Q. For the last three months, I get knee pain when I stand up. How to relieve this pain? | |
My periods are not coming. It's one week more than the previous date. Nothing happened like this with me previous | 2,635 | Hi, Usually 28 plus minus 7days is considered a normal length of menstrual cycle. So if this is the first time you had skipped your periods , I would advise you to wait for another week, if you still do not get your periods you can take the following medication mentioned below for your withdrawal. Also keep a track of your menstrual cycles, if this gets repeated we need to evaluate it further. and please check your urine pregnancy test if you are a sexually active individual (or else you can ignore if there is no history of any contact). stress Thyroid Profile, Hemogram, Serum prolactin, Ultrasound Abdomen & Pelvis, thyroid abnormalities, PCOS FOR WITHDRAWAL BLEEDING --- To take Tab. Meprate or Deviry or primolut N or Regesterone 10mg twice daily for 5 days and then stop. -To wait for withdrawal bleed within next 7-10days. Regular excercises, avoid weight gain, to follow up with the blood tests & ultrasound as advised | Q. I did not get periods, and I am a week late. What to do? |
I’ve recently (like a month) started to get acne and pimples on my face and my face itches a lot through out the day for no reason I don’t have any rashes or anything it just randomly itches and I’ve been trying to get rid of the acne by take pantothenic acid vitamin b5 pills. I’m not allergic to anything that I know of at least and I’ve always had acne on my cheeks but very very faded they’ve recently popped up and turned into pimples and my face itches for no reason it’s the most annoying feeling Also I’ve been getting a bunch of pimples on my nose and I have one that’s been there for a month and it doesn’t look like it’s gonna go. I didn’t really struggle with acne before on my whole face but I always had a little cheek acne and eyebrow pimples. Pantothenic acid vitamin b5 it wasn’t prescribed I just got it cause I seen a video of a lot of people saying it helps. . | 2,636 | Q. I recently started getting pimples on my face, and my face itches a lot. Please help. | |
Hello doctor, I am 41 years old. My height is 5'7" and I weigh about 74 kg. I am suffering from ED. T3-110, T4-9.4, TSH-1.37 Total cholesterol 238 (last year), and 249 recently. 25 OH Vitamin D (total) 58.87 ng/ml. Blood glucose random-104 Blood glucose post prandial 124 g/dL HbA1c 6.3 T level 330, TSH 1.660 Uiu/ml, FSH 250, LH 400, Prolactone 540, Free testosterone 75.90 pg/ml. There is a smoking history of 20 years (one packet per day) but I completely quit from the last six months. Doctore give me four to five testosterone injections and a sachet to drink with hot water. Later an endocrinologist told no need for medicine and hormones are functioning properly. | 2,637 | Hi. All your tests are normal except for high level of FSH (follicle-stimulating hormone) and LH (lutenizing hormone) and prolactin and your endocrinologist advises for no medicine. For managing your ED (erectile dysfunction) try the life style modifications and use of Sildenafil or Tadalafil as on when required basis. Avoid alcohol and tobacco products if using currently. Go for a regular morning walk at least 45 minutes daily or go for exercise daily. Spend more time during foreplay. Take adequate sleep. Eat healthy food and drink plenty of water. I hope this helps. | Q. I am suffering from erectile dysfunction with high FSH and LH. Please help. |
Hello doctor, I had a mild sore throat last Friday and started to take Strepsils then the pain gone last Sunday. But early morning today at around 2 AM I had chills until the morning. I took Paracetamol right away. My body temperature is 37.2 currently. Should I go to the hospital? Are my symptoms same as the Covid-19? | 2,638 | Hello. Viral infections produce similar symptoms. Common cold or seasonal flu produces similar symptoms as does Coronavirus. However, it is the severity of symptoms that are worrying in Coronavirus and the body's response to contain the virus. There is no need to panic right now. Just take precautionary measures like proper hand hygiene and proper respiratory etiquette and maintain a sort of isolation. Take plenty of fluids and other supportive measures as required. If symptoms do not improve or worsen over a couple of days you can visit a health facility. However, if there is any history of contact or presumed contact with someone with suspicious symptoms or a travel history then it is better to report. | Q. Are mild sore throat with mild temperature symptoms of Covid-19? |
Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previously tried Valproic acid, Lithium, Carbamazepine, Xanax, Lorazepam, Clonazepam, Rudotel, Lexotanil, Fluoxetine, Sertraline, and Escitalopram. SSRI does not have an effect on me. Right now, I take Lamictal 50 mg daily and Tranxene 5x5 mg daily. Tranxene loses its anxiolytic effects and my anxiety becomes more severe. I am planning to titrate Lamictal 100 mg. However, it should not help with anxiety. What are my treatment options? Benzodiazepines are not an option because I am getting used to them. Two days later I have a consultation with my psychiatrist, but I want to hear possible treatment for my conditions from another option. I have done thyroid, heart function, men hormones, prolactin, kidney and liver function tests. All are normal. | 2,639 | Hello. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepines, there are few other options for anxiolysis. If you are specifically looking for something to be added to the TCA such as Propranolol, Buspirone, Tofisopam, Clobazam, Hydroxyzine, and Pregabalin. Also, you can consider Mirtazapine, which will act as an antidepressant and also for anxiolysis. It is a NaSSA (Noradrenergic and specific serotonergic) class of antidepressants. | Q. I have bipolar disorder, panic attacks and generalized anxiety. What are the treatment options? |
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? | 2,640 | 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. | 2,641 | 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. | 2,642 | 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. | 2,643 | 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. | 2,644 | 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 having breathing difficulty for the past four weeks. I went to a respiratory specialist, after doing blood and urine test, and the doctor told me everything shows normal, but due to consuming too much coffee you have too much acid in your body, that is the reason for the breathing issue. For the past two weeks I completely cut my coffee, and tea I feel better but still, I am not fully recovered. Some food and fruits like chilli noodles, red apple, lemon, and any food with preservatives I consumed during this time I could feel that it tightened my breathing flow. I do not have pain or fever. I am a smoker, I do not have asthma, the x-ray shows my heart and lungs are very healthy. The question is how do I fully get rid of this issue? I do not know how much longer it will take or what should I avoid eating? When I drink chocolate milk, yogurt, rice, potato my breathing is normal. My nose also gets blocked most of the time, the doctor gave me Bilastine 20 mg but I never used it. I am a 35-year-old male. | 2,645 | Hi. Where is the breathing issue? Is it in the lower airways like in the chest or upper airway like in the throat? Is there any blocked feeling or lump sensation in the throat that you are mistaking as breathing trouble? Is there sneezing, runny nose or post nasal drip? | Q. I have breathing difficulty which triggers on eating some spicy foods. Why? |
Hello doctor, My husband aged 31 is suffering from chronic back pain near the lower part extending till the upper part for the past eight months. Please help with the diagnosis. He has a bad habit of sitting with a laptop for hours together. He barely does walking or exercises. He has taken an x-ray and ultrasound. Report looks to be normal but his pain has not reduced. Everyone says it is a muscle spasm. Is there any treatment for it? | 2,646 | Hello. I cannot see the film of the x-ray but the report is on mild straightening of the lumbar spine. (attachment removed to protect patient identity). Vertebra and disc spaces are normal. USG is normal except for mild fatty liver. It seems that there are two issues here lack of exercise and long hours of sitting. Not lead to weak core muscles and as a result the structure of the back is feeling the strain. Usually the muscle help to take the load of the upper body but if they are weak the disc and facet joints start sharing more load and hence the back pain. The best option is to start physiotherapy, do core exercises, planks, bridges, superman position cat camel, clamshell, etc. You will get videos on the internet if you cannot go to a physiotherapist. Avoid sitting for more than 20 minutes at stretch. Preferably use a standing desk. Take a course of anti-inflammatory tablets and apply ice and pain gels though not together. Come back after three weeks. | Q. Is there any treatment for chronic back pain with normal x-ray? |
Hello doctor, I have seen a dentist recently who said that I have periodontitis. The dentist could not do an x-ray as I am 17 weeks pregnant. The lower jaw front two teeth are lose and I am very anxious whether I will loose the teeth. What treatment options do I have to fix the loose teeth? | 2,647 | Hello. As per your description, you are having periodontitis, and you are pregnant. It is the inflammation of the periodontal ligament. It should be treated because it may affect the health status. Ofcourse for any kind of second opinion one has to check it clinically or at least have an image of concern area. (you have not uploaded any videos or image of concern area). I would like to tell that it is advisable to do only non surgical procedure during pregnancy if they are needed. During pregnancy, hormonal level also varies so it may also be the reason for your gingivitis. You can read about pregnancy-associated gingivitis or periodontitis. Regarding your lower teeth that are moving, one has to check how much mobility is there and also the bone condition of teeth is important. If grade one mobility is there then you do not have to worry and it will recover, again one has to check clinically. Precautions that you should take are brushing twice daily, gargling after every meal. | Q. I am pregnant with periodontitis and loose front teeth. What are the treatment options? |
Hello doctor, My symptoms are distinct white patches on the back of the throat, persistent swollen lymph node in the neck (for at least a week, possibly longer), slight soreness in throat near the node. No fever but have had headaches. Throat flared up in soreness about a week ago then subsided though lingered and lymph node has stayed swollen. Preceding this flare-up was a long period of post-nasal drip and feeling something thick in the back of the throat. Looking at photos of my throat from 2015, it looks like I had very similar white patches on the back of my throat then as well, so it is not clear if they are there permanently or chronically. I cannot find many images online that correspond to this particular shape and pattern of white blotches at the back of the throat. Please advise. I am a male of 39 years old. I take 100 mg Sumatriptan when needed. | 2,648 | Hello, Welcome to icliniq.com. What you are seeing are enlarged lymphatic channels in the back of your throat. (attachment removed to protect patient identity). This condition is called cobblestone throat. It is a term we use to describe irritated throat with visible bumps and lumps at the back. Remember that these bumps are due to enlarged lymphatic tissue in the tonsils and adenoids. These are small pockets of tissue in the back of your throat which when you get irritated due to allergies, postnasal drip or infection can become large and obvious. You do not have strep throat or fungal like picture. I would suggest trying anti-histamine and Tylenol for the next few weeks and see if it improves. If not consult an ENT. I hope this helps. | Q. I get recurrent white patches at the back of the throat with swollen lymph nodes. Why? |
Hi doctor, I need your help as I am worried sick and it is affecting me mentally now that something serious is wrong with me. Seven months ago I began experiencing pain on my left side. I went to my doctor who said it was just muscle pain. The pain went on and got a lot worse. Four weeks I went to the toilet and I noticed I was peeing fresh blood the doctor gave me Trimethoprim for three days which did not help as my urine was still showing high leukocytes and blood so she gave me Ciprofloxacin 500 mg for seven days and there is still blood showing up in the dip stick tests. My doctor has ordered me a CT scan to look for kidney stones but with this world virus, I am not going to get my appointment anytime soon as we are in lockdown. My urine looks clear now but I have noticed today there are streaks of blood in it now and I am terrified incase I have cancer. I am still getting a stingy pain onmy left side which comes and goes and sometimes shooting pain. I have multiple sclerosis also and I took my treatment of immunosuppressants in the last five weeks. I am honestly going out my mind with worry incase this is cancer. I am worried about the streaks of blood when I urinate as this has been going on for about four weeks now it clears then it comes back again. | 2,649 | Hi. I have gone through your queries. Please relax and sit at home. Do not worry. You need not be in a hurry to get a CT (computed tomography) urogram done at this pandemic state. I am explaining the condition now. You are having hematuria associated with flank pain. Hematuria was episodic. At your age and profile, it is unlikely that you have a urinary bladder or upper tract cancer. The possibility is very less. Probable cause of your hematuria is stone disease. It may be a kidney stone or ureteric stone. You get these investigations done, once the lockdown gets over. Check your serum creatinine, CECT KUB and CT urogram (if creatinine is within normal limits). These will tell you the final diagnosis. In the meantime you can take tablet Tamsulosin 0.4 mg one tablet at bedtime for 30 days, Drotaverine 80 mg SOS when you have pain. Tamsulosin cannot be taken if you are having pregnancy. Take plenty of water orally (2.5 to 3 liters per day). | Q. I find some streaks of blood in urine even after taking antibiotics. Could this be cancer? |
Hello doctor, I have a severe pain at the end of my upper left Jaw, exactly where my wisdom tooth was removed two years ago. I have an x-ray of the area to show as well. Toothache starts in the morning everyday, since about five days. I do not have blood pressure, diabetes, or any other major issue. Today, I started Danzen DS (20 minutes before food) and Synflex (right after food) in the morning. I gargle with saline water and Benzarin mouth wash five times a day each. | 2,650 | Hello. I have gone through your attachment. (attachment removed to protect patient identity). The medication you are taking are right and oral hygiene measures also to the point. I want to know a few more details about your site of concern. Do you have any injury or any kind of trauma over there? Any hot foodstuff or any sharp food thing hit there? How does that site look like? (As you have not uploaded an image of that area or site so soft tissue evaluation is difficult). If any minor injury or trauma is there or pain is there at that local site then you can apply ghee over there or local anesthetic oral gel. Lukewarm water with a pinch of salt in it for gargling will help more. Does any tooth from the lower arch hitting that site? Because that may be one of the reasons for local site pain. | Q. Why am I getting severe pain in the area where wisdom tooth was extracted before 2 years? |
Hello doctor, A week ago, I slightly injured the white area of the left eye. A small red spot developed on the eye with some pain. Now that red spot gets pale but the pain is still there. Please suggest. | 2,651 | Hi. Mostly it is sub conjunctival bleed that is not harmful. It will take a week more to settle down. Start Nepafenac eye drop twice daily for three days then taper it to one time a day for the next three days then stop. | Q. I got injury in the white portion of left eye with red spot and pain. Please suggest treatment. |
Hello doctor, I have been using Cialis for years with great results but recently it is not working well. What could cause this? | 2,652 | Hi. Tadalafil has no known interaction with the drugs you have mentioned but Magnesium must be taken two to three hours apart from the drug to prevent decreased absorption. Do you have morning erections? Is it situational difficulty or on all occasions? On a scale of 10, how do you rate previous and present erections? Any recent stressor? For how long are you having the issue? Any other comorbidities? Smoking? | Q. Cialis for ED is not working recently. Why? |
Hi doctor, I discovered a lot of white spots in the back of the palate and I am super afraid that this could be cancer. I do not know if it is possible to upload a picture. I am 29 years old, non-smoker but I do drink alcohol sometimes. I am currently on L-Thyrox 75 mg. | 2,653 | Hello. Since how many days have you noticed these spots? Is there irritation while eating hot or spicy food? It might be just starting of a throat infection and definitely not cancer. Are you taking any medicines? Did you take any specific food items or very hot drinks, etc? Use warm salt water gargle twice a day for a week. | Q. I have a lot of white spots on the back of palate. Could this be cancer? |
Hello doctor, I have an abnormal skin growth around the vagina. They are tiny and white in color. They are only around the vaginal hole. | 2,654 | Hi. I need to see some pictures. How many numbers, size, redness, swelling? It can be many things from allergy, warts, skin tags, tumor, etc. Some times we need to send a biopsy of the grown skin to confirm the diagnosis and do treatment accordingly. Allergy can goes off as the allergen contact decrease. Warts may require cryotherapy like treatment. Skin tags and tumor may require surgery. Give some more details about the growth. Since when it occurs? Is it increasing or not? Painful? Other related histories? | Q. I have a tiny abnormal growth around the vaginal hole. 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? | 2,655 | 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. | 2,656 | 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. | 2,657 | 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. | 2,658 | 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. | 2,659 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, My 18-year-old son got an ECG and blood tests last month as a requirement for medical screening. He jogs every night for 30 minutes. He looks healthy. We consulted our cardiologist early this month and he requested for 2D Echo and treadmill stress test. Unfortunately, we were scheduled for a consult but now we have lockdown for Covid-19. I hope you can help me understand the condition of my son. Thank you. | 2,660 | Hi. Could you upload his ECG (electrocardiogram) if it has been taken and also his echo and treadmill results? | Q. What do right bundle branch block and mild mitral regurgitation mean? |
I have induced my period last month due to its delay after confirming no pregnancy. This month as well period us delay by a week, but urine pregnancy says negative, should i induce periods every month?? Iam trying to get pregnant, after taking treatment for hypothyroid | 2,661 | If HSG is normal and you have irregular periods. Than have to try different dose of medicines to induce ovulation and do ovulation study. And if required than injection for healing ovulation. Intercourses after ovulation for 5 days. And endometrium support hormonal medicines. And if no pregnancy than periods will come. But this treatment you have to go to gynaecologist and ultrasound sonographis for ovulation study in the middle of the cycle. Wait for one or two months due to current pandemic. Than consult nearby gynaecologist for further investigation and treatment. | Q. My periods are delayed by a week, and urine pregnancy test is negative. Can I induce periods? |
Hi. I am really scared about touching things in general because of the Coronavirus, but I also have a paper cut on my thumb and want to check if it is possible to contract it through it getting through my cut? That’s not possible, right? I am so scared of touching anything. I’m scared to get up or even make a cup of tea because I’m so scared of touching anything. I feel stressed and exhausted and need help. I feel utterly terrified and can hardly think of anything other than germs. Any help would be appreciated. Thank you. | 2,662 | Well, there has been no evidence suggesting parentral transmission. Its entry into body has been largely suggested to occur through mucus membranes of nose, mouth and conjunctiva. In any case of a person happens to pick virus even if if doesn't enter through blood, it is likely to enter through mouth or nose or eyes. Luckily the virus is susceptible to even common disinfectants. So a thorough decontamination of the objects once followed by regular handwashing eliminates almost all the risk. Being cautious is good however being overly concerned isn't right at this point in time where you are already stressed. Just maintain proper hygiene there is nothing to worry | Q. I am terrified that coronavirus will infect me through a paper cut on my thumb. Please help. |
hi doc, my son fell when he was 3 yrs old and his head hit by sharp stone inward, he undergo ct scan right after..and was discharge after few days but years pass by he experience frequent nosebleed even sleeping..he is now 7 years old. I feel worry for him now, Is nosebleed is the long term effect of the incident 4 years ago or something else... i hope i can get some answers to this thank you... | 2,663 | Hello, It is not uncommon for children this age to get nosebleeds, along with the elderly---the children usually grow out of it by age 15 or so...It is likely that he might have a deviated septum from the trauma that might need to be addressed in the distant future. For now, I would use NoBleed. It is a cream that you apply with the tip of the finger (DO NOT USE QTIPS TO APPLY!!!--this will only stir up bleeding!) to the inside of the nasal septum and then "pinch it back" by pinching the nostrils...this gently squeezes the cream back--do this twice a day X 1 month, then once a day X 1 month, then once a week...the frequency of the nosebleeds should slowly go down to none...if tis persists despite this treatment, then see an ENT for cautery. One tube should do the trick, and it is cheaper than the estrogen cream that can also work in this situation. Also, make sure his fingernails are trimmed very close over the next 3-4 month. | Q. My son has frequent nosebleeds since a head injury four years back. What to do? |
Hello doctor, I am a 57-year-old male with polycystic kidney disease. My BMI is 27, and I am a non-smoker. My creatine ~1.25, eGFR ~63. I am currently on 30 mg Lisinopril, 12.5 mg Hydrochlorothiazide daily. Most recently I changed to (6 months ago), taking 40 mg Lisinopril only and noticed bp increasing so added the HCT. Since starting HCT, hypernatremic @ NA=130. My query is I get a rapid spike in blood pressure over the course of two to three days from well-controlled 130/80 mmHg to 165/105 mmHg which has maintained for the last seven days and continues. What are the possible causes of such a rapid sustained spike? | 2,664 | Hello. The causes of this accelerated phase could be multiple. Is there any change in dietary habit with increased salt intake? Any recent change in antihypertensive? Did you by any chance miss antihypertensive medications? Any consumption of pain killer NSAIDs (nonsteroidal anti-inflammatory drugs)? If none of this is true sometimes it could be just because of variation in weather with winters starting. My advice will be to continue with Lisinopril as advised. As HCTZ (hydrochlorothiazide) is causing hyponatremia I will stop that and can add Tolvaptan which has been approved specially for ADPKD (autosomal dominant polycystic kidney disease). This has to be done by your nephrologist though. For better control of BP add Amlodipine 5 mg once daily and monitor blood pressure. Please note that a common cause of hyponatremia in such a scenario is increased water intake, salt restriction, reduced protein intake and hydrochlorothiazide. Combination of these factors is common in ADPKD patients as doctors would be advising for all these. | Q. I have PKD and my BP spikes within 2-3 days. Why? |
Hello doctor, I am a 28-year-old female currently under investigation for RA and have been for a while now. I began having knee problems at the age of 15 (my mother’s problems began in her knees at the age of 13) and the problems remained there for a few years. In the last three to four years my symptoms have massively progressed to my hands, fingers, shoulders, hips, toes, and ankles making daily chores quite painful. It sounds silly but when the blood tests came back and did show inflammation I was bizarre, pleased. I had been made to feel like I was over-exaggerating a lot so to have it proven was one step in the right direction. The private doctor I saw was the one that recommended medication. I take Celebrex 200 mg in the morning with 15 mg Lansoprazole as previous medication has upset my stomach. This medication seemed to be working until eight months ago. My blood tests showed my inflammation levels rising again. Recent stressful situations have, I think caused quite a bad flare and I am taking Paracetamol more religiously than I would usually. Small tasks like doing a jigsaw were causing my shoulder to ache. I recently got a new set of blood tests done and the results, along with results from the last 1.5 years have been included. I would appreciate any advice you can give me. I also hand scans of my knees and hips done. The scans came back showing effusion in my knees, I was told it is nothing to worry about at the moment as the fluid buildup is at a level that could be absorbed back in by the body. If it were to get worse though, I was told I would need it drained manually. My hip scans came back normal but at the time of the scan my hips had only been part of the problem for maybe a year whereas my knees had been bad for the best part of 10 years. I am getting frustrated with myself because of my inability to do simple tasks some days. I know it is no fault of my own but that does not help when your only 28 and cannot wash the dishes or mop the floor because something will start hurting and I will have to stop. I have also progressed quite badly with hand issues. I have had occasions where my left wrist and hand will start shaking. I have also regularly found myself dropping things like pans, cups, my cell phone, my medication among other things. My left side of my body has always been worse than my right side although my right side is slowly catching up. I am unsure whether to mention my condition while looking for future work. At the moment it is not preventing me from working. I have had to occasionally, wear braces on my knees or wrists and my current job is aware that if I am sitting down in class it is medically necessary. I am aware that compared to some people my inflammation levels, when looking purely at bloodwork are very low but the actual pain I am in is very real and I would very much like some advice on how to proceed. Primarily, I am looking for a more effective way to manage my pain levels so I can get back to doing more things typical of a 28-year-old rather that sit with a hot water bottle on my back and Paracetamol at the ready. I have attached a blood tets. | 2,665 | Hi. I have gone through your query and blood reports. (attachment removed to protect patient identity). I do have a few queries to help you reach the correct diagnosis. I want to be really sure we are dealing with inflammatory arthritis and so we can modify your medicines accordingly as Celebrex 200 would not be a solution for a long term. Do you experience early morning stiffness and swelling? If yes for how long? Are these pains intermittent in nature or persistent? How is the sleep pattern? Do you have early morning fatigue as if you did not sleep well? Any recent complaints of irritability and forgetfulness? Any persistent headaches? Any bowel upsets like increased frequency of stools? Do let me know these answers. Because for pain there are many reasons. If inflammation is one we should act early. | Q. I have knee problem with hand and shoulder stiffness. Could this be RA? |
Hello doctor, I recently turned 19. I suffer from irregular periods. I did not have my periods for two to three months and then when I have them it would continue for a whole month straight without a pause. I have had the period gap problem for a few years now and recently started with these elongated periods. I have also consulted all kinds of doctor but never actually could find a permanent solution to it. Is this some kind of dangerous issue in my body? (Never had any physical relationships). | 2,666 | Hi. This could probably be PCOS (polycystic ovarian syndrome), which is a lifestyle disorder and because of the hormonal imbalances it causes can lead to irregular periods or maybe even thyroid abnormality which needs evaluation. There is nothing to be worried about and it could be easily tackled and controlled. I would advise you to kindly get the blood tests and ultrasound and get back to me. Meanwhile, keep a track of your menstrual cycles of they get delayed by more than two months please consult your gynecologist for withdrawal. Complete hemogram, Glucose tolerance test, HbA1c levels, lipid profile, RFT (renal function test), LFT (liver function test), Serum calcium, Vitamin D3 and B12 levels , serum fasting and post prandial insulin levels. Serum FSH (follicle-stimulating hormone), LH (leutinizing hormone), Estradiol, Prolactin levels, Thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of next menstrual period. May need hormonal pills for cycle regularization. Reduce weight (if overweight). Maintain menstrual diary. Regular excercises at least one hour daily. Lifestyle and dietary modifications (consult a dietician). Get back to me with the reports when possible so that we could discuss and correct this. | Q. I have irregular periods with long duration of bleeding. Why? |
Hello doctor, My partner had a miscarriage unknowingly that she was pregnant five to eight weeks maybe? She had negative home pregnancy tests, a negative test at the doctor, and had a miscarriage the next day after doctors test. My question is, could it be possible there is another fetus remaining inside? I only ask because we each have one parent that is a twin. Please advise.She thought she was on her period the entire week. Bled for seven days. She attributed it to the Plan-b pill she took several weeks back. We had unprotected sex but I still pulled out. She is on birth control and used a Plan-b pill. How is any of this miscarriage stuff possible especially after just seeing the doctor the day before miscarriage? | 2,667 | Hi. If Bhcg (beta-human chorionic gonadotropin) test or urine pregnancy test says she is pregnant then we can say she is pregnant. And if Bhcg test is positive and healthy if it is decreasing with the history of bleeding then we can say it was a miscarriage. Or we find a fetus part in ultrasound scan or test bleeding parts then we can say that it was pregnancy. It can be possible. The twin part, I cannot say. Need to do an ultrasound scan to check the status of pregnancy. Sometimes early there is implantation bleeding only. | Q. What is the possibility of miscarriage after negative urine pregnancy test? |
Hello doctor, I have mouth and throat ulcers lasting for the past eight to nine days. No fever, cough, or difficulty breathing. I consulted a doctor over the phone and took three days of Azithromycin, Dologel, and some pain relief medicine. After no improvement after three days, the doctor changed the medicine Candid mouth gel, Alusil. I have been taking this for the last three days. Still there is only minimal improvement. | 2,668 | Hello, Welcome to icliniq.com. Can you kindly share the pictures of the lesions? Are there any blisters? How did the lesions appear in the first place? If it is not responding it might be oral herpes. | Q. My mouth and throat ulcers do not improve on medication. Why? |
Hello doctor, I am not able to achieve proper latch and quantity of my breast milk is also low. Need help for both, please suggest. My baby is 3 weeks old. | 2,669 | Hello. I would be very glad to help you. Because being a mother of two, I could very well understand your state of mind now. This is a common problem that most of the new mothers face at this point of time. First of all sit back and relax, do not take too much of stress. Because stress is going to affect the quantity and quality of breast milk. Proper latching is essential for both you and your child to feel comfortable during feeding. First sit in a chair comfortably leaning your back with good support. Lift your baby and hold him near your breast. You can keep pillows below the baby to achieve the height without much weight over your hands. When your baby opens its mouth, You have to put the nipple and the areola around it inside the mouth. Search for breast feeding photos or videos online and you can very well understand it. Amount of breastmilk secretion depends upon various factors. Important one is demand. If you feed the baby often the whole day today, definitely your secretion will start to increase from the next day as your body will sense the demand and produce more milk. Feed minimum once every 2 hours in the day and once every 3 to 4 hours in the night. Keep hydrated. Drink atleast 3 to 4 litres of water per day as 80 % of breastmilk is water. Take balanced diet. Include lot of vegetables and fruits. Definitely you can produce the quantity of milk your baby needs. | Q. I am not able to achieve proper latch and quantity of my breast milk is also low. 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? | 2,670 | 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. | 2,671 | 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. | 2,672 | 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. | 2,673 | 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. | 2,674 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am 35 years old. I have experienced visual auras (migraine aura) for the past three years, maybe once every two to three months (it often occurs after alcohol consumption). I have eye floaters and have experienced seeing streaks of light, a speck of light with closed eyes, and sometimes light sources are burned into my vision for about 10 minutes (I have noticed it is mostly in the right eye). I got examined and diagnosed with lattice degeneration, right. But never really understood what it means, or if any other reason for my visual phenomena are still there. | 2,675 | Hello. I understand your concerns and would to let you know that lattice degeneration is a symptomatic condition. That is to say that lattice degeneration by itself will not cause any symptoms whatsoever. To put it very simply, lattice degeneration is an area of thinning in the retina (the nerve which helps you see). If left alone there are chances that this weak area would give way and tear lead to a serious condition called retinal detachment. Most doctors leave lattices along but sometimes they will have to be lasered. As far as your other symptoms, please continue with your migraine medication. For the sensation of floaters and streaks of light please keep follow ups with your ophthalmologist at least once every year. I am not very convinced about what you have mentioned about light sources being burned, although this is a very common normal condition we see in normal people, I doubt that it would last as long as 10 minutes. In case you could, please get in touch with me about this issue. Other than that, I feel that you do not have much to worry as lattices are easy to monitor and laser if needed. I hope this helps. | Q. I am diagnosed with lattice degeneration with visual aura on alcohol consumption. Please help. |
Hello doctor, I am O negative and my husband is Rh-positive. I have a baby of 1.6 years old, Rh-positive. Now I am pregnant of six weeks and do not want to continue so I take an abortion kit but after taking all four Misoprostol pills bleeding not started yet and it is almost 24 hours gone. What to do now? Do I have life threatening risk? I am worried. | 2,676 | Hi. You need to do one ultrasound scan to confirm the pregnancy. If you had done scan before taking pills then wait for 12 days and if no bleeding then repeat ultrasound scan. And if you did not do ultra scan then get it done. You should bleed. But if not then either you had wrong pills or pills did not work. And will require surgical abortion. You need to consult a nearby gynecologist or abortion center. One rare chance is to have an ectopic pregnancy if you did not do an ultrasound scan. But if it was there then you should have more pain in the lower abdomen on one side. It will clear in the next ultra scan. In that case, treatment may vary. After bleeding starts you should take Rh anti D 150 ug injection within 72 hours because we do not know the fetus blood group. Do drink more water. And if you did not do ultrasound scan then you can repeat the urine pregnancy test also. Because sometimes kits also come faulty and give false-positive results. So to compare or confirm you can repeat. | Q. Why am I not bleeding even after taking four pills of Misoprostol for abortion? |
Hello doctor, I am a female, aged 34 years. A year ago I did h.pylori test which came positive and the doctor gave me 2 weeks antibiotics course and then I did not retest it. Most of the time I face burping and acid reflux problem, I have gallstones also 4 to 6 mm multiple stones, now since a week fever is coming which is a low grade fever from 37.1 to 37.5. Please advice me. | 2,677 | Hello, Welcome to ilciniq.com. With the given data it is difficult to tell which test was done to confirm H. Pylori, if it was a stool antigen test or a breath test (rarely done) or a serum test. Given that you mentioned, it came out positive, anyways you need to take a H.Pylori eradication kit, which includes 2 antibiotics along with a PPi plus one more agent (depending on physicians preference). As you are on 2 weeks of antibiotics, you should get your self-tested again for H.Pylori with stool antigen test. If it is negative you do not need to take anymore antibiotics otherwise you will need another 10 days of different set of antibiotics or you can take 2 more weeks of antibiotics and repeat test again. But the symptoms you are having might not get better with H.Pylori eradication, they might be due to acid reflux which is totally different from H.Pylori. You should get your self evaluated with an upper GI endoscopy and rule out GERD. You should avoid, fatty food and excercise regularly and keep a gap between meal and naps. shedding off a bit of fat will definitely help, as your BMI is about 27.5, try getting it to 25 and you will see the difference. | Q. How can fever with H. Pylori infection be managed? |
Hello doctor, I am super embarrassed but I have been having trouble with being positive about this situation. I have been having issues with my downstairs area about smells. To me it is very unpleasant and I am very uncomfortable. | 2,678 | Hi. How are you doing? Hope you and your dear ones are safe and healthy. For a young lady of your age, following are the possibilities and solutions: 1. If using antibiotics frequently, bacterial vaginosis. Caused by imbalance in healthy and unhealthy bacteria and vaginal flora. To correct this, avoid frequent antibiotics use, avoid vaginal douches. Use capsule Lactobacillus twice daily for 10 days. 2. If you have frequent respiratory tract infections. You may be transmitting the viruses and bacteria to your vagina, unknowingly. When you sneeze or cough into your palm,later when you wash your genital area after using the washroom, you will transfer respiratory infections to vaginal tract. To correct this issue,use a good course of antibiotics like Cap.Moxacillin+ Clavalunate 625 mg twice daily for 1 week. Also wash hands with soap before using washroom. 3. If you are diabetic. Check your blood sugar levels- fasting and post prandial. Only after correction, problem will be solved. 4. If you are sexually active, infection from partner could be the reason. Meet your doctor and both of you will need antibiotics course. 5. Use vaginal wash daily once, for 1-2 weeks. Twice daily during periods. This will improve your vaginal discharge problem. | Q. What causes bad smell in vagina? |
Hello doctor, I have been having vertigo for over five weeks. I was prescribed Doxycycline and Mescline. Unfortunately, the Mescline did not make me feel better. I think my issue is that my eustacian tubes are clogged and need to be drained. How can I do this? Is there a medicine? | 2,679 | Hi. Ear blocking sensation with vertigo for five weeks especially if it is bilateral is unlikely to be due to eustachian tube dysfunction. Eustachian tube dysfunction in general does not cause significant vertigo unless there is associated infection of middle ear or fluid in the middle ear. Since you do not have pain, it iis unlikely to be due to infection of middle ear. So possible cause can be fluid in the middle ear (glue ear) which is usually due to long standing eustachian tube dysfunction. Most of the times it is a self resolving condition. Treatment for this condition is symptomatic with anti-vertigo medicines such as Cinnarazine or Betahistine taken every day for a week. For fluid in the middle ear you can use decongestant nose sprays such as Oxymetazoline or Xylometazoline. Steam inhalation two times daily also can be beneficial. If these medicines do not work, then detailed examination of ear for inner ear dysfunction and hearing tests such as Pure Tone Audiogram and Tympanogram may be required. | Q. Can draining eustachian tube improve vertigo? |
Hello doctor, I am a 44-year-old male. My height is 167 cm and weighs about 71 kg. I am a diabetic (Type 2) since 12 years. Family history: My father is a diabetic and expired due to cardiac arrest. I am currently on Humalog Lispro 100 insulin via medtronic pump. I take both vegetarian and non-vegetarian diet. My blood work shows: FBS: 116, HbA1c: 7.6, Uric acid: 6 Lipid profile: Total cholesterol: 227.9 mg/dl, Trigycerides: 444.70 mg/dl, HDL cholesterol (direct): 44.5 mg/dl, LDL cholesterol (direct): 94.46 mg/dl, VLDL cholesterol: 88.94 mg/dl, CHOL / HDL ratio: 5:12, LDL / HDL ratio: 2.12. Stress test report: attached. Doctor has prescribed Tritace (Ramipril 2.5 mg) tablet once every night for three months. My problems are: unable to eat wheat or carbs as sugar shoots up to 250/300 and takes time to come down. Pain in the fingers of both hands, unable to close fist easily (after sleeping). Sometimes pain in the arms. I need to get diagnosis of pain and long term solution (medications) for sugar. | 2,680 | Hello, Welcome to icliniq.com. I will provide you the outline of management in your case, however, actual changes in treatment regimen should be done after discussing with treating doctor. Firstly, your heart looks alright with no evidence of blockages, however, blood pressure is an issue which needs to be taken care of. You are started on Ramipril, but you should check it frequently at home as 2.5 mg alone less likely to completely normalize your BP. So if home BP remains elevated more than 140/90 mmHg after 2.5 mg Ramipril then it has to make twice daily. Next regarding sugar, it is not very well controlled especially post meals. Now I do not know whether you were tried initially on any medications or not, if not then medications should be tried. Now, Metformin is a basic and most important medication for it. So, you should discuss with your doctor regarding initiating it. Also, you will need add on drugs as Metformin alone will not be sufficient, which includes Teneliglipitin and Glimepiride which comes in combination of Metformin. If medications are not feasible at the moment, then dose of bolus insulin which is delivered with each meals should be increased by two units, in order to take care of post meals surge. So that you are able to have proper diet. Also, regarding pains, it is likely a neuropathy due to deranged sugars. For that, sugars should be tightly controlled and you will need supplements like Neurobion forte once daily. If this does respond to multivitamin supplements then you will need nerve stabilizers like Pregabalin, etc. Also, your triglycerides level is too much elevated, for that you need to have a healthy lifestyle like avoiding fatty oily foods. Have regular exercises like brisk walking for at least 30 minutes a day. This will also bring your sugar level down. Also, you will need medications here to control triglycerides like tablet Fenofibrate 145 mg bedtime daily for eight weeks. There are some issues and there is good scope for improvement. Also, you should undergo TMT(treadmill test) at regular intervals of three to four years. Also, considering your family history of heart disease, it is better you also undergo CT (computed tomography) coronary angiography once as it has got very high sensitivity and can tell us if even minute blockages and preventive medications can be started. I hope this helps. | Q. I am type 2 diabetic and my sugar shoots after wheat and carb intake. Why? |
Hello doctor, I am a 28-year-old female. I have chest pain after flu-like symptoms. My height is 171 cm and weighs about 61kg. It started about one and a half months ago as a normal flu with coughing and runny nose. I took some flu medicines (Lemsips pills), I got rid of the runny nose, but I still had the cough which was dry. After a few weeks the cough began to be productive and the pharmacist prescribed some cough syrup (Robitussin) and Paracetamol. After a blocked ear, due to inflammation, I had to take antibiotics as well (Amoxicillin). Now I only cough in the morning, but I have this chest pain, mostly when I lie down. I do not have any other symptoms such as fever, runny nose, etc. | 2,681 | Hi. It seems like a little infection in lungs maybe. So I am prescribing some drugs and tests as well. Take medicines properly and do the test and show me. 1. CBC (complete blood test). 2. Pulmonary function test. 3. Chest x-ray. Take syrup Dextromethorphan two times daily, Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) three times daily for five days, Diclofenac and Paracetamol two times daily for three days, and Levocetirizine 5 mg once daily for five days. Take medicines with warm water. Drink warm water with honey. Avoid smoke exposure. Infection. Chest x-ray. CBC. PFT. | Q. I get chest pain after recovering from flu. Why? |
Hello doctor, Is there possible of tetanus vaccination as a prevention of Covid-19? I know that tetanus is caused by bactrim but Covid-19 is caused by Coronavirus. | 2,682 | Hello. You must not use tetanus for Covid 19 (Coronavirus) prevention. However, you can wash your hand after touching anything which might be infected. It is advisable to stay inside the home or keep yourself isolate at least for three weeks. The vaccine is always prepared from the disease bacteria with carefully removing the virulence factor (toxin) removing that normally helps to get from that particular bacteria or virus which was used. Our researchers are trying their best to find out the possible treatment and vaccination for current illness (Covid-19), until then please keep yourself isolate and stay away from the crowd and wash your hand appropriately, avoid touching your face, nose, and mouth without washing at least one minute with running tap water (use soap for better result). | Q. Will tetanus vaccine act against Coronavirus? |
Hello doctor, I have not had my period for 44 days. I have taken four tests and all negative and I am currently not taking any contraceptives. My last period was 12th before two months. And since having my daughter I have experienced really bad pain during intercourse to the point I have had to tell my husband we have to stop because I start crying. I get random cramping pains in my pelvis area and back pain both really sharp. I have also got pain in my upper butt area that makes it painful to walk or sit down. | 2,683 | Hi. How are you doing? Hope you and your dear ones are safe and healthy. From your history, I gather that you have two problems. Delayed period and lower abdominal pain and cramps. For the delayed period, I see your body weight could be a reason. With a height of 152 cm, your expected weight is 52-55 kg. The extra fat, cholesterol can get converted into hormones and cause an imbalance of hormones needed for normal ovulation. Thus due to impaired ovulation, period will be delayed on and off. At present to have period, take any of the birth control pills, packet of 21 pills (ones used for contraception) twice daily for 10 days. No matter what the reason is, you will have periods within 7-10 days after the last pill. Through good dieting, not fasting, and proper work out reduce your weight. Weight loss of just 5 kg is enough to correct hormone imbalance. About pain in the lower abdominal area and during sex, there could be two reasons. a. Pelvic infection in and around the uterus. Infections enter with semen. Symptoms are vaginal dryness during sex, burning sensation in vagina after sex, pain throughout which increases around the time of ejaculation, following day excessive vaginal discharge with or without itching and foul smell. Similar discharge just before period. Period blood is darker, thicker and stickier. Mild feverish feel before period. Cramping pains just before period. If this is the case, avoid sex, meet your doctor at leisure, both you and your partner should have a good course of antibiotics. It will get fully resolved. b. Endometriosis due to blood causing adhesive areas around uterus, increasing over the months and years. But I do not think you could be having this. Both these need medical help. You can solve the issue of period with the pills. I hope this helps. | Q. Why do I get pain during sex? |
bump on the left side of the nose. feels like cartilage or bone. always been there since I can remember. the right side of my nose doesn't have a bump whatsoever. I've always experienced breathing problems. Don't know if I should be concerned or that it's just something that will always be there | 2,684 | Q. I have a bump on the left side of the nose for a long time. Should I be concerned? | |
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? | 2,685 | 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. | 2,686 | 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. | 2,687 | 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. | 2,688 | 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. | 2,689 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello, I am a 36 year old female, weight 110, height 5'4. I have been diagnosed with GAD and agoraphobia. My symptoms are severe. I am writing to receive medical advice regarding my hair. I suffered a severe psychotic breakdown in October of 2017, and my hair stopped growing. It stayed exactly shoulder length the whole year afterward. My bangs did not grow. I cut my hair in December of 2018 to see if I could better tell if my hair would grow. My hair did grow about six inches from January 2019 to June 2019. Starting around July 2019 I had another less severe psychotic episode and my hair started to thin and seemed shorter again. My hair has not grown at all since then. I am taking various supplements like ginseng, ginkgo biloba, taurine, NAC, St. John's Wort, fish oil, and vitamins B, C, and D. I just started taking Zyprexa, Zoloft and Seroquel. I would like to know what to do about my hair growth. | 2,690 | Q. My hair stopped growing and is thinning after a psychotic breakdown. What to do? | |
Hello doctor, My daughter is 1.3 years old. She weighs about 11 kg. She is having pimple type nearby under arm area at the right-hand side. It is newly grown and old ones are blackened and healed. | 2,691 | Hi. Please get the child evaluated for scabies. The child may need to be started on Permethrin. Please get the child evaluated physically by a pediatrician in order to assess and start Permethrin. | Q. My 1. 5 year old daughter has recurrent pimples near underarm area. Please suggest treatment. |
Hi doctor, I have pain for the past four weeks already. The pain is consistently sharp and takes my breath away, and stabbing. And with the pain, I have spasms all over my body. I can feel some pulsation inside my left upper side under my ribs and the pain starts with the cramps on my back going to the front with the contraction pain. My blood and urine are fine. I had done an MRI scan. And the MRI says normal appearance of the liver. No focal lesions are seen. The gallbladder is normal. No intrahepatic biliary duct or common bile duct dilatation. I just would like to know what if no intrahepatic biliary duct or common bile duct dilatation is normal. Please help me to understand. | 2,692 | Hi. Inflammatory conditions like costochondritis must be ruled out. As of now, you can use analgesics and anti-inflammatory combination like Aceclofenac, Seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. | Q. I have sharp pain while breathing with no lesions. Why do I get this? |
Hello doctor, I have had mild pain from one of my vertebrae for about eight months. It is one of the thoracic vertebrae. I am not certain of which one it is approximately in the middle of my back. It feels slightly sore when I bend backward. Also, if I press with my thumb on the spinous process. I am wondering if it could be a fracture and I worry a little bit about bone cancer. There is no lump. It does not hurt unless I move a certain way. I think it might have started when I was doing some yoga poses lying on the floor. | 2,693 | Hi. Eight months period is quite a long time and I feel you should not ignore it. A few things I want to know. Do you have any other ailment, like diabetes or hypertension or hypothyroidism? What you do and how much physical activity you have in your daily routine? Have you noticed fever and weight loss in these eight months? | Q. I have pain in vertebrae for 8 months while bending down. Could it be fracture? |
Hello doctor, I felt pressure in my head on Monday (thought I was getting a headache). I woke up Tuesday morning with blood in the white of my left eye. This morning I saw blood on my pillow the size of my thumbnail. What is my next step? I am currently on Pristiq, Lamictal, and Potassium chloride. | 2,694 | Hello. It seems to be subconjunctival hemorrhage. Are you 65 years? Is her blood pressure levels controlled with medicines? If not then monitor your BP and then get the treatment accordingly. Do you swim? Or do yoga? Any history of fever? | Q. I have blood in white part of my eye. What could cause this? |
Hello doctor, My wife is 38 old. She has been suffering from muscle pain in the right leg for 10 days. Pain is worst while walking radiates from buttock up to the ankle. She is breastfeeding. Kindly suggest. | 2,695 | Hello. You have mentioned that your wife is suffering from muscle pain in the right leg for last 10 days. So a few questions from my side. Is there any low back pain as well? Apart from pain, is there any associated numbness, weakness, paresthesias as well? Any x-rays or blood tests if you have done recently, kindly send it to me. As far as management goes, we cannot prescribe much since she is breastfeeding . But what she can do is physiotherapy with modalities like Laser, SWD, and IFT for back and TENS for leg symptoms. Isometric back exercises, SLR, knee quadriceps exercises will help strengthen the muscles. Hot fomentation at home can be done along with the application of analgesic ointment or spray if available. Activity modification as in no acute bending, no heavy weight lifting, etc. If at all medications are needed, Take tablet Calpol 650 mg SOS can be taken for pain management. Calcium and Vitamin D supplements should be continued as per protocol for a lactating female. | Q. My wife has muscle pain in right leg and is breastfeeding. Please suggest. |
Hello doctor, I am a 32-year-old male. I am having chronic idiopathic pancreatitis. I am regularly on Agna 25000 three times, Cretox CP three times a day. My problem are cold and cough for two years approximately. Almost four to five days a week. Even sleeping under the fan my nose gets blocked in the morning and nowadays I feel uncomfortable when dust is around as well. Did total IgE report is quite high? Please diagnose and suggest medicine. | 2,696 | Hello. We are happy to help you. I understand that you have these complaints for a few years. It most probably is a manifestation of allergic rhinitis. The total IgE in serum is just an indication of the allergy status at the time of taking the blood sample. It is not very significant in allergy practice. Nevertheless, it shows that you have an allergy. You need some medicines to keep allergy under wraps and prevent the blockage and cold. You also need to find out which allergen is offending and causing the problems. The best way to diagnose is getting a skin prick test done at a good allergy diagnostic lab. Meanwhile, you will be benefitted by an antihistaminic with leukotriene inhibitor combination, steroid nasal spray, and allergen avoidance. You would need to be taking these for about two to three months. Allergen avoidance is the best solution. Could you provide us more details about the complaints so that we can guide you better? Is the problem seasonal or perennial? Does it only occur in the nights when you lie down under the fan or any time of the day? Does it get worse in winters or when you visit any hill station? Where do you live? Do you smoke? What is your diet like? Do you get exposed to vehicular exhaust pollution or smoke and dust of any kind? Have you tried nasal sprays before? Is the cough wet or dry? Is there any breathing difficulty or wheezing? Is there any change of voice? | Q. I have chronic cough and cold with chronic idiopathic pancreatitis. Please help. |
Hello doctor, I am a 66-year old male with good health. I wear contact lens, Air Optix day and night only on the left eye (PWE-10.75 BC 8.6 DIA 13.8). I am currently on Vigamox. I am getting pain in my eyes. As a result, I am wearing my glasses mostly and my contact lenses sparingly. The problem is I must have got a grain of sand or cement under my contact and had continued to work. When I pulled my contact, I noticed there was a tiny whitish dot on the cornea in the area of the iris. I can email you an image but I do not see a way to attach a jpg at this time. The tiny white dot has not gone away. It has been a week now. I have no vision problems. I need a consultation. | 2,697 | Hi. It seems to be a corneal ulcer. Absolutely discontinue wearing contacts (do not throw them, they will be needed for bacterial culture later on). Start Vigamox eye drop 12 times a day i. e every one hour (buy a fresh vial), Amikacin eye drop six times a day i. e every two hours, Homide eye drop at bedtime (will cause blurring of vision but relaxes pain). Use Refresh tears eye drop six times a day. At bedtime Occupol eye ointment inside the eye. Do not touch ur eye if not required. While bathing try to shut your eyes tightly. See an ophthalmologist in person asap. | Q. I have a small white dot on the cornea after contact lens usage. Why? |
Hello doctor, It is about one of my closely known relative who is of the age of 19 now and has tested her thyroid and USG was done. Her weight is 80 kg and height almost 165 cm. I just want to know two things on the basis of the two reports that I will be attaching here within. Polycystic ovarian pattern was shown in the USG. So will it be harmful to her post-marital life in case of delivery and it was also written less release of eggs? So is it due to her age that is going to get alright after her marriage? Or is it anything serious? If anything such serious, please do prescribe some medication or way to mend it. Her thyroid TSH testing was 3.79. Though it is normal, doctor has prescribed her to have 0.25 power tablets for the sake of not letting it grow further. So is it advisable for her to start with the medicine given? I want your valuable piece of advice in both cases. Her periods are regular. | 2,698 | Hi. Polycystic ovaries can give problems in conceiving. 50 to 60 females have polycystic ovaries. So right now there is no need to worry and especially if her period is regular. There is no such treatment to take right now. She may require treatment to get pregnant. Otherwise, there is no such problem. If thyroid is normal then there is no need to start medications right away. If you have some doubt then she can repeat the test with fasting blood sample. | Q. What problem could polycystic ovary cause in marital life? |
Hello doctor, I had my last molar extracted about a year ago, and never had my top wisdom teeth pulled. Is it possible for my wisdom tooth to try to come down in the empty space that the molar was extracted? I have a swollen jaw and slight pain when touched. | 2,699 | Hello. I understand your concern. When a tooth is extracted, the opposing tooth tends to compensate by over erupting, since there is no stop for the tooth to rest on. This is called as supra eruption. From your query and the details provided, it looks like your upper wisdom tooth is supra erupting and is infected. The only option is to get that tooth removed. If the pain is quite disturbing, you can take mild painkillers like Acetaminophen (Paracetamol) or try warm saline mouth rinses thrice daily. During this pandemic (Covid-19), dental offices are instructed to provide emergency care only. So minimal and non-emergency procedures are generally postponed three weeks later for now. You can call your dentist or the nearest dental office and get an appointment if the pain becomes unbearable. I hope this helps. | Q. Is it possible for wisdom tooth in upper jaw to come down and occupy the extracted site in lower jaw? |
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