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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? | 2,700 | 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. | 2,701 | 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. | 2,702 | 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. | 2,703 | 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. | 2,704 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am a 24-year-old female. I am 185 lbs and 5 feet inches in height. I have never had allergies or asthma. About six months ago, I started having shortness of breath, wheezing and the feeling that my air was not catching. I have sudden sharp pains that feel like something wanting to burst when I breathe in that double me over. I immediately quit smoking cold turkey and drinking energy drinks. I used to be a pack and a half a day smoker and drink about three energy drinks a day since 15. The ER diagnosed me with a panic attack which I knew was wrong as I was no breathless from panic I was panicked from breathlessness. I then made an appointment and the doctor heard the wheezing and diagnosed me with walking pneumonia. She gave me antibiotics and Albuterol which did nothing. My sputum test came back normal even though it is black and brown gelatinous and sticky. And so I did my two chest x-rays. We have no pulmonologists or respiratory therapists in my town. I made another appointment and asked my doctor about Chlamydial pneumonia (not the STD). Turns out he was a physician assistant, had to google what it was and then gave me Hydroxicycline mono and more Albuterol which I am currently on. Still no relief at all. I am worried I have PF or COPD and have had a miscarriage from coughing and so depressed for the last six months because I cannot think or focus on anything. I constantly feel like I am just catching my breath like the edges of my lungs are not getting any oxygen. It is noticeable when I try to have a conversation, eat or drink, or do anything. It is ruining my life but what it is and I do not know what tests to ask for. I am terrified of having chronic adult-onset asthma or other COPD or something irreversible. I am worried that even if it was reversible, to begin with after six months of being put on my clinics merry go round with no diagnosis it is probably irreversible now. Which I try not to think. What does this sound like? What are the chances it is a curable issue? What tests should I ask for? Could the energy drinks have caused heart damage? Please help. | 2,705 | Hi, Welcome to the icliniq.com. Before labeling dyspnea from a panic attack (psychological cause), all organic causes need to be ruled out. Your chest x-ray (attachment removed to protect patient identity) and sputum examination are normal, hence, infective etiology is less likely. To rule out any organic cause your work up needed as follows: 1. Auscultation for rhonchi if heard. 2. CBC (complete blood count). 3. Pulmonary function test. (If you have asthma or COPD then PFT will rule out it). 4. EKG for cardiac evaluation. 5. And finally, your calf should be examined. If calf swollen with inflammation is present then D dimer done. From these investigations your diagnosis will be clear. If no organic cause found then panic attack can be considered as etiology for your condition. For doing PFT pulmonologist is needed. So try to make a visit to nearby pulmonologist in another city for examination and doing PFT. If panic attack is the diagnosis (after rule out other causes by the above investigations) then yoga, meditation are beneficial and suitable medication will be started by the psychiatrist. | Q. I get sudden shortness of breath with wheezing and sharp pain. Could it be COPD or PF? |
Hello doctor, I get a cough for the last few days, which is heavy during night times. No raise in temperature but feeling tired with no travel history. No contact with any Covid-19 persons. It has been four to five days and has drunk a lot of Benadryl and took Paracetamol too. Doctors have shut the OP so do not know what to do? Please help. | 2,706 | Hello. I understand your concern. I just have a few more questions. Does your cough has phlegm? Any other symptoms like difficulty breathing? Any other medical condition such as asthma, hypertension? Are you a smoker? Alcoholic beverage drinker? | Q. I have cough with no travel history. Is this a symptom of Covid-19? |
Hello doctor, I made a tattoo almost six months back. Even at the time of receiving tattoo, the artist used multiple needles in which I saw changing few and missed some. I asked him about needle changing to which he said he did. My concern is what are the chances of contracting HIV in worst-case scenario that he did not change a few needles. Also till now I never had any fever or body pain or infection around the tattoo made. | 2,707 | Hello. Needle can transmit HIV only if the needle was freshly used in another person send the amount of blood collected in the needle is significant. This is because the HIV virus dies very quickly outside the body. In my opinion, the odds of transferring HIV infection in the above scenario are quite less as the chances of both these conditions are present together is very less. It is a good point that you have not had any fever or other symptoms. Testing is being mentioned because we are talking about the worst-case scenario. In short, testing not needed ordinarily after tattooing, however, if you have much doubt about due precautions taken by the artist, you can go for it. | Q. What is the chance of contracting HIV by tattooing with used needles? |
Hi Doctor, Good Evening. I had tumor in uterus, was admitted in hospital last month and successfully Uterus, Fallopian tube, Lymph nodes all were removed. Biopsy report came after a week. It says Tumor involving more than 50% of thickness of the myometrium., Lymphovascular space invasion present, FIGO : STAGE II. Doctor advised for IMRT and we completed 12 days. But now due to Pandemic situation doc advised her not to come hospital. Doc advised we can finish the next 13 days sitting once this pandemic is over. I am worried if we stop inbetween will it impact in later stage. Because i am diabetic and having BP. Can you please give me the clear direction. should i continue the IMRT or considering the current situation should i stop for a while. | 2,708 | Dear, I am sorry for your predicament. it is indeed difficult time due to pandemic. ideally there should not be any gaps in treatment, since gap result in increased chances of disease recurrence. I would advise to continue treatment, however considering the pandemic, the decision to continue radiation is associated with accepting the risk of developing infection, with you having dm and htn, you are at a higher risk from getting infected. please discuss this with your treating radiation oncologist, every hospital has some policies, example in my hospital we are continuing the existing patients, but not starting any new patient. I hope I am helpful, kindly revert in case of any further queries. regards | Q. My doctor advised stopping radiotherapy until the coronavirus pandemic is over. What should I do? |
Hi, I just went to the dentist for a general cleaning. My dentist is great and very hygenic. Today when he came in the room he washed his hands and put on gloves. Half way through he needed to go and check on another patient. He took his gloves off and ledt the room. I dont know his he needed to treat or just talk to the other patient. He came back in my room and put new gloves on but didnt wash his hands and continued. He off couse may have washed his hands in the other room. I have anxiety about my health and worry about contracting something like HIV or Hepatitis. During my cleaning my gums were bleeding and I’m worried that maybe there was cross infection. Am i right thinking that it would be unlikely that he could have infected me with something like HIV/Hepatits this way? | 2,709 | Hey, That is great that you are cautious about hygiene. But its perfectly fine. Your doctor would have definitely washed hands before wearing gloves. Secondly, HIV/Hep C viruses don't act at other person in seconds. It takes months or years to become active and then start with some symptoms after years . This won't be the case you are healthy mA. Bleeding during scaling is very common when tartar is removed at boundaries of gums. It promotes a healthier gums production later. For being having no doubts about any viruses you can get your relevant blood tests done. Like CBC, Hiv tests done 6 monthly that will definitely rule out this thing in your mind. Take care.Stay blessed and happy. Feel free to ask any further queries. Dr. Tooba | Q. My dentist did not wash his hands before putting on gloves. Could he have infected me? |
I have been having hourly mood swings [ somtimes 10-20 minutes ] Im not sure i will be fine then im sad lke super sad and then i have this burst of energy . I cant even get out of bed . Is this normal for depression? I have been diagnosed with these: dermatillomania. Anxitey Depression with psychosis PTSD | 2,710 | Q. I have hourly mood swings. Is this normal in depression? | |
my ear(right ear) its like something is there something blocking i cant hear | 2,711 | Q. I feel like something is blocking my hearing in the right ear. Please help. | |
Hello doctor, I was struggling with reddening, itching, and tenderness on the penis head and under the foreskin. I self-diagnosed a fungal infection and started applying Candid B cream twice a day for a week. With a slow recovery, I decided to take oral medication for the same. My pharmacist suggests Fluka 150 (Fluconazole) oral tablets. I took the medication for four days daily, single dose. Yesterday, after drastic improvement in my symptoms, I discontinued taking Fluka. Now I am having abdominal discomfort, passing excess gas, and feeling slight anxiety Should I continue the medication? For how many days? Is it possible I misdiagnosed my condition? | 2,712 | Hello, Welcome to icliniq.com. Get physically examined and investigated to rule out any medical condition and treat accordingly. Take medicine only under prescription and close observation of the doctor. Check vitals. Drink plenty of water and fluids. Maintain strict hygiene. Wear loose cotton comfortable clothes and underclothes. Avoid sexual contact if any for a while. Avoid cream lotion salon treatments, cream lotion oil massages, perfumes, etc. Take tablet Rantac twice daily unless otherwise contraindicated with water for three days before meals. Feel free to follow up anytime. Follow diet modification. | Q. I feel itch and tenderness in penile head and foreskin. Is it fungal infection? |
Hi doctor, My partner is on her periods and yesterday was her third day and she notices some white jelly kind of thing coming out with blood clots and today also this happens. I have pictures but I do not know where to attach it. I am trying to sign up also, but I am not getting the option. Please let me know how I can send the picture or how can we communicate further? | 2,713 | Hi. White discharge can be normally also. And it can be after intercourse also. If there is no burning, itching or foul -melling of discharge than no need to worry. Vaginal infection can happen routinely if you do not follow some precautions. If the discharge is increasing or have urinary burning than have to do some investigation and antibiotics accordingly. Do drink more water so that urine should be clear. Keep the vaginal area as dry as possible. Change pads more frequently during menstruation. Eat healthy and less oily and less spicy food. Do urinate and clean the vaginal area immediately after having intercourse. Do follow these precautions and discharge should go down. Normal white discharge can be due to stress also. In the photo the discharge looks like normal (attachment removed to protect patient identity). But if foul smelling then tell. If you have more doubt and thinking of bacterial vaginosis then you can take Metronidazole 400 mg tablet twice daily for seven days. But I think if no other symptoms then it is not required. Do drink more and more water to clear the minor infection. | Q. My partner gets white jelly-like substance with blood clots during period. What could it be? |
Hello doctor, A 4-year-old kid of 15 kg weight is having a general cold for almost three months. Sometimes cough, and nasal congestion. Otherwise, he is fine. He has no fever or weakness. | 2,714 | Hello, Welcome to icliniq.com. I understand your concern for your child. As you told me, this is happening for long. And there is no fever, it seems to be some allergic condition. Are you still bottle feeding the kid? Is there any difficulty in breathing? Any sounds or snoring while breathing or sleeping? Give syrup Maxtra (Chlorpheniramine) 5 ml thrice a day for five days. Nasal drop Xylomist P one drop in both nostrils twice a day for three days. | Q. My 4-year-old kid has cold and nasal congestion with no fever. What should I do now? |
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? | 2,715 | 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. | 2,716 | 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. | 2,717 | 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. | 2,718 | 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. | 2,719 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am suffering from a cold sore type infection in my mouth especially at lips. Same was occurred last year and again it repeated this year. And as on today it is the third time it is coming and curing within a period of 10 to 20 days. I want to add photographs but do not know how. Further, currently it is on my lips and additional sores are there inside the upper part of my mouth. There is no pain. Please advise so that this can be permanently cured. I am currently taking Acivir 800. | 2,720 | Hello. I understand your concern. I have gone through your query, attached pictures, and your previous prescription. (attachment removed to protect patient identity). These cold sores are of viral origin and it is called herpetic stomatitis. This has a high recurrence rate meaning as long as the immune system is little underperforming, it can come again and again. Also, taking antiviral drugs could put your immune system down. You should compensate by eating healthy foods and drinking adequate water. There are certain instructions you can follow to reduce its recurrence: 1. Taking antiviral medicines on time without skipping or forgetting the dose. (The antiviral drug which your previous doctor had prescribed will suffice). Please take the same set of medicines for another course. This time without skipping doses and take them at the correct time. 2. Avoid hot, spicy, salty foods, citrus fruits and its juices, carbonated drinks, etc. 3. Drink lots of water. These treatments can make your body dehydrated. 4. Eat healthily. Take a balanced and nutritious diet. Increase fruits and vegetable intake. 5. You can place ice cubes intermittently over those sores for faster relief. 6. Maintain good oral hygiene. Rinse your mouth after every meal. Brush twice daily. This will prevent any bacterial or other infections over those sores and promotes faster healing. It is highly contagious and hence limit personal contact with others and children. I hope this helps. | Q. I get recurrent sores in lips which stays for 10 to 20 days. Please help. |
Hello doctor, I was recently diagnosed with a blood clot in my left jugular vein and put on Eliquis (10 mg twice daily for a week, now 5 mg twice daily). I was also recently diagnosed with some sort of autoimmune disorder, but it is not clear yet which one. After being diagnosed with the blood clot, my rheumatologist performed a lupus anticoagulant panel to see if I am taking the correct blood thinners. Everything came back normal except the dRVVT which was prolonged with 52.2 seconds. The dRVVT mix was 45 seconds and I was told that it is negative. I have read a lot about dRVVT testing online now and I am concerned that I am still LA positive because the mix can show false negatives. I have also read that converting the results into a ratio is preferred. Also, my aPTT was slightly elevated (37seconds). I have no risk factors for blood clots (normal weight, no hormonal birth control). What is your opinion? Do I need further testing? How likely is it that I should be taking different blood thinners? | 2,721 | Hi. If you have antiphospholipid antibody syndrome(APS) then your anti-cardiolipin antibody or lupus anticoagulant should be positive. Additionally in APS, the raised RVT (renal vein thrombosis) is not corrected by adding normal plasma. So lupus or APS chance seems to be less in your case. I suggest you investigate with full coagulation profile workup including coagulation factor assay and factor V estimation as well. You have been given Apixiban which is a very good drug in thrombosis patients. Kindly continue its intake as suggested by your doctor. Follow your hematologist advise and discuss all these. | Q. DRVVT test shows 52. 2 seconds. Do I need further testing for clotting? |
Hello doctor, My boy is 5 years and 8 months old. He is having allergic sneezing, on and off cold from the past eight months (my wife has a regular allergic sneezing regularly). He is good, but since three days he is having occasional cough and sneezing occasionally (especially in the morning). I have been consulting a pediatrician regularly but cold is always keeps coming back. So, we have been using homeopathy medicine for him for the past two months. The problem cold and cough has not gone, it is less. But now, since there is a lockdown everywhere and he is coughing, I am just worried. Kindly suggest allopathic treatment for my son. | 2,722 | Hello. It looks like allergic rhinitis. You should give an anti-allergic syrup. I hope that there is no fever. | Q. My 5-year-old son has allergic cough with occasional sneezing. Please suggest treatment. |
Hello doctor, I think I am so much addicted to masturbation. It has affected me both socially and emotionally. I have problems with my self-esteem and self-confidence. I find difficult to talk to girls every time, I think it is because of my low self-esteem. I do not have a girlfriend but I really want to have one. I really want to quit this habit. I have tried to quit several times but I end up crawling back and wank a lot more. Please help. | 2,723 | Hi. Doing masturbation three or four days a week is completely normal. Also, it is a myth that masturbation causes weakness and loss of energy. But if you are doing it daily, try to engage your mind with something else which you like. Such as watching tv shows, playing games, eating, listening to music, etc. You can try initially to not masturbate one day in a week. Then two days after two weeks, etc. If they are of milder intensity, please do a Google search for techniques like 'Thought stopping', and use any of the methods described, such as slapping thigh, yelling stop, snapping rubber band, etc. If thoughts are extremely disturbing, I would suggest you please visit a local psychiatrist who can give you some medication for a couple of months which will help prevent excessive thoughts. | Q. Thought of getting rid of masturbation makes me to indulge excessively. Why? |
Hi doctor, I have a question about my gums. I had a jaw surgery for an open bite a few years ago and the gums were all pink and normal looking a few months ago. Now they have a lot of white on the upper gums with the area slightly above the gum line being the non-whitened and discolored part. I have a picture. The discoloration showed up more recently and never in the past if I recall. I am currently on Vistaril Prozac Zyprexa Junel (birth control). | 2,724 | Hello. The gums looked blanched or whitish due to lesser blood circulation and less inflammation than before. There is no need to worry as it occurs as the gums are completely healed and also could happen due to decreased blood pressure and complete healing of inflammation post-surgery. Even medications like anti-depressants can cause some drying or blanching of soft mucosa tissue of gums. | Q. Few months after open bite surgery, my gums shows white spot with discoloration. Why? |
Hello doctor, How do I help my 16-year-old teen brother who refuses to get help? I believe he needs help, but the last time we went to the doctor, they sent him to a counselor who did not do much. When talking to a counselor and other people, he does not show his true colors. At home, he has a very bad temper and tries to fight with everyone. The only one he gets along with is one of his brothers. He has threatened to kill himself because he does not have his laptop anymore, it broke. And he has also stated along the lines that he wants to kill our parents because it is their fault, he is like this. To be fair, our parents are very religious. I do not know how to help him because he does not want help. He says no one cares about him and we all want his life to be bad. What do I do to help? | 2,725 | Hello. It can be difficult to see your family going through challenging circumstances. From your report, it looks like your teenaged brother is struggling to regulate his behavior, blames others and is not able to take responsibility for his actions. As you may know already, there is no quick fix solution. Try to be supportive and available whenever your brother needs you. He is lucky to have an understanding sister like you. He needs to gently changed when he says no one cares about him. Why does he think so? Is he misinterpreting things? You said he gets on well with one of his brothers. Use it positively and involve this brother in getting help for your troubled sibling. Encourage him to enroll in some course, apprenticeship which will give some positive experience for him. Encourage him to join some sports clubs. Discuss with your parents about adopting a supportive, firm, boundaried relationship with your brother and avoid criticism and confrontational interactions. It may help to have a mentor to talk to him regularly and guide him to make the right choices. It can be any responsible adult whom your brother trusts and will talk to. Finally, encourage him to see a counselor or doctor again if problems persist. | Q. My brother behaves harshly to all with murder thoughts. How to help him? |
Heey hoping you are doing okay dr. My virgin girlfriend and I had our first intercourse two days ago now and she started experiencing pains.. Severe pains she has to lie down on the floor to ease.. When i asked her she says it is more than her menses pain.. What could be the problem... | 2,726 | Hi, We are doing fine,thank you, hope all of you are also doing good. When a lady's hymen ruptures, that is after first sexual exposure, there will be few tears in & around the external genitalia & also the vaginal wall. These will be the point of entry of minor infections already present in the normal vaginal flora & also in the semen. This will be more if you have not used a condom. These infections will enter the uterus & thereby into the pelvis / lower abdomen. causing cramps on & off, similar to the menstrual cramps. You don't need to worry. All you need to do is avoid sex for few days, till pain subsides fully, have a short course of any antibiotics ( like Tab.Azithromycin 500 mg daily once for 5 days or Tab. Levofloxacin 500 mg daily once for 5 days ) Use any of the antispasmodics ( usually used by women during periods for pain) like Dicyclomine , 2-3 times per depending on severity of pain. Use condom during sex. Hope I have clarified your query, do write back if any more queries & for your feedback. All the best | Q. My virgin girlfriend has severe pain after first sexual intercourse. Please help. |
Hello doctor, I think I have had an adverse reaction to Invisalign retainers over the past few years. I think they have caused me jaw issues (chronic facial tension radiating to all areas in my face and associated with droopy eyelids and jaw clicking and aberrant jaw positions, etc., and I can move this tension around with purposeful movements of facial muscles and pressure sensitivity on the face-tension is trapped, worsened, altered by glasses, pressure, and prescription and eye movements). I believe this began when I stopped wearing them 24/7 and particularly when I switched to wearing them every other night. I have noticed that my jaw is asymmetrical and perhaps small particularly on the RHS (may be a link to why I was initially getting tension symptoms on the RHS) so maybe Invisalign causes issues, stretches, small and asymmetric jaws excessively, or I have some random unexplained predisposition to my jaw getting confused by regularly changing bites or something (still think the latter may have something to do with the former). I just wanted to inform you of this as I have been told these symptoms are unique, functional and although Invisalign is known to sometimes cause TMJ problems it is not heard of causing issues like this. I am open to suggestions. Thanks. | 2,727 | Hello. The symptoms described by you are rarely caused by Invisalign, it may cause TMJ (temporomandibular joint) problems in some people but for a shorter duration as it is not permanent. Actually allergy means that you have redness in the area and if you wear for some time it cause some reactions in the local area and may also in the body. Do you have something like that? The symptoms are mostly related to TMJ, the reason may be that you can not bite on your teeth and you are now biting on Invisalign, and this can increase your bite where it normally was. The best in my opinion will be to consult your orthodontist if you can pause your treatment. Stop wearing Invisalign, rest your jaw for as long as you can like do not eat hard or crunchy or sticky food. Soft diet, no prolong talking, do not open wide too much especially yawning. Also, use over the counter pain killer for relief. I hope this helps. | Q. Invisalign retainer has caused me jaw problem after stop wearing them. Why? |
Hello doctor, I have PCOS. From the last year, I get my periods regularly in the gap of two to three months. My weight increased almost double within this time and I am not taking any medication. Please prescribe. | 2,728 | Hi. Periods can be irregular due to PCOS (polycystic ovary syndrome). But it is your hormonal cycle which is disturbed and periods are irregular due to it. You can take Ovral-L like hormonal medicines for 21 days and then seven days gap and repeat for 21 days for three cycles. Period should come in the 7-day pills free period. Do thyroid profile test. Try to reduce weight. Because hormonal imbalance is very difficult to treat. And the same you can achieve by just losing weight. Because your body requirement decrease and your body produces same amount of hormones. Periods can regularize on its own. Do drink more water. You may need to do other hormonal tests if it does not regularize after all these. But with delayed period and PCOS there is no much to worry. Problem can be delayed menses and difficulty in conceiving. With delay in menses, your blood levels become good. Yes, if you are trying for pregnancy then you may require treatment. Otherwise no need to take much tension about periods. I hope this helps. | Q. I have PCOS with irregular periods and weight gain. Please suggest. |
Hi doctor, This query is for my aunt who is 60 years old. She has knee pain (both) for more than 15 years. Initially, she used to get swelling around the knee and pain. She keeps taking injection and painkillers for pain for the last 15 years. Recently, she was ill for around three months with a bacterial infection in her legs. As she was under treatment for that infection, her pain got subsided for some time due to pain killers and other antibiotic effects. Now, again she is getting pain. She also has some kidney issue and her current creatinine is 1.5. But it was high six months ago. She was prepared for knee replacement surgery and it was canceled as her husband got a stroke a day before surgery. While going through the tests before surgery, we got to know that her kidney is under trouble. Her creatinine was so high at that time. As I am far from her I could not present any of the reports. Now also she was advised to stay away from pain killers and other medicines to prevent further kidney problems. Kindly suggest some ointment or medicinal oil to apply for knee pain. | 2,729 | Hi. You need to take the following tablets: Tablet Tramadol 50 mg 1-0-1 for 10 days after food, Rabeprazole 20 mg 1-0-0 for 10 days before food, Shelcal (calcium) 500 mg 1-0-0 for 30 days before food, Wintogeno cream (Ayurveda formulation) which can be purchased from eBay can be used by her twice daily. Take these tablets only if you are not allergic to them. Do not take them if you are a known case of bronchial asthma. Follow up immediately in case of any untoward reactions. Advice: 1. Activities that cause pain should be avoided temporarily. 2. If the knee is swollen or sore, squatting, kneeling, twisting and pivoting, jogging, aerobics, dancing, and playing sport should be avoided until knee pain and swelling resolve. 3. You should wear a knee cap for support to the knee joint. Wear it all day and you can remove it at night. 4. Apply ice packs twice daily for 15 minutes each. 5. You need to get your x-ray of both knee joints AP (standing) and lateral views. Do the x-rays and upload them for accurate advice. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. | Q. Painkillers caused kidney problem, please suggest oil or ointment for knee pain. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 2,730 | 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. | 2,731 | 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. | 2,732 | 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. | 2,733 | 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. | 2,734 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have a bump on my labia , it does not hurt and it is not too big but I have had one before so because it is reoccurring. I am a bit nervous. It is close to where I shave so I am hoping it is just a dull razor issue or a pimple but the fact that I had it before is concerning to me. I have not tried to pop it and it does not look like it is filled with pus or anything, it is also flesh colored. I know it is hard to give me a diagnosis since you cannot see me, but I was wondering for some insight on what this could be because I know self-diagnosing myself is not the right thing to do. I do plan on seeing a doctor but seeing with the virus going on right now I cannot make an appointment so this is my only hope to get some kind of answer to ease my mind for the time being. | 2,735 | Hi. Thanks for the query. I can understand your concern. According to your history, there is a possibility that the lesion you described could be a Bartholin,s cyst. But as you mentioned by direct examination only we can make the exact diagnosis. Now at this situation what you can do is, if it is painful please go for some analgesic drugs. You can take a sitz bath with lukewarm water and with few ml of disinfectant liquid like Dettol. With this the symptoms of inflammation can be relieved and size of the lesion can be decreased. You can do this twice a day for three days. If the lesion persists or recurs you may need to consult a local gynecologist for examination and treatment. I hope this helps. | Q. I am getting recurrent bump on labia with no pus. Should I worry about that? |
Hi doctor, My husband was diagnosed with APL before six years. He underwent treatment by following the pethema protocol for APL. After consolidation phase, BMA revealed there is still 7% of PML Rara using fish rara test while negative on cytogenetics. His doctor proceeded to his maintenance phase two years on ATRA, Mercaptopurine, and Methotrexate. For two years monitoring blood counts are within the normal range. BMA was done this year and revealed there is still 3% on FISH Rara. Is this considered a minimal residual disease? Or incomplete remission? Does he need to undergo chemo again or start a new ATRA? | 2,736 | Hello. Sorry to hear about your husband's diagnosis. He is having acute promyelocytic leukemia cancer and it is considered among favorable outcome leukemia. After starting chemotherapy complete remission includes less than 5% blast in bone marrow aspirate, ANC more then 1500, platelets more than 1 lakh, extramedullary hematopoiesis absent and molecular testing negativity. After consolidation chemotherapy, if cytogenetic study remains positive then prognosis cannot be considered good as compared to a negative cytogenetic leukemic patient after chemotherapy and it can be considered here as a minimal residual disease. Treatment was given in the right way along with proper chemotherapy and retinoic acid as well. But you have to discuss your case with your treating oncologist and he will guide you further about what is the future treatment protocol. I hope this helps. | Q. My husband has APL and BMA shows 3% on FISH RARA. Is it minimal residual disease? |
Hello doctor, This is a bit embarrassing. I am afraid of going to the doctor because I am embarrassed and ashamed. I have bad anxiety and social anxiety and depression. I pick at my skin constantly and I do it unknowingly and also when I am aware. I feel like I cannot help but I do it. And I do it mostly when I am having an anxiety attack. I also do it because I feel as if I need to pop everything on my body. And I am creating scars on my body and try to avoid looking in the mirror as much as I can because I do not want to do it to my face. What is wrong with me and how can I help myself? Is there anything I can get myself over the counter that I can take or put on my skin to help so maybe I would not have anything to constantly pick at? | 2,737 | Hi. I am so sorry to hear about your problem, I can understand it must be really difficult for you. Anxiety has to be managed in two ways: 1. Medical management, you will require some medications if the problem is severe. I cannot prescribe them online because it needs complete evaluation and some blood test might also be required. So for that, you will have to see a local psychiatrist. 2. Therapy, psychotherapy is one of the most effective ways of controlling anxiety and depression. You need to understand the negative thought pattern which is causing the anxiety in the first place so that you can either stop them or at least not get affected by them. Cognitive behavioral therapy is one such tool. As you have mentioned, that you are not comfortable with going to a doctor which is completely understandable, I would suggest to opt for online counseling sessions which are equally effective and works well for people who either have social anxiety or have difficulty traveling. The counseling sessions are done online once a week via video consultation. Therapy and medication combined are the gold standards for the treatment of anxiety and depression. Apart from that take out some time every day and engage in some relaxing activities like deep breathing, meditation, progressive muscle relaxation, etc. I can understand it is overwhelming when you have kids around and so much to do but it is important that you also take care of yourself and make yourself a priority too. Only if you are healthy you will be able to provide a healthy environment for the family. If you want to start with therapy sessions you can let me know. | Q. Is there any aid to help my constant skin pricking habit due to anxiety and depression? |
Hello doctor, I want to lose 50 pounds. I have RA and steroids have caused me to gain a lot in the last six to eight months. I started the keto diet two weeks ago but blood works is showing elevated liver enzymes which are causing issues with a medication I have to take for RA. What diet is best for people who have elevated liver enzymes due to Methotrexate? What can I do? I really need and want to lose excess weight. I am currently taking Levothyroxine, Methotrexate, Multivitamin and Hydroxychloroquine. | 2,738 | Hi. Intermittent fasting will give rest to the stomach and hence enhance metabolism and use stored fat to energy in the absence of food for physical and psychological activity. A balanced diet with increase of fruits and vegetables is considered to be best or you can try Mediterranean diet. I still need many details for proper medical intervention so that I can provide a customized diet plan. Till then follow these tips: 1. Increase the high protein diet and include six almonds, six walnuts, and two dates per day. 2. Fish, green leafy vegetables, egg whites, and poultry. 3. Do muscle strengthening exercises. 4. Increase fluid intake. 5. Do take eight to nine hours of sleep. 6. Manage stress with meditation. 7. Do breathing exercises. 8. Manage to follow small high calorie frequent meals. 9. Do take 1700 kcal diet. If required need to add a supplement. I hope this helps. | Q. Steroids for RA resulted in increased weight. Please suggest diet for weight loss. |
Hello doctor, I am a 50-year-old female, overall healthy but recently having issues with tiring easily when biking and doing stairs. EKG was fine. CBC showed low WBC, low anion gap, and vitamin D deficiency. I had a low (99.4°) temperature earlier today. In light of Covid-19, and being that I work in public, should I be concerned? I currently on Focalin and Triamcinolone acetonide. | 2,739 | Hi, Welcome to icliniq.com. I have gone through your detailed history and studied the lab results. (attachment removed to protect patient identity). As per your history, you feel feverish and tired. Your TLC (total leukocyte cont) is low. Record of temperature is 98 degrees. So firstly you have a viral fever, but there is no cough or difficulty in breathing so Corona is not the main diagnosis, but do keep in mind. If you have not been with any corona case, take rest, take tablet Tylenol 1 bd if you are not allergic to it. Keep isolated from a crowd. Then your symptoms are due to a bit of vitamin D3 deficiency. For this take Drise 60 k two times a week and you will be fine. Keep me informed. Viral infection. Corona to be a remote possibility. Bed rest, Tylenol 1 bd. Take rest, avoid public gatherings. Tell me in three to five days of any fresh symptoms. | Q. I have a slight fever and tired with normal EKG. Should I be concerned? |
Hello doctor, I am a 37-year-old female. For about a month, my tonsil (left side) has looked enlarged and irregular. If I press on it I will sometimes see a little pus (or white fluid) coming out from behind it. It occasionally feels just a tiny bit scratchy. I did see our urgent care and they prescribed Amoxicillin. Finishing the script (875 mg for 10 days) did not rectify. I have an in-person ENT appointment within two weeks. However, with everything going on, I am nervous that I would not get in. I would also just love some reassurance if this is not wildly abnormal. | 2,740 | Hello. I have seen the pictures. (attachment removed to protect patient identity). Tonsillar surfaces are irregular normally due to the presence of crypts. The tonsil does not appear to be grossly enlarged, however, a better picture showing both tonsils would be of help. Pus discharge from tonsils can happen in both acute and chronic tonsillitis. However, in acute, there will be fever, sore throat, dysphagia, etc., and in chronic, there will be vague irritation in the throat, recurrent sore throat, and bad breath, or halitosis. In either case, since it is exuding pus you need a systemic antibiotic as you have already taken. You also need topical antiseptics like Chlorhexidine or Betadine gargles, plenty of fluids and analgesics for pain. | Q. Amoxicillin is not helping my tonsillar enlargement with pus. Why? |
Hi doctor, Last month, I was given a Depo shot to stop intermenstrual bleeding that started before six months after Provera tablets did not work. Unable to do a pap smear because of the bleeding. Transvaginal Ultrasound revealed tiny (1x1.3cm) uterine fibroid, three hemorrhagic cysts, and a heterogeneous endometrial cavity. Earlier, I passed clots that look like blood mixed with chicken meat. I am terrified. Is this a side effect or do I need to go to the ER? Please help. | 2,741 | Hi. Thanks for the query. I can understand your concern. According to your description, the possibilities are hormonal imbalance leading to thickened endometrium and menstrual irregularities. If there is any possibility of pregnancy, please go for a urine pregnancy test once to rule out missed abortion. If the bleeding with passage of possible endometrial tissue persists better to go for dilatation and curettage once. With this, the possible cause your problem can be identified and sometimes curettage by removing abnormal endometriotic tissue may cure the problem and may regularize next menstrual cycles. Antifibrinolytic drugs like Tranxemic acid can help in controlling abnormal bleeding. I hope this helps. | Q. Ultrasound shows uterine fibroid with 3 hemorrhagic cysts. Is this a side effect of Depo shot? |
Hello doctor, I am a cook with meals on wheels and I would like to get some well-balanced meal ideas for the elderly I cook for. I have people with diabetes, EBS, diverticulitis, and high blood pressure. Please suggest. | 2,742 | Hi. Good to know the profession you have chosen. Ideally, you can keep a dietician for more help and meal planning, as she will plan the diet according to requirements and budget and considering company development. These tips may be helpful. 1. Choose good carbs, not no carbs. Whole grains are your best bet. 2. Pay attention to the protein package. Fish, poultry, nuts, and beans are the best choices. 3. Choose foods with healthy fats, limit foods high in saturated fat, and avoid foods with trans fat. Plant oils, nuts, and fish are the healthiest sources. 4. Choose a fiber-filled diet, rich in whole grains, vegetables, and fruits. 5. Include more vegetables and fruits. Go for color and variety dark green, yellow, orange, and red. 6. Calcium is important. But milk is not the only, or even best, source includes almonds, dates, nuts and seeds. 7. Water is best to quench your thirst. Skip the sugary drinks, and go easy on the milk and juice. 8. Eating less salt is good for everyone’s health. Choose more fresh foods and fewer processed foods. 9. Moderate drinking can be healthy, but not for everyone. You must weigh the benefits and risks. 10. A daily multivitamin is a great nutrition insurance policy. Some extra vitamin D may add an extra health boost. I hope this helps. | Q. I am a cook. Please suggest balanced diet ideas for the elders. |
Hello doctor, I just had my routine medical check-up. And I got my CBC report. My platelet count is 210000 and in range but my MPV (mean platelet volume) is 12.8. Is it anything to really worry about? | 2,743 | Hello. You need not to worry about your platelet count and MPV. In your attached report, total WBC (white blood cells) count is borderline low and lymphocyte count is borderline high. So it could be a temporary viral infection. You can repeat your CBC (complete blood count) after a few days to check the count again. Do not worry and repeat CBC after a few days. You can revert back once you repeat CBC. | Q. Is high mean platelet volume of 12. 8 something to worry about? |
Hello doctor, Three months before, I got an ear infection in my right ear and I had a ringing sound in my right ear. I went to a doctor and was given ear drops and medicines, the ear infection went away but the right ear still felt blocked. I was told to take a tympanogram and they said that I had fluid behind my ear, I was given a medicine for it. After a few days, my left ear started getting blocked too and it started ringing too. My nose also started getting blocked every morning and I had a popping sound in both my ears when I swallow and sometimes it randomly pops. I was told to use Otrivin and have Alaspan AM tablet for five days. The next week the issue was still there and I also started having a cough, I was told to have Alex SF cough syrup for a week, Avamys nasal spray for two weeks two puffs in each nostril morning and night and Relent tablet. After two weeks the cough went away but I still had the issue with my ears but my ears started feeling less blocked, I did another tympanogram and they said I still had fluid behind my eardrums, I was told to continue the Avamys nasal spray and the Relent tablet and was also given Predmet 8 mg tablet for five days. A month passed and my ears still had the popping sound when I swallow and randomly. I went to the doctor again and took another tympanogram and he said the fluid is almost completely gone and I should continue the Avamys nasal spray and Relent tablet. I also had a pure tone audiometry test which he said was normal. I have been using the Avamys nasal spray and Relent tablet for the past two months throughout and I was told I did not have to take the Relent tablets anymore and the fluid was completely gone. I still had popping/clicking sounds when I swallow and my ears still feel a bit blocked so I was told to keep using the Avamys nasal spray. At the end of last month I could not get the Avamys nasal spray so I was told to use Fluticone-FT instead. I have been using it ever since. And I was also told to do the Valsalva maneuver 10 times every morning and night which I have been doing. My right ear pop with no issues but my left ear usually does not pop and it has only popped three times last month. I found something online called the eustachi that says it helps with popping ears, is it safe to use? I still have popping/crackling in my ear when I swallow. I feel like the ringing sound has reduced but I am not sure. I have not been able to go to the hospital because of the Coronavirus warnings and would like to ask what exactly is wrong with me and how long will it take to heal. It is already been three months, should I keep using the nasal spray? | 2,744 | Hello. The whole problem is due to malfunction of eustachian tubes. We call it eustachian tube catarrh. Initially, it was an infection that resulted in blocked tubes causing fluid accumulation inside the ear. Otitis media with effusion. Subsequently, the fluid has gradually drained but the tube is still not functioning to its fullest. You seem to have undergone a decent treatment. You have taken decongestant drops, antihistaminics, antibiotics, steroid tablets and sprays. You have also religiously tried Valsalva maneuver. Now what you need to understand is, when the tube gets blocked it takes some time for it to become fully functional. You need to continue the steroid nasal sprays. If you are using Fluticone FT then that is good. It is better than Avamys. Do you know how you should use the spray and what it is meant for? You also should note if you have any nasal allergies, any nose block, sneeze or runny nose. Even if not you are supposed to avoid all allergens. You should wear a mask. Avoid smoke, dust, pollution, pollens, molds, etc. You should be very careful. You may continue Valsalva for another month. You need an antihistamine medicine for another two to three weeks till your problems get resolved completely. Drink plenty of warm water and fluids. Keep yourself well hydrated. Do revert back to me if you need further support. | Q. Is it safe to use Eustachi for popping of ears? |
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? | 2,745 | 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. | 2,746 | 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. | 2,747 | 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. | 2,748 | 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. | 2,749 | 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 baby is having fever ranging from 100 to 104 F which subsides after taking Mefenamic acid of dosage 60 mg per 11 kg of body weight. There are no other obvious symptoms except fever. What should I do? Please suggest me the course of treatment. | 2,750 | Hello. Since when is this happening? Is there any difficulty in breathing? Is the child feeding well? It seems just viral fever, I would say just give Paracetamol every six to eight hourly. Do not give Mefenamic acid if it gets controlled with PCM. | Q. Is Mefenamic acid the right medicine for baby with fever? |
Hello doctor, I am beginning to have a semi-bald spot in an area around my scalp. I have had ongoing dandruff issues for around two to three years now. I used to scratch my scalp vigorously to get rid of dandruff. I have stopped doing so ever since I have noticed that my hair is thinning. Also, I have a noticeable amount of white hair for my age (I do not know if this is related whatsoever). However, I have applied Ketoconazole Nizoral Shampoo for the first time earlier in order to fix dandruff issues. | 2,751 | Hi. On semi-bald spot apply Tenovate cream at night for 15 days. Tablet H.vit forte once daily for 30 days (for greying and hair fall). Keraglow AD shampoo twice weekly for six weeks. Other good medicated shampoo you can use for dandruff are Scalpe Shampoo, Forfora Z shampoo, No Scruff shampoo lotion, and Ketoconazole shampoo. All are good effective for dandruff. Do not stress. Eat nutritious and healthy food. | Q. Due to dandruff, I am facing hair loss and semi-bald spots in my head. Please help. |
Hello doctor, My partner and I had protected sex on the 15th of this month, but I cummed in the condom but kept going. Not taking any chances she took a pill on the 18th. From the next day after taking the pill she had light bleeding in the form of blood clots and also experienced abdominal pain. The pain has persisted till now but the severity has decreased. Could you please tell me whether she is pregnant or not? | 2,752 | Hi. If you had protected sex then she should not be pregnant. Do one urine pregnancy test for confirmation. Abdominal pain can also be due to stomach infection or kidney stones. Do drink more water. Eat healthy and less oily food. If not decreasing then she will require an ultrasound scan for further diagnosis. | Q. Experiencing abdominal pain and cramps after taking Unwanted 72. Am I pregnant? |
Hi doctor, I am a 36-year-old male. I have a sore throat for two weeks now and I am in my sixth-day of antibiotics (Dalacin C) but it is not going away. I feel that there is something stuck inside my throat/esophagus. I have a mild headache but no fever. Pain scale is ranging 4-6 out of ten. I also gargle every three hours using Difflam - C. | 2,753 | Hello. I have reviewed your history and it seems on top of the acute tonsillopharyngitis, you also have GERD (gastric esophageal reflux disease). This may explain the persistent throat discomfort in spite of taking the antibiotic for six days. I recommend you continue your current regimen and finish the course of Pantoprazole as prescribed. For the headache, you may take Ibuprofen as needed on a full stomach. I also recommend that you avoid eating spicy, oily, fatty, dairy foods, and avoid drinking alcoholic, carbonated and caffeinated drinks. If you are a smoker, you should stop smoking and also avoid lying down within one hour after eating. If symptoms persist, worsen, or new onset of symptoms such as difficulty swallowing or voice changes, further consult is advised. | Q. I have sore throat with feel of something stuck in throat. What could it be? |
Hello doctor, I am a 26-year-old female. I recently found out via online test results that I have an enlarged heart, but no reason was given for why it is enlarged or how enlarged it is? The impression is Cardiomegaly with no evidence of focal infiltrate. I am currently obese but in good health with the exception of this enlarged heart and insulin resistance (not diabetic or insulin-dependent). Is it too late to reverse this heart enlargement with diet, weight loss, and lifestyle changes? I am currently on Metformin, Xanax and Provera. | 2,754 | Hi. Enlarged heart only on chest x-ray is not reliable. X-ray is just like a shadow, the farther you stand from the wall, the larger will be your shadow. In the same way, if you stand away from x-ray film even a few centimeters, it will give an enlarged shadow of heart on the film. Best way to assess the size of the heart is via echocardiography. Echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes. If you have such symptoms, have echocardiography and ECG done. I hope these will be normal. | Q. What does cardiomegaly with no evidence of focal infiltrate suggest? |
Age: 30 Gender: Male Medications: Started Lyrica (pregabalin) yesterday 25mg (moving to 50mg tomorrow). Issues: Generalized Anxiety (Social and Performance anxiety). Query: Did my GP prescribe the right meds? I mainly suffer with social and performance anxiety (talking to people, talking in groups, meetings at work etc) for the past 10 years. My voice breaks when I talk and I have a chronic dry mouth from stress/anxiety every day (even when off meds). I worry and overthink alot about what others think of me. I've tried amitriptyline (tricyclic antidepressant) when I was in my early 20's (im 30 now) and also tried Lexapro and Zoloft in more recent years but they didn't do much for me and gave me alot of annoying side effects. I have tried beta blockers too. For the past 2 years I've been medication free but every day becomes tougher and tougher to get through due to symptoms of anxiety. I wouldn't say I have low mood or depression. I have tried benzos also and I did abuse them for a few months and had to go through a horrible withdrawal. I haven't touched them in over 2 years. My new GP recommended I try Lyrica (Pregabalin) and wants to see how it goes for a couple of weeks in battling my anxiety. Im starting on 25mg once daily and moving to 50mg tomorrow or next week which is a low dose. Does this make sense to try with my history? I have a chronic dry mouth from chronic stress and anxiety and most drugs make my mouth way worse. The doc also mentioned possibly trying amitriptyline again too if Lyrica doesn't work. Of course i'm very anxious about the side effects. Any advice would be appreciated. | 2,755 | Q. Did my GP prescribe the right medicines for my social and performance anxiety? | |
Hi doctor, I am a 22-year-old and have had memory problems for the last five years. It started back in high school and I would wake up and not remember what was going on in my life, but not just for a few seconds, it would stay like that. I would know the friends I have, but I was not able to remember what was happening to me right now, if I am mad at anybody right now, do I have some guy that I am talking to, etc. When I would check my messages I would see approximately what was going on in my life, but I would still not remember when was the last time I saw some of my friends do I have some special birthday gifts planned for them, do we have a special joke for something at a time. I would just remember they are my friends and maybe like 30% of our time together. It was the same about school and I could not remember what we were doing and what I already studied so I had to do it from the beginning again. The situation got worse when I went to college, and now it is even worse for me because it happens that I wake up and everything that is happening to me feels so distant like it was a few months ago, and not yesterday. Previously, it would usually only happen every couple of months over the night, but for the last three nights, it keeps repeating. I would like to say that I have no problems with drugs, marijuana, etc. I have never used. All of this I already told to my doctor but she did not take me seriously enough. They did take photos of my brain and I do not have injuries. I would also just like to mention that I have very low sugar so do not know if it could be related to my memory, my doctor advised me nothing about that, she only said that she does not know how I am alive with such low sugar, but that it did not matter because I am young. Please help. | 2,756 | Hi. First of all, a good memory needs a balanced diet, which contains all essential vitamins and minerals such as vitamin B complex, carbohydrates, proteins, and a small amount of fat. Moreover, some drugs like oral contraceptive pills can lead to decrease in vitamin B complex in your body. Stress, pollution, and junk food have a negative impact on memory. The brain needs glucose to work properly, but too much glucose can disturb the memory and the whole brain function. Vitamin B complex deficiency. Patient may have memory problems related to lifestyle. The patient should take vitamin B complex once per day after meals and Benfotiamine 40 mg twice per day after meals. The patient should eat healthy food and avoid too much fat, sugar, and salt in her diet. | Q. I have memory loss and forgetfulness. How to deal with it? |
Hello doctor, I am suffering from coughing, throat infection from last week. At that time fever did not persist and also did not felt any chest pain. Two days later, I consulted with a doctor. He prescribed Cavidur 625, Montek LC, Ambrolite syrup and Betaline gargle solution. Since then throat infection improved and frequent cough also coming out. Coughing also improved remarkably though not completely. From yesterday onwards fever is occuring (maximum 100-degree Celcius). I have not come in touch with any foreign returned person nor went outside. In our state, there is no incidence of Covid-19. Please suggest what to do? | 2,757 | Hi. I can understand your concern. In my opinion, you should get done a chest x-ray and CBC (complete blood count). If both these are normal then no need to worry much. I hope this helps. | Q. I have a little fever with no history of foreign travel or contact. What is the chance of Covid-19? |
Hello doctor, Earlier this year, I proactively got a root canal and crown for one of my back molars. The procedure went fine, but the Coronavirus hit before I was able to get the permanent crown installed as a last-step. My temporary crown is still in and functioning fine, and I was able to acquire my permanent crown before entering quarantine (and thus have it with me). I have heard oral infections can be dangerous, and I am mostly navigating around avoiding danger, but obviously I am going into town to get dental work done is also dangerous nowadays. I would like to understand how much more likely I am to get an infection or some other serious complication if I end up going without a crown for a couple of months (especially given I have had an endodontic treatment of the relevant tooth). I have dental cement, and I am similarly curious whether doing an at-home cementing of the crown would be protective or dangerous? | 2,758 | Hello. I have gone through your query and understand your concern. Firstly, going without a permanent crown but with a temporary crown in place does not gonna cause any serious complications. To make this more clear, I would like to explain the need for a permanent crown after a root canal treatment. Once the tooth is root canal treated and the infected pulp tissues removed, the tooth becomes dehydrated and is more prone to fractures or chip offs and secondary infections if left uncovered. The tooth is ideally shaped and reduced to receive a crown. So going without a crown could actually lead to supra eruption of the opposing tooth. So a root canal tooth has to be covered with some sort of crown to prevent chip offs, secondary infections and supra eruption. Generally, a ceramic or a zirconia crown which can withstand our enormous biting force is installed to protect the underlying tooth. Since the fabrication of such a crown takes time, a temporary or a little less hard crown is installed meanwhile. This can withstand and stay in place for a couple of weeks (depends on the crown and cement material), But if on following certain instructions, you can expect it to come a little extra longer than that. Maybe a couple of months. 1. Avoid biting hard and chewy foods. Hard foods can cause the temporary crown to crack and chewy and sticky foods tend to dislodge the crown. (Fruit seeds, nuts, chewing gum, cheesy foods, burgers, etc.). 2. Brush gently and skip flossing for that tooth. 3. Keep your permanent crown safe. Probably after a couple of months, let us hope the situation gets fine and you can get it fixed safely. Please do follow these and let us expect it to come a little longer. Let this pandemic settle and you can get the permanent crown fixed right away. And it is not advisable to do an at-home permanent crown fixing procedure. Because permanent crowns are strong and are not malleable and adaptable. So if fixed in a very slightly different way could change your bite and cause jaw issues and tooth pain. Sometimes at the doctor's office, the permanent crowns will be adjusted and refinished a little before fixing to bring a proper and stable bite. So fixing at home is not a good idea. And just in case, if this temporary crown decements by accident, do not worry. This is not gonna cause serious trouble in the future. I hope this helps. | Q. I had root canal and received temporary crown. Can I do self-cementing of permanent crown? |
Hello doctor, My question is about the Coronavirus. I have been having some symptoms such as indigestion, sore throat, slight heaviness in the chest area (sometimes) and dizziness (sometimes). Dizziness could be because of panic. | 2,759 | Hello. Please do not panic, it is not Covid-19 if there is no fever. For sore throat, you can start warm saline gargles. | Q. I have sore throat, chest heaviness and dizziness. Am I infected with Coronavirus? |
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? | 2,760 | 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. | 2,761 | 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. | 2,762 | 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. | 2,763 | 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. | 2,764 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am a 23-year-old female. I am 70 kg, 5'3" feet. I am currently experiencing shortness of breath, it started a week ago and never went away even though I am taking lagundi or herbal cough medicine 500 mg three times a day after meal. I also feel like I have a lot of phlegm that I cannot release. It just feels heavy on my right chest that passes through my back. I am having paranoia on having COVID-19, but I am afraid to get checked because I might actually get it from the hospital. Please help. | 2,765 | Hello. I understand your concern. I do not think it is Covid-19 as you do not have a fever. But you need an antibiotic I believe, it may just be pneumonia. Are you taking any antipyretic drug because you need to know if you have a fever. For Covid-19 you should have a fever, cough, and difficulty in breathing. | Q. I have shortness of breath for about a week with no relief on herbal syrup. Is this Covid-19? |
Hello doctor, I am 32 years old. My sickness started with a slight fever Tuesday night, then Wednesday I got a higher temperature of 38.1. Then Thursday night rashes appeared. I went to a local doctor Friday morning as my fever reach 39 degrees C. They gave me a fast drip to lower my temperature. Then Saturday morning my temperature went down to 37 but I still have few rashes. Then I started feeling my swollen joint, hands, and feet pain. Now I already took a bath as my temperature is 36.3 C. I am just worried about my swollen feet and hands and the pain is troubling. I am currently takin Biogesic Paracetamol. | 2,766 | Hi. Has this happened before or is it the first time? Can you describe the rashes or better a photo of it? Is it itchy, is it generalized or located in specific areas, blanching, flat or elevated? Regarding the swelling of the hands and feet, Is it the first time? Does taking Paracetamol help with the pain? Is it swollen or just painful? And which joints are specifically affected? The wrist or joints along with the fingers? What about feet and ankle? What did the CBC (complete blood test) reveal? | Q. I have swollen joints, hands and feet with pain post fever treatment. Why? |
Hello doctor, I have been to a spa about a month ago and I had a small redness on my dick, hardly worrying. It went away after a couple of days and did not think about it, no pain, no itching, nothing. Two weeks later, I went for a lingam massage (dick massage with oil included for like an hour) and I fall asleep after it at home, did not take a shower. Well, I woke up to a complete nightmare, my dick looked horrible. I did not masturbate for two weeks and used Betadine, and it slowly went away. Then I masturbated and boom, red again. I went to a urologist who prescribed me a cream called Travocort and told me to use it for one week and if symptoms do not get better, go for a sperm test. Well, I used it for a week, stopped it when a week was over, and it is getting red again. Also, it started to have a little pain on urinating, and it was an absolute hell to masturbate. I would go for the sperm test to see if I have an STD which I believe is hardly possible because I have not had sexual intercourse with a woman since three months (no male either), but I really wanna ignore hospitals now that the Coronavirus is absolutely going ham. | 2,767 | Hi, Welcome to icliniq.com. Did you have oral sex? Is there any itching, burning in urine, difficulty in passing urine, or fever? Is there any history of allergies? This can be either an allergic reaction which gets aggravated due to some reason, or a fungal or chlamydial infection. I would suggest tablet Avil (Pheniramine maleate) two to three times a day for three days at least, capsule Doxycycline 100 mg twice daily for 14 days, Miconazole cream locally twice daily if the Avil does not improve things. Avoid applying Betadine locally as skin is very sensitive. | Q. After getting penile massage, it turned red with pain. Please help. |
Hello doctor, I have had two blood tests conducted within the last two weeks. The results from both tests showed high amounts of ALT and AST (liver function). I am interested in knowing if there is anything I should do to lower these levels to normal. | 2,768 | Hi, Welcome to icliniq.com. See your liver enzymes, amylase, lipase, and creatinine is raised. (attachment removed to protect patient identity). To treat this we need to know the cause. I would like to know if you have been consuming alcohol? I would also like to know if you have diabetes, high blood pressure or any other chronic illness. Have you got your ultrasound done? Please mention the symptoms for which the test was conducted. I hope this helps. | Q. I have increased amount of ALT and AST. What possible damage it could cause? |
Hello doctor, I had tonsil infection last week for which I went to the doctor who gave me antibiotics and pain killer. My throat infection is healed, but still I am having pain in my throat. Again I went to the doctor and he told it is lymph swelling and he prescribed me with Cetirizine and pain killer. I am taking this medicine from the last two days but I am not getting any relief still I am having pain on one side of the throat. Please suggest. | 2,769 | Hello. Please take a picture of the back of the throat with open mouth showing details of the affected area and send to me. Is the lymph node palpable? Is there any fever? Did you complete the antibiotic course fully or did you stop abruptly? | Q. Inspite of taking medicines for tonsil infection, I still have pain in throat. Why? |
Hello doctor, I have had a feeling like something had been at the back of my left side of the throat for a few days. I do not know what it is? Tonsils are not inflamed, throat a bit dry, and does not hurt to swallow. | 2,770 | Hi. One of the reasons for your symptoms is anxiety which you told. Globus hystericus is a feeling of something like a lump in throat which cannot be swallowed, or swallowed and reappears. Tonsils usually are asymptomatic unless very large and obstruct throat are inflamed causing severe pain. If your throat is red, or you run a fever then chances of inflammation are more. Alternatively, you may send a picture of your throat so that I may see any visible inflammation or tonsils. | Q. I feel something in the back of throat with no pain and inflammation. Why? |
Hi doctor, I went for an ultrasound for my thyroid and the result is diffuse thyroid enlargement with small solid nodules consider adenomatous thyroid hyperplasia. My T3 result is 2.59, T4 135.4 and TSH 17.34, this result was taken before two months. After a month, I took T3, and T4 again resulting in T3 2.52 and T4 95.59. The last clinic gave me a food supplement black cumin seeds oil and vitamin D3. My question now is what does the ultrasound mean? Anyway, I am a male of 39 years old. | 2,771 | Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you had enlarged thyroid gland due to hyperthyroidism and the ultrasound also meant that the thyroid gland was enlarged simply because it was hyperfunctioning. And now that you are on medications which can possibly help them with normalization of their function and they might as well likely reduce the size of the gland as well. I hope this helps. | Q. Ultrasound of thyroid suggests diffuse thyroid enlargement with small nodules. What does it mean? |
Hello doctor, I have a dark line in my toenail for a long time, since I was a kid I realize that, but never came into my mind that could be dangerous. The same happened to my fingernail many years after I became an adult. I would like to know if it is something serious and should I care about it? | 2,772 | Hi, Welcome you to icliniq.com. I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed melanonychia. The cause of this are many such as inflammatory nail diseases like lichen planus, racial, nevus in nailbed and rarely melanoma. You need to go for nail biopsy for confirmation. | Q. I have dark lines in finger and toenails since childhood. Is this a serious condition? |
Hello doctor, My 2.75-year-old son started (Thursday night) with these twitches and jerks. He is battling a cold it appears with a runny nose, watery eyes, and sneezing. No fever. This has been the same time as these motor items have developed. Overall he has acted fine and there is no change in consciousness. He was seen one month ago about starring spells but neurologists thought it was low risk for seizures. We are not sure what these are? He does them when at rest versus active playing or eating. We want to try to get him in to the test but given the current situation, we are hesitating to take him. We need to do a sleep study. Is this seizure activity? Could it be related to cold? Could it be growth related?He was just to PCP and development is well above age group for mental and physical. He does twitch and jerk as he falls asleep often. Also, he is prone to crying and talking in sleep. He is not screaming but enough to get your attention. He is asleep when we check on him. Please help. I have attached the videos. | 2,773 | Hello. I passed carefully through your questions and reviewed your videos. (attachment removed to protect patient identity). In the first video, I cannot distinguish, but the last video is very suggestive of seizures. For this reason, I would recommend performing an EEG (electroencephalography). I understand the situation, but I do not think that this is an emergency as these episodes are not so frequent (they usually occur several times a day). You can wait a month or two as the situation of coronavirus is more clear. You should discuss with his pediatrician about this. I do not think these episodes are related to a cold. As he has no fever, I would exclude any possible relationship to the cold. I hope this helps. | Q. My 3-year-old son has twitches with starring spells. Is this seizure activity? |
Hello doctor, Three weeks ago, I noticed my left tonsil seems slightly enlarged and I have a lump with white head right behind it. A little background for the past six months, I have been experiencing daily low fevers and severe night sweats which are undiagnosed. My PCP told me it was just a tonsil stone but I am almost positive it is not. It looks nothing like any that I have seen in my research. I would love to submit a photo for a second opinion. I will eventually make it to an ENT if needed but with the coronavirus, I would like to wait if it is nothing to worry about. Most labs (done prior to lump) looked normal except I had a positive ana with a low titer 1:40. My CRP was considered normal but 5.1 which says I am high risk for heart disease. I am a pretty active, healthy 34-year-old so while considered normal, it seems off to me. Chest x-ray looked normal. TB test negative. | 2,774 | Hello. You are right it is not a tonsillolith, it is a tonsillar cyst. Indeed, it is nothing to worry about and such a small may not even need any treatment. Furthermore, your tonsils are not that grossly enlarged or even congested to give you the spikes of fever. Low-grade fevers and night sweats need to be evaluated for other more important causes like tuberculosis. Have you done any serological tests and baseline blood tests? | Q. I have enlarged tonsils with lump and fever. What could it be? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 2,775 | 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. | 2,776 | 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. | 2,777 | 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. | 2,778 | 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. | 2,779 | 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 traveling to the Solomon Islands next week (assuming planes still flying). I am seeking malaria prevention medication. I will be there for two weeks (longer if the return flights are canceled). I am in good health. I am 77 years old, and I exercise daily. I take no medications except multivitamins, walk briskly two to three miles a day. No surgeries and implants. | 2,780 | Hello. You are doing a great job to preserve nature. It is better to take malaria prophylaxis while traveling to an endemic area. Among many regimens, I suggest you the following effective regimen: Mefloquine 250 mg tablet to be taken weekly once. Start two weeks prior to the travel, continue during the travel and four weeks even after return to hometown. So, all these days the dosage will be 250 mg tablet weekly once. Once this tablet gets over, then start Tablet Primaquine 15 mg. This tablet to be started from the next day of the last dose of Mefloquine for 14 days (two weeks), daily. [Buy 14 tablets of Primaquine]. This can destroy any dormant form of all types of malaria. You please go ahead of your services, which should not be stopped because of malaria. | Q. Kindly suggest medications to prevent malaria. |
Hello doctor, I recently had parathyroid surgery to remove one adenoma, nine weeks ago. The recovery started out pretty well and have been feeling good on and off but in the last two weeks I have been having some neuropathy in random parts of my body. My endocrine surgeon and PCP say that it is just my body leveling out due to the adjustment of normal calcium levels now in my body after abnormal calcium levels I had for three years prior to surgery. However, it makes me nervous and I want to rule out any nerve disorders. All of my blood labs are current and are normal. This includes a full thyroid panel and CBC. I have been recovering from parathyroid surgery and have been having some new symptoms of nerve discomfort the past two weeks, on and off. It ranges from a feeling of a pinched nerve in the right arm and muscle weakness in both legs as well as burning and tingling feeling on random parts of the body, as well as tingling in the bladder and vulva region. It is not there every day, some days I feel great with no symptoms but other days I have it. I have had zero symptoms like this in my life and this only appeared post-surgery. This was my after visit summary with my PCP. General appearance: alert, appears stated age and cooperative. Head: Normocephalic, without obvious abnormality, atraumatic. Lungs: clear to auscultation bilaterally. Heart: regular rate and rhythm, S1, S2 normal, no murmur, click, rub or gallop. Abdomen: soft, non-tender, bowel sounds normal, no masses, no organomegaly. Extremities: extremities normal, atraumatic, no cyanosis or edema bilat le with s/p 5/5 and DTR 2+ bilat patella and no ankle clonus. Neurologic: Grossly normal. I take 30 mg Paroxetine daily and have been taking Xanax and Klonopin to help with the anxiety. I have been feeling about this. Besides that I take Calcium, Vitamin D, multivitamins, and iron supplements daily. | 2,781 | Hello, Welcome to icliiq.com. Your physician has rightly said, it seems that nerves are adjusting to the calcium metabolism, in addition to your medication you can take tablet Pregabalin 50 mg along with tablet Mecobalin 1500 microgram for about one month to alleviate your symptoms, by that time it should get relieved. | Q. I experience neuropathy post parathyroid adenoma surgery. Is this due to calcium level adjustment? |
Hello doctor, For about two weeks now, I have had a twitch in my left arm (triceps) that seems to be worse when I have my arm straight and down by the side of my body and less noticeable when I have my arm over my head and bent at the elbow. The twitch seems to be worse at times without any particular reason for it. This night I had difficulty sleeping because it was very annoying. I used to do some resistance training before this (so it might be some type of nerve injury), but I have not experienced any pain or discomfort during exercising before the twitch began. Also, I have stopped training ever since discovering the twitch. I am starting to worry that this might be some type of motor neuron disease, as it is not going away and it is not improving at all. I cannot visit a doctor earlier than Monday, so any advice or explanation of what this could be would be greatly appreciated. | 2,782 | Hi. This is acute onset localized twitches, started after strenuous activity. This seems to be physiological twitches that are occurring due to minor muscle or nerve injury. Just check for any weakness or loss of muscle mass in the region where you are developing twitches, if they are not then no need to worry. Excess consumption of coffee and smoking can cause the same so avoid excessive coffee and smoking if any is there. This is unlikely to be motor neuron disease (MND) at this age and MND will have prolonged course sometimes they are unnoticed completely. | Q. I have twitching in my left arm with more prone while keeping straight. Is it motor neuron disease? |
Hello doctor, Hardness is going down very fast within two minutes after intercourse. I am unable to penetrate properly with this problem. I want to harden it for some time to penetrate and release properly. I also used Sildenafil personally. But if I use this drug the semen is not releasing properly. We are trying for a baby. I have one baby girl already. I have IBS-D. I will get bloating while doing sex. | 2,783 | Hi. Erection problems can be due to many causes including stress and physical causes such as diabetes, hypertension, and endocrine problems. So first visit a doctor to rule out the physical condition. You can try Tadalafil instead of Sildenafil as it has lesser side effects and see does it suits you or not. Also, avoid alcohol and tobacco products. Do regular exercise or go for a walk at least 45 minutes daily. Take healthy food. Spend enough time in foreplay. I hope this helps. | Q. I am unable to penetrate properly as my hardness goes down within minutes. Please help. |
Hello doctor, I have got my left leg pain when I walk and stand after 30 minutes. | 2,784 | Hello. Your laboratory tests are quite normal and not indicative of any infection (attachment removed to protect patient identity). Considering the past medical history for seizures, I would recommend performing an EEG in order to exclude seizures as a possible cause underlying muscle twitching. Regarding the pain, I would recommend performing a Doppler ultrasound of the leg vessels, coupled with nerve conduction studies in order to examine the nerves and leg vessels. | Q. What causes pain in leg after walking? |
Hello doctor, I suffer from erectile dysfunction and also ejaculate even just with holding a women. How can I solve this problem? I am a healthy person who exercises regularly, is not over weight and my lab reports are also fine. I know I suffer from lack of libido but do not know how to handle it. | 2,785 | Hi. Your blood test are normal except low vitamin D and B12 (attachment remoed to protect patient identity). Erectile dysfunction and premature ejaculation can be due to many causes. If erectile dysfunction is more prominent then first try Sildenafil and if it is improving, then okay otherwise go for penile doppler study. For both premature ejaculation and erectile dysfunction, Sildenafil plus Depoxetine may be helpful, take this tablet 30 minute prior to sexual activity. Also try the behavior methods called start stop technique or coitus interruption or squeeze technique. You can read these online and start practicing any one. These methods give good result but you need to do these daily and results are only evident after a few weeks. Also take Vitamin D and Vitamin B12 supplements. Serum testosterone ED and PME sildenafil plus Depoxetine Regular exercise, Avoid alcohol or tobacco. | Q. What are the ways to cure erectile dysfunction and premature ejaculation? |
Hello doctor, I am 22 years old. I am trying to conceive for the second time. I have a 3-year-old son and it was a natural birth. I am not on any medication. My period was always regular and I get them every month. But about 3 months ago, my period days changed from the beginning of the month to the middle, when it was all messed up I was getting a period twice a month but that has stopped. About two days ago, I thought I was getting my period but I am lightly spotting it is a light red color it is not dark or anything it is more faint. When I am usually on my period I bleed a lot. I have been pregnant before and know the symptoms but would it be possible? I do not understand this light spotting, am I on my period? Do you think can I be pregnant? Or it can be my cycle changing? | 2,786 | Hello. There are multiple reasons for not being able to conceive. First, it depends on the time for which you guys are trying. Only after a year of unprotected intercourse, we can start the evaluation. And that you have conceived once naturally means the mechanics are all correct. I see that your BMI (body mass index) is high. That could be the reason for irregular periods. You must work on your weight and bring the BMI between 18 to 25. If you are concerned about your cycles, you will be prescribed contraceptive pills. If you want to conceive they might start the evaluation depending on the policy. | Q. My menstrual cycle becomes irregular recently and I get spotting. Is this early sign of pregnancy? |
Hello doctor, It hurts to talk because I had screamed and lost my voice. I screamed again the next day before my voice was back and that is when it hurt. My doctor said I had laryngitis but that was like a month ago. He gave me some antibiotics to take and keep quiet for 10 days which I did. I still cannot talk fully. I do not have hoarse, my normal speaking is clear but I cannot talk louder or in higher pitches. It kind of feels like there is a lump in my throat. | 2,787 | Hello. When you had screamed some micro bleeding and abrasion of vocal cords would have occurred. The same would have caused you pain and loss of voice temporarily. The doctor would have tested laryngitis. Now you are possibly suffering from mild inflammation and edema of the region due to the said trauma. The same makes you feel that there is a lump in the throat. You need some supportive treatment for another few weeks. I would suggest you take a proton-pump inhibitors medicine like Rabeprazole 20 mg or Pantoprazole 40 mg twice daily in empty stomach for 15 days. You also would have to take anti-inflammatory medicines like Trypsin-Chymotrypsin Rutopside combination in an empty stomach twice daily for a week and then once daily for next week. You should take antacid syrup like Mucaine gel one teaspoon after each meal. You are advised to avoid masala, curries, spicy food, alcohol and smoke until you are better. This way we help the tissues heal properly and vibrate normally. Do revert back if you need any further support or clarification. | Q. I lost my voice due to screaming and it hurts while talking. Please help. |
Hello doctor, I had smegma since 1.5 years which resulted into balanitis (that is what I think as per symptoms like difficulties in pulling foreskin, cuts, pain, rash swelling, etc.) and recently I applied Candid cream (non steroidal) twice a day for 10 days and smegma seems to be gone and also balanitis seems to be fine. But my foreskin and glans still becomes red and I can see small red spots after rubbing penis to clean. Also just saw a blister at the opening of urethra (it is little inside and need to spread the opening to see it). What could be the reason? | 2,788 | Hi. Can you tell me if there is any burning, pain, discharge, itching or difficulty in passing urine? Are you able to retract your foreskin up completely? Is there history of sexual exposure? Are you married? When we rub on penis head or foreskin, it can become red as the skin is very thin and sensitive. The skin lining the urethral opening is usually pink or red. Sometimes what we think is a blister may be normal mucosal skin. If there is a blister or ulcer, see your doctor or a urologist. Let me know answers to the above questions. | Q. What causes red spots after cleaning penis? |
Hello doctor, I have to wear wire retainers and every time I put them in I have a panic attack and break into tears. I do not know what I should do. | 2,789 | Hello. Retainers are worn in two situations. Post-braces treatment or for minor teeth alignment correction. If you are wearing this after braces treatment, there are two other types of retainers which you can opt for. 1. Fixed wire retainers. 2. Essix retainers (clear plastic tray like a retainer). The retainer which you have should have a passive fit after Ortho treatment. If they fit too tightly, that needs to be adjusted to bring it to a passive fit. Please get back to your orthodontist and get it adjusted. If you are uncomfortable with this retainer, you can always opt for a different type. But if you are wearing it for minor tooth alignment issues, it should be a little tight. Again, if uncomfortable, this needs certain adjustments. And do note, the retainers need to be worn for the maximum duration (as instructed by your orthodontist) for it to become comfortable. Other times, it should be stored in a container with water to prevent it from shrinking. Accidentally, if the retainer is deformed or shrunken a little, this could cause such difficulty in wearing. However, this can be adjusted by your orthodontist. | Q. Is it normal to get a panic attack while wearing wire retainers? |
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? | 2,790 | 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. | 2,791 | 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. | 2,792 | 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. | 2,793 | 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. | 2,794 | 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 inquiring about a concern I have about my CBC results. I have shown a WBC of 3.9 for almost two years, and recently had a followup CBC and it showed 3.6. I have felt like I have been fighting off a head cold and particularly stressed with the current virus situation. Do you think this kind of count is of any cancer? Of course, I get on google and got worried about things like leukemia or some sort of illness that could compromise my immune system with the current virus going on. The other levels are below: RBC: 4.5 Neutrophils: 56% Lymphocytes: 31% Monocytes: 11.4% Eosinophils: .3% Basophils: .8% Platelet count: 292. | 2,795 | Hi, Welcome to icliniq.com. First of all, I wish you very safe health during this Covid-19 crisis. Coming to your question, I reviewed your records. And I am glad that you came up with your concerns. I will be happy to answer that based on my experience. One thing which I can say confidently is that you do not have cancer. So good to hear those four words. Yes, that is not the way cancer presents and not specifically at your young age. Your lymphocyte count and neutrophil counts are good and there are no abnormal cells as well. With regard to the current Coronavirus, I agree that we all should be vigilant. Your lymphocyte count and platelet are good and hence blood work-wise you need not worry. But I am sure you must be aware of when to get Covid-19 testing based on the symptoms. Rest assured you do not have cancer, just get lab check yearly. | Q. My WBC level is 3. 6. Is it a sort of cancer? |
Hello doctor, I am a hypertensive person and I take medicine Olsar H 20 occasionally. From the past two weeks, I am feeling muscle pain in hands and knee joints with headache backside. Sometimes while lying down to sleep I am sensing fluttering in my chest left side for which I feel afraid and sit for a while and sleep on the right side. For the past one week I am sensing a lower abdomen pain as well both right and left. Also, I have kidney stones measuring 3 mm and 5 mm in the left and right respectively as per the test I did about six months back and was advised for Noculi suspension in water and which I took for two months. I am afraid as I am away from home. Is this any issue related to my heart and kidneys? Please advise what immediate action I need to take? Is any serious issue? | 2,796 | Hello. Firstly, this does not appear serious to me. However, you should get yourself evaluated. This does not appear to be related to kidneys. Your ECG (echocardiogram) is normal and lipid profile shows elevated cholesterol level, which would increase the risk of heart disease in the future. So to reduce it, you should have healthy lifestyle like avoiding fatty oily diet. Less of non-vegetarian foods and regular exercises like brisk walking or running according to the capacity. Have less fast and fried food. You should try a healthy lifestyle for eight weeks and repeat lipid profile after that to see for the response. If there is a response then it is fine or else you will need to start medications. Regarding heart fluttering, this may be an extra beat which are usually benign or may be enhanced awareness of normal heartbeats. However, to be sure you should undergo Holter monitoring which is 24 your ECG monitoring, because ECG taken during the symptoms can only reliably rule out cardiac arrhythmia. Alternatively, you may attach mobile based ECG monitors like Kardia device or other devices. Another thing, you should take BP medications regularly as you are not measuring BP all the time and BP may go up during that time, which would damage the internal organs. Also, measure BP frequently. You should also get your Vitamin D and thyroid tested for body aches. | Q. I feel muscle and joint pain with lower abdominal discomfort. Is this kidney or heart problem? |
Hello doctor, I have been having vaginal itching for a while which led to vaginal fissures down to my bum and have done a test which I need you to help me clarify and advise what to do. Thanks. | 2,797 | Hi. I have seen the report. (attachment removed to protect patient identity). Fissures are due to continue scratching over the itching part. Avoid scratching. Report says you have a vaginal infection with candidiasis (fungal infection). And E.coli growth found which is normally not found in the vagina. And sensitivity report says that all the medicines with “S” are sensitive or effective against these organisms. So basically you can take Candid v6 like vaginal pessaries. Along with that Amoxyclav (Amoxicillin and Clavulanic acid) antibiotics two times a day for five days and Metronidazole 400 mg two times a day for seven days. Do drink more water so that urine should be clear. Keep the vaginal area as dry as possible. Change pads more frequent during menstruation. Eat healthy and less oily and less spicy food. All these precautions to avoid recurrence. Do not scratch. It will increase the problem. If you are not following the proper precautions these infections are bound to reoccur. So be alert. Also, do clean the area with water after sex and do urinate immediately. | Q. I have vaginal itching leading to vaginal fissures. How to stop this? |
Hello doctor, After going to a medical check up a few days ago, a doctor notified me I had a papilloma in my tonsil. I am a 28-year-old male otherwise healthy. I had been having an itch like feeling in my throat and some inconsistent feeling when swallowing or in-ear pressure. I cannot go to a doctor at the moment, I am quarantined due to Covid pandemic overseas. Is this something that deserves immediate urgent attention? What can/should I do/expect? | 2,798 | Hi. I see that this is not an emergency. Use antihistamine to overcome the itching sensation. Use nasal decongestant drops twice daily for five days when lying down on your back to relieve the ear pressure sensation. Also, chewing gum can help. After ending the quarantine period you can follow up with your physician again. | Q. Does papilloma in tonsil need immediate attention during Coronavirus quarantine period? |
Hello doctor, I recently was referred to an oncologist/hematologist after having two rounds of blood tests, both showing a high white cell count (as well as a few other abnormalities). I saw the oncologist/hematologist who ran additional tests. I see a multitude of abnormalities, however, she told me I am just iron deficient. My concern is when I saw her she literally gave me less than three minutes of her time because she was in a hurry, she basically picked up her back and ran out. I am worried she missed something and I did not get the opportunity to ask questions. I am currently on Ventolin asthma inhaler, Vitamin D, and Daily iron tablet. | 2,799 | Hello, Welcome to the icliniq.com. Following is my opinion about your asked question. Your two rounds of CBC (attachment removed to protect patient identity), showing high total WBC (white blood cells) count and high neutrophils. Immature granulocytes are elevated slightly. The inflammation, infection, excess stress, etc like causes might be responsible for that. In the second CBC (complete blood count), count decrease and neutrophils also reduced in number. Hence it does not look like leukemia or blood cancer. Immature granulocyte can be increased slightly in any inflammation. Your count and differential count are not to the level suggestive of leukemia. So it does not seem to be blood cancer as per my opinion. Kindly repeat CBC with peripheral smear examination after a few days. The value will fall within range after a few days. I hope this helps. | Q. Can high white blood cells just reveal iron deficiency? |
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