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Hello doctor, First of all, I feel just fine. I have no issues with infections, cold and cannot recall the last time when I was sick. I do have allergy-induced asthma and I take Advair and Flunisolide. I had a CBC recently and all values were normal except for WBC which is 3.9. My PCP ordered a repeat CBC with the differential count. This time my WBC is 3.2 Absolute neutrophils 1.54 (reference 1.8 - 7.7). Absolute lymphocytes 1.05 (reference 1.2-3.2). Eosinophil 10.8 (reference 0-3). Monocytes 8.4 (reference 0-8). My nRBC's were 0, immature neutrophils and absolute neutrophils low end of normal. For the past eight years, my WBC's were fine but 9-10 years ago they were 3.9 and 3.5. Your advice is appreciated. | 2,900 | Hello, Welcome to the icliniq.com. I can understand your concern. Absolute neutrophil count is slightly low as per the provided report. Temporary associated viral infection along with allergic inflammation can lead to low neutrophil count. Here main concern is high eosinophil count. Normally, if allergic inflammation is under control then eosinophil count is not high. You are taking steroid nasal spray and Salmeterol plus steroid combination inhaler. But as eosinophils are high you can be prescribed Montelukast plus Fexofenedine combination drug as an antiallergic medication for seven to ten days. Asthma confirmation and severity can be assessed by spirometry investigation. You can investigate with allergy testing to know the allergen that leads provocation of an asthma attack. Repeat CBC after one week of taking antiallergic medication. Consult a pulmonologist for examination and spirometry and discuss my answer with him. I hope this helps. | Q. What does low WBC with low neutrophils and high eosinophil count suggest? |
Hello doctor, I have pain in my shin. There is one spot that in particular hurts. It hurts no matter what I am doing. The pain started when I started jumping rope yesterday. Earlier in the week, I started doing snatches for the first time and I may have not had proper form. I have now stopped. The only time I get some relief is when I put ice on it, and the pressure that the ice packs give help a bit. The pain is only in my left leg on the bottom half. Sometimes the pain moves into my foot in the area on the foot bone between my big toe and second toe. My height is 5' 6" and I weigh about 140 kg. | 2,901 | Hello. From your description, the likelihood of a stress fracture is minimal unless you are grossly Vitamin D deficient. There is a good chance this is tendonitis or periostitis which are both inflammatory conditions as that arise in the tendon and lining of the bone respectively. The fact that rest and ice help favors the above two conditions. I suggest that you stop skipping at the moment. Take NSAID (non-steroidal anti-inflammatory drugs) as available. Ice the area regularly three to five times a day and see how you are at the end of next week. If pain is better then gradually return to physical activity. If no improvement then seek professional help for a complete examination and suitable blood tests. | Q. I have shin pain which gets relieved on ice pack. What could it be? |
Hi doctor, I have had tinnitus for five to seven years now. I had suffered a lot during the initial years as there was no solution and doctors had to control using anti-depressants. I am on a regular low dose of Escitalopram even now. My tinnitus is a very shrill sound and has no trigger or cause and is constant. I had done audiometry and there was a slight loss of hearing in one ear. Lately, I chanced to read up on some forums and have found that there are various medications that are being tried for tinnitus. Tinnicar, Ginko Biloba, Complamina Retard SR, etc. Can you suggest in your opinion what I should take to reduce or end the tinnitus? What dosage and for how long? And for Ginko Biloba which is the best brand? My other problem is, I have a sinus problem. Due to cold exposure such as sleeping under an A/C, I get stuffed sinus congestion. I can feel some liquid behind my cheeks when I jump up and down and my nose and my ears are blocked. This is not very troubling. However, this causes a loud buzzing sound in my left ear which is what gets me terrified because of my already existing sinus problem. The sinus stuffiness and buzzing stays for a few days (even if the nose blockage and stuffiness goes away). It takes a few days and I have seen that exposure to heat and hot areas makes the buzzing subside quicker. However, even after the buzzing sound is gone my tinnitus gets and stays louder than normal for an additional few more days. This used to happen regularly every few weeks. However, now it has become a constant problem. I have a constant buzzing in my ear. I went to an ENT and was prescribed Lukotas, Tinnicar and Xylometazoline drops. However, I wanted your second opinion. Should I take something like Solvin to relieve pressure (again read from similar cases in forums)? Note: In my childhood, I can recollect that I had a similar "Sinus congestion" a couple of times and the doctors had drained my sinus using a syringe put in through my nose. | 2,902 | Hello. Your tinnitus problem could be due to sinusitis, which blocks the eustachian tube and causes tinnitus. But if the tinnitus is due to sinus problem it should subside with decongestants, etc. In your case, I do not think so that your ear problem is due to sinusitis. To rule out that we need to get audiometry and tympanometry done. Also, let me know if you are on any medication or if you are exposed to loud sounds. I do not support multivitamin supplements for tinnitus. But you can take any of them for a month and see if symptom improves then you can take for a longer time. But again we will need an audiometry test. For recurrent sinusitis, you should get a nasal endoscopy done. If needed CT (computed tomography) scan of nose and paranasal sinuses also. Only then we will know the severity of the disease. | Q. Are there any medications to reduce my long term tinnitus problem? |
Hello doctor, These past few days I have been bad as I have focused back on my schizophrenia obsession. It mainly focuses on times I have been paranoid, or times I have visualized things as something else. Examples: when slacking off at work thinking, what if there are cameras in the office or internet tracking software. When having a bad intrusive thought thinking, what if someone around me can read my thoughts and thinks I am crazy. Seeing the silhouette of something really far away and imagining it is something else like a door stopper from very far away looks like the shape of a bird or a sandbag propped in the shape of a cat. These are just a couple of examples that make me fear I am paranoid/delusional or on the edge of hallucinating things. There are other ones along those same lines that pop up on random occasions that I do not necessarily believe 100% but the possibility still causes me anxiety. Then the fact that they cause me anxiety causes me even more anxious after the fact wondering if these are paranoid or delusional thoughts. I have talked to my therapist about these fears in the past but I may have left something out or not brought up these examples in clear enough detail. She does not believe I have schizophrenia. I also have talked to a psychiatrist and she told me these types of paranoid ideas may occur in anxiety or depression. I am just terrified that paranoia is not a symptom of OCD and my poor vision cannot explain the minor visual imaginings (not even hallucinations just premature constructions of shapes/outlines) and that I am not taking appropriate action to combat a much deeper mental illness. My only issue with my thoughts is that they did not occur after I started fearing schizophrenia. I have always had general anxiety. They all have happened throughout my past. After I started fearing schizophrenia I combed through my memories to try to find evidence that I am developing it. And in that rumination process, I picked out all the times I have had paranoid thoughts. Though I usually do not believe the thoughts or hold them to be true, I still get anxious at 'what if'. I am hoping that is the defining characteristic that proves they are products of anxiety and OCD versus schizophrenia. Am I schizophrenic? Could it be just anxiety? I also have an uncle who is schizophrenic and that always scares me. Does it mean I am too? | 2,903 | Hello. Thank you for such a detailed history. It makes things very clear. I will sum up the main clinching reason why you do not have schizophrenia. You have insight. Means you know what is wrong with you and you can attribute a reasonable logical cause to this and know where to seek help. This is not the case with schizophrenics. They do not have insight into the paranoia. They will believe it is real. This is an anxiety spectrum disorder and this over inclusive repetitive thinking can also happen in OCD (obsessive compulsive disorder) as well as a generalized anxiety disorder. Treatment for both essentially remains the same, only the dosages differ a little. Do not worry. This is not schizophrenia. Also, do not keep in mind that schizophrenia has a higher chance of transmission from parents. Having an uncle with schizophrenia means you just share some genetic component. Keep in mind that the same gene is responsible for schizophrenia, autism, bipolar disorder, and depression/anxiety. So if your uncle has schizophrenia, that means you can have some sort of mental illness, either something as mild as anxiety, or as severe as schizophrenia. Please get started on SSRI (selective serotonin reuptake inhibitor) or SNRI (serotonin-norepinephrine reuptake inhibitor) type of medicines in addition to your therapy. If you have not undergone some sessions of CBT (cognitive behavioral therapy), please do that with a clinical psychologist since it will help you manage the symptoms of anxiety. Also, please do deep breathing exercises daily four to five times a day. When you are anxious, you can do some more sessions of deep breathing until you calm down. It will reduce the panicked feeling that you have. | Q. How to confirm whether my mental issues is due to schizophrenia or anxiety? |
Hi doctor, I am experiencing dryness on the head of my penis and it seems to be not self-lubricating. If I do not put any lubricate on the head of my penis it will become dry and there is a stinging pain. For the last four months, I have been applying steroid cream to the head of my penis as well as the foreskin to treat it for phimosis. I have stopped using the cream for a few days now and I am still having the dryness. I have seen a few doctors and they said it is a side effect of the steroid cream. I wanted to get your opinion on this matter and to know what I can do to help fix it. | 2,904 | Hello. I have gone through your queries. You are having dryness of glans penis. And from the photograph, (attachment removed to protect identity) what I assume is, you are having balanitis. You had phimosis. And you applied steroid cream for that. Now your foreskin is retractable beyond the corona glandis. That means you are not having phimosis as of now. The redness which you are referring to is due to balanitis. Please apply some coconut oil or some moisturizers over the glans penis. It will take care of the dryness. You can take Azithromycin 500 mg once daily for five days. You need clinical examination too. Hence you can contact your local urologist and get treated. I hope this helps. | Q. After stopping steroid cream for phimosis, I get dryness in head of penis. Why? |
Hello doctor, I have done my TSH test recently and the result is 6.0 but my doctor did not suggest any medication. What should I do now? I am having many problems like weakness, gaining weight, dizziness, trembling, back pain, and waist pain. My skin is getting pale and dry day by day. I remain frightened all the time. I also get a problem while breathing sometimes and my blood pressure gets high like 120/90 or 130/80 mmHg and it becomes normal again. I am having these problems for five years. Sometimes they show up high and sometimes they become normal. I sleep a lot. Please help. | 2,905 | Hello, Welcome to icliniq.com. I just read your query as to why your doctor does not want to prescribe any medication for your raised TSH (thyroid-stimulating hormone). Well, in my opinion, he is right because your TSH is a bit high but not above 10 when we need to prescribe treatment for the same. Your symptoms which you have described are mainly due to the anxiety and depression which you have for a long time and you already took medicines for the same. These medicines which you mentioned are also partially responsible for the weight gain and side effects. They are currently not related to thyroid issues. The TSH is not so high that it would give rise to these symptoms. Well, I would suggest you follow up with a good psychiatrist in your area for these symptoms. Also, I would suggest you do complete blood count and repeat thyroid function tests in three months. I hope this helps. | Q. I have weakness, weight gain and fluctuating BP with TSH level of 6. Please help. |
Hi doctor, I am a 20-year-old female. I am having some issues please help me. I had my period on the 2nd of last month and it lasted till 6th. I had sex with my partner on the 12th via withdrawal method. And this month I have been expecting my period since 3rd and till today I have not seen my period. I am scared. Am I pregnant? I took multivitamin and grape for two days for stomach disorder and nausea. Could this also affect my period? Because right now I am having a headache and I always feel as if my period is there and once I check it nothing was there. Please help. | 2,906 | Hello. Possibility of pregnancy cannot be ruled out at this moment since you had sex during your fertile period, you did not take any i-pill and withdrawal method has a significant failure rate. Multivitamins and grapes usually will not affect the periods and regarding symptoms, these can be due to gastritis but the possibility of pregnancy is there. So you should get a urine pregnancy test (UPT) done now and repeat it after 12 hours. Although, somewhat delay up to seven days in periods is normal as well, but do not worry and get UPT done. If it is negative then no need to worry and positive termination by medicine can be done as it is early. Next time take all precautions especially I-pill, or condom. | Q. What is the possibility of missed period after unprotected sex to be pregnancy? |
Hello doctor, I take Lisinopril for blood pressure, Symbicort for asthma, Metformin for PCOS, and Flonase for allergies. Today I was sitting and just talking and I got a pain in my left eye. I went to the restroom and looked in the mirror and I guess I had a broken blood vessel. What is worrying me is it is not that painful but I have discomfort to touch and it feels scratchy. Please suggest. | 2,907 | Hi. This is called subconjunctival hemorrhage. It happens when a blood vessel bursts and gives some blood out, under the superficial layer of the eye called conjunctiva. It happens because of high pressure in the vessel like high blood pressure or coughing or constipation or holding heavy objects. The treatment usually is only by lubricant eye drops if it happens for the first time. But if it is recurrent every week or so, you should go for blood tests: PT (prothrombin time), PTT (partial thromboplastin time), INR (international normalized ratio) for blood coagulation tests. Finally, since you are coughing, so there is an obvious cause for the bleeding. I recommend to treat it with installing any lubricant eyedrops a few times a day. The eye should go back to normal in about ten days to two weeks. If not or if it happens again go to your doctor for blood tests. I hope this helps. Subconjunctival hemorrhage. | Q. I noticed a broken blood vessel in my left eye with some discomfort. What should I do? |
Hello doctor, I may have an abscess and I am worried about going into the dentist because of the coronavirus. Currently, I am experiencing an achy jaw and ear congestion on one side, a slightly stiff neck, and a mild sore throat. This comes before one month after a filling repair, and two weeks after I had to go back to get the bite adjustment. It is not debilitating pain, but it is irritating and I am wondering if I can put it off until it is safer to go to the dentist. | 2,908 | Hello. I can understand the fear you have not to go to the dentist but please do not risk your health because of the fear of coronavirus. There are precautions to that and the dentist will also be taking precautions as the state has already issued guidelines for the doctors. Regarding your concern, I would advise visiting a dentist as soon as possible to look into and in case you need medication and intervention. If still, you want to avoid, just take over the counter pain killer like Advil and also use Listerine to subside the infection if possible. Impacted third molar, pericoronitis. Clinical, x-rays. Pericoronitis, Impaction. Pericoronitis. Oral hygiene and wash away debris and later on surgery may be required. Eat soft food on the side and strict oral hygiene. Follow up is important to see infection subsided and no complications. | Q. I have jaw pain, congested ear, and sore throat post dental filling. What should I do now? |
Hi doctor, I am 38 years old and concerned about anti-aging, hyperpigmentation, and texture. I am an African with dark brown skin. I have some glycolic skincare products that I want to use. I eventually want to start using retinol and Vitamin C. I know these products cannot be mixed and used at the same time. I recently read something about glycolic acid thinning the skin. What is the best order for skin products, and how many days a week is too much for active ingredients? I do not want to harm my skin. I do wear SPF 46 or 50 sunscreen on my face too. I am currently on Carbamazepine, Metformin, Vitamin D, and Folic acid. | 2,909 | Hi. You can try microdermabrasion, chemical peels, laser skin resurfacing, derma fillers, Botox injection. Anyone suitable for you. Also, sunscreen should be applied 20 minutes before going outdoors. Differin cream thin layer it is a retinoid and can be used if you are ready to wait for good effects. It takes long to show effects for about three months. Also, the above procedures require sessions and sittings to show effect and have minor side effects like skin reddening, rash, irritation, and burning. If you choose chemical peeling 20 percent lactic acid peel is a good choice. Dead skin cells will exfoliate and skin rejuvenation will occur. Also, the diet should be healthy and nutritious. Excercise and skin cleansing should be done. Take tablet Limcee (vitamin C) 500 mg for one month you can take. | Q. What are the best skin products to prevent anti-aging and hyperpigmentation? |
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? | 2,910 | 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. | 2,911 | 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. | 2,912 | 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. | 2,913 | 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. | 2,914 | 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 40 years old. I have irregular for the past six months. I got checked my prolactin as per doctor advise which came out to be 27. Then the doctor prescribed me Estrogen-progesterone. Then the cycle was still irregular. After that my prolactin rise to 38. Cabergoline was prescribed for a month. Now from the past month, my cycle became regular. Gynecologist suggested me to go for Endocrinologist. I am worried about the MRI as she hinted about. I need your suggestion. | 2,915 | Hello. I just read your query and from what you have mentioned it appears that you had slight high prolactin levels and you took Cabergoline to treat that. Well, if at all you had some pituitary problem it gets resolved with Cabergoline and unless you do not have the same period problems like no periods at all for two to three months or headache persistently then there is no need for MRI (magnetic resonance imaging) pituitary. Repeat your prolactin when you finish your Cabergoline dose. I hope this helps. | Q. Is it necessary to take MRI scan for high prolactin levels and irregular periods? |
Hello doctor, I am experiencing pain during sex during three separate sexual encounters over the last few months. No sex in between these encounters. Upon recent inspection a white spot was noticed on the inner portion of the vulva which seems to be the source of the pain. Outside of sexual intercourse, there is no major symptoms but may have slight discomfort. I have used Canesten topical ointment for 14 days and experienced some relief but did not resolve. | 2,916 | Hi. Image is not much clear. (attachment removed to protect patient identity). But looks like some inflammatory changes. There must be vuvlovaginitis or Bartholin gland infection. If previously, there was no pain during sex and now pain is there then there should be some problems there. There may be skin infection or hair follicle infection. Paraurethral glands are there. UTI (urinary tract infection) also can give pain. There is one chance your partner may have some problem. Do urine routine and culture sensitivity report. Do one ultrasound scan of perineum to find out any cystic swelling. Keep the area clean. Drink more water. Change pads more frequently during menstruation. Can take tablet Doxycycline 100 mg for seven days, Azithromycin 1 gm one time for two days. This is empirical treatment. For diagnosis, we have to do some test and need to see clinically along with per speculum examination. Can take any antacid to prevent acidity. Avoid oily, spicy food. I hope this helps. | Q. I get pain during intercourse with white spot on the inner side of vulva. Please help. |
Hello doctor, I am having facial hairs, acne and pores problem for the past five years. I have tried almost everything but have not had good results. I am currently using E-dox DT, Isotretinoin 10 mg. I have done a blood test. | 2,917 | Hi. I have gone through your query and reviewed the attached photographs. (attachment removed to protect patient identity). I can understand your concern but your problem seems to be hormone related. I would recommend you to get these tests done: 1. Thyroid function tests. 2. Serum testosterone levels. 3. Serum dehydroepiandrosterone. 4.Serum prolactin levels. 5. Fasting insulin levels and 6. Ultrasound pelvis to rule out PCOD (polycystic ovary syndrome). Meanwhile, I would recommend you to start with tablet Minoz OD (Minocycline Hydrochloride) 100 mg once daily at night, Tracnil sachet (Myoinositol, folic acid and vitamin D) twice daily. Use Facecare facewash twice daily and Epiduo gel on the pimples at bedtime for 30 minutes and then wash it off with plain water. Continue this for four weeks and revert. | Q. I have facial hairs, acne, and pores for the past five years. How to fix it? |
Hello doctor, I am asking question on behalf of my niece. My niece is 2.8 years old. Considering the present situation regarding corona virus, can we give a flu shot to her irrespective from her normal vaccination schedule. Also, I want to ask you for a suggestion regarding a travel to do and also meeting a person who came from US. One of her aunt came from US recently, so my sister and my niece were actually planned to meet her but we came to know that she got fever and vomting after she came to India but she told that she is doing fine now but we were in dilemma to send my sister and niece to her in this little confusion kind of period where we do not know what decision to make. So please suggest which you feel good option. | 2,918 | Hello I understand your concern. Yes, definitely you should give a shot of flu vaccine which will protect from getting infected. It gives protection for a year. Regarding meeting someone having a fever with international travel history, my opinion is you should avoid the meeting and wait at least 2 weeks till no fever and other symptoms. | Q. Can a flu shot be given to 3-year-old kid as a preventive act from coronavirus? |
Hello doctor, From your desk of concern, I want to ask some questions regarding my pregnancy. I have sex with my partner about five days ago. We did not use any precautions. Even though the penis is not properly ejected in my vagina but from how penetration was done and he discharge I feel some of the liquid go inside but as the penetration was not too much we have a doubt. We go by PT test on the fifth day in the evening and that was positive. But still we are confused. Kindly guide us on how to do further confirmation regarding pregnancy? But we do not want this fetus to develop in my uterus. Also, guide me about abortion. | 2,919 | Hi. With unprotected sex pregnancy can happen. Pregnancy test does not come positive after five days of intercourse. You need to do one ultrasound for confirmation about pregnancy and how much growth is there and where is it growing. According to that, we will decide how to abort. But if the baby is live then every country has its own laws about abortion. So you have to consult nearby gynecologist or abortion center. And follow the proper guidelines according to the doctor and local laws for effective and safe abortion. Do not go here and there and put you in trouble legally also. And if you bleed more than there may be problem to your health and or life also. | Q. Is it possible to get positive pregnancy test within five days of intercourse? |
Hello doctor, I am a 52-year-old female. I have an underactive thyroid condition. I had nuclear medicine a few years ago and had been going for regular checkups but recently due to some reasons, my TSH level had increased. So I was given a dosage of 150 mcg of Thyronorm. My check-up was due four months but due to some circumstances I could not go and I went two months late. The doctor told me I had an overdose of it. So he asked me to continue only with 100 mcg. I was wondering if I would feel better if I skip the medicines for two days because it is making me feel tired a lot and weak, too. | 2,920 | Hello. I just read your query and from what you mentioned it appears you had hyperthyroidism which was treated with radioactive iodine and now you are hypothyroid. Well, it is perfectly normal phenomena, after radioactive iodine ablation of the thyroid gland we usually expect patients to be hypothyroid. In your case, it just took so long to develop. You should have gotten your thyroid function test done at that time but nonetheless your dose has been reduced so it is perfectly fine. You feel tired because of the excess 50 mcg which you had been taking until now. Anyways give it some time and it will settle down. No, it is not going to be dangerous. Just regularly do your thyroid function test every three months until it stabilizes. I hope this helps. | Q. Increased dose for hyperthyroidism end up causing hypothyroidism. What to do? |
Hello doctor, For the past two months, I had severely chapped lips from the cold weather. I tried O’Keefe's, Blistex, La Roche-Posay cicaplast lips, Vaseline, coconut oil and plain slices of cucumber, all of which resulted in burning itchy lips. I then decided to stop using anything at all for the last month and although the chapped lips have gone. The itching has started again and I really do not know what to do. I have atopic dermatitis and I am nervous about putting anything on my lips again in case it flares up and I have to wait another month for it to heal. Any advice would be greatly appreciated. | 2,921 | Hi. This condition is called cheilitis. It is due to vitamin B deficiency, low level of iron and zinc. Also, environmental exposure, licking your lips, eating spicy foods, cold, dry weather may lead to chapped lips. Vitamin B deficiency. Low iron and zinc levels. Cold dry weather. Lip licking habits. Allergy to saliva, spicy foods. Environmental exposure. Hemoglobin iron levels. Lip lick dermatitis. Angioedema. Angular cheilitis. Cheilitis. Apply good quality lip balm with sunscreen. Moisturize the lips. Proper lip hygiene. Becosule capsule for 10 days. Drink lots of water. Exfoliate dead skin of lips with warm water and moisturize your lips. Do not lip lick. After 10 days. | Q. Why does my chapped lips not healed on using moisturizer? |
Hi doctor, I feel that I am addicted to online casino games and betting sites. I have a gambling problem and I want to quit gambling. I lost a huge amount in gambling during my whole life. I want to quit gambling. What can I do please tell me. I am tired now. I am feeling depressed and sad. I am not focusing on my studies properly. Please help. | 2,922 | Hi. Accepting the thing that this is your concern, is the first step towards recovery. You have realized that online games and betting sites are a problem for you. Otherwise, many people stays in denial and do not accept that they have a problem. This type of behavior addiction is very much similar to drug addiction. Stay away from these sites as much as possible. Start spending your time with your hobbies. Spend time with your friends and family members. Maintain a diary each time you visit betting sites and record your emotions and thoughts just before and after visiting these sites. This will help you to realize what is the urge or emotion that leads you to go to betting site and then you can alter them. Visit a nearby psychiatrist or psychologist for cognitive-behavioral therapy. This is a talk therapy where you are taught how to modify your addictive habits and how to restructure the thought process. This is quite helpful to modify your behavior. | Q. I am addicted to online casino and betting games. Please help to come out of it. |
Hi doctor, I am 34 weeks pregnant. What are the symptoms of listeria? I read somewhere that a pregnant women may not have symptoms at all. How would I know if I have it? Also there is opened unpasteurized cheese in the fridge. Can that cheese contaminate an opened package of cheese, just by being beside it? I am worried about listeria and would appreciate your advice on this topic. Thank you. | 2,923 | Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. How would I know if I have listeria? |
Hello doctor, I have an itchy tongue. I can describe the itching like putting a needle on right and left corners of the tongue. I am using steel tongue cleaner for the last 15 years and I have stopped now. Please help. | 2,924 | Hello. Revert back with the asked details to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist | Q. Can tongue cleaner cause itchy tongue? |
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? | 2,925 | 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. | 2,926 | 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. | 2,927 | 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. | 2,928 | 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. | 2,929 | 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, Initially, my wife was having few joint pains in her knees and shoulder. Last year, she was diagnosed with high ASO level in blood with 800 (positive). At that time the medicine physician has prescribed her to inject Penidure LA12 (Benzathine Penicillin) injection at every interval of 21 days for at least five years. Accordingly, since then my wife is continuing with Penidure LA12 injection till date and by now she has already completed two years of Benzathine Penicillin injection. Presently, a month back, her latest blood report the ASO level is reported negative with 175. Also, now my wife is 3 months pregnant and is under the supervision of a gynecologist. The gynecologist has prescribed her with Susten SR 300 two tablets per day intravaginally and ALL-9 one tablet after food at night. Also, the gynecologist advised her to continue with Penidure LA12 and having the opinion that Penidure LA12 is safe during pregnancy and may be continued. Shall I continue her to inject Penidure LA12 injection during her present pregnancy stage? Or should I stop it? And also let me know, whether this injection will have any adverse effects on the baby. Lastly, for how many years actually this injection has to be taken by her? She has already completed two years. Thank you. Looking for your advice at the earliest. | 2,930 | Hi. Revert back for further information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Is injection Penidure LA safe during pregnancy? |
Hello doctor, I had a blood test done around six days ago and my arm is paining now? It aches when I curl my arm and also when I stretch it out flat. This has never been an issue for me previously. What might be causing this pain on my arm? Please help. | 2,931 | Hello. For further doubts consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician | Q. What is the reason for my arm pain? |
Hi doctor, My mother is 53 years old. She is a diabetic and under medication. Her list of medications is as follows: For diabetes, Glyciphage SR 1 gm (1-0-1) and Volibo 0.2 (0-1-0). For cholesterol, Stator 10 (0-0-1) and for stamina, Stamina-OD (1-0-0). Under medication, her sugar levels before food and after food are 103 to 160 and 190 to 200 respectively. While not having the medicine, the level is 210 before food. The issue now is with the medicine. Whenever she takes the diabetes medicine, she is getting tired, feeling dizzy with overall mental and physical weakness and literally wants to be on bed. At times, she is frustrated as well. Please advice what we should do. | 2,932 | Hi. For further classification consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist | Q. My mom feels dizzy and weak with diabetes medicine. What to do? |
Hi doctor, Recently, I got my semen test from a laboratory. Detail of the test is as follows: Volume - 3.0 mL, color - gray white, viscosity - thick, total sperm count - 60 million, active motile 20%, sluggish motile 30% and non-motile 50%, pus cell 3-4/HPF and morphology 45 %. I want to know that how can I active my sluggish and non motile cells. According to my report what I have to do now. Please advise me some herbal medicine which has no side effect. | 2,933 | Hi. I appreciate you seeking help. I would recommend the following in your case. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist | Q. Please advise some herbal medicine to maintain sexual health. |
Hi doctor, Before three years I had Lasik surgery for my eyes, which were -7 in both. Afterwards I started developing hypermetropia reaching +1.75 L and +1.5 R. Recently, I started losing focus and binocularity when dealing with near objects and my left eye tends to shift away from my nose that is exotropia. To fix this I have to put some strain to regain binocular vision. My doctor told me to keep wearing my glasses which I always do and I have continuous mild headache and dull aches around my left eye. Besides, I developed floaters, afterimages and halos around light. I got my vision acuity intraocular pressure and fundus examination, which were normal. Kindly let me know the proper management of my case. | 2,934 | Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. How to correct hypermetropia? |
Hi doctor, I am a 26 year old female. Will eating bricks affect uterus? I do not have any side effects other than early periods. In the last two cycles my periods were five days earlier. Please explain. | 2,935 | Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist | Q. Will eating bricks affect uterus? |
Hi doctor, My son has some brown spot on face for over 10 months. I am applying Panderm ointment. Please help. | 2,936 | Hello. This is a clear cut case of pityriasis alba (attachment removed to protect patient identity), which is very common in young kids. It is a kind of mild allergy due to sunlight, food or any other external and internal factor. It is treatable and not a worrisome problem. Some time due to lack of calcium and presence of worms also cause it. Treatment for pityriasis alba is very simple and almost always effective. I suggest you tablet Ostocalcium (Calcium phosphate) one tablet every day for one month. Give him milk and good nutritious food. Tablet Albendazole 400 only one tablet has to be taken. Apply Flutivate cream (Fluticasone propionate) over the white patches once in night for one month. Do not rub the cream. Consult your doctor, discuss with him or her and take the medicine with consent. To avoid sunlight allergy use sunscreen (Suncros 50 SPF) over face twice in a day, which is during morning and afternoon. Continue this treatment for one month and the problem will be resolved definitely. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My son has a brown spot on face. What is it? |
Hi doctor, I am a 25 years old female. I am suffering from breathlessness and cough since several months. Finally, I consulted a GP 20 days ago and had several tests done. They are TSH, lipid profile, CBP, chest x-ray, lung function test, liver and kidney functioning, blood sugar, urine test and ECG. All the reports came back normal except that I have vitamin D, B12 deficiency and low levels of iron. I have hypothyroidism, for which I took ayurveda medicine for three months. Also, I have a weird problem. Whenever I bend my head backwards and try to swallow my throat gets severely irritated and gets blocked. Then, I have to cough to clear up. Otherwise, while swallowing with my head backwards I feel like I am losing consciousness. I also feel that there is something stuck in between my throat while I swallow anything. Whenever I cough I could be able to take air inside at a time and breathlessness gets normal and I gain start to feel breathlessness after some time. My doctor has prescribed Montek-LC saying that it could be due to allergy. I took Montek-LC for two weeks, but still did not find any improvement in breathing problem. Also my doctor had advised me to stop taking ayurveda medicine as it causes these symptoms. I started taking Thyronorm 25 mcg. Is there any relation between my breathlessness and trouble to swallow? Please advise me. | 2,937 | Hello. We are happy to help you. Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. Is there any relationship between breathlessness and trouble to swallow? |
Hi doctor, My dad had trab360 surgery, a relatively new technique for glaucoma, done on his right eye. When he initially got the surgery he still had vision in his eye afterwards. But, the next morning the vision in that eye got very blurred. Now, there is blood accumulation in the iris as well as some fluid. His eye seems to be getting more blurred and not better after two days. The recovery period is supposed to be only three days. It seems that his eye is getting worse rather than better. Should we be concerned? | 2,938 | Hi. Please do not panic. Revert back with medical records to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. Why does blood accumulation occur after trab360 surgery? |
Hi doctor,My mom wants to take me to a doctor, because she thinks I need help. But, I told her I am fine and refused to go. I started to wonder whether I really do have a problem. She started telling me I needed help because I would just lie about something stupid instead of telling the truth. Also, how I could just stop caring about anything? Another thing I would do is just pretend fake happiness about something that I really did not care about. I also started to care more about how I look and try to look perfect. But, I do not have any one to impress. I just feel like if I do not look perfect something is wrong. If you have any ideas about what is happening I would love to know. Thank you. | 2,939 | Hi. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Should I visit a doctor for my lying behavior? |
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? | 2,940 | 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. | 2,941 | 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. | 2,942 | 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. | 2,943 | 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. | 2,944 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am suffering from pain in my right shoulder, hip, knee, foot and lower back. I have a bunion on my right foot. I sometimes feel that my hip is not in place and if moved wrong it will result in knee pain. I broke my collar bone as a child and I am not sure if that would be causing any shoulder pain now. Pain is not always intense, but worsens as the day progresses. Neither lying down nor icing and applying heat does not help. Also, Tylenol does nothing for it. Is this arthritis? | 2,945 | Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Can shoulder fracture during childhood cause pain now? |
Hi doctor, I had an abortion four months ago, I never went back to get checked out and it was a D and E. I am also on Depo-Provera, second dose. I am experiencing dark brown and black discharge with clots. I feel bloated and I have bits of pain. Is this normal? | 2,946 | Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Is it normal to have black discharge after Depo-Provera injection? |
Hi doctor, I am a 41 year old male. My recent ultrasound of thyroid revealed multiple bilateral ganglion formation in area IV. The most prominent was 11 x 8 mm diameter in lower right cervical area. It was mentioned homogeneous thyroid. My doctor suggests clinical follow up due to the number of ganglions in area IV and because they were spotted last year in another ultrasound. I am attaching the ultrasound scan images. What are your main hypothesis for diagnosis from the images and prognosis? Also, what follow up should I do? Thanks in advance. | 2,947 | Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Following thyroid scan, what is the next step to rule out cancer? |
Hi doctor, I am 24 years old. I had my tooth crowned before nine years. I have no problem with it, but a dentist wants me to get a crown replacement. I do not even feel any discomfort. Is it necessary to replace? | 2,948 | Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist | Q. Is it necessary to replace my tooth crown after 9 years? |
Hi doctor, For a while I have been extremely sensitive to light and sun. Whenever I am in bright light or sunlight, I get headaches or a migraine. Two weeks ago, I developed migraine. Ever since then I have not been able to get on the computer to work as I get pressure in my head and headache. I am fine when I am not on the computer or watching television. Now, seeing computer or reading something on paper also causes this pressure and then result in headache. My current medication is Cloraz Dipot 3.75 mg once daily. Please help. | 2,949 | Hi. I have read your question with care and understand your concerns. Revert back with the detailed history to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. Why do I get headache only when I am on computer or television? |
Hi doctor, I am beta thalassemia minor. If I go for a relationship DNA test with my son, will the DNA report be false due to this? | 2,950 | Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist | Q. Will beta thalassemia minor affect the relationship DNA test? |
Hi doctor, I am a 29 year old female. I washed my face and did not apply moisturizer or any other thing. Then I placed the Biore pore strip on my nose. While removing, it ripped my skin. It was red, burns bad, liquid comes out of it and looks like a huge blister. I had this for about almost three weeks ago. I tired alcohol, which makes it burn. Also tried Neosporin, Vaseline and Aloe vera. I have consulted a doctor and he asked me try Mometasone or Hydrocortisone or Triamcinolone or Naftin one at a time for about three to four days. It itches and burns. I did not find any improvement in healing. Please help. | 2,951 | Hi. I have read your concern and understand your problem. Patch test. Irritant contact dermatitis. 1. I suggest Potassium permanganate compress. Take two crystals of Potassium permanganate and dissolve it in half bucket of tap water. Then take a clean gauge, immerse it in this solution and keep over the affected area for three to five minutes. Repeat it twice daily for five days. 2. After cleaning the area just apply Fluticasone and Fusidic acid combination twice daily for five days. 3. I also suggest tablet Levocetirizine once daily for five days. Consult your doctor, discuss with him or her and take the medicine with consent. Never in future use Biore strip. Before using any new product first of all do patch test. Revert back after five days to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What do for skin lesion on nose after using nose pore strip? |
Hi doctor, I have gone through the bariatric sleeve surgery before three years. Now, my stomach skin is sagging. Please advise me what to do. | 2,952 | Hi. Since you have gone for bariatric surgery, I just want to elaborate the things for better understanding. For further information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist | Q. What is the solution for skin sagging following bariatric sleeve surgery? |
Hi doctor, When I had sex with my boyfriend last time, neither I had started my new pack of birth control nor used a condom. I started a new pack around one and a half to two weeks later. But, last week, I started what seemed to be period about a week early. The flow has been a lot heavier, I am going through tampons like crazy and there are a lot of large clots. Further, the blood is bright red. I am having the worst cramps I have ever had in my life and it has been going on for 10 days now. Is there any chance that it is an early miscarriage? This is so abnormal for me. I cannot think of anything else that would cause these symptoms. I do not know if it matters, but I have PCOS. I have never experienced this since I am regularly taking birth control. | 2,953 | Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Bleeding heavily with clots. Is this a sign of early miscarriage? |
Hi doctor, I am getting one-sided headache. I do not get them often. They are behind my right eye and temple area. Now this time I am also fighting with heavy cold and cough. It came on late morning today and it hurts more when I cough or shake my head or bend over. Prior to this, I had the same headache about four months ago. At that time it came on midafternoon and lasted till next morning. Prior to that, I had the same headache exactly on the right side and lasted for a day. I am on CCB and Protonix. I am scared of brain tumor. Please help. | 2,954 | Hi. Based on what you have told, this is more likely to be due to sinusitis. Sinuses are small air filled cavities in your skull bone. They can get infected and when they are infected, you will get headaches behind eyes. Such headaches will be more common during cold and cough. Brain tumor headache will be on both sides, more in forehead and you will also have vomiting in that case. Based on what you have told, this is more likely due to simple sinus infection instead of brain tumor. CT brain and CT paranasal sinuses. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. Can brain tumor cause one-sided headache? |
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? | 2,955 | 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. | 2,956 | 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. | 2,957 | 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. | 2,958 | 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. | 2,959 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am a software engineer. I am suffering from back pain at the end of ribcage. Since one month I have been facing this issue. Pain starts when I sit for longer time like one to two hours continuously. If I walk frequently then also the pain starts slowly and sometimes the pain is unbearable. After lunch, it is increasing more. If I walk for 20 to 30 minutes then I am able to sit for 20 minutes then again the pain starts. I am unable to concentrate my work due to this pain. I thought it as a big issue and I went for a full body health checkup. After checkup, I have consulted cardiologist and general physician. Both told me that there is no problem. General physician suggested a few medicine for gas trouble. Please see the attached doctor's prescription for your reference. After completing the course of medicine, I am still feeling pain. So, I have consulted an orthopedician. After taking x-ray, he suggested a few medicines. I have been taking these medicines from last 10 days, but still pain is not going away. I had a gynecomastia surgery one and a half years ago. Now, again I can see the gynecomastia. I have not consulted the doctor in this regard, but the primary problem is related to pain which is making my life hell. Please help me in this regards. | 2,960 | Hi. We are here to help you. I read your detailed history and studied your reports (attachment removed to protect patient identity). It seems to be muscular in origin. It can be costochondritis pain and that takes at least four to six weeks to settle down. My recommendations in such case would be to do hot fomentation at least three to four times a day. Also to walk after all meals to avoid indigestion. Taking a combination of Gabapentin and Nortriptyline helps greatly. In some cases such pain could be an initial symptom of herpes zoster where initially there is neuropathic pain followed by lesions after few days or weeks. If you develop any write back to me. I would otherwise suggest you to keep patience for a few weeks and the pain would go away. For further information consult a general medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. I have been suffering from back pain. Please help. |
Hi doctor, I have been diagnosed with temporal lobe epilepsy following a Tonic-Clonic seizure before nine years. From then before two years I was seizure-free having been put on Lamotrigine. Before two years I had another TC seizure and my dosage was raised (cannot remember the dose precisely), and I was seizure-free for almost a year when I had another TC seizure. At this point, my dosage was raised again to 125 mg twice a day. Despite this, I have had a number of absence seizures. This seizure was followed by a 24-36 hour period of not just extreme tiredness but very strange mental sensations, including what felt like a rush of intelligence as well as frequently repeating thoughts and unexplainable strange thoughts (not distressing - more like feelings of another time as well as what I guess are best defined as nonsense, thought trains about advanced concepts such as genetics or psychology). Following this, I had an MRI which reported nothing abnormal, say for a small number of tiny foci of T2 hyper-intensity within the all white matter of both hemispheres, non-specific. The areas of the left frontal lobe where there has been previous EEG evidence of epileptogenic focus were normal. All of the above paragraphs is directly quoted from the radiologist's letter to my GP. Since then, I have had two absence seizures with similar post-seizure symptoms. My Lamotrigine dosage has increased to 200 mg twice a day. Now I am having regular nocturnal seizures (two to four weeks), which leave me similarly confused and with the same weird thought patterns. I had one about three days ago where these symptoms were particularly acute, and have worried me greatly. In all cases, I recovered quickly and found sleep to be a major contributing factor to my recovery. Now, just over 48 hours since my last seizure, these symptoms have again subsided. They have occasionally appeared prior to seizures, making me think they are auras, but they do not seem to be anything like the aura descriptions I have read about. During a recent appointment with a clinical nurse, I was put on a new prescription of Brivaracetam (2x 25 mg) alongside the current Lamotrigine dose. I have yet to begin this. The fact that there is a little reference online to these symptoms is quite distressing to me, particularly given how bizarre they are. Are these potentially a result of the point of epileptogenic focus? Might they be a reaction to the Lamotrigine? My current medications are Fluoxetine 40 mg per day, Atorvastatin 40 mg per day, Metformin 2 x 1000 mg, 10 units insulin Glargine, Lamotrigine 2x 200 mg, Brivaracetam 2x 25 mg (yet to commence). | 2,961 | Hi. As per the given information, I can understand that these symptoms are the effects of seizure, and unlikely to be due to Lamotrigine. The primary goal of the therapy is to control seizure episodes for which you have been prescribed Brivaracetam, you must start the new medicine along with the old one, with which the symptoms must go. MRI (magnetic resonance imaging) scan may not reveal epileptogenic focus other than hippocampal sclerosis and some volume loss. The best way to find epileptogenic focus would be EEG (electroencephalogram), if possible can be done later if seizures are not controlled with the prescribed medicines. | Q. Will Lamotrigine taken for tonic-clonic seizures cause repetitive strange thoughts? |
Hello doctor, This query is regarding my baby boy’s health. He is 18 months old and recently had his varicella shot last month. Last week, he suddenly started shouting in the middle of his sleep and kept scratching his forehead and neck region. When checked two mosquitoes were near him and had bitten him. Generally, he gets papular urticaria after any insect bite. But after three days, he got lesions all over his face, arms, and legs. Checked with my doctor and initially, it was ruled out as chickenpox along with insect bite allergy. But even after a week he still did not show improvement. The older ones are very slowly recovering. But everyday new lesions are coming up and he scratches like anything despite a lot of medications. Please help. His current medications are Aciclovir 2.5 ml thrice (completed the 5-day course), Azithral 5 ml (night only) for seven days, Xyzal 2 ml thrice daily. Now the doctor has started him on Omnacortil steroid medication and Kid pred 3.5 ml twice daily. Please suggest if we are treating him the right way. He weighs 10.5 kg. No fever, cold or body pain symptoms. | 2,962 | Hi. As per the history and pictures shown (attachment removed to protect patient identity), I would recommend to get the child evaluated for scabies if the above treatment does not work. Until then continue the treatment as going on. It appears to be fine as per my knowledge as I have not evaluated the child physically. If the treating doctor feels that it is scabies after examination, it would be advisable to use one dose only of Permethrin 5% on the body and 1% on the scalp. I hope this helps. | Q. My kid developed papular urticaria post insect bite and not subsided on medication. Why? |
Hi doctor, My husband is an active person who plays badminton, football, and running regularly. He also attends the gym. He met with a sports injury in his right ankle. We thought that as a muscle sprain and kept icing. He recovered 80% in two days but used Volini or Oxalgin gel regularly. After some 20 days, he drove the car for around six hours. Then, he felt some pain and inflammation the next morning. We consulted an orthopedician here who recommended an x-ray and CT scan. I am attaching the reports here. Please let me know the further treatment. | 2,963 | Hi. I have been through your reports. Your x-rays and CT are normal. (attachment removed to protect patient identity). The point you have marked indicates the attachment of anterior talofibular ligament. So it could be a sprain of that ligament. Just do intrinsic muscle strengthening exercises. Could you please tell me that how many days have passed since the injury? | Q. Got sports injury with pain and inflammation in right ankle. Could it be fracture or sprain? |
Hi doctor, This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm. The abnormal values are as follows: 1) Serum globulin 4.2 gm/dl - High (normal range 2-3.5). 2) T4 - 11.46 ug/ml - High (normal 4.6 - 10.5) whereas T3 and TSH are normal. 3) Vitamin D - 9.65 (low). 4) Serum HDL 34.9 (low) other triglycerides and LDL values are normal. 5) Vitamin B12 - 144 (low) (normal 180-914). Also, I attached his ECG where it was mentioned unconfirmed report. Please check and let me know the outcome of the report. He is an athlete who is active in a cycling race, running and swimming. But, he was out of the sport for one year and hence gained weight around 75 kg from 68 kg. Now, again he reduced 4 kg in the last three months. But he is following bad diet plans such as paleo one week, intermittent for the next week, proper balanced normal food for one week. Hence, I am really worried about his health. | 2,964 | Hi. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps. | Q. Will irregular paleo diet result in low vitamin D and B12 levels? |
Hello doctor, I am a 22-year-old male. My weight is 116 kg and my height is 5 feet 7 inches. My problem is, I am using nutrition food and milkshake to lose weight. 15 days ago, my weight is 123 kg but now it is 116 kg. I am doing a gym too. This is a product from herbal life. I want to go to my sister's marriage party for four days. I may have some alcohol but my trainer is saying if I drink alcohol then my liver will be damaged. I am also taking Liv 52 tablets. Can I get some medication or advice? | 2,965 | Hello. It is important to know what is the contents of your supplements. However, common supplements contain creatinine for muscle building, with which alcohol is safe in moderation. However, if the content is not known then it is better to withhold supplements two to three days prior to alcohol consumption and then probably there should not be any problem with it. But even otherwise, if there is no baseline liver damage or disease then having one or two drinks should not create any problems and I think you can have it. There is no role of anti-medicine. I hope this helps. | Q. Will alcohol intake cause liver damage while on special drink for weight loss? |
Hi doctor, I am four weeks pregnant and I have BV (vaginosis) and some candida hyphae. My gynecologist prescribed me to apply internally Zidoval gel for five nights and then take two days break and apply Canesten soft gel pessary the following night. I already asked her if it is safe to take during early pregnancy and she said yes. I am now doing some online research and found many contradictions. Do you think that these are safe to apply? I am so much worried. | 2,966 | Hi. As such local application is somewhat safe and if you have diagnosed infection then it is always a query whether to take or not. If the infection is not much severe then you can wait for 12 weeks of pregnancy and then take the medicines. In early pregnancy there are many contradictions whether to give or not to give tablets. But if the infection is severe then infection itself can cause harm to the pregnancy which is less than the medication hopefully because there is no certain study available to count actual risk while treating this type of infection in early pregnancy. So you have to choose wisely and if the infection is not severe then avoid any drugs and drink more water. | Q. Is it safe to apply Zidoval gel internally for BV during early stages of pregnancy? |
Hello doctor, I am a diabetic. My weight is 69 kg and my height is 180 cm. My PP glucose level is 150-210 mg/dL. I am taking Glynase MF one in the morning, tablet Exermet GM 501 one in the evening. My BP is normal. I tested my glucose levels today and postprandial glucose level is 204 mg/dL. I am interested in taking Insulin replacing oral medicine. I heard that oral medicines cause weight reduction and dangerous for kidneys. | 2,967 | Hello. The Metformin component of the oral anti-diabetic medications aids in weight loss and is usually preferred in overweight candidates. But, there are other medications that do not lead to weight loss, so, you can definitely ask your physician to shift you to such medication. Also, just like all medications have side effects, long term studies in patients taking oral anti-diabetic medications, have shown deteriorated kidney function. Many people are not compliant in keeping up with daily injections of Insulin, also the risk of hypoglycemia is higher with insulin. Hence, not many people prefer it. If you feel you can cope up with it, please speak to your local physician or diabetologist. They would make a chart depending on your daily sugar levels, as to how much units of insulin would you require. Also, they would educate you regarding rotation of sites, for taking the insulin injections, how and when to take them. Also, don't forget to ask your physician to explain the symptoms of hypoglycemia and also to tell you, when exactly should you be taking the insulin injections (before food, during food, morning or night basal dose) depending on its duration of action. I hope this helps. | Q. As diabetic medicines are causing weight loss, can I switch to insulin to overcome it? |
Hello doctor, I am a 37-year-old female. I previously asked a query in icliniq and was attended by a doctor who advised as follows. Since all your reports are normal except for very mild anemia and a mild increase of WBC count, then the cause of your lower back pain that extends to your hip, thigh, and knees could be either sciatica or lumbar disc prolapse. This should be diagnosed by a CT scan of lumbar vertebra. You also need an x-ray of your hip joint to exclude osteoarthritis. For the anemia, you should take iron and folic acid supplements for a month. Last month I had pain in my legs, thighs, lower knees and in my back. I met an orthopaedician and find nothing wrong with the knee joint, PBH and lumbar spine. My USG abdomen and pelvis are also clear. Now my blood pressure remains high. I am feeling pain in my back, thighs, and legs below my knees. And I am feeling very weak. As per my last report, my WBC is high and hemoglobin is low (report attached). Currently, I am taking Ultra -D3 10000 IU once in a day, Fludac 20 mg capsule twice a day, Gemcal once in a day, Stamlo-5 twice a day. | 2,968 | Hello. After revising your x-rays (attachment removed to protect patient identity), it seems that you have degenerative changes in your knee joint and in your spines with diminished disc space between lumbar vertebra number 5 and spinal vertebra number 1. These degenerative changes actually indicated the presence of osteoarthritis which is a chronic progressive disease of joints. Treatment aims at stopping the progress and managing the symptoms, it should include analgesics and anti-inflammatory medications, corticosteroids, physiotherapy that should include stretching to improve flexibility and mobility of joints and excercising as well. As for your blood pressure, you should start a strict salt-free diet and monitor your blood pressure for 10 days, if still high then you will need an antihypertensive medication. | Q. I have pain in back, legs and thighs with high WBC and low Hb. What should I do? |
Hi doctor, I need some advice. I had a baby eight and a half months ago. One week after she was born I went and got the depo injection. I did not get a period at all until 17 days ago and still has not stopped. It is very heavy in the morning but light throughout the day. Please suggest. | 2,969 | Hi Do you mean you had only one shot of Depot, eight and a half months ago? In that case, its effect is gone. It lasts only for three to four months only. I hope you are breastfeeding. Now usually in the postnatal period, there is a long phase of no periods. Then gradually as you reduce breast milk and gradually increase the top feeds, the hormones gradually come back to normal. So you get periods. But still, it will not be fully balanced. So do not worry about the initial few periods after this long phase of no periods. You do not need any medication, it will get regularized. Your next period will be normal. If you want to reduce bleeding, have tablet Tranostat 500 mg three to four times a day depending on the severity of bleeding. It is not a hormone and has no side effects. I hope this helps. | Q. Got period after 8 months of Depo shot and bleeding for more than 17 days. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 2,970 | 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. | 2,971 | 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. | 2,972 | 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. | 2,973 | 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. | 2,974 | 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 26 years old. I am diagnosed with hypothyroid about four years ago. I started from 0.25 mcg Levothyroxine, and now taking levothyroxine 0.75 mcg. Recently, I lost 4 pounds which is very bad because I am 5.6 tall and my weight is 116 pounds. I feel weak and dizzy very often. I also have irregular heavy periods and symptoms of having too much male hormone (too much hair on legs, bikini, etc, severe acne especially a week before expected period). Since one year my periods cycle became longer, before it used to be 28 days and now it is 38 days. I am also worried because of low insulin and pretty normal glucose. What does it mean? May it be because I am on gluten-free diet for two years? Please also look at my sex hormones prolactin looks too high, and I am not sure about testosterone. | 2,975 | Hello. I just read your query and the detailed information you have mentioned in the attached reports. (attachment removed to protect patient identity). The thyroid function is good and you must take your medicine regularly as usual. Do not worry about the insulin levels it is a good thing, it means you are perfectly normal. Your prolactin levels are the ones that you should be worried about as they are the ones causing your irregular periods. They need treatment. I would suggest that you take tablet Cabergoline 0.25 mg orally twice a week for two weeks and then repeat your serum prolactin levels. Your testosterone levels are within normal limits and perfectly normal as well. I hope this helps. | Q. What does it mean by low insulin with pretty normal glucose in a blood report? |
Hello doctor, I took an HIV CMIA test on 26th day after a sexual encounter. The test result is negative. I had protected sex but I saw some blood on the inner parts of my partner. And also at the time I was having two pimples on my penis at the end and not on the tip. I am concern about that. Is an HIV test on 26th day conclusive? | 2,976 | Hi. HIV negative test report at 26th day post-exposure is quite assuring, but, a confirmatory HIV antibody test is further required at three months of last exposure. There are no specific symptoms by which we can diagnose HIV. The complaints which you are having could be due to multiple reasons and do not necessarily means HIV. For the complaints you mentioned besides getting tests for other STIs (sexually transmitted infections) like HBsAg (hepatitis b virus antigen), anti HCV (hepatitis C virus), VDRL (venereal disease research laboratory), gonorrhea PCR (polymerase chain reaction), herpes simplex 1 and 2, I also suggest you to get vitamin D3 and vitamin B12 levels. Is there any fever as well? If so, please send the temperature record. Please revert with the reports. | Q. What is the accuracy of HIV CMIA on 26th day post exposure? |
Hello doctor, Will fertilization occur immediately after an egg is released? And will the ovulation test show positive regardless of fertilization has occurred immediately? I had sex three days ago but the ovulation test still showed positive today. Please suggest. | 2,977 | Hi. Ovulation test is not confirmatory for ovulation. It means LH (luteinizing hormones) hormones increased during the menstrual cycle. Fertilization can happen within 24 hours after ovulation. Once LH surge happens ovulation actually occurs after 36 hours of LH surge. Ovulation test comes positive when LH surge happens. So you should have sex after two or three days of positive ovulation test. It is the most likely time of ovulation. But it is not confirmatory. Ovulation does not always happens after LH surge. Ovulation test does not have a relation with fertilization. Fertilization may or may not occurs even after ovulation. | Q. Does fertilization occur immediately after egg release? |
Hello doctor, My 9-month-old daughter had a rash for three days. It started with small, discreet spots on the legs and lower back. The next day she had a rash on her face and body. These are red, flat spots. It itches. She has no fever and is in good general condition. We consulted a doctor who was thinking about the onset of chickenpox. But the evolution of the rash does not seem to go in this direction. The doctor cannot give us any other diagnosis. We fear an Amoxicillin rash. The rashes first appeared as small spots, and our daughter finished an 8-day treatment for otitis. Do you think that is possible? What else could it be? | 2,978 | Hi. I have gone through your case. In my opinion, there are two to three possibilities for the rash. First yes, it could be drug eruption as the rash is itchy and appeared after she took treatment for otitis. Drug rash can either occur immediately or even after six weeks. Second, it could be due to any viral or bacterial infection which first caused otitis and then the rash. But as she did not have a fever and there are no vesicles so in my opinion, it is not chickenpox. Third possibility is insect bite or papular urticaria. Last possibility is Gianotii crosti syndrome. It is common in children of this age group and rash in it is itchy. Please apply 1 percent hydrocortisone cream on lesions two times a day for 10 days. Rash will disappear in two to three weeks. | Q. My 9-month-old daughter has rashes in legs and lower back. Could this be Amoxicillin allergy? |
Hello doctor, My son fell down at school recently due to fits. He is 12 years old, boy .We consulted a neurologist. He adviced to take MRI. We took MRI and it disclosed as left mesial temporal sclerosis. Hence I request you to give me an advice. | 2,979 | Hello. I understand your concern and would explain that there is no reason to panic. There is no correlation between EEG and the MRI findings, as these MRI findings are suggestive of a birth defect in the brain which causes epilepsy seizures. His blood laboratory tests and cardiac ultrasound are unremarkable. He has had no seizures. So there is no need for medication or surgery. In my opinion this is an incidental finding, and all you can do is to repeat the MRI and EEG after a year. | Q. MRI shows left mesial temporal sclerosis. Please help. |
Hello doctor, I am a girl who has faced a lot of trauma in the past 2 years, I have recently lost a group of my most trusted friends, and after this happened I have been feeling almost numb to emotion, at times I do not care at all, and at times I feel suicidal, I have been eating and sleeping too much and have noticed myself becoming extremely lazy and careless in school, is this serious? Should I consider visiting a doctor? | 2,980 | Hello. You seem to have a mixed anxiety-depressive symptoms. Your symptoms of low mood, suicidal ideation, loss of energy, loss of interest, sleeping and eating issues, is typical. This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI type of medicines (such as Escitalopram 10 mg, or Fluoxetine 20 mg, etc.) which will help with your problem. It basically happens when some neurotransmitters such as Serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for 2-4 months and then tapered off slowly and stopped. In addition to the medicines, if needed, you can also undergo a few sessions of cognitive behavioral therapy from a clinical psychologist. Also do consider doing deep breathing exercises or progressive muscle relation daily. | Q. Why am I feeling low and getting suicidal thoughts? |
Hello doctor, I will try to keep this short. I had a quick question. I have eaten really bad for a very long time, but over the past week I have completely changed up my diet. I do not eat processed foods, bad sugars and fats, and hardly any gluten. I have been eating chicken/salmon mainly, fruits, veggies, and unsaturated fats mainly. I have been taking a couple weight loss supplements as well since yesterday. Before I took the supplements yesterday my lower part of my stomach has had a little pain. Is that because my stomach is trying to adjust to the change in my diet? Thank you. | 2,981 | Hi. First, I would appreciate the fact that you have switched from unhealthy eating habits to a healthy diet and healthy eating habits. Stay motivated. If a person had been into extensive unhealthy eating habits from a long time, it may be difficult for his digestive system to adjust. The digestive system needs some time to adjust if you have been eating a lot of fiber (fruits and vegetables) recently. Gradually increase fiber in your diet as your stomach needs some time to get accustomed to it. The pain may be due to more intake of dairy products. Increase dairy products gradually. Low or high intake of certain healthy foods can cause bloating or gas. But it does not mean that you should go back to unhealthy eating habits. The pain must not demotivate you. Consistency is the key. If the pain persists, make sure to go to a physician or GI specialist. Moreover, you can eat gluten if you do not suffer from gluten intolerance. You can eat oats, barley, whole wheat. Just do not eat refined flours and cereals. Do not fall into the trap of buying everything from the market that is labeled as healthy. | Q. Is it possible to get stomach pain due to change in diet? |
Hi doctor, I am breastfeeding mother with TSH level 4.83 in the last trimester which is I suppose hypothyroidism. My milk supply is low. I want to know if TSH value can affect milk supply. I am on 50 mcg Eltroixin dosage now. If it does affect, I want to know what should be the normal values for TSH, free T3, free T4 value for breastfeeding mother. And if I increase the dosage, does it affect my baby through breast milk. Please help. | 2,982 | Hello. I just read your query and from what you mentioned it appears that you are being treated for hypothyroidism since the last trimester of your pregnancy although the TSH (thyroid-stimulating hormone) you mentioned was not that high as to begin therapy but still I am not aware as to what were your T3 and T4 levels at that time as well. I understand that you are breastfeeding and that your milk is not enough for the baby, well that is not related to hypothyroidism but related to your diet and fluid intake. The levels for a lactating mother is the same as a non-pregnant woman. I would still advise you to repeat your thyroid function test after delivery to know what are your levels now. Please do not increase the dose without any tests and no, it does not affect the baby adversely. I hope this helps. | Q. Will hypothyroidism cause low milk production in a new mother? |
Hello doctor, I am not sure what I am feeling. I struggle with self-confidence and low self-esteem. I am in a management position at my work place, yet this has been my struggle for a long time now. I am a single mom and my previous partner was a narcissist. I think it pushed me further into fear of relationships. I am scared of failing. Even as a parent. I hate socializing yet I need friends. I just do not know how to break from this. When a guy shows interest in me, I get so overwhelmed and clingy and never works. I have isolated myself from my family and friends. I do not know how to build relationships and I have to fake my friendship. I cannot sleep at night fully and I wake up every two hours, losing at least two to three hours of sleep a night or more. My boss in the office has already noticed and given me feedback. I need help. I feel like I am losing it. | 2,983 | Hello. You seem to have an anxiety type disorder mixed with depressive episodes. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitor) type of medicines which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. The medicines I have mentioned are usually prescribed by psychiatrists. Apart from those, you can take Melatonin 5 or 10 mg. It is available in any decent pharmacy over the counter and does not need a prescription. You can try taking that daily at night. Apart from that, you can try some sleep hygiene methods like 1. Maintain good temperature, no noise or light. 2. One hour prior to bed, wind down and try reading or music. 3. Do not use the laptop, TV, or phone one hour prior to sleeping. 4. Avoid caffeine, alcohol or tobacco two hours prior to sleeping. 5. Avoid exercises three hours before sleeping and take warm milk at bedtime. 6. Go to bed only when sleepy and avoid other activities on bed. 7. Use bed only for sleeping or sex. 8. If you do not get sleep, do not toss and turn, get up, go to another room, walk about for 10-15 minutes and come and lie down. See for 10 minutes, if not sleepy go out again. 9. Try deep breathing exercises, progressive muscle relaxation techniques, or yoga or meditation. It will also help. | Q. I struggle between my self-confidence and low-esteem. How to handle it? |
Hi doctor, Currently, I am 14 weeks pregnant with my second baby. I am attaching my NT and double marker report for your reference. I have a 5-year-old son and no abortion in the past. I have conceived naturally both times. My doctor has asked me to do either NIPT or CVS and I am not sure if I really need to do any. She has asked me to take Ecospirin 150 immediately if not doing CVS else start after CVS. I have some queries. Do I really need to go for either NIPT or CVS? Or I can forgo these tests? Should I take Ecospirin 150 as my previous pregnancy did not have any complications and at present also I am in good condition with no health issues (also I don't drink and smoke)? Are there any issues with my beta HCG and Papp-a value? Do you see any other concerns in my report? Please reply. | 2,984 | Hi. I have seen the report. (attachment removed to protect patient identity). Now every laboratory has its own calculation methods to come to a risk ratio after the test. b-HCG and PAPP-A levels are also different at different times of pregnancy and also has some effects of weight and age on it. This is a genetic screening test. And we do this test to find out what is the risk of this pregnancy having a congenital abnormal baby. (Specifically Down’s, Edward, Turner, and Patau syndromes). This risk ratio has cut off values. Means trisomy 21 (Down’s) has a risk ratio of 1:365 in your case and cut off is 1:250. Now with this report, we are calculating the risk of having a baby with Down’s syndrome is 1 in 365 pregnancy with your age and with the test and ultrasound reports you have. We are calculating the risk and the report is always low risk or high risk. There is never no risk. Practically also after doing all available tests we never can rule out all the possible abnormalities in the baby. CVS (chorionic villus sampling) and sometimes amniocentesis are 100% if they found baby DNA in the procedure to rule out that the baby does not have trisomy 21 or other major chromosomal anomalies. That does not mean all genetic abnormalities are ruled out. Both of these procedures also have some risk of abortion during or after. And that is why we advise these test in high-risk double marker. NIPT (non-invasive prenatal testing) is also a screening test like double marker but the test is less risky as compared to CVS and amniocentesis but at the same time more costly. And test sensitivity to rule out trisomy 21 and other is 99.99%. After all these details you must be confused. Now other trisomies are definitely low risk but in case of trisomy 21, your report is 1:365 and which is somewhat near cut off 1:250. Ideally I advise further testing of CVS and amniocentesis if the value is below cut off value. But 1:365 is also near the cut off value. So it is a debatable issue. 1:365 means that out of 365 pregnancy 364 will be normal and 1 pregnancy will have trisomy 21. Secondly, you can start Ecosprin tablets. We usually start it in some high-risk patients. If you have pregnancy after 30 years then you come under high-risk group. So you should start it. In CVS there is chance of bleeding inside and that is why your gynecologist does not ask to start it if you are going for CVS. And every pregnancy is different. And we cannot say that if previous pregnancy did not have any problem nor the baby has any problem then this pregnancy will not have anything wrong. Yes, we can say that if previous pregnancy was normal then there is somewhat more chance that this pregnancy will also normal. Go through all details two or three times to understand it properly and then ask anything if you have more questions. I hope this helps. I am not able to open NT scan report. Yes, but the second report is saying that NT is 1.93 and nasal bone is seen. Mostly these two sonography markers are also used to calculate the risk in double marker apart from b- HCG (beta-human chorionic gonadotropin) and PAPP-A (pregnancy associated plasma protein-A). Both NT (nuchal translucency) and NB (nasal bone) are normal. | Q. Is it necessary to take Ecospirin during second pregnancy when the first one was normal? |
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? | 2,985 | 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. | 2,986 | 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. | 2,987 | 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. | 2,988 | 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. | 2,989 | 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 was diagnosed with minimal change disease before a few months and started on Prednisone. I was into remission within a week but the disease relapsed while on the full dose. Cyclosporine was added and steroids were tapered to 0 within six months. Recently, last month I had an injury during a MMA (mixed martial arts) fight and since I was to run a 5k military obstacle marathon in the coming week I decided to consult a doctor. The consultant was a third year PG who was my sister's senior in medical college. While there was not any signs of injury he noticed changes of avn in left femoral head. I had an MRI the same day that showed stage 1 avn with kerboul angle of 205 in the right hip and stage 2 with angle 170 in the left. I recently underwent core decompression in bilateral hips. What are the chances of the disease reversing its course? And if I do require a hip replacement will I be able to do high impact activities with it? I am really worried since I am only 23 years old. I have uploaded my post core decompression x-ray. What are the chances of prognosis in my condition? | 2,990 | Hello. AVN (avascular necrosis) of the hip is usually due to a number of causes. Prolonged steroid intake is one of them. The treatment of AVN hips ranges from rest, core decompression and eventually hip replacement. Since you have had stage 1 and 2 in your respective hips, core decompression was a good choice. This procedure involves drilling one larger hole or several smaller holes into the femoral head to relieve pressure in the bone and create channels for new blood vessels to nourish the affected areas of the hip. When osteonecrosis of the hip is diagnosed early, core decompression is sometimes successful in preventing the collapse of the femoral head and the development of arthritis. Core decompression is often combined with bone and cartilage grafting to help regenerate healthy bone and support cartilage at the hip joint. A bone graft is a healthy bone tissue that is transplanted to an area of the body where it is needed. The tissue may be taken from a donor (allograft) or from another bone in your body (autograft). Core decompression prevents osteonecrosis from progressing to severe arthritis and the need for hip replacement in some cases. Your x-ray does not appear too bad and I am hopeful that core decompression could help in reversal. I hope this helps. | Q. MRI showed stage 1 AVN in both hips in different angles. Do I need hip replacement? |
Hi doctor, I had sex with CSW. I had sex two times, and each time I wore two condoms, which was intact after sex but appeared that it had come a little front from my body side. I also filled water in the condom before throwing and confirmed that it had no breakage as water did not come out. She had bit me near ear and the next day a mosquito bit me at the same place and I had a swelling there for some two days. Due to anxiety, I started having Bromhexine (for mucus) syrup and Ulgel-A (antacid). I also lost weight during this time. I had taken a liver protection injection later. I underwent an HIV Elisa test (12 weeks after sex, 89 days after sex), the result was negative. Would Bromhexine, Ulgel or liver protection injection interfere with the Elisa test? Or can I consider this test as conclusive? Later, I got two swellings one in my hand other in my neck. The swelling in the neck went off in two days. Again I get some sort of swelling in hand and in the leg a small size lump appeared, and it disappeared within few hours. I am noticing this happening frequently from three days, however, two of such lump have turned red. Earlier, I used to get infected very easily by cold and throat infection even before I had sex. Could that be a pre-existing immunodeficiency? Given all this, can I conclude that HIV Elisa test (12 weeks after sex, 89 days after sex) as conclusive? Or should I have another test after six months? Please help. | 2,991 | Hi. Let me answer your question step by step: 1) Your chances of contracting HIV or for that matter any other STI (sexually transmitted infection) was non-existent with the consistent and corrective use of a condom. 2) You had mentioned that there was a slight slippage of the condom and it is assumed that you had a low risk of contracting HIV or any other STI if the other person will be having it. 3) The ELISA testing kits for HIV used these days are highly sensitive and specific and gives accurate results. 4) Your negative HIV test at three months of exposure is highly conclusive of your negative HIV status. 5) Majority (99.9%) of the people who are infected with HIV after exposure, develop antibodies by three months. So, your negative test result is quite reassuring. 6) There are very rare cases of late seroconversion or positive antibody response at six months has also been reported in the literature. 7) There are recommendations and I also suggest to my patients to repeat the rapid HIV antibody test at six months of last exposure and if that will be negative, you need not to repeat it further. 8) The symptoms which you have mentioned could be due to various other causes or just due to anxiety also. There are no HIV specific symptoms or signs. Relax, as you have crossed three months hurdle. I suggest you to get your routine hemogram, biochemistry, fasting blood sugar, thyroid profile and lipid profile done. I hope this helps. | Q. Is ELISA test taken after 12 weeks of exposure conclusive? |
Hello doctor, After how many days a normal person (22 years) suffering from all symptoms and just have tested HIV 1 and 2, and tridot test with negative result at 120 days develop antibodies? I have symptoms from day 10. Is my test at 120 days conclusive? I tested that six months back and I am very worried about HIV. Will I die with it? Or is it a normal virus that can be controlled? Is the result of 120 days test accurate? Please provide information as I am suffering from lots of tensions. I gained weight in the last two months. I have stretch marks on my body with pimples and headaches. There is a blood vessel break in my eyes and it is like a red dot. Should I get a test for HIV again? Or else should I relax? | 2,992 | Hi. Antibodies are the proteins produced by the body in response to fight the foreign substance (antigen, virus, infectious agent) it enters the body. When antigen enters the body, it stimulates the immune system to produce antibodies. It is very difficult to tell that how much time a particular person takes to develop antibodies. Your negative HIV antibody test at 120 days means that 99.9% of your body has not been exposed to HIV. The test kits used these days are highly sensitive and specific and give accurate results.120 days HIV negative test is highly conclusive of your negative HIV status. But, I think that you are not letting it go. The symptoms are more likely due to stress. There are very rare cases reported in the literature where the person has been exposed to antigen but the time taken by the body to produce detectable antibodies was longer, up to six months. There are recommendations and I also suggest to my patients to repeat the test at six months and if that will be negative you need not repeat it further. I hope this helps. | Q. When will HIV antibodies develop in a body after exposure? |
Hi doctor, My father was suffering from stable angina, so he had an angiography 10 months before in which he was told that he had three arteries blocked and was suggested CABG. But he was afraid, now he suffers from severe angina pain with little activity and sometimes while resting or sleeping. He consulted his cardiologist and he gave him the date for surgery next month. But his chest pain is making him so much scared that until next month he will be able to survive or not Please advise what should he do? | 2,993 | Hello. I have seent he attachment. (attachment removed to protect patient identity). Yes, he will need bypass surgery, but no need to worry. His medicines need to be optimized and anti-anginal drugs need to be added. Along with Aspirin, Clopidogrel and statin like Atorvastatin or Rosuvastatin he should be on beta-blockers like tablet Metoprolol XR 25/50 mg once a day, nitrates like Nitroglycerin 2.6 or 6.4 two times a day. If not responding to 2.6, take tablet Nikoran 5 mg twice a day, Trimetazidine 35 mg twice a day, and Ranolazine 500 mg twice a day. So these are all medicine which will help in reducing angina and probability of any complications. So we need to modify according to his current medicine, so let me know his current medicine. I hope this helps. | Q. When to schedule CABG in a stable angina patient with pain? |
Hello doctor, I have grade 1 fatty liver. I am 154 cm in height and weigh about 65 kg. I am trying to lose weight. Can you suggest me a diet to cure my fatty liver as well as reduce my weight? | 2,994 | Hello. Here are some nutritional guidelines that you need to follow. I will tell in detail about the foods that you need to include in your diet. Include nuts in your diet especially almonds, peanuts, hazelnuts. All types of nuts have healthy fats in them which have been proved to be healthy by a bundle of researches done over the years. They do not have cholesterol and the fat in them does not lead to weight gain. Instead, studies are consistently showing that nuts lower the cholesterol levels of an individual. Nuts can prove very beneficial to have satiety (satisfaction) and in improving your blood glucose levels. They can control your hunger prangs while providing you satisfaction. In this way, they can assist in weight loss. You can include nuts in your breakfast or can consume it as a snack in between meals. You can eat a handful of them or you can add them to your cereal, plain cornflakes, weetabix, porridge, sagudana, kheer, gravy or raw/boiled salads. You can also consume them in the form of milkshakes e.g. almond milkshake or you can simply mix almond or walnut powder in milk and consume it as a mid-morning snack or as an evening snack or before bed. Homemade almond or peanut butter is also good. You can use honey or brown sugar 1.5 tablespoons on a daily basis. Include seeds in your diet (basil seeds, chia seeds, pumpkin seeds, sunflower seeds). You can season them on your salads, in your milk, milkshakes, yogurt, porridge. Basil seeds need to be soaked in water before use. Chia seeds are eaten both raw as well as soaked. Pumpkin seeds and sunflower seeds are eaten raw. Use olive oil. Season it on your salads, egg, toast, fish, lean meat. Extra virgin olive oil can be used for cooking as well. You can use edible corn oil, sunflower oil, mustard oil, soy bean oil for cooking. Add more vegetables and fruits in your diet. Use more green leafy vegetables. Add whole grains in your diet (whole wheat, oats, barley). Do not use refined and polished flours. White flour is also a refined flour. Use fish, poultry, red meat (use lean cuts). Use low-fat dairy products and sugar-free as well. Strain milk before use. Make home-made yogurt using strained milk. Do not drink any kind of juice or fizzy drinks. Juice made from juicer is also not allowed. If one wants to drink juice, simply add one recommended fruit in water and grind it in a milk shake jug. Do not add sugar. You can use boiled rice or tarke wala chawal twice a week only (one small plate). Do not consume rice in dinner. I hope this helps. Do not add sugar or artificial sweeteners in your daily foods. Do not use commercially prepared nut spreads. Do not use nuts with sauces, mayonnaise as both of them are fattening. Do not use nuts with added salt in them if you suffer from high blood pressure. Do not use margarine. Do not use flavored cornflakes. Limit the consumption of canned and tinned foods, biscuits, cakes and desserts. | Q. I have grade 1 fatty liver and aiming for weight loss. Please suggest a diet plan. |
Hello doctor, I had sex with my partner last month, after the third day of my periods. There was no intercourse and also we used condoms. My period date was 2nd of this month but did not get my period. Then I consumed Primolut N for three days thrice daily. Today is the 8th day after the last dose. I have back pain, cramps, and also abdominal pain. I also ate papaya this week. I also did a home pregnancy test but the results are negative. But I do not understand why periods are not coming. I am very tensed. Is there any chance to get pregnant? Please help. | 2,995 | Hi. If you had sex on the third day of menses then there is no chance of pregnancy. Periods can be delayed due to stress. And even due to taking Primolut N. You need to wait for five more days. I think the period should come in these five days. Do not worry as the pregnancy test is also negative. | Q. Is it possible to get pregnant without penetration? |
Hello doctor, I am 36 years old and healthy. I had Vitamin D3 deficiency with back pain four years ago when I was abroad. I came back and, did physiotherapy and Ayurvedic treatment. Things got better in two years. But I still have the following symptoms. Back pain comes when sitting for a long time specifically in certain kinds of chairs. Sometimes twisting pain comes suddenly when I sit in certain chairs for long. Standing continuously in certain types of floors is an issue. Lifting weights is fine, but still, need to comfortably lift more than 6 kg. Standing is comfortable in roads, shops, etc., for a long time. Spine pain radiates to the back of the head and neck at times. When that happens I sometimes get lightheaded when seeing objects rotate. Pain comes when I sit and clean objects. If I do no fully sit pain does not come. Long scooter rides sometimes cause back pain the next day. | 2,996 | Hello. You have symptoms that are typical of core and back muscles weakness. I will advise you to take up some regular exercise schedule whether it is gym-based, or at home like yoga, or even at work where you do chair-based exercises that help you with core strength and back toning and flexibility exercise. You can see a good manual therapist or a physiotherapist who will be able to guide you. You should be mindful of poor posture and avoid sitting in position for any length of time. | Q. I have vitamin D deficiency with back pain that aggravates on sitting and standing. Please help. |
Hello doctor, I got my annual health check-up done last weekend. From the report, the values show I have Blood readings variations – (Page 3 and 4 of 26). Do I need to take any medication? Variation of CYSTATIN C - 1.07 against max of 1.03. Any medication required if so please suggest tables? Vitamin D deficiency (page 8 of 26). Any medication needed or just sunlight is enough? Page 21 and 25 variation. Any medication needed if so suggest tablets? High cholesterol. Please let me know if I need to take any medicine, if so please suggest tablets? High creatinine shows 1.25 the report reference is 0.6 to 1.1 whereas on the internet it shows it can go up to 1.3. Let me know if any medication is required? Scan report: 1. Did PSA test based on ultrasound. It looks clean. 2. Grade 1 fatty liver. Any medication needed, if so please suggest medicine. 3.TMT looks clean. Please suggest. | 2,997 | Hello. I have seen the attachment. (attachment removed to protect patient identity). The USG (ultrasound) abdomen and the TMT (treadmill test) are not cause for concern. The prostatomegaly (i.e prostate enlargement seen on the USG has been correlated with a normal PSA level). The high hemoglobin 17 gm% may cause symptoms due to clotting and blood sludging like headaches, chest pain and sometimes stroke. So that you should need to be evaluated by a hematologist. If you are a smoker, you should quit smoking as that too could cause high hemoglobin levels. Low vitamin D levels are seen very commonly in India. You can do some running, getting at least half an hour exposure to sunlight, and take D-rise 60,000 Units per week for six weeks to improve these levels. Do not worry about cystatin C as your GFR (glomerular filtration rate) is normal. The cholesterol especially the LDL (low-density lipoprotein) is worrisome. I would advocate daily aerobics for half an hour, stop fried foods and bakery foods, more nuts and green leafy vegetables. If you want to take a medicine to lower cholesterol then Rosuvastatin 10 mg would be good. The creatinine is again a value and eGFR being normal I would not advise anything, but if you wish further information you could consult a nephrologist. | Q. Do I need medications for grade 1 fatty liver? |
Hello doctor, Six months ago, following a mild concussion, I started to have symptoms that were vaguely consistent with bilateral cervical radiculopathy. The cervical MRI showed severe stenosis and disc herniation at the C6-7 level going right and C5-6 going left. The worst symptoms were numbness, tingling, and weakness down the left arm. These symptoms really did not follow the C5-6 dermatome, however. They were all over the place in the left arm. Six months later, the numbness and tingling have resolved. I feel stronger overall. However, I have had body-wide fasciculations for four months. And I can see wasting of the first dorsal interossei muscle of the left hand. It is subtle, but I notice it. I have trouble holding a pot or a phone with elbow bent past 90 degrees. I have seen two neurologists including one neuromuscular specialist at an academic center. Both EMGs were clean. They needed the dorsal interossei muscle and all the other major muscles of the left arm. Clinical exams were also normal though benign fasciculations were noted. How do I know that I do not have ALS? What are the chances that these fasciculations are benign given the perceived weakness, atrophy, and fasciculations (body-wide)? How long does it take after the beginning of atrophy for an EMG to pick up ALS? What else could this be? Would not it be odd to develop ulnar neuropathy, worsening rotator cuff issues and bodyside fasciculations at the same time? I am not a doctor, but these seem like system wide problems. Currrently, I am taking Lamictal, Zaleplon and Lipitor. | 2,998 | Hi, Welcome to icliniq.com. It is highly unlikely that the EMGs (electromyography) are clean in the presence of muscle wasting and fasciculations. I believe the symptoms and signs you are experiencing are due to cervical stenosis and not due to ALS. A C6-7 disc herniation can cause all the symptoms you have described. Is it possible for you to upload the MRI (magnetic resonance imaging) pictures? In ALS (amyotrophic lateral sclerosis), usually, EMG findings precede clinical symptoms such as fasciculations and muscle wasting. This is also the case in radiculopathy due to cervical stenosis. | Q. Is it possible to have ALS with nil EMG findings? |
Hi doctor, It has been six months of my marriage and I am getting so much heartbroken and emotionally weak. Since the first day of my marriage, my husband has some or the other issue like trust, with the clothes, my siblings, and my friends. He hardly cares for me, no love is there between us. Over it, my in-laws are also very much interfering. At this point, I do not know what should I do. Because with such circumstances it is not possible for me to be in this relationship. But somewhere I feel can the circumstances change? Please help. | 2,999 | Hi. I completely understand that you feel disturbed due to your partner-related problems. Every girl faces challenges at the start of marital life. For some girls, it may be difficult to adjust with the new partner/ family. Some of them get adjusted after spending time with in-laws and understanding them. | Q. I am newly married and my husband does not care for me. How to manage my relationship? |
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