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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,000 | 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. | 3,001 | 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. | 3,002 | 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. | 3,003 | 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. | 3,004 | 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 had my tooth removed befor three days (bottom left first molar) and it was a tricky one to get out, around an hour or fighting with it until it gave in. Before this I have had an ongoing infection in the tooth and had previously around three courses of antibiotics. I finished my last course two weeks before the extraction. The pain on the day once the anesthetic wore off was very bad. I had to take Paracetamol and Dihydrocodeine. Since then the pain has reduced a little maybe 10-20% less painful but it is still causing pain. Today it looks a bit manky, is this normal and expected? Here is the tooth as of today (third-day healing). I have done my best to keep the clot in place. I only had soft foods, not had any kind of sucking motion in my mouth, no smoking, etc. The teeth on the bottom front left are also very painful but the right side of my mouth is fine. Applying any pressure in that area hurts. | 3,005 | Hello. I have seen the picture. (attachment removed to protect patient identity). The extraction wound looks normal. The pain you are feeling is also normal given that it was a difficult extraction and your dentist had to struggle pulling it out. You can use salty lukewarm water mouthwash and add Ibuprofen to the painkiller you are taking and take them regularly three or four times a day not as required and you should be fine in a couple of days. Do not forget your diet and eat nutritious foods rich in proteins and vitamins as this is important for the healing of your wound and can get ignored in the middle of your pain. I hope this helps. | Q. Is it normal to have severe pain after complicated molar extraction? |
Hello doctor, I think I am bipolar. Just a couple of weeks ago, I felt and was told by my friends that I was more energetic and crazy than usual. Now, I feel like there is no hope, and nobody really cares. But there is also that little bit of me that is telling me that I am faking this and that all I want is attention. I just want to know what the heck is up with my head. | 3,006 | Hello. It is a little early at your age to be diagnosed with bipolar illness. Sometimes that part of normal teenage hormones and puberty, when it is mixed with some depressive symptoms. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic or hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder. | Q. I feel energetic sometimes and down with no hope someday. Is it bipolar disorder? |
Hello doctor, I am a 49-year-old female. I weigh about 62 kg and my height is 168 cm. I have a long time problem with receding gums on all my teeth. The teeth are quite tight also. I have also had esophagus hernia for many years and the stomach does not close properly and this makes it so that I feel the effect of my stomach acid like heartburn. It is very unfortunate for the teeth because it also changes pH in my mouth and makes it acidic. This happens especially when I sleep at night since I feel some dull pain in my teeth at night or when I wake up in the morning. I am trying to do something so I take the medicine that hinders acid production before I go to bed (Prazol) and I also rinse my mouth with water whenever I wake up even at night. Still, I think this acidity weakens my gums and teeth. The tooth that is in the picture has been fixed a few times with neck filling but now I feel there is some inflammation there that causes pain and the gum is very sensitive. I can hardly brush this tooth. I have an ointment that I started to use yesterday, it is called Carident and is made of Framycetini sulfas, Papainum and Natrii benzos. Do you have any recommendations on what I should do? I could go to a dentist to try to put a new neck filling but I am afraid that the gum has gone so low already that there is not enough of it left to put another filling. I am not even sure what will happen when I have this tooth extracted if it will be possible to make up for the hole in the gum. I am quite worried about it. | 3,007 | Hi. I checked your query and attached files. (attachment removed to protect patient identity). I can totally understand the situation you are going through. The best part is you know the root cause is stomach issue, you are doing best and accurate already to keep the pH maintained. I would like to add some points. 1. Do saline water mouth rinses instead of normal water rinses. Take a pinch of salt in a half cup of lukewarm water and do its rinse before sleeping and after breakfast. Do it for one week. This is the best remedy by book and by practice so far for strengthening the gums, as healthy gums will grow they will attach to tooth more firmly. 2. Change your brushing habit. Do brush with very light hand pressure. This canine tooth root exposure as is evident in the picture clearly indicates that while brushing unconsciously more pressure or harsh brushing is done at this corner of the mouth, so if this is the case try breaking down your habit. This will prevent gum from going down further. 3. At this stage, extraction is not recommended. Take Brufen 400 mg twice a day for three days. This will cover the inflammatory condition at the gum line of this sensitive tooth. Now get slight scaling done of this area and get neck filling done again. This will save the tooth. Do not brush this area as it is very sensitive. 4. Oral gel: Revomet Plus (Metronidazole and Chlorhexidine gel) can help with swollen gums. Put at the affected part thrice a day for five days. Do all these recommended things and please give me followup after five days. I hope this helps. Acidic pH of mouth due to stomach problem and hard brushing habit. It would be very helpful if a PA x-ray is done of lower right canine. 1.Filling. 2. RCT (root canal treatment). Filling and scaling. Medications plus scaling followed by filling. I need follow up right after five days. | Q. How to control gingival recession caused due to esophageal hernia and acid reflux? |
Hello doctor, I am in 24th-day post possible HIV exposure. It was a broken condom with a sex worker. On day 6 I started experiencing pain in my legs which has continued until this day. I have also gone through a period of intense stomach gurgling, and shoulder and neck pain. I have monitored my temperature and have been normal until yesterday. On day 23, where I woke up to 100 degree temperature that lasted all day. Last night I experienced bed sweats. I did an HIV RNA TMA test by LabCorp at day 8 and 16, both are negative. Can I have comfort in the results of these tests as being negative? I plan to retest, but I am getting conflicting answers on the timing and accuracy of this test. The most recent consultation said these tests were the best out there and I can rely on the results I have. Your professional opinion is much appreciated. | 3,008 | Hi. The test which you underwent on day 8 and 16 was definitely the best available test for that duration and you can surely rely upon the results. This test is highly sensitive for this duration to catch the infection if there had been any exposure. As far as the timing of this test is concerned it is conclusive as early as 7-14 days post-infection. Unlike the other tests, this will always give a positive result as long as there is HIV in someone's blood. Also, if there had been an HIV infection, HIV antibodies must be present in the person's blood. Studies have shown that the majority of the HIV antibodies develop in two to eight weeks period if there had been any exposure to HIV. Furthermore, I suggest you to undergo an HIV antibody test also and at this time you can undertake fourth generation HIV rapid test. This is again a highly sensitive and specific test and gives accurate result. If the same is negative, then you repeat the rapid HIV antibody test at three months. I hope this helps. | Q. What is the accuracy of HIV RNA TMA test result being negative? |
Hello doctor, I found in my test report with high mentioned below. Bilirubin total 1.4 H mg/dl Triglycerides 251 H mg/dl 0.0-150.0 LDL cholesterol 108 H mg/dl < 100 VLDL cholesterol 50.2 H mg/dl < 40 Cholesterol /HDL ratio 5.28 H - 0.0-5.0 Fasting blood sugar (Hexokinase) 126 H mg/dl 70.0-100.0 MCHC (Mean corpuscular hemoglobin concentration) 34.8 H g/L 31.5 - 34.5 Monocytes 1.5 L % 0.2-1.0 thousand/µL [2-10%] Please let me know is there any problem. | 3,009 | Hello. Abnormal reports are one is lipid profile, you are having hyperlipidemia and secondly, blood sugars which are just in a diabetic range. Bold figures are not necessarily abnormal and slight variation is acceptable. Get one ECG (electrocardiography) done as well. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have a low salt diet and monitor blood pressure regularly and should not be persistently more than 140/90 mmHg. Take lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There should not abdominal fat deposition or obesity. Also, you should be started on lipid medicine like tablet Rosuvastatin 10 mg at bedtime, repeat the lipid profile after eight weeks. For sugars, I think we should try vigorous lifestyle changes which includes strict avoidance of sweets, regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week, and above mentioned changes. Repeat fasting and postprandial blood sugar after two weeks and also get HbA1c (glycated hemoglobin) done. If they are still in the diabetic range then you need to take medicine like Metformin. I hope this helps. | Q. Please estimate my blood test report and comment on the abnormal values. |
Hello doctor, I was chewing tobacco for the past few years. And I stopped it forever. But sometimes I have a little throbbing on my gums. And the color of my gums changed to black. Is this any serious disease? | 3,010 | Hello. It is good that you stopped chewing tobacco. For how many years you had a habit of tobacco chewing? And what was the frequency? At what site you used to keep the tobacco? Does the change of color of your gums is limited or it is generalized? Do you have any burning sensation over that site? Any loss of taste? Above all counter questions are necessary to rule out possibilities, so kindly answer so that we can come to the diagnosis and can plan treatment. I would like to see the images of your concern area that is your gums where you are noticing the change. | Q. Though I stopped using tobacco, my gum turns black. Why? |
Hi doctor, I am a 52-year-old man. My height is 6' 2" and I weigh about 215 lbs. I work out three times a week. I am typically healthy, although under a lot of stress in general. I drink more alcohol than I should, approximately three glasses of wine each night. I stay away from food and drinks with sugar other than wine typically. My family doctor is English speaking and my urologist is Spanish speaking. Six months ago, I noticed that I was urinating more often and when I had to go, I felt an urgency to go. Previously, I was told that I had a somewhat enlarged prostate at about 4 centimeters and figured that may have been it or infection and thought that would pass. I recently went to my family doctor and he recommended that I get an ultrasound for the prostate. The radiology stated the below. Prostate was well visualized and is enlarged measuring 3.7 x 3.7 X 5.4 centimeters. There is a nodule that is pressing into the bladder that measures 1.9 x 2.1 x 2.4 centimeters. This nodule does not have blood flow within as visualized by ultrasound. My family doctor then sent me to a urologist. I showed him my lab results and he pointed out my PSA level of 1.54. He also pointed out my urine test which said Specific gravity: 1.015, Hidden blood: Traces, Leukocyte esterase: +, pH 7.0. I can upload that and the blood test. I will upload the tests, but they are in Spanish, but the technical words are the same. He also did a rectal exam with his finger. He told me that he thinks that I almost definitely do not have cancer and I have prostatitis. He prescribed Levofloxacin 500 mg once daily for one month, Meloxicam 15 mg, once daily for 14 days, Doxazosin 4 mg, taken every night once daily for two weeks. I am basically healthy, other than having some short term memory problems and stress. That may be from having a B12 level of 185, which I discovered two weeks ago and have taken two B complex shots for that so far. After reading the side effects of these prescribed drugs, that scared the crap out of me. I do not want to have some reaction and lose my good health. Are these the drugs you would prescribe? What are your thoughts? He told me no alcohol, coffee or carbonated drinks while taking the medicines. That I can do. Please suggest. | 3,011 | Hello. I have seen all your reports. (attachment removed to protect patient identity). I think you are in good shape except for the urine problem. Yes, your urologist has diagnosed you properly. There is no evidence of cancer prostate at present. It looks like prostatitis only. What you need is antibiotics course for one month. Levofloxacin is the best antibiotic for prostatitis as prescribed by your doctor. Meloxicam is for inflammation and Doxazocin is to relax your prostate muscles. All of these medicines have side effects but they are very rare. We prescribe these medicines regularly and no one had any major side effects. So go ahead and finish your medicines course you will be alright. | Q. Do enlarged prostate of 4 cm suggest prostatitis? |
Hello doctor, I am having slight fever at evening time, severe body pain, eye burn, restless feeling, head feels heavy and heavy stomach. I am a diabetic on Glyree MV 2, Jardiance 25, and Rozavel. Please advice suitable medicine. | 3,012 | Hello. It is probably a viral infection along with gastritis. I assume there is no burning while urinating, this is to rule out urinary tract infection. At this moment, you just have tablet Dolo 650 mg whenever needed up to three times a day. Also, if it does not respond in two days, then you should start on capsule Augmentin duo 1 gm (Amoxicillin and Clavulanic acid) two times a day for five days and also better to get complete hemogram and urine routine examination done. You should avoid fatty, oily and spicy diet. You should get prescribed tablet Pan DSR 40 mg (Pantoprazole) or Esomeprazole and Domperidone combination before breakfast once a day for a week. For immediate stomach heaviness relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscyamine 10 mg whenever needed up to three times a day. I hope this helps. | Q. Please advise medication for fever, body pain, and burning eyes in diabetic. |
Hello doctor, After two weeks of LMP, I had mild cramps and non-stop light vaginal bleeding, it lasted for three days. I experienced non-stop light vaginal bleeding, once again after this month periods. This morning, I started to have light bleeding again. Given my concerns, I had bloodwork this week; my blood counts are normal; my thyroid, hormones and pituitary gland levels are all normal; and I am not on birth control. However, my urinalysis revealed that my erythrocyte is 25, my leukocyte esterase is 0.3 mg/L, and my eGFR is 88. Plus, my ferritin is 10. Initially, my doctor believed my abnormal bleeding between my periods was due to a hormone imbalance but we now know that it is obviously not the case. Can this be due to gynecological cancers? I am only 32, I am healthy, I am not on birth control, I am not pregnant, I am not on hormones, and the possibility of having cancer makes no sense to me. I would appreciate talking to someone because I am terrified. | 3,013 | Hi. Overall looks like normal. There is no ultrasound scan which is required if you having irregular bleeding. Secondly there are 100s of hormones producing and out of which we can do tests of few only. So cannot say by 100 % that it is not hormonal issue. Irregular menses can be due to other reasons also like starvation, environmental factors, stress, eating habit. There are some food nutrients which may have effects like hormones or may acts against hormones. Do one ultrasound scan. And may require dilatation and curattage and send endometrium to rule out endometrial cancer. Do drink more water. | Q. What causes frequent cramps with vaginal bleeding? |
Hi doctor, My dad recently had chest pain, we took EKG and echo and it turned out as though he had a slight abnormality. We got the angio done the reports shows: LAD: Type III LAD has 50% proximal stenosis. Mid and distal has a mild diffuse disease. RI: Has 80% proximal stenosis. LCX: Non-dominant LCX is normal. RCA: Dominant RCA has 80% proximal stenosis. Mid segment has diffuse disease. Distal segment has tandem 80% or 90% stenosis. PDA has 60% mild segment stenosis. Diagnosis: Coronary artery disease. Right dominant system. Severe RCA disease. Recommendation: PCI to RCA. I would like to know how many stents are needed on the right and what changes need to be done in the lifestyle. His bad cholesterol: 60, good cholesterol: 33, normal BP with vitamin B12 and D deficiency. | 3,014 | Hello. I passed carefully through your dad's medical history and tests and would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stents implantations in the right coronary artery in several segments (80% proximal stenosis, but also in the distal segment where there are consecutive stenosis 80%-90%). So, at least two to three stents will be most likely necessary to properly treat hist RCA (right coronary artery). On the other side, life-style modification would be necessary to stop the progression of atherosclerosis in several parts of the coronary arteries tree. First, vitamin B12 and vitamin D deficiencies should be properly corrected. Then a balanced diet with low saturated fat (animal fat) and rich in green vegetables should be encouraged. He should refrain from every smoking contact and periodically check his blood lipid profile and blood pressure values. After stenting special antithrombotic drugs are prescribed as well. I hope this helps. | Q. My dad has undergone angio for CAD. How many stents are needed to be placed? |
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? | 3,015 | 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. | 3,016 | 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. | 3,017 | 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. | 3,018 | 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. | 3,019 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have fluid retention and high blood pressure which caused me multiple strokes and TIAs. My plasma renin activity is 0.12 and my aldosterone-to-renin ratio is 33.3, which qualifies clinically as primary hyperaldosteronism. My aldosterone LC/MS is 4. My potassium level 4.0. CT scan of my abdomen did not show my adrenal glands. How likely is it that I have primary hyperaldosteronism? I am currently taking Crestor 20 mg, Amlodipine 10 mg, and Aspirin 325 mg. | 3,020 | Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you do have primary hyperaldosteronism and it is a very high likelihood for it to be a possibility based on your results. You can try MRI (magnetic resonance imaging) scan for proper visualization of your abdomen. I hope this helps. | Q. My aldosterone to renin ratio is 33. 3. How likely is this to be primary hyperaldosteronism? |
Hello doctor, I am 49 years old. I am a non-smoker. My father was a chain smoker and I lived with him for 19 years. Before four months, I developed a mild case of pneumonia. As a part of this, I developed a wheeze on my lower right lung. Since that time, I have had varying degrees of mild to moderate wheezing, intermittently tied to a feeling of chest congestion as well. It seems to get worse whenever I catch any sort of respiratory cold, allergies, post nasal drip, etc. I went to a doctor last month and x-rays showed nothing. Breath volume test was somewhat inconclusive. The doctor prescribed Flonase to minimize any post nasal drip which does help for allergies but not when I catch colds. I am having a slight head cold right now and my lung issue is already flaring up again. I am really at a loss as to what this is or what to do next to get relief? Any advice you could offer would be appreciated. | 3,021 | Hello. Can you tell me how often do these symptoms come? Do you have any cough sputum production, shortness of breath, chest pain? Do you have palpitations? Do you have a fever? How long do the symptoms last? Are these persistent and are there any exacerbating factors? What is the severity of these symptoms? | Q. I have mild pneumonia with wheezing and chest congestion. How to get rid of it? |
Hi doctor, I am 22 years old. For the past year and a half, I have taken supplements containing some phytoestrogens. I have also taken the birth control pill. My throat has been feeling dry and sometimes I feel this burning sensation in one of my ears interchangeably, sometimes my eyes feel dry. When I try to come off birth control, I just bleed continuously so I just keep going back on the pills. I believe this combination has left my hormones unbalanced and causing me to have headaches, low energy, and low concentration. Whilst I can ignore most of the symptoms, the dry feeling in my throat that affects one side of my throat at a time along with sensation in my ear at the same side makes me wonder if there is anything wrong with my thyroid or if I have an STI that is not normally tested for at sexual health center? | 3,022 | Hello, Welcome to icliniq.com. I just read your query and from what you described it appears that you have withdrawal bleeding which usually takes place when you discontinue hormones. It takes sometime but it does stop in a week or so if not then you need to see a doctor for stopping your bleeding. As for the symptoms you mentioned regarding your throat and ear, it does not seem like it is from the thyroid gland although it does look like a respiratory tract infection. If you are worried about STI (sexually transmitted infection) then you can just have your throat swab test done to know what sort of infection you have. Also, have your complete blood count done to know if you have low hemoglobin to check why you have low energy and concentration levels. I hope this helps. | Q. Why do I get continuous bleeding on stopping birth control pills? |
Hi doctor, Last month, a doctor with HIV gave an injection in my vein without using gloves. She did not use any cotton, she just put her finger to stop the bleeding. She also rubbed my vein with her hands when it was still bleeding. Am I at risk? I did HIV DNA PCR after 9 days, and after one month fourth generation ELISA test. One of the doctor told me that the window period is 90-180 days. What test should be done after six months? | 3,023 | Hi. Let me answer your query step by step. There was no risk of HIV involved by the injection given by HIV infected doctor surgeon. Even if she touched with her finger at the bleeding site with the naked hand, you were not at risk. HIV cannot be transmitted by touching HIV infected person. Your risk was unwarranted in the scenario you mentioned. The test which you took, was highly sensitive and specific and gives accurate results. Window period is the time taken for antibodies to develop after infection and then to be detected by a particular test. 99.9% of the people who are infected with HIV develop HIV antibodies by three months. It is good that you know your HIV status now, you do not require any further test. I hope this helps. | Q. An HIV infected surgeon rubbed my bleeding site with bare hands after injection. Am I at risk? |
Hi doctor, My last exposure was protected but I am not sure about whether the vaginal fluid touched or not since I was drunk that time. After that, I went to an HIV specialist and he suggested me HIV DNA PCR test at 66 days period. The result is HIV 1 not detected. Then at 83 days, tridot rapid test is negative. 88-day tridot rapid test negative. 93-day tridot non-reactive. 99-day tridot (immuno filtration) antibodies 1 and 2 nonreactive. Then I took HbsAg, HCV, VRD total all are non-reactive. Is it enough for HIV testing? Is DNA PCR at 66 days (in window ) period useful? Is tridot test useful or not? In the window period time, I used fever tablets, antibiotics, and Levocetirizine many days. Will it affect my window period? Please give me brief information. I have a family and a child. Can I have sex with my wife without protection? Next test needed or not? | 3,024 | Hi, Welcome to icliniq.com. It is great that you have been found negative for HIV and other STIs (sexually transmitted infection). All the tests which you had taken for HIV were highly sensitive and specific and gives accurate results. It is unlikely for antibiotics and other medications which you had taken for fever could affect the result. Window period is the time taken for antibodies to develop after infection and then get detected by a particular test. The length of the window period varies between individuals. There are recommendations and I also suggest my patients to repeat the test at six months of last exposure. Testing at three and six months of possible exposure can detect almost all HIV infections. You can take precautions (consistently and correctively using a condom) with your wife until the time you are undergoing tests. I hope this helps. | Q. My HIV DNA PCR and tridot test are negative. Do I need further tests? |
Hello doctor, I was diagnosed with anemia last month. My serum iron level was 12. I was put on Ferrous sulfate 325 mg twice a day. My doctor suspected a GI bleed because I have acid reflux that is under control with medications, but I wanted to try supplements first. I am not having any crazy GI symptoms though. They said to try the iron for a month and then go back for another test. I just went for a blood test last week and my serum level came back at 102. I am feeling much better and yesterday I had a follow-up appointment at which my doctor said to stop taking the iron supplements and to retest in three months. That seems like a long time to stop taking iron supplements after having only taken them for one month. I also wonder about the validity of the recent test because I am now reading that supplements can falsely elevate your actual iron level. I was not told to stop taking the supplements before the test. Was the iron serum blood test accurate if I did not stop taking iron for a short period beforehand? Also, is it safe to stop taking iron for three months? I am currently taking Omeprazole, Prozac, and Klopin. | 3,025 | Hello. Yes, the test is still valid. The results would show the effect of increased iron intake for the past weeks that you have been taking it and a few days of not taking it will not have much effect. Not taking it for three months is still fine. I believe your doctor has already concluded that you do not have GI bleed as of now, so most likely your body can replenish the iron through diet without any need for supplements. But if you have symptoms of dizziness, fatigue, and lightheadedness, seek further consult with your doctor. In the meantime, I recommend stick with a high iron diet such as meat and green leafy vegetables. I also recommend you take food and drinks high in vitamin C to better absorb the iron in the gut. Is there anything else I can help you with? | Q. Will serum iron value be accurate while taking iron supplements? |
Hi doctor, My sister has cerebral palsy with grand mal seizures. She is 28 years and weighs about 25 kg. Today she had a seizure attack for about 7 times that would last for almost a minute per attack. Our neurologists are out of town so we just needed an opinion on the following interventions we did. In the morning we gave her Lioresal 10 mg, Tegretol 200 mg, and Rivotril 2 mg. In the afternoon Diazepam valium 0.5 ml. Whether we should add more for tonight? She still had two minor seizures for a few seconds. She was not able to sleep overnight last night until today. | 3,026 | Hello. I would recommend taking Tegretol 200 mg (Carbamazepine) three times daily and Clonazepam 2 mg two times daily. In case of repeated seizures, Diazepam should be administered 0.5 ml during each seizure. If seizures become frequent despite therapy, I would recommend bringing her to the ER, because the situation may become life-threatening. I hope this helps. | Q. How to control grand mal seizures in a cerebral palsy patient? |
Hi doctor, I recently had a graft on my nasal septum, due to a large ulceration on the left wall if it. Tissue was taken from one of my turbinates and stitched onto my septum. But, I know that I have a splint sutured into my nose. This is the problem. They whistle when I breathe and one of the stitches hangs free and blocks the air passage of the left splint. I do not know how to ask them to get it removed. I positively cannot stand the whistling. It prevents me from sleeping and distracts me in school. Please help. | 3,027 | Hello. With the details you have given, I understand a graft taken from nasal turbinate has been placed onto nasal septum to cover ulceration. Also post-operatively to prevent bleeding and to keep the graft over the desired area a splint has been placed. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist | Q. Why do I get whistle sound while breathing? |
Hi doctor, I am concerned about my upcoming surgery. During past surgery, I woke up and then went into a mild coma after being given more anesthesia. How likely is this kind of complication? How can it be avoided? | 3,028 | Hello. Revert back with a detailed history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. How to avoid coma while getting anesthesia? |
Hi doctor, My nephew has been unwell since few days. Since two weeks, he has small blood patches on thigh, calves and ankles. Petechial rash and bruising are also present. The doctors have diagnosed him with ITP (idiopathic thrombocytopenic purpura). I am writing to you to get a second opinion. He has been prescribed Prednisone 10 mg three times a day. I have attached his blood profile for your reference. Please help us. | 3,029 | Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. I need a second opinion regarding ITP. |
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? | 3,030 | 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. | 3,031 | 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. | 3,032 | 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. | 3,033 | 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. | 3,034 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have a 14-day-old baby girl. She is exclusively breast fed, and has been known to spit up quite a bit after every feeding but her pediatrician said it may just be my milk flow is too fast and she is swallowing a lot of air. Her stools are usually orange with stringy bits in it, but this morning her stool was green and very watery. I thought it could be because I took emergen-C yesterday. She has been very fussy all day, urinating normally but not passing stools as much and when she does it is green and very dry. After feeding her she was laying down on me and she projectile vomited a large amount of milk. I took her temperature rectally and she does not have a fever, it is at 97.1. I am worried she has a stomach bug. Please help. | 3,035 | Hello, Welcome to icliniq.com. According to me hold the baby in one arm keeping his head at the elbow joint and the buttocks in the palm of the same arm and feed the baby for 15 to 20 minutes. Hold the outer palm of the baby in between the thumb and index finger and press the palm whenever the baby sleeps or stop feeding. After feeding put the baby on the left shoulder and pat just behind the stomach level for five mintues to burp. Baby usually burps within three to five times. After burping lay down the baby on the right side of the baby putting a pillow below head maintaining the head above the level of stomach. | Q. Why do my newborn spitting up milk after each feed? |
Hi doctor, I get in a depressive phase for a while and I cannot seem to get out of it and then I feel completely fine like nothing happened. So I did not tend to take any actions. But it is recently been affecting my personal and work life. I tend to not feel like myself. Currently, I am on Lamez 25, Zapil and Zotral. My doctor just prescribed these medications when I told him about my anxiety issues and extreme mood swings. I am still unaware of the diagnosis as it is still affecting my day to day life. | 3,036 | Hello. What are your symptoms exactly? If they are of depression, then the treatment with SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. The Lamez 25 (Lamotrigine) is just a mood stabilizer, if the psychiatrist is suspecting bipolar disorder. Zapiz is a benzodiazepine and I would not advise you to take it for longer periods. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, anxiety, tiredness, headaches, etc. In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe episodes of excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic/hypomanic phase, then probably you might suffer from a major depressive disorder or generalized anxiety disorder. | Q. I get depressive phase and normal mood alternatively. What is the possible diagnosis? |
Hello doctor, I had unprotected sex on 1st of last month and missed my period on 20th. I did a urine pregnancy test on 3rd of this month, it came negative and then I took Regestrone 10 mg for five days one tablet each day from 3rd to 7th. Then on 8th, I did a bhCG which came negative and today I got a slight spotting and when wiping a little brownish kinda discharge came. Am I pregnant? | 3,037 | Hello. No, you are not pregnant as urine pregnancy test and HCG (human chorionic gonadotropin) test are negative. You have taken Regesterone so your period is delayed more. Your period should start now. It normally takes two to seven days after the last Regesterone tablet. So do not worry you are not pregnant because it is already more than 30 days after unprotected sex and all tests are negative. Brownish discharge can be the starting of menses. You are definitely not pregnant. Do not take much stress. | Q. Is it possible for me to get pregnant with negative urine and HCG tests? |
Hello doctor, I have had permanent cramps and a constant ache in both buttocks. I have pain down the back of the legs in the calf and when I walk it feels like it is about to cramp and I get pain in front of the thigh. I have a constant aching feel. When I press my skin on both thighs it feels sore. I had it for over two months. I have pain on both sides of my thighs and legs regardless of if I am sitting or resting. I got admitted to the hospital for two weeks and they did an MRI scan on my spine and found nothing. They did a lumbar puncture and found nothing. They also did a nerve examination and nothing was found. I am currently on Gabapentin, Codeine, and Paracetamol. | 3,038 | Hi. It looks like a nerve compression to me. If all investigations are normal, it does not mean it cannot be nerve compression. It could be meralgia paresthesia or neuralgia. I would recommend you to take Vitamin B12 shots. Also, discuss with your doctor to prescribe you a combination of Pregabalin along With Nortryptilline in the night. This may take a few weeks to months to recover. I hope this helps. | Q. I have constant cramps and pain in both buttocks which get down to legs and calf. Please help. |
Hello doctor, I am a 40-year-old male. I weigh about 79 kg and my height is 5'11". My BP is 130/78 and pulse rate is 90 bpm. I have no diabetecs and I am a non-smoker, and non-alcoholic. I am a software engineer. I am having neck and back pain issues for the past 10 years particularly more severe neck pain for the last one week, as my neck is hurting and pain is radiating into my head and shoulders, etc. Till now there is no pain in my hands or fingers. My job is computer programming so I have to focus hours on the screen this is one of the main reasons behind it as I never had any vehicle or sports accident. Now more terrible thing is that I have started vertigo/spinning in head while lying down and move my head towards the left side. Because of this vertigo fear, I kept laying straight on my back full night. I can cope with the pain but vertigo/spinning of my head is putting me under stress and depression as it could affect my daily life too. I have taken thousands of medicines in the last ten years. Currently, my doctor advised me some medicines, which I am using since four days. I take Zenorit 8mg (Azithromycin), Lavistina 16 mg (Betahistine dihydrochloride), Parafon (Chlorzoxazone 250 mg and Paracetamol 300 mg) and Neurobion Forte. Well my first question is, what is the main reason for having vertigo/spinning head while lying down and tilt the head on the left side? My doctor has diagnosed that my ear is having balancing issue. Is that true? However, I guess any of my cervical disc pinches some nerve or artery while I lay down and turn my head as you can see from the MRI report that almost all of my discs are having issues. Moreover, regularly I do a light massage with deep-heat cream and then keep a hot water bottle on my neck/back for some time. Earlier I had some physiotherapy sessions as well for pain management. However, there is no chiropractor available in our city. I will be greatly thankful to you if you could at least diagnose the root cause of this vertigo which comes up while lying down and turn head to the left side. Once the vertigo is subsided we can start working on pain management. Please note that I feel quite relax and less pain while I walk or even stand up, however having full of pain while sitting and had neck pain and vertigo in the bed. | 3,039 | Hello. I read your history and reviewed your total spinal MRI. (attachment removed to protect patient identity). Do not be nervous. Vertigo that you are experiencing is not related to your discopathy. You have disc bulging in the cervical spine (C5-C6 and C6-C7), at least one mild disc bulging in the thoracic spine and two more disc problems in the lumbar area, especially in L5-S1 that is complicated by spondylolisthesis (i.e. spinal body sliding). Nevertheless, as I said, none of them is related to vertigo. Your vertigo is a benign paroxysmal peripheral vertigo (BPPV) that is caused due to a benign problem in one of your horizontal semicircular canal in the inner ear. In simple words, one of your sensors which reports the brain any horizontal rotation of the head, suffers from a temporary problem and gives exaggerated data to the brain. I agree with the prescribed medicine, except the antibiotic Azithromycin that seems unnecessary if you do not have a fever or ear pain. The key treatment is not medicine. Please accept my advice and do not avoid the head movement that triggers your vertigo. In contrast, repeat it more and more. In every try, you will notice that the severity of vertigo will lessen. It is similar to seasickness. By repeating the movement and sending exaggerated data by your ear, your brain habits the situation and will neglect the bad data and you will improve. If this strategy does not work after five days, in combination medicines, then you will need to be treated by a maneuver that is called Gufoni' maneuver. It should be done by a trained neurologist or ENT specialist. I hope this helps. | Q. Why do I get vertigo while lying down and turning head towards left? |
Hi doctor, I have a history of ear problems (seven surgeries as of right now). I had tubes placed in both ears when I was younger and more recent before few years. After the tubes were removed, both ear drums were left with holes in them which have been closed with surgery. In the left ear, there was only one tympanoplasty done. As for the right ear, there was a fat plug done and failed, next there was a tympanoplasty which also failed. Finally, a neurotologist preformed another tympanoplasty with cartilage back up and it has taken. Within the last three months, I have had fluid in the left ear twice and Prednisone has been used. Once I was flying and caused barotrauma from being sick and flying. The other was just fluid sitting there, which is still there after 12 days of Prednisone. Also, I have been told to take Amoxicillin three times the last three months, only I did it with the barotrauma as there was blood sitting behind the ear. Now, I have got three different opinions from ENT doctors and still, I am confused as to what to try. The normal ENT that has done all but the last surgery, where he made me go elsewhere because he was not comfortable trying again and said the hearing in my right ear has gotten worse from the last hearing test (I do not have a copy of the most recent hearing test), he wants to put a hole in the right ear. The neurotologist was for putting a tube in the right after surgery, as there was fluid behind the ear drum but he has left the country so my choices are limited to go back to him. I have been traveling back and forth 12 hours each way for the last few months and driving after the barotrauma is getting pain in the left ear. Now, the second doctor's opinion, he said that he would not recommend tubes as both ear drums are intact. He recommended for an allergy test if it helps at all I have been using Flonase as well continuously (all three doctors said to do it). The third doctor told me he would leave the right ear alone and recommended a tube in my left ear with my travel schedule. He basically said I need to determine if I want to live with holes or leave them intact and have pain when it comes on. Also, I have been diagnosed with TMJ after the first tube surgery, which I think that lead to the pain that made me go through with the tubes in the first place. I have had treatment for that, I hit all the limits I could with my dentist and am now having a day time splint made. All the problems in the left ear have started since three months back. I was placed on Prozac by a doctor, which is known for making clenching worse. I have done the botox in the masseter (for TMJ), which has helped in the past and we did 25 units this time (last time was 15 units). Overall, I am wondering if it is in my best interest to try and pull off the Prozac (with the doctor's permission) or just getting tubes in both ears and not doing any more reconstructive surgery. | 3,040 | Hello. Thanks for the detailed history. I can understand that you have gone through a lot because of your repeated ear issues. Very clearly none of the conditions you have (either fluid in middle ear or hole in the eardrum) are painful conditions. Surgery for these conditions is done mainly to improve hearing. Repeated collection of fluid in the middle ear can occur due to various reasons such as eustachian tube dysfunction, adenoids, allergy, etc. The most common being eustachian tube dysfunction. Now, coming to the treatment of your condition. You can continue Flonase nasal spray for a few months and see if there is any improvement in fluid in the middle ear. If that is not working then the next option would be to undergo balloon dilatation of eustachian tubes which may work sometimes. Last option would be the insertion of grommet again. But an operated ear grommet can cause permanent perforation and you have to live with it all your life. As far as pain is concerned, it is probably due to TMJ dysfunction. As you said Prozac worsens bruxism and you may need to stop it with your symptoms or doctor's consent. These chronic conditions such as eustachian tube dysfunction are difficult to treat and eustachian tube balloon dilatation may be a good choice for you (as you are a frequent flyer). | Q. How to fix the problem of repeated collection of fluid in ears? |
Hello doctor, I had some composite fillings placed on the front surfaces of several teeth last year, at the top of the tooth near the gum line where dentine had been exposed due to wearing away of the enamel. Several of the fillings have fallen out. They were not worn down by brushing, but actually they are detached as a whole from the tooth. I was shocked that they had lasted less than a year because online searches indicate they should last for five to seven years. Under normal circumstances, how long should composite fillings last? | 3,041 | Hello. I went through your images. (attachment removed to protect patient identity). Usually, composite restoration lasts for four to five years. Composite filling is not as strong as amalgam fillings. Moreover it has to be taken care of more than amalgam fillings. Precautions to be taken for successful composite filling should be followed to last it longer. Most of it are the job of the dentist who is performing procedure, but there are few things that should be followed by patients also. 1. Avoid taking or biting hard food or candies with those teeth. 2. If there is any microfracture line of the tooth because of any hard substance bitting or trauma then it is harmful to the composite filling. 3. If any trauma or impact to filling then composite filling will not last long. 4. If you having any habit of nail biting then it is not good for filling. 5. If you have a habit of bruxism or night grinding then it is agrravating factor for fracture of restoration. 6. You should avoid tea, coffee or hard drinks consumption too frequently because it will lose its property and color. Apart from these things, there is natural shedding or wearing of composite layer like natural teeth wears as the time passes. Yes, your dentist is right if there is a fault in preparation of restoration or while doing composite feeling then it would have gone within few weeks. So, for permanent solution, you can go for root canal with zirconia crown. If zirconia is costly then you can ask for other options for crown to your dentist which are available to them. I hope this helps. | Q. How long will a composite filling last? |
Hi doctor, I have a seven and half-year-old son. He has metabolic genetic illnesses MCADD and not able to break down fats to produce energy. So has to eat carbohydrates and drink on time to maintain his blood sugar levels as well. He has chylomicron retention disease which is not being able to absorb fat and so he needs soluble vitamins such as vitamin E and he needs a special low-fat diet. He also has developmental delays in all areas. At that time I thought it was normal because his illness was not found out until he was nearly 2 years old and had been failing to thrive before that he was under malnutrition. I also have two other boys who also have developmental delay but not as severe as how my oldest one was. Consultant are saying now that maybe some genetic issues must be going on and put us all in the 100 000 genomes study research hoping to find some answers for the abnormal blood result of my seven and a half year old. His CK levels have been persistently elevated. His last reading was 1155. AST TO 70 units per liter and ALT TO 71 units per liter. They are still investigating and hoping to find some answers. His other blood were normal for thyroid function. Glucose and lactate, ammonia in plasma, uric acid in plasma and renal functions all were fine. Due to persistent CK levels, it is pointing more towards a myopathy. I am very confused and yes, he has been showing certain signs like he cannot walk too much with feet pain, and on and off finger pains. It seems to me that he is not a strong child for his age but seems fine other than that. | 3,042 | Hi. This seems to be more of a genetic disorder, unfortunately. The genome sequence of your family needs to be done in order to find the fault. However, this is only from a diagnostic point of view. It is not going to change the medical treatment for the children. Also, the diet and supplements that you are giving for your child are to the best of my knowledge. Please continue the same. Unfortunately for developmental delay not much can be done. You can try physiotherapy for the same along with all the other efforts that you are taking. Also please follow up urgently with your nearest hospital in the event of any abnormal behavior or convulsions in any of your children as I have not physically examined the child. Take care. | Q. My son has MCADD and developmental delay. What could cause this? |
Hello doctor, My wife is 25 years old. Her right eye has been detected of idiopathic CNVM. She had an OCT test already. She has been asked to take three injections of Accentrix with a gap of one month in between each. I read various articles all refer to an injection of a drug called Bevacizumab (brand name Avastin). Are Accentrix and Bevacizumab (brand name Avastin) the same? Is this the only way of treatment? Will this treatment completely cure the Idiopathic CNVM and my wife will have her normal vision back? Which would be the best place for treatment in India? What is the rough cost of the complete treatment? | 3,043 | Hello. Avastin and Accentrix are both more or less equally efficacious in CNVM (choroidal neovascular membrane). The difference lies in the fact that Accentrix is FDA (food and drug administration) approved but Avastin is not. In case any side effect appears after injecting Avastin (though very rare) then your treating ophthalmologist will land up in trouble and media will blame him for using Avastin and he may be in soup. It is irony of our nation that due to some uneducated people, doctors are forced to offer costly treatment when cheap options are available. This is not the only option, but yes, this is the best option. I am sorry but the prognosis is guarded, she may recover fully and gain good vision or she may not attain 6/6 vision again and she may have central scotoma. Regarding the best place, treatment is same everywhere. You may get the treatment from any place of your choice. Regarding the treatment cost, it is difficult to say. She may need more than three injections also, so be mentally prepared for that also. I hope this helps. | Q. Will Accentrix injection help in getting back normal vision from idiopathic CNVM? |
Hi doctor, I am a 26-year-old female. This might sound odd but when I was 11 I was playing with two small round magnets pretending to have a nose piercing in the septum. The magnets stuck together and went up either side of the nose clamping the septum. I panicked and did not tell anyone. About a week later I remember getting tweezers and pulling one out and it smelt bad and looked disgusting. I do not ever remember pulling the other out but I may have because I kind of never really thought about it again until later when I seem to have issues breathing through my nose and always have recurring extremely painful sore throats and swollen tonsils. This makes me panic and remember what happens and if I ever did remove the other magnet and if I did not, would it cause a lot of damage being there for so long? It sounds ridiculous but I do not feel comfortable telling my doctor. Please suggest. | 3,044 | Hello, Welcome to icliniq.com. Well, firstly, I would like to assure you, that as doctors we come across much stranger things and hence, it is important to get yourself checked whether the other magnet is still stuck in your nostrils or not. The doctor might do an x-ray of your sinuses, after he thoroughly checks you up, to see if it has dislodged further up. The symptoms you are experiencing are classic of an infected sinus, leading to the spread of that infection to other parts of your upper respiratory tract. It can be possible that the magnet, is compressing one of the sinus openings, leading to secondary infection and hence the symptoms. Please, do not delay any further. Meet your nearest physician as soon as possible, for proper examination and treatment. I know you are embarrassed, but it can be dangerous if this infection is not controlled and spreads to other sites. | Q. Is it possible for a magnet to get stuck in nasal passage and cause breathing problem? |
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? | 3,045 | 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. | 3,046 | 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. | 3,047 | 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. | 3,048 | 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. | 3,049 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have occasional needle pin in hands and numbness. Mild itchy rash on nose and both upper shoulders (still there and barely visible). I also have slight hand tremors, increased permanent floaters in both eyes. I have CMV IgG 55 (recent infection). All STD, HIV, hepatitis, EBV, and HSV 1 and 2 are negative. Could CMV cause all these in an immunocompetent person? Ophthalmologist said that my eyes are perfect after an examination. Neurologist did a nerve conductivity test and said all reports normal. Infection specialist did western blot for HIV 1 and 2 at 16 weeks after symptoms started and said it is negative. HIV combo antibody and antigen also negative. If it is CMV, what is the treatment? | 3,050 | Hi, Welcome to icliniq.com. Answer to your queries are: CMV IgG positivity indicates past infection. The exposure to CMV (cytomegalovirus) might have been there some weeks to years earlier. CMV is common in general infection and up to 60% are IgG positive. Sero- positivity percentage increases with age. Treatment for CMV is not given based on CMV IgG positivity. I suggest you to get following to rule out active CMV infection: 1. pp65 antigen. 2. ELISA CMV IgM. 3. CMV quantitative test. 4. Repeat your CMV IgG titers at least after six weeks of the above tests. I suggest you to do thyroid profile, serum vitamin B12, and D3 tests. You can send pictures of your rashes for further assessment. I hope this helps. | Q. Will CMV cause symptoms like numbness, tremors in hands and eye floaters? |
Hello doctor, My friend undergoes frequent delusions and nightmares about some men raping her. She is 20 years old now. When she was around 10 years old, she went to a wedding ceremony. She made friends with a boy much older than her. He took her to someplace on the very same day telling her something nice and all. Then she saw four to five boys standing outside a dark construction site. She fainted then and after that, she only remembers waking up. She says that all these are coming back now because she is curious about what happened to her that night. Her delusions and nightmares were triggered by a rape scene she was seeing in a daily soap recently which made her remember the incident. What is worse is that if she gets to know what happened that night, and if it is really something that bad, she might commit suicide or hurt herself. Recently while I was at her place, talking about these problems, suddenly she felt dizzy and sat down, and then she stared intently at the entrance for at least five minutes if not ten, after which again she was normal but she does not know any part of the time when she was looking at the door and thinking something. I am very much worried about her. Please I need some advice about what can I do about and how can I help her? She is in so much of pain. Please help. | 3,051 | Hi. It appears more of an anxiety spectrum disorder rather than an actual delusion. Which antianxiety drug was started on her and what was the response? She might respond to a small dose of Escitalopram 10 mg at morning and 0.25 mg Clonazepam at night, if there are severe nightmares there is also an option of Prazosin 1 mg at night, you could meet a local psychiatrist for these. I would recommend you to not actively talk about the rape thing to her or do any online therapy since it can make her focus too much on the topic. Try to distract her and keep her engaged. Yoga and muscle relaxation exercises can help. If there is a clinical psychologist near your area, she can be started on a cognitive behavior therapy but again I would recommend the above options before trying it out. | Q. My friend has delusions and nightmares of somebody raping her. How to help her? |
Hello doctor, I would like an opinion regarding surgery for acalculous biliary dyskinesia. I have had RUQ pain and colic attacks for the past three or four years. Ultrasounds at the time showed no symptoms. Then I had a HIDA scan that showed 12% ejection fraction, so the doctor suggested surgery to remove the gallbladder, even without stones or anything. I declined. I modified my diet. The attacks became more sporadic, but last month I had an acute acalculous cholecystitis event. An ultrasound showed some sludge and 3 mm wall thickening. Again, surgery was suggested and scheduled. But symptoms resolved within a week and I am completely asymptomatic now. I am really scared of having unnecessary surgery if I have no stones. What is the worst that can happen if I just decline surgery? I am afraid of having ongoing new indigestion symptoms post-surgery. I do not want new problems. I am really afraid. | 3,052 | Hi. Since you had GB sludge with multiple attacks of biliary colic, the chances of getting a repeat attack are very high. Sludge or microlithiasis denote a dysfunctional gall bladder. It is always better to remove a dysfunctional gall bladder as it has a high probability of stone formation. All attacks need not be mild as you had. At times severe attacks may happen which need emergency surgery. There can be infectious episodes too. The next severe complication happens from secondary pancreatitis. This microlithiasis are not easily picked up on ultrasound scans. So if you see the risks of retaining gallbladder and the advantages of surgery, the advantages overweigh the risks. I would definitely recommend a planned surgery before developing complications and ending up with an infection and unplanned surgery. I hope this helps. | Q. Is gallbladder removal necessary for acalculous biliary dyskinesia? |
Hello doctor, I am 29 years old. One year back I had a miscarriage. Now I am not pregnant and not feeding. But when I press my nipples white and some times clear secretions are coming. I do not have any pain and I am having regular periods and sometimes 3 days and sometimes 5 days flow will be there and sudden fatigue is there. Is this breast cancer or any problem? Can you prefer any test? | 3,053 | Hi. It looks like a clear case of hyperprolactinemia. The hormone prolactin or TSH (thyroid-stimulating hormone) may be raised. Go for serum prolactin and TSH levels and further treatment will be based on the reports. You may go for a breast ultrasound also just to be more careful. | Q. Though I am not pregnant or feeding, I get discharge from nipples. Why? |
Hi doctor, I am a 50-year-old female, with a history of childhood asthma, that was virtually a nonissue in my adult life until three weeks ago. I had a recent SVF adipose stem cell treatment for OA with a cold on board. I felt tight chested then but not bad enough to take my Ventolin. A few days later, I developed a persistent tight chest and difficult exhalation that led to a respiratory admission for ?asthma or reactive airways. In spite of Prednisolone, Seretide, Ventolin, and Atrovent, I do not feel better. I am unable to work and doing very minimal things around the house because of the severity of the symptoms. My mother had COPD. I am frightened this is COPD and I am terrified actually. I am also scared that maybe the stem cells have caused an adverse lung reaction. I cannot continue to live like this. I have had a normal CTPA, normal CXR, normal echo, no growth in my sputum, and apparently a normal-looking lung function test that might be indicative of asthma (different people tell me different things). Please help. | 3,054 | Hello. I have gone through your symptoms and investigations thoroughly and your treatment records. (attachment removed to protect patient identity). First of all, it is not a COPD (chronic obstructive pulmonary disease) and asthma as suggested by normal pulmonary function tests and normal chest x-ray. It is also very unlikely due to stem cell reaction as chest x-ray is normal. I have reasons to suspect that symptoms are not due to lungs rather due to heart the condition is known as cardiac asthma. I want to know one thing do you have swollen leg on both sides and are you on any antihypertensive agent. Congestive heart failure. ECG, Echocardiography. Atypical lung infection Cardiac asthma. Tablet Aldactone 50 mg (Spironolactone) one tablet thrice a day for five days. | Q. Will SVF fat cell treatment for OA result in chest tightness and COPD? |
Hello doctor, I have bipolar disorder II and diagnosed with social and generalized anxiety disorders. Currently, my medication fails to uplift my depression. I take lithium 3x450 mg, Olanzapine 5 mg, Escitalopram 20 mg. Previously I tried Valproic acid, Carbamazepine, Topiramate, Zoloft, Prozac, Clonazepam, Tranxene, Rudotel, and Lexotanil. I experience more depressive episodes than hypomanic. And I cannot take Lithium anymore due to kidney damage done. What are my treatment options? We are considering changing to Lamictal, and a small dose of Wellbutrin. What do you think about this? | 3,055 | Hello, Welcome to icliniq.com. Yes, bipolar depression is difficult to treat and it can be persistent. Many people do respond to a combination of Lamotrigine and Quetiapine (popularly called as Lami-quel). It takes time to act, but it is highly effective. Currently, I would suggest that instead of Lithium you use Lamotrigine 25 mg x 2, then 50 mg x 2 and finally 100 mg x 2. Dose titration is every two to three weeks. Instead of Olanzapine, I would replace it with Quetiapine 50 to 100 mg for start and raise if needed based on the sedation. Also, continue Escitalopram if needed or replace it with a TCA (tricyclic antidepressant) class of antidepressants. And yes, do add Bupropion (Wellbutrin). Also, you can consider doing a few sessions of rTMS (repetitive transcranial magnetic stimulation) if possible. | Q. I have bipolar 2 disorder with more depressive episodes than hypomanic. Please help. |
Hello doctor, Actually, I get my periods once in 40 days for one month and within 28 days the other month. It is continuing for a long time. Previously, I had one miscarriage and vaginal infection. Currently, I am on Folinal. Please help. | 3,056 | Hello. Periods can be irregular. It can be normal. When periods are irregular than there could be two problems. One is difficulty in getting pregnant. And second is more bleeding and the variance cyst. Do FSH (follicle-stimulating hormone), LH (lutenizing hormone), Prolactin level, estrogen, progesterone, serum TSH (thyroid-stimulating hormone), andone ultrasound scan. All these investigations to find out anything abnormal. If anything found then treatment can be given. Or you may require treatment if you want to conceive. If everything found normal and you also do not want to conceive now then there is no need to take any treatment now. Do drink more water. You can elaborate on other problems if you have. | Q. I get irregular period with a varying interval each month. Why? |
Hello doctor, Cervix radiation treatment fears me. How will it affect my sexual life, attracting the opposite sex, pheromones, sex drive, sexual stamina, and my attraction for others? | 3,057 | Hello. Radiation therapy leads to a lot of sexual adverse effects and poor quality of life. It will lead to loss of ovarian function leading to infertility, loss of sexual drive, decrease stamina, etc. Also, radiation may affect the length or caliber of the vagina and decreased vaginal lubrication and elasticity and can adversely affect sexual function. However, some of the side effects will alleviate with time and hormonal replacement therapy. For fertility preservation, there are options available. So overall, radiation has significantly higher incidence of sexual dysfunction as compared to surgery or chemotherapy. Higher incidence of pelvic pain and pain during sex. Also, there will be higher incidence of bowel dysfunction, higher incidence of urinary incontinence. I hope this helps. | Q. How do cervix radiation affect sexual life in woman? |
Hi doctor, I went for an HIV test at six weeks after low-risk exposure and get false positive. At eight weeks both fourth generation and HIV RNA PCR are negative. At 9 and 10 weeks rapid test is negative. At 12 weeks HIV RNA PCR is negative. Is it conclusive? My doctor told me no need for further tests. | 3,058 | Hello, Welcome back to icliniq.com. To answer your query, I want to give reference of published research that, Although the reported sensitivity and specificity of fourth generation tests are more than 99% in numerous studies, there are several instances of discordance between screening and confirmatory techniques (Liu P et al. AIDS Research and Therapy 2016 13:1). False positivity can be due to user error or cross contamination, if there is ongoing some other illness eg. malaria, or if there is a history of blood transfusion, autoimmune diseases. A positive test result always needs to be routinely confirmed using a different type of test or testing kit. Fourth generation tests are more than 95% accurate at six weeks and this needs to be confirmed after three months with a second test. If the test in your case has been performed at three months after the exposure and is giving negative results, and you have not had another risk, you do not have HIV. Your fourth generation test and RNA PCR at 9 and 10 weeks and further 12 weeks negative RNA PCR, suffices to rule out infection. If you still have apprehension, get a repeat HIV antibody test at six months of exposure, no need to repeat it in between. Take precautions in the future (consistent and correct condom usage). I hope this helps. | Q. Is HIV RNA PCR test conclusive at 12 weeks? |
Hello doctor, I have been experiencing oral pain for quite some time now. And I was wondering if tonsillitis might have effected my jaw somehow, more my teeth than the jaw. I see an ENT tomorrow, but does, in the meantime, saltwater gargle help reduce some swelling? I am currently taking Clindamycin, Tylenol with codeine, Culturelle, Multivitamin, and Vitamin D3. I have done a CT scan and MRI. MRI showed cysts. | 3,059 | Hello. Warm saline gargles do help to reduce swelling and inflammation. You may do it till you see your ENT tomorrow. Meanwhile, tonsillitis will not cause jaw pain, however, if frequent tonsillitis occurs, it may cause swelling up of lymph nodes below your jaw, which may be the cause of pain. In your CT scan report (attachment removed to protect patient identity), it is mentioned that you have some sinus inflammation. Sinus inflammation, especially in the maxillary sinuses, may cause pain in the face and also pressure feeling in the upper jaw. Probably you may be noticing that. Meanwhile, for a better understanding of the condition, I want some more details regarding the problem. When and how it started? Does it cause difficulty in swallowing or breathing? Any pain while swallowing? Any fever any visible swelling in the neck, any point of tenderness anywhere on the jaw? Any thick nasal discharge, and running nose or nose block? Any decrease in sense of smell, etc? | Q. Can tonsillitis cause jaw and teeth pain? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,060 | 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. | 3,061 | 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. | 3,062 | 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. | 3,063 | 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. | 3,064 | 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 63-year-old male. I am having balanitis. I am a diabetic taking the following medicines. Novostat CV 10, Optidoz, Glimisave max forte 1 two tablets daily, Fourts B and HCQs 200 for RA factor. I have no bad habits and stopped sex two years back due to health reasons. Upon medical advice online I took Norflox 400 tablets for the past five days and had to take that for two more days. I also took Azithromycin 1 gm single dose. A small amount of pus and blood was coming a few times with irritation and pain. Now after taking these medicines no more pus, blood traces, no swelling, and cuts noticed earlier in the bulb of the penis. I have some pain and irritation while pushing back the foreskin while applying the ointment. Now I want to ascertain through a lab test as to whether the infection has totally gone. Kindly suggest me regarding further course of treatment and prescribe me a lab test. | 3,065 | Hi. I have gone through your complaints. I would suggest you to carry out complete blood count to rule out infection which will be reflected by increased total leukocyte count or increased neutrophils. Also, carry out urine examination and random blood glucose to rule out urinary tract infection and also see sugar is under control otherwise it may lead to balanitis. Mild pain left on retraction of foreskin is due to residual inflammation that will subside within two to three days. Do gently retract the skin and not forcefully. Keep the area clean and wear loose cotton underwear. | Q. I have balanitis with mild pain while pushing the foreskin. Please help. |
Hello doctor, I had sex with a sex worker without a condom. Now I am worried I have HIV or AIDS. Please help. | 3,066 | Hi, Welcome to icliniq.com. The only way to clear the doubt after an unprotected exposure is to get tested. I will suggest you to get your HIV Rapid test now. This will tell your baseline HIV status. If it is negative, get your fourth generation rapid test at four weeks of exposure. If the same is negative, it needs to be confirmed by a repeat HIV rapid test at three months and then at six months of exposure. The test can be undertaken at any accredited lab or the Government run ICTC (integrated counseling and testing centers) center where it is done free of cost. I suggest you to consistently and correctively use a condom with your partner. I hope this helps. | Q. I am worried about HIV after unprotected sex with sex worker. Please help. |
Hello doctor, My wire was poking out on one end and I attempted to put it back in place but it would not stay. I wanted to let it go until I could get it fixed by my orthodontist but it was scratching the inside of my cheek so I used tweezers and removed all the rubber bands from each individual bracket and then removed the wire. All of the orthodontist offices near me are closed for the weekend. Is it safe to wait until Monday? | 3,067 | Hello. As per your description, you have removed wire from all brackets and now no wire is there. Ideally you should not do this. This may hamper your treatment progress. When your wire was disturbing you then you should have contacted your Orthodontist atleast by telephone. For reducing discomfort other things are there like use of Orthodontic relief wax to reduce irritation from wire end or bracket projections or use of wet cotton pellets, instead of directly removing wire. As there are more 2-3 days that your brackets will not have wire or any force will not be there, so there are chances of getting your teeth malpositioned or loss of alignment. Again at what stage your treatment is going on is not mentioned. This step will hamper the progress. Now, I advise you to visit Orthodontist as early as possible. Again I would like to see images of your concern area. | Q. I have removed my brackets wire because it was poking. Will it have any adverse effect? |
Hello doctor, I am struggling with dizziness due to C1 being out. My chiropractic sessions are not helping. My chiropractor does not hold the C1 itself, but just my head and cracks. Is what he is doing wrong? Should not he grab the out of place bone and crack it? | 3,068 | Hi, Welcome to icliniq.com. I have reviewed your question. I am sorry you are experiencing back pain and dizziness. Believe it or not, 80% of people will experience back pain at some point in their life. I do have several questions before I can fully answer your question. How do you know C1 is your issue and how do you know it is out? Have you had any other diagnostic tests to explain your dizziness? Any CT scans, MRIs, etc? When did the dizziness start? Have you tried any exercises for this issue? Answers to these questions would be very helpful. Since I do not have the answers to the above questions, I can only say this. Chiropractors are taught to examine the whole spine and evaluate the whole body, symptoms and all. If your chiropractor is not adjusting C1 like you want him to, it probably means that he is finding something else that he believes may be more of an issue for you. With that being said, it is ultimately your decision as to whether or not you continue to see this chiropractor. Without answers to the questions above and without reviewing the chiropractor’s notes, it does not sound like he/she is doing anything wrong by not grabbing the out of place bone and cracking it. I would always encourage my patients to get a second opinion if they wanted. I hope this helps. | Q. Chiropractic session is not helping my dizziness due to C1 dislocation. Why? |
Hi doctor, I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it mentioned that tiny 3 mm calculus is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 4.5 mm calculus in the lower ureter. Doctor prescribed me Dytor, Aceclofenac and Paracetamol, Drotavarine Hydrochloride and Mefenamic acid tablets. But, today again my sharp abdominal pain is seen. What to do? Please suggest. | 3,069 | Hi. Stones smaller than 6 mm are likely to pass without any intervention. Those that are larger than 6 mm or which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pass in a few days time. If pain recurs, you can go for admission and flush therapy (intravenous fluids to flush out stone) for one or two days. You can stop either Aceclofenac or Mefenamic acid as both are pain killers. Take either of the two. Also, add Capsule Urimax 0.4 mg (Tamsulosin and Dutasteride) once daily for five days, this may relax your ureter and help decrease the pain. Repeat USG (ultrasound) after five to seven days to confirm the stone passage. | Q. USG report shows 3 mm calculus with mild nephrosis and dilated ureter. What to do? |
Hello doctor, I have an open bite due to a tongue thrust I have had since I was a baby (I am 22 now). It is affecting the way I talk, eat, and I sometimes find myself gasping for air when I sleep. I have been looking into ways to correct it and also close my bite. Will corrective jaw surgery help with my tongue placement as well as close my open bite? | 3,070 | Hello, Welcome to icliniq.com. As per your description, you having open bite and tongue thrust. For correction of open bite the exact cause must be ruled out. Tongue thrust is the cause and is also aggrevatinng factor. Also, if corrective jaw surgery works or not or whether any skeletal jaw problem is involved can be suggested only after clinical examination. If there is growth direction of Maxilla or mandible is altered or there posterior vertical maxillary excess and etc., is there then that have to be ruled out before planning for corrective jaw surgery option. First Tongue thrust should be taken care with help of habit breaking appliance and then malocclusion should be corrected with Orthodontic treatment,provided skeletal factor is not involved. Again I would like to see images of your concern area and teeth for detailed diagnosis and management of problem. | Q. Should I get jaw surgery done to treat open bite due to tongue thrusting? |
Hello doctor, I have a discoloring on skin of penis. Why? | 3,071 | Hello. The condition you are presenting is hypopigmentation of penile skin, relating to penile vitiligo, its an autoimmune condition, vitiligo can be present in other parts of skin or hairs also turning the color light, or white, it is not related to any STDs, but if any history of injury, itching is present kindly do mention and for treatment of this hypopigmentation, few ointment like Tacrolimus ointment has found to be effective, other than this you can also get help with light therapy, both of these will decrease the spread and density of vitiligo. thyroid profile for autoimmune disorder do mention, from how many days, if any injury has occurred or not, any prior infection | Q. Kindly explain why there is discoloration on skin of penis? |
Hi doctor, I am a 29-year-old female. I have had ear pressure and fullness since may of last year in my left ear only. I had a hearing test that showed mild hearing loss. About a week ago I noticed a small lump (Maybe 2?) in my neck. It feels hard but hurts when I push on it sometimes. I do not have an ENT appointment for a few weeks and I am worried I might have nasopharyngeal cancer. | 3,072 | Hello. The chances for it being NPC is minimal. To rule it out we need to do a nasal endoscopy. What hearing loss came out in the test? Conductive or sensorineural? Did you take any antibiotic to remove the neck lump in case it is due to any infection? I suggest you try a course of Amoxicillin clavulanic acid appropriate for your weight so that the lump goes off if it is due to some infection. If you have the report of audiometry please upload the same. | Q. I have hearing loss with lump in neck. Is it due to nasopharyngeal cancer? |
Hello doctor, I am a 49-year-old male. 100 kg. 180 cm. I exercise Cardio regularly however carry a little extra weight. I suffer from anxiety and are presently on inderal lyrica and Prozac. Over the past 2 weeks I have noticed my resting heart rate on my smart watch is about 48 bpm. Traditionally it has been around 58 bpm. Other than anxiety I do not have any symptoms. What could be the causes of this and is this of concern? | 3,073 | Hello. I understand your concerns, do not worry you will be fine. The Inderal you are taking is what is reducing your heart rate. A 48 bpm to 58 bpm is not bad so long you are not experiencing symptoms like fainting or shortness you are fine. I advise you to countinue to monitor your pulse to make sure your heart rate isnt dangerously low. For now it is not a cause for concern. | Q. Is it possible to have decreased heart rate due to anxiolytics? |
Hi doctor, My mother aged around 60 years, had depression. She thinks negatively and fears what will happen next in life. She does not feel hunger and if eats something, then gets vomit like feeling with very less sleep. We went to a doctor, he prescribed some medication and she becomes better in some two months. However, that doctor is suggesting to continue medication even after 10 months. In between when we stopped medication then the nearly same symptoms start appears again. She also had 1 EEG done in the awake state using 10-20 IS of electrode placement and the outcome was like alpha activity 9-10 HZ and 20-35 microvolts in amplitude arising from both the occipital areas and getting by eys opening. Her medications are Pregsal SR 75 mg (Pregabalin SR Tablets), Clomidon 25 mg (Clomipramine HCI), CR-Zoro 25 mg (Paroxetine hydrochloride controlled-release tablet), Zool-DSR (Rabeprazole Sodium and Domperidone Sustained Release Capsule), Alzitier 5 mg and Bloserv 5 mg. Do these medicines really need to take that long or any of these have some addictive phenomenon? I request you to please share your valuable suggestion on current and future medication or course of treatment. Thanks a lot. | 3,074 | Hello. Thanks for asking. Though more details are needed to make an exact diagnosis but the symptoms you mentioned suggest some underlying anxiety. Negative thoughts, fear that what will happen, lack of appetite, etc., could be occurring due to depression and anxiety mainly of obsessive thoughts type. She is on the right drugs and if she responded with these medicines then the medicines should be continued for long. Once she becomes stable and is symptoms free for around six months then the drugs can be stopped by gradual dose reduction. The medicines are not addictive and no need to get worried about that. Visit your doctor regularly and she will be better in the coming time. Thanks. | Q. How long can antidepressants be used? |
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? | 3,075 | 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. | 3,076 | 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. | 3,077 | 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. | 3,078 | 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. | 3,079 | 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, Every night around 2-3 AM, any thought that crosses my mind makes me overthink about it. I am worried about such things that do not have a fixed solution. It may or may not happen. I've tried listening to meditating sounds, calming sound during that time but to no avail. After an hour or two I do get normal but then I am so full of energy that I cannot fall asleep so I get up and start some work. (I am a freelancer working from home). I usually cannot sleep until my head feels heavy, eyes start closing and I start dozing off while working. For a few weeks, I have been sleeping in the afternoon or evening for three to five hours only. Rest of the time I am either thinking or working. Sometimes if I cannot stop thinking I smoke around two to three cigarettes to get over it. It does not help me sleep but helps me focus on work more and overthinking stops quite instantly. | 3,080 | Hello. Your blood report is absolutely normal (attachment removed to protect patient identity) and I do not think there is anything alarming. Yes, your lipid profile is deranged and if you are overweight then try to reduce weight. At your age, it is not common to see raised cholesterol. Regarding the issues you have during sleep, in my opinion, this is probably occurring due to anxiety. You should seek a psychiatrist consultation for treatment. Improve your sleep hygiene and this will improve the symptoms. Avoid giving attention to minor things. Take a high protein diet and complex carbs and low in fats. I hope this helps. | Q. Late night thoughts makes me overthinking. Why? |
Hello doctor, I have a lump behind my left nipple for around 10 years. It is a painless and hard lump which is just behind the nipple, and it seems to be round in shape and is about more than 1 cm in size. It is not growing and is of fixed size. I also notice skin discoloration on the breast like slight melanin patches. I also notice a few minor or very small fluid lumps in the right breast area. Please tell me if the lump can be cancerous. | 3,081 | Hello. It looks all these lesions are benign (non-cancerous). This small lump which is there for 10 years is certainly benign as cancerous lump grows and spreads. Regarding skin discoloration looking like melanin patches and fluid lumps. You have not mentioned the details regarding discoloration and fluid lumps, whether they are new or old, whether they have increased in size as compared to the previous one or whether they have shown any change in appearance, etc. Nothing to worry about, but it is recommended to visit a mammalogist and let them examine all these breast and skin lesions. If needed they will put you on close follow up or investigate further. The major risk factors for developing breast cancer are: 1. Family history of breast cancer. 2. Obesity. 3. Certain genetic syndromes. 4. Any previous breast lump. 5. Hormone replacement therapy, history of estrogen intake. 6. Early menarche or late menopause. In case you have any family history of breast cancer then you must go for genetic counseling also. | Q. What is the possibility of a lump in breast which is present for 10 years to be cancerous? |
Hello doctor, I noticed a swollen and hard bump on the inside of my ear a few days ago. Yesterday, I noticed it was now soft and squishy almost like a pimple. But today, I touched it and it popped and began to bleed along with some pus. I was not too worried until I took a photo and saw two large holes like a spider bite and the area is a little tender after I cleaned it. Does it sound like it could be an infected spider bite? | 3,082 | Hi. It could very well be an infected spider bite. It could also be an infected follicle. Anyway, apply some antibiotic cream over it (Bacitracin or Fusiderm or Povidone iodine). Apply twice daily and clean the wound with warm water while bathing. Do not insert anything inside the ear though. If there are any worrisome changes please contact us. Like color change of rest of pinna, pain, tenderness, swelling, increased redness, spreading of the redness, etc. You may take Tylenol if there is pain. Oral antibiotics are not necessary. If you suffer from diabetes, hypertension, immunosuppression or cancer we need to be careful. In that case, do let us know. | Q. I had a swollen hard lump in ear which is tender after cleaning. Could this be infected spider bite? |
Hi doctor, I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction? | 3,083 | Hello. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps. | Q. In an accident, my blood contacts with blood of other person. What is the possibility of HIV? |
Hello doctor, I felt doing snowboarding 2 days ago. My shoulder hurts more and more. My chiropractor gave me a prescription for an X-ray. I have my X-ray but nobody to read it before next week. Can someone read it for me and tell me if I need to go to emergency hospital or it can wait? | 3,084 | Hi, Welcome to ilciniq.com. I am so sorry for what happened. I can certainly help you to read your X-ray. If you are able to move you arm most probably it is not a complete fracture. Of course there may be incomplete fracture. Need to see the X-ray. Meanwhile try to stabilize your left shoulder and arm. | Q. What causes shoulder pain after snowboarding? |
Hello doctor, I have a torn meatus and would like an opinion on a couple of pictures I took of it about its condition and if I should get medical assistance for stitches or something. I have already gone to an urgent care who looked at it but it looks bigger or more open or something now. I am on an antibiotic for a infection I guess that is there cfausing pain- itchy burn and cannot wear clothing on it yet at all. | 3,085 | Hi. Connect me with those images for better diagnosis and treatment. | Q. What does the picture of torn meatus indicate? |
Hello doctor, Kindly help me to understand my elder daughter's behaviour. She was born 14 years back. At her childhood, she was very energetic and hyperactive. We had put her in pre-school at 2.5 years and now she is in class 9. She is 13.5 years old now. I am finding her maturity level is far below her classmates and she hardly have any friends. She is also very poor in study. We are in such a condition that we only expect her to pass the examination. Sometimes I am feeling guilty about the fact that she is always under pressure. She nowadays does go out and keep herself busy with mobile and TV (cartoon). I have another daughter, who is 6.5 years old and the elder one cannot get along with her sister most of the time. She always tries to attract the attention by some means or other. She is only growing physically, but I am finding the mental growth is not at par. Kindly help me. | 3,086 | Hello. I am sorry to hear about your situation, I can understand how difficult it might be for you. What you are describing needs a physical examination as well as a mental status examination and IQ testing. You will have to consult a neurologist or a pediatrician. You can also consult a psychiatrist and they will guide you further. The doctor will require to meet your daughter and talk to her to be able to understand whether the issue is neurological or a behaviour issue. If you are mentioning that her mental growth is not at par you will have to go for IQ testing which are available with psychiatrists as well as pediatricians. | Q. What are the way to assess IQ and mental development of child? |
Hello doctor, 21 years old, female. Today I noticed some bumps on the back of my tongue and another bump I noticed at the back of my throat. I have no idea how long this has been going on for as it does not cause me any pain. I had my last dental check-up about 6 months ago so I know it has developed sometime after then. | 3,087 | Hi. 1. I have seen the picture you have attached along with the complaint (attachment removed to protect patient identity).Unfortunately the picture of your tongue swelling could not be downloaded but I saw the picture of the back of your tongue. 2. That tiny little portion right at the center and back of your tongue is called uvula and it is a part of the soft palate which is the entry to your pharyngeal tube (airway). 3. I do not see any reddish coloration or swelling in it and it looks absolutely normal.That is the part which gets itchy when you have sore throat. Even if you encounter inflammation and swelling of the uvula ,it is mostly due to sore throat or simply dry mouth. 4. In that case, drink more fluids (sugarless) to keep yourself hydrated and you will be relieved soon. 5. Otherwise there is no abnormal findings I could see and you are completely alright. Thanks and regards. | Q. What causes bumps on the back of tongue and throat? |
Hello doctor, I have a lump near my vaginal entrance. I researched and it may be a bartholin cyst. It is not painful nor uncomfortable to do my daily activities. Can the lump go away on its own without treatment? What can I do to remove it? Is there anything I can do to avoid going into a gynecologist personally? I really wish I would not have to go to a doctor personally. | 3,088 | Hi. Thanks for the query. According to your description the lump you mentioned could be bartholin cyst as you are thinking. Usually it occurs due to the blockage of bartholin duct. Small cyst may not cause any problem but when a size increases or the cyst gets infected that can lead to formation of abscess, in that case you may experience pain and discomfort. As per as possible better to get examined by your gynecologist to find out the actual nature of the cyst. Sometimes antibiotics are sufficient to decrease the size of the cyst. If it gets infected and increases in size you may need to go for minor surgical procedures like incision and Drainage or Marsupialization. If you want relief now before going to your doctor you can take sitz bath with lukewarm water and 10 to 15 ml of Betadine solution, twice a day with 10 minutes duration. This will help in reducing the pain and size of cyst. Take care. | Q. I have a lump near vaginal entrance. Can this be bartholin's cyst? |
Hello doctor, My daughter had an oral surgery on wednesday to remove her gum tag so her gap in her braces can close up, the swelling and pain still have not gone away, how can we reduce this further? | 3,089 | Hello. I have gone through your query and understand your concern. Pain and swelling after minor oral procedures are quite normal for the following 3 to 5 days. This pain and swelling will eventually fade off and regress. For lingering pain even after taking pain killers, please: 1. Do not skip doses and take them on-time. Please advise her to take prescribed pain medicines on time thrice daily because if the dose is missed or taken after the pain had already started, will not be that effective in controlling pain. 2. Avoid hot, spicy, hard and chewy foods. This can cause swelling to increase and delay healing. 3. Please leave the area undisturbed, because any irritant in that area could delay healing. 4. Avoid forceful mouth rinsing. 5. Follow gentle brushing. 6. Rinse mouth gently after every meal to remove food deposits coz food lodgement in that area could cause an infection. If the pain relief is not that adequate, please talk to your dentist and get the dosage increased. Following the post-operative instructions precisely will help better and faster healing. | Q. Why have the swelling and pain not gone away after surgery for gum tag? |
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? | 3,090 | 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. | 3,091 | 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. | 3,092 | 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. | 3,093 | 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. | 3,094 | 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 22 years old. My height is 5'11" and weight is 100 kg. I had a condom on and I did not know that she was on her period. As there was blood on the condom, I removed it and had a new one. We had sexual intercourse again and again until she was bleeding badly. As far as I remember, the condom did not break both times. But, she cleaned her vagina and without proper washing she gave handjob and I ejaculated. Can I get HIV from the above act? Is there any possibility that the virus transmitted with her hand to my penis as her hands could have period blood on them and there was no lubricant involved while handjob? If so, what is the risk probability? Can blood on the condom somehow get to the foreskin of the penis? Could that blood transmit HIV? The exposure happened 48 hours ago and started PEP after 7 hours of exposure. I am on Tafero EM and Ritocom. Am I taking the correct medicine? Am I safe? | 3,095 | Hi. HIV does not get spread through such acts. In case there was any tear in the condom, the blood can seep through and put you at risk. There is a risk in such exposure and it may range from 0.03 % to 0.5 %. PEP (post-exposure prophylaxis) if started within 72 hours, then it would be helpful. Your PEP prescription is fine. | Q. Is it possible to get HIV due to sex during periods? |
Hi doctor,This is for my dad. He has epilepsy and is now 52 years old. Last Saturday, he went on his normal routine of getting ready but did not know what happened and he walked out of the house without any clothes. When we asked him if he was okay, he said yes. But after the whole episode, when we asked him if he knew what he did, he said no. We do think that his epilepsy is triggered by less sleep and the only medication he takes is Gabapentin. We think that he is getting depressed because he has a loss of appetite, loss of weight, slowness in activity, concentration problem and occasional mood swings. His current neurologist does not do anything and all he does is keep doing a blood test each time. | 3,096 | Hi. Thank you for your question. History of epilepsy and intermittent episodes of confusion with loss of memory of the episode (amnesia) is concerning for seizures. For the workup of seizures, he should get routine brain wave testing (EEG - electroencephalogram) or a long-term EEG monitoring to identify any abnormal brain discharges which can cause a seizure. Other things to look at it is head imaging like CT head or MRI brain (if not done already) as it is not uncommon for elderly patients to have blood collection around the brain (subdural hematoma) to present with altered awareness or confusion. I agree with blood tests as an initial test to look for metabolic encephalopathy due to deranged blood electrolytes level and body metabolites such as BUN (blood urea nitrogen), ammonia, etc. Please do not hesitate to reply if you have any other questions or concerns. | Q. Is there any way to get amnesia through anti-epileptic medications? |
Hi doctor, I recently had a laparotomy due to an endometrial cyst on each of my ovaries. On my right ovary, the cyst measured at 18 cm and on my left the cyst measured at 13 cm. The surgeon was able to save my ovaries with no problem. My ovaries just needed to be stitched up after having the cyst removed. My question is, when can I try to conceive? I am 20 years old and my doctor recommended I get on the pill due to the endometriosis, but I really do want to conceive really soon. None of my reproductive organs were bothered other than my ovaries being stitched. I am currently on Junel 1.5/30. | 3,097 | Hi. How are you doing? Great to know that the surgeon could save your ovaries, though the cysts were really so large. During surgery surgeon would have removed all the visible, I mean all macroscopic endometrial deposits. But there will be microscopic deposits, not visible to the eye and they will not allow proper fertility outcome. Immediately following surgery or any such physical stress, the egg or follicular response also will be less. So, rest for ovaries for a period of 3 months will do good. During this period of waiting, the use of hormone pills or injections like Leuprolide will allow a better follicular response. So I would advise as your doctor did. You are so young and will surely have a good follicle reserve left to use. Hope I have clarified your query, do write back if any more queries and for your feedback. All the best. | Q. Which is the correct time to conceive after laparotomy? |
Hello doctor, I am currently redesigning the common nutritional label to make it more to encouraging people to make healthier decisions while grocery shopping. I would love it if you can take a few moments to answer some of my questions below as they are important to our research and final design. Please feel free to answer as many questions and at any length that is comfortable for you. What do you think is the most common and most damaging misconception people have when it comes to purchasing food in the supermarket? Do you think that people focus too much on calorie counting and not enough on eating healthy foods? If you can include only three things in a nutritional label, what would you choose? In your experience, what do people mostly focus on when studying nutritional labels, calories, fats, or sodium? What do you think they should be focusing on the most? In your opinion, how can people make more educated decisions when grocery shopping? Do you think the nutritional label is enough to rely on? If you were to design a completely new nutritional label, how would you make it easier to understand or read than the previous five examples of nutritional labels? Do you have any suggestions? Of the many food trends that constantly spring up, should the average consumer believe any slogan slapped across the packaging of food products? What are some tell-tale signs to be aware of? Thank you so much for taking the time to answer my question; you are helping in more ways than you might think. | 3,098 | Hi. All the best for your projects. I think it will take time to teach people to understand the importance of nutrition labeling but with my experience, I can answer your questions from the way I have understood by my patients. Misconception spreads mainly through advertisement. People does not read and they want to just understand what media say. The trend of looking into calorie content is increasing mostly on our IT people. I would prefer calories from sugar, calories from fat and sodium content of product per 200 g. About calories, I think we need to teach each detail of sources of fat, sodium and potassium levels. I guess all medical professionals need to teach the importance of reading, food labeling as we can observe an increase rate of metabolic disorder. If we guide in the proper way it could be helpful, it might be in schools or some awareness programs. A small note on the ingredient used and its importance or guiding note on macro as well as micronutrient uses in points. The mantra of advertisement needs to be changed or we need to explain the concept of being healthy with the use of daily simple products. | Q. What are the ways to educate people about grocery shopping? |
Hi doctor, I cannot stop nocturnal emissions. I sleep on my back and I do not even put any blankets on myself. I neither watch something or think about it, but it happens two or three times a week. I get brain fog from it and my voice badly changes. I get tired of it. Please help. | 3,099 | Hi. Nocturnal emissions usually occur in sex dreams and often even without dreams. Sleep ejaculations are healthy and normal for everyone. They do not cause any problem in your sexual life either now or in the future. Just as pressure cooker releases steam every time the pressure inside the cooker increases, so also your body expels the unused semen once in a while and gives way for the production of new sperm or semen. This is nature's way of releasing the sexual tension building up in you. Probably it is also a way to check that your sexual system is working fine, and to make sure semen does not become stale. Night falls disappear once you enter into regular sexual life. There are a number of myths in society about night falls. Buying those myths causes psychosomatic symptoms like brain fog, weakness, fatigue, etc. Be assured, all these are myths and misconceptions due to a lack of scientific knowledge. So the next time nightfall occurs, laugh it off, wash it off and enjoy it. If the symptoms persist, they may have other reasons behind them. Get a general medical check-up to identify the causes. | Q. What can be done for nocturnal emissions? |
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