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Hello doctor, I would like to know an orthopedist opinion about my mother's situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she could not walk because of it. There are some noises too. A few doctors said she needs Megasystem-C Link prosthesis, which would totally replace her hip and knee. What is your advice? Is there any intermediate option, like replacing only the actual prosthesis and adding pieces of bone? We heard that, in case of choosing the Megasystem-C, that can lead to amputation. So, we are looking for a second opinion. I have attached the radiograph links, please check. | 3,100 | Hello. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a total femoral replacement. This, in reality, would need the whole femur to be removed but is not equivalent to amputation. The knee would have to be a constrained variety of her knee ligaments. | Q. How can mobile knee be treated in a femur plasmacytoma patient? |
Hi doctor, I am 25 years old. I have been diagnosed with PCOS 3 years ago. I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my GP advised I stop my pill. My periods have been on and off however I have not actually bled as such. There is just continuous dark brown discharge for a few days but no red flowing blood. What could this be and how do I go about treating it? | 3,101 | Hello. If you have been on pills for PCOD for more than 3 years now and yet your hormones remain uncontrolled and menses have not been regularized, then there is definitely something wrong in the treatment protocol or you may not be following the lifestyle changes which you may have been advised to follow. It is best to stop pills for at least 3 months after such a long treatment already and switch to lifestyle changes now for results. If pregnancy is not a concern lately, then the pills can be avoided. However darkish brown blood indicates irregular shedding and this could be due to isolated progesterone deficiency, which can be evaluated by your serum progesterone levels. However immediate control of bleed can be achieved with antifibrinolytics. You may discuss it with your treating gynecologist. Please feel free to discuss this further in detail. Regards. | Q. What causes brown discharge after stopping pills for PCOS? |
Hello doctor, I am a 21-year-old female, non-smoker. I noticed a bump at the back of my throat the other day, but I am not sure how long it has been there as it does not cause me any pain. I had my last dental visit before two months, so it must have developed sometime since then. I got the three-stage Gardasil vaccine when I was younger so I am not sure if that helps rule out HPV or not. I am out of the country until four months, so I am wondering if this is something that needs immediate attention or can wait until my next dental appointments. What is this red bump at the back of my throat? I am currently taking Ortho tri-cyclen. | 3,102 | Hi. I have seen the picture you have attached along with the complaint. (attachment removed to protect patient identity). It looks like a pharyngeal ulcer because of the patchy and reddish appearance. Chances of infection of the tonsils are also greater. But you have mentioned that it is totally painless and has been there for a while. So I reckon you visit an ENT specialist not a dentist for this issue. If this is painful while swallowing or drinking cold food please put it to the attention of the doctor. It can be treated with simple antibiotics then. If not this has to be addressed quickly to rule out any other infection with a blood test apart from HPV as you got vaccinated for it. I hope this helps. | Q. I have a small bump at the back of the throat with no pain. Does it need immediate attention? |
Hello doctor, I want to know about my dad's PSA prostate biopsy report. The report is in french language and I will translate it in English. Doctor advised him to take hormone therapy and radiation therapy. Will that work? Biopsy report shows: Adenocarcinoma of prostate Gleason score 6 (3+3) associated with ultra ductal carcinoma with extra prostate. Presence of numerous enlarged nerves. I want to know its treatment and side effects. My dad is 78 years old and he has high blood pressure. He did bone metastasis and it came back negative. What is the best treatment for my dad? | 3,103 | Hi. It looks your father has been diagnosed with prostate cancer. The good thing is that his bone scan is free of metastasis (spread). I will suggest them to do an MRI (magnetic resonance imaging) pelvis and x-ray chest plus abdominal ultrasound for staging. These investigations will show the extension of the prostatic tumor if the tumor is confined to the prostate only. He needs a surgical assessment for the possible radical removal of the prostate along with the tumor. If they found him unfit for surgery or inoperable tumor, then the next step is radiotherapy and hormonal therapy. In general, prostatic cancer is usually a slow-growing tumor. It takes years to spread to other parts. From stage 1 to stage 3 prostate cancer five years of survival is almost 100 %. | Q. My dad has adenocarcinoma of prostate with no bone metastasis. How to treat him? |
Hello doctor, Please explain my NT scan report and double marker test. My present age is 44 years. My NT scan was done on 12w 5d. Crl - 64.1 mm Nasal bone present Nt - 1.8 mm Ductus venosus - normal flow Placenta - anterior Double marker result: Hcg corr mom - 1.64 Nb present Nt corr mom - 1.12 Papp a corr mom - 0.42 Down syndrome - 1:81 Edward syndrome - 1:3234 Patau syndrome - 1:3135 Please explain whether I can continue with my pregnancy? How far is the risk? | 3,104 | Hi, Welcome to icliniq.com. NT scan is just a screening test to pick-up cases of Trisomy. Nuchal translucency of <3.2 mm, nasal bone seen and normal blood flow in ductus means the chance of trisomy is very low. To confirm this doctor has done a double marker test. They too are within normal limits. These values are extrapolated over a graph of general values, as MOM- multiples of median. Both the markers are normal. In your case, only risk factors which have given a risk of 1: 81, is your age (any ratio < 1:250 has to be further investigated), which unfortunately cannot be altered. When the values are graphed over your age, they fall at high risk. But do not worry. So the ideal next step is to undergo an amniocentesis at 14-16 weeks of pregnancy and genetic analysis can give you a diagnostic result. I feel it will be normal. Just relax and wait for that normal result. You can definitely continue the pregnancy. I hope this helps. | Q. Please interpret my NT scan and advise me the risk of syndrome with my pregnancy. |
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? | 3,105 | 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. | 3,106 | 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. | 3,107 | 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. | 3,108 | 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. | 3,109 | 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 have had some on and off spotting for three to four days. It is pinkish color and then I have a little brown color when I clean myself. I have had no cramps, no pains, no nausea the only thing that I have had is my areolae are super sensitive. My last period was the last week of last month and they are usually spots and not irregular. I have taken two pregnancy test and both came back negative. I have looked online and have heard of implantation so I am wondering if this could be a really late period or possible pregnancy. My husband and I do not use protection and I am not on birth control either. The spotting is off and on, not all day, usually, I have to change pads often for my cycle but I can use a light pad for all day use with the spotting. If this seems like implantation when can I test and get a positive? How far can implantation happen? Usually, my cycle has clots in it and is super heavy and I have some pretty bad cramps, but I have not had any type of pains with this. I have one son already and did not notice this earlier. | 3,110 | Hi. According to your information, today is a bit early to have pregnancy test positive. None of these signs predict pregnancy. Urine pregnancy test and also the serum beta HCG (human chorionic gonadotropin) is usually suggested at least one day after the expected period. Breast tenderness or pins and needle sensation is due to the progesterone hormone, which is normal before a normal period. The pink spotting can be either an excessive discharge from the cervix due to congestion. So also the brownish discharge, which is old altered blood. One more reason, if I may suggest is your weight. Your expected weight is 52-57 kg. This extra cholesterol can get converted into hormones altering the hormonal support to the endometrial lining. So this luteal phase defect can cause these clots, fleshy masses in periods blood with quite disturbing pain. Some leftover old blood also may be falling out now. The pain will be more if you have a cesarean section. Since your last delivery, mostly your body weight has not reduced. Anyway, check your urine for pregnancy at one day after your expected periods. Use the morning first sample of urine. I hope this helps. | Q. Does on and off spotting after unprotected sex imply implantation bleeding? |
Hi doctor, I am 26 years old. Two years back, I found that I have autoimmune hepatitis. At that time they did Fibroscan, in that kPa is 14.5 (F4). Last one year I took medicines (steroids) and I stopped. Now it again came back and doctors did a biopsy, in that it is showing: Portal and lobular hepatitis with areas of confluent hepatocytic necrosis and Ishak fibro score are 0. Is it possible for my fibrosis to come from F4 to F0? How is my liver now based on that biopsy report? | 3,111 | Hi. In autoimmune hepatitis, it is possible to decrease the fibrosis. Or other possibility may be that, initial fibroscan was done in acute inflammatory state hence it may be falsely high. We need to compare it with the liver enzymes at that point of time. Autoimmune disease may be episodically triggered by various factors. You must continue the medication. | Q. Is it possible for fibrosis in autoimmune hepatitis to come down from F4 to F0? |
Hello doctor, I m female, 21 years old, 4.8 height and 42 kg weight. I am suffering from psychic problem. I think I have bipolar disorder, I get too much angry, anxiety,stress, and get depressed soon. I will break every object when I get angry I will become out of mind in that time, I broke more then 25 mobiles and other things and I repented for all that after some time but I cannot control that behavior every time I do that and I repent after some time. I am fed up with that. I tried commiting suicide also many times once I was saved in difficult situation so I do not have guts to try that again and I do not like to but I cannot live like this. I have less friends, I am creating problem to my parents also. I really tried to change my behavior but I am not able to do anything about it. I beat my mother in angry I am in that guilt currently. I do love my parents but my anger is the main problem. My current mood is I do not want to live and I do not like to die in between this. Please help me to come out of this problem. | 3,112 | Hello. I am sorry to hear about your situation, I can understand it must be really difficult for you right now. What you are describing looks more like depression with anxiety, for bipolar disorder there has to be episodes of Mania which can be diagnosed after complete evaluation and psychiatry history. First thing you need to understand is that your behaviour is partially in control of you when you have a mental health disorder and the actions that you do because of depression or bipolar, is not much under your control but with medications and proper therapy treatment you can control these. There are two things that you will need to get help with this, starting psychotherapy that is counselling sessions which will help you in controlling your anger and it will also help you vent out your emotions and all the guilt that you are holding which is making you even worse. Secondly you may need medications which can be decided after complete evaluation. Please find a local therapist or a psychiatrist they will guide you. If you cannot find the local therapist we can start therapy online via video consultation. Please do not worry, it might take some time but it is definitely manageable. | Q. Can bipolar disorder cause increased anger? |
Hello doctor, I am 24, a male, recently I had some intense shoulder pain and a full panic attack. I suffer from panic attacks and depression, I went to the er and I had a 21000 total wbc count, chest X-ray, abdominal ecography and urine tests all were okay, the rest of the cbc I believe was okay since the er doctor was not concerned and gave me some painkillers for the shoulder, after 1 day I went back because I was worrying for that high wbc count and this time it was 15000 wbc but again I did not see the rest of the cbc, and then I went back a week later and the wbc was 11.750 with 38 % lymphocytes 40 % is the limit it says and platelets were 350 within normal rangeand the rest of the cbc was normal, clinically I feel good but as I have depression I cannot stop worrying about the wbc and I am scared it might be leukemia. I had a head CT scan 4 years ago and I read some inconclusive studies that it might slighty increase the chance of leukemia. Please if you can answer. | 3,113 | Hello. This pattern in which wbc has behaved, does not fit into leukemia. Leukemia is an uncommon cause for wbc elevation, other common causes are infection, steroids or any bodily stress can lead to this. It's not expected to go down in leukemia, and counts are usually much higher than this. Also, you are asymptomatic. So does not appear like a leukemia to me. You can get your count repeated after a week or so and also request to do peripheral smear to look for morphology of the cells. So, does not look like a worrisome to me. Hope this helps you and get back if you have any doubts. | Q. Does raised WBC count mean leukemia? |
Hello doctor, I am 23 years old. Recently I have strange symptoms. Firstly I had numbness in my left hand then in my right hand. Then I had the same symptoms in my legs and feet. I have numbness and also tingling. Then I had headache, mouth numbness and also right face numbness. I have been checked by the doctor I did the vitamin D test and I have dificiency 20.1 are my results. And the doctor advised me to take B12 vitamin injections and also "annister 25.000 ul'' two for two weeks and then I have to take them every month for three months. It has been three days that I took the suplement and I do not have improvement. I am afraid, please, do you have any suggestions for me? | 3,114 | Hello. Firsty, the complaints of tingling, numbness indicates some neuronal insufficiency which could be due to various reasons including vitamin b12 deficiency, multiple vitamins deficiency, thyroid dysfunction. I can say there is not much to worry if you have healthy dietary habbits and medications. Thyroid profile B12 deficiency Thyroid dysfunction B 12 deficiency 1. Tab. Neurokind-lc at night 10pm after food x 20 days 2. Tab. Mvt once daily afternoon after food x 20days 3. Tab. Vit D3 60k IU weekly once for 6 weeks Review with reports after 1 week | Q. What causes numbness and tingling in hand, mouth and feet? |
Hello doctor, Is real time viral load reliable for HIV test after 14 days of sex encounter? I got normal result. I also did p24 on 15th day and get negative result. Now can I be safe from HIV? I use two condoms at the same time during intercourse and I do not know my partner's HIV status. With other partner, I just kissed her without any physical relation. | 3,115 | Hi. The answers to your queries are: If you had used the condom consistently and correctly, changed for each sexual act with one person, and it did not break or slipped off during the act and you removed it while the penis is still not soft, your risk of HIV is nonexistent. HIV cannot be transmitted by touching or kissing alone. The test you performed is highly sensitive and specific and gives accurate result. A negative HIV-RNA test needs to be complemented with fourth-generation HIV combo test at four weeks. If the result is negative, HIV rapid antibody test needs to be repeated at three and six months of last exposure. I hope this helps. | Q. My p24 test shows negative result. Am I safe from HIV? |
Hello doctor, I had oral sex before months. I did the following tests. 1. HIV combo 4th generation (CMIA) during 2nd, 3rd, 4th and 5th month after exposure. All results are negative. 2. HIV combo 4th generation and ELISA during 7th month. All results are negative. 3. HIV test from ICTC center in general medical college hospital in the ninth month with a negative result. 4. STD tests are also done. 5. HCV on ninth month by ELISA method. Now 11 months have passed and I have lymph node under the jawline on both sides. Both lymph nodes are equal in size as that of green peas. It is moving but I do not have any pain. Is it lymph node? Do in normal body is there such type of lymph nodes present? Or is this symptom of HIV? Is this a serious condition? I am 32 years old with good health. I have attached all my reports. Please provide information on what is my status? Should I need to test more or not? What is the size of the lymph node in the normal body under the jaw line? Some say that HIV test may take nine months in some cases, what are they? Sometimes I feel muscle pain and some mouth infection, is ti sign of HIV? As per NACO, there may be very rare chance of some persons to show positive after nine months. Who are they? | 3,116 | Hi. I have gone through the details and reports. (attachment removed to protect patient identity). The chances of transmission of HIV by unprotected intercourse with an HIV positive person is very low (1/200 to 1/1000). If protected it is nil. Chances of transmission by oral sex are almost nil unless there are bleeding wounds in both. The risk is nil. If HIV antibodies tests are negative after three months and are repeatedly negative until nine months. It is conclusive that you are free from HIV. You can allay fears of HIV totally. There is no need for further HIV tests. Other STDs too are negative. The symptoms are nonspecific and do not suggest HIV. The lymph nodes swellings may be due to simple respiratory infection or tonsillitis. Antibodies are formed by two to six weeks latest by three months. In the very rarest of rare cases who has immunosuppressive disease it may be positive by six months. They have severe symptoms and signs of immunosuppression since childhood. You need not worry about such issues. Forget the episode and lead a normal life. | Q. Does painless pea-size lymph nodes under jawline points HIV inspite of negative HIV tests? |
Hi doctor, My 3-year-old daughter was diagnosed with pneumonia eight days ago (examination and x-ray). She was put on Amoxicillin (six more days) and Klacid (supply finished today). Although she is tired during the day and breathless trying to climb out stairs, she is lots better. In the last day or two, she has come out with a red rash all over her face and for the past two nights, she has been constantly coughing as soon as she lays down to sleep. I have to hold her upright on my lap to control her cough. Is this a normal stage of recovery? | 3,117 | Hi. As per your description, the child seems better but since the child has gone through so many problems the recovery may be prolonged. What you are explaining does not exactly fit the picture of a recovery as the child is breathless and a new rash has developed. The rash may be a drug-induced rash but there should be no breathlessness. I would strongly advise nebulizing the child with Duolin every four hourly and Budecort every six hourly. Also, I think a repeat x-ray film should be obtained to find out if the patch of pneumonia is still the same or it has increased? If it remains the same it is fine since the time of two weeks to up to one to two months may be required before a complete radiological clearing. Also, you have not mentioned if the child was given an iv medication or oral. In the current scenario, I would have preferred iv (intravenous) medications. Also, sometimes one of the complications of pneumonia is an effusion which will lead to breathlessness but since your child does not have fever currently that is ruled out. Another important point I want to know is if there is a history of asthma in the family? Because if there is then this phenomenon that you are describing may be completely different from pneumonia and may actually be the start of asthma. | Q. My kid developed red rashes in her face after pneumonia treatment. Is this normal? |
Hello doctor, I am 25 years old. I have palpitations for the past three months. No anemia, TFT is normal, MRI abdomen and chest are normal. Echo shows atherosclerotic aortic valve with ejection fraction 60%. Holter shows minimum HR-120 and maximum HR-190. I have associated fatigue at times, tremor and difficulty in breathing. Chest pain is aching sometimes and pins and needles more often. I have seronegative arthritis. Previously I had dengue, cerebral malaria and typhoid. I am currently taking Betacap TR 40 mg bd for one month then stopped. Clonazepam 0.5 mg bd for two months but no help. | 3,118 | Hello doctor, I have thoroughly gone through your case and can well understand your genuine concerns. First of all, you have a high BMI (body mass index). Try to reduce the weight as you know it is high for this age and height. Ejection fraction of 60% shows you have aortic stenosis due to sclerosed aortic valve. In this regard, we have to keep in mind that this much back pressure on the left ventricle with every heartbeat is making the ventricular walls and interventricular septum more thickened and dilated. Improper output is making your heart beat faster and it also reduces the cardiac output. Stenosed aortic valve. Hindrance to outflow of blood. Cardiac angiography. Beta-adrenergic blocking agents are the mainstay of treatment to reduce heart rate and control palpitation and to reduce cardiac oxygen demand that has increased due to increased heart rate. Maybe we need cardiac ablation and also there may be a need for valvular replacement sometime later in life. Avoid strenuous physical activity. No junk foods, caffeine, tea, coffee, chocolates, and energy drinks. | Q. Echo shows 60% ejection fraction and Holter shows 190 heart rate. Should I worry? |
Hello doctor, I am 21 years old. I have pimples problem. If I do not take non-vegetarian and fast foods my pimples disappear but if I take egg or chicken or meat it comes out again. And most important is that if I avoid nonvegetarian foods but if I do not drink six to seven liters of water even pimples come out. Please advise me is six to seven liters of water harmful for me? And I want to eat eggs how can I eat? If I take spicy food after a few hours something burns in my stomach. I cannot even take spicy foods. What do I do? I want to eat everything? Please help. | 3,119 | Hello. The pimple problem or acne is a very common issue for young men of your age. It affects morale and creates constant anxiety in the minds. The solution to this problem requires one adheres strictly to certain diet regimens and take abundant care of their skin. Drinking so many liters of water is not harmful. Continue it. Water helps to wash off bacterial toxins and remove pimples. Make sure you do not fill your stomach with water immediately after a meal as that would distend the tummy and make you fat over time. But taking so many liters of water intermittently is beneficial. You are advised to avoid oily foods. The yellow of egg is completely cholesterol. While preparing non-vegetarian foods to make sure minimal oil or butter is used. Use boiled meats better. Fish oils are good for health and fish is the healthiest non-veg food. Red meats are not very healthy, and so is beef or pork which have a lot of fat in them. You must use a good face wash that will remove excess oil from the skin as well as maintain adequate moisture in the skin. However, if your skin is dry type then you must use a face wash that hydrates the skin well and does not add to its dryness. Deciding on the right cosmetic product takes time and patience, but once you arrive at the right one for yourself then there is no looking back. If you are unable to tolerate spicy food it is best to avoid it. If this problem is a recent one then you may take some anti-acid reflux medicines like Pantoprazole 40 mg twice daily for two weeks and Mucaine gel syrup two teaspoons thrice daily after meals. This will remove acidic reflux in the tummy and reduce the burning sensation after meals. You are advised to reduce the intake of coffee, tea, smoking, and alcohol. Last, we have many anti-pimple or anti-acne creams available in the market. Clindamycin, Adapalene, Nicotinamide, Retinoic acid, and Benzoyl peroxide are all very effective. If you can send a picture of your face with clarity then I can assess the severity and recommend the cream and how to use the same. Do not use these creams on your own as indiscriminate use can worsen the condition and lead to disastrous side effects. I hope this helps. | Q. I get pimples when I take non-vegetarian and spicy foods. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,120 | 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. | 3,121 | 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. | 3,122 | 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. | 3,123 | 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. | 3,124 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I was on birth control (Aviane) for almost two years. I stopped taking the pills after my serious relationship ended before two months. My first period after my withdrawal bleed happened in the middle of last month. It lasted about two days, was somewhat heavy, but then I mostly spotted for two days. Since then, all of my periods have been the same. Somewhat heavy for two days, then light spotting for two or three days. My cervical mucus has not seemed fertile, and I have not felt any ovulation pains like before I was on birth control. Everything about my period seemed different, and I have been thinking that meant that I was not ovulating like before, but I know that might not be the case. I had unprotected sex on day 10 of my cycle. We used the pull-out method, but just to be safe, I took five orange pills (Aviane) about 12 hours later, then five more orange pills 12 hours after the first dose. Today, four days later, I am feeling mildly crampy, but I am experiencing a lot of white thick discharge. My question is, are my chances of pregnancy low considering everything? And also, if I experience a withdrawal bleed from the bc pills, when should I expect my real period again? | 3,125 | Hi. Since you have taken pills, there is no chance of pregnancy. These symptoms could be because of hormonal changes due to the pill you have taken. Your next period could be a bit erratic, because of the hormonal changes due to the pill you have taken. But from the third month, usually, it get back to normal. So relax and do not worry. However, if you have any doubt then get back to me. | Q. What is the chance of pregnancy on taking birth control pills after unprotected sex? |
Hi doctor, My mother is 62 years old. She is under regular medicine for BP. Since five years she is taking Olmy-D 20 mg and Cilapam plus at night. She is suffering from prolonged cough and fast breathing after long walk and climbing stairs. I am attaching her recent ECG, echo and x-ray reports. Please suggest whether she needs angiography as a further investigation. Her doctor advised Ecosprin 150 and GTN 2.6, which she is taking from yesterday. | 3,126 | Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Is it a must to get angiography for cough and fast breathing? |
Hello doctor, I am a 27 year old male. My skin complexion is close to dark and I have been suffering with acne black spots on my face. I tried few creams, but I am not able to get rid of these black spots. I also used lemon juice to cure my black spot, but there is no improvement. Please suggest me something to get rid of these acne marks. | 3,127 | Hi. Revert back after three weeks to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. How to remove acne black spots? |
Hi doctor, I am a 34 year old male. I am married. I have good general health and good sexual appetite. But, I am suffering from premature ejaculation from the day of my marriage. When I insert, the semen ejaculates within a few seconds. I took a test and consulted a sexologist. He suggested Nano-Leo, Uphold and Ultra D3 at night and Ultra D3 and Spem cure in the morning. When I took these tablets at night I woke up at night 1 o'clock with heavy sweating, nervousness, shivering and indigestion. So, I just stopped all tablets. What can I do now? We not yet had a proper intercourse yet. Please guide us. | 3,128 | Hi. I have read and understood your problem. For further information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. How to control premature ejaculation? |
Hi doctor, I am taking Stalopam 10 bd, Fludac 20 od and Alprax 0.5 od for anxiety and depression. I feel sleepy in daytime and frequent yawning. I feel fatigue and no energy or activeness. I am also on Olmesartan for high BP; Harty and Mactor EZ for high cholesterol levels. Kindly suggest some medicine which will give energetic and active signal from brain to body. | 3,129 | Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Kindly suggest some medicine to become energetic and active. |
Hi doctor, I am 37 years old. Five months back I missed my period and then got bleeding for two days in the following month. Now again for the past two months I did not get my periods. Sometimes, I feel tired. Am I pregnant? | 3,130 | Hello. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. What could result in missing periods? |
Hi doctor, I am an 18 year old girl. I am feeling stings in my upper body for quite some time. The stings are sometimes in my chest and sometimes in my lower abdomen. They last for nearly 40 seconds, but are occasional. And there is a lump in my right breast. It is a solid lump and it does not cause pain. I have bruises on my legs for three to four months and they are not fading. My hairs are falling too much since last month. Do the signs predict any sort of cancer? | 3,131 | Hi. First calm down and be relaxed. For further information consult a pain medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/pain-medicine-physician | Q. Do stings, breast lump, bruise and hair fall predict any sort of cancer? |
Hi doctor, I snore and wake up tired daily. Sometimes, my nose is runny all day. I have attached my CT report for your reference. I just wanted to know if surgery necessary. Will it benefit me? Please explain. | 3,132 | Hello. We are happy to help you. Your CT scan (attachment removed to protect patient identity) concludes that you have retention cyst inside both maxillary sinuses and the right frontal sinus. Retention cysts form when fluid collections in the sinuses get covered with a mucus lining. These cysts produce nasal symptoms of obstruction or running nose, which can cause a blocked nose in the night and thus mouth breathing. Mouth has lot of soft tissues (unlike the nose) which vibrate while breathing and produce snoring sound. Yes, you will get benefit from surgery. An endoscopic clearance of the pathological sinuses will remove your nasal symptoms and help you breathe through the nose at all times including at night by avoiding mouth breathing and snoring. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist | Q. Will I get benefit from sinus surgery? |
Hi doctor, I have done inversion method in yoga for the last six days. Now, I have got pain in head and eyes. What can I do now? | 3,133 | Hi. For further information consult a yoga specialist online --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist | Q. What can I do for headache followed by inversion method yoga? |
Hi doctor,My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us. | 3,134 | Hi. I have seen your concern and examined the given pictures (attachment removed to protect patient identity). Anxiety, depression and personality disorder. No specific laboratory blood tests are required to establish a diagnosis of dermatitis artefacta nor are any diagnostic imaging studies indicated. 1. Dermatitis artefacta. 2. Factitious disorder. 3. Striae distensae. Dermatitis artefacta. 1. General dermatologic care measures include baths and debridement (thorough cleaning). 2. I suggest you to apply emollients like Emoderm cream (White soft paraffin and liquid paraffin) twice daily along with topical antimicrobials like Fusidin cream (Fusidic acid) twice daily for five days. Consult her doctor, discuss with him or her and take the treatment with consent. 3. Consultation with a psychiatrist is recommended. She needs to be observed closely and she really requires psychological support. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My daughter suffers a strange allergy. What is it? |
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? | 3,135 | 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. | 3,136 | 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. | 3,137 | 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. | 3,138 | 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. | 3,139 | 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 26 years old. I just found out that I have high cholesterol. My doctors advised me to change my diet. But, they did not give any suggestions other than to avoid fast food and fatty food. My issue is that my diet option is already limited due to my food allergies (strawberries, melons and shellfish). Also I am suffering from Crohn's disease. Kindly help with my diet. | 3,140 | Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician | Q. Kindly advise a diet to lower cholesterol. |
Hi doctor, I am a 46 year old male. My weight is 75 kg and height is 6 feet. I do not have diabetes and BP. I have asthma which is under control. I am facing problems in getting erections. It is getting worse with time. I tried some treatments for depression and practiced relaxation techniques with no success. My erectile dysfunction problem is there during each sexual activity. The problem started some five years ago. I used to take Viagra 50 mg. The result was good initially but the hardness lasts only for 30 minutes maximum. I could not bear the side effects like headache and face swelling. Even that tablet is not working for me recently. My problem reached to unmanageable levels recently. I get early morning erections. I would like to be treated for this. I would like to know what tests to be done for identifying hormonal or any other deficiency. I will provide any other information as required. Thank you. | 3,141 | Hi. I understand your problem. Revert back with the reports to a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. How to rule out the cause for erectile dysfunction? |
Hi doctor, Since five days, I am having non-radiating chest pain after having a cup of coffee. There is no palpitations, sweating or other symptoms. My BP is right now 100/76 mmHg. The pain is tolerable, but occurring on certain movements and also when lying down it occurs. There is no past history of such a kind of pain and no family history. I do not have any general allergy or for drugs. While having food too it is little bit paining while the food is passing through trachea. I think it may be due to gas and took Rantac but that did not help. It is happening on certain postures and movement only. It is a kind of annoying to me. Please help as soon as possible. | 3,142 | Hi. I understand your concern. ECG and chest x-ray. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Please help with my non-radiating chest pain. |
Hi doctor, I am a 29 year old male. My height is 5'11" and weight is 90 kg. I am going to be married next year. My problem is that I am suffering from erectile dysfunction and premature ejaculation. In my case the erections are there, but the ejaculation is even quick. The erections are not full. What I have analyzed is that I can stand only till foreplay or a maximum of two minutes during foreplay. I get erected very easily even a single thought can get me erected. Please help me in this regard. | 3,143 | Hi. Anxiety and hyperexcitation. Serum testosterone and prolactin. Sildenafil and Dapoxetine combination. For further information consult a sexologist online.---> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. What is the solution for erectile dysfunction and premature ejaculation? |
Hi doctor, I had unprotected sex with my girlfriend. But I have not ejaculated in her. Is there any chance for pregnancy? Some yellow substance was there on the tip of my penis. What is that? | 3,144 | Hi. The process you have adopted while performing sex is termed as withdrawal method. Though this is a commonly practiced method, there exists reason for failure. The cause is some of your sperms could be present in your precum that is some amount of clear secretion from penis before the ejaculation. It could cause a pregnancy. Contrary to your belief, no sperm will be present in the yellow deposit termed smegma. Finally, you have to consider in which day of her period you had sex. If she is in between day 8 to day 17 of her cycle, chances are high. Otherwise, there is no such apparent risk. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. I have a cyst and suffer irregular period. Can I take I-pill? |
Hi doctor,I am a 28 year old male. I got married before two years. For the past three to four months, I have a condition of irritation at the base of the head of penis head, tight foreskin and redness especially where the foreskin is connected to the head. It happens after intercourse and it takes about four to five days to become normal. This happens after each intercourse for the past three to four months. Please advice. | 3,145 | Hi. For further information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist | Q. Why do I have irritation at the base of head of penis after intercourse? |
Hi doctor, I applied 35 % TCA peel before two days and then I got some burning and redness on the area. It is all black now and also getting darker day by day. How can it heal faster? Is there a chance of leaving out scar? | 3,146 | Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My skin has become dark after applying TCA peel. Why? |
Hi doctor, Why are men generally affected by cancer than women? Do they have less tumor suppressor genes (p53) than women? Or is there a different reason entirely? | 3,147 | Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Why are men affected by cancer more than women? |
Hi doctor, I got married three years back and I gave birth to a baby boy two years back. However, due to complications I lost my child in just seven days. I never had breastfeeding session with him as he was in NICU. But, sent milk to him through a tin pot for five days. However, after this unfortunate incident, doctor prescribed me few medicines to stop my milk. Soon my body stopped producing the milk. Meanwhile I was going through some emotional turmoil as separated from husband and my mother's cancer treatment. Since two years I have been living separately from my husband. Four days ago when I was trying to convince my husband regarding relationship, he messaged me that he do not want me back in his life. Till now I realized that something like milk is coming from my breast. Is this breast cancer? Or is this because of emotions about my baby? I am unable to discuss my emotions with my husband as he is not willing to listen. Please help. | 3,148 | Hello. First of all, I must tell you to relax. Stress, tension and medicine. 1. Blood for TSH (thyroid stimulating hormone), T3 (triiodothyronine), T4 (thyroxine) and prolactin. 2. Mammogram of breast. 1. Hypothyroidism. 2. Hyperprolactinemia. Stress induced nipple discharge. Revert back after the tests to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Could emotions cause milky nipple discharge? |
Hi doctor, I have severe intolerance to stress, low blood pressure, dehydration, hyperpigmentation and a lot of other troublesome symptoms. When I eat my face flushes and my heart rate goes up and my body sweats. I have carbohydrate intolerance as well. My skin is brown in color with a lot of freckles, which is not normal for me. I was recently diagnosed with reactive hypoglycemia and it is getting worse. My diurnal saliva cortisol are as follows. At 8 AM - 1.37, 1 PM - 0.11, 5 PM - 0.33 and at midnight 1.65. I have a high 5-HIAA test too and the value was 7.2. My biggest symptom is the intolerance to stress and low blood pressure with severe weakness. | 3,149 | Hello. Revert back with the answers and reports to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Why am I having low BP and severe intolerance to stress? |
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? | 3,150 | 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. | 3,151 | 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. | 3,152 | 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. | 3,153 | 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. | 3,154 | 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 have been having many issues in the last two years. My main issue right now is that I get a weird feeling in my stomach like I want to growl but I cannot. I am having shortness of breath, numbness of hands, tingling and heavy feeling. I feel like passing out and my heart starts to race. I usually burp when I get these feelings. I cannot walk far distances and these started happening about a week ago. I have had two stress tests. The first one was six months ago with heart echo. I wore a Holter monitor for a month and had several EKGs but nothing found in all of them. Now recently I have had my blood pressure shoot up and I am currently on blood pressure medicines. I am 35 years old and overweight. I have lost about 100 lbs and I am at 265. My other issues that I have been diagnosed were diverticulitis, gallbladder dyskinesia, gastritis and GERD. My cardiologist wants to do a cardiac catheterization next. Is there are any other alternative test that are not so invasive? Also really do I need it? These attacks I get are very scary and I have ended up in it several times but nothing was found. Could this be something else? I have read about vagus nerve issues as well as stomach issues that can cause similar symptoms. Should I get the cardiac catheterization test? | 3,155 | Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Is there any alternative test for cardiac catheterization? |
Hi doctor, I am having painful urination. When I pass urine only 5-10 mL of urine I pass and then end up with so much of pain. The pain is like something stuck in my penis or like some wound inside the penis. And I am also getting blood in urine. This is happening to me for the last two days. Please help me. This is the first time and I am drinking as much water as possible. | 3,156 | Hi. Based on your query, my opinion is as follows: For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. When I pass urine, it ends with so much pain. Why? |
Hi doctor, Can dead skin and excessive sebum buildup cause itchy skin? If so then what is the most effective treatment for clogged pores? | 3,157 | Hi. If you have excess sebum then you can develop acne or seborrheic dermatitis,which can cause itching. The best way to remove excess of sebum is steaming your face which not only open your closed pores but also reduce the chance of acne and other skin disease. You should do frequent face wash with water and use alcohol and acetone free face wash twice. Apply non-greasy moisturizing lotion. Eat healthy diet with lots of fruits and salad. Also avoid oily and spicy food. Take plenty of water daily which hydrate your skin and do regular exercise. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What is the most effective treatment for clogged skin pores? |
Hello doctor, I am married and I am 33 years old. I have erection problem. Sometimes, I get good erection, but it lasts only for two minutes. I did consult a sexologist. He told I am normal and I also checked my sperm count, which is normal too. My work life is stressful. Sometimes, I take Lvate capsule, but it does not work as I expected. But, later I took Caverta 25 mg it works fine. Shall I continue to take the same? Please suggest me a suitable tablet for better and longer intercourse. Nowadays a lot of medications are available and I do not know which one to take. Please suggest. | 3,158 | Hi. I can understand your situation. Revert back with the asked details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Please suggest tablet for better and longer intercourse. |
Hello doctor, Early this morning I lost vision in one of my eyes for about two minutes. My vision then came back gradually over a period of couple of minutes. I could not see any light at all. It was not painful and I have not experienced this before. I experienced an allergic reaction to a Progesterone cream when I applied to my face the same day. It burned my face and turned it red. Symptoms subsided after washing it off. I am traveling and cannot get in to see a doctor until I return home in two weeks. Is it fine if I wait to see a doctor? Please help. | 3,159 | Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. What can be the reason for sudden transient loss of vision? |
Hello doctor, My 8 month old son is having eczema issues since he was around 2 months old. I presume because of allergies. We have tried many things to find what causes his issues, but still have not got it to go away long term. My main concern is that he has had issues with digestion for the past few months. He gets constipated very easily and has to eat things that help to keep him from getting too uncomfortable. He has breastfed up until this point, but recently has self-weaned. He eats lots of solids and drinks diluted juice. I avoid giving him dairy since he seemed to have a bad reaction to formula very young. He had swelling in his lips when he tried yogurt for the first time. He is only 13 pounds in 8 months, which is very low. He eats great, but is still so little. He is not crawling or scooting; he sits by himself and watches everything. He sleeps what seems like more than usual. He wants to be held most of the time. He listens to you and watches you closely; he grabs things and can switch it from one hand to the other. He can put his pacifier in himself and he likes to drop things on purpose. He does not babble much at all and does not play as much as I would expect. | 3,160 | Hello. 1. Protein calorie malnutrition. 2. Eosinophilic gastroenteritis. For further information consult an general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. My 8 months old son gets constipated very easily. What shall I do? |
Hello doctor, I am 30 years old. My height is 166 cm and weight is 56 kg. Can you please suggest some medicines (Vitamins, minerals or something) to increase my height by few cm? Can I take some anabolic steroids (for short duration) to increase my muscle mass? At this point I just like to mention that I am diagonosed with Crohn's disease and taking Azoran 100 mg, Folvite and Razo daily. In my breakfast and afternoon snacks I take eight slices of bread, two boiled eggs, two bananas, one spoon of AlbumenCare (protien supplement). In lunch and dinner I eat rice and dal and boiled vegies. I do not take fish or meat. | 3,161 | Hello. Unfortunately, after the age of 30, it is a little less likely to increase the height further, however doing stretching exercises, using Vitamin D 50,000 IU once a week and B12 1000 mcg daily may help to improve the posture and give you an extra cm or so. Also, remember if you ended up using steroids of any sort then please do get a bone scan to look for osteoporosis (weak bones) which can result in loss of height. | Q. Are there any medical suggestions to increase height? |
Hello doctor, I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet, in both legs, both forearms, and even my stomach for almost two months now. I am scared of ALS diagnosis. I do not have any muscle weaknesses or balancing problems. I can lift 40 lbs dumbells with no problem and still do push-ups and other exercises with no problems and sprint and run without falling or tripping. I have had some sort of issue for almost a year where it feels like I am not getting a satisfying breath from time to time so I bought a spo2 meter and my O2 level fluctuates between 95%-98% with an average of 97% most of the time. I am just freaking out because everything I search for comes back to ALS. I even watched a similar story last night and I had a panic attack afterward. I guess I am just looking for a little reassurance to calm down. | 3,162 | Hello. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, thyroid gland dysfunction, benign fasciculation syndrome, vitamin B12 or vitamin D deficiency, low calcium or magnesium levels, etc. As long as there is no progression, no weakness, no muscle wasting, there is no reason to panic about ALS. I would recommend performing some tests: 1. Thyroid hormone levels. 2. Blood electrolytes. 3. Vitamin B12 and vitamin D plasma levels. 4. Complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. Nerve conduction studies would help to completely exclude ALS and thus put your mind to peace. I recommend discussing with your doctor on the above tests. I hope this helps. | Q. I have constant muscle twitching in feet and legs with no difficulty in walking. Is it ALS? |
Hello doctor, I am 16 weeks pregnant and hypothyroid. I am currently taking 75 mg per day of Eutirox (Synthroid) during weekdays and 100 mg per day on the weekends. About a month ago, I got my TSH and FT4 levels tested and the results are: TSH 1.65 mU/L FT4 16.6 pmol/L Reference values: 1st trimester 12.1-19.6, 2nd trimester 9.6-17.0, 3rd trimester 8.4-15.6. Today I got my TSH and FT4 levels tested again, these are my results: TSH 2.91 mU/L FT4 15.9 pmol/L Reference values: 1st trimester 12.1-19.6, 2nd trimester 9.6-17.0, 3rd trimester 8.4-15.6. Antibodies: HTG. | 3,163 | Hello. I just read your query and from what you have mentioned it appears that your requirement is increased during pregnancy. You have not mentioned what was the dose that you were taking before getting pregnant. However, you can increase the dose from the current twice per week 100 mcg that you are taking to thrice per week 100 mcg and 75 mcg for the rest of the four remaining days of the week. Repeat your thyroid function test after six weeks and then we will review again. You need to repeat your thyroid function test throughout the pregnancy every six weeks. I hope this helps. | Q. I am pregnant and hypothyroid. Please comment on my thyroid function test report. |
Hello doctor, I think I have a certain level of erectile dysfunction. My penis becomes hard but only from the left side and refrains from staying erect. What is the remedy for this situation? | 3,164 | Hello. I can understand your concern. If there is poor erection on one side then this cannot be ignored. This could be due to some vascular issues. Have you got any injury during sexual intercourse in the recent past? Or sudden bending during masturbation? Is there any history of hypertension or diabetes? Please provide the details in the followup. | Q. My penis erects only on the left side and refrains to stay erect. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,165 | 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. | 3,166 | 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. | 3,167 | 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. | 3,168 | 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. | 3,169 | 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, This afternoon, I decided to clean my bathroom of mould, using gloves, but no mask (I chose to help my breath instead). There was orange mould on the inside of the bath, and black mold on the walls. I used a wet sponge to clean off the orange mould. It was easy to remove, as it was soft and slimey. I held my breath, and cleaned it quickly, then came back to clean some more, and so on until it was all gone. I also held by breath to clean off the black mould, which I scraped off. At no point did I breathe in any mold smell. However, a few minutes after cleaning the orange mold, I returned to shower it off, and there was still a musty smell of mold, I only breathed it in for a second, because I held my breath even for this task. But I am worried the small amount I breathed in could affect me. I am very sensitive to strong smells, and can suffer tightness of the chest; although I am not asthmatic. I do however suffer from hypothyroidism. Is there a danger I could have negatively impacted my lungs/breathing? | 3,170 | Hello. Different types of molds can give hyper-reactive response to the airways. It is always advisable to wear mask as much as possible. You may still be exposed despite of you holding your breath but if you have no Immediate shortness of breath or chest tightness then it is less likely to effect you. Please let me know if you have any other questions. | Q. Is it possible to get lung infection through orange mold? |
Hi doctor, I am 35 years old, male with no medical history. Over the past few years, I have started to lose my hair. I am not bald visibly, but have developed thinning of hair, especially in the middle area of my scalp. I have been using ayurvedic hair oils for the past free months, which has reduced hair fall visibly, but did not help to grow new hair. Do you recommend to use Minoxidil? If yes, which brand is effective and how to use it? Can I continue to use hairoil, during Minoxidil treatment? I also have very less facial hair. Is this medicine suitable to be used on face as well, to promote facial hair growth? I do not have any dandruff problems, but the hair is usually very dry. Awaiting your response. | 3,171 | Hello. I understand your concern but there is no attached photographs in your message. Kindly send a picture of the affected area to help better. I need to see the affected area to assess the condition and to suggest the appropriate treatment. Please send the picture of the affected area. Take care. | Q. Is it advisable to use Minoxidil to manage hairfall? |
Hello doctor, My daughter is four months old now. She breastfeeds only. She used to defecate once or twice daily. Sometimes she defecated once in two to three days. Recently she has started defecating four to eight times a day (generally very small amount though) and her feces have become more liquidy. We went to a doctor who suggested some probiotics and told not to worry. She is otherwise healthy and shows no symptoms of any illness. However, we thought to have a second opinion. We did a stool test and I am attaching the recent one. Please suggest if there is anything to be worried about? She is on usual vitamin and Iron supplements. | 3,172 | Hi. It is normal for babies to have variable stool frequency. Sometimes they pass once or two times in a day, sometimes more. Some babies have exaggerated gastrocolic reflex, it means they pass stool after almost every feed. No need to worry if the stool is not watery and small amount, baby is passing urine, activities are normal, no fever, and gaining weight. No need to give probiotics or other medication. Continue breastfeeding. Maintain hygiene. ? gastrocolic reflex, ? normal variations of stool frequency. none Continue breastfeeding. Maintain hygiene. As per your requirement. | Q. My 4-month-old daughter passes stool 4-8 times a day which is not her usual. What to do? |
Hello doctor, My 19-year-old son is suffering from major depression and has been on at least four different medications, ECT and Ketamine treatments. ECT and the Ketamine seem to show the best results so far but are short-lived. And I hate to keep shocking his brain if this is not going to work (He has completed 10 sessions now). All I have been doing is research on how to help him because I know his doctor has only one hour with him every two or three weeks where I am with him every day for hours. I ran across an article about using Tramadol to treat depression and I was wondering if taking this every day would produce the same (or near same) effects that the Ketamine treatments do but over a longer time? Right now he is on Cymbalta 90 mg, Rexulti 0.5 mg, Wellbutrin 150 mg, Hydroxyzine 50 mg (as needed), Clonazepam 0.5 mg (as needed). | 3,173 | Hello. Resistant or long-standing depression needs treatment with a mood stabilizer that has not been given the list on ongoing medicines. I would recommend that you add a mood stabilizer like Divalproex sodium or Lithium Carbonate. It will help hold the mood in place once it has been elevated by antidepressants. Also, Cymbalta is not a very good antidepressant. It is the least potent among SNRI (serotonin-norepinephrine reuptake inhibitor) class of drugs. Normally, after this you can try using a TCA (tricyclic antidepressants) class of antidepressant and if that does not help then a combination of Venlafaxine and Mirtazapine is highly effective. It is also been evidenced by Star-D trials, the largest clinical trials for resistant depression. This is also my clinical experience. In addition to the primary antidepressant (SSRI or SNRI or TCA), and the mood stabilizer, also an atypical low dose antipsychotic will augment the efficacy of the antidepressant such as 50 to 100 mg of Amisulpride, or 5 mg of Aripiprazole, etc. So, there are a lot of options available which have not been tried and I would request you to consider these first, in addition to the ongoing therapies. And finally, do not use Tramadol daily that would lead to an opioid type of dependence and ultimately worsen his depression. | Q. Will Tramadol have long-standing effects same as that of Ketamine in major depression? |
Hello doctor, I am 21 years old but my skin is very loose and it looks very old get wrinkled on the upper part of my hands, feet and also in some other parts. Some areas are too stiff. I never get exposed to the sun. For these, I am using Nivea SPF30. I take proper diet with fruits and vegetables but my problem is not solved. I have consulted a lot of dermatologists but there is no improvement. I do not want any wonder results but I need some improvement. I was very depressed by this condition. Please suggest any lotion or cream to solve my problem. | 3,174 | Hello. This is genetic and you cannot do anything about it with lotions and medicines. There is a temporary procedure called dermal fillers which will give fullness and youth to your hands and legs but that is not cheap and the results last for nine months to one year. If you are interested in these procedures you can meet a cosmetic dermatologist or plastic surgeon who does fillers. | Q. Is there any cream to treat wrinkles of skin in hands and feet? |
Hi doctor, I have insomnia and for the past two years. I have been experiencing a weird emotional state. I decided to seek online advice and then go to a doctor once I confirm what I am going through. I cry almost every day for no particular reason, I have anger issues and frequent headaches. Whenever I am walking on the road I feel a weird urge to go right in front of a vehicle, and for the past one month it has increased a lot and I have not inflicted any self-harm if that is one question which might arise in your mind, but a year back I did try to cut my wrist with the help of a blade but later realized that it is lame to do as my life is very important. But a sudden turn of events in my life has caused a very weird emotional situation for me. I completed my 12th last year and now I am in my first year of law. I try to avoid people as much as I can and avoid going to college as well and I do not know the reason why I cry so much. I hope you can help me. | 3,175 | Hello. You seem to have an anxiety type disorder mixed with depressive episodes. You will need to visit a psychiatrist and he will prescribe you SSRI (selective serotonin reuptake inhibitor) type of medicines which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. The medicines I have mentioned are usually prescribed by psychiatrists. Apart from those, you can take Melatonin 5 or 10 mg. It is available in any decent pharmacy over the counter and does not need a prescription. You can try taking that daily at night. Apart from that, you can try some sleep hygiene methods like 1. Maintain good temperature, no noise or light. 2. One hour prior to bed, wind down and try reading or music. 3. Do not use the laptop, TV or phone one hour prior to bed. 4. Avoid caffeine, alcohol or tobacco two hours prior to sleeping. 5. Avoid exercises three hours before sleeping. 6. Take warm milk at bedtime. 7. Go to bed only when sleepy and avoid other activities on bed. 8. Use the bed only for sleeping or sex. If you do not get sleep, do not toss and turn, get up, go to another room, walk about for 10 to 15 minutes and come and lie down. See for 10 minutes, if not sleepy go out again. Try deep breathing exercises, progressive muscle relaxation techniques, or yoga or meditation. It will also help. | Q. I have insomnia with weird emotional state and negative thoughts. How to deal with it? |
Hi doctor, I am an 18-year old male and recently I had stopped smoking and now my throat is sore. Is it something serious? I have been smoking for four months. | 3,176 | Hello. With the conversation, I understand you are an 18-year-old male who started smoking four months back and now quit it recently. However, you are suffering from throat pain now. My assessment is that the sore throat is just a throat infection. It has got nothing to do with any cancer if that is what you are worrying about. The throat pain may have got aggravated by the smoke and the agents in it. Kindly follow these suggestions. 1. Hot salt water gargles daily thrice. 2. Steam inhalation. 3. Take plenty of hot fluids like soup, rice water, etc. 4. Take all the foods hot and warm. 5. Avoid cold drinks, alcohol, cold foods, outside foods or drinks. 7. Do not smoke again. If after the precautions told above still you have no improvement kindly consult an ENT surgeon who will look into your throat and check if there is anything wrong. He will arrive at a decisive diagnosis and institute the right treatment that will help you get rid of the problem. A note on smoking: Now that you have quit it kindly hold on to it. It is easy to get back to smoking due to peer pressure and friends. However, once you become addict to it there is no going back. Also, it takes a few years for the damage to the lungs and throat to become severe enough to cause cancer. However, only if you have a strong will power will you be able to quit it completely once you restart your habit. I hope this helps. | Q. After I stopped smoking, my throat is quite sore. Why? |
Hello doctor, I have a serious eating disorder issue for six years. I never vomit or work out a lot after I eat a lot of high calories food, like cakes, donuts, chocolate, ice cream, chips and so forth. In these six years, my weight was up and down repeatedly between 100 lbs and 190 lbs. I have been looking up to this kind of surgery for a period of time and I know it would have some side effects on my body. However, I am tired of dieting and working out, as well as eating too much afterward. It is so frustrating. I need this surgery to help me get rid of this pressure. Therefore, I can live a normal life. | 3,177 | Hi. Surgery for obesity is considered as a treatment option for patients with a BMI (body mass index) of 40 kg/m2 or greater who have tried but failed an adequate exercise and diet program and those with obesity-related comorbid conditions, such as hypertension, diabetes mellitus, hyperlipidemia, and obstructive sleep apnea, etc. It has few long-term side effects, such as a possible need for reoperation, gallbladder disease, and malabsorption. More importantly, you will have to still control over eating and exercise even after surgery. I would not recommend surgery. It would be better to consult a psychiatrist to help you get over your eating disorder and naturally help with your weight issues. I hope this helps. | Q. I have eating disorder. Is there any surgery to reduce and maintain my weight? |
Hello doctor, I currently suffer from anxiety attacks and panic attacks. It has been changing over the course of about four years, getting better and worse again. In everyday life it is manageable, but the attacks cause some unreasonable thoughts and ideas to form. I have heard about the use of Benzodiazepines for anxiety. Can they be taken to stop panic and anxiety attacks without needing consistent everyday dosages? During panic or anxiety attacks, I usually feel very worthless and in some cases try to or think about hurting myself. Generally, my anxiety tends to do with social situations where I feel like I am not liked or if I said something wrong. I have visited a counselor in the past, very briefly. Ironically my anxiety was worsened with the guilt of therapy being very expensive so I stopped seeing her. | 3,178 | Hello. Anxiety and panic attacks are extremely common and 15 to 20 percent of people suffer from this issue at some point in their lives. Standard treatment for anxiety is the use of SSRI (selective serotonin reuptake inhibitor) type of medicines. They are usually given for two or four months and then stopped slowly by tapering it off. They take two weeks to usually start taking the effect. Till then low dose Benzodiazepines can be used. I do not recommend the use of Benzodiazepines which you are considering since it just takes care of symptoms of anxiety and the intervals at which you will need to take it will reduce as you keep on using it and eventually it will lead to addiction. This is because withdrawal from Benzodiazepines will produce the same symptoms as that of anxiety. Also, consider doing deep breathing exercises or progressive muscle relaxation along with medicines. | Q. I get anxiety and panic attacks. Will Benzodiazepines help in this regard? |
Hello doctor, My husband and I recently underwent an IVF cycle and it failed. Originally, my husband has a problem with 1% morphology. But, now I a have poor ovarian reserve. I am 39 years old and my AMH was .24. However, my FSH was 5.5 last time. AMH was not repeated. I was stimulated with the maximum dosages and only produced three eggs which all produced embryo's (I do not know the quality, only that one had progressed normally by day 3). We did a day 3 transfer. On the second day after the transfer, I had what I can only describe as scab-like discharge about the size of a tear. One the sixth day, I finally left the house and started to resume so level of normal activity (no heavy lifting) and that afternoon I had a very bright red urine flow like a small amount of blood pass when I used the bathroom. I thought that it might have been implantation bleeding, but clearly not. I want to try IVF again, but I am afraid of the same results. In doing research, I found a book that suggests many environmental factors such as BPA and phthalates can play a part in egg quality, quantity and affect the sperm as well. The book suggests waiting three to four months prior to beginning IVF to get the full effect of supplements recommended as well as let the harmful chemicals leave your body. My questions are given my numbers, in your opinion, will my number of eggs change drastically while waiting or should I be normal? Should I retest my AMH before making this decision? Also, is there any way for me to preserve my eggs (not menstruate) until the month before the IVF procedure. My thought was to take birth control pills for three months (and not take the sugar pills). Is this safe? Can it be done? What are the repercussion? Finally, Based on our numbers, would you recommend that we use donor eggs instead of trying another cycle? This time around will have to be the last as we do not have any money after this one. It is critical that we make the right decision. | 3,179 | Hi. Looking at your case history, (attachment removed to protect patient identity) it would better to go for donor eggs. Ovarian reserve decreases with age and retesting for AMH (anti-mullerian) is not going to affect the outcome (increase ovarian reserve), so no point in retesting AMH. By taking OC (oral contraceptive) pills continuously, you cannot halt a decrease in ovarian reserve (loss of eggs). Menses is just an indicator of loss, actually a woman loses 400-600 eggs per month irrespective of whether she gets menses or not. What you see on ultrasound is just loss of dominant follicle, the loss of those 600 follicles cannot be seen, it can be perceived indirectly by decrease in AMH, increased requirements of hormone injections during IVF (in vitro fertilization), reduced number of eggs retrieved and low pregnancy rate. One more effect of advanced age would be increased risk of Down's syndrome in the baby if you try with your own eggs. So considering your advanced age, low AMH, poor response to stimulation, low number of embryos formed in the last cycle and increased risk of Down's syndrome with own eggs I would suggest to go for donor eggs. | Q. How will taking birth control pills help in IVF? |
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? | 3,180 | 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. | 3,181 | 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. | 3,182 | 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. | 3,183 | 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. | 3,184 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I was accustomed to donating platelets in the blood bank. Recently, I received a letter stating I am no longer eligible to donate platelets anymore. I can donate whole blood and double red cells only. They said the reason is that I have white blood cell antibodies which can occur in response to pregnancy. The issue is I am a male. If I recall correctly from my biology class, males do not get pregnant which leads me to think this is something else. I tried asking them more details but they were vague, or maybe uninformed as to why these antibodies seen in male, when they themselves said it was often seen in pregnant women. Internet searches prove fruitless. I cannot be the only male that ran into this. The only other thing I can think of is possibly cancer only because I remember reading somewhere that if a man were to do a instant pregnancy test and it is positive, it is an indication of maybe being cancerous. I do not know, some insight into this is appreciated. I am currently taking Levocetirizine and Atarax when needed. | 3,185 | Hi. Based on your query, my opinion is as follows: I can assure you that there is no cancer or even suspicion of that. Any patient with suspected cancer or with cancer, unless completely cured, will not be asked to donate any component. You are still eligible to donate whole and double red cells, which is good. There are numerous conditions, like viral infections, which can lead to a condition called as autoimmune disease or autoantibodies maye without symptoms of autoimmune disease. Maybe secondary to an infection, you might be having antibodies, against WBC (white blood corpuscles) or platelets. You are asked not to donate WBC or platelets because there is an antibody, which could damage the recipient WBC or platelets, which can reduce the efficacy of the donation and complicate management. Your blood test is not attached, however, I think it will be normal. If you are looking for any antibodies, they are numerous. Common ones like rheumatoid factor, anti-DNA antibody, and anti-phospholipid antibody may have been screened. If the type of antibody is known, further opinion will be possible. I hope this helps. Suspected viral infection. Specific antibody screening. Antibodies cannot be removed as it is always forming. So not to worry and go on with the donation of other components. No cancer, I can assure you. | Q. I have white blood cells antibodies. Should I refrain from donating platelet? |
Hello doctor, My mother is 64 years old and is suffering from several kinds of diseases e.g. BP, thyroid, sugar, cholesterol. She is taking medicines regularly as prescribed by the doctor. Her medications are Tripride 2, Altroxin 50, Stamlovita, Met XL 25, Losartan, Atorva 10 mg. Presently she has waist pain and stomach pain. We went to the doctor and they prescribed Calsma D3 60k (once a week), Remac CD3, Vitasonic plus, Eurosure 500 mg, Pregabid NT (from three to four days). Gastrologist suggest Nexpro Hp (morning and evening). I want advice that, is our treatment going in the right way or something wrong because presently she is not feeling unwell? What should we have to do? | 3,186 | Hello. I have gone through the provided details and treatment prescription from various doctors. (attachment removed to protect patient identity). Although, it will not be possible for me to comment on whether the treatment is right or wrong (without seeing the patient), but I feel there is a need to explore other options than the medications. As I can see she is taking medication for almost every common ailment of senior citizen life but there is no mention of lifestyle changes. The lifestyle changes are either equal or more important in chronic diseases such as HTN (hypertension), diabetes, thyroid, and hypercholesterolemia. In addition to these ask your mother to have at least 45 minutes of moderate physical activity. It is also important to take a diabetic diet and restrict the intake of salt and fats. Regarding the current medications, I do not see any role of remake CD3, Eraser 500 and Vitamin plus. Please stop all the three medicines and give her plenty of fluids to drink. In addition, get an ultrasound of her abdomen and revert back to me. | Q. My mother is unwell with stomach and waist pain. Is she rightly prescribed? |
Hello doctor, I have been getting panic attacks very frequently. It comes with shortness of breath, my chest feels tight and painful, and an emotional breakdown. I often feel dizzy, light head and like I have no control over my body. This has been happening for four days now and yesterday I had three panic attacks. Today, I had three again. My chest feels tight all the time and I have a hard time breathing for hours. The panic attacks come in very randomly and are unexpected. I always overthink about the smallest things and I cannot put my mind to rest. It is all hard to manage. Every day I feel lethargic, restless, and exhausted. My sleep schedule is horrible and I cannot sleep at night. Lately, I have been staying up until 5 AM. I have talked to my mother and found out she had also been experiencing panic attacks around my age. | 3,187 | Hello. Many times, anxiety and depression coexist and it leads to the symptoms you have been experiencing. Moreover, the body heals in sleep and that is also disturbed for you, so that is not allowing you to recover. This basically happens due to a deficiency of a neurotransmitter in the brain called serotonin which reduced the stress handling capacity of the brain. Apart from stress, there are genetic factors also, and that is another reason you are having this problem. Please consult a local psychiatrist who can examine you and start you on SSRI (selective serotonin reuptake inhibitors) type of medicines which are the first line of treatment and are highly effective. It is normally given for two to four months and then tapered off slowly. The medicines take about a week or 10 days to start taking effect and until then usually, low dose Benzodiazepines are given for immediate effect. In addition to the medicines, please do deep breathing exercises daily, yoga, meditation, progressive muscle relaxation, etc., which will help calm your nervous system. | Q. I get panic attack with shortness of breathe and emotional breakdown. Please help. |
Hello doctor, I am trying to get pregnant but I am breastfeeding. I only had two periods after giving birth, but I do not have a period in over two months. What can help me conceive without giving up breastfeeding? | 3,188 | Hi. May I ask how long it has been since your last delivery? From your given history of breastfeed, I can understand that your baby is still quite small and so I would suggest until he or she is at least three to four years of age before trying to conceive again. This is so that in between deliveries your body needs time to recover and repair itself. If you get pregnant too soon it will adversely affect your baby. As your cycles have not yet regularized it implies that you may not be ovulating regularly. This can happen sometimes during breastfeeding. It will resume order on its own. I would suggest you start the following iron and calcium tablets as well as folic acid. 1. Tablet Livogen XT once daily at night with lemon water. 2. Tablet Calcimax 500 mg once daily. 3. Tablet Folvite 5 mg once daily if you are planning to conceive. Please continue to breastfeed your baby regardless of whether your periods come or not. And kindly consider what I have explained above. | Q. I am breastfeeding and trying to get pregnant. Please help. |
Hello doctor, For the past three days, I am experiencing itchiness within (inside) the head of my penis. There is mild pain while touching the head and it becomes bad post masturbation and urination. No boils found under the skin but it seemed to be red in color. | 3,189 | Hi. Your complaints are more in favor of urethritis or balanitis. This could be a consequence of multiple factors ranging from infections to even renal stones. Kindly mention if there is any pain when passing urine? Is there any pus discharge from the urethra? Is there any burning when passing urine? Also, mention have you been masturbating excessively off late? Do you have had any recent change of partner? Do your partner is also having similar complaints? Kindly upload appropriate images if there are any lesions. Syrup Citralka 10 ml in one glass of water twice daily. Take plenty of fluids. Avoid excess masturbation and have a monogamous relationship. Review back with answers for the above queries. | Q. Head of my penis is itchy with mild pain on touching. Please help. |
Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the medication from the pharmacy it was for 3 mg /day. I asked them to double check and that was the quantity that my doctor had written. I call his office and the office manager said that she would ask him about it. When I called the next day she said that he did not make a mistake and I asked for an explanation and was told that he did not give one. I started to feel sick a few days later and panic attacks actually started to increase the day that I talk to his office manager. I suffered minor but disruptive withdrawal symptoms physically and mentally for about two weeks and then they subsided but panic attacks continued to occur at random every day and my GAD symptoms increased to the point where CBT methods were not working. Then last month, the script was back to 4 mg per day normal dosage. I thought yes, back to normal. But again this month the script was back down to 3 mg per day which means I am going to experience a minor hell again. I am a defense and aerospace engineer who works on a contract basis through an agency and the client had noticed a drop in my performance before month but back to normal last month, now they are going to see it again and I will probably lose the contract job. I also started online system engineer classes and I am freaking out over being able to handle the exams and homework as I typically work on the class at night and am now without my evening dose. I again asked for an explanation and was not given any. My question is a 25% cut in dosage physically dangerous and I am well aware of the strong psychological addition issues, so will this settle down before my career and social life and general well being take a hit and I revert to hiding in my apartment with my dog and my employer and friends will give up on me. | 3,190 | Hello. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety of withdrawal is quite similar to your panic and generalized anxiety and it is difficult to make a difference between the two. Withdrawal anxiety will reduce over time. I do not think that your disease will worsen because of this to the initial level but the withdrawal will cause distress for a few weeks. I recommend using more nonpharmacological therapies like relaxation training during this period. Ask your doctor to avoid making sharp changes in dose and consider adding drugs like SSRIs (selective serotonin reuptake inhibitors), etc. Breaking your tablets and taking the pieces in such a way so that you reduce the inter dose interval without changing the dose. I hope this helps. | Q. Will cutting down of Xanax dose lead to additional psychological disturbance? |
Hi doctor, I just got all four of my wisdom teeth removed two days before and I have a bad taste in my mouth that tastes like sour dough but more like metallic. There is not really any pain there, my jaw is just sore from being held open for about an hour but the taste has been happening for about a day and a half. I am worried that it may be an infection even though I have been carefully brushing my teeth twice a day and using a lukewarm saltwater solution. Is there really anything for me to worry about when it comes to that and is there a way to get this horrid taste out of my mouth so I can stop losing my appetite? I am also on contraceptives so that is why I am a little worried that it may be a dry socket but I do not have the excruciating pain which is what confuses me. | 3,191 | Hello. It is very strange that you have all your wisdom teeth removed at the age of 14. These teeth normally start to erupt or come through at the age of 18 years or later when they start to cause trouble and we think of getting them out. Anyway, if you had all the four removed or even one of them and had the wound closed with stitches, check in the mirror and see if the stitches are still there, in which case you are unlikely to be having a dry socket. If you, however, find the socket or the hole that was holding your tooth open, it is more likely a dry socket and it is best to get back to your dentist where you had the operation to get it cleaned and covered with a dressing. Until then, continue brushing your teeth and rinsing your mouth with salty lukewarm water, or you may use an antiseptic mouthwash such as Listerine or Chlorhexidine instead. | Q. I am getting sour metallic taste in mouth after wisdom tooth extraction. Is it due to infection? |
Hello doctor, I have a question about syphilis. I am 29 years old, female. I am not sexually active but I got engaged recently and my fiancé had previous relationships. He only kisses me sometimes which I am worried that by kissing some disease might be transferred to me from him. I got skin rash on my palms and feet 5 days ago. And when I was searching I came across syphilis. Can syphilis be transmitted through a kiss? I went to a doctor and he told me it is a skin virus HFMV and gave me antibiotic cream. I did not mention the kissing part to him. But he took blood test, crp was normal, also blood count test was normal. I did not mention this to my partner yet. I am really worried that it could be some other disease. | 3,192 | Hello. Syphilis cannot be transmitted through kissing. It is only transmitted through oral, anal and genital sex. However, syphilis can cause oral ulcers. If you kissed someone with an active oral ulcer, then the risk of getting syphilis through kissing may occur. Is there anything else I can help you with? Or anything that is not clear to you? I would gladly clarify them. | Q. Is it possible to get syphilis through kissing? |
Hello doctor, I was diagnosed with parkinson last year at the age of 45. I am on Azilect since then. My symptoms are mild, stiffness, lately I did not sleep well and I suffer from RLS about 4-5 nights per week. I do sport but everything which required quick movement, I am not able to do it well. My neurologist suggested that I start sifrol ER 0.26 mg, should I start or not? I have a Neupro patch samples 2 mg which I tried 2 days ago, I sleep better and have more ability to move quickly, so I see the difference but I feel headache little bit. Should I start treatment with Agonistes dopaminergic? What is the best first treatment for early onset in my case? Is there Neupro 1 mg , could I take Neupro 2 mg each two days? | 3,193 | Hello. I read carefully your question and would explain that in the early stages of Parkinson's disease, in young persons, it is recommendable to start treatment with IMAO (which you are already taking, Azilect) and a dopamine agonist. In the this regard, both Neuropro and Sifrol ER would be good treatment options. Dopamine agonists can help improve RLS too. You can increase the dose of Neuropro to 2 mg daily after two weeks. Headache and increased sleepiness are common adverse effects of this drug. If you do not tolerate it you can switch to Sifrol ER. | Q. Please suggest the best medication for early parkinson's disease. |
Hello doctor, Hope you are fine and doing well. My mother has been diagnosed grade 4 breast cancer last month. She had abscess drainage last month on left breast. So now she is taking Femara 2.5 every day and took Zometa 4.0 mg recently as per doctor's advise. So the next day she felt sick like fever, the next day she was felling weakness and then lost consciousness temporarily for 30 seconds. Then we took her to the emergency. They did some tests which they found the sugar level was 331, PO2 level was 18.4, PCO2 was 26.8, and now she is fine and under treatment. So doctor, I selected you as our second opinion and I will keep following up with you concerning her treatment. I am attaching all the reports and doctor's advise which we received here. Please check the reports and doctor's note and advise in detail. | 3,194 | Hello. I have gone through all the reports (attachment removed to protect patient identity). It looks like she is having a metastatic inflammatory breast cancer with lung and bony metastasis. My recommendations: She needs to control her diabetes with diet, exercise and medication. Consult a diabetic clinic or endocrinologist. Replace zometa to Denosumab if possible, as her kidney may be suffering from diabetic nephropathy. Denosumab is more effective and comparatively safe for kidneys After denosumab she needs calcium and vitamin D supplements. Breast abscess once drained can recur, so doctor should examine it at every visit. Also in case of fever. One possibility may be reaccumulation of abscess. As She had an episode of temporary loss of consciousness. It can be related to sudden drop of Calcium after Zometa or can be related to some brain pathology, if she will develop same symptoms one more time, she should do an MRI brain with contrast. She has a multilevel disc disease with thecal compression, need a neurosurgical review urgently. Regarding treatment of Breast Cancer. She should continue with Letrozole, but alone it is not enough. So need to add Palbocicib or go for Letrozole plus Fulvestrant. Continue for 2 to 3 months followed by CT scan workup, etc., for reassessment before further decesion. | Q. What is the outcome of the tests taken for breast cancer? |
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? | 3,195 | 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. | 3,196 | 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. | 3,197 | 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. | 3,198 | 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. | 3,199 | 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? |
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