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Hi doctor, My question is for a child: 6 years, female, 22 kg. Symptoms: has frequent urination during day 5 minutes- 1 hour starting from about a month ago, if she wakes up at night she will go pee; she is diagnosed with pollakiuria and cystitis. The symptoms started with gradually more and more frequent urination. She has no pain when urinating or during a medical examination of the lower/higher abdomen. Stool is normal consistency with a frequency of 1-3 days. Other medical condition: General condition is okay, she has constant small pain around the belly button since she was little, unconnected to what she eats, time of the day or stool/pee; she is used to ignore it; she has a light form of vulvitis meaning it gets red and starts scratching so in order to fix this we use a dermatologic creme recommended by a dermatologist: Cicalfate; before bed each day, we wash her and use the creme; and the skin returns to a normal aspect if we keep using the creme; we tried other cremes as well, mostly they work but if we stop the treatment it starts inflammation again. There is no kind of liquid or secretion from vagina. | 3,200 | Hi. The child has only day time frequency. If she wakes up, then she voids. This is very significant history. This means there is no organic disease. A diseased bladder will lead to frequency day and night. No constipation, normal urine examination, normal ultrasound findings. Such frequency is transient behavioural issue. Do not pay attention to her demand to pass urine. Neither positive nor negative response. Stool habits are important, avoid constipation. During this transient period of symptoms: may give tablet Oxybutynin 5 mg extended release after breakfast. If persistent symptoms repeat urine analysis (no need of culture if no significant pus cells/ leukocytes). | Q. What causes frequent urination in a child? |
Hello doctor, I am a 17-year-old male. I have an extremely poor back posture. It came from forever not keeping my back straight and watching tv, reading, and other sedentary activities that leave my back hunched over. Now, despite being skinny, my core is lopsided, there is no tone whatsoever, and I imagine it had done a lot of mental effects as well. I would also like to mention that I cannot push out my belly and breathe deeply without hurting my lower back. When I try to stand up with correct posture, I shake uncontrollably as if I have no stability. I want to know if there is any possible program to help with this to get me back on track physically? Are there ways for me to recover from the mental and respiratory effects too? I have pictures of me to give you an idea of what I am dealing with. What exercises can I do to develop muscles here? | 3,201 | Hi. I have seen the pictures. (attachment removed to protect patient identity). Yes, you can get back to normal if you start now. Your back does not look too bad. You need to start an exercise program called 1. McKenzie back stretching exercises. 2. McKenzie back strengthening exercises. 3. Core strengthening exercises. 4. Shoulder deltoid strengthening and trapezius strengthening exercises. These exercises will help you with all your problems. Also, start yoga and breathing exercises slowly and then build up. Do all this under the supervision of a physiotherapist. This will really help you. I hope this helps. Exercises Follow up after one week of starting exercises to tell me about the improvement, so that I can change the level of exercises. | Q. My back is hunched because of poor back posture. How to recover from this? |
Hello doctor. I am 35 years old. My triglycerides are 628. I am taking Adilip 135. But since I have started taking the medicine I have lost my appetite i.e, I do not wish to eat anything and I am feeling heavy stomach always. Simultaneously, I am having extremely dried lips round the clock. I have started using Olive oil in my food. I take one glass of milk (dairy non-creamy) daily. My diet is three chapatis in the morning, five chapatis in the noon, one bowl of roasted chooda in the evening, three to four chapatis at night and I glass of milk. I take approximately 1.5-2 liters of water in a day. Kindly suggest me why I am having dry lips and loss of appetite? Do I need to change my diet? | 3,202 | Hello. I have thoroughly gone through your case and can well understand your genuine concerns. What about the family history of high cholesterol in your family? Is there family history of diabetes in your family? Is there heart disease history in family? Anybody in your family have diabetes? Are you a diabetic? If not ever got screened for diabetes? Do you have hypertension? If not, have you ever screened for it? Any other medications you are taking for any reason? The symptoms you have may be due to: Side effects of the Fenofibrate you are taking for hypertriglyceridemia. Diabetes also leads to the issues you have. Fasting lipid profile. Fasting blood sugar levels. (Do not just tell me the triglyceride levels. Make a picture of the reports, and please upload them in a follow up query along with the aforementioned asked details in the history). Your best treatment is lifestyle modification. Add exercise in your routine life. Jogging for 10,000 steps at a healthy pace daily will lead to a fair decrease in your triglycerides levels. Olive oil is also good. Canola oil is also a good option for cooking. But try to cook in non stick utensils without using more than a few drops of oil. No meats, fried food, fast and junk foods, beverages, alcohol, and cigarettes. No added salts and sugars. No spices and caffeinated drinks for you. Avoid cheese, yogurt, ketchup, etc. You need to change the diet. One chapati for breakfast and one for lunch, half chapati at dinner. You are taking extra diet. Our diet makes cholesterol. Not only fatty and oily meals lead to the production of cholesterol, but also the sugars, carbohydrates, and proteins (amino acids) also lead to the manufacture of de novo cholesterol through a metabolic process called metabolic cross-talk. Take salads, vegetables, and fruits. Fish is better for protein intake. | Q. I have loss of appetite and dry lips after taking Adilip 135. Why? |
Hello doctor, I have had a tingling pain all over my body for weeks. The pain, however, is mainly located in my chest. I have almost had any heart disease ruled out. Can a bad cough for a few weeks cause subluxation? Should you be able to feel a subluxation? Do all vertical subluxations show up on x-rays? What is the rate of patients who come into chiropractic treatment with subluxations? And can subluxation cause deep chest pain or pain in various areas of the body? | 3,203 | Hello. Yes, cough can lead to rib head subluxation, although not a common mechanism of subluxation but cases are seen in patients with vigorous coughing episodes. Careful palpation of the region can point to the abnormality, they usually go back into place on their own, if not they should be best dealt by a chiropractor or orthopedic surgeon. Self-adjustment techniques are available over the internet by videos ad images but a lot of people find it hard to learn or perform it during the first instance. Rib subluxation is usually anterior or posterior, hard to visualize on x-ray and are mainly clinically diagnosed from history and examination. These subluxations come quite often to chiropractor or orthopedic surgeon but do not cause pain in various areas of the body or tingling all over the body. I hope this helps. | Q. Will chronic bad cough cause subluxation of chest? |
Hello doctor, I am 6 months pregnant now. Before pregnancy, I have been suffering through allergic rhinitis (sneezing and dry coughing). But as my pregnancy started, I got a cough with white phlegm. I wanted to avoid medicines during the first three months of pregnancy but due to late night coughing and phlegm I went to see a gynecologist. At first, she tried to control my cough through a mild cough syrup with ivy leaves but cough does not go away. Then my gynecologist asked me to visit a pulmonologist after a detailed checkup I was diagnosed with bronchial asthma. He advised me to take Budesonide with Formoterol dry powder inhaler and Montelukast sodium. I am feeling better nowadays. I do not have a cough now. I do visit my gynecologist for a monthly checkup and she knows that I am taking dry powder inhaler for bronchial asthma. This month my gynecologist advised me to take Rejuva tablet that contains vitamin D and K, it is a kind of nutritional supplement for bone health and Fiore-f tablet for iron deficiency. My Hb is 9 nowadays. My question is: Is it safe to take iron tablets and nutritional supplements while taking bronchial asthma medicine? I am afraid that may be due to iron I will get cough again. Secondly, I am extremely worried due to the reason of diagnosing bronchial asthma in pregnancy. I am taking medicine for asthma and I have heard it affect the unborn baby in terms of low birth weight. But my asthma is under control due to this medicine and I am feeling much better nowadays. I visit my gynecologist monthly for baby growth and she says it is perfectly fine. Note: I cannot take dairy products, citrus fruits, and rice because I got cough and throat irritation due to bronchial asthma. | 3,204 | Hi. You should continue bronchial asthma medicines. As it is required to control your symptoms and to make you healthy. If you do not take it then the effect on baby can be worse than while you are taking. As baby growth is fine do not worry about it. Iron and calcium are also minimum requirements during pregnancy and if you do not take it and your Hb is down during delivery then it can be very dangerous if you bleed more. So it is required during pregnancy. And, mostly it will not have any effect on bronchial asthma. | Q. I am pregnant and diagnosed with bronchial asthma. Will asthma medicines affect the fetus? |
Hello doctor, I have observed a white smegma on my penis head. There were irritation and red bumps on it before, but I oiled it so now I do not have any pain or irritation. But in the morning the white smegma is still there and my foreskin is hard and rough. What should I do? Please help. | 3,205 | Hello. If your foreskin is hard and rough you may get benefit from removing the foreskin i.e. circumcision. I suggest you show it to the urologist nearby and get it done. | Q. I observe white smegma at the penis head and my foreskin is rough. Please help. |
Hello doctor, I fell last Sunday and hit my face including my front teeth. Four teeth and top gum become numb for the past eight days. I can bite my teeth though I feel numb. Please help. | 3,206 | Hello. I understand your concern. Do you find any changes in the way your teeth rest? Do you find any tooth that hits when you bite on? Any tooth sensitivity? Any fractured or chipped tooth? This is not normal and you need to visit a dentist straight away and get your jaw and front teeth x-rayed. The dentist may check for the vitality of those teeth. If the teeth are vital (has sensation) and is disturbed, you will require a splinting procedure that will hold your front four teeth in position for the next two weeks. If the teeth had lost its vitality (no sensation), you may require a root canal procedure to remove the clotted blood from inside the teeth. This procedure prevents a future color change of your front teeth due to clotted blood. The injured front teeth get discolored in the future if left untreated. Please visit as soon as possible and get it checked because if there was clotted blood inside the injured teeth or if the teeth are slightly disturbed, this could cause complications like cysts or jaw issues in the future. I hope this helps. | Q. After a hit, four of my front teeth and gum become numb. Please help. |
Hello doctor, I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in a clumsy way. I have an unusual gait. So basically I have learning disabilities in everything. I have a migraine and bipolar depression too. People often tell me that there must be definitely some maturity problem with my brain as I behave very oddly. Please look for any developmental anomalies in my brain MRI or any abnormalities. I have attached the file. Currently, I am using 5-HTP anti-depressant for my mood enhancement. | 3,207 | Hi. As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does not contain any file or attachment for view. I request you to attach the file in proper format or possible way so I can see whether there is any structural abnormality. I hope this helps. | Q. I behave like a 10-year-old kid. Do I have dyspraxia? |
Hello doctor, I am a 22-year-old male. Today I woke up and before taking a shower I felt a burning sensation when I touched the spot between my left leg and my scrotum, then I discovered some wounds, similar to cuts in the area, they were not there yesterday. I also have to mention that they had appeared before, in the same area (about three times in the last three years), and they usually disappear in about three or four days. I have a partner and I am really worried about this being herpes because if that is the case I would absolutely consider leaving her, just to avoid her my problems. I had sex with two strangers, with one of them about four months before getting this for the first time. I also removed my pubic hair with a machine about two weeks before this. | 3,208 | Hi. What is the complaint in it? Is it on one side or both sides? Have you ever noticed any blisters? What is your profession? Looking forward to your response in order to help you. | Q. I get recurrent wounds with burning sensation between left leg and scrotum. Why? |
Hello doctor, I had an experience with a tooth as a child that I have never received an answer. My baby teeth were always kept pretty clean and well taken care of but this one incident happened where one tooth literally disintegrated in a matter of seconds. I was sucking on a sucker and noticed that small white hard particles were all over it. I was not sure what was happening inside my mouth and realized about 3/4 of a molar baby tooth was gone and I was spitting out hundreds of small pieces of the tooth. I went to my dentist to remove the rest of the tooth and my adult molars came in fine. What could have happened? | 3,209 | Hello. I have gone through your query and understand your concern. When did it happen (at what age)? How many molars? Any history of bottle feeding? Diet history? History of dental checkups and dental treatments had during that period? More history of the details would help. It could be tooth demineralization caused by occult caries or backward caries. This cannot be diagnosed clinically by the dentist and may not be apparent to our eyes. It can only be seen in a radiograph. Primary or baby teeth are more prone to decay even if well maintained. If not decay, the baby molar could have demineralized and become weak enamel by birth. Sometimes medicines taken by mother during her pregnancy (typically during the in-vitro formation of that tooth bud) could have caused this demineralization, if not decay. But the most common likelihood is by hidden decay. I hope this helps. | Q. A part of my primary molar chipped into pieces. What could be the reason? |
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? | 3,210 | 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. | 3,211 | 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. | 3,212 | 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. | 3,213 | 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. | 3,214 | 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, Does Methamphetamine interfere with local anesthesia? My friend was told she would not have to stop Adderall before surgery. I know that is not the same, but is there anything particularly dangerous about methamphetamine and local anesthesia? What about Phentermine? | 3,215 | Hi, Welcome to icliniq.com. As such local anesthesia is safe and one can readily go through the procedure. It is recommended to avoid any sort of illicit substances during anesthesia. | Q. Will Methamphetamine interfere with the effect of local anesthesia? |
Hello doctor, I have been having severe pain in my left side for a few months now. I have been to the doctors who told me it was nothing to worry about but the other day I went to the toilet and I was urinating blood. I went back to the doctor who did a urine dip test and I have leukocytes 500, blood 200 and SG 1.025. I am worried as that is a lot of blood in my urine it is the highest mark. I have been given Ciprofloxacin 500 mg for seven days. I am scared in case this does not clear up I am worried sick as I have MS (multiple sclerosis). | 3,216 | Hello, Welcome to icliniq.com. I have gone through your queries. You are having hematuria (blood in urine). When someone gets hematuria, it has to be taken seriously and has to be investigated in detail. Please undergo the following investigations. 1. USG KUB AND PVR (ultrasound kidney, ureter and bladder, and post voidal residue). 2. Urine CS (culture test). 3. Urinalysis. 4. Urine for malignant cells for three days. 5. Serum creatinine. But do not get worried as you are young and the possibility of benign conditions as a cause of hematuria is more in your case. Meanwhile, you continue with the course of antibiotics. | Q. There is blood in urine and the urine dip test shows blood and leukocytes. Please help. |
Hello doctor, I am a 47-year-old male. I am a known case of bronchiectasis since childhood. Is there any new treatment? Or new interventions for the best quality of life? | 3,217 | Hi. I can understand your concern. Yes, a new pulmonary antioxidant is available. May I know his current medications? Is PFT (pulmonary function test) report done or not? | Q. Are there any new interventions for bronchiectasis to improve the quality of life? |
Hello doctor, Would you please take a look at the attached pictures and diagnose as the felt symptoms are rare itchiness. Is this HPV or vestibular papillomatosis? | 3,218 | Hi. I have seen the pictures. (attachment removed to protect patient identity). It is vestibular papillomatosis. But tell me the answers to some questions. Since when it is present? Painful or not? Is it also present in areas other than mentioned in the photo? If it is since childhood, not painful, and not present anywhere else then, it is vestibular papillomatosis. There are many thoughts on the condition and some also believe that it can be caused by HPV (human papillomavirus). It is a debatable issue. So if you are confused with two or three opinions then you can go for biopsy for confirmatory diagnosis. But as I said it is vestibular papillomatosis on the first look, with symmetrical spread only on labia. | Q. How to treat vestibular papillomatosis? |
Hi doctor, I have a unilateral submandibular lymph node swelling on the right hand side of the neck. I had an ultrasound and at this time the lymph node measure 5-6 cm and the onset were sudden with pain. After three-course of antibiotics (Augmentin two doses and Clindamycin one dose), I was referred to have another ultrasound. This was after two months of the initial appearance of the lymph node. This ultrasound scan showed the lymph node had become 3 cm but was still present. So the doctor ordered FNAC. The results of this have come back and there is no sign of metastasis or no sign of TB lymphadenopathy. The doctor has suggested yet another course of antibiotics of Doxycycline and remeasure the Lymph node after three weeks. The FNAC said it was an inflammatory lymph node. Does this mean reactive lymph node? What else could be causing this? | 3,219 | Hi. I want you to be completely calm because according to the course of the lymph node enlargement, symptoms, and investigations the lymph node enlargement is just an inflammatory reaction. It is not a tumor at all. Just complete your antibiotic treatment then follow up on the lymph node again just for assurance. The lymph node may decrease in size but never comes to its normal size again. This is normal. Now about causes, any neck, mouth, or pharyngeal inflammation can cause inflammatory enlargement of a submandibular lymph node. Even without the previously mentioned inflammations, a submandibular lymph node inflammation can start by itself as the lymph node works as a filter for the blood picking up pathogenic microorganisms. | Q. My unilateral submandibular lymph node swelling does not reduce even after antibiotics. Why? |
Hello doctor, I was diagnosed with IPF last week. My two x-rays, two lung function tests and HRCT scan showing that I had scarring. But I am confused, because I feel better than I have felt in 10 years. I have always smoked and had cough for years. I have been on a diet and have lost one stone so far. I have been doing some tests at home such as at rest I can hold breath for 1 minute 25 seconds with relative ease. Breaths per minute sitting at rest are 15 and my blood oxygen levels at rest are between 95 to 99%. Running up and down stairs three times my blood oxygen levels drop to around 91 to 92% and it rises to 95 to 96% in less than a minute. When I wake up in the morning my blood oxygen levels have been around 86% rising to 92 to 94% in around two to three minutes. The other thing is that when I had my second lung function test five months ago I was at the end of a cold or flu. I did mention this to the consultant. Do you think I could have been misdiagnosed? Is it worth me asking for a second opinion? Please guide. | 3,220 | Hi. For further information consult an general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. How to identify IPF? |
Hello doctor, I have a concern about my cholesterol levels and the possibility of an underlying condition. I am a 37 year old female with uncharacteristically low cholesterol. I donate blood regularly which gives me the opportunity to have my total cholesterol level tested. About a year ago, I created an online account with my area's local blood bank, where I found they keep a record of your past health screenings. It was at that time that I realized how low my cholesterol was. The lowest being 118 mg which was several years ago when I was in my 20's but, most recently and over the past year, my levels have averaged in the 134-137 mg range. For my age, I have been overweight for close to 10 years. I had never dieted or limited my cholesterol intake. I began researching online for any information that might explain levels this low. While there is an abundance of information regarding high cholesterol, regarding its causes and risks; there is practically no information available regarding low cholesterol levels or causes outside of the obvious low cholesterol intake (vegetarian or vegan diet) or use of cholesterol reducing mediations such as statins. With one exception celiac. As I began to read through the signs and symptoms of this disease, I could not believe how many I had been experiencing. In fact, some of these were things I never even realized were symptoms of anything. One specific symptom however that each and every article I read seemed to use to define a celiac was weight loss or being severely under weight. Months later, I stumbled across an article about celiac disease going undiagnosed because of the misconception that with celiac you cannot be overweight. So, I decided to raise the question with my GP. Unfortunately, after giving the doctor a rundown of my symptoms and explaining my concerns, as soon as the word celiac came out of my mouth, he quickly dismissed this as a possibility stressing that because I am not underweight and it was absolutely out of the question that I could have the condition. He then dismissed all of my symptoms saying, they were nothing to worry about and added that the lower my cholesterol was, the better. In his words, I should be thrilled at how low my cholesterol was and I must have good genes and with that he sent me on my way. For close to a year after that appointment, I too dismissed all of these symptoms. Then, six months back, I was admitted into the hospital for an emergency cholecystectomy due to gallstones that caused me to have a severe gallbladder attack. At the time, I knew nothing about the gallbladder's function or its purpose so, there was no argument from me when the doctor explained that some people just get gallstones and the only way to treat gallbladder disease is to remove the gallbladder. Needless to say, my week at home following my surgery, I spent a lot of time learning about the gallbladder and almost immediately I found information describing the correlation between gallstones, gallbladder disease, low cholesterol, and yes, celiac. This past weekend I attempted to donate blood and for the first time in my life, I was turned away because my iron was too low. I went online thinking my iron counts for previous donations would be noted in my wellness chart and although they were not. My cholesterol result from my previous donation, just 2-3 weeks after my surgery, was down to 128 mg. Would the fact that I am overweight truly rule out any possibility of celiac? If it would, what other conditions might explain all of my symptoms? Are there any others conditions with the same or similar symptoms also present with weight loss or being underweight? If celiac should be ruled out due to being overweight, what can I do to convince a doctor to test me for it? | 3,221 | Hi. I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. There are a lot of reasons for this to not being celiac disease. 1. Diarrhea in celiac is very prolonged and there are watery stool. Not only pale they are greasy and floating on the pan, they are foul smelling too. | Q. Does overweight rule out the possibility of celiac? |
Hello doctor, I skin is too oily on my face, but skin around my mouth and nostrils is very dry and flaky. It has also been making a ring form around my mouth. It is of different color from the rest of my skin tone. How can I fix this? Please guide this. | 3,222 | Hello. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My skin is dry and flaky around my mouth. How to fix it? |
Hello doctor, I am hepatitis B patient. My current status is as follows. HBeAg - negative (0.010), HBV E antibody or Ag - positive (0.031) and HBV DNA quantitative (PCR) less than 17.1 IU/mL. Please advise whether this can be cured to become negative as it is affecting my career. | 3,223 | Hello. Anti-HBc (both IgM and IgG), Liver panel, ultrasound of the liver INR/PT and serum albumin if not part of the liver profile. 1. Chronic hepatitis B. 2. Chronic carrier state. 3. Acute infection in window phase (with less infectivity). Yes, it is treatable, but I would be able to give you a better answer once I have the complete set of blood work and ultrasound results. Revert back with the investigation reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Is hepatitis B curable? |
Hi doctor,I have some sores that have shown up on my buttocks. It started off as red itchy bump and I used some apple cider vinegar on a few of them thinking it was ringworm and it scabbed. I am not sure what these scabs are. It does not look like the pictures I had seen of STDs. But I am wondering if I should be concerned about possible STD. | 3,224 | Hi. I have seen the pictures attached (attachment removed to protect patient identity). It seemed to be caused by a fungus named tinea. You have got a fungal skin infection. You can apply Clotrimazole ointment after consultation with dermatologist and take Ibuprofen per oral. Wear cotton only and loose clothes. Avoid tight fitting jeans as that causes the buttocks line to closely approximate and the itching to aggravate. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. What are these sores that I have on buttocks? |
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? | 3,225 | 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. | 3,226 | 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. | 3,227 | 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. | 3,228 | 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. | 3,229 | 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, My symptoms over the last four months are as follows. I sat down on my mother's bed and could not get up. I had severe pain in lower back on left side shooting down my leg. They felt like electric shocks and it lasted for a little over a week. During that time I had a lot of memory issues and I forgot my son's birthday too. Three months back, I had an episode of double vision. Vision was double out of my right eye, but when I covered my left eye I could see. During this period, my head felt heavy. It only lasted for about five minutes and then got corrected by itself. The next day my eye was very sore. It started to hurt when I look from side to side. I had lot of flashing lights in my left eye that look like shooting stars on and off throughout the day. I just did not feel very good. I am having trouble finishing sentences. The thought just goes away and I forget what I am saying. The next day when I had laid down to rest I realized my left arm felt weird. It was numb and tingling from the shoulder down. I thought I would just take a nap and see if it got any better. I woke up at 5; still it was numb and tingling. Took a hot bath and got out but it remained the same. It felt as if I had rubbed icy hot all over it. It felt very cold to me, but not to touch. By the time I reached ER I was having trouble talking. I could not get my words from my head to my mouth. It was like they were getting stuck. I had CT scan done and laboratory tests all were normal. ER doctor recommended seeing a neurologist. I got an injection of Solu-Medrol. Immediately the following day I was stuttering and even my thoughts were stuttering, the more I tried not to the worse it got. Both hands started tingling and there was left leg tingling from the knee down. At night while I was lying on the couch I had excruciating pain on the left side of my face. My entire cheek felt like it was going to explode off my face. I took 800 mg Motrin. The pain lasted for about 45 minutes and just stopped. It did not gradually go away, just stopped. Then the next day, still felt off and very shaky. I felt hard to even type or text. I cannot focus on thoughts. I had very fuzzy head along with stuttering. My hands, feet, arms and legs still tingling on and off. I have started feeling my scalp tingle as well. Following day had very shaky hands. My hands hurt and felt weak. It felt like I have been holding onto something really tight and just let go. Still do not feel right. Glasses were not helping. Eye still hurts and still seeing flashes of light. Next day, I drank a very small amount of wine that was not even a full glass. Hands felt like they have been hit with a hammer and my scalp tingles so bad, it made my eyes squint and gave a horrible feeling. I have no energy. I feel so tired and could not even cook supper. My arm was too weak to brown hamburger meat. Head feels very strange like someone is pushing on the right side of my temple. It is all still pretty much the same the following week. My scalp tingling, still stuttering, along with a lot of weakness in hands and arms. Left leg has started giving out on me and had fall in my living room. Black out when I stood up. I am still seeing flashes of light. Not sure what night this was but one night when I went to bed it was like my body had the hiccups and my arms and legs just kept jerking. I woke up feeling really bad. Head hurt, eyes hurt, hands and legs are still tingling. Still stuttering, sometime mid day I noticed my thoughts were no longer stuttering. The stuttering was gone. And slowly that day I started to feel better. No more tingling scalp, hands or feet. For the most part this is how it has been since. Thanksgiving I had a very small amount of wine again (not even a glass) and felt horrible again. Scalp tingling, body hurt and even fell into the wall. Other than a few little tingles here and the symptoms have stopped. No more flashes in eyes and no pain other than headaches. I am having some strange red and purple feet and hands. My hands hurt when they get cold. Feet and hands turn purple in the bath. Normal MRI with contrast. What should be the next step? | 3,230 | Hello. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. Please explain where my symptoms are leading to. |
Hi doctor, I am 18 years old. I have problem with my dad. He is a kind of Hitler. I want to die. I cannot live with him. He hates me. He abuses me every day. Please help. | 3,231 | Hi. I can understand what you are going through and you have my sympathies for the same. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Why does my dad keep abusing me? |
Hi doctor, I would like to know which avenue to go down to treat my issues. I believe I have something wrong with my legs which cause my body to strain. The first memory I can remember was having very excruciating pain in my legs at night when I was a young teenager. As I got older my knees started to ache regularly. The impact of walking and running has been very painful. I cannot walk up a steep hill or even jog downhill or run without getting shin splints. I am getting severe shin and ankle pain for many days. Even if it is only five minutes of jogging downhill the impact is severe. I have tried exercise such as running on a treadmill and then my ankles became very red, itchy and visibly swollen. I have never had visible calf muscles and I am a thin build. I have been active most of my life although I have never been able to build natural muscle in the bottom half of my legs. Most season of the year I get cold. My ankles and feet will stay cold and no blankets or socks can warm them up as the cold feeling is internal. In winter it becomes very painful and I become immobile because of the feeling. My ankles and feet feel like a bag of ice. I have had other problems like pinched nerves in my neck and severe tension headaches. After seeing a chiropractor it was visible that my spine has become out of alignment in my neck and in my lower back. A bone now protrudes on the left side of my buttocks and has been painful to sit on. These problems have existed for a long time and progressed to further issues mentioned. No doctor has been able to give me solid advice as there are many factors. The doctors have not been patient enough to listen to my issues. Thank you if you can help me in any way possible. | 3,232 | Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. How to cure spinal deformity? |
Hi doctor, I am 27 years old. I have pain inside my anus. My anus outside is normal with no pain and injury. Along the same line of my anus right inside I feel the pain. No blood and passing stool also easy. When I sit on the toilet I used to sit with legs spread out a bit. Otherwise when I walk or before I sit down or when I intend to change my sitting or lying position, I feel pain. No other sign of sickness present. I do not have fever. Please note that sneezing, coughing or even spitting out increases the pain. Also in the morning, the pain seems to reduce but as the day progress, the pain increases. I am out of town for a project. So, I cannot go for any test. There is also some loss of appetite. The same thing occurred before two years also. Currently, I am taking O2 (Ofloxacin and Ornidazole), Prowel and Cremaffin. I just started taking them this morning but no effect as of now. | 3,233 | Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Why do I have pain inside my anus? |
Hi doctor, Two years ago, my brother started noticing a red circle under his eye next to his nose. It was in the shape of a pill. From time to time it causes skin peel. Once he removes the peel it leads to redness and blaze. Also it is growing with time. When he met a dermatologist he gave him some medications. It includes Momenta, Sebodiane DS from Noreva, Kelual DS shampoo from Ducray and Funzol 150, for permanent disappearance. | 3,234 | Hi. I have read your descriptions and also read the ingredients of medicine which you have used. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My brother has reddish lesion under his eyes. What is it? |
Hi doctor, I have some weird redness on my cheeks all the time no matter what weather it is. I have attached my photos for your reference. It is just there and it does not hurt at all. But, I want to overcome it. Is there any way? I am 18 years old now. Thank you. | 3,235 | Hi. I have seen your pictures (attachment removed to protect patient identity) and description. It looks like melasma or post-inflammatory hyperpigmentation. Melasma is an acquired pigmentation of sun-exposed areas. Areas that receive excessive sun exposure, including the cheeks, upper lip, chin and the forehead are the most common locations. Melasma can be difficult to treat. The pigment of melasma develops gradually and the resolution is also gradual. Regarding treatment, there are certain general measures to follow: Other treatment options are, Glycolic acid chemical peel, Nd:YAG laser (neodymium-doped yttrium aluminium garnet) with variable results. You need regular follow up with dermatologist. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. How to treat the weird redness on my cheeks? |
Hi doctor, I am 20 years old and struggling with my health right now. I went to doctor and he asked me to get certain tests. I have been vomiting since four months, but most of the time while travelling in the metro. Though I have been traveling through metro since many years, never faced such problem. The fluid that I throw up is clear like water. Two weeks ago, I had mild abdominal pain which roughly lasted for three days. I have lost my appetite and it is resulting in weight loss. I feel weak and tired most of the time. My hand and leg sometimes due to headache or abdominal pain get really cold. What could I probably be suffering from? What am I dealing with? Please help. | 3,236 | Hello. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Why do I have some weird urge to move my legs at night? |
Hello doctor, I have been sexually active since four months. We initially did not use protection. In order to avoid pregnancy I have used emergency contraceptive pills for a few times now. My periods got delayed by a day or two but with no major changes in the cycle. Last month I found spotting around the time of ovulation and assumed that it was a sign for fertility. This month again I found spotting but it is a little severe, not much as during periods but still more than just spotting. Is there anything to worry? | 3,237 | Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Is it normal to have spotting while on emergency contraceptive pill? |
Hi doctor, I have been having red itchy bumps on my face and arms for the past three weeks. I was given Fluocinonide, Hydrocortisone and Hydroxyzine by my doctor and dermatologist. The medications have not been helping at all. Please help. | 3,238 | Hi. I have seen your picture (attachment removed to protect patient identity) and written descriptions. It looks like papular urticaria or urticarial vasculitis or polymorphic light eruptions (PMLE). You can try 0.1 % Mometasone cream twice daily over arms and Fluticasone 0.05 % cream once daily over face along with tablet Monteder-L (combination of Montelukast and Levocetirizine) once daily for five days. If your bumps did not disappear in five days then go for skin biopsy to rule out urticarial vasculitis and PMLE. You really need regular follow up to dermatologist if your lesions does not subside. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What are these red itchy bumps on my face and arms? |
Hi doctor, My daughter is 6 months plus now. She has started with solid foods but because of being new mother I am mainly rely on books for her nutrition or diet. However I am looking for expert advice so that I can give her the best chart. Below I have explained her current routine. I am a working mother and currently on maternity leave. So, in the morning after waking up I feed her breastmilk. Thereafter during 9-10 AM she takes mosambi or pomegranate juice. In the afternoon between 12 to 2 PM she takes water of moong dal or water or rice plus moong dal. Between 4 to 6 PM she takes extracted water of boiled apple. In case she is awake I feed her breastmilk in the evening. If she is more hungry I give her moong dal water. Please suggest a good diet chart for her. When should I take her next updated diet chart? Her pediatrician advised not to give any external milk or formula. Can I give her cerelac instead once I start going office? Apart from all these I give her boiled water to drink sometimes and one day I gave her coconut water. She liked coconut water a lot and drank a lot but normal boiled water she takes very little. Kindly provide a good diet chart for my daughter. Also her baby sitter is asking me if she can give my daughter biscuits dipped in water or milk. How much nutritious it would be to give my daughter biscuits and from which age it can be given? My baby weight is 7 kg and height is 69 cm. Thank you very much in advance. | 3,239 | Hi. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician | Q. Kindly suggest a diet chart for my 6 months old daughter. |
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? | 3,240 | 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. | 3,241 | 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. | 3,242 | 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. | 3,243 | 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. | 3,244 | 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 acne-like bumps all over my upper arms. I have tried Retin-A, but it did not help. Please guide me. | 3,245 | Hi. Is your acne like bumps only localized over arms? Or do you have these kind of eruptions over face, upper back and chest? If yes please review with picture. With your descriptions it seems you are having keratosis pilaris, which usually localized over upper arms. Keratosis pilaris (KP) is a genetic disorder of keratinization of hair follicles of the skin. It is an extremely common condition that manifests as small, rough keratotic papules, often described as chicken bumps, in characteristic areas of the body, particularly the outer-upper arms and thighs. The affected area may be washed once or twice a day with a gentle cleanser such as Dove or Cetaphil. You can try combination product of Lactic acid lotions (AmLactin or alpha hydroxyacid lotions), Glycolic body lotions, Urea cream (Carmol 10), Salicylic acid (Salex lotion), and topical steroid creams (Triamcinolone 0.1%, Locoid Lipocream), Retinoic acid products such as Tretinoin (Retin-A). Best results may be achieved with combination therapy. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What could be the acne-like bumps present on my upper arms? |
Hi doctor, I am a 25 year old male. There is a lot of itchiness in eyes for the past three to four days. Please tell me what to do. Which medicine can I take? | 3,246 | Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. Which medicine can I take for itchiness in eyes? |
Hi doctor, My grandmother was diagnosed with breast cancer three years ago and had a right mastectomy. She however did not have chemo or radiation. She has a little extra fat to the lateral area of the breast that after surgery it looked like a small third breast. Right over the old incision has developed a large ulcerative cauliflower-like wound. The tumor is protruding and is very vascular. It currently has no odor, but it is bright red and bleeds excessively once the dressing is removed. She is 86 years old with a history of high blood pressure, COPD, CHF, diabetes, CAD, TIA and pacemaker. She still ambulates, alert and oriented. Also she understands what is going on. We visited the oncologist and were told she will either need to undergo chemo or radiation. The surgeon, who did mastectomy, is recommending surgery to remove the protruding tumor. Which is the best option to do first? My family is very leery about her ability to handle chemo and frankly does not want her to have chemo. We know that removing it does not cure the cancer. Should we do radiation first then remove it with surgery? If we were to consider chemo should we do some cycles first then remove it with surgery? Which option would you say is the safest route? We want to keep her around many more years if we can. Thanks for your time. | 3,247 | Hi. Here are my suggestions: Assuming that you want to undergo full treatment, the best method would be to start chemo and radiotherapy. The cycles of chemotherapy will depend on the medicine chosen by your oncologist. This will reduce the tumor size. Then go ahead with the surgery and then complete the treatment with further cycles of chemo and radiotherapy. Another option is surgery followed by a few cycles of chemo and radiotherapy. The above options are important because if left untreated, the site may get infected. Other complications are of course to be considered. The other option is no treatment at all. Just palliative medicines to keep her comfortable. This way she can live a comfortable life considering that you have said she is stable. Please note that I am just explaining the option. The choice of treatment would be your decision. I suggest getting a PET scan before deciding. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. For breast cancer, should we do chemo first or surgery? |
Hi doctor, I was diagnosed with anemia due to heavy periods. I was told to double up my Iron supplements. My iron is already high and ferritin is low. My binding is not even registering. My results are as follows. Ferritin 8.0 ng/mL, iron 333 ug/dL, iron binding capacity and transferrin saturation not calculated due to unsaturated iron binding capacity of less than 55 ug/dL. Can you help me understand my results? Thank you. | 3,248 | Hi. Based on your query my opinion is as follows: 1. Continue iron supplements, until ferritin becomes normal. 2. Repeat biochemical tests after three months. If early tests needed, reticulocyte count will be more helpful. Revert back after three months to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist | Q. Can you help me understand my blood results? |
Hi doctor, My baby girl is 3 weeks old and she has a problem with her right nose. She cannot breathe and the physicians said me that it is an obstruction but not an imperforation. The physicians tried to aspire and the secretions are gelatin. The secretion is bacteriologically negative. The next step is to dilate surgically with a thicker tube in nose. Is there any tube to dilate this nose without surgery? I am looking forward to your answer. Please help. | 3,249 | Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist | Q. Is there a way to dilate an obstructed nose without surgery? |
Hi doctor, I have a small formation in my leg which developed approximately before three years. I have attached the images for your reference. It is brown in color, somewhat similar to a burn. It itches sometimes and it is very dry in nature. This formation was initially around 2 cm, but now has increased in size to 7 cm, which is the reason of my concern. Whenever it itches I only use antiseptic lotions - Suthol. Besides, I have Parkinson's disease and I take sleeping pill every night. Please advice. | 3,250 | Hi. I have seen your pictures (attachment removed to protect patient identity) and well understand your concern. You are having lichen simplex chronicus (LSC). It arises because of repetitive scratching or rubbing. I could see thickening of the skin with variable flakes. Lichen simplex chronicus usually described as stable, itchy and thickened one or more areas. However, thickening of the skin occurs on any location that the patient can reach, like nape of neck, extensor forearms and elbows, scrotum, upper medial thighs, knees, lower legs and ankles. In your case it involves extensor aspects of ankles. Cause for LSC includes age related dryness, venous insufficiency like tortuous veins or pooling of bloods due to prolong standing or weakness of blood vessels wall due to aging and eczema in old age due to bath with hot water (asteatotic eczema) are common factors. 1. Age related dryness. 2. Venous insufficiency like tortuous veins. 3. Pooling of bloods due to prolong standing. 4. Weakness of blood vessels wall due to aging. 5. Eczema in old age due to bath with hot water (asteatotic eczema). Skin biopsy for histopathological examinations and serum immunoglobulin E. 1. Lichen simplex chronicus. 2. Neurodermatitis. Lichen simplex chronicus. 1. Apply Xerina cream (Glycolic acid) or Moisturex cream (combination of Urea, Liquid Paraffin, Propylene glycol and Lactic acid). Wait for 15 minutes and then apply topical steroids with Salicylic acid should be applied twice daily for two to four weeks and also take one tablet Levocetirizine once daily for similar duration. 2. Propysalic NF lotion (Clobetasol and Salicylic acid combination) occlusive dressing will be more helpful. The method of occlusion is after application of Propysalic lotion put flat polythene cover then cotton bandage and leave it for whole night for two to three days, occlusion is not need in day time. 3. You can also try injection Kenacort (Triamcinolone acetonide) 10 mg/ml 0.1 ml/cm^2 intralesional at the three weeks interval should be given by dermatologist. Try to avoid scratching. Whenever you feel itch apply moisturizer or dip wet cotton in normal tap water and put over it. Revert back after a month to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. I have burn-like mark which keeps increasing in size. What is it? |
Hi doctor, A year ago, I got a biopsy for two nodules in thyroid. The result for one was benign and the other inconclusive. This year I went back to a different doctor to redo my indeterminate biopsy. She advised me do for both again, because through ultrasound they look angry or vicious. In my right side, which was benign, is the largest at 2.6 mixed solid and cystic with vascularity and the other, that was indeterminate, is more of a solid or heterogeneous. This time my report came back as indeterminate for the benign one and the other as 40 % suspicious for cancer. This was done through afirma gene expression. I also have one more nodule on the lower portion that is too small to test. Doctor is pushing me for thyroidectomy. I am still young and active. I hate the thought of removing such a vital thing in my body and taking pills everyday just on chance. If I come to know it as cancer then I have no problem to take it out. Is there any more in depth test I can do before I change my whole life? What would you do? I am scared and I just feel stuck. Unfortunately, I do not have my reports. Any advice would be deeply appreciated. Thank you. | 3,251 | Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Would you prefer thyroidectomy for cancer suspicion? |
Hi doctor, I have ringworm on my arm. I used Daktarin and that did not work. Then I used cider vinegar and it has turned black. Should I be worried? | 3,252 | Hi. I have read your query in detail and do understand your concern. Also I have viewed the attached pictures (attachment removed to protect patient identity). This is irritant dermatitis which has developed due to the use of vinegar. It is very less probable that the fungal infection has been cured. Proper oral and topical medicine for one or two months is needed to cure your disease. Remember to wear loose cotton clothing especially when at home. Avoid hot humid climate, keep the affected area dry and avoid synthetic innerwear. If any other family members are affected, they must also be adequately treated to prevent recurrence. Also get your blood sugar levels tested. Meanwhile, you may apply antifungal cream such as Clotrimazole twice daily over the lesions of ringworm. Revert back with the answers for the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. My lesion turned black after application of cider vinegar. What to do now? |
Hello doctor, Which oil is safe to use? There are many theories and so I am confused. Some chocolates and snacks have trans fat content as 0.01 or 0.02 % or OZ, are they safe to eat? Do you have any suggestions for chocolates and snacks brands which are healthy without toxic chemicals? Which is the good time to drink tender coconut water without disturbing digestion? Milk sometimes gives me bloated feel and also triggers bowel movement. What is the good alternative to get equivalent calcium? I am trying to drink cumin water daily for good digestion. Is it better to heat it directly in water or powder it and then heat in water? Latter has any better advantage in terms of nutrition? When is it good to drink it? | 3,253 | Hi. For further doubts consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist | Q. Which oil is safe to use? |
Hi doctor, Please comment on my ultrasound report. Single fetus in cephalic presentation. Placenta: anterior Gr-1 and amniotic fluid is adequate (AFI-16.4). Fetal measurements are as follows: BPD 80 mm, HC 306 mm, AC 280 mm and FL 58 mm, RT - humerus 52 mm, radius 45 mm, ulna 50 mm, tibia 50 mm and fibula 50 mm and LT - humerus 51 mm, radius 44 mm, ulna 49 mm, tibia 50 mm and fibula 50 mm. Ges age 32 weeks 2 days. Fetal weight is 1811 g. Fetal heart pulsations 141 beats per minute. Fetal tones and movements are normal. No obvious lethal structural congenital anomalies. Fetal biophysical profile is good with score 10. Doppler study shows umbilical artery S/D 2.57, RI 0.61 and PI 0.91. Uteroplacental and fetoplacental blood flow velocities are within normal limits. No diastolic notch in the uterine arteries. Cerebral flow pattern is normal. The conclusion is ultrasound findings are suggestive of single live fetus of 32 weeks and 2 days in cephalic presentation. Uteroplacental and fetoplacental blood flow velocities are within normal limits. All long bones are 25th to 50th centile and normal. | 3,254 | Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Is there any skeletal abnormality in my ultrasound report? |
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? | 3,255 | 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. | 3,256 | 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. | 3,257 | 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. | 3,258 | 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. | 3,259 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am on the generic form of Seasonique and I am starting the third month. For the past two weeks when I go to the bathroom and I wipe there is this brownish stuff on the toilet paper. Then when I had sex the other night this big glob of red stuff came out of me when I got off of my partner. Is this normal? Is there a way to stop this? | 3,260 | Hi. I have read your complaints. Seasonique is an extended-cycle birth control pill where period occurs once every third month. The pills are active pills and remainder pills. Periods will occur when you are taking the remander pills. It seems likely that you are taking reminder pills which lead to periods. Periods could be of longer duration when on Seasonique. Breakthrough bleeding is also common in the first three months of usage. The body takes time to adapt and it could also be because of that. Please consult your doctor if bleeding is persistent or heavy. The big blob that you have mentioned, it would have been better had you mentioned the size. Nevertheless, I hope that you did not miss any dose in between. Missing dose increases the chance of pregnancy. If you did miss a dose, please get an ultrasound done to rule out if an abortion occured. You could also get your hemoglobin level tested as this could cause persistent bleeding. If your hemoglobin is low you need to get that corrected first. If all investigations are normal, and still the bleeding is causing discomfort you could stop using Seasonique and choose some other method of birth control. I hope this helps. | Q. I am on Seasonique and got some red stuff during intercourse. Should I stop this? |
Hello doctor, I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender. | 3,261 | Hi. As it has been only 10 days since your surgery, I suggest you wait for a few more days and see your surgeon if necessary. It is quite likely that there may be a small collection of fluid in the region which may get absorbed or may need aspiration. It is quite unlikely to have a recurrence so soon unless the surgery did not go well. If the swelling appears on coughing or straining it may suggest a recurrence. It is best tested by the surgeon as attempting the same at home may precipitate a recurrence. Take adequate rest. Be active. Take a good diet. Avoid straining or lifting weight for at least six months. See your surgeon if it still persists next week. I hope this helps. | Q. Few days after umbilical hernia repair, my belly button pops up about half an inch. Is this serious? |
Hello doctor, My wife is 25 years old. She was pregnant for 3 months. Last week, we lost the kid due to some troubles got aborted. D and C was not done but the fetus got out normally after medical treatment. My question is within what time we can engage in sex again? What all care should be given to her, I mean any medicines to increase her strength? When we can try for the next baby? | 3,262 | Hi, Welcome to icliniq.com. Very sorry to hear about the loss. You can start trying for a baby after one month as the uterus and hormones take that much time to come back to the proper state. But if it is only sex then two weeks is fine. There is no special care or medicines required for her. Just give her good nutritious food like fruits and vegetables that is enough. If her hemoglobin is less then iron supplementation (tablet Orofer) for a month or two is needed. But if her hemoglobin is normal nothing is needed. If her hemoglobin is not tested after abortion get it tested. I hope this helps. | Q. My wife had medical abortion last week. When can we try for our next baby? |
Hello doctor, I eat chicken every week two to three times but I did not get the fat. My weight is 60 kg and my age is 19 years but everything which I eat is like a cold drink which is helpless for me. | 3,263 | Hello. I understand you want to gain mass to your lean body. A combination of right diet and right exercise can help you gain mass at the right places without becoming fat also. It is important to develop mass at the right place so that you put on weight healthily and look good as well. Your BMI (body mass index) is less than what is required for your physique. However, there is no cause to worry. You are a tall young man in your teens (19 years), hence you would have attained your sudden growth spurt a year or two back. Understand that boys grow suddenly in their late teens when they do not put much weight and hence appear very slim. That is what has happened in your case. For gaining mass, your dietary intake should be more than what the body burns. Also, you must do adequate weight training to improve your muscle strength. To improve your weight follow these suggestions. 1. Take two whole eggs in the morning and two egg whites in the evening. You may increase egg whites in the morning or evenings to a maximum of four or five. 2. Drink plenty of milk and eat nutritious healthy home food. 3. When eating non-vegetarian food prefer boiled meat to fried items. Fish is healthier than other meat. 4. Drink at least four to five liters of water daily, even during winters when you do not feel thirsty. 5. Buy some weights at home and start working out. Find out the right exercises for you, you may find it on the internet various home exercises catering to specific muscle groups. 6. When you exercise one muscle group, give it rest for two days which you may exercise some other muscle group. 7. You may even enroll in a good gym with a physical trainer or instructor who can guide you with exercise machines and what exercises you must do. 8. Before work-out and after work-out take a protein shake (or a milkshake in the beginning days). 9. Incorporate a lot of fruits, vegetables, greens, and salad in your daily diet, so that you consume a balanced nutritious diet complete in every way. You can get detailed advice regarding diet if you contact a dietician who we have in our panel in iCliniq itself. They can guide you with the right protein powders, the ingredients in a diet for gaining mass at your age. I hope this helps. | Q. I am not gaining muscle mass though I take fatty foods. Why? |
Hello doctor, I am a 17-year-old male from India. At this time my exams are going on so I cannot visit any doctor. Kindly help me. I am feeling some health problem symptoms for about a week like excess sleep, short breath. When I lie down on the bed it get worse some times. I have a feeling of rubbing of knee bones while walking and also have waist pain. Yesterday, I took Modafinil 100 mg tablet as suggested by my friend. But my symptoms gone worse. I have trouble breathing lying down, throat pain and breathing trouble, high blood pressure, blood in stool, pain in backbone, excessive waist pain, muscle and joint pain. Today I got relief from some symptoms, but still, I am feeling breathing problem, back pain, rubbing of knee bones, sweating, tiredness, sleepiness, mind goes blank and black in front of eyes when I standup suddenly. Please help. | 3,264 | Hello. Well, from the information it appears you have an acute stress reaction. But I need more data before reaching that conclusion as you are experiencing breathing problems on lying down and blood in your stools. Did you experience similar symptoms in the past? Do you have any past medical history? Are you feeling stressed out due to exams? Breathlessness on lying down persists for how long and how is it relieved? Do you use any recreational drugs? And most important of all do not take any drugs like Modafinil without prescription it could be dangerous. Do you experience these symptoms during each exam? because it appears your symptoms are related to stress and anxiety of exams. Please tell everything, hide nothing it will be confidential. | Q. I get excess sleep with shortness of breath, and waist pain during exam period. Why? |
Hello doctor, My mom is above 50 years of age and she has been complaining seriously of pains for about 20 years now and it was recently diagnosed to be hypercementosis. She needs a solution. Also, she is an asthmatic and doctors have also said that the inhaler she uses increases the pain. Just for more clarity see the summary below. Summary: Doctors remove an impaired tooth as they said the root of the teeth entered the jaw bone and over time the jawbone was infected due to infections. The jaw bone where the tooth was removed is still paining and it is swollen. Doctors say that the inhaler she uses for asthma aggravates the pain as the jaw bone is sore. She has taken Augmentin, Dalacin C 150 mg, and others over time. Recently (a few months ago), she is diagnosed with hypercementosis. Status: Looking for treatment (therapy) to solve both asthma and hypercementosis. | 3,265 | Hello. There is no permanent treatment for asthma. It can be subsided only and if the inhaler is causing trouble you can opt for medicines. Tell her physician all the details your dentist gave her and her physician will surely give medicines. For the treatment of hypercementosis, the exact etiology needs to be diagnosed and removed, whether it is any trauma, any other disease, vitamin A deficiency, or rheumatic fever, or any other cause, which can be confirmed only after tests and observation. I am unable to open your link (attachment removed to protect patient identity), kindly resend the correct link. Else, I have tried to understand your problem, I hope my suggestions were helpful. | Q. Will asthma inhaler increase pain in jaw bone after extraction of hypercementosis teeth? |
Hi doctor, When I was young I tripped and chipped my tooth. It was when I was 20 years old that I got braces and the dentist told me I had to get a root canal for that specific tooth. She said that the tooth was dead already. I thought it was just a chipped tooth because it looked normal and did not show any discoloration at all. Then after the root canal that tooth starts turning gray. Now that I had gotten out of my braces it really got me worried that the discolored tooth is really obvious. It also got me thinking that I should not have done a root canal cause before it looks normal but now it is really gray. Can this dentist be wrong about my tooth? | 3,266 | Hello, Welcome back to icliniq.com. When you banged your tooth and part of it chipped away, the pulp or the core of nerves and blood vessels that provide nourishment to the tooth probably died. It is not possible to judge this now but your dentist must have done the required tests to come up with this diagnosis. The discoloration that you noticed following root canal treatment could be due to decomposition of pulp remnants left inside the tooth following treatment. The problem can be solved in different ways. You may try first internal bleaching which is a form of tooth whitening directed at the inner part of the tooth. If this fails you can think of a veneer or even an aesthetic (tooth-colored) crown to mask the discoloration of your tooth. | Q. My chipped tooth turns gray after root canal treatment. Why? |
Hello doctor, My father is suffering from hypothyroidism and was having thyroxine 137.5 mg for the past four months but on his own started 125 mg from the past two months. Report readings: T3 - 1.04. T4 - 12.60. TSH - 0.11. He is a diabetic and even had angioplasty done. Please suggest the best for him. | 3,267 | Hello, Welcome to icliniq.com. I read your query and from what you have mentioned it appears that your father has overcorrected his thyroid. He must take 100 mcg Thyroxine only. Repeat his thyroid test after three months, only TSH (thyroid-stimulating hormone). His diabetes is not controlled. I would like to know his medications name, dose, and times per day. He has some urine infection. Likely because of high blood sugar, once sugar gets controlled, the infection will resolve. Drink 8-10 glasses of water daily. Please do not change the dose of Thyroxine on your own as it can be risky in patients with heart disease like your father. I hope this helps. | Q. Please suggest best medicine for hypothyroidism in diabetics person. |
Hi doctor, My baby girl is around 15 days old. I have had a normal delivery. At first, when she was three days old till the eighth day, I had engorged breasts with full milk but later there was a sudden drop in the supply. What might be the reason? Will the hot summer influence breast milk production? Also, I have taken a lot of stress due to the death of one of my relatives. So now what should I do to increase my milk production can I use Lactare capsules and Lactolina powder together? If so how long should I use and what is the dose? I have been using fenugreek since three days. Are there any other natural techniques to increase breast milk production without the use of these capsules? I do not have any complications throughout my pregnancy. Everything was normal then why did this happen to me? I am worried. Please help me because I want to breastfeed my baby exclusively for at least six months if possible until 1 year. | 3,268 | Hi. I understand the problem which you are going through. During breastfeeding period if there are any stressors (like excessive worry regarding the baby, sudden demise in the family) it decreases the prolactin reflex in the body and hence reduces the milk output. There are a few tips which may be helpful. 1) Be relaxed, calm and positive. 2) Try to generate lots of positive feelings towards the baby. 3) Keep continuing with a good diet and adequate sleep. 4) If the baby is on formula feed now, try to attach the baby to the breasts every time before giving formula. 5) Try to find out local causes like inverted or sore nipples if any. These are the few ways that you may try to increase milk output naturally. You can try taking Shatavari powder in milk twice daily and the capsules you are already taking. These things may be sufficient to increase the milk output because most of the times it is the psychological impact that affects the milk output. I hope this helps. | Q. My breast milk secretion reduced due to stress. How to increase the supply in natural way? |
Hello doctor, My scan report reveals: The study reveals circumferential asymmetrical wall thickening of pyloric antrum of stomach extending upto first part of duodenum. The wall thickening is for a length of about 12 cm. Maximum wall thickness is about 1.8 cms in the posterior wall. There is a luminal narrowing with proximal gastric dilation. There is anterior gastrojejunostomy. The thickening is extending along the greater curvature up to the anastomotic site. There is perigastic and omental gat stranding. Adjacent peritoneal thickening is seen. There is a loss of fat plane between the lesion and gall bladder. There is infiltrations with abnormal mucosal enhancement of gall bladder. Impression: Malignant wall thickening of the pyloric antrum of the stomach extending along the greater curvature of body to the anastomotic site of anterior gastrojejunostomy. Omental and perigastric fat plane thickening suggestive of infiltration. When compared to the last CT study the extent of wall thickening has mildly increased. | 3,269 | Hi. The report suggests that there is malignant (cancerous) growth in the stomach that has metastasized to gallbladder as well as spread to anastomotic (joining) site of stomach and jejunum. Omentum (fatty tissue around the stomach) is also involved. As compared to previous CT (computed tomography) scan report the growth has increased and infiltrated deeper layers of the stomach wall. You had done surgery treatment for cancer and also round of radiation therapy and chemotherapy. Radiation therapy uses high energy rays to destroy cancer cells. The symptoms in stomach cancer may include blood in stools, abdominal pain, nausea, vomiting, loss of appetite and weight and excessive fatigue. In the last stages, depending on the part of the body to which cancer has metastasized (spread), symptoms other than these may appear. It may metastasize to the brain, liver, bones or lungs and may produce associated symptoms. You strictly follow the advice of your doctor or seek a consultation with a surgical oncologist. | Q. CT impression reveals malignant wall thickening of pyloric antrum. What does it mean? |
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? | 3,270 | 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. | 3,271 | 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. | 3,272 | 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. | 3,273 | 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. | 3,274 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am a 22-year-old female. I weigh about 52 kg. So from the last one year, right after my graduation, I am at home as I was diagnosed with TB. So being at home I feel depressed. My mood changes every minute. My behavior from the last six months is irritating and arrogant. The people around me make me feel helpless like I am of no use, just wasting my time. I know from inside how much I feel lonely and weak like there is no energy left. Nothing excites me. These days I am noticing that I get so negative. I get very easily attached to strangers. I cannot sleep at night. What kind of illness I am facing? | 3,275 | Hello. Your description and symptoms are typical of major depressive disorder. This happens very commonly, one in four women can have this at any point in their life. Due to any prolonged stresses, sometimes the stress handling capacity of the brain gets reduced due to the reduction of certain neurotransmitters in the brain. The medicines will just replace these chemicals and make you feel better. Medicines start taking the effect in about a week or so and show full effect in about two weeks. Medicines are usually continued for two to four months and then tapered off. Please consult with a psychiatrist for the same. He will start you on SSRI (selective serotonin reuptake inhibitors) type of medicines such as Escitalopram 10 mg for example and with some other medicines if needed to augment its effect. | Q. I am diagnosed with TB and depressed with negative thoughts. What kind of illness is this? |
Hello doctor, Patient is an 82-year-old female. Ultrasound report says sludge with the distended gall bladder. Ongoing medicines Pantodac, Ulyses 150. What to do? | 3,276 | Hi. I have read through your query in detail. Please find my observations below. The gall bladder is a bag-like organ adjacent to the liver where bile gets collected. When we eat food at that time the bile is released from the gall bladder into the small intestine. The patient has the formation of sludge within the gall bladder. This happens when the person does not have food on time and does regular fasting. It might also happen in those who take a lot of oily food. What happens is that the bile acids cannot get expelled because the person does not eat food regularly. If the bile stays in the gall bladder for longer periods then there is sedimentation and the bile solidifies into a semisolid consistency called gallbladder sludge. After a few weeks and if not treated then the sludge will transform into stone. Pantodac is a medicine to reduce acid formation in the stomach and treat gastritis. Ulyses 150 is ursodeoxycholic acid and is given to dissolve the gall bladder sludge and prevent stone formation. Please get liver function test repeated every two months if she is given this medicine for a longer duration. Please continue giving the medicines as recommended by your doctor. Most important is to make her eat in small amounts of food at regular intervals. Since she is elderly therefore the food should be prepared with less oil and made easily digestible. Also, give her adequate amounts of water and fresh juices. | Q. Ultrasound report of an 82-year-old woman suggest gallbladder extension. What should be done? |
Hello doctor, I am a 34-year-old married woman. I had physical intercourse on the day of my ovulation. After that, I am having cramps in my lower abdomen specifically pelvic area. Also, yesterday I had an indigestion problem and I am feeling sleepy for the entire day. My last ovulation date was five days ago. But my pregnancy test showed negative results yesterday. What are the chances of pregnancy considering my age? | 3,277 | Hello. If you had unprotected intercourse around your ovulation period then there is 40 to 50 % chance of getting pregnant if everything is fine. Ovulation can be plus or minus and we have to calculate it retrograde after getting period. If you have a regular period then there is more chance that your ovulation date it to be final. Even if there is pregnancy it takes 14 to 15 days to turns urine pregnancy test to be positive. You have to wait for those days. Age is important but more important is hormones releasing in your body and the quality of ovum produced in this cycle, which is more important than anything else. There are hundreds of factors that can affect the course. But at last, we have to wait for 15 days. You can do bHCG (beta-human chorionic gonadotropin) blood test after 10 to 12 days. But you have to repeat to see whether the pregnancy is there and it is growing or not. Pelvic pain and indigestion problem can be due to stomach infection or urinary tract infection. Do drink more water. During later half of the cycle, weakness can be due to progesterone releasing in your body. As I said there are many things and many explanations. So the best thing to do is to wait for 10 to 12 days and do bHCG blood test or wait for 15 to 16 days and do a urine pregnancy test. I hope this helps. | Q. I am 34 years old. Will intercourse on ovulation day help me to conceive? |
Hello doctor, My daughter suffered a concussion 16 weeks ago. She is still struggling with several symptoms like constant headache, fatigue, trouble falling asleep, feeling weird and occasional dizziness. She does feel a little better compared to a couple of weeks after it happened, but unfortunately, she still feels pretty bad. She has taken the impact test with her doctors twice since it happened, just to track her progress. The first one she failed, but she just took another one this week and passed. Her score was back to baseline. How can her cognitive function be back to normal when she still feels so bad? Does she need to continue to rest as she has been for four months? Does she still have a concussion? She has special accommodations at school right now. Should those continue? Her case is being referred and sent to a neurologist as the pediatric concussion specialist does not specialize in post-concussion syndrome or symptoms and he wants her to get the best treatment possible. We are awaiting that appointment so I do not currently have a doctor who can answer these questions. The only medication she has been taking is Naproxen (Aleve). The doctors have not allowed anything else, but we are hoping the neurologist will prescribe something. She is also taking a lot of vitamins to try and help her energy level. I have attached a file. | 3,278 | Hi. I can completely understand your concern for your daughter's illness. I have seen the attachment. (attachment removed to protect patient identity). Sports concussion injury is a new concept in medical sciences. Concussion is basically a very mild injury to the brain which impairs the basic mechanism in which a brain functions under normal circumstances. Concussion can be caused by a direct blow to the head or by indirect blow, for example, when an athlete is sprinting very fast and suddenly stops or changes direction leading to the sudden change in movement of the brain tissue leading to a friction between the brain tissue and inner surface of the bones of the skull. Let us discuss the queries asked by you one by one. Regarding how can her cognitive function be back to normal when she still feels so bad? Well, at present her problem is not concussion brain injury because concussion brain injuries usually heals within a few days. Various scientific studies shows that 90-95 % of concussion injuries heals as fast as within eight to nine days after the injury and only 5-10 %,injuries take more than 10 days. So medically and technically it is post concussion syndrome which she is presently dealing with. Post concussion syndrome can develop in a person with a very mild concussion and on the contrary, do not develop in some patients who suffered a major injury which in turn means that development of post concussion syndrome does not depend on the severity of brain injury, it happens in some and do not happen in others. But the good thing is that in sooner or later the person gets cured with time. 90% cases of post concussion syndrome resolves in two to three months and 10% resolves six to eight months after the initial injury and very rarely it may take maximum upto one year but the point is that almost 100% cases get resolved maximally within one year after the injury. Regarding does she need to continue to rest as she has been for four months? Yes, as she is still having symptoms of post-concussion syndrome i.e headache, fatigue, dizziness, sleeping disturbances, etc., she needs to continue both physical and mental rest till all the symptoms go away. The medical reason behind recommending both mental and physical reasons is that doing physical activity the heart starts beating fast and more forcefully leading to increased blood flow in the brain which inturn can exacerbate the symptoms of post-concussion syndrome and can cause the symptoms to reoccur. Similarly performing cognitive activity and even mental activities like thinking use energy in the brain and can slow the recovery process of post-concussion syndrome Regarding does she still have a concussion? No, she does not have concussion now. As I have already explained that in almost all cases, concussion injury heals within 10 days. Her primary concussion injury has healed and presently she only has the symptoms of post-concussion syndrome. Regarding her special accommodations at school right now. Yes, she should continue and follow those special accommodations till all her symptoms of post-concussion syndrome subside and go away, otherwise as I explained above, any physical or mental stress can delay the recovery and can re-trigger the symptoms repeatedly. I hope this helps. | Q. When will the cognitive function get back to normal after sports concussion? |
Hello doctor, For three years, my RBC has been slightly elevated (~4.9). My DNA results show a homozygous GG genotype for SNP rs12340895 of the JAK2 gene indicating greatly increased odds of developing JAK2 V617F-positive MPN. I have no symptoms and I am in good health. Should I see a hematologist to establish a baseline and periodically monitor for MPNs? | 3,279 | Hi. Based on your query, my opinion is as follows: Numerous DNA mutations are always present and it is difficult to monitor for any specific malignancy. However, speaking specifically, the mutation you have described can be seen in 50% of the normal population, which is very high considering the percentage of MPN prevalence. A higher RBC count can be seen due to high altitude, lung problems, smokers, athletes, etc. RBC count above 6 would suggest a possible risk. 4.9 is too low to comment and the only thing, I can comment is it is very good hemoglobin levels. Based on your BMI, I would consider you to be physically fit and this RBC count should be appropriate. Not to worry, no monitoring is necessary for now. Annual checkup of complete hemogram should be adequate. I hope this helps. | Q. Does slightly elevated RBC with DNA mutations indicate MPNs? |
Hi doctor, I have been doing Zumba for six months, three times a week. A month ago, my instructor significantly increased the intensity of choreographies and my shins started hurting after dancing. They hurt all along the tibia, all the time. It is not extremely painful, but quite annoying. I would like to continue exercising, but I am scared of potential long-term consequences. Should I just slow down and avoid some moves (like jumping)? Should I switch to pilates? | 3,280 | Hello. I have read your query. I would suggest you to reduce the intensity or time duration of Zumba, if possible. Do some warm up exercises before starting with high intensity Zumba dance. You can also do some low intensity Zumba dance before moving into the higher intensity every day. Please have a look below for more informations. Start with warm-up exercises or low intensity Zumba dance before starting with high intensity Zumba dance. Take frequent brakes between the high intensity dance. You may simply stand or sit for two to five minutes in every 10-15 minutes of dance. You may use shin support braces during the dance. This may reduce the pain you get after the dance. Dip your legs in warm water for 10-15 minutes after going home or take hot pack on the shins. Rest in between the high-intensity dance. Shin supports or braces while practicing Zumba. Try the above suggestions and see, if you still feel the pain let me know. You may later opt for pilates instead of Zumba. | Q. My shins get hurt after Zumba dance session. Should I continue it? |
Hello doctor, More than 20 years ago, I suffered from anxiety derived from the use of drugs and my family situation, from which I recovered with Deanxit and psychoanalytic therapy. Of course, I quitted cocaine forever. I was in therapy for seven years. At the end I recovered completely, having a full and happy life for more than 10 years. I have a great wife and daughter and very good friends and have a good relation with my family. The fact is that I was feeling very well until about two years ago I began to experiment as if I could not enjoy things. A few months later, being quiet at home at night, an incredible and strong chemical depletion suddenly came over me. It was like a feeling of chemical depletion of the neurotransmitters or something like that in the brain that caused me a downturn similar to when you use drugs. Like when you have a sudden drop of blood pressure. It was not the depression of being crying, feeling of worthlessness, deep sadness. It was these desperate and unbearable feeling. This lasted about 3 days, so I went to my psychiatrist because I could not take that feeling of intense downturn anymore (I have to say that years ago I had already felt those feelings for short periods of time, like a few minutes, and then disappeared, but I did not give them much more importance). He prescribed me Deanxit again two times a day and after four days I was fine. The fact is that he withdrew it a month and the next day I noticed again the unbearable symptoms of the beginning. I went back to the medication and felt good again, but I wanted to switch to a stronger one, following my psychiatrist's advice, because sometimes I was still feeling bad. I tried many others that did not work or made me feel worse. I have tried in between other therapies such as cognitive-behavioral, EMDR, acupuncture and I believe that none comes to the heart of the matter, that it is a serious chemical imbalance that is happening to me and that I cannot overcome and balance. I have also performed neurofeedback, as well as resonance of the head requested by a neurologist and they saw nothing. I am a person who is not obsessed at all with things, very cautious in life and have a successful business for years. I do not usually stress except on some occasions and I consider myself quite rational in general, so I cannot understand why this is happening to me, I am looking for someone who can diagnose my disease, beyond the generic term of depression and anxiety, in which, because of the symptoms that I have explained, I am not reflected. I think that the dysphoria would be the closest, but I also do not feel that irritability that accompanies it. Have you met a patient with similar symptoms before? Or maybe someone to whom you can refer me to understand what is happening here? I absolutely trust science, and I just want to return to the state of normality that I had before all these crises that, I repeat, are so intense and unbearable that I want to die when I suffer them, and that I need to understand what happens to me, having more opinions from other experts. | 3,281 | Hello, Welcome to icliniq.com. You have actually got everything right with what you think you are experiencing. It is dysthymia. Basically the neurotransmitter deficiency, be it for whatever reason is the cause. In males, it usually appears between 30 to 40s. Also, it is not necessary to have irritability to be called dysthymic. Basically, if you look at a figure of 50 between 0 to 100 as normal and the baseline for mood, you are persistently unable to return to the baseline and are always beneath the normal mood, what people call as mildly depressed. This dysthymic period, when an episode of depression is superimposed, is called double depression which is the episodic problems that sometimes occur. The core of treatment here is the addition of a mood stabilizer, such as Lithium. That in addition to an antidepressant will show you the greatest improvement. Basically the antidepressant will elevate your mood and the mood stabilizer will hold it there. Rest in addition to the medicines, you should continue your therapies as advised. I hope this helps. | Q. I get anxiety attack with sudden chemical depletion. How to overcome it? |
Hello doctor, My father had cataract surgery yesterday. His sugar levels were fine before surgery. Today he was given a Dexa injection 2 ml in his eye due to inflammation. After that the sugar levels have stayed between 280 -300 through out. Just before dinner, his sugar levels were 300 mg/dL. As advised by our doctor have gave him 16 units of Mixtard instead of 14 which he takes regularly along with regular sugar medicines. My questions are: Does Dexa injection increase the sugar so much and when will the effect go? In addition, he is also putting one drop of steroid eye drops Predmet every hour. From tomorrow, it will be once every three hours. Can this also increase the sugar level? From tomorrow how should we manage the sugar levels? Will the effect of steroids go away? Please see the attached prescription of all the eye drops after cataract surgery. He is taking Mixtard Insulin 30/70 - 50 units in the morning,14 units in the night, Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg -0-0-1, Metolar 25 -1-0-0, Dynapres 0.4 - 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0, Thyronorm 25 mg one tablet from Monday to Thursday and two tablets from Friday to Sunday, Cap Uprise once a month. | 3,282 | Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that your father’s blood sugar has increased because of steroids. As for your questions let me answer them one by one. Yes, Dexa injection increases the sugar so much and it will have decreased effect once your father is off steroids completely. Yes, steroid eye drops Predmet (Methylprednisolone) can also increase sugar level. Regarding managing the sugar levels, if his fasting is above 250 then increase his evening dose of Insulin by adding two more units. If his dinner blood sugar is 250 mg/dL above then add two more units to his morning dose of Insulin and continue monitoring accordingly. If drops to 200 then do not increase his insulin at all and maintain at that dose of insulin. Keep following his blood sugar closely and watch for any signs of hypoglycemia as well like increase sweating or shivering or headache or hunger or cold skin, etc. I hope this helps. | Q. Can steroid eye drops raise the blood sugar levels? |
HelIo doctor, I have been diagnosed with PCOD and endometriosis suffering from irregular bleeding which does not seem to stop. I saw a gynecologist last month, she happens to be my regular doctor. I am also planning to conceive so she gave me certain medications that would help me to plan. But the main problem arising is my period does not seem to stop and now it is really disturbing. I am confused with my medications also when I am planning to take contraceptives to regularize my period it would not be good for me I guess. Kindly suggest something which will regularize my period and also help me continue with baby planning medications. I am currently on Folic acid with Metformin tablets. | 3,283 | Hello. The PCOD (polycystic ovary disease) is confirmed by ultrasound transvaginal and there is a presence of a small fibroid as well in the posterior wall of the uterus along with a left ovarian endometriotic cyst. (attachment removed to protect patient identity). This simply confirms that there is an estrogen depletion and testosterone excess in your body which needs to be rebalanced and that can be done with the help of oral contraceptive pills and Myo-inositol and D-Chiroinositol supplementation for at least three cycles. You have to understand that PCOD is alike diabetes and cannot be completely treated but can be controlled and prevented with lifestyle and dietary modifications post-medical treatment. You need to be placed on medications before you start ovulating naturally which you are not due to PCOD. The presence of a hemorrhagic cyst, unlikely endometriotic too can be addressed with the PCOD regimen. The insulin resistance in your body would too have to be controlled and you need to avoid oily, spicy, and fried foods to an extent along with brisk walking daily with adequate daily water intake. Please do not opt for an ovulation induction cycle as that would be an attempt in vain. | Q. My irregular bleeding is disturbing my cycle to conceive even with medications. What to do? |
Hello doctor, I cannot get any SSRI medicine to work anymore after 25 years. I have anxiety only from morning to mid-afternoon. Doctor put me on Oxcarbazepine 300 mg daily for anxiety but this seizure medicine is making me dizzy and very tired and off-balance. My head feels weird. I just weaned completely off Zoloft three days ago. What new family of medicines do you suggest for me to try for my anxiety? Lately, I can get it under control for four to five hours taking 1/4th of a 0.25 mg of Xanax. I take a Sliver tablet of 0.25 mg three to four times a day or maybe once. Anxiety ends every day at around 3-4 PM each day and I sleep fine too. | 3,284 | Hello. Considering your age, it will be difficult to try a low dose of TCA (tricyclic antidepressant), but if nothing works that is always an option. Apart from an SSRI (selective serotonin reuptake inhibitors), there is always SNRI (serotonin-norepinephrine reuptake inhibitor) like Venlafaxine which is pretty effective for anxiety. Also instead of Oxcarbazepine, you could try a low dose of may be 200 mg of Sodium valproate. Also, there are some dietary supplements like L-Theanine 200 mg which can be taken two times a day or on SOS basis. Finally, instead of Xanax (Alprazolam), you can try Tofisopam which is a different type of benzodiazepine with lesser addictive potential, no sedation or impairment in work performance. Also, consider doing deep breathing exercises daily and when you have an anxiety attack do more repetitions of deep breathing. Also, consider starting with yoga, meditation, progressive muscle relaxation or other types of calming exercises. | Q. Is there any new medicine for anxiety as SSRI not helping me? |
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? | 3,285 | 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. | 3,286 | 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. | 3,287 | 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. | 3,288 | 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. | 3,289 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have high eye pressure of 30 and 24, visual field loss, and at times I go completely blind in both eyes. I have also gone blind in just one eye. I just went back to the eye doctor when I had the pressure of 24 and 30. I have been there three times and each time I had a high eye pressure. He at first told me everything looked good until I asked him what my pressure was again because he specifically said my pressure was good when I knew that it was high. He told me that it was fairly high when I asked for it but he says I do not have any optic nerve damage and that it is highly unlikely that I have glaucoma because I am 23 years old. But my research has told me differently that high eye pressure alone does not mean that that you have glaucoma but if you have visual field loss or optic nerve damage with your high eye pressure then you do. So I do not know what is going on? Can you please help me understand and is it possible that I do have glaucoma and should go to another doctor? | 3,290 | Hello. I reviewed your history. The presence of elevated intraocular pressure is called as ocular hypertension. If it is associated with visual field changes or optic disc changes it is called as glaucoma. However, ocular hypertension alone also requires treatment particularly in your case as intraocular pressure is high. Hence you need to consult glaucoma specialist for evaluation and advice accordingly. Increased intraocular pressure. Visual fields, OCT (optic coherence tomography). Glaucoma. Antiglaucoma drugs. Once in six months. | Q. Is high eye pressure a typical sign of glaucoma? |
Hello doctor, I am a 20-year-old male. I am having throat pain with red tonsils and white patches on them, frequently clear throat, excessive mucus with low and not clear voice. Please help. | 3,291 | Hi. From your description I understand that you are a male aged 20 years, having the symptoms of throat pain, excessive throat mucus, throat irritation and change of voice. From perusal of your symptoms, I conclude that one of the following could be the most probable causes: 1. Acute follicular tonsillitis: It is the infection of tonsils. May be accompanied by an infection of the pharynx and upper respiratory tract. It produces acute pain, painful swallowing, change of voice, and throat irritation. 2. Diphtheritic tonsillitis: It is a serious condition where after healing of tonsillitis the diphtheria organism can cause myocarditis (inflammation of myocardium) and nerve palsies/neuralgia. Neuralgia is a nerve associated pain. The symptoms of your case that match this condition are in addition to throat pain, red tonsil are the patches you mentioned. Diphtheria forms a dirty white membrane over the surfaces. 3. Other less probable conditions are infectious mononucleosis, tonsillar malignancy, Vincent's angina. However, the details you have given do not seem to match these. However, I must insist that only when we examine you we can be sure of what the findings are and what could be the diagnosis. You could take a picture and send us for a better understanding of your problem. Meanwhile, try the following. These are just suggestions. I would recommend you to do the following tests for a more decisive opinion. 1. Complete blood count. 2. Throat swab and Albert staining of the swab. Some general measures you can take to alleviate the pain and change of voice are: 1. Take plenty of warm and hot fluids. 2. Avoid spicy, oily, and cold foods. 3. Take salt water gargles many times a day. 4. Take steam inhalation. 5. Take pain killers to alleviate the pain. Only after a more decisive opinion can we provide you with antibiotics or more specific measures. | Q. I have red tonsils, excess throat mucus, irritation and voice change. What should I do? |
Hello doctor, I am having a lot of irritation on my vagina opening and when I scratch it, it feels good but it gets more irritated. I went to the doctor recently and I had a UTI, however I am still feeling very itchy and I am getting concerned. I am 22 years old and right now I am only taking the antibiotics for the UTI. | 3,292 | Hi. It looks like boil. And mostly it is UTI related (attachment removed to protect ptient identity). Continue taking antibiotics. Can be in healing phase and that is why itching must be there. But you can take Syrup Cital like liquid 2 times a day for 15 days. And can also apply Candid - B like ointment which will help in reducing itching. Do not scratch. It will increase the infection. Drink more water. Keep the vaginal area as dry as possible. If you have white discharge per vaginal then can take Candid V6 tablets vaginally every night for 6 days. If not controlled with given antibiotics then may require to change antibiotics or antibiotics by injections. | Q. Can UTI cause irritation in vaginal opening? |
Hi doctor, I have an issue that really needs taken care of. I am not sure which type of medical professional I should be seeing? I have gone to a gastroenterologist and got a colon exam. They said they did not see anything wrong. But I have had this issue for a few years now and it is not getting any better. I seem to constantly have a fecal odor. My rectum area always feels moist and smells constantly like poop. I will be in the shower scrubbing and soaping up my butt and by the time I get out my anus already smells like poop. Every time, I have a bowel movement, I have to either shower or use soap and water to clean off as best I can, even though minutes later it starts smelling again. I clean myself much more thoroughly than I feel most people do but it does no good. I am also really gassy if that might be related. Always feeling like I have to fart or like I need to poop. It never feels like I am able to fully evacuate my bowels on the toilet. I am also very sweaty in my groin butt area. It probably does not help any. What should I do now? | 3,293 | Hi. I read your query. You have feeling of incomplete evacuation, smell of stool persistently and also gas problem. I would like to know what is your daily bowel frequency. I would suggest you to check with gastroenterologist regarding finding of your rectal examination which should be done by finger. If it was not done it should be done to check the synchronization of your rectal muscle contraction and anal sphincter contraction as you have mentioned you have incomplete evacuation. A special test called manometry can also help to check the muscle coordination. Regarding gas problems, you can modify your diet e.g. if you are lactose intolerant reduce milk and milk products. If you are taking too much protein in your diet you can reduce it. You can give me feedback once you try this suggestion. | Q. Why do I get stool smell in my anus always? |
Hello doctor, The radiologist stated scattered white matter lesions but does not tell the location, or size. They state as unsure etiology or clinical significance. The ordering physician suspects MS due to symptoms like disorientation, incontinence, and body pain. If the radiologist suspected MS would not they state the size and location? And diagnoses suspected disease or kind of lesion? Was this a poor report? Or was he basically not sure of what is going on? I leave it up to the ordering doctor. I have done blood for lupus, arthritis, Lyme disease, and complete blood test. | 3,294 | Hi. The few scattered white matter lesions could mean that there are areas in the white matter of brain which are seen as small pinhead size on T2 and flair sequence. This is commonly from small vessel ischemic changes and is seen usually in older age and slightly uncommon in the young population. The cause is sometimes unknown. Suspicion of MS (multiple sclerosis) is by diagnostic criteria and matching it with clinical examination. There is McDonalds criteria for imaging in MS and if the radiologist did not mention any findings which are under these criteria then it is unlikely to be MS from this scan. The criteria specify that the patient might require a subsequent MRI scan and the new scan is compared with the old one to make a probable diagnosis of MS in you. It is clear that the findings are less likely to be from MS on this scan. Talking about radiologists, every person has their comfortable style of reporting and I feel mentioning the location of the larger white matter lesions would have been good for your ordering doctor. I will not say this is a poor report but surely it can be improved by providing the size and location of the larger white matter lesions. I hope this helps. | Q. Can scattered white matter lesion of unsure etiology be suspected for MS? |
Hello doctor, I am a 22-year-old female and I weigh about 168 lbs. Seven months ago, I was in the ER with severe lower abdominal pain. I had blood work, abdominal x-ray, internal ultrasound, and an abdominal CT scan with contrast. They found that I had a ruptured cyst. However, for a couple of months now I have had on and off nausea, bouts of diarrhea, some blood in toilet when wiping, and I have started to poop a little more than I used to. Now I will say that my diet has been kind of crazy since moving to another state. I am not sure if I should be worried about what is going on. | 3,295 | Hi. I understand that the earlier severe abdominal pain might have been due to the rupture of an ovarian cyst, form which you have made a good recovery since. As you have already pointed out a change of location and with that, an erratic diet pattern, the focus should be on any infection involving the large bowel which might be causing your symptoms. It is important that you keep in mind the following. 1. Please have well cooked and hygienic foods at all times. 2. Drink plenty of water and fresh juices and visit washrooms regularly. 3. Never skip meals during the day and if time permits, have helpings of fruits and snacks in between larger meals. 4. Control your anxiety and stress levels. This can also cause some of the symptoms mentioned by you. If you ever have diarrhea for more than 24 hours then please consult a doctor for emergency first aid and medicines. | Q. After diagnosis of ruptured cyst, I experience nausea, diarrhea and blood in toilet. Why? |
Hi doctor, I was just wondering how long germs would live on in a liquid lipstick? Around five weeks ago I had a vomiting bug, most likely gastro. I went out on Saturday night and wore a liquid lipstick, and was sick on Sunday. Will these germs still be living in the liquid lipstick and make me sick again or will they have died. Also, if I shared my liquid lipstick with someone who potentially had a cold sore, I am not sure if they get them or not, would those germs live in the liquid lipstick? | 3,296 | Hello, Welcome to icliniq.com. I understand your concern. There is exactly not much research done on how long bacteria or viruses could survive in a liquid lipstick. If you have had a gastrointestinal infection, and if your lipstick came in contact with your saliva, the microbes could have gone into the lipstick. How long they survive in the lipstick, and how fast they multiply, largely depends on what kind of chemicals were used in the making of the lipstick. Moreover, different microbes need different kinds of growth environment, so it is hard to comment on that. I would advise you to avoid using cosmetics when you are sick. Regarding sharing of your lipstick, it is never a great idea to share your cosmetics with others. Cosmetics should be used as personal items, just like you would use your toothbrush. Sharing cosmetics can lead to the spread of skin infections. If you think you have shared cosmetics with someone you think might have some kind of infection, I would advise you to dispose it, and buy something new. I hope this helps. | Q. How long does cold sore virus live in liquid lipstick? |
Hello doctor, I picked up a grade 3 hamstring injury from playing football around four months ago. Stupidly, I tried to play football again three to four weeks after the initial injury which caused me to pull my hamstring again. I have then left it for around two and a half months and I have slowly tried to get back into exercise. I started by cycling which I had no problems with I have also been away skiing and I have not felt any pain whatsoever. However, since I came back from skiing I went to play football yesterday and although I was fine for the majority of the game once the game had finished I noticed my hamstring felt sore. It also is still a little bit sore this morning, is this a good thing or a bad thing? I could easily run on it now no problem but it does feel slightly sore. Is there anything I should or should not do? | 3,297 | Hello. I read your concern. In my opinion, you had enough time to recover from tears. However, a grade 3 hamstring injury needs a bit more concentrated management. I think you should do proper rehabilitation to completely gain strength and stability. Exercises like bridging, single-leg bridges, clamshell, swiss ball jackknife, swiss ball hamstring curls, step-ups, and goblet squats will help you gain stability and strength. Slowly you should start running. If everything goes well then you should start gradual progressive running sessions. These exercises to be done for three weeks and then progress with the next level of rehabilitation. After progressing to full strength and stability and once you are confident then slowly you should return to play. I hope this helps. | Q. My grade 3 hamstring injury get sore only while playing football. Is it a bad sign? |
Hello doctor, For the past two months, I have had a pretty consistent elevated heart rate. Not by a lot but noticeable for me compared to what I was coming from. I cut out alcohol and caffeine and that helped but it always returns. My resting heart rate (I wear an Apple watch) is pretty consistent in the 53-58 range. But when I get up, go up or downstairs, it will jump to 100 pretty fast, then average out in the 80's as I move about my day. When I am sitting at work it is 78-85 bpm. This is a good 8-10 bpm faster than when I am at peak health. I am not sure what is going on. I did a fair bit of cocaine and took some ED pills a few times (with the cocaine) before three months, so I wondered if maybe there is a connection. I have not done anything like that since then. I am a runner, but now when I run or jump it goes up to 150 bpm and higher pretty fast. If I push myself anywhere close to hard I am at 170-180 bpm pretty easily, so I slow down. And it seems my body does not recover quite as fast. So I have stopped running hard and just do light jogs, and play tennis. I recover pretty easily there. But it is annoying as I want to run and push myself. I will go two to three days with no caffeine, alcohol and then I notice my walking around rate is lower, like what it used to be mid 70's. When it is like that I can feel it noticeably, I feel much more complete and whole. I feel great and no shortness of breath. So then I will have a few glasses of wine that night, and maybe a dessert (I like sugar at night) and I will lay down to sleep and my heart seems to jump up to 85-95 bpm for a while and it takes two to three hours before it rests at 53-58 bpm. And then the cycle starts again. I am so confused I do not know what the deal is. Is it the alcohol or sugar? I drink this one type of white wine a lot but I have noticed my heart rate does not react as much when I just drink beer. One night, I had white wine then tequila and my resting rate was like 68-78 bpm all night. I saw a doctor about three weeks ago and they did an ECG and listened to my heart and it showed no issues or irregularities. I do not have heart pain, though I did have a few sharp pains over the past two months maybe two to three times all lasting about one second and then it is gone all when I am lying down in bed trying to go to sleep. I do have shortness of breath due to the elevated heart rate when I am carrying stuff, going upstairs, etc. I do not have pain in my chest, jaw, left arm, etc. Sorry, this is so long but I really would love to discuss this with someone who maybe has heard of this before. To be clear what is annoying and confusing me is that my heart rate will steadily be 8-10 bpm higher at all times (aside from resting rate) for like a 7-10 days before it feels like it goes back to normal. But then there is always something that sets it off again. I never see it spike over 105 or so. | 3,298 | Hello, Welcome to icliniq.com. I understand your concern, but I assure you that there is nothing to worry about. It is normal for the human heart rate to fluctuate. For instance, during exercise the heart rate can go as high as 350 bpm in some people it does not mean there is a problem. It is normal. It is also normal for the heart rate to slow down when laying down. But it can increase while laying down in cases where you take alcohol just like in your case. You are having issues with anxiety probably because of the cocaine you used. I advise you to resume your exercise. Start jogging, it will help with your situation. You can only worry if you begin to experience shortness of breath, chest pain or fainting. | Q. What is the influence of cocaine on heart rate? |
Hello doctor, I have a positive ANA. ANA titer: 1:640 AC-1, Homogeneous ANA titer: 1:640 AC-2, 4, 5, 29, Speckled. RNP antibody: positive 1.5. All other antibodies are low. Serum cortisol: high 30 at 8:15 AM. Symptoms: Pulse races sometimes (can control with breathing exercises), especially when nervous. Vague muscle aches and pains, bilateral, that come and go. It could last a day or two and then leave. I also have muscle fatigue. The symptoms tend to be very vague and come and go. No Raynaud's, no swollen hands or fingers. Sedimentation rate: 2 CRP: 2.4 mg/L. Does this sound like anything to be concerned with? I am anxious about the antibody findings. I am currently taking Nexium, Clonapin .5 mg at night. | 3,299 | Hi, Welcome to icliniq.com. I would need to know first of all the symptoms for which ANA (antinuclear antibody) test was done. Any joint pains, facial erythema, or any fever? Revert with the asked details for better help. | Q. Do my ANA report shows any concerning issues? |
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