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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,300 | 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. | 3,301 | 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. | 3,302 | 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. | 3,303 | 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. | 3,304 | 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, A couple of weeks ago, I woke up with a bad headache and a very stiff neck. It was so painful that I could not make it through a regular day without crying and intense pain. Since this time, I have been to the doctor four times and each time, they gave me more medicines. I have also been to a chiropractor four times because one of the doctors recommended it after he took an x-ray. The headaches have gone away. I suffer from headaches and this pain is so different. Now, I have constant pain in the back of my lower neck and only on the left side. The stiff neck has improved and I can manage a day but I am still in intense pain. The only medicines I am taking at this time are over the counter medicines. What do I need to do? | 3,305 | Hello. Your symptoms may be related to occipital neuralgia, which is an irritation of the occipital nerve, which lies in the back of your head. I would like to know what were the results of your neck x-ray. This neuralgia can be exacerbated by cervical spondyloarthritis. I recommend starting Indomethacin twice daily if you have no contraindications to it (stomach problems or high blood pressure). I recommend consulting with a neurologist for a careful physical examination. An antiepileptic drug (like Valproate or Lamotrigine) may be necessary to relieve your pain. I hope this helps. Cervical spondyloarthritis or intracranial cause. Neck x-ray, brain CT (computed tomography) scan. Indomethacin. Anti-epileptics (Valproate, Topiramate or Lamotrigine). | Q. I have constant neck pain and stiffness on the left side following headache. What could this be? |
Hello doctor, I had oral sex three weeks ago. That day also I faced the same issue i.e I was unable to retract or pull back my foreskin completely, it took like three to four days to get to normal. Two days ago I masturbated and again facing the same issue i.e unable to retract the foreskin completely. It will be back to normal in another couple of days. I never faced such problem before, is it that I might have developed some an infection during that oral sex? But if there was infection how it went normal after three to four days. I have attached the video of it so you can examine. I have a few questions: Can I apply some ointment like Betadine or Soframycin? The Betadine is the same Betadine brown color ointment which we apply on cuts, etc., or is there any specific for this private part? How to apply the ointment? For how long? Also, should I wash with water or keep it dry for long? In the video, I also have shown some pus-filled pimples below stomach in pubic hair region that occurs occasionally. I never trimmed pubic hair is it because of that? Is it advised to trim the pubic hair? Also, can you suggest an antifungal shampoo for public hair? My head is very sensitive to touch so it pains on the touch of cloth or hand. Is it normal? How can it be fixed? Is there any tablet I can take to cure this issue like Fusys 50 mg tablet? | 3,306 | Hi. I have seen your attachment. (attachment removed to protect patient identity). The foreskin opening appears to be slightly narrow due to which you are not able to pull up the foreskin easily. This may need some lubrication like KY jelly or coconut oil before pulling up the skin. The boils in the pubic area are due to skin infection. Apply Soframycin (Framycetin) or T-bact (Mupirocin) cream twice daily and take Cefuroxime 500 mg twice daily for five days. This would heal the boils. Avoid shaving the pubic hair, just trim with hair clipper or scissors. Penis head is always very sensitive. I would suggest you get your blood sugar checked once. Sometimes raised blood sugar can cause skin infections. | Q. I am unable to retract my foreskin during sex. Will Betadine or Soframycin help? |
Hello doctor, I have been experiencing numbness in my left foot. It comes and goes sometimes throughout the day and sometimes it is completely normal. This has been happening for the past year. At night, when I lay down the back of both my calves feel like they are rhythmically pulsing only when lying down. I am freaking out that it might be the start of MS. I am a 36-year-old female. I have also had a mild case of mono (age 20) and have read that can increase my chances as well as being of Scottish descent. I very occasionally have neuralgia in a spot right above my collar bone and it is always in the same spot and very random. The shock lasts for about a few seconds then disappears. This has been happening for probably for the past seven years. I have also read this can be an MS symptom. I am trying to decipher if my symptoms are anxiety-related or if I truly need to be concerned with MS? | 3,307 | Hello. Your symptoms are not typical of MS (multiple sclerosis). The numbness in your leg may be related to a pinched nerve. The pulsating feeling in your legs may be psychological or related to venous insufficiency. Regarding the pain in your face, it is not typical of trigeminal neuralgia which lasts for minutes and irradiates in the nerve branch territory. I recommend consulting with a neurologist for a careful physical examination. If suspicions are raised, a brain MRI (magnetic resonance imaging) may be needed. I also advise performing a nerve conduction study and a Doppler ultrasound of your legs to exclude the above-mentioned disorders. I hope this helps. | Q. I have occasional numbness of foot and neuralgia above collar bone. Does it signify MS? |
Hello doctor, I am a 42-year-old male. My height is 5' 11" and I weigh about 120 kg. I do not do any exercise. Just a month ago, I experienced painful stomach cramps, diarrhea, excessive gas, sweating, and belching with bad taste which lasted for one night. I rested up for two days and felt much better but a cold sore appeared on my lip which again only last a few days. I am not sure if it is related but quite shortly the aforementioned incident I noticed enlarged papillae slightly apart from the others. I was naturally curious so rubbed it with my finger and it did not feel any pain so I just forgot about that. Shortly after I started to feel pain in my tongue, the pain would change location throughout the day and often move to my hard palate. I then noticed my tongue appeared white coated. I started to use oral thrush lozenges, rinse my mouth with mouthwash, gargle with warm water and salt, brush my teeth and tongue before bed (I never used to). After a few weeks, my tongue appeared pinker but the pain is still on and off. I finished the lozenges hoping that would be the end of it but I have noticed today that my tongue again appears white-coated and I now feel sore on the hard plate near the front teeth, also a new cold sore has appeared. I have read and looked at the photos about oral thrush, hairy tongue and so on but really I have no idea what my condition is. I have not been to see a doctor or dentist because quite honestly I am very scared. Reading that white-coated tongue causes can be anything from excessive alcohol, tobacco use right through to HIV or cancer is simply terrifying me. I did purchase a diabetes home test kit (urine) which did not show any traces. I drink and vape once a week but on that day I consume both excessively. Please shed some light and guidance. Photos run in chronological order. | 3,308 | Hi. First of all, thank you for the detailed history of your symptoms and photos which you have attached. (attachment removed to protect patient identity). Before I discuss further about possible diagnosis let me assure you that your symptoms or the photos you have sent do not show anything sinister in your mouth or tongue. Analysis of your symptoms are suggestive of a condition known as laryngopharyngeal reflux disorder (LPRD) where backflow of digestive acid causes significant injury to throat and mouth structures including tongue and palate. In your case symptoms seems to be triggered by an initial attack of acute gastritis and reflux, which may have caused significant injury. Acid can injure tongue papillae causing a coating of tongue, multiple small ulcerations, inflammation of tongue papillae. If the reflux continues to occur it can keep injuring different areas of tongue and mouth leading to migration of symptoms. Occasional binge drinking and vaping seems to be causing further damage to already injured tissue. You may need to take a few week course of anti-reflux medications and avoid drinking and vaping while on treatment to facilitate the healing process. Other than this I do not see anything dangerous as per the photos you have attached. Also, it does not look like oral thrush (oral candidiasis). So antifungal lozenges may not be of much use. | Q. I experience stomach cramps, excessive gas, belching and bad taste. Please help. |
Hello doctor, My father is 59 years old and suffering from diabetes for the last 15 years within control limit of sugar. Recently, he got attach with a brain hemorrhage on the right side, and he stopped to talk and his right side hand and leg become inactive. Slowly with medication and physiotherapy exercise, he recovered somewhat and able to speak. He can walk with rod support and his hand is still inactive. His creatine level in blood keeps on the higher side from 5.0 to up to 8.0. In the last few days, he started vomiting and unable to digest any foods. Doctor advised for immediate dialysis and is undergoing the procedure. Within a week's time, this is the second time he is going with the procedure. The first time it lasts for one and a half hours, and for the second time it lasts for three hours. While discussing with the fellow patient taking the procedure, they said this is a regular procedure and may require on a daily basis also. My query regarding dialysis is if once we opted is it a regular procedure? Please clarify the doubt. | 3,309 | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. No, this is not a permanent procedure for every patient. It depends on the status of kidney functions and roughly we can predict from creatinine levels (just to make it clear to you). If he gets creatinine levels of 0.2-1.2 mg/dL and the kidneys will be doing normal functions, then we can stop doing dialysis as kidneys are now doing their job by themselves. Dialysis is alternative kidneys actually. The job which kidneys do normally, dialysis does the same for the time being until the patient gets normal kidney functions back. I hope this helps. | Q. Once we start dialysis is it a must to get that all through the life? |
Hello doctor, My brother having a problem. When he was 3 years old he underwent an operation in the bladder. I have attached all the summary for your reference. Now he is 25 years old, still, he cannot control the urine for sometimes. Could you please suggest what we can do for this? Please help. | 3,310 | Hi. I have read through your query in detail. Please find my observations below. Your brother was treated for a tethered cord with a lipoma in close proximity to the cord at the sacral region. It means that he had a fat-containing tumor in the lower end of the spinal cord. These are birth and developmental problems that cannot be completely treated. At 25 years of age, he can get another MRI (magnetic resonance imaging) scan of lower back done and discuss it with a neurosurgeon if there is any persisting area where there is pressure on the spinal cord or the nerves. Usually, if any pressure effect on the nerves or cord is present now then they can think of releasing the pressure and this might improve his symptoms. If his condition is not possible to be treated after discussing and doing an MRI scan then the only way is to pass urine at regular intervals and avoiding an over distended bladder. | Q. Underwent bladder surgery before 20 years but could not control urine sometimes. Why? |
Hello doctor, I am on dialysis for kidney failure and I have noticed a fluctuation in my monthly blood work for the creatinine and BUN levels. At the beginning of the year, my creatinine was 11 and it has decreased every month to 7. I was also making more urine as I went along. All of a sudden, last month my creatinine jumped back up to 10. I have not changed anything in my routine or treatments. Does anyone have any ideas? | 3,311 | Hello. I have worked as a chief in a hemodialysis center for 20 months. Once the kidneys have failed and the patient is hooked up on dialysis, the creatinine value is always high. At this time we do not care about the creatinine values because once we start dialysis on a patient, it is assumed that his kidneys have incurred permanent damage and he cannot come back to normalcy. At this juncture, we use the patient's creatinine value as a measure of protein intake. If a dialyzing patient's creatinine value is high, it is assumed that he is having good protein intake through diet and high creatinine value is desirable in dialysis patients, since intake of much proteins gives them a long life. When creatinine value drops, we start worrying that the patient is not taking much proteins. So the drop in your creatinine value may be because you have started taking less proteins than usual. In this situation, we advise you to take more protein containing foods. For a dialyzing patient, the most important parameter is blood urea. See what is your blood urea level before and after a single dialysis session. Ideally, there should be a 60% reduction. Then it can be comfortably assumed that dialysis is effective. If you do not achieve this reduction, complain to the dialysis technician. He will do the needful adjustments with the machine. The big factor we have to afraid of is potassium. It should never cross 6. I hope this helps. | Q. Why do my creatinine and BUN levels remain fluctuating on dialysis? |
Hello doctor, It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation. | 3,312 | Hello. As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem. | Q. I am in braces for bimaxillary protrusion but the space is not getting closed. Why? |
Hello doctor, I was diagnosed with fibromyalgia a few years ago. Over the past three years, it has gotten much worse. I take Lyrica two times a day and Tramadol as needed for the pain. I still have a great deal of pain every day. The Lyrica makes me feel like I cannot think straight and the Tramadol just does not work anymore. I was prescribed Cymbalta which I took for approximately two years. It did nothing for me either. It was after that I started taking Lyrica. I have been taking it now for about six months. I recently saw my provider and he did some trigger point injections which do help in the areas injected. He told me he does not know what else to do for me. I just feel like there are no doctors that want to even try to help people with fibromyalgia. Especially those with which all the current medications do not work. I am terribly frustrated and very tired of being in pain every day. I never get a break from the pain anymore. What other treatments are out there now. Anything new that I may have not heard of? Any help would be greatly appreciated. I work full-time and I just do not want to be so miserable while doing it. Apart from Lyrica, and Tramadol I am also taking Estradiol, Progesterone, Levothyroxin, and Fluoxetine. | 3,313 | Hi. Fibromyalgia is a very frustrating condition, but with the help of the patient, a doctor can treat it. I have treated my patients with all the drugs you have mentioned by managing the doses, but I always ask my patients to do meditation that would help the most in this problem. In your case, I would recommend you to take Lyrica (Pregabalin) at the dose of 50 mg in the night time, which would not affect your thinking process. You should also take Cymbalta at doses of 60 mg per day. Your doctor would adjust these doses according to the symptoms you have been getting as well as the side effect profile. I hope this helps. TSH (thyroid-stimulating hormone). | Q. My fibromyalgia pain does not respond to any medication. Why? |
Hello doctor, Prostate biopsy was prompted by rising PSA over several years (20%-25% per year) reaching over 4 this past year (spiked at 7.3 which I think really is why they wanted the biopsy but I expect it to come down since then). 12 core came back benign, but I do not understand the implications for some of the additional descriptive language and why I need continued six months follow-up. DRE had nodules and TRUS shows calcification and volume of 27cc. Path description says reactive and atrophic acini and focally reactive. Does that mean BPH or prostatitis, or is that a precursor to PCa? I have no symptoms of BPH or prostatitis, other than getting up between 3 AM and 4 AM every morning. I think it is just an age factor. I am not interested in the DREs and TRUS procedures if it is not going to tell anything new, and I can have bloodwork done without the time and expense of a doctor's visit. | 3,314 | Hi. I have studied your reports and consulted with my pathologist. (attachment removed to protect patient identity). As per her advice and mine too, your reports are normal, the biopsy changes are age related. In the biopsy no carcinoma is identified. Doing DRE (digital rectal exam) and TRUS (transrectal ultrasound) again will not be beneficial as biopsy has already been done. And results are negative for cancer and BPH (benign prostatic hyperplasia). Biopsy was done because in benign prostatic hypertrophy and prostate cancer calcification occurs in 10% of cases. And your biopsy is normal. Biopsy is the choice of diagnosis. And your biopsy is normal. Your doctor has asked for the followup to see the changes in prostate calcification. Yes, TRUS and DRE will only show if the calcification and volume are increased or decreased, nothing else. Rest you can discuss with your physician for diagnosis and management. | Q. Prostate biopsy shows reactive and atrophic acini. Is that a precursor of prostate cancer? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,315 | 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. | 3,316 | 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. | 3,317 | 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. | 3,318 | 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. | 3,319 | 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 an extremely embarrassing issue with bad breath. It is not your typical "bad breath". It smells like dog poop, I am so embarrassed to say that, but it is true. It smells terrible even after I brush. It has affected me my whole life. Over the years I have had people consistently make comments about how bad my breath is. I have great dental hygiene; see the dentist twice a year, brush twice a day, floss throughout the day, mouthwash, etc., and nothing helps. Finally now that I am a 38-year-old woman I mustered up the courage to talk to my dentist about it and also to see an ENT doctor about it and they both have stated they do not believe it is a mouth or ear/nose/throat issue. Probably about 15 years ago I was on an antibiotic for something and it amazingly took my bad breath breath away and when I had a bowel movement the smell was not as bad either. That is also an odor issue I have, I am extremely embarrassed about my bathroom smells, I have IBS-D so it is a common thing in my life. I remember when I took this antibiotic noticing that it "took away" my bad smells. I had typical "not so pleasant" odors but nothing extreme and I could also tell in my mouth I did not have this kind of yucky taste that I commonly have. I was so relieved, but that was short lived once the antibiotics were gone. I cannot remember at all what the antibiotic was (maybe Doxycycline or Metronidazole). I am desperate for advise or help. This has effected me in so many ways in my life. I try not to get close to people when I talk and I avoid my husband like the plague when he tries to get close, I am desperate to find some help with this issue. | 3,320 | Hi. I have read your query and yes it seems likely that this is a medical issue and not a dental one. Since this is a long standing issue, diabetes or kidney disease seems unlikely as you would definitely have had other symptoms too by now. You already suffer from IBS which could be secondary to "acidity". The cause for bad breath and bad taste of mouth. Usually dietary modification and medicine are good enough for management but considering your history of breath getting better with antibiotics, you should get tested for H. pylori, a bacteria causing gastritis. If positive for it, follow up for a proper antibiotic course. Also, not to neglect other causes, do get CBC, HbA1C and B/Urea and S/Creatinine tested also. In the meantime, avoid spicy, oily or rich in proteins foods. Increase carbohydrates and use yoghurt if you cannot tolerate milk. Elevate head end of bed. Walk at least 15 minutes after dinner. Do not lie down til 1 hour post meals. Drink fluids with meals to decrease acidity. Eat dinner 2 hours before bedtime. Eat smaller portions for ease of digestion. Simultaneously, using Omeprazole 40 mg at night will improve things. | Q. What causes bad breath even after maintaining good oral hygiene? |
Hello doctor, My dad is 64 years old and suffers from severe constipation, anxiety, numbness in his arms but only during sleep, buzzing in ears, and insomnia. He cannot sleep at all at night we have to give him sleeping pills sometimes, does not talk much to us but always wants us to be beside him and always mumbling what will I do or other things I cannot recognize. He did MRI two months ago and it showed involutional changes, early small artery disease but the above symptoms were not there, there was only constipation, but now after we went to a doctor he gave him two medicines for his anxiety and sleep. But after taking these two pills his condition got worse. Please explain in detail that what is going on with him and can the medicines really worsen his condition? What are we supposed to do now? Please help. | 3,321 | Hello. I will suggest some of the medications as well as remedies for quick result. First of all, do not be so anxious everything will be gonna alright. Ringing in the ear is known as tinnitus. Please follow these precautions to prevent the buzzing sound in the ear. 1. Avoid excess cold water head bath. 2. Avoid excess traveling. 3. Avoid intake of so much spicy and bitter food. 4. Administration of the cow ghee one tablespoon every day. 5. Applying oil around the ear and on the scalp. Treatment for severe constipation include intake of 5 to 10 gram of the ghee in diet daily, intake of food rich with diet fibers, intake of warm water in the morning and evening. Treatment of insomnia include stimulus control therapy. This method helps remove factors that condition the mind to resist sleep. For example, you might be coached to set a consistent bedtime and wake time and avoid naps. Use the bed only for sleep and sex, and leave the bedroom if you cannot go to sleep within 20 minutes, only returning when you are sleepy. Sleep restriction: Lying in bed when you are awake can become a habit that leads to poor sleep. This treatment decreases the time you spend in bed, causing partial sleep deprivation, which makes you more tired the next night. Once your sleep has improved, your time in bed is gradually increased. Sleep hygiene: This method of therapy involves changing basic lifestyle habits that influence sleep, such as smoking or drinking too much caffeine late in the day, drinking too much alcohol, or not getting regular exercise. It also includes tips that help you sleep better, such as ways to wind down an hour or two before bedtime. Sleep environment improvement: This offers ways that you can create a comfortable sleep environment, such as keeping your bedroom quiet, dark and cool, not having a TV in the bedroom, and hiding the clock from view. Relaxation training: This method helps you calm your mind and body. Approaches include meditation, imagery, muscle relaxation and others. I hope this helps. | Q. My dad suffers from constipation, buzzing in ears, anxiety, and insomnia. Please help. |
Hello doctor, I am 26 years old. I got scratch in my cornea (eye) due to nail, basically corneal abrasion. I have got this a month ago and got treated. Now it occurs again. What I should do? | 3,322 | Hi, Welcome to icliniq.com. Corneal abrasion usually occurs due to a trivial or serious injury to the cornea. It should be treated immediately to avoid a more serious sight threatening complication like corneal ulcer. Injury to the eye. Test for dry eyes should also be performed for recurrent corneal abrasions. Corneal abrasion can be best treated by administration of Vigamox (Moxifloxacin hydrochloride) eye drop one drop every two hourly and Systane eye drops every two hourly (difference between the two eye drops is approximately five minutes). Application of Panthegel eye ointment (Dexpanthenol) along with Zymar (Gatifloxacin) eye ointment at bedtime. It is a good idea to patch the eye for the whole day with a sterilized eye pad to avoid any dust and minimize the blinking rate for an effective and speedy recovery of the abrasion. Avoid cleaning the eye with water, or any unsterilized cloth or whatsoever. If the condition is associated with pain and redness Homide (Homatropine hydrobromide) eye drop once daily along with anti-inflammatory tablets like Combiflam, etc., can be taken twice daily for three days. If the condition does not improve in three days you should consult an ophthalmic consultant for proper examination and treatment of the pathology. Use of contact lenses to be avoided at all times. Avoid use of water. Patching of the eye with sterilized eye pad for the whole day. Avoid use of contact lenses and eye cosmetics. Use of topical steroids should be avoided at all times. If the problem does not improve in three days proper slit lamp examination of the eye should be done by a trained ophthalmic surgeon. | Q. I am getting recurrent corneal abrasion. What should I do to prevent it? |
Hello doctor, I have been dealing with severe lower back pain, hip pain, butt and leg pain, fatigue, insomnia, hot and sweaty, pain in wrist and fingers, foot pain (left foot my toes are curved down and one is curved to the left). I do not know if this has anything to do with arthritis but there are occasional lesions in my nose and occasional neck pain. I am currently taking Cymbalta. I have had Arnold Chiari malformation and underwent decompression surgery. | 3,323 | Hello. I am sorry you are having these symptoms. Have you had any laboratory workups done before? How about imaging studies? There are many causes of your current symptoms and this makes it more complicated since you have Arnold-Chiari malformation. This includes autoimmune condition, degenerative condition and metabolic conditions. I would recommend that you do further testing to understand your condition. I would recommend that you check your CBC (complete blood count), RF (rheumatoid factor), SGPT (serum glutamic pyruvic transaminase) and SGOT (serum glutamic oxaloacetic transaminase), BUN (blood urea nitrogen), creatinine, ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), thyroid function test and FBS (fasting blood sugar) as initial tests. In the meantime, I recommend that you undergo a physical therapy program to include ultrasound, TENS (transcutaneous electric nerve stimulation), William's flexion exercise, Myofascial release, joint conservation techniques, range of motion exercises within pain-free range, endurance exercise as tolerated. I would also recommend you take Naproxen three times a day for pain and Ibuprofen twice a day for breakthrough pain. Once you have the results of the tests, please do follow up. I hope this helps. Follow up with lab results. | Q. I have severe low back pain with fatigue and leg pain. Are the symptoms related to arthritis? |
Hello doctor, I am a 34-year-old woman. I have a 3-year-old son and I have been trying to conceive my second child with no success during the past several months. During the pregnancy with my son, I had a cervical cerclage placed, which was not removed at the cesarean section (the doctor forgot). The cerclage got infected three months later after birth when resuming sexual activity. I went to a different doctor who removed the cerclage and gave me a course of Augmentin antibiotic. I had no more infection. However, during my period I would perceive a vague fishy smell of the blood. No other smell during any other time of the cycle. I had multiple cervical and vaginal cultures done (including mycoplasma, ureaplasma, gonorrhea, chlamydia) and everything is always negative. My PAP tests are also normal but show non-specific reactive inflammation. I was given Doxycycline and Metronidazole for 14 days and I also took Cephalexin for seven days during this month for a UTI. However, when repeating the pap and cultures last week, it is still inflammatory with negative cultures. I am also scheduled for a sonohisterosalpingography this week. Can this procedure be done when I have an inflammatory pap considering cultures are negative and the pap is still inflammatory despite antibiotic treatment? Is it safe? Can the inflammation be related to the cerclage somehow? Or can it show in fact some cervical cancer or dysplasia? And if there are precancerous changes in the cells of the cervix (although the pap did not say that) could the sono-HSG actually push them into the uterus and ovaries and possibly cause cancer there? Or am I over reacting? I need to mention my paps were always normal before the pregnancy and the cerclage situation. I am worried and do not know what to do. | 3,324 | Hi. Do not think much. If you have a negative culture and you had course of antibiotics after an inflammatory pap test then, mostly infection or active insects are removed from the cervix. Now in hysterosalpingography dye is pushed inside the uterus and two or three x-rays are taken for tubal patency. And along with that many times, doctor prescribes one antibiotics course as a precaution for prophylaxis against infection. Inflammation can be chronic, can be post-delivery, or age-related. But do not worry if you have taken antibiotics already. Secondly, hysterosalpingography is mostly prescribed to see the tubal patency to rule out any problem related to fallopian tubes. So it is a safe procedure do not worry. I hope this helps. | Q. My pap is inflammatory with negative culture. Will it influence my chance of pregnancy? |
Hello doctor, I am a 47-year-old female. I started to have severe joint pains and inflammation around three weeks back. Then one day as I was giving a presentation, my team members noticed that I was bleeding profusely from my nose. The in-house nurse was called and I was found with high pressure of 210/120 mmHg and was subsequently hospitalized for a day. After extensive blood tests, I was found that my ANCA-MPO (p-ANCA) is 202.55 U/ml and ANCA-Pr3 (c-ANCA) is 40.74 U/ml. What does this mean? I was prescribed Imuran 50 mg once a day. | 3,325 | Hi. I have gone through your query. I need to clear a few doubts before giving you the final answer. I understand you had some problem which started three weeks back with joint pains followed by high blood pressure causing a nose bleed. I would like to investigate why you had sudden blood pressure rise? Is it due to inflammation in the kidneys or some other reason if previously things were normal? Do you have any history of fever, recurrent nose blocks or hearing loss? Were the other blood tests done like CRP (C-reactive protein), urine routine, chest x-ray, ESR (erythrocyte sedimentation rate)? As per the results, these are the markers for vasculitis. So we need to be sure these are the ones that are causing your joint pains or high blood pressure. Because the management will change if there is renal involvement and Imuran alone would not be enough. 1. CRP. 2. ESR. 3. Urine routine. 4. X-ray chest PA (postero-anterior) view. 5. CBC (complete blood count), LFT (liver function test) and serum creatinine. | Q. My p-ANCA is 202. 55 U/ml and c-ANCA is 40. 74 U/ml. What does the report mean? |
Hello doctor, My 2-year-old son has high fever since last night. I gave 5 ml of 100 mg Nurofen syrup. It helped but did not bring the fever fully down. He had another dose of syrup this morning, for the same issue. He has wet diapers, passed stools, ate a bit but not much, drinks water and is breastfed. He has a bit of cough (wet) and a very runny nose. We did bloodwork. Any thoughts? | 3,326 | Hi. I understand your concern. I have gone through the blood investigation (attachment removed to protect patient identity), which is suggestive of viral fever with low thrombocytopenia (low platelet count). From the history and investigation, it looks like a viral fever which usually requires symptomatic treatment and will subside over a period of five to seven days. Give fever medicine round the clock (four to six hourly). Instead of Nurofen (Ibuprofen), give local brand of Paracetamol 15 mg/kg per dose. Nurofen affects platelet counts, so it is usually avoided in viral fevers. Make sure that the throat is clear, no congestion which is usually a source of infection. Use warm saline gargles frequently and use soap to wash your hands. If fever does not subside after 48 hours please do visit a doctor. I hope this helps. | Q. My 2-year-old son has high fever with wet cough and runny nose. Please suggest treatment. |
Hi doctor, My 5-year-old son has had a pretty bad cough that we are treating and he is improving. Last night, he had some pretty severe coughing fits, but we got through those with herbal tea, cough drops, and a small spoonful of honey. When we got up this morning, and I looked at him I was alarmed to see both of his eyes had puddles of red blood over part of the white areas. I did some online research and it looks like a subconjunctival hemorrhage. Everything that I read about this condition says it will heal on its own. But I would like a professional opinion. He did have some eye goop the day before as part of his cold sickness, but that cleared up on its own. | 3,327 | Hello. I reviewed your history and the photos attached to the question. (attachment removed to protect patient identity). The photos show sub-conjunctival hemorrhage as rightly thought by you. This is because of the collection of blood under the conjunctiva. This occurs most commonly following injury but can also occur in cases of coughing or severe sneezing as in case of your son. This will resolve slowly as the blood gets absorbed over a period of two to four weeks. No treatment is required. Use of vitamin C tablets will help in quick resolution. The cough needs to be treated appropriately. You need to consult an ophthalmologist if there symptoms like pain, diminution of vision. Otherwise no need to be worried he will be fine. I hope this helps. | Q. Will subconjunctival hemorrhage heal on its own? |
Hello doctor, I am taking AKT-4 tablet for TB. It is affecting my ear and mind. Please suggest an idea to stay against it. | 3,328 | Hello. The anti-tubercular drug AKT-4 is a cocktail of four drugs namely Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol. I will concentrate on the side effects that have disturbed you now, side effects on the ear and the neurological effects. Most of the neurological effects are caused due to Isoniazid. It is known to cause decreased sensations, altered mental status, numbness, etc. To counteract the same Pyridoxine 100 mg per day is given. Pyridoxine is a B-complex vitamin whose function is affected by Isoniazid. Nextly, Ethambutol can cause some mild neurological disturbances and significant vision problems. It can result in decreased field and accuracy of vision. If you experience any such defects with vision please contact the doctor who prescribed AKT-4 and ask him if Ethambutol can be substituted. Ear side effects are common with Streptomycin (another anti-tubercular drug). But Streptomycin is not present in AKT 4. So you need not worry. Tuberculosis requires dedicated treatment for a long time. Some amount of side effects are inevitable for the sake of curing the disease. Earlier longer therapies were advocated for TB which used to have even more side effects. A good diet, regular exercise, calm and peaceful mind and vitamin supplements are all necessary to tide over the many of the side effects caused by these drugs. | Q. AKT-4 taken for tuberculosis is affecting my ear and mind. How to stay away from it? |
Hi doctor, I have been having burning sensations in my chest, arms, and back, numbness in both sides of face, and shortness of breath. I have also been having weakness of the legs. I went to the ER on sunday and they did not know what is going on. | 3,329 | Hello. I understand your concern and would explain that your symptoms are suggestive of possible anxiety. From the other hand vyvanse can lead to such symptoms as a common adverse effect. Coming to this point I would recommend taking Alprazolam at a low dose for anxiety. If this does not improve your situation I would also recommend performing further tests: Thyroid hormone levels for possible thyroid gland dysfunction, blood electrolytes, vitamin B12 and vitamin D plasma levels for possible deficiency, an exercise cardiac stress test. You should discuss with your doctor on the above tests. If all the above tests result normal I would recommend gradually reducing the dose of vyvanse and see if your situation improves. Stopping this drug may be necessary. | Q. I have burning sensations in the body with numbness and shortness of breath. Please help. |
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? | 3,330 | 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. | 3,331 | 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. | 3,332 | 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. | 3,333 | 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. | 3,334 | 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, Last night I worked out my arms, mainly my biceps and today I woke up and noticed that the upper region of my biceps has caved-in a little. It seems like it has changed its shape slightly. It does not look like a popeye. There is no constant pain, but I do get a dull pain when I firmly touch that region. What could this be? Could this be a tendon rupture or tendonitis? | 3,335 | Hello. I have received your query and have gone through your physical findings and my diagnosis and treatment advice regarding this would be as follows. You said that previous night you have worked out your arms, the next day you had pain in anterior shoulder, and pain is not constant. Yes, I do suspect it might be a biceps long head tendinitis. I am saying this because you had more pain in the anterior shoulder. This thing could be because of your heavy workout, sudden lifting of weights, sudden high tensed overhead activity, improper maintenance of posture while workout which could stress your biceps long head which origins from the anterior shoulder blade and lead to pain, inflammation, tenderness, swelling, and minimizing activity levels. I would say that in your case, it might be an acute mild or moderate injury and not severe. My advice would be 1. Please do break your workout for some days. 2. Do not perform any overhead activity. 3. No external rotations of your shoulder. 4. No pulling or pushing using your shoulder. 5. Apply ice for 15 minutes for two to three times a day until pain and swelling subside. If symptoms do not subside, please do consult an orthopedic or qualified physical therapist. There are many techniques available for further rehabilitation. Protocols such as soft tissue mobilization, iontophoresis, ultrasound, tens, stretchings, phonophoresis, etc., can be used if injury is severe and long term rehabilitation is planned. I hope this helps. | Q. My biceps caved in a little with pain after workout. Why? |
Hello doctor, I am suffering from irregular periods and PCOS for more than 10 years. I had to take Clomid and with HCG injection conceived my first baby three years back. Now I have been trying for my second baby with the help of Clomid. I took Clomid for six months, with no luck. This month my doctor had prescribed a combination of Clomid 50 mg (from day 5 to day 9, 10 tablets for five days) and Nolvadex 10 mg tablet (from day 2 to day 12, 20 tablets for 10 days). Going through the purpose of the tablet, I understand Nolvadex is for treating breast cancer. I am scared to take this tablet now as it also says that it may harm the fetus. Can you please enlighten me in this regard? Will it help wtih fertility? Please let me know the possibility of having a healthy baby by taking Nolvadex during TTC, will it affect the baby by any means? | 3,336 | Hello. Novaldex is Tamoxifen which is a selective estrogen receptor modulator. Yes, it is one of the most common drugs that is used for treating breast cancer patients and also certain birth defects are possible if you take this medication when you pregnant. In your case, this medication is being used because you are resistant to Clomid with failed attempts at getting pregnant with Clomid treatment. This is being given in the phase of your menstrual cycle when even the egg formation has not happened and basically to help your egg or follicles formation so that you can conceive with the medications. So there is absolutely no harm taking this medication to get conceived. Recently, few studies have shown improved ovulation rates with Tamoxifen in Clomifene resistant women. However, I would suggest you to please consult your fertility expert again before you start the course and be confident about your treatment and solve further queries regarding the same because trusting your treating doctor is important before you start any treatment. | Q. Clomid is not supporting me to get pregnant for the second time. Why? |
Hello doctor, I am 19 years old and have had acid reflux for the past five years. I have had a cough and whistling sound (wheezing?) with it for five years and over the past few months I have had rattling in my chest. The doctors cannot hear the rattling, but I feel it mostly when I lay down. In addition to the rattling, the cough has gotten worse. It is much more of a dry cough and it burns. Also, for the past five years it feels like it is hard to breathe, but the doctor say my lungs and says it sound clear. An x-ray was also performed a few weeks ago and they said the results were normal. What could cause this? My biggest fear is chronic bronchitis. I am having another endoscopy soon, but would a bronchoscopy be better? | 3,337 | Hello. From your history, it is very clear that you are suffering from too many problems in your teenage. First thing, I want to clarify is you are having morbid obesity. Also, you suffer from chronic gastroesophageal reflux disease i.e. GERD. So you are having dry cough for such a long duration. The current symptoms you suffer are suggestive of bronchial asthma. GERD is the aggravating factor for your dry cough. The most important investigation to rule out asthma is spirometry also called as pulmonary function test (PFT). Obesity is making all symptoms worse. So you should also concentrate on weight reduction and regular exercise. If PFT is suggestive of asthma, you need definitive inhaler treatment to keep your asthma under control. Chest x-ray may appear normal but dry cough for such a long duration again suggest asthma. Priority should be given for weight reduction. Allergy to dust, GERD, and obesity. PFT or spirometry, AEC (absolute eosinophil count) blood test. Bronchial asthma, GERD. Bronchial Asthma. Inhaled corticosteroids through metered dose inhalers, antacids for reflux and weight reduction for obesity. Avoid spicy food. Needs regular monthly follow up with your doctor to keep your asthma under control. | Q. Will persistent dry cough, wheeze and rattling in chest end up in chronic bronchitis? |
Hello doctor, I would like to know about weekly chemotherapy for Peritoneal cancer of 76-year-old lady. Instead of full dose chemotherapy at 21 days interval, weekly chemotherapy is done at a lower dose to have a less side effects. First chemo charged on her caused severe side effects like dysentery/diarrhea. Please confirm this whether this is really fruitful. For elderly patients, whether the weekly scheme is as effective and less toxic. Please help with your answer. I am writing for my writing for my 76-year-old sister suffering primary peritoneal carcinoma. Before four years, one MD (Medicine) while treating her for asthma problem detected by clinical examination a huge lump in abdomen. He ordered for USG of lower abdomen and pelvis. The report says: Kidneys: Both kidneys are normal in size but maintains shape, outline, and position. Cortical echogenicity is increased with maintained corticomedullary differiention. No evidence of any hydronephrosis, renal calculus or mass lesion is seen. Right Kidney=7.4 cm, Left Kidney=7.5 cm. Ureter: Both ureters are not visualized hence not dilated. Urinary bladder: Urinary bladder is seen normal in size, shape and wall thickness. No intraluminal lesion is seen. Uterus and ovary: It is not visualized (removed in 1996). Suprapubic region mesentery is grossly thickened and appears as SOL (10.4X5.4 cm) with displaced bowel loop around it. Impression: 1. ?Mesenteric mass suggest CT scan 2. Bilateral small size kidneys with Grade I renal parenchymal changes. Next seen by an oncosurgeon. He ordered for noncontrast CT of upper abdomen (Noncontast because as her creatinine level was 1.9 compared to a maximum of 1.0 for females. CT scan of upper abdomen done and report shows: The liver is of normal in size and is of normal contour and attenuation. No IHBR dilation. Gallbladder is well distended with normal wall thickness. Pancreas is normal in size and attenuation. Peripancreatic fat planes normal. MPD not dilated. Spleen is of normal size, contour and attenuation. No focal lesions. Sections through the lower abdomen show omental fat stranding and nodularity. The Bilateral kidneys are mildly contracted. The pelvicalyceal system are normal. Adrenals are seen. No evidence of any focal lesions. No evidence of ascites. No retroperitoneal lymphadenopathy is noted. Visualized bowel loops reveal normal in position, caliber, and wall thickness. Scoliosis noted with convexity towards left side. Impression: Omental stranding and nodularity. The surgeon also asked for contrast enhance MRI of pelvis. The report shows: MRI report patient postoperative case of ovarian malignancy (no documents available). Study reveals omental thickening and nodularity (caking). There is a focal protrusion of the omentum through a defect in the umbilicus (? postoperative). Post Contrast study shows enhancement of the omentum. DWI images show restricted diffusion within the omentum. No abnormal lymphadenopathy seen. Bones under review are are within normal limits. Uterus and ovaries are not visualized (postoperative). There are minimal pelvic ascites. On post Contrast study thin smooth peritoneal enhancement is seen with few nodules at places. Enhancement is also noted along the sigmoid and descending colon. Impression: Nodular cake like omental thickening, smooth peritoneal enhancement with nodularity at places in a patient with previous malignancy features suggest possibility of peritoneal carcinomatosis. (advise-omental biopsy) Next core needle biopsy from omental mass was ordered. The report shows: USG guided core biopsy from Omental mass. Microscopic examination section shows deposition of malignant gland formed by cuboidal cells within fibro collagenous tissue with desmoplastic stromal reaction. Impression: Adenocarcinoma Deposit. I have forwarded to you four reports in respect of her for USG, CT scan, MRI, biopsy. Probably she is suffering from extra ovarian primary peritoneal cancer (EOPCC) which happens to candidates whose ovary/uterus already removed. For her Hysterectomy was done some 20 years back when biopsy report was normal. Please also note that her CA 125 is 2948 almost 80 times the normal value. Please intimate me in short whether any first dose of chemotherapy given caused heavy side effects like acute dysentery/diarrhea for her? Whether at this age of 76 chemo with one single drug is advisable? As per discussion with doctors here this peritoneal cancer resembles almost like ovarian cancer (treatment mode also same), although ovary removed some 20 years back. | 3,338 | Hi. I have read through your query in detail. Please find my observations below. The investigations conclude the presence of peritoneal cancer which has characteristics like that of ovary cancer. Most patients are diagnosed at stage III or IV and chemotherapy is the preferred treatment. I confirm that the treatment is same as ovary cancer. Chemotherapy protocols are being updated every day but what your doctors have suggested is in the right direction. Treatment is usually with medicine like Carboplatin and Paclitaxel with some patients being given Cisplatin. Dysentry and diarrhea are known adverse effects of chemotherapy and occur in some patients. Weekly treatment is good as full-dose chemotherapy with comparable rates of response. Talking about single drug and multi durg options, every cancer is different and the treatment course is closely monitored and changes made appropriately. Every cancer patient is different and changes should be made after carefully studying the patient condition. In conclusion, as a patient relative you can help maintain a good general condition of the patient and give adequate fluids and nutrition. Side effects are uncertain and cannot be predicted. I hope this helps. | Q. Will weekly chemotherapy cause less side effects than full dose chemotherapy in elderly patient? |
Hello doctor, I am 24 years old. I am having a problem with premature ejaculation. And I am afraid as I have all symptoms of premature ejaculation due to excessive masturbation. I need your help. | 3,339 | Hello. I am sorry to hear that you are facing premature ejaculation problem. Before we proceed we need to identify the cause of the problem. In some case, it occurs from initial time and known as primary. In few others, it occurs after a normal sexual period and known as secondary premature ejaculation. I hope you read my article at icliniq regarding premature ejaculation. If not, first of all, I request you to read it completely to know the basic information. Once you read it revert back to me with the following details. Your duration of problem. How the problem started whether it was on-off or continuous from the beginning? Frequency of the problem in a week or in a month out of what number of sexual interactions were a failure in a month? What are the factors that increase the problem? Factors that relieve the problem thoughts, situations, partner, place, etc? Your marital status and partner details, is she very critical, demands sex more than what can you think, does she feel superior to you? Effect on your relationship so far? Details of medical illness, if any? Medications you are receiving currently if any? Your description of the problem. Once you post these details I will try to analyze the cause of it and will suggest you accordingly. | Q. Will indulging in excessive masturbation lead to premature ejaculation? |
Hello doctor, I have been having sleepless nights for about a few months. Even if I get six to eight hours sleep at night, sometimes less than five, I always end up being tired throughout the day. I am always sleepy even if I drink coffee, but when I decide to get some sleep, I cannot sleep. I am 18 years old and weigh about 74 kg. I have severe vitamin D deficiency for which I was prescribed vitamin tablets, which I stopped taking after a year. However, as per my last medical test, my condition has not improved. I go for a 30 minutes walk every morning and I am on a keto diet. My finals are coming up and I need a way to get proper sleep and not be drained throughout the day. | 3,340 | Hi. I understand you are concerned as sleep is vital for a proper functioning of the body. We need to look at a few things like have you gained weight recently or does this coincide with the sleep disturbances you have been suffering from? As I can see you are overweight and this can cause obstructive sleep apnea which keeps waking you up while asleep due to temporary episodes if apnea. So when you finally wake up, you may or may not have a headache and you are drowsy throughout the day. Total inability to fall asleep could be stress-related. Do you suffer from chronic anxiety or stress or even depression? In these cases practicing yoga or meditation can help tremendously. But if you have the former, you need to reduce weight. In order to diagnose exactly what is causing your sleep disturbances, give me more details like is there headache, nasal obstruction, symptoms of frequent stress or depression, etc? I hope this helps. | Q. I do not get enough sleep at night and feel tired throughout the day. Why? |
Hello doctor, For about a few months, I have been surviving on less than an hour of sleep per night. For the first 27 years of my life, I have always had a little bit of trouble getting sleep (overactive mind), but I have never had any trouble getting a full night rest (anywhere from 6 to 9 hours). This recent bout of extreme insomnia had nothing to do with the habit (i.e.- It is not like I made the choice one night to sleep only a little bit, and then my habit got out of hand). Try though, my brain simply is unable to let me sleep normally. One day, I could not sleep at all. The next day, and the day after that, the same thing happened. I finally managed to get a decent night sleep the next day, and after that, the pattern of only being able to sleep for less than an hour (if at all) maintained itself. I struggle and struggle to sleep, and then I dream for a little bit, and then my brain kicks me out of sleep, and I cannot go back I cannot even nap. And yet, usually, my mind and body find a way of feeling rested after one measly dream. I ought to feel like a zombie, but most days I feel physically well-rested. I have heard of cases where people who used to sleep well became insomniacs after periods of great stress or depression. I am almost certain that I became an insomniac because I was nervous about starting my new job. The thing is, though, that it does not look like it is going away any time soon. Will it be permanent, how scary is that? I know the dangers of not getting enough sleep and I have tried certain things, like sleep hygiene, relaxation techniques, etc. Nothing seems to work. The only thing that helps a little is 400 mg of Seroquel prescribed by my psychiatrist. However, I have such a high tolerance for sedatives that I have to stop it and reintroduce the drug after a matter of days. I guess what I am trying to say is there probably is not a solution for my extreme condition yet, as sleep and the human mind are both great mysteries. However, I would like to have an opinion as to what is going on in my mind, and how it started. I hold the theory that the stress leading up to my new job somehow fried my brain. I do not know in what sense, exactly did the sudden onset of stress somehow deplete some of the chemicals in my brain that are necessary for sleep? Or could there be another explanation or hypothesis? | 3,341 | Hi. You have a unique situation and though I do not have a clear answer to your complaints, I can give you some relevant advice. The first thing to do is to evaluate your insomnia. I would suggest you use a camera to video record your sleep. You can use your phone camera with good memory capacity and place it somewhere higher, so you can see your movements at bedtime. The reason for this is that personal evaluation of one's own sleep is far from objective. I frequently come across patients who say that they cannot sleep while their partners say they do and occasionally even snore. There are phone applications like sleep as Android, etc, which record your movements in bed and can give you a reasonable estimate of your sleep time. Another possibility is that you are sleeping but not getting enough deep sleep. Deep sleep is characterized by slow waves on EEG (electroencephalography) and the feeling of having rested during sleep. That is why sleep study is the ideal investigation for sleep issues as it does an EEG recording as well as a video recording of your sleep. Sleep as android also gives a rough estimate of your deep sleep percentage during your entire sleep. In such a scenario, there are specific medications which enhance deep sleep like Pregabalin which you can ask your doctor about. Sometimes, trying too hard to sleep is counter-productive. Beliefs like I should get seven hours of sleep at any cost and if I do not, it will cause great harm to my mind and body are incorrect and very likely to impair with sleep. These irrational thoughts need to be addressed via cognitive behavioral therapy if you think this could be the problem with you. The most important component of sleep hygiene is if you cannot sleep, leave the bedroom, sit somewhere else and do stuff like reading or listening to music. This breaks the classical conditioning (association) between your bed and inability to sleep. Go to bed only when you feel sleepy. Remember that the use of electronic displays in the late evening could be a major cause of insomnia. Keep their use to minimum and use a blue light filter app on your phone after evening. Try taking natural sleep promoters like Melatonin 3-6 mg which you can find on the internet. This should give you some guidelines to investigate into your sleep and hopefully improve it. | Q. How to treat recent bout of insomnia caused due to stress? |
Hello doctor, I get sick every two-three months. My doctor diagnosed me with chronic bronchitis about a year ago. I get the same symptoms every time the illness flairs up again. The symptoms consist of a snotty nose, fever, shaking, weak, shortness of breath and a persistent horrible cough. I also throw up some of the things I eat and foam when I drink things. I have an inhaler that I plug into the wall and inhale the Albuterol vapor that the machine produces. I would just like to know what else I can do to treat this painful illness? | 3,342 | Hello. In many cases of chronic bronchitis, acute symptoms appear due to infection. So, I would advise in such a scenario to get a hemogram with ESR (erythrocyte sedimentation rate) and chest x-ray done. If the chest x-ray and these blood investigations show no sign of infection then, you would be treated for bronchitis. Treatment constitutes antiallergic drugs like Levocetirizine and Montelukast and in severe cases inhalers containing like Salbutamol and steroid inhaler like Budenoside. In case of severe spasm and coughing, a steroid like Prednisolone can be used for a short course, after being sure that there is no active infection or pneumonia. If you do not have a severe cough or respiratory distress, and your chest if found clear on examination, then a cough syrup containing Salbutamol, Levocetirizine, Dextromethorphan will help you greatly. Benzonatate pearls are helpful in an allergic cough only, as they just anesthetize the throat and reduce the allergic cough response. But in cases of severe chest congestion, they are not useful. Also, do steam inhalation for symptomatic relief. I would advise you to see your doctor and get investigated. Share my opinion with him, I am sure he would agree to it and would prescribe you accordingly. I hope this helps. | Q. What is the treatment for chronic bronchitis with fever, horrrible cough and shortness of breathe? |
Hello doctor, I am 35 years old. I am taking the following medicines for the past seven years, but I am extremely suffering from erectile dysfunction and premature ejaculation. What can I do? Bisoprolol 2.5 mg once daily, Flupentixol and Melitracen (0.5mg+10mg) once daily, Theophylline 400 mg twice daily, Aspirin 75 mg once daily, Montelukast sodium 10 mg (In the evening), Atorvastatin 10 mg once daily, Clonazepam 1 mg, Amlodipine and Telmisartan (5 mg+80 mg) once daily. Kindly advice. | 3,343 | Hi. Why are you taking anti-depressant and antipsychotic drugs, that too for so long time? Why these medicines were started? Are you also suffering from some heart problems? Please reply so that I may guide you accordingly. Regarding erectile dysfunction, most of the antidepressants do cause dysfunction. I would suggest you to consult a psychiatrist to taper down antipsychotic medicines or replace with other ones. As for as cardiac point of view, Bisoprolol also causes erectile dysfunction in some patients. Replace this medicine with Nebivolol 2.5 mg, which also enhances erections. You are taking Aspirin, Atorvastatin, Bisoprolol which are usually given for ischemic heart disease, which is uncommon in this young age. In old age, blockage of arteries also causes erectile dysfunction, but in young age, this is less likely. If this problem started suddenly, then most probably due to anxiety or depression. If progressed slowly over years I would advise you to have penile doppler ultrasound done. But before that, I would recommend providing a bit detailed history of your past illnesses, family history, so that costly investigations may be avoided. Follow up with detailed history. | Q. Will taking antidepressant and antipsychotic medicines for a long duration cause erectile dysfunction? |
Hello doctor, I am suffering with headaches, a feeling of pressure in my head, occasional dizziness and tinnitus. I am on the waiting list to see a neurologist, but in the meantime I paid for 2 non-contrast MRI scans 6 months apart, both of which came back normal, apart from the second one picked up a small pineal cyst 6 mm x 3 mm. I would like to know whether these scans are sufficient to rule out a brain tumour, or whether this is still a possible diagnosis given that the scans did not include contrast. | 3,344 | Hello. I passed carefully through your question and would explain that two MRI are more than enough to exclude any possible brain tumor (attchment removed to protect patient identity). The pineal cyst may be an incidental finding, as it does not seem to be related to the symptoms that you describe. It is strange that it results in the second MRI and not in the first one. Maybe the radiologist did not see it in the first one. I recommend comparing with your radiologist these two MRI in order to compare the presence of this cyst (if it is a new finding, or just was not described in the first MRI). In my opinion, the type of headache that you refer, coupled with dizziness and tinnitus are typical of tension type headache, which is benign type of headache, caused by a wrong posture and psychological stress. So, there is no reason to panic. I recommend you to perform regular physical exercise, trying to avoid staying before your smart phone for a prolonged time and trying to correct your posture. Avoiding caffeine intake will help too. | Q. Why am I having headaches with dizziness and tinnitus? |
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? | 3,345 | 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. | 3,346 | 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. | 3,347 | 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. | 3,348 | 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. | 3,349 | 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 61 years old, male, 80 kg weight 165 cm height and I am a diabetic for the past 18 years and now I am on low carbo high fate diet (Keto). I am taking now januvia 100 mg tablet 1-0-1. I had a priking pain in the heart side of chest two days back and went to a hospital they have taken ECG, echo and blood test and found normal and hence they asked me to go for CT coronary angiogram. Find attached the CT-angio report. Please advice me what medicine I should take now to avoid heart atack in future. | 3,350 | Hello. It shows minor disease only. So, need to focus on healthy lifestyle which I guess you must be having, which includes healthy diet like avoiding oily fatty and high calorie diet. Regular exercises like walking or brisk walking according to your capacity. Such pricking pain are usually related to gastritis and reflux disease rather than cardiac. However, you may experience some exertional pain due to myocardial bridging which is usually benign. These 20-30 percent blockages would not cause any pain. In my opinion, you should be on Antiplatelet Statin combination like Ecosprin av 75/10 mg bedtime for long term, for preventive purpose. So, should discuss this with your treating doctor. If you get any pain on exertion which relieves with rest, then it may be due to myocardial bridging, then you may require beta blockers like Metoprolol. In the future, you should also undergo echo and TMT testing every 2-3 yearly to keep check on the blockages. Hope this helps you and get back if you have any doubts. | Q. Kindly explain about the medication that can prevent heart attack in a diabetic patient. |
Hi doctor, I am 19 years of age. I have been suffering from a kind of allergy for almost 4 years. My mother has been suffering from same kind of allergy but her case is not worse than mine. I feel runny nose, sneezing, itchy nose and eyes, mild rashes after having a shower and breathing difficulty also. My heart beat gets faster and rapid. I am also suffering from noise sensitivity. I cannot tolerate loud voices, my heart starts beating faster and I feel dizziness and headache. In my own residential area, I catch allergy for almost 360 days of the year. I am feeling much suffocation and rapid heart beat. Another thing, whenever I get stuck in some kind of mental or emotional stress, my heart rates becomes faster and irregular and at that point of time I feel suffocation too. A nearby doctor suggested me the treatment of nebulizer, but I am not feeling much better. | 3,351 | Hi. I have read your query and there are two components so I will deal them separately. First, the increased heart rate in stressful conditions: that is anxiety and not uncommon. You can try breathing exercises but if not controlled/or aggravates to full panic attack, you will need CBT by a psychiatrist or psychologist and medication. Best breathing exercise is placing a paper bag over mouth and nose, and completely inflating and deflating it till heart beat and breathing become normal. Now for your allergy: seems to be allergic rhinitis/sinusitis. You can use a maintenance therapy of Myteka 20 mg once a day with once a day Softin and increase Softin on excessive exposure to allergens like dust, pollen, etc. | Q. What can be done for allergy with noise sensitivity? |
Hello doctor, I am 18 years old. This all started two weeks ago. I started to have some loose stools, abdominal pain (lasts about two seconds, it comes and goes almost twice a day) and grumbling in the stomach. My doctor gave me a three-day course of Buscopan, charcoal, and Apo-ranitidine after which the loose motions and cramps have stopped. But now the problem is that I have frequent toilet urges and feel that my bowel has not completely emptied. I am also experiencing a lot of gas and grumbling in the stomach. I have had gas problems from childhood but since these two weeks, it has turned a little worse. What am I suffering from and any treatment? | 3,352 | Hi. Occasional abdominal pain, loose stool, urges for toilet all suggest that you might have irritable bowel syndrome. This is a chronic condition. If you experience worsening of symptoms, change in consistency of stool, any episode of any amount of bleeding along with stool then you might need further evaluation in terms of colonoscopy or CT scan of the abdomen. Primary treatment is medications which you suppose to take for a long time (as prescribed by your doctor). You also need to change some sort of life-style modification in terms of avoiding food which worsen these symptoms and also suggest to take high-fiber, low-gluten diet. Might require a colonoscopy. Indigestion, Inflammatory bowel disease. | | Q. What causes loose stools with stomach grumbling and pain? |
Hello doctor, First, I went to the doctor for extremely itchy scrotum that felt as if it had cuts in it and red spots on my penis that dry white. My itchy scrotum is now healed but I have got little cuts at the base of my penis and those spots will not go. He gave me scabies cream but I do not know if it is working. Is this an STD? I am scared. I am currently using Permethrin cream. | 3,353 | Hi. I have reviewed the attached photograph (attachment removed to protect patient identity) and I can see few red erosions at the base of the penis. They can be either an irritant reaction to something you have applied over the penis or due to herpes virus infection which is an STD (sexually transmitted disease). In herpes infection, there are small fluid-filled blisters to start with followed by erosions which are painful and heal over two to three weeks. To confirm herpetic infection you can go for ELISA (enzyme-linked immunosorbent assay) test, HSV 1 (herpes simplex virus), IgG, HSV 1 IgM, HSV 2 IgG, and HSV 2 IgM. In scabies, there is excessive itching on the body especially at night, positive family history of scabies and itchy red bumps on the body including penis and scrotum but cuts or erosions are not seen in scabies. On the erosions, you should apply topical antibiotics like Mupirocin or Neosporin (Neomycin) ointment. I hope this helps. Irritant, Herpes virus. ELISA for herpes virus. Irritant contact dermatitis. Herpes genitalis. Mupirocin ointment or Neosporin ointment. Wash the area with plain water, avoid soap on the affected area. After seven days. | Q. I have itchy scrotum and cuts at the base of penis. Does this indicate STD? |
Hello doctor, I am a 27-year-old male. For the past six months I do not do any physical activities, no exercise, I work only on my laptop and drink very less amount of water. I masturbate almost daily for the past 10 years. I never had sex with any girl. I never used any kind of contaminated stuff with my penis. I never had erection problems in my life in fact, I got erection any time I wanted (except when I was extremely stressed). And I always used to have morning erection (until I started research on internet). I usually wear tight briefs, and often while wearing tight briefs when I got erection, the tight fitting underwear tries to restrict the erected penis inside. And due to tight fitting brief my penis bend (where shaft meets the penis head) inside the underwear. And I firmly believe this caused the injury to my penis. When I urinate sometimes some drops of urine are left in my penis head, which comes out later after a minute when I walk back to my room. For the last two months, I have been suffering from very high levels of stress, depression, anxiety, anger related to my job, health, relations, past, and future. And I am severely constipated for the last two months may be due to these stress. I do not have frequent urination. Last month, I thought I should ask a doctor about this extra skin on my unerected penis (see attached photos). I started research on the internet. At this time I do not have any erectile problems and I was not aware of any kind of terrifying disease that can happen to the penis. Everything was alright. But then, I started reading about the bend I have in my penis (see attached photos) and I read about all these terrifying diseases (Peyronie's disease, prostate, etc.). Since then I am extremely terrified, stressed, depressed, hopeless, more constipated, like someone is holding my stomach tightly. And I also breathe very slowly when I think about these things. I cannot take my mind off these problems. I am terrified like I may have one of these untreatable diseases. After this internet research, I cannot think about porn and stuff which I used to think for erection and masturbation. And even if I watch porn or try to think about porn, all these queries and worries are running into the back of my head all the time and I cannot get erection. Yesterday, I masturbated with a fully erected penis. And I am able to get full length erection (if somehow I draw my attention off these terrifying things). I am having very mild pain in my penis on erection. It is like a muscular pain inside the penis and had premature ejaculation (this particularly started after internet research). What is the cause of this pain? Are pain and premature ejaculation related? What can be done to solve these problems? I am suffering from erectile dysfunction (problem in maintaining an erection). It does not get hard for more than a few seconds. What is the cause? I noticed a darker patch of skin located on my penis shaft. More specifically it is located on the very bottom of the shaft, starting where the shaft meets the scrotum and traveling up towards the head little ways. It is oval in shape. The color is a bit darker than my usual skin tone. What and why is this black skin on the lower side of my penis shaft? What can be done for this extra skin on my unerected penis (see attached photos)? Is my penis shape normal or not? Why is my penis head bends downward? Is this normal? Why is the head of my penis is large (in length)? And it often remains less hard (spongy) on erection while shaft gets very hard? Why not my penis erection is not parallel to the floor (which it used to be)? It always slopes downward. Is this damaged suspensory penile ligament? Because tight briefs forcefully restricted the erect penis in a downward direction. | 3,354 | Hello. I have seen every picture you have uploaded and I understand your concern. (attachment removed to protect patient identity). Premature ejaculation is when you discharge within 30 seconds of masturbation or doing intercourse. Do you ejaculate before 30 seconds when you do masturbation? The pain you are having is because you are doing excessive masturbation. You should reduce your masturbation habit to two times a week otherwise you will have a lot of problems when you will be married. If you are having early morning erections then you are fine. It is your stress which is causing premature ejaculation. You have to understand that premature ejaculation can be diagnosed when you really do sex with someone. It is normal to have dark areas in penis like you have in the Indian population. You are comparing yourself with people in porn movies. My advice to you is that you must reduce watching porn movies because it will affect your sexual life when you start doing sex with your partner. People in porn movies take drugs thats why they have a longer duration for doing sex and also you will expect your partner to be like the women you watch in these movies which will also spoil your relationship with your partner. The extra skin can be reduced by doing circumcision. But it should be done if you are having a problem in rollback on your skin when your penis is in erect form or if you have a problem in doing sex with someone, in your case since you are a virgin we can say anything for now. And yes, the shape of your penis is normal. You are taking too much tension. The only thing which you really need to do is to reduce doing masturbation. If you do not you will have a lot of problems in the future. Take vitamin E tablets for 15 days once daily. I hope this helps. | Q. I masturbate a lot and now I am getting mild penile pain and erectile dysfunction. Why? |
Hello doctor, My 8-year-old daughter continues to have strong abdominal pains. Couple of months before, it was really bad and was also coupled with mono and fifths disease. At that time her levels were crazy high. AST = 1312, ALT = 1692. These levels freaked out the doctors so we went back the next week, still high but much lower AST = 394, ALT = 807, GGT = 84. We also did a sonogram at that point which was inconclusive. We went back two weeks later and not better AST = 532, ALT = 682, GGT = 71. Doctors have no answers and no idea about what was going on. The doctors seem to phone it in at that point. My daughter started feeling better so we did not push it for a couple of months and went back in and the levels seem close to normal AST = 57, ALT = 42, GGT = 12. We were given no comfort as to what caused it. My daughter does complain a couple of times a week about her stomach hurting, but she is not in the extreme pain she was in until this week. She is back to waking up in pain, spending most of the school day in the nurse's office. So now we are heading back to the hospital for more blood as we did not get any answers from the first 37 vials of blood they have taken. Any clues what might be causing this? | 3,355 | Hi. I can understand your concerns. This appears to be a case of obstructive jaundice. The main cause of obstructive jaundice is gallstones. Since GGT (gamma-glutamyl transferase) levels are raised more than 70 in the first report it suggests an obstructive cause. AST (aspartate aminotransferase) and ALT (alanine aminotransferase) can increase in both hepatic and obstructive causes. In obstructive jaundice, the level of direct bilirubin increases more as compared to indirect bilirubin levels. Gallstones are easily visible on the ultrasound abdomen. It also causes severe acute abdominal pain. There are some syndrome like rotor syndrome which can also cause obstructive jaundice. Nevertheless, the enzyme levels are falling and the child is improving now. But, I suggest you to repeat ultrasound to look for gallstones. Review with ultrasound report and liver function test report especially bilirubin levels. I hope this helps. | Q. My 8-year-old daughter has severe abdominal pain with raised AST and ALT. What is the problem? |
Hello doctor, My 11-month-old daughter has been sick for about a week. She was throwing up all day and vomiting and there was blood mixed with it at one pint. We were giving medicine to stop the vomiting. Her diarrhea has continued since Sunday night. It is progressed to the point that she is passing stools almost instantly after drinking anything. The diarrhea smells like a sour milk. Is this a reason for concern? | 3,356 | Hello. Before I answer your query I would like to ask you some questions. Until when did your daughter have exclusively breast milk? When did you start other food along with breast milk? Did she have similar episodes in the past? Did she receive all her vaccines regularly? Kindly provide me with the answers so that I can tell you further on the diagnosis and the reasons behind it. As of now, it seems like a case of acute gastroenteritis which is quite common in this age group. So do not worry much at this point. The treatment plan consists of some considerations. Generally, we prefer to give ORS (oral rehydrating solution) to the baby at regular intervals and as much as the child wants to drink. Continue breastfeeding normally. Add Zinc to the baby as per the dosage schedule. Antibiotics are not mandatory, it depends upon the condition of the baby after a thorough checkup. I would suggest you to continue with ORS solution and breastfeeding and you can take her to your pediatrician for further consultation. I hope this helps. | Q. My 11-month-old daughter is having vomiting and frequent diarrhea. Please help. |
Hello doctor, I have had a compound fracture of both the radial and ulnar forearm bones that resulted in two bones sticking out of my arm, torn ligaments and muscle, and nerve damage. I had the arm reconstructed with titanium and it has been two years since then. To this day, I still have nerve pain and aching in my bones and I am trying to find relief. I have been using an average of eight Ibuprofen a day for nearly two years and it is not getting the job done. I feel as though the nerve pain is not getting better but instead worse. My question is what recommendations do you have for me to help relieve the pain? I have tried almost every common remedy that doctors have recommended. Should I give up on trying to avoid the pain and get a consultation to talk about possible options? | 3,357 | Hi. I have gone through your complaint and seen your pictures. (attachment removed to protect patient identity). I feel sad that you had to undergo such a procedure and pain. Since you have chronic pain I would suggest you to use opioid analgesics like Oxycontin (Oxycodone) and Percocet (Oxycodone and Paracetamol) which are very effective in chronic pain. Alternatively, you can use Piroxicam tablets and Flupirtine (centrally acting analgesic) capsule which has also shown good results in chronic pain management. If the pain is of neuropathic origin then Gabapentine and Pregabaline are the best drugs. You can discuss all these options with your treating physician and get prescribed the medicine that best suits you. | Q. I underwent titanium reconstruction of arm before two years and still having pain. Why? |
Hello doctor, I did see the facts I was looking for on your site. Maybe you can answer some questions the best you can. This is about a 16-year-old female. If the mesentery and/or pancreas has a tear in one or both and if that tear was big enough to bleed, where would the blood go? Would it go through the tract of the vagina or rectal tract to seep blood out of the body? How long does it take the body and skin to show bruises or an area that has been injured somehow? When you cut let us say your arm or leg with some kind of tool. After the cut, when does the blood start clotting? If someone was sexually assaulted and have tears from stretching or penetration. When do the tears start healing? How long will it take minutes, or hours, or days, or months? | 3,358 | Hello. Pancreas is highly vascular and is surrounded by major vessels. Hence pancreatic trauma may be associated with life-threatening hemorrhage and shock. Pancreatic injury or pancreatic trauma can be as follows. Due to blunt trauma as well and car accidents when the internal hemorrhage ensues into the peritoneal cavity it leads to peritonitis or retroperitoneal hematoma. When it is because of sharp penetrating injury as in stabbing external hemorrhage the wound occurs. A bruise is bleeding under the skin and is due to the rupture of vessels in the skin due to blow or any impact. The timeframe for the appearance of bruise is in relation to the amount of the injury. In case of significant trauma it appears immediately. The classic feature of the bruise is to change its color. The force that is enough to rupture the skin capillaries is all that defines the bruise. When you suffer a cut your body immediately reacts in seconds to stop bleeding by hemostasis. Your blood should clot with in one to nine minutes by primary platelet plug formation. Again the time is variable as it depends on the nature and depth of the wound. If it does not clot in nine minutes, it should be evaluated for platelet dysfunction. Vaginal tears like any other wound start healing immediately after the injury. But again time for healing is based on the degree of the tear. First degree or second degree vaginal years usually heal within seven to ten days. Third and fourth degree may take months to recover. Any vaginal tear longer than an inch requires suturing. I hope this helps. | Q. Where would the blood drain when the mesentery and pancrease has a big bleeding tear? |
Hello doctor, My 5-year-old daughter has scalp ringworm. I am using head and shoulders intense medicated shampoo and topical 2% Ketoconazole antifungal cream. Her doctor also prescribed an oral antifungal Lamisil packets granules 125 mg to be taken in food for a month. I am terrified of giving my 5-year-old daughter an oral medication with such a scary track record or side effects including liver failure and death as well as vision problems, low white blood cell count, and psychiatric problems. Is there any alternative to this terrifying drug for curing scalp ringworm? | 3,359 | Hello, Welcome to icliniq.com. Scalp ringworm infection stays for a longer time. Topical ketoconazole cream is good. The oral medication prescribed is also good for the infection. There are a few alternatives. Any medicine carries some side effects along with it. We need to weigh the benefit and risks. If the benefit is more, we go for the medication. Side effects are mentioned but are rarely seen. It is usually tolerated well by children. Alternative medication is called Griseofulvin which is to be used for four to six weeks or more if required. It would not be available over the counter. It needs a doctor prescription. It also has some side effects but usually tolerated well. Fungal infection of the scalp. Griseofulvin or Terbinafine. | Q. Is there any alternate for Lamisil granules for scalp ringworm? |
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? | 3,360 | 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. | 3,361 | 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. | 3,362 | 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. | 3,363 | 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. | 3,364 | 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 33 years old and got ovulation spotting on 27th of last month, after this I tried to conceive. My period date is 11th of this month. I faced many leg cramps and abdominal pain in the period, also the period was light as usual and got frequent motion after the period. I am feeling irritated with many smells. On 24th again I got some spotting (ovulation day). I did a pregnancy test but it is negative. I am messed up. Can I be pregnant in this scenario? My doctor prescribed Deviry 10 mg for 10 days. Please suggest me is that medicine is safe if I get pregnant? | 3,365 | Hi. It is not always that you will be surely pregnant if you had sex during ovulation. It is also not 100 % that there is bleeding when there is ovulation. Spotting can be due to other reasons and can be the sign of irregular endometrium due to hormonal imbalance. You can get Deviry (Medroxyprogesterone Acetate) and even if you get pregnant mostly no harm. Consult a nearby gynecologist and do take proper consultation and counseling session about pregnancy and its treatment performa. You may need to do some basic investigation to find out whether there is any problem or not. Whether you are ovulating or not during the mid-cycle and confirming it by ultrasound. You can take a repeat urine pregnancy test after eight more days. | Q. Is spotting during ovulation a mandatory sign of pregnancy? |
Hi doctor, 1. I recently had full body health checkup. I am uploading the reports. Can you please review and suggest me required medical care or treatment? It seems lipid profile and ultrasound reports are not satisfactory. Please review and advice. 2. And one more thing is I am suffering from urticaria (Getting red rashes on skin which scratch or apply pressure on skin. These rashes disappear in few minutes) from last 1.5 years. I am taking Desolor 5 mg tablets thrice a week. Can you advice me if any advanced and permanent treatment to this problem instead of prolonged usage of tablets? I do not have any smoking or drinking habit. | 3,366 | Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). You are having grade 1 fatty liver. You are also having elevated cholesterol which justifies fatty liver. So you need start lipid lowering drug like Rosuvastatin 10 mg once a day at night before going to sleep for 30 days. Get done repeat Lipid profile after 30 days. Avoid oily and spicy food. Avoid junk food. Avoid cheese, butter, etc. Do regular exercise like walking, running, cycling and swimming, etc. For urticaria, take Montelukast and Levocetirizine combination (Montek LC). | Q. What are my lipid profile and ultrasound test results showing? |
Hello doctor, I have done a pre-marital test with a prospective groom and he has beta thalassemia trait and I am not a carrier. Is it safe for pregnancy and child? His hemoglobin count is 13.1 and HbA2 is 5. How safe is this for child's health? | 3,367 | Hello. Following is my opinion for your asked question. If you are not having beta thalassemia minor then no need to worry. Your future child can have thalassemia minor. But no need to worry for trait of thalassemia minor. Thalassemia major is the dangerous one in which life span is reduced. But as your report is normal as per history there is no chance of thalassemia major in your future child. | Q. Husband has beta thalassemia trait and wife is not a carrier. Can there be safe pregnancy? |
Hello doctor, My father is out of coma and on regular physiotherapy. However, we have a major concern now with frequent drop in his sodium level. Every five to six days his sodium level drops to 110-120. When that happens, his consciousness level goes down and stops body movement or response. He is given injection Sodium chloride 3% isotonic solution with Fludrocortisone one tablet per day. It takes about five to six days for his sodium level to improve around 130. When he starts responding, he opens his eyes and moves body parts. We have seen this three to four times since last one and a half months. Eight days back, his sodium level went down to 109 and currently it is 121, but he has not shown much of body movement yet. Normally, he recovers within five to six days. Please suggest what has to be done for faster recovery? What has to be done to prevent this happening again and again? I have listed the medicines he is taking currently. Initially Tolvaptan is given for 10 days (currently stopped). Fludrocortisone 10 g extra salt per day with liquid food, tablet Ofloxacin 200 mg, capsule or tablet Phenytoin sodium 100 mg, tablet vitamin B complex, tablet Losartan potassium 50 mg, tablet Metoprolol 50 mg and tablet Pantoprazole 40 mg. | 3,368 | Hi. I am sorry to note that he is having problems with sodium levels. I suggest the following. 1. Serum specific gravity. 2. Urine specific gravity. 3. Serum and urine osmolality. Revert back after the investigations to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. What to do for frequent drop in sodium level? |
Hi doctor, I am 58 years old. I do not have any health problem except high BP. In spite of medicines my BP does not come down. First I tried Eslo 5 mg and Amlodac 5 mg and now I am on Cilaheart 10 mg. But, my BP remains at 140/100 mmHg. I do not smoke or drink. I eat less and avoid red meat and high protein. Please suggest a suitable medication. Thank you. | 3,369 | Hello. We are here to help you. Primary hypertension. Get the following test done: Serum creatinine, fasting lipid profile, urine for microalbumin and ECG. Adding up a diuretic and lifestyle modification. Revert back after two weeks to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Please suggest a suitable medicine to regulate BP. |
Hi doctor, I am suffering from stromal viral keratitis. My doctor mentioned in my report as stromal keratitis (herpes?). Is that herpes? Also I was prescribed Pred forte, Add Tears and Acivir ointment. Are these right medicines? This is the second episode after five years. Please help. | 3,370 | Hello. Let me share some facts about viral infection of eye. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Are these medicines the apt ones for keratitis? |
Hi doctor, From young age, I have had little red dots all over my legs and not much hair. I am a 31 year old male and I want to know the problem. There might be ingrown hairs, but I do not know. I have more of them hair especially on the back. | 3,371 | Hi. I have read your concern and examined your given pictures (attachment removed to protect patient identity). Revert back after two weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. Why do I have little red dots all over my leg? |
Hi doctor, I am 43 years old. I feel weak, body pain and headache during menstrual cycle. Also feeling like depression. My height is 5 feet 2 inches and my weight is 74 kg. I have attached my recent blood test report. Please let me know the findings from the blood report. Thank you. | 3,372 | Hello. Let me help you to deal with your problems. Repeat vitamin B12 after four months. Also check ESR (erythrocyte sedimentation rate) as it was not done before. 1. Vitamin B12 deficiency. 2. Vitamin D deficiency. 3. Prediabetes. 4. Overweight (metabolic syndrome). 1. Cholecalciferol 60,000 IU once a week for four weeks 2. Tablet Vitara (Vitamin B12 1500 mcg plus Folic acid 5 mg) once daily in the afternoon for two months. 3. Tablet Zentel (Albendazole) 400 mg one tablet at night for three days. 4. Ointment Oxalgin Nanogel (Diclofenac) for local application over the site of joint pain. Avoid oil foods and junk items. Revert back with after four months to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. Please let me know the findings of my blood report. |
Hello doctor, I am in major pain now. I noticed that my wisdom tooth is coming in about a week and a half ago. Since then I have been having this pain in the lower corner of my left mouth. It is located right where the gums and my mouth meet and resembles a cut. It is a slit with yellow and white outside and a brown on the inside. I would like to schedule an appointment as soon as possible. I would very much appreciate a reply soon because this thing made me stressed out. Thank you. | 3,373 | Hello. For further information consult a dentist online -->https://www.icliniq.com/ask-a-doctor-online/dentist | Q. What to do for wisdom tooth pain? |
Hi doctor, I have bilateral congenital cataracts with no other issues. My parents do not have them. Please let know the percentage of passing this to my kid? I knew that is autosomal dominant. But, what is the possibility of this to become familial? Is my kid 50 % prone to it? | 3,374 | Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Are bilateral congenital cataracts familial? |
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? | 3,375 | 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. | 3,376 | 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. | 3,377 | 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. | 3,378 | 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. | 3,379 | 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 son is 10 days old. His right eye has never turned towards right. It has looked left, straight, up and down but never right. His left eye has a full range of movement. I have read about squint strabismus. However, I do not read anything about a restricted eye movement. Should I be concerned? | 3,380 | HI. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. Should I be concerned about my son's restricted eye movement? |
Hi doctor,I have a perforated right ear for more than two years. I do not want surgery. Also antibiotics did not work. What are the best steps to be taken? | 3,381 | Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist | Q. What are the best steps to aid healing of ear perforation? |
Hi doctor, I have got some spots on my penis. Can you please identify what is it? Also please let me know the reason for development. It is a recurring episode. Can you also suggest a remedy? Thank you. | 3,382 | Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. I have some spots on my penis. What is it? |
Hi doctor, I have a lot of fantasies about my life partner. I am keep thinking about this all time. I do not care about my career. I am a 29 year old male. I do masturbation too. Please get me some solution. | 3,383 | Hi. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor | Q. How to control my fantasy about life partner? |
Hi doctor, I am having fungal infection on my inner thighs, ankle, arms and back for about six months now. I have taken 250 mg Terbinafine for one month along with antifungal cream. But, I did not see any difference. What should I do? | 3,384 | Hi. I read your descriptions. Revert back after a month with photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What should I do for my fungal infection? |
Hi, I am 20 years old. Next month I am going to have my squint surgery for cosmetic purpose. I do not have vision in my right eye now and it turned inwards. After this surgery, will both my eyes look straight? Either I see left or right or up or down will both my eyes work together? How many hours will it take to finish the surgery? While surgery will I realize the pain? Please explain. | 3,385 | Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. After squint surgery, will my eyes look straight? |
Hello doctor, I walked for around 10 km two days back. I am not a habitual walker. I felt cramp twice in my right leg during first 3 km and after stretching it was better. Then I consumed fair amount of water. But, after 24 hours I got severe pain in calf muscles and there is slight swelling. Please suggest some medication or exercise. I frequently face this issue. Kindly help. | 3,386 | Hello. For further doubts consult an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | Q. Why did I get pain after a long walk? |
Hi doctor, My daughter is 14 years old. I wonder whether she has herniated disc. Because, she has all the symptoms except the numbness in legs and feet. It hurts in the lower part of my back. Usually a herniated disc is from sports injury and heavy lifting. But, she recently have not had any sports injuries or have not done any heavy lifting. But, in the past she had. Her back has been hurting when she cough, sneeze, sit or even walk down my porch steps. It has been hurting for may be two to three weeks now. I have not heard people of her age have a slipped herniated disc and other stuff. Please help. | 3,387 | Hello. Let us analyze different reasons for back pain of her age. Plain KUB x-ray to look for renal stones and urinalysis with culture. 1. Back sprain. 2. UTI. 3. Less likely ovarian cyst or kidney stones. 1. Tylenol two pills every 8 hours for pain on as needed basis. 2. Flexeril 5 mg (Cyclobenzaprine) every 12 hours as needed for pain. Revert back after a week with investigation report to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. What can be the reason for lower back pain at the age of 14? |
Hello doctor, I am 33 years. I had emergency contraceptive pill last month and got my periods 39 days back for four days duration. But, this month still did not get my periods as expected. We had sex, but there was no ejaculation or precum discharge. So, we decided not to take any pill. Now, I have been feeling a little cramp like feeling in my lower abdomen as I feel during periods, but only water-like white discharge as in ovulation time coming out. Why is my periods late? | 3,388 | Hi. I-pill effect. Urine for pregnancy testing. Missing period following taking emergency pill. Revert back after the tests to an obstetrician and gynaecologist online ---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Why is my period late? |
Hi doctor,I had some symptoms like heaviness in stomach, frequent urination, breast tenderness and morning sickness. Last week when I took hCG blood test it was 11.34. My doctor advised me to repeat a test on couple of days and it was 9.26. I used to travel many hours to office. This week I did not have any symptoms. But, still I did not get my periods. What would be the reason for this? Before a year I had periods continuously for 24 days. So, I took Yamini tablet for three months. Same time, I had a scan as well and that was normal. | 3,389 | Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. What is failing pregnancy? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,390 | 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. | 3,391 | 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. | 3,392 | 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. | 3,393 | 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. | 3,394 | 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, 11 years ago, I had genital warts. As I embarrassed to go to the doctor I ordered Aldara online and it worked. My question is what if I missed a wart after all this time? I do have a few very tiny white specks on underside of the head on my penis. When I showed them to my regular physician five years ago, he said they are pearly papules and not warts. Can I trust him? Is he right? I am seeing a new partner and do not want to infect her. Please guide me. | 3,395 | Hello. First I do want to make sure that recurrence of wart after 11 years is almost impossible. Now you can get genital wart only after exposure due to sexual contact done recently. The second possibility of untreated or remaining part of wart also impossible as in 11 year untreated wart would have become significantly large in size and would never remain unnoticed all these years. The penile pearly papule and wart are very different condition and can be recognized by photos. If you are able send me photos of your condition I would definitely tell you what it is. Penile pearly papule is not a disease or any treatable condition. It is just sweat and sebaceous gland which are a bit bigger in size. These are small, multiple and arranged around the penile skin. It does not increase in size, totally asymptomatic and natural thing. Wart has rough surface. They appear four to five in number. It will appear after a sexual contact history within a month. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. Could a wart recur after 11 years? |
Hello doctor, I am 37 years old. Three years ago I had spine surgery for herniated disc L5-S1. After the surgery strange symptoms began. Four hours after surgery when I tried to sleep I got myoclonic jerks. Then I had problem with ligaments. My ligaments started to stretch so easily that I began to hurt myself. I was healthy before surgery and had no problems. I also have hyperreflexia. I have done MRI of head and whole spine and the reports are fine. Rheumatologic test and genetic test for connective tissue are negative too. Muscle enzyme and EMG testing's were fine. But, my problem is getting worse. And all this started after general anesthesia and never stopped. Neurologist says I have hyperreflexia and it is symmetrical. But they do not know the reason for the same. Can this be something neurological? Is there any neurological condition that would affect ligaments? Which tests do I need to do? Please help. | 3,396 | Hi. Revert back with the detailed information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. I have hyperreflexia. Can this be neurological? |
Hi doctor, I think I have got UTI. I usually have this problem every summer. I am finding it difficult to pass urine since I have a burning sensation. I am diabetic and also suffering from hypothyroidism. I take Diapride 1 mg on empty stomach, Melmet 500 after breakfast and dinner and Thyronorm 50 mcg on empty stomach. There is no white discharge. Please help. It is really bad. My blood sugar levels are on the higher side as shown by my home device. I am going tomorrow to the laboratory for a test. | 3,397 | Hello. Yes, diabetic patients are very prone to develop frequent UTI (urinary tract infection). Possibility is more if you have uncontrolled blood sugar. Primarily, you need fasting sugar, PP - postprandial sugar estimation and a routine urine examination as well as culture sensitivity to know the nature of organism along with the sensitive antibiotics. This can be done by urine testing tomorrow. Meanwhile, you start taking plenty of water by mouth. I suggest Flavospas or Urispas tablets (Flavoxate Hydrochloride) thrice a day which can relieve your symptom a bit. Ultimately you need an appropriate antibiotic as well as a strict control of blood sugar. This can be done through an appointment with your physician. Please share with me the detailed reports by sending pictures of them. Revert back with the reports to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. I am diabetic and suffering from UTI often. Please help. |
Hi doctor, I have been on Klonopin that is Clonazepam prescribed before 14 years for panic attacks and anxiety. I am currently on the 2 mg dosage and taking it four times a day. This is monitored every few months by my family doctor. For the past one week, I have noticed that I have been experiencing non-stop severe panic attacks. I cannot really work and concentrate. My appetite is down and I only get about one hour of sleep. I have heart palpitations, tingling, restlessness, loss of concentration, numbness, shaking of hands and legs, muscle pain in shoulders, shortness of breath, lack of motivation, constant thinking that does not stop, feeling out of place and worried. I am researching whether I am going through drug dependency. I just read that Syprol, a beta-blocker, is helpful in the current situation. I am in, so that I do not go into withdrawal from this drug. Can you please help me as my doctor is on vacation? I really need something to help me get through this. Thank you. | 3,398 | Hi. I can understand your concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Do I need a drug other than Clonazepam to control non-stop panic attacks? |
Hi doctor, My 3 year old son has eye allergy for over two months now. When I consulted first, doctor suggested after inspection that it is a kind of seasonal pollen allergy and to give the eye drop Olopatadine along with Cellulose based eye lubricant. As it was not completely cured they gave steroid based eye drops also. There was some improvement with steroid based drops, but the doctor said it cannot be given for a longer time. I have also shown him to other eye specialists and they too said the same thing. The problem is that it looks like there is improvement but again the eye turns red. It is present in both eyes. Please help us. | 3,399 | Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. How to cure eye allergy? |
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