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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? | 3,600 | 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. | 3,601 | 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. | 3,602 | 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. | 3,603 | 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. | 3,604 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I have been away to abroad and developed skin rashes all over my stomach and legs. There are red dots everywhere and it is very itchy. I am worried it could be linked to HIV? | 3,605 | Hello. You have developed maculopapular erythematous lesions with itching, which can occur in multiple conditions. Please inform whether the lesions are also in finger webs and genital area. If there is intense itching, one of the differential diagnosis is scabies. Have you undergone your HIV test anytime? If no, get it done from any accredited laboratory to know your status. Please revert with complete information. | Q. I developed skin rashes over my stomach and legs. Could it be linked to HIV? |
Hello doctor, We are looking for a second opinion on my friend's MRI scan of both the knee joints as he is experiencing excruciating pain just above the patella. He has a sudden onset of severe pain on both the knee joints about two weeks ago. Previously he had a similar episode about two to three months ago and it subsided after resting and painkillers. | 3,606 | Hi. I viewed the right and left knee MRI images. (attachment removed to protect patient identity). Left knee: The MRI, left knee joint shows a complex tear in the posterior horn of the medial meniscus area and mild left knee joint effusion. There is some fluid between the semimembranous and medial head of gastrocnemius muscles. There is a small area of focal cartilage defect in the upper pole of the patella with mild edematous fat. The anterior and posterior cruciate ligaments are normal. The medial and lateral collateral ligaments are normal. Right knee: The right knee joint shows mild increased signal intensity in the posterior horn of the medial meniscus area and minimal knee joint effusion. There is minimal fluid in the back of the lower thigh and not significant. There is a suspicious strain in the left anterior cruciate ligament interiorly but largely the attachments are normal. The posterior cruciate ligament is normal. There are subtle changes in the upper pole area of the right patella and mild edema. There is mild edema around the bilateral distal quadriceps tendons, but there is no obvious tear of the tendons. | Q. My friend has excruciating knee pain. Please interpret his MRI report. |
Hello doctor, I was born 14 weeks premature and was told that do not circumcise that young. I believe I have a condition called aposthia, but I need help in identifying what it is? | 3,607 | Hello. I have seen images sent by you. (attachment removed to protect patient identity). Aposthia is the absence of skin covering glans. In the flaccid state, there is definitely a skin covering your glans. In erected state definitely glans skin gets pulled behind the coronal sulcus. So I do not think you have any abnormalities. | Q. Will aposthia condition naturally mimics circumcision? |
Hello doctor, I do not get my period for over a year after stopping birth control. I have stopped the birth control pill last year and have not had a period yet. I do eat a very healthy diet and do not do excessive sport. My periods before being on birth control were regular and I do not have a history of PCOS. Why am I not getting a period? I do not want to go back on the pill. What can I do instead? I have attached my lab reports. | 3,608 | Hello. I have gone through the reports (attachment removed to protect patient identity) and your hormonal profile is normal just that progesterones are way too low indicating that you are not ovulating and hence no menses. Sometimes, amenorrhoea is seen after prolonged use of oral contraception, however, this can be given a restart by offering a withdrawal bleed with progesterones. You can be prescribed progesterone-only pills for five days and in the next three to five days, and you shall get withdrawal bleed. You can discuss it with your medical provider and opt for the same. | Q. Why do I not get period for over a year after quitting birth control pills? |
Hello doctor, I was born with a structural birth defect where my left hand is completely deformed. My left arm is normal from the wrist and above. I would like to know if this defect is hereditary if I try to have a child. What are the risk for me as a father passing any defects to my future children? | 3,609 | Hello. I can understand your concern. It will be of great help if you can send me the picture of your deformity. I will be happy to help you further. | Q. What is the chance of passing the structural birth defect in my hand to next generation? |
Hello doctor, I have a question with respect to Doxypal DL medicine and my question is whether the delayed release remains active when I would open a capsule to remove half of the pellets. The capsules are 100 mg, and I would like to take 50 mg, but I need the delayed release to remain working because otherwise, I get too many side effects with nausea. The side effects are also the reason I would like to take 50 mg two times a day instead of 100 mg once a day. I investigate and found that the delayed-release mechanism can be in the capsule (and if this is the case, I cannot open it, to remove half of the pellets, because it will loose the delayed release mechanism). But I read on the internet that the delayed-release mechanism can also be in the pellets inside of the capsule. If this is the case, I could open it, and remove half of the pellets, and the delayed-release mechanism would still be working. I want to know is the delayed-release mechanism of Doxypal 100mg RL contained in the pellets or is it due to the capsules? | 3,610 | Hello. The delayed-release capsule contains the active drug (Doxycycline) and few other excipients that slowly release the active drug from it. So, the active drug is mixed with the excipients and put into the capsule. So, if you divide the capsule into equal half, it still works. Still, it is delayed-release and you can make 50 mg dosage. You also see that whether the infection in acne is controlled with 50 mg dose. If so, you can follow it. If not controlled, then 100 mg must be taken. The benefit and side effects should be weighed to choose the balanced dosage. | Q. Will removing half a pellet from Doxypal capsule affect its delayed-release mechanism? |
Hello doctor, Eight months ago, I had severe RSV lasting for 10 weeks. I am 66 years old, athletic, fit and in perfect health before RSV. I took no prescriptions whatsoever. I got RSV from my friend's infant at church. My husband is a double-boarded physician and recognized the RSV very quickly. I had acute wheezing and coughing. I was on five prescriptions (the usuals) for 10 weeks. I was off all medicines and back on the treadmill daily and also at the gym. The one very noticeable thing that has remained and is very troubling, is that every time I climb stairs in my home (about 18 stairs to the second floor) I am quite out of breath. This does not happen on the treadmill but just on the stairs. I am convinced this is damage from RSV. The two x-rays, six months apart are showing scarring from the RSV. I was recently at a high altitude after many visits to that same location, and I was seriously struck with altitude problems. I was extremely short of breath and had to get a prescription inhaler which helped enormously. When I returned to my place of low altitude, my breathing greatly improved. My questions are: Can I improve my lung scarring in any way? Should I get pulmonary studies? If I am not wheezing, will an inhaler help shortness of breath upon exertion? This is a problem for my fitness program and my very busy personal life. | 3,611 | Hi. Scarring is an irreversible process so it cannot be cured. Your breathlessness is due to less lung reserve because of scarring. Kindly share your x-ray chest image. Your lungs will not become normal but breathlessness problem will be corrected by medications and respiratory exercises (pulmonary rehabilitation). Medications are simple bronchodilators like tablet Doxophyllin 650 mg OD with inhaler combination of Formeterol and Budesonide. Respiratory exercises can be done in the form of pulmonary rehabilitation. Download pdf form of pulmonary rehabilitation and do it slowly in increasing way. I hope this helps. RSV (respiratory syncytial virus). HRCT CHEST (high-resolution CT scan), ABG (arterial blood gas test). Treatment plan will be changed after investigation. Prevent infection and maitain hygiene. Follow up after one week. | Q. How to treat lung scarring due to RSV? |
Hello doctor, I have a few problems with my body. Since last year I was under work pressure. I could see my blood sugar gone up to 289 mg/dL on post prandial (PP) last month and reduced to 175 on PP and 109 on fasting last week. In the meantime, for the past two weeks, I suffer from fissure. I am a case of vitiligo and epilepsy for 20 years and under medication with Valproic acid 500 mg (reduced to 250 mg for the last 10 months) and Clonazepam 0.5 mg. I have been noticing that my penis skin is shrinking for the last eight months and now narrowed down to 8 mm opening on the penis forehead skin. For the last three months, I am suffering from back muscle spasm. After consulting MD medicine, I am taking a sitz bath for fissure, continuing Valproic acid 500 mg for epilepsy and back pain, following a strict diet for blood sugar, and no medication for vitiligo. He suggests circumcision as the only option for penis skin problem. I request your second opinion. | 3,612 | Hello. I understand your concerns. I have checked all the attached reports thoroughly (attachments removed to protect patient identity), and here are my notes: 1. Repeated high post prandial sugar above 200 means that you are diabetic and need to start therapy. Do you have polyuria (frequent urination)? do you drink water more than usual? 2. Repeated cholesterol level above 200 along with fatty liver grade 2 means dyslipidemia that requires management. 3. Stress ECG shows some changes that could mean some cardiac ischemia. Do you feel any chest pain especially with efforts? if yes, could you describe it? 4. All other investigations are within normal limits. Advice: 1. Healthy life style that includes daily 30 minutes walk, a healthy diet with low sugar, starch, and oily foods. 2. Metformin 500 mg after meals plus Glimepiride (Amaryl) 2 mg before breakfast (for diabetes). 3. Rosuvastatin 10 mg once per day (for high cholesterol). 4. A retinal fundoscopy and urine analysis for microproteinuria are required. Continue other medications you have. Follow up after one week. Regarding the penis problem, I agree with circumcision. I hope this helps. | Q. I have fluctuating sugar levels with shrunken penis skin and muscle spasm. Please suggest. |
Hi doctor, I am feeling dizziness and vomiting sensation for over one week. Rest everything is fine. Periods are normal and just had periods ten days back. I just had my blood test done. Kindly advise the possible medication and preventive health care. I am attaching my complete blood report. | 3,613 | Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Most of the values are borderline normal. Early iron deficiency anemia manifestations through low MCV and MCHC are present. However, iron levels are normal and should get corrected within two months. Hemoglobin being the lower limit of normal, it should not be the cause of the symptoms being experienced at present. Vomiting and dizziness sensation appears to be possibly local cause like gastritis or gastric reflux esophagitis. Proton pump inhibitors like Pantoprazole with Domperidone should be helpful in curbing vomiting. Irritation in the stomach or esophagus is known to cause dizziness. I hope there is no tarry or black color stools (if present, it indicates bleeding in the stomach). You need to reduce stress, eat regularly, and avoid spicy foods. Sleep should be regular and proper. Avoid lying down immediately after food, at least for two hours. Also, you need to concentrate on nutrition to improve borderline values. Take protein rich diet with green leafy vegetables, two egg whites and Vitamin C rich fruits should help in improvement. Also, maintain good hydration, with at least five to six liters of water per day. Avoid coffee or tea, if possible as it can cause gastritis and also reduce iron absorption. For now, Pantoprazole with Domperidone should be helpful along with lifestyle changes as indicated above. I hope this helps. | Q. What could be the reason for acute vomiting and dizziness? |
Hello doctor, My granddaughter is 17 months and one week old. She was a term baby born out of a normal vaginal delivery. She weighed 3 kg during birth and was 2.8 kg when we were discharged from the hospital four days later. She was exclusively breastfed for six months, after which we introduced solid foods (in addition to breast milk, which is still continuing). She is a very bad eater, however, we are managing to feed her protein-rich food thrice daily using a lot of diversion tactics. My questions are: Why her anterior fontanelle is still not closed? Still, there is a little bit of space left. She seems otherwise healthy and active, and seems very intelligent in the way she grasps things through books, remembering every single thing. Her weight also seems normal, although she is not overweight or chubby. Is it normal for the fontanelle to still remain open a little bit? I know it is supposed to close completely by 18 months, but I am wondering if it will close in the remaining three weeks. Suppose it takes longer than 18 months to close, is it fine? Please let me know. | 3,614 | Hi. From what you mentioned, your kid seems completely normal you do not have to worry. You should add supplemental calcium, and Vitamin D drops. Also by 17 months, she should be able to walk. Warning signs that you should watch for are persistent vomiting, fits or delayed motor development. Just follow up and the fontanelle will close within a few weeks. I hope this helps. | Q. My granddaughter is 17 months old but her anterior fontanelle is still not closed. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 3,615 | 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. | 3,616 | 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. | 3,617 | 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. | 3,618 | 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. | 3,619 | 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 been having back, knee and foot pain and numbness for some time. So, I am wondering if I should see professional help? It started about a year or more ago, and then it was merely the lower left side of my back. It would go numb for a brief time after riding for about thirty or more minutes. However, as time has progressed the pain has gotten worse, and mostly the pain is in my left knee. I own apartment buildings, and I love working on the properties, but it is beginning to wear on my body being a 53-year-old male. Yesterday was especially hard because I was on a ladder a lot and it makes my lower back and left knee hurt when I use a ladder, and I went up and down three flights of steps numerous times moving supplies from one apartment to another, and it took its toll. Therefore, today I am experiencing pain in my left knee on the side of my knee and in the back. Last night, I woke up with a lot of pain in my left knee and it was a burning sensation, but my back did not hurt as it usually does. I had a baker's cyst many years ago on this same knee, and my doctor advised me to take it easy for a few days and take Advil. Once I did as he recommended the pain went away and until recently I have had no problems with my knee. One more thing most of the time when I feel a sharp pain going through the left part of my lower back it makes my foot numb. If I sit or lie down and pull my leg up to my chest it gives me a lot of relief. Most of the time if I am feeling this sensation in my lower back and it starts to go down to my left leg (pulling my leg up to my chest for a couple of minutes) will usually make the pain go away completely. Most of my time is spent about ten hours a day at my desk working, and while my favorite thing to do is work on my properties. I have to sometimes hire people because of spending so much time at my desk. At one time (about ten years ago) I used to lift weights (free weights) and workout on a cross-trainer for two to two and a half hours a day (from Monday to Friday). Although as I got more responsibility for my work, I started cutting back on the exercising and eventually gave it up altogether. So, I do not do anything outside of working on my properties for exercise, and I hope to start lifting weights again and doing cardio because my waist has gotten up to a 34 and I want to stop it from expanding more. However, I am afraid to start any exercise routine before I find out what is going on with my left side. The pain I am referring to is strictly from my waist down the leg and to my foot. I have no problems with my right side, and if a doctor recommends surgery, it is not going to happen because I grew up with a dad that had Perthes. And I have seen how he has suffered his entire life and how many times doctors have replaced hips telling him this one is the last one only for him to have to go back over and over until he is finally in a wheelchair. Sorry, there is one more thing my primary doctor has retired, and I have not been sick in over seven years, so I have no primary doctor to give me a referral, but I have to do something about this pain. Thanks for any advice or ideas you can give me because I always worry it might be cancer because my grandmother died of osteogenic sarcoma. I am currently taking Vyvanse, Sawpametto, Vitamin C, Magnesium and multivitamin. | 3,620 | Hello, Welcome to icliniiq.com. Your symptoms (back pain radiating in the knee and leg) are suggestive of a bulging (slipped) intervertebral disc in the lumbar region, which is causing irradiating radicular pain in the knee. For this reason, I would recommend consulting with a neurologist for a physical examination and a lumbar spine CT (computed tomography) scan or MRI (magnetic resonance imaging) study. Prolonged sitting position or weight lifting could be the cause of such clinical situation. For this reason, I would recommend having some rest, avoiding prolonged standing up or sitting position, and avoid weight lifting. Painkillers (Acetaminophen, Ibuprofen), coupled with a muscle relaxant (Flexeril) can help improve the pain. Local warm packs on the lower back and massage or physiotherapy can help improve your situation. A nerve conduction study would help to determine the possible damage to your nerves. You should discuss it with your doctor on the above tests. I hope this helps. Bulging lumbar disc. Lumbar column CT scan or MRI scan. Nerve conduction study. Painkillers, muscle relaxants, and physiotherapy. Avoid weight lifting, prolonged sitting or standing up position. | Q. Why do I get pain in back, knee and foot with occasional numbness? |
Hello doctor, I think I have a counting disorder. Whenever I do certain work I do not know from where this feeling comes to me that I have to do that same thing several times until I get satisfied. For example, whenever I pick a book then I have to pick that book four or more times and sometimes 20 times. Another example is that whenever I wash my clothes then also I pull out the clothes from the bucket 4-20 times until I get satisfied. Is my case normal or serious? Please help. | 3,621 | Hi. I am sorry to hear about your problem. Let me try to explain your problem in detail. What you are describing is called obsessive-compulsive disorder (OCD). A person suffering OCD has repetitive thoughts that are beyond control. For example in your case, it is this feeling of doing the same thing several times, these are obsessions. The act you do to feel better and get rid of these thoughts are called compulsions. Coming to the management, the first thing you need to do is start cognitive behavioral therapy, in which the therapist will help you recognize his thoughts and teach you techniques to control them and not get involved in this behavior. The second thing is medication, in severe cases medications are required. This can be checked after complete evaluation. Medication and cognitive behavioral therapy combined are the gold standard treatment of OCD. I hope this helps. | Q. I am doing certain things repeatedly until I get satisfied. What could be my problem? |
Hello doctor, I have unprotected vaginal and oral sex with a sex worker three weeks ago. I do not know her status of HIV although she said she is clean. Exactly after seven days of my exposure, I feel something wrong with my body as it is feeling uncomfortable. I had oral thrush, loss of appetite, swollen lymph nodes in neck, body aches, needles like pain all over my body, night sweat although no fever but I can feel the temperature is high, it is 98.5-99.3 degrees for the next couple of days. So I suspected that I got infected with HIV. Due to anxiety, I took the HIV antibody test on the 9th day of my exposure which I know is a bit early come out negative. But then on the 10th day (exactly after 9 days 10 hours), I took HIV 1 RNA TMA test on stdcheck.com which they said 95-99% accurate in 9-11 days after exposure. I got the result yesterday, as negative no HIV 1 RNA detected. Now, still I am in confusion because I am 100% sure I got infected with HIV. I do not know if these tests are conclusive or not. I do not have guts to do another test. Please help. And also some of my symptoms are gone but I discovered some additional like pain in kidneys, lower abdomen, chest pain, joint pain, and extreme fatigue for two to three days. | 3,622 | Hi. I have gone through the details and reports. (attachment removed to protect patient identity). All the tests are negative is a good sign. The chances of transmission of HIV by unprotected intercourse with an HIV positive person is too low. If negative it is nil. You can allay fears. HIV RNA PCR is negative and is a good sign. It is almost conclusive. The chances of tests coming positive later are nil. But it is better to get tested for HIV 1 and 2 antibodies after three months to have conclusive results. | Q. I had oral thrush, swollen lymph nodes, and fever after a week of unprotected sex. Is this HIV infection? |
Hello doctor, I have been experiencing a muscle spasm above my lip on the left side. It is a rapid vibration that I can see when I look in the mirror and feel when I touch the affected area. I do not experience any pain when the spasms are happening and I can still talk, smile, and otherwise move my face. I first began noticing the issue last year. The spasms seem to come and go. For the past few days, they have been occurring at night. Sometimes the spasm is still happening when I go to sleep, but by the time I wake up, the spasms have stopped. Last night, I noticed the spasm started after a workout where my heart rate got up to 171 bpm. I have talked to a few doctors who have recommended magnesium and I have noticed that when I take 400 mg per day dose, the issue does not last as long. That said, the spasms are still happening. I do not drink large amounts of caffeine never more than one cup a day so I do not think it is related to that. A couple of weeks ago, I noticed a similar spasm under my left eye, but that only happened for a day and then disappeared completely. Last winter, I noticed an eye spasm as well, which lasted for a few weeks, but then disappeared entirely. My GP did HbA1c, TSH, T4 free, CK, sedimentation rate, magnesium, basic metabolic panel, and GFR all results came back normal. She provided me a referral for a neurologist and I am working on getting an appointment. There are some long wait times so I am hoping to speak with a specialist in the meantime to get a little bit better of an understanding of what this might be. | 3,623 | Hi. I can understand the issue. It is basically the facial muscle spasm that you have. In the classical pattern, it involves larger areas of the face and not smaller area or single muscle. The cause for it can be mild compression (more of irritation than compression) over the nerve which runs into the facial muscles. The site of compression can be near its origin secondary to pressure from a neighboring blood vessel. The less common cause can be viral involvement of the nerve in the ear. For that, you should be investigated with the TORCH panel (viral screening test). Depending on results we can plan further management. A short therapeutic course of steroids may help. If it persists for a long time then Botox injection into the muscle to inactivate it will help. | Q. I experience muscle spasm above lips with no disturbance of other activities. Please help. |
Hi doctor, I am a 19-year-old female doing MBBS. Everything is really good in my life, but I certainly do not understand the chit chat going on in my mind all the time. I do not feel going when I meet people, I do not like noise, parties and going out. But this was not the case earlier, I like dressing up and going out for shopping, now I do not feel like doing these things. I just like studying and following my normal routine, I do not want to be like this. Please help. I am very anxious about my face as I have acne scars, so I am always very conscious about them. I just take medication for it, I often have severe headache attacks, probably migraine, especially when I go out with my friends or hear a very loud noise. | 3,624 | Hello. I am sorry to hear about your situation, I can see that you are under a lot of stress. what you are describing looks more like anxiety disorder, it is possible that because you have been under a lot of stress for a long time. MBBS is a very tough field and even though you must be a good student it does take a toll on your mental health. With chronic stress problems like severe headaches, migraines social avoidance can occur. I would suggest you to talk to a counselor and they will help you find out the negative thoughts which are causing this anxiety and this type of behavior and they will help you to cope up with them and be able to enjoy your life again. Either find a local counselor or you can opt for online counseling sessions with me via icliniq. If these are severe you might require anti-anxiety medications, but as you have mentioned that you are able to function well, I think they might not be required. The counselor will evaluate you and take a detailed history and advise you accordingly. I hope this helps. | Q. After joining professional course, I do not feel like mingle with people. Why? |
Hello doctor, I had a minor injury four weeks ago when my partner while on the bed accidentally hit my erected penis on the left side next to the frenulum under the head. I had some minor pains here and there but I stopped all sexual activities. I did notice a very sharp pain today after an erection only, and the pain was at the same location of the injury. As I wanted to feel if there is a lump I did feel something there at the same location I described above (size of 1-2 millimeters). Please tell me if this will heal in a good way such as no scar tissue or bad way with scar tissue and Peyronie's as my age is only 26 and I do not have any medical history or problems, and the same for my family. I do have varicoceles on my left nut sack grade 1. I have attached a picture of the frenulum. My questions are: What will be the healing time and pain healing time? What are the percentage of chances of developing or not developing scar tissue or Peyronie's at this age? Will you recommend any medicines like Pentoxifylline or anti-inflammatory? I am not taking anything now. | 3,625 | Hello. I have seen the pictures. (attachment removed to protect patient identity). If the trauma was at the level of frenulum then you can go for frenuloplasty so that frenulum will be freed from glans and there should not be any problem further. Peyronie's disease generally develops after trauma to the shaft of penis. There is no recommendation to start medication for this prophylactically. Take some pain killers and anti-inflammatory medicines so that pain and inflammation will subside early. It may take three to five days. | Q. I got hit on penis accidentally and getting pain on erection. Why? |
Hi doctor, I am a 30-year-old male and I have been on Cipralex 20 mg for my depression for more than a year now. When I started Cipralex 10 mg I was fine. However, when my depression worsened I was given Mirtazapine 30 mg and my weight increased like hell. I gained 15 kg in three months, mostly around my belly and hip. I consulted you and my medicine was changed from Mirtazapine 30 mg to Topomax 100 mg. I lost 10 kg in three months with Topomax and stopped it eventually. Nevertheless, my weight has started increasing drastically around the belly and hips. I feel bulky and the tummy is growing out. It is so embarrassing as I am a lean guy and with a belly protruding out. I am going low on confidence. I cannot leave my depression tablets but I cannot ignore my increasing weight either. Could you please let me know what should I do to lose this excess weight and get back to shape? I cannot walk as I have a slipped disc problem. I cannot go to the gym either as it is not recommended by doctors. If on leaving Topomax, I am going to gain weight again. Then it is only a temporary solution. Further, in spite of taking Cipralex 20 mg at night, I am extremely sleepy and feeling tired all day. I fall asleep unconsciously even while driving and working on the computer. I have disturbed sleep at nite and the weight gain is another trouble. I still feel I am depressed and Cipralex is not doing all it can. I need your help to tackle my depression, sleepiness, tiredness, and my increasing weight. Please help. | 3,626 | Hello. Stopping Topiramate is not the reason for weight gain in your case. Topiramate resulted in weight loss and the drug is also a good mood stabilizer drug. This helps in stabilizing the mood and supplements the antidepressants. So stopping Topiramate probably result in worsening of depressive symptoms and thus altered food intake which consequently resulted in weight gain. In my opinion, you can start Topirmate again and this will help in controlling the weight gain. The drug will help in improving the depressive symptoms too. So there is no harm in restarting the drug. Apart from this please change your dietary intake. Avoid any foods with refined sugars and high fat. Take high protein diets rich like meat, and animal food. Avoid fried food totally. Lime juice in an empty stomach daily without sugar should be included in the diet. Please take at least a cup of green tea which will help to dissolve the belly fat. This will help in making you fit again. If you are feeling sleepy and tired then drugs like Modafinil can be added to your prescription. Modafinil will help in improving alertness and will reduce your tiredness. This will help in improving the depressive symptoms too. So you can make these changes and you will definitely come out of depression. | Q. Will quitting Topomax result in regaining of lost weight caused by Mirtazapine? |
Hi doctor, I am 34 years old and I have facial droop in the lower half of the left side of my face. It has been with me for years. I would not call it a paralysis or bells palsy as I have full control of my forehead and eyebrows, but the lower part when I talk it is noticable that the lip from the left side is way lower, and the nose as well seems lower from one side. I was wondeing what this could be, all the searches online say stroke but I am young and never had any symptoms of stroke, so what else could it be? And what would you advise me to do? | 3,627 | Hello. I would like to know some details about your symptoms: 1. When, first time, you noticed facial drop in left lower half face? 2. Did it happen suddenly? Or it happened slowly and gradually? 3. Did you had any weakness in left arm/ hand / left leg along with? 4. Had you any change in voice that time? 5. Have you ever undergone some tests for its evaluation? 6. Have you any symptom in left ear: hearing difficulty/ ear discharge/ hearing abnormal sound? 7. Have you any other significant medical history (apart from this facial droop)? 8. At what time this facial droop is most noticeable: at normal forward face look? while smiling? while speaking? while eating? while laughing? 9. Have you any difficulty in swallowing? Revert with above mentioned information and also I suggest to make a short video of your face (in normal/ smiling/ speaking/ laughing) and upload here as attachment. MRI Brain ENT (ear) examination serum ACE level viral markers (HIV/ HBsAg/ Anti HCV antibodies) NCV bilateral facial nerve | Q. Can stroke cause facial droop in the lower half of the left side of my face? |
Hello doctor, I had unprotected intercourse two days after my period. The first time we used the condom, the second time without and did the withdrawal method. I took the action about one and a half an hour later. I do not know when I was ovulating and did not think it could be my fertile week. I started bleeding five days later and it was light and pink then has gotten heavier and turned red and moderate enough to soak a panty liner. I have taken HPT twice and both showed negative. Is this implantation bleeding or withdrawal bleeding? | 3,628 | Hello. If it was your second day of your period and you take an emergency pill after intercourse that it is withdrawal bleeding and due to the tablet. Your period can be irregular this time and may take two to three cycles to get regularize and maybe the next cycle will be normal depends on your body's own hormonal cycle. If HPT (home pregnancy test) is negative then no need to worry, you are not pregnant and the second day of menses is counted as safe days of any cycle. So you cannot be pregnant during that period because of no ovulation during menses. Drink more water and wait for your period and do not get much stress. Everything is fine and under control. And if you get your period for three to four days and if you have intercourse two days after that, also you had taken the precautions like condom, withdrawal and at last emergency pill and it also comes in safe period. So do not worry. More chances that it is withdrawal bleeding and sometimes ovulation bleeding. In both cases, you do not have to worry because if it is ovulation bleeding then it is happening now and no need to worry about before. I hope this helps. | Q. I took OCP after unprotected intercourse and bled after five days. Is this implantation bleeding? |
Hi doctor, I have a symptom of redness on my penis and with no pain and itchiness on it for the past one day. Can you please suggest me something? I had unprotected sex due to condom break two weeks back with an unknown person for that I am taking Tavin-EM and Instgra medicine now for 28 days as prescribed by the doctor. | 3,629 | Hello. I could not get the contents of the medication prescribed to you. Could you send the same with details I would be able to comment on the issue. Secondly, get a forth generation ELISA test done for HIV 1 and 2 six weeks and repeat the test at three months from the date of exposure along with HbsAg and VDRL tests. Lastly, is there any swelling in the groin region or any foul smelling or milky discharge from the penile tip. | Q. I have redness on penis without pain or itch. Is this due to unprotected sex? |
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? | 3,630 | 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. | 3,631 | 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. | 3,632 | 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. | 3,633 | 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. | 3,634 | 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 multiple questions. Recently, I might have been exposed to mercury vapor in a hotel room I was sleeping in for around 6-10 hours the room was small and the type of mercury was unknown. I remember the one type of chemichal was clear liquid watery substance and the other onces was more clay grey wich dissolved in water. I left the room around 6-10 hours later and did not touch anything but I might have breathed in the vapors in this small room. I also washed away the crystals that has landed on the carpet. All of these substances I have no clue about what was, except when I asked I was told mercury. 3.5 months later I got a pins and needles feeling in arms and feet wich has lasted a month, but no other symptoms until now I feel like I have some kind of internal vibration in my feet and my knees are shaking when I stand up like I am freezing or have done a hard workout from time to time. I went to the doctor in my area and told him about what had happend and showed him pictures of the various substances and I took a urine test and a blood test and this was made around 130 days after possible initial exsposure and the test came back at normal levels, but can it be that I had a toxic exsposure and the mercury has already settled in organs and therefore do not show in blood or urine I am not sure about the half life times in these metals or can I settle down and accept the test results are final and that mercury levels do indeed declear that I have not had an exsposure of toxic levels and that my symptoms might be of other cause? 2. If not number one is the cause then, a few months before that, I got an acute pins and needles feeling in hands and feet (paresthesia) which continued untill today and it increased over the one month before it stabilized a little, it went from pins and burning sensations different parts of the hands, and pins feeling in the legs. A few times I got shooting pain from a finger and up my arm but very rarely which has not returned. After alcohol consumption one weekend it went from stabilized to worse and I also noticed my knees shakes a little when I stand still but not when I am walking, the feeling can be compared to when you are freezing or after a hard workout on your feet. It started with a sensation under my feet like I was standing on a vibrating phone and then moved up to my calves which felt like they were bubbling inside and now my knees which shake when I stand, but the vibration under the feet is gone. My hands also one week felt like they was shocked and they turned red and stiff, the kind of feel like I put my hands down in hot water and then removed them, red spots on my hands underneath the skin appeared and the closest thing i found resembeling it was purpura when I looked up causes online, my hands are much better now but it still feels like some areas are "sunburnt" and my fingertips are peeling, but I think that is because of winter and dry weather (the red spots remains) I have taken multiple blood test for vitamins deficency and other things which turned out normal besides vitamin D which was a little to low and neurolgical test like standing on one foot with eyes closed and finger pointing and sensation test of sharp/cold/hot which all was normal. I am taking a MRI next month to check for MS and other conditions. Sorry for making this text so unclear and poorly written but I have no idea of what this might be. So Doctor do you have any ideas about what this can be? | 3,635 | Hello. I read carefully your question and would explain that your symptoms are not typical of mercury intoxication. Anyway, I would recommend performing nerve conduction to in order to examine your nerves and a brain MRI in order to examine your brain. As the neurological exam is normal, I do not think it the brain MRI will result abnormal. A cervical spine MRI may be necessary too, in order to exclude possible spinal cord compression in this region, due to a bulging disc. | Q. What are the symptoms of mercury toxicity? |
Hello doctor, I am a male, 51 years old, height 5 feet 6 inches, balanitis problem- An unpleasant smell, redness around the glans, inflammation, soreness, itchiness, or irritation of the glans. | 3,636 | Hello. If the symptoms have been present since a week, did you take any medicines or cream for those? Did you start any antibiotic? How is your personal hygiene? Can you take a picture of the affected area with retracted foreskin and send to me? Are you circumcised? You need a course of Ciprofloxacin, Tinidazole or Ofloxacin Ornidazole with some anti-inflammatory medicines, local application creams and lukewarm water rinses of the penis twice daily. You may refrain from sexual activities till you get better. Please provide us more details so that we can help you better. Are you a diabetic? Is there any medical condition for which you take medicines regularly? | Q. What are the ways to cure balanitis? |
Hello doctor, Due to an accident, I had unsafe sex. I went to the pharmacy to get a EPC or morning-after pill. However they said they were not being sold. They prescribed Althea cypriterone acetate ethinyl estradiol (2 mg / 35mcg tablet) from Trust and said to take 1 per day for the next 21 days. However if I understand correctly: Is this a normal contraceptive? I read some things about the yuzpe method, how would this work with the contraception described? And I already took one pill an hour ago. What should I do? I do not want to get pregnant. Especially since this is the 13th day since my menstruation, I am getting worried. | 3,637 | Hi. You should get emergency pills if they are selling normal contraceptive pills. Anyway in emergency pills the dose of hormones are more. So you can take 4 tablets two times a day for 2 dose. Can also works same as emergency pills. But at the same time you should understand that emergency pills are not 100 % safe and there is up to 30% chance of failure. But have only option after unprotected sex. When you stop taking tablets than there can be withdrawal bleeding within 7 days. And your cycle can be irregular for 1 or 2 periods if you are not pregnant. Best way to confirm whether pills worked or not is to wait for 15 days atleast and do urine pregnancy test on kit and see. If turns to be positive than you are pregnant and if negative than pills worked well. Do drink more water. Chance of failure is because pills worked by stopping ovulation but if ovulation already happened than it will not work. So have to wait and watch after taking pills. | Q. Can Althea cypriterone acetate ethinyl estradiol help in preventing pregnancy? |
Hello doctor, My dad has been on dialysis for 2 years and has only recently been getting pounding headaches 1 hour into dialysis. He says they are pretty painful and it only occurs in his forehead and just to the right of the forehead. It does not make him sensitive to light, sound or any vision changes. He was in the hospital a month ago for a left leg amputation and while in the rehab unit, he had a seizure that we witnessed and it took him 2 days to wake up from it. The MRI showed Posterior Reversible Encepholopothy, caused by very high blood pressure. Luckily, he is almost 100% neurologically and memory regained. I bring that up because only after the seizure and PERS MRI result is when the headaches started on dialysis. He never had headaches before on dialysis prior to the seizure/headache. The doctors did not put him on any new medications after this and tylenol helps the headache greatly but it still bothers him, and I do not like him taking tylenol almost every day. He is on Metoprolol 50MG Extended Release 1x per day usually in the morning and his blood pressure is fairly controlled (usually in the 130's/70's) however sometimes it gets high during dialysis . I have an appointment with a neurologist in January, as that was the first available. Any answers? | 3,638 | Hi. Having headache one hour into dialysis suggest either it could be related to transient increase in blood pressure or changes in electrolytes during this interval. Is his BP monitored during dialysis and where do they stand. One way to get around is by slowing the dialysis speed which will help in slower change in electrolytes and body fluid thus preventing fluctuation in BP. See if has BP fluctuation during dialysis and his nephrologist should be able to help you. Metaprolol is also a migraine prophylactic medicine, thus it should help with headaches. There are other medications also but will discuss once we are sure its not related to BP. Taking Tynelol daily is not good. It can cause rebound headache the day you dont take it. Limit its use to 2/day or max 2-3/week and/or max 8-10/month. How is his MRI brain now. He had PRES but has it completely resolved, not just clinically but also radiologically. Is he on any anti-seizure medication post seizure. How was his EEG. Is it normalized? | Q. What causes headache after dialysis? |
Hello doctor, I get frustrated even for very small things. I take too much stress before starting some work and thinking that it will not work and also my temper is becoming too high. Whenever I get angry I cannot control myself. Please help. | 3,639 | Hello. I can understand it must be really hard for you to be in this situation. What you are describing looks like an anxiety disorder. There is nervousness in starting anything new because the mind has negative thoughts which overwhelm you and make you feel it might not work out, and then the mind gets fixated on this pattern of negativity and you just cannot stop the overthinking which gives you stress. And long term stress produces aggression. What you need is to start psychotherapy. Via counseling (psychotherapy, cognitive behavioral therapy) the therapist helps you find out where these thoughts are coming from and help you in changing these thoughts in and controlling them so that inside it is not produced in the first place. Second part is anger management where you learn some techniques to control your temper and also via therapy you will be able to find out the source of your anger. I would need to talk to you in detail to be able to find out why you are having these thoughts after I take a detailed psychiatry history and evaluation. You can find a local therapist or we can start therapy sessions online via video consultation. If the problem is severe which we will be able to find out after evaluation, we can decide whether or not you need medications. I hope this helps. | Q. How to handle my frustration, negative thoughts and anger? |
Hi doctor, About a month ago, I had protected sex with a woman and unprotected oral sex with her as well. Then two days after that I had unprotected oral sex and fingered a different woman. Five days later, I got a low fever of about 99 degrees. The following day I got chills, night sweats, joint pain, and a bad fever about 102 degrees that broke that same night. The next day, I got a rash that covered my entire stomach, chest, arms and legs. I went to the hospital and they told me they thought it was a viral rash. The rash went away in about 24 hours. I got an HIV RNA and fourth generation test done ten days after the last incident and then I got another HIV RNA and fourth generation test done again at 17 days from the last incident. Both came back negative. I tested the woman that I had protected sex with using Oraquick and she came back negative, but I did not test the woman that I had unprotected oral sex with. Could this still be HIV? I have never gotten a rash like that before in my life. What are the chances that this could be HIV based on the two negative RNA tests? | 3,640 | Hi. See, a rash does not confirm the diagnosis of HIV. A rash is a very common finding in viral Infection and you could have got the viral infection from your partners only. Luckily this time the virus was not HIV. The fourth generation PCR tests are highly sensitive and hence you do not require any further evaluation. I would hereby conclude based on the details that you do not have HIV. I would also recommend you to avoid unprotected sexual exposures as well as to indulge with more than one partner. Every time you cannot be lucky like this time. I hope this helps. | Q. My HIV RNA and fourth generation tests are negative. What is the chance of turning positive? |
Hello doctor, After a neck injury five years ago, I get a headache every morning. Because of this, I cannot sleep for more than five hours, headache wakes me. Osteopathy helps not more than one or two days. Please tell me what could it be? Experts whom I consulted, do not know exactly what is the source of headache and treatment does not help. | 3,641 | Hi. I feel really sorry for this painful situation you have to face. After careful review of your detailed case, I want to add that musculoskeletal insult is the main cause behind this pain and lifestyle modification is its main solution. I will elaborate all of this in a very simple way so that you may come out of this pain and can sleep comfortably. Thanks for uploading all the supporting documents and I have thoroughly reviewed all of them. (attachment removed to protect patient identity). Fortunately, your cervical spine and the surrounding structures bear no visible signs of major trauma that may have warranted immediate interventions by an orthopedist and neurosurgeons. Your cervical spine, spinal ligaments, and the muscles got extreme stress due to excess weight on them. The spinal in cervical region is not made for weight-bearing. Due to stress or strain caused by weight, there had been a stretch and/or compression causing a change in anatomical structures out there. You need to change the sleeping posture and position your head so that there is a least possible strain on the cervical spine. Keep track of everything you are doing to modify sleep habits. Adopt the one that best suits you. Buy a mattress that is angle adjustable. There are smart mattresses available in the market that makes sleeping a bit comfortable for the cervical spine patients and the general healthy population too at the same time. They are temperature controlled too so if you need to provide heat to the body they help doing it with the click of a button. First, try sleeping without pillows underneath your head. Try sleeping straight (supine position) your whole body facing upwards. Then try sleeping on the right side, then on the left side of the body. It is only you who can tell which ever suits you best. Then you may try keeping a soft pillow under the head. If it hurts again, you need to try the angle-adjustable mattress and try different angles every night. Keep track if raising the angle soothes you or decreasing the angle is a better option for you. Meanwhile, physical therapy is my advice for you. Please consult a physical therapist for proper evaluation and management accordingly. It will assist you in getting out of this pain very fast. You may use heat wraps around the neck to soothe the deep neck structures. It alleviates the pain and improves circulation. Keep a balanced and healthy diet and avoid stressing your spine out by spending a lot of time in front of TV, laptop, smartphone, etc. These are bad for your cervical spine as they all make the neck stiff at a certain angle. If required. | Q. I get constant headache following neck injury. Why? |
Hello doctor, I am a 31-year-old male. I have been diagnosed with Crohn's disease before years and I have been on Humira 40 mg every two weeks. I had unprotected sex with two different girls a year ago. I have had done three HIV tests and one HIV combi Elecsys at 10 months from the last possible exposure. After a few days of the first possible exposure, I had flu. After a few weeks of the last possible exposure, I started to have some skin condition Sebopsoriasis around my mouth and under my armpit. I am also losing some muscle weight. All my HIV and Elecsys test results came back negative. My questions are: Are my tests reliable? Does Crohn's disease affect HIV test results? Being on Humira, will it affect HIV tests? Does Humira cause a false negative? Also, I know that sebopsoriasis is associated with HIV. Is there any other tests I have to do? I am under huge stress, I need your help. | 3,642 | Hello. Going by your description, it seems highly unlikely that you have contracted HIV infection. The ELISA (enzyme-linked immuno0sorbent assay) detects antibodies to HIV antigens whereas the combi test detects both antibodies and antigen. Since you have done these tests much after the exposure, I believe there is a little chance that you could be harboring HIV infection. The rashes you have developed are more likely to be a part of Crohn's disease syndrome progression. Humira, although may suppress the production of antibodies, it does not affect the detection of HIV antigen. Crohn's disease has various non-intestinal manifestations that could crop up anytime. I believe the new rashes are a part of Crohn's disease syndrome complex. | Q. Will Humira taken for Crohn's disease interacts with HIV results? |
Hi doctor, For about two years, I have constant problems with my hand skin. There are spots on my hand, where my skin gets extremely dry to the point where it peels, sometimes even cracks and bleeds. It regenerates quite quickly, even deeper wounds heal in three to five days. I consulted several dermatologists, here is what I was able to confirm so far: It is not a fungal or bacterial infection, it may be a blood vessel problem. Smoking tobacco seems to make symptoms more severe (more peeling and cracking), the problem occurs only in few places on my hands mainly index fingers and right thumb (please see attached photo). Cream with urea content seems to give the best effects. Barrier creams did not help, diet does not seem to have a noticeable impact on my condition. Silica, Q10 and collagen supplementation did not help. Sometimes, when my condition gets a little better and there is no dried, peeled of skin on my hands, small red dots are visible just under the skin. One of the doctors mentioned, they look like burst blood vessels. They are visible in one of the attached photos. Please suggest. | 3,643 | Hi. From the pictures (attachment removed to protect patient identity) it is looking like hyperkeratotic eczema over palms. It is a kind of dermatitis and not related with any blood vessels. It can aggravate during winter seasons. Treatment includes judicious use of moisturizers and along with mild potent steroid in case of any erythema. Apply Moisturex cream on the whole palms twice to thrice daily. Apply Halovate (Habbetasol Propionate) cream, apply only on the erythematous or fissured areas if any, daily night for one month. | Q. How to fix dry and cracked bleeding skin on hands? |
Hello doctor, I am a 25-year-old female. My BMI is 22, I am a non-smoker with no ongoing conditions like diabetes. I am not breastfeeding and have never been pregnant. I developed mastitis very suddenly about three weeks ago, by that evening I was in A and E with a lump the size of an egg in one breast. I was prescribed Cocodamol and 500 mg Flucloxacillin a day. After the first course which was 10 days, I saw the doctor again as the lump had reduced to the size of a large grape but was still painful, I often had fevers and I felt unwell. Doctor put me on another seven-day course of Flucloxacillin and booked a breast cancer screening. I just finished my second course and I am still in pain, with lump still the size of a small grape, and still feel ill and feel like I am getting worse again. Breast is back to being red and swollen. My only option to see a medical professional before my breast screening is to wait for several hours at an urgent care clinic after work. Should I try and get more antibiotics? If so should I insist on getting a different kind? Also please be honest, I know there is a chance it could be IBC but as a young, healthy, childless woman, is it actually likely that I should prepare for bad news or not? | 3,644 | Hello. Let me assure you that there are no cancers which come suddenly and settles with antibiotics. One breast cancer which progresses over a few period is inflammatory carcinoma of the breast but it does not come in days and settle with antibiotics. You have a breast abscess that settled with antibiotics and some times a part of it gets walled with fibrous tissue were antibiotics do not reach it is called antibioma. I would suggest you take Linezolid 600 mg twice a day as there are chances of resistance to Flucloxacillin. | Q. Though the lump in my breast decrease on antibiotics, it is still tender. Could it be 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? | 3,645 | 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. | 3,646 | 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. | 3,647 | 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. | 3,648 | 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. | 3,649 | 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, For someone suffering from anxiety, ocd intrusive thoughts. This person was on 5 mg of Cipralex for quite a few years, then about 8 months began a change of medicines, about 6-7 in this time. Finally this person was given 25 mg Fluvoxamine. First 4 days everything was fine. Then anxiety attacks started. As of last night dose went up to 50 mg. Result is the person is feeling calmer however they feel very disconnected and cannot do anything, cannot concentrate, cannot think or analyse things. I forgot to say that when they started Fuvloxamine they stopped the 5 drops of Cipralex. We do not know what to do tonight, whether to stop this Fluvoxamine and go back to Cipralex or whether to keep going and maybe these side effects will stop (if so how long aproximately). We are very confused and cannot get hold of the psychiatrist that prescribed this. Please if some doctor there is an expert on these meds and theri side effects that could help us. A lot of these medicines and maybe all give strange and serious side effects that are not listed by the pharma companies. | 3,650 | Hello. I can understand your concern. As you have mentioned that the patient is feeling better with this medication, I would suggest you to continue 50 mg Fluvoxamine for atleast another 2 to 4 days and see if they feel okay. Fluvoxamine has a sedative effect and that is why the patient is feeling all these symptoms of not being able to concentrate or do anything, etc. I would suggest you to take the medicine before sleeping. 50 mg is actually a low dose so you should not be worried. Continue same dose for a few days and see if body adjusts sometimes if anxiety is under control with Fluvoxamine, some medicine can be added to prevent the side effects. Secondly, you have not mentioned details of the patients age, etc., I would suggest you that if possible, patient should start therapy as well. Medications and therapy when combined give faster results. Take care of yourself. | Q. Is it advisable to give Fluvoxamine to a patient with anxiety and OCD? |
Hello doctor, I always had a lower left brow causing the lid to appear more droopy than the right side. However, the skin on the left side has recently become thinner in the past year I would say, causing less of my lid to appear and I feel a sensation now on that eye like something is sitting on my lid. I am only 18 so I feel like I should not be having any issues with my eyes yet. However, I did have Hashimoto's and thyroid cancer and got the thyroid removed and all of my thyroid levels have been stable since then. However, the skin on my left lid never went back to normal. Also, I feel like I might have a little bit of ptosis in both of my eyes, but it does not obstruct my vision. When I look back at old pictures when I was a baby up until the age of 12, my eyelids appear much more open. So is it normal for eyelids to droop as we age? I am currently on Synthroid. | 3,651 | Hi. You have explained your history nicely. You have not mentioned about photos. Both are recently taken or different. (attachment removed to protect patient identity). In the photos attached first one which is showing your lower lids down seems to be taken in a slightly down gaze. That is a normal thing. When we look down lower lid goes down with the eye. While in the second picture light reflex is central in both eyes and lower lids are in normal position. Your both upper lids are in a normal position. Normally upper lids cover 1-2 mm cornea superiorly. I would not say these as droopy lids. While in cases of thyroid disease skin changes occur like skin thinning and dryness. So these sensations could be due to hypersensitive skin. For dryness of the skin around the eye or dry eyes, you can use artificial tears. It seems you are thinking too much about it. No significant changes are seen in your eyes or lids after seeing these photos. Just relax. Nothing to worry about and you are absolutely fine. If these are older photos you can send the latest ones. And do not take photos yourself (selfies) because it is not taken in primary gaze (looking straight). I hope this helps. | Q. My lowered left brow is causing droopy eyelids. Will blepharoplasty help? |
Hi doctor, After shaving my face six days ago, I saw a big red bump on the right side of my nose above the mustache. At first, I thought it might be a pimple. Last week, I felt something wrong on my throat and visited a doctor. Doctor said lymph node inflammation and prescribed me Penicillin. Doctor did not ask me anything about that red bump in my mustache area at that time. I have been suffering from mild fever as well after my lymph inflammation. Right now I am worried again since the red bump on my mustache becomes large, and from two or three openings drains watery liquid when I tried to squeeze it. It is really painful and irritates a lot. I am worried about HSV 1 since it is near my mouth. I am having mild fever and lymph infection. I am not in sexual contact for the last seven years. What is your suggestion? What might cause this problem? | 3,652 | Hello, Welcome to icliniq.com. Two broad differential diagnoses are folliculitis or HSV 1 (herpes simplex virus) infection (most likely). I would want you to know that we all are exposed to HSV-1 and it could spread without sexual contact. It stays in the ganglion (nerve endings) and pops up when your immunity goes down. It is also known as fever blister. My feeling is that since you were about to come down with the sore throat, which seems like strep throat, you had a reactivation of the HSV-1 and got these lesions. As you feel better they will subside, you may use Acyclovir if you want but usually, we treat the underlying cause and you are receiving the antibiotics for sore throat. Please do not squeeze it. You can use any anti-inflammatory agent for pain and fever like Acetaminophen. You can also try topical steroids like Desonide. I hope this helps. | Q. I have a pimple like red bump above the mustache with lymph node enlargement. Is this HSV? |
Hi doctor, I had unprotected intercourse but no ejaculation was done. I have a fear of being exposed to HIV. What necessary steps should be taken earliest? | 3,653 | Hi. Unprotected sexual intercourse is a risk factor for STDs (sexually transmitted disease) including HIV, however, the risk is very low (0.03%). There is no reason to panic at the moment. If possible, please get the partner tested first. If she is a known case of HIV then it would be advisable to consult the nearest dermatologist for post exposure prophylaxis (PEP). In case if this is not possible, it would be advisable to weigh the risk benefit ratio for PEP in your case. High-risk exposures such as homosexuality, contact with blood during intercourse, sex with a commercial sex worker may warrant a need for PEP. 1) HIV by Elisa at 1 and 3 months after exposure. 2) HBsAg (hepatitis B virus antigen). 3) Anti HCV (hepatitis C virus). 4) VDRL (veneral disease research laboratory). If high risk exposure then consider PEP. | Q. Can HIV be transmitted if there is no ejaculation in unprotected sex? |
Hello doctor, I am 34 years old and diabetic. My penis foreskin is not pulled back. It is swelled and tears on the tip of foreskin are not healing and are very painful. Penile glans has white discharge. | 3,654 | Hello. The diagnosis seems to be something called candidal balanitis or fungal infection of a part of the penis. Are you married? And if so does your spouse experience any discomfort or white discharge? This information will be helpful to plan the treatment for both of you simultaneously so that we can eliminate the chances of ping pong infection and recurrence. | Q. I am diabetic with tight foreskin, tears, and discharge in penile glans. Please help. |
Hello doctor, I am a 32-year-old male. One month back I checked my BP, it was 120/90 mmHg and today again I checked, it was 140/90 mmHg. Both were done in doctor's clinic. I did blood hemogram and cholesterol tests everything is normal. Two yrs back I did USG of full abdomen it was normal. In my family, my mom is having a high BP due to which she is a CKD patient and on dialysis. That is why I am a bit concerned whether this BP figure indicates that. Should I start the BP medication? I have changed my food habits. Kindly suggest whether I should start the medication so that it does not affect me in my later life as my mom. | 3,655 | Hi. Blood pressure is different at the same time by different machine or the instrument used previously. Now regarding the value of blood pressure, it is not mandatory that the value is fixed. It is different for different people of the same age. But it depends on weight, height, food habits, regular work out, etc. Take a low salt diet and avoid pickles. Family history did not count but you can prevent it by changing the lifestyle i.e. regularity in food habits, exercise, etc. Avoid consuming alcohol. stop smoking if you do. Avoid or decrease the non-vegetarian diet as it may increase your cholesterol levels and leads to atherosclerosis, heart disease, kidney failure, etc. In nutshell, all organs may be affected. Do not start blood pressure tablets as 120/90 and 140/90 mmHg does not make any big difference. The upper value is called systolic pressure which up to 150-160 is no worry and the lower value is called diastolic pressure in which 90 is the lower limit of high blood pressure. I hope this helps. | Q. Will high blood pressure lead to chronic kidney disease? |
Hello doctor, Every year during summer and winter, I face problems with continuous cough (irrespective of the type of food I consume). I am having an allergy to both dust and smoke. I got a lot of gas generation and irregular motion again irrespective of the food I take. I am a 51-year-old male with a family history of asthma. I am not under any medication. | 3,656 | Hi. Such type of cough is called allergic cough which occurs in a particular time. Gas formation is due to irregular bowel habits. Advice: Hot saline gargle before breakfast, lunch, and dinner. Stop fried things, it enhances the problem. Are you hypertensive? Check out your blood pressure also. Treatment: Tablet Azithromycin 500 mg once every day for three to six days, Nexpro RD 200 mg one before breakfast and dinner, Esmoprezole plus sustained released Domperidon for three days one before breakfast for five days or whenever required. For irregular bowel habits, take one bowl of salad in the morning and evening. Add curd in lunch. Take buttermilk in the afternoon it is very good for health. Take husk Isabgol three teaspoons full at night with milk. It is a herbal remedy good for the intestine also. It forms a slimy layer and protects the mucosa of the intestine. You can take it in the morning also. Cough syrup again produces irregular bowel habit. Amrodil-plus one teaspoon full at night is sufficient. I hope this helps. | Q. I get continuous cough during certain periods with allergy to dust and smoke. Please help. |
Hello doctor, This is a request to analyze my MRI report. I would expect detailed guidance with what kind of treatment we have to proceed? What is the prescription for the condition and how long to use the prescribed medication? Please reply with the prescription as soon as possible. Please let me know the cautions and care we have to take. | 3,657 | Hi. I can understand your concern. I have gone through the report you have attached. (attachment removed to protect patient identity). You need urgent immobilization of knee by cast or slab along with painkiller, and anti-inflammatory drugs. The next step is an arthroscopic correction (surgery) for ACL (anterior cruciate ligament) repair. I hope this helps. | Q. Kindly interpret my MRI report and prescribe diagnosis and treatment. |
Hi doctor, Last week I and my partner had a romance, I did everything expect for the penetration of my penis into her vagina. At last, I was masturbating outisde with my hands, when the sperm came out it spills out over her legs and also near to her vagina. So we got scared that if sperm spill over was only outside her vagina. Incase, if the spillage over her vagina was only outside means will it cause pregnancy? If it causes pregnancy means what are all the symptoms immediately or with in a week? If in case pregnancy means how to stop now? Please tell us if there is any solution for our safer side to keep us without fear. When the period will stop incase of pregnancy? Please help. | 3,658 | Hi. Pregnancy can happen rarely in the scenario you described. There will not be any immediate symptoms of pregnancy. The earliest symptom is missing the next expected period. You cannot do anything to stop the pregnancy right now. If she misses her period, she can confirm pregnancy at home by doing a urine pregnancy test. If pregnancy is confirmed, you can consult a gynecologist for abortion through medicines. In case, she becomes pregnant, she will miss her next expected period. Remember one thing, pregnancy is very rare (most unlikely) in the scenario you described, so there is no need to fear. Just wait for her next period and things will become clear by then. | Q. If sperms spill outside the vagina, is there still chance for pregnancy? |
Hello doctor, I have recently got married and moved abroad. When I was in India last time, we got the medical tests done and diagnosed with diabetes HbA1c of 10.2 and fasting blood sugar as 235. Doctor gave me Cetapin XR 1000 mg and asked me to use it for three months and get the medical test done. I have got the tests done and now the HbA1c is 6.4 and FBS is 124 mg/dL. With total cholesterol 173 (103 is bad cholesterol, 47 is good cholesterol and rest is VLDL). I have low vitamin D of 18.9. Doctor asked me to continue Cetapin XR 1000 mg for another three months and gave me medication for cholesterol Lipitor 10 mg every night and Vitamin D2 50,000 units once a week for three months. I have attached the medical reports, Please look into it and let me know your feedback. | 3,659 | Hi. I went through your reports (attachment removed to protect patient identity) and your HbA1c (glycated hemoglobin) has improved really well. I am happy about that. As advised by the doctor continue taking Cetapin the same dose. But as of Lipitor is concerned I think only 5 mg is sufficient. In addition, you have to reduce nonvegetarian food, avoid alcohol, butter cheese, and potatoes. Eat more vegetables. Hope you are exercising every day. Continue vitamin D supplement weekly once for three months. Repeat HbA1c, and lipid profile after three months and revert back with reports. | Q. My HbA1c is reduced from 10. 2 to 6. 4 on medication. Should I continue the medicine? |
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? | 3,660 | 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. | 3,661 | 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. | 3,662 | 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. | 3,663 | 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. | 3,664 | 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 wanted to know about my wife's eye condition. Two doctors have said that she has keratoconus and another doctor says no it is not that. | 3,665 | Hello. It is very difficult to comment without examining you. Kindly send me your topography reports so that I may study them and guide you. | Q. What is the success rate of keratoconus operation? |
Hi doctor, My son is thalassemia major subject. His age is 6 months(male boy). His weight is 5. He is suffering from headache and fever every now and then. Some times heart beet is fast. His liver and spleen are enlarged. He has been blood transfusion in one time in last week. Now he is taking folic acid 5mg (flovita )a tablet (1/2)per a day. Kindly suggest if he needs to take any other precaution. Can you please provide a diet chart for my child which can help him to grow up his body. | 3,666 | Hi. He is suffering from thalassemia major. Here there is destruction of the blood cells due to which haemoglobin becomes low frequently. Hence he will need blood transfusions regularly. He is prone for infections because of low haemoglobin which can also cause fast heartbeat and cardiolmegaly (increase in size of heart) and tiredness. Hence, please consult a good pediatric hematologist who will make a monthly follow up plan for your baby and monitor his growth, haemoglobin levels and start appropriate treatment based on his health condition and reports. Continue breast feeding the baby. You can give the normal weaning food. Rest will discussed by the hematologist in detail. His low weight gain is due to the low hb mainly and not related to food. If his haemoglobin is monitored and maintained at near normal levels his growth will improve. | Q. Please tell me about the causes of headache in a child with thalassemia major. |
Hello doctor, I have a fracture of the bone joint on my right hand ring finger which was caused by a road traffic accident were I was hit by a van pulling out of a side road. I was due surgery to repair the injury last month. The surgeon decided not to operate as under the live X-ray he was able to manipulate the bone back into the joint, therefore asked physio to splint the finger, the issue is each time I take the splint of to clean the bone is back as fracture and am not able to bend my ring finger. I am due to see my surgeon as the splinting is not working. Any advice of what I need to ask my surgeon to do is most appreciated. | 3,667 | Hi. Well there is intra-articular fracture of base of middle phalynx of your ring finger (attachment removed to protect patient identity). If I would be the surgeon then I would have gone for operative treatment because intra-articular fractures need perfect reduction. If he has decided to treat it non operatively then he could have applied plaster or strapping which is not removable like your current splint. | Q. What are the ways to cure fracture in the fingers? |
Hello doctor, Continuous dizziness. Losing balance could not sit or stand for more than few minutes. Age:65, Height:6'2'', Weight:220 lb. | 3,668 | Hi. Your MRI spine reports osteophytes at multiple spinal levels along with bilateral neural foraminal stenosis at C6-C7 level (attachment removed to protect patient identity). These cervical changes though can cause dizziness but persistent imbalance is not usually seen with these spondylotic changes. If you would have presented to me as an outpatient, I would have asked you the following questions to answer your query well- 1. Do you have history of double vision? 2. Do you have history of hearing loss or tinnitus? Please follow up with answers to these queries. Meanwhile,please start taking- Tablet Tryptomer 10 mg once a day at bedtime. Tablet Pregalin-m 75 mg twice a day. Tablet Calinept-d once a day. Please take medicines under a physician's guidance only. | Q. What causes continuous dizziness with loss of balance? |
Hello doctor, Is kissing babies really deadly? I am sure you have seen the story in the news today about the newborn baby who is in critical condition after contracting meningitis from someone kissing her (according to her mother). I am working on a follow-up story on whether parents really do need to shield their babies from kisses/contact with other people. Specific questions: 1) Do new parents really need to worry about someone making their baby very sick by kissing it? 2) How common are occurrences like the ones in the news today? 3) What should parents allow/not allow in terms of people having contact with newborn babies? | 3,669 | Hi. I do not recommend kissing a new born baby. Firstly, a newborn baby's immune system is not fully developed and is prone for infections. Secondly contact with the baby can transmit many types of bacteria and viruses which can cause various infections. Hence hand washing before touching the baby, handling only by mother and a couple of caretakers is ideal. When a baby is kissed there can be transmission of various bacteria/germs which are normally present in the mouth of people.These generally do not cause any infection in healthy people who have a strong immune system. But these can cause infection in people who have low immunity and newborn baby is one among them. Kissing cannot cause meningitis per se but can transmit few bacteria which can first cause a mild respiratory infection which can spread to brain especially in low immunity people like newborns. Kissing can transmit viral infection like herpes simplex and infectious mononucleosis. Hence it is better to avoid kissing the baby especially by friends and relatives, etc. Even parents should avoid if possible. | Q. Kindly explain whether kissing babies is deadly. |
Hello doctor, I have a big scar in my right thigh that has led to a contracture with little flexure on my knew joint for over ten years. I have recently underwent a corrective Z-plasty release but with only little gains in flexure, the Doctor said the contracture had develop a fibrosis that needs to be removed. Is there any non-surgical method of releasing fibrotic contracture? | 3,670 | Hi. From what I can see in the pictures is that you have got a massive tissue loss over your thigh and that too over such a long period that it has gone for severe contracture. Only the Z-plasty will definitely not give you enough results. As your doctor has suggested you will have to go for complete removal of the scar and fibrotic tissue with reconstruction by a large free flap. Before that, few investigations will be required which will give the idea about how much post op benefit u will be gaining. Non-surgical methods are there for removing the fibrosis, but definitely not for such a massive one. X ray of the knee and hip, MRI of thigh region, vascular doppler of donor vessel for a free flap. Scar and fibrosis Excision with reconstruction by free flap | Q. Kindly advise any non-surgical method of releasing fibrotic contracture. |
Hello doctor, I took a banana shake and started feeling imbalance so I came back home because of restlessness, imbalance, and palpitations. I vomited that night so the next day I went to the hospital, there intensive care doctor said it is due to high acidity at that time my BP was 150/90 mmHg and pulse 110 bpm. That imbalance subsided in some time and then it occurred once in a week. If there is a little bit of anxious environment it will come back. Since then I had been to cardiologist, MD, psychologist, and ENT all of them brought it down to anxiety. I had done all blood tests, x-ray, and MRI of neck. There was C4-C7 buldge in MRI and mild scoliosis in x-ray rest all tests were normal. My symptoms are imbalance during sitting and walking (feeling best in moving vehicle), heavy head like a tight band at the back of head, restlessness and have started physiotherapy with some relief. Physio is saying nerve compression due to spondylitis. So, he is giving ultrasound, neck traction, and neck exercise and said I do have bad posture too. What is it exactly? | 3,671 | Hi. I have gone through all your records. (attachment removed to protect patient identity). Symptoms like imbalance while sitting and walking with head heaviness, restlessness and palpitations with stress precipitating them indicate a non-organic or what we call as a functional problem i.e. nothing wrong with hardware, a little software issue. Nothing to worry at all. I have my reservations for associating vomiting with your functional problems which I feel may be due to gastritis. You do not have any issues with your neck. Please avoid traction to the neck even if you are feeling better with physiotherapy since there is no evidence of any root compression in MRI (magnetic resonance imaging). I feel what you can start is Amitriptyline 10 mg every night for a month. Do regular yoga and mindfulness meditation. These things will definitely help you. Do not be preoccupied with your illness. You are absolutely fine. If you have underlying stressors you can contact me. | Q. Will anxiety lead to imbalance, restlessness and palpitations? |
Hello doctor, We are four sisters, and I am the first daughter to my parents. I have taken treatment for depression before years. I am now happy and my studies are going on. My sister is studying 10th grade and she was also a black belt in karate. Now she is mentally disturbed and thinking about her self, not concentrating on her studies and she wants to stay alone. She is writing on papers, on the wall, or otherwise writing on notes like "Why I was born, I want to die". She is having this problem for the past six months. Please suggest solution to solve this problem. | 3,672 | Hello. I read your query and understand your concerns. First of all, I feel your sister is suffering from the same depression for which you got treated in the past. The possibility is very high as there was a similar problem in genetically related elder sister (I mean you) as the presence of family members with depression increases the risk of depression among other family members. I must acknowledge that you do not need to feel anything wrong as the genes are at fault and not the family. Depression as a diagnosis is based on the fact that your sister have poor academic performance at a time when we expect better performance (board exams). In addition, the social isolation and preference to stay alone indicate depression as people with depression lose interest in almost all activities especially the pleasurable ones. The presence of expressed wish to die is another thing which indicates the possibility of severe depression. In my opinion, it is urgent to seek help from a psychiatrist. You may argue that I am a psychiatrist and I must handle the case but the presence of suicidal ideas points toward need of urgent and personalized care and online help is not sufficient. I hope this helps. | Q. My sister is mentally disturbed and often writing suicidal notes. What would be her problem? |
Hello doctor, A few months before, I felt burn and pain in the chest area when I swallow anything like my own saliva. It lasted more than a week and again I felt normal. Again yesterday, I started to feel this pain and I started to think about that and felt stress. Tonight, when I swallow anything I feel this chest pain and burn. And when I do not swallow also I feel pain in the chest area. Is it serious and should I worry about that? When I searched on the internet it says big diseases like esophageal cancer. The symptoms say difficulty in swallowing, coughing and things and now I feel like I am feeling all those symptoms. Please help. | 3,673 | Hello. The symptoms you have been experiencing such as difficulty in swallowing and burning pain warrant a more extensive study with barium studies (in which you swallow a material composed of barium and then you will be radiographed, the esophageal structural pathologies are going to be demonstrated by this way, such as strictures), and endoscopy (to have a more clear view of esophagus and stomach). Gastroesophageal reflux which is the backflow of acid into the esophagus is the most common reason and it can be treated easily with medications. Gastritis or H. Pylori infection needs to be treated with specific medications (UBT- urea breath test, is required to rule out H. Pylori infection). The results of the aforementioned test are required to make a definite diagnosis, however, esophageal cancers are extremely unlikely given the duration of your symptoms and your age. I can assure you in your age most common etiologies are esophageal spasm and strictures. Former can be treated with calcium channel blockers and antidepressants, and in case of strictures, endoscopic dilation can be done to relieve the pressure. | Q. Are difficulty in swallowing, coughing, and chest burn symptoms of esophageal cancer? |
Hello doctor, I broke my nose in kindergarten, I am 26 right now and just now realized how my facial features are not symmetrical, how much does a broken nose affect that, as you can tell my right side of my face is more laid back and natural looking even my mustache above my lip, and my left side looks more tight and my mustache and lip does not match the right side. What causes this? | 3,674 | Hi. Definitely there is a whole lot of asymmetry as you suggested, because of the old broken nose. I can also see that the base of the nose is a bit too broad and gives a feeling of oddly joined fractured segments. This can be confirmed by few X-rays. Further correction if this is as well simple. We call it osteotomy and splitting. That will give you more symmetrical looking sleeker nasal dorsum. It's better if you can get yourself examined by a board certified plastic surgeon. | Q. What causes facial asymmetry after nose fracture? |
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? | 3,675 | 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. | 3,676 | 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. | 3,677 | 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. | 3,678 | 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. | 3,679 | 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, After sex with my partner, I am feeling pain in my penis and my testes are also too small. I am feeling weak after sex. | 3,680 | Hi. I read your query and understand your concerns. First of all, I like to inform you that your question have a lack of details and this will limit my response to generic one rather than specific applicable to your problem. The pain in penis after sex is indicative of infection if it occurs up to 24 hours or more. If the pain was immediately after sex most probably it was due to vigorous sex. In there former condition, you need to get blood investigations and urine examinations such as CBC (complete blood count), urine microscopy, urine culture, and sensitivity. If the later condition applies to you, a simple rest for a few days will resolve the condition on most occasions. Regarding smaller testes, I will suggest semen analysis. This will reveal the amount of sperm produced and thus the measure is testis capacity. Weakness after sex is non-specific and indicates your poor health. The CBC test advised above will assist us in this. I will request you to eat healthily and do regular exercise. I hope this helps. | Q. Why do I have pain in penis after sex? |
Hello doctor, I have had a clear wart looking things pop up on my genitals for a few years now, never many I just burn them off and all is fine. However, a few months ago, I had three darker color things popped up and I burned one off but it did not heal fully. It actually got bigger and redder and more painful. I have attached a picture. Can you tell me what I am dealing with here, please? | 3,681 | Hi. I have seen the picture. (attachment removed to protect patient identity). This does not seem to be herpes genitalis. In case of herpes, you would have got vesicles that would burst to leave erythematous erosions. These can be verruca plana variety of wart. The second one looks inflamed. Use antibacterial cream for it. Between I hope to burn them of means, getting them treated medically. | Q. Warts in my genitals has become bigger, red and painful. Why? |
Hello doctor, I have had an STD for 30 years but it occurs only on the surfaces for every four or five years and only under much stress. I was able to photograph it this time but still cannot see a doctor for a couple of days. I am afraid it will vanish again before I see a doctor. The bumps are in clusters of three on my shaft. It lasts for two or three days and then goes away. | 3,682 | Hi. I have seen the photo. (attachment removed to protct patient identity). It is herpes genitalis. Is it associated with itching or burning sensation? Does your partner suffer from a similar problem? How many episodes per year? If you have recurrent episodes you should consider oral antiviral medication. Standard treatment for herpes genitalis is Tablet Acyclovir 400 mg three times a day for seven days after meal, Rantac 150 mg before meal twice a day, Fusidic acid 2% cream twice a day can be applied. Partner treatment is a must. Avoid sexual contact. In case of recurrent episodes patient is given suppressive therapy for more than seven days with a low dose. You said you have STD for 30 years means, have you done STD profile before? If not you should get it done. In herpes genitalis vesicles appear on the genital area commonly on the glans or shaft of the penis which burst even without touching leaving small clean looking ulcers, which usually heal within seven days. It is associated sometimes with itching or burning sensation. | Q. I have cluster of bumps on shaft lasting for three days. Please help. |
Hi doctor, I had some vocal fatigue for a while and I have been resting my voice for pretty much one month now. I was not so sure if I should start speaking again or not. I am a bit afraid if it is going to affect my singing voice. Either way the first time I consult an ENT they said I had hemorrhagic patches on my anterior one-third of both of the vocal cords. I have been drinking a lot of water and also I took some proton pump inhibitors. I also have a phonatory gap but I do not think that is the problem here really. Anyway, I was just wondering how much time do you think I still have to keep resting. | 3,683 | Hello. I assume that these videos are one month prior to today's condition. (attachment removed to protect patient identity). I see some amount of inter arytenoid pachydermia (suggestive of acid reflux and associated changes in the posterior part of vocal apparatus) and anterior phonatory gap. Although I cannot see the anterior one-third of the vocal cords that clearly, I understand that your ENT has found that those portions had some hemorrhages. He was right in advising you voice rest and proton pump inhibitors. Ideally, a week of absolute voice rest is sufficient. Followed by voice restriction, vocal hygiene, antiallergic treatment, nasal sprays (based on nasal symptoms), increased hydration, etc. Now considering you have taken a month of voice rest, I think it is sufficient. But do you have any symptoms whatsoever now? Any nasal symptoms or allergic symptoms? Any history of substance abuse? Do you suffer from diabetes or hypertension? In my practice in addition to antireflux (PPI tablets), antiallergics (antihistaminics like Fexofenadine, Allegra, Deslor, etc), hydration, voice rest, dietary and lifestyle changes. I add some voice therapy. Probably you should explore some vocal hygiene tips from a speech-language pathologist or voice therapist. | Q. Fatigue in my vocal cord is refraining me from speaking and singing. Please help. |
Hello doctor, I have some pain due to injury. Last week, I was at a construction site and marine plywood that is used for construction fell and hit me on the back of my head. My head is fine but my upper back is still in pain and chest also. I did not fall down when I was hit but the impact pushed my upper body down and forward I think beyond normal that is why I am getting back and chest pain. I did not go to the hospital because I do not feel the need. I am sure they will just tell me to give time and take pain killer. Can I get your advice? Is it possible I fractured my spine? What should I do? I am just taking Ibuprofen. Pain is not very bad I am still doing things normally and I can move. I am just wondering why I am still in pain after one week. Can this be a fracture? Please advise. | 3,684 | Hello. It seems that you have suffered whiplash injuries. This is common following high energy impacts on the upper body. From the mechanism you described, it seems unlikely to sustain a fracture. However, it is very difficult to be certain without clinical examination and x-rays. How is your pain? Is it tender at any particular spot? Is the tenderness is on the midline of your spine or on the sides? Pain directly in the midline with a particular spot of tenderness is something I would recommend that you get an x-ray. The fact that you are otherwise moving and carrying on with life normally is reassuring. However, unfortunately, whiplash injuries can take many weeks to settle. With regard to the chest pain, it is possible that the injury might have caused a crack in your ribs. X-rays are not very good at showing this. The treatment, in any case, is rest and painkillers. I hope this helps. | Q. A plywood accidentally fell and hit my head. Is there any possibility for spine fracture? |
Hello doctor, I try to help a mentally limited woman of 36 with ACS complaint from which the ECG is not clear. I have a photo of her ECG. It seems inferior wall ischemia or NSTEMI. I try to get her examined but difficult to explain to her. Please can you help in reading the ECG? | 3,685 | Hi. I have gone through the attachment. (attachment removed to protect patient identity). Yes, definitely there are ischemic changes in the inferior wall as well as lateral wall, suggestive of ischemia, if possible do give her an antiplatelet agent like Aspirin and Clopidogrel after consulting the local physician, better still take her to a cardiologist. | Q. A mentally retarded woman has ACS. Kindly explain her ECG. |
Hello doctor, I am having knee pain. How will I manage it? | 3,686 | Hi. Your knee pain could be due to many reasons but common ones are chondromalacia, pain due to knee instability, inflammation due to an underlying pathology or just degenerative joint disease, etc. What was the cause of onset of pain in your knees and what has been the total duration of your symptoms? Apart from pain, do you also have any associated swelling, skin redness or any other local inflammation like skin warmth, etc as well? What management and investigations have been done until now by you for the existing problem? If there is no history of any injury, and no inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: 1. Intensive physical therapy with a focus on strengthening of quadriceps and stretching of other groups of muscles. 2. Gentle anti-inflammatory medications like Etoshine or Paracetamol for five to seven days usually helps in such cases (take according to your body's suitability). 3. Adequate calcium and vitamin D supplementation as per requirement. 4. Ice packs at home three to four times a day and see how it goes for around two weeks time. If your condition does not improve, then we will have to get certain investigations done. | Q. What can I do to relieve knee pain? |
Hi doctor, I am 29 years old. I never had intercourse before. I was dating and my partner did oral sex and fingering for a few minutes. I am not too sure if he had semen on his hand or his hands were clean. I am really worried if this will lead to pregnancy. I am feeling stomach cramps on and off after that. Please advise. | 3,687 | Hi, Welcome to icliniq.com. Please tell me when was your last period, period pattern, and cycle length so that I can tell you about the chances of getting pregnant. If you had the act before a week it is too early to detect pregnancy. Please share the period details for further guidance. | Q. Is it possible for the sperms in hands to get inside the vagina and cause pregnancy? |
Hello doctor, I have a abdominal pain in my left side, it is not acute and continuous, but when I sit or stand for a long the pain arises. My doctor prescribed Banocide and Ultracet tablets. | 3,688 | Hi. There could be many reasons for the problems you are stating. So to know exactly what is the cause of pain many more questions need to be asked. I would like to know exactly where on the left side does the pain occurs? Is it below the ribs or lower than that? Do you have any change in taste or acidity? Does the pain also go to the back? What is the color of your urine? Any other problems like loose motion or vomit? Do you have a fever? These questions will help me come near to the diagnosis and then with relevant tests, we could come to a confirmed diagnosis. As far as the medication that are prescribed to you I would like to say that both of them are strong pain killer which are given for problems like kidney stones, but they will not cure the problem. So the diagnosis is a must to find out what is the problem with you in order to give you the correct drugs. | Q. I get abdominal pain on the left side while sitting or standing for a long. Why? |
Hi doctor, I have got a skin problem in both armpits. Due to scratching the skin was torn. The images are attached. Please help. | 3,689 | Hi. I have seen your query and concern. With your descriptions and given pictures (attachment removed to protect patient identity), it seems initially you have tinea corporis of this area due to the application of steroid containing creams like Quadriderm or Zalim lotion or Foderm. Now you developed eczematization this is my assumption since you have not sent detailed treatment history or it may be irritant contact dermatitis due to duo. Now I can make severe eczematization, so I would advise you not to apply any such thing if you have applied in the past. Start applying Mometasone plus, Sertaconazole 2% twice daily over the affected area for seven days, then stop Mometasone and continue Sertaconazole. Also, take Terbinafine 250 mg once daily for 21 days and Cetirizine once daily for five days. Get review after five days with detailed history. | Q. I have skin problem in both armpits where scratching causes skin rash. 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? | 3,690 | 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. | 3,691 | 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. | 3,692 | 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. | 3,693 | 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. | 3,694 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am suffering from neck pain for over three weeks now. I got an MRI done two days back but must wait for my results for a couple of weeks. I have the images of the MRI and would like to know is there is any disc herniation or anything else wrong with my cervical spine? Would you be able to have a look at it and let me know if everything is fine? I am in a great deal of pain and just want to know what is wrong with my neck? | 3,695 | Hi. I received your neck MRI images and saw it now. (attachment removed to protect patient identity). There is a loss of cervical lordosis (straightening of your cervical spine). There is squaring of the vertebral bodies. Signal changes in the bodies suggestive of marrow edema more at levels C6, C5, C6 and C7. The discs are hyperintense on both T1 and T2 suggestive of calcification. Early syndesmophyte formation at C4-C5 levels. The height of the disc spaces are maintained. There is no disc herniation. There is no cord or root compression. Well, this was the scientific description of the set of images you have sent me. The message for you is stated below. The good news is that there is no disc herniation or buldge and pressure on the cord. But there are changes suggestive of the inflammatory changes in the spine at multiple levels and that is the reason for your pain in the neck. Regarding inflammation, my first impression would be an autoimmune disorder called ankylosing spondylitis. We need to do several lab tests to catch the diagnosis, the most important being HLA B27 assay, the others would include the ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), RA factor (rheumatoid factor) and anti-CCP (anti-cyclic citrullinated peptide) antibodies. The results of these tests would find the cause of the inflammation. Regarding treatment, the primary (or first-line) treatment of all the inflammatory disorder is common NSAIDS like Ibuprofen thrice daily after food. Along with this, you should take Pantoprazole 40 mg one tablet before 20 minutes of your breakfast. (If Ibuprofen causes uncontrollable heartburn, you can go for other options in NSAID group). Going through the tests is required to establish the cause of inflammation. In case the NSAIDs does not work, further treatment depends on the cause. Also, the ESR and CRP levels help in monitoring the response to the treatment with NSAIDs. I hope this helps. | Q. I have severe neck pain. Please interpret my MRI report to know the cause. |
Hello doctor, I would like to know the substitute for Melacare cream, as I got the look after using the cream and want to stop it. | 3,696 | Hi. Why was it prescribed to you? Wat was the complaint? How long did you apply? Because it also contains steroid and should not be used for long time. You should use sunscreen daily. Safer option like Kojiglo cream can be used. | Q. I want to quit Melacare face cream. Please suggest an alternate. |
Hello doctor, I and my partner are sexually active. Although we take precautions (using two condoms at a time) there is always a sense of fear when it comes to her. Each time she gets her period it is delayed by two weeks or 10 days at least and less discharge in terms of flow. Last time she had a normal flow (6 days) according to her but had a little abdominal pain, with watering mouth and a bit of headache. May I know the cause for why her periods get delayed and a reduced discharge because it creates an impression as if it is of implantation bleeding and leading to pregnancy. Request your understanding of how things work as it creates daily confusion and stress. Also, does she require to seek a personal doctor inspection? She is 25 years old. | 3,697 | Hi. No, there is no need for inspection. You can go for pregnancy tests with home testing kits. This change in periods (duration and flow) is normal for her as she is active sexually and there are emotional and hormonal changes that cause all of this. If there are no flow, excess flow, missing periods unbearable and sustained pain in her abdomen, back and thighs then there is a need for a gynecologist visit for checkup. | Q. Though we are having protected sex, my partner is getting delayed period. Why? |
Hello doctor, I am a married woman with two kids and a regular cycle. My first day of last period was on the 7th of last month. On 26th I had intercourse and took Mensovit plus on 30th and 1st and yet to get periods. Please advise. I have not done any family planning post my second delivery, but we are having our intercourse safely. This time I am a little worried as I have no plan for a kid now. | 3,698 | Hello. This seems you have sex on the 19th day of your cycle. This could turn you pregnant and as such why don't you opt for a pregnancy testing now? Mensovit plus is a hormonal nonspecific medicine but not protective of pregnancy. So, do a test first and let me know the result. | Q. I took Mensovit plus after unprotected intercourse. What is the chance of pregnancy? |
Hello doctor, I am a 22-year-old male. I played soccer throughout my teens competitively. Five years ago, I injured the muscle in my thigh, what I presume was a tear of which I sat out from sports for a week or two, however, was rushed back into playing by my mother who thought I was faking the injury. I injured the muscle again, and these proceeded to happen again once more, leading me to quit sports and focus on going to studies the following year. Currently now, whenever I stretch my thigh muscle by pulling my leg up behind me, I get a slight uncomfortable feel in my thigh muscle which I know is not normal, however, it is not painful enough to tell me to stop doing it. Furthermore, I have been in the gym and jogging where my muscle seems to be fine, but when I decide to sprint there is a 50 percent chance that I will get into discomfort again. However, it does not feel like a tear, but it will become numb for a few days and finally, if I go to kick a ball it is almost certain that the same result from sprinting will happen. I have recently started to stretch the muscle to try and see if I can regain its strength to allow me to do these few things again without worrying about hurting my muscles again. I am not sure what other things I can do to help this, such as different types of stretches, etc? | 3,699 | Hello. I read your concern. In my opinion, you had a tear of your quadriceps muscle which has not healed properly and got reinjured again within less time. So there is a possibility that a scar formed on the tear area of the muscle leading to stiffness and numbness is due to any neural stiffness around the scar area. Possibly there will be nerve entrapment. Do not worry. All you have to do is: 1. Get a deep friction massage to relieve the tension in the muscle. 2. Slowly release the scar by massaging the scar frequently. 3. Gently stretch the muscle and hold it. 4. Keep icing that area frequently. Before attempting any running or any strenuous activity, I advise you to properly activate and then strengthen that muscle. Progressively increase the load on the muscle. I hope this helps. | Q. My thigh muscle is injured and givng a weird feel when I stretch the leg muscles. Please help. |
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