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10,100 | Q. My left cheek has got swollen without pain. What could it be? | Hi doctor, My left side cheek is swelled. There is no pain present when I touch it. I have attached my picture. Please advice. | Hi. I have gone through the attachment (attachment removed to protect patient identity). The swelling occurs due to various reasons. It can occur due to a toothache or carious tooth in the same region. It can be due to trauma, sinusitis due to nose infection, and due to a bite of insects. But most probably, it is a case of dentoalveolar abscess due to a carious tooth. This abscess can pass into soft tissues like cheeks and can cause swelling. The space in the cheek is so large, so you can feel less pain when you touch it. It can compress the nerves and can create pain. Take tablet Ordent (Ofloxacin and Ornidazole) twice a day for five days, tablet Zerodol SP (Aceclofenac, Paracetamol and Serratiopeptidase) twice a day for three days, and tablet Pantoprazole 40 mg once a day for one week. These are symptomatic measures. Visit your dentist as soon as possible for a direct clinical examination to find out the cause. | Patient: Hi doctor, My left side cheek is swelled. There is no pain present when I touch it. I have attached my picture. Please advice. || Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The swelling occurs due to various reasons. It can occur due to a toothache or carious tooth in the same region. It can be due to trauma, sinusitis due to nose infection, and due to a bite of insects. But most probably, it is a case of dentoalveolar abscess due to a carious tooth. This abscess can pass into soft tissues like cheeks and can cause swelling. The space in the cheek is so large, so you can feel less pain when you touch it. It can compress the nerves and can create pain. Take tablet Ordent (Ofloxacin and Ornidazole) twice a day for five days, tablet Zerodol SP (Aceclofenac, Paracetamol and Serratiopeptidase) twice a day for three days, and tablet Pantoprazole 40 mg once a day for one week. These are symptomatic measures. Visit your dentist as soon as possible for a direct clinical examination to find out the cause. | patient: hi doctor, my left side cheek is swelled. there is no pain present when i touch it. i have attached my picture. please advice. || doctor: hi. i have gone through the attachment (attachment removed to protect patient identity). the swelling occurs due to various reasons. it can occur due to a toothache or carious tooth in the same region. it can be due to trauma, sinusitis due to nose infection, and due to a bite of insects. but most probably, it is a case of dentoalveolar abscess due to a carious tooth. this abscess can pass into soft tissues like cheeks and can cause swelling. the space in the cheek is so large, so you can feel less pain when you touch it. it can compress the nerves and can create pain. take tablet ordent (ofloxacin and ornidazole) twice a day for five days, tablet zerodol sp (aceclofenac, paracetamol and serratiopeptidase) twice a day for three days, and tablet pantoprazole 40 mg once a day for one week. these are symptomatic measures. visit your dentist as soon as possible for a direct clinical examination to find out the cause. |
10,101 | Q. Vision is diminishing after taking 6 months TB treatment. Why? | Hello doctor, | Hello. I passed carefully through your question and reviewed your uploaded MRI (magnetic resonance imaging) report. (attachment removed to protect patient identity). I would explain that these MRI findings (T2 hyperintensity in the optic nerve and the optic chiasm) are indicative of optic nerve inflammation (neuritis), which could be related to Ethambutol adverse effects. The troubles with vision are a clinical sign of optic neuritis too. So, considering that there is a correlation between radiological and clinical findings, I would conclude about optic neuritis and would recommend to stop Ethambutol as soon as possible in order to avoid possible blindness. I hope this helps. | Patient: Hello doctor, || Doctor: Hello. I passed carefully through your question and reviewed your uploaded MRI (magnetic resonance imaging) report. (attachment removed to protect patient identity). I would explain that these MRI findings (T2 hyperintensity in the optic nerve and the optic chiasm) are indicative of optic nerve inflammation (neuritis), which could be related to Ethambutol adverse effects. The troubles with vision are a clinical sign of optic neuritis too. So, considering that there is a correlation between radiological and clinical findings, I would conclude about optic neuritis and would recommend to stop Ethambutol as soon as possible in order to avoid possible blindness. I hope this helps. | patient: hello doctor, || doctor: hello. i passed carefully through your question and reviewed your uploaded mri (magnetic resonance imaging) report. (attachment removed to protect patient identity). i would explain that these mri findings (t2 hyperintensity in the optic nerve and the optic chiasm) are indicative of optic nerve inflammation (neuritis), which could be related to ethambutol adverse effects. the troubles with vision are a clinical sign of optic neuritis too. so, considering that there is a correlation between radiological and clinical findings, i would conclude about optic neuritis and would recommend to stop ethambutol as soon as possible in order to avoid possible blindness. i hope this helps. |
10,102 | Q. My testicles are slightly hard and firm. Should I be worried? | Hello doctor,I had an enlarged painless testicle and I visited a urologist. They confirmed that it is a hydrocele and said it would go away on its own. However, now my testicles are slightly hard and more firm. But there are no lumps or imperfections. Should I be worried? | Hi. Get an ultrasound done. It will clarify the picture. Sometimes, a fluid-filled tense cyst may also feel hard. It transilluminates well with torchlight. It will not go away with any medicine rather it will remain like that if it is a hydrocele. The main problem with hydrocele is appearance and dragging pain. If not bothered by these factors, no need to operate. For more information consult a urologist online --> | Patient: Hello doctor,I had an enlarged painless testicle and I visited a urologist. They confirmed that it is a hydrocele and said it would go away on its own. However, now my testicles are slightly hard and more firm. But there are no lumps or imperfections. Should I be worried? || Doctor: Hi. Get an ultrasound done. It will clarify the picture. Sometimes, a fluid-filled tense cyst may also feel hard. It transilluminates well with torchlight. It will not go away with any medicine rather it will remain like that if it is a hydrocele. The main problem with hydrocele is appearance and dragging pain. If not bothered by these factors, no need to operate. For more information consult a urologist online --> | patient: hello doctor,i had an enlarged painless testicle and i visited a urologist. they confirmed that it is a hydrocele and said it would go away on its own. however, now my testicles are slightly hard and more firm. but there are no lumps or imperfections. should i be worried? || doctor: hi. get an ultrasound done. it will clarify the picture. sometimes, a fluid-filled tense cyst may also feel hard. it transilluminates well with torchlight. it will not go away with any medicine rather it will remain like that if it is a hydrocele. the main problem with hydrocele is appearance and dragging pain. if not bothered by these factors, no need to operate. for more information consult a urologist online --> |
10,103 | Q. Does HSV positivity indicate risk of HIV? | Hello doctor, I am a 28 year old male. I had an exposure with a CSW and precaution broke during the act. I do not know the HIV status of the girl. Four weeks later, I got a light fever which subsided in a week. I got a blood test that showed 11500 WBC with a bacterial infection. But, I have leg pain and stuffy nose from the last 30 days. I went with the following test. 28 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 37 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. HIV RNA PCR (quantitative test) undetectable. 42 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 49 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. Serological test for syphilis nonreactive. Herpes simplex 1 and 2 IgM reactive. Herpes simplex 1 and 2 IgG reactive. What are my chances of being infected with HIV? Since herpes simplex is reactive, does it mean that I am infected with HIV? | Hello. Awaiting your answers to the queries. Follow up with reports. Best regards. For more information consult a cosmetologist online --> | Patient: Hello doctor, I am a 28 year old male. I had an exposure with a CSW and precaution broke during the act. I do not know the HIV status of the girl. Four weeks later, I got a light fever which subsided in a week. I got a blood test that showed 11500 WBC with a bacterial infection. But, I have leg pain and stuffy nose from the last 30 days. I went with the following test. 28 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 37 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. HIV RNA PCR (quantitative test) undetectable. 42 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. 49 days after exposure: HIV antibody 1 and 2 and p24 antigen test nonreactive. Serological test for syphilis nonreactive. Herpes simplex 1 and 2 IgM reactive. Herpes simplex 1 and 2 IgG reactive. What are my chances of being infected with HIV? Since herpes simplex is reactive, does it mean that I am infected with HIV? || Doctor: Hello. Awaiting your answers to the queries. Follow up with reports. Best regards. For more information consult a cosmetologist online --> | patient: hello doctor, i am a 28 year old male. i had an exposure with a csw and precaution broke during the act. i do not know the hiv status of the girl. four weeks later, i got a light fever which subsided in a week. i got a blood test that showed 11500 wbc with a bacterial infection. but, i have leg pain and stuffy nose from the last 30 days. i went with the following test. 28 days after exposure: hiv antibody 1 and 2 and p24 antigen test nonreactive. 37 days after exposure: hiv antibody 1 and 2 and p24 antigen test nonreactive. hiv rna pcr (quantitative test) undetectable. 42 days after exposure: hiv antibody 1 and 2 and p24 antigen test nonreactive. 49 days after exposure: hiv antibody 1 and 2 and p24 antigen test nonreactive. serological test for syphilis nonreactive. herpes simplex 1 and 2 igm reactive. herpes simplex 1 and 2 igg reactive. what are my chances of being infected with hiv? since herpes simplex is reactive, does it mean that i am infected with hiv? || doctor: hello. awaiting your answers to the queries. follow up with reports. best regards. for more information consult a cosmetologist online --> |
10,104 | Q. Immediately after doing Valsalva maneuver, why do I have trigeminal pulse? | Hi doctor, I am a male, who is 5.6 feet tall and weigh 172 lbs. I have head and chest pains for over five years. Currently, I take Metoprolol, Amlodipine, Losartan, and Prednisone. My pulse and heart rates are normally regular, but immediately after doing Valsalva maneuver, it becomes trigeminal pulse. This is very repeatable. It returns to normal after about 10 to 15 minutes. What could cause this? | Hi. I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. Hope it helps. Please feel free to contact me back if you need further assistance. I would be happy to help. Regards. For further queries consult an internal medicine physician online --> | Patient: Hi doctor, I am a male, who is 5.6 feet tall and weigh 172 lbs. I have head and chest pains for over five years. Currently, I take Metoprolol, Amlodipine, Losartan, and Prednisone. My pulse and heart rates are normally regular, but immediately after doing Valsalva maneuver, it becomes trigeminal pulse. This is very repeatable. It returns to normal after about 10 to 15 minutes. What could cause this? || Doctor: Hi. I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. Hope it helps. Please feel free to contact me back if you need further assistance. I would be happy to help. Regards. For further queries consult an internal medicine physician online --> | patient: hi doctor, i am a male, who is 5.6 feet tall and weigh 172 lbs. i have head and chest pains for over five years. currently, i take metoprolol, amlodipine, losartan, and prednisone. my pulse and heart rates are normally regular, but immediately after doing valsalva maneuver, it becomes trigeminal pulse. this is very repeatable. it returns to normal after about 10 to 15 minutes. what could cause this? || doctor: hi. i have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing valsalva maneuver. hope it helps. please feel free to contact me back if you need further assistance. i would be happy to help. regards. for further queries consult an internal medicine physician online --> |
10,105 | Q. What can cause sudden blank out in a diabetic patient? | Hi doctor, My father is 77 years old and a known diabetic for over six years. His height is 170 cm and weight is 65 kg. This is regarding his recent angioplasty. He got it done before three months when he had a kind of seizure or fix. He was hospitalized for a week and got discharged with stable condition. One month back, again he dropped unconscious while having lunch. He remained unconscious till he reached hospital. He does not remember anything what had happen to him. In the hospital, they did CT scan, EEG, ECG and Holter monitoring. Everything was normal. The doctors are not able to find the cause for his blank out. Please advice. | Hi. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. CT scan shows no significant lesion in brain and no focal hemorrhagic bleeding event which is one of the main causes in many cases. Heart diseases can also cause unconsciousness. In such cases, we monitor indoor patients on Holter monitor for any kind of rhythmic change in heart beat and to see if there is any atrial or ventricular fibrillation. Your father did not have a positive sign there. His heart rhythms are normal. Sometimes there is an imbalance in the serum electrolytes and fluid; electrolytes imbalance may lead to unconsciousness and syncope. But, your father is fine on that too. Your father's angiography for single artery occlusive disease went eventless and normal flow to heart was restored with stent deployment. My final impression is:- | Patient: Hi doctor, My father is 77 years old and a known diabetic for over six years. His height is 170 cm and weight is 65 kg. This is regarding his recent angioplasty. He got it done before three months when he had a kind of seizure or fix. He was hospitalized for a week and got discharged with stable condition. One month back, again he dropped unconscious while having lunch. He remained unconscious till he reached hospital. He does not remember anything what had happen to him. In the hospital, they did CT scan, EEG, ECG and Holter monitoring. Everything was normal. The doctors are not able to find the cause for his blank out. Please advice. || Doctor: Hi. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. CT scan shows no significant lesion in brain and no focal hemorrhagic bleeding event which is one of the main causes in many cases. Heart diseases can also cause unconsciousness. In such cases, we monitor indoor patients on Holter monitor for any kind of rhythmic change in heart beat and to see if there is any atrial or ventricular fibrillation. Your father did not have a positive sign there. His heart rhythms are normal. Sometimes there is an imbalance in the serum electrolytes and fluid; electrolytes imbalance may lead to unconsciousness and syncope. But, your father is fine on that too. Your father's angiography for single artery occlusive disease went eventless and normal flow to heart was restored with stent deployment. My final impression is:- | patient: hi doctor, my father is 77 years old and a known diabetic for over six years. his height is 170 cm and weight is 65 kg. this is regarding his recent angioplasty. he got it done before three months when he had a kind of seizure or fix. he was hospitalized for a week and got discharged with stable condition. one month back, again he dropped unconscious while having lunch. he remained unconscious till he reached hospital. he does not remember anything what had happen to him. in the hospital, they did ct scan, eeg, ecg and holter monitoring. everything was normal. the doctors are not able to find the cause for his blank out. please advice. || doctor: hi. i want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. ct scan shows no significant lesion in brain and no focal hemorrhagic bleeding event which is one of the main causes in many cases. heart diseases can also cause unconsciousness. in such cases, we monitor indoor patients on holter monitor for any kind of rhythmic change in heart beat and to see if there is any atrial or ventricular fibrillation. your father did not have a positive sign there. his heart rhythms are normal. sometimes there is an imbalance in the serum electrolytes and fluid; electrolytes imbalance may lead to unconsciousness and syncope. but, your father is fine on that too. your father's angiography for single artery occlusive disease went eventless and normal flow to heart was restored with stent deployment. my final impression is:- |
10,106 | Q. My foreskin is swollen after a frenuloplasty. Is it paraphimosis? | Hello doctor, I had a frenuloplasty yesterday and the doctor told me that I had to put back my foreskin 24 hours after the operation, but it is impossible for me to do it. My foreskin is big and swollen and the stitches seem to hold it retracted. Is this normal? Or is it paraphimosis? | Hello. Revert with more information to a urologist online --> | Patient: Hello doctor, I had a frenuloplasty yesterday and the doctor told me that I had to put back my foreskin 24 hours after the operation, but it is impossible for me to do it. My foreskin is big and swollen and the stitches seem to hold it retracted. Is this normal? Or is it paraphimosis? || Doctor: Hello. Revert with more information to a urologist online --> | patient: hello doctor, i had a frenuloplasty yesterday and the doctor told me that i had to put back my foreskin 24 hours after the operation, but it is impossible for me to do it. my foreskin is big and swollen and the stitches seem to hold it retracted. is this normal? or is it paraphimosis? || doctor: hello. revert with more information to a urologist online --> |
10,107 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,108 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,109 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,110 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,111 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,112 | Q. I have a lump in vaginal area with itching, soreness and discharge. Please help. | Hello doctor, I am a 33-year-old female. I am concerned about a lump on my genital area and I am very worried it is a wart. I have had this problem on and off for about eight months now. I also have vaginal itching, soreness, and discharge. I visited a sexual health clinic and they said it was not herpes, but I am still suffering with the symptoms and the lump seems to have grown. Please help. | Hi. Please provide me dome details. Do the blisters appear first then this type lump? Is it painful? Does every time you get only one such lump or multiple also? Do you have any fever? Have you noticed small blistering anytime? It will help me figure out your problem. For time being it is difficult to conclude it as a wart, but if you give the above information then it will be easy to conclude. Serum IgM and IgG for HSV (herpes simplex virus) 1 and 2, if possible serology for HPV (human papillomavirus). Follow up with details. | Patient: Hello doctor, I am a 33-year-old female. I am concerned about a lump on my genital area and I am very worried it is a wart. I have had this problem on and off for about eight months now. I also have vaginal itching, soreness, and discharge. I visited a sexual health clinic and they said it was not herpes, but I am still suffering with the symptoms and the lump seems to have grown. Please help. || Doctor: Hi. Please provide me dome details. Do the blisters appear first then this type lump? Is it painful? Does every time you get only one such lump or multiple also? Do you have any fever? Have you noticed small blistering anytime? It will help me figure out your problem. For time being it is difficult to conclude it as a wart, but if you give the above information then it will be easy to conclude. Serum IgM and IgG for HSV (herpes simplex virus) 1 and 2, if possible serology for HPV (human papillomavirus). Follow up with details. | patient: hello doctor, i am a 33-year-old female. i am concerned about a lump on my genital area and i am very worried it is a wart. i have had this problem on and off for about eight months now. i also have vaginal itching, soreness, and discharge. i visited a sexual health clinic and they said it was not herpes, but i am still suffering with the symptoms and the lump seems to have grown. please help. || doctor: hi. please provide me dome details. do the blisters appear first then this type lump? is it painful? does every time you get only one such lump or multiple also? do you have any fever? have you noticed small blistering anytime? it will help me figure out your problem. for time being it is difficult to conclude it as a wart, but if you give the above information then it will be easy to conclude. serum igm and igg for hsv (herpes simplex virus) 1 and 2, if possible serology for hpv (human papillomavirus). follow up with details. |
10,113 | Q. Shall I use Oculosan eye drops for red eyes? | Hello doctor, I used contact lens after a long time and after that I have got red and tired eyes. My white portion of the eye has red lines. I went to a chemist and he gave me Oculosan eye drop and it has Zinc sulfate and Naphazoline. Is it safe? I am also using Refresh tears eye drops. | Hello. Revert back with a photo to an eye care ophthalmologist online --> | Patient: Hello doctor, I used contact lens after a long time and after that I have got red and tired eyes. My white portion of the eye has red lines. I went to a chemist and he gave me Oculosan eye drop and it has Zinc sulfate and Naphazoline. Is it safe? I am also using Refresh tears eye drops. || Doctor: Hello. Revert back with a photo to an eye care ophthalmologist online --> | patient: hello doctor, i used contact lens after a long time and after that i have got red and tired eyes. my white portion of the eye has red lines. i went to a chemist and he gave me oculosan eye drop and it has zinc sulfate and naphazoline. is it safe? i am also using refresh tears eye drops. || doctor: hello. revert back with a photo to an eye care ophthalmologist online --> |
10,114 | Q. How to get rid of lower back pain post pregnancy? | Hi doctor, My baby is 5 months old. My back was fine before delivery. Now my lower back just above my butt really hurts and feels weak when I stand up after lying down on my stomach. I do not get any such feel when I stand from lying on my back. Also, after giving birth, I noticed my lower back sticks out more than it used to. Could you recommend any exercise or tips for my issues? | Hi. Post pregnancy. Core stability exercises. Jogging. For further information consult a chiropractor online.---> | Patient: Hi doctor, My baby is 5 months old. My back was fine before delivery. Now my lower back just above my butt really hurts and feels weak when I stand up after lying down on my stomach. I do not get any such feel when I stand from lying on my back. Also, after giving birth, I noticed my lower back sticks out more than it used to. Could you recommend any exercise or tips for my issues? || Doctor: Hi. Post pregnancy. Core stability exercises. Jogging. For further information consult a chiropractor online.---> | patient: hi doctor, my baby is 5 months old. my back was fine before delivery. now my lower back just above my butt really hurts and feels weak when i stand up after lying down on my stomach. i do not get any such feel when i stand from lying on my back. also, after giving birth, i noticed my lower back sticks out more than it used to. could you recommend any exercise or tips for my issues? || doctor: hi. post pregnancy. core stability exercises. jogging. for further information consult a chiropractor online.---> |
10,115 | Q. Can HPV be transmitted by kissing? | Hi doctor, I have a few warts on my leg and a barely noticeable wart on my penis. My doctor said that they look like HPV. He advised me to apply antifungal and steroid cream and wear condoms. The cream was not very effective even after four days. Can it be something other than HPV? Will condoms prevent it from spreading it to a partner? Will it get transmitted by kissing? | Hello. For further query consult an internal medicine physician online --> | Patient: Hi doctor, I have a few warts on my leg and a barely noticeable wart on my penis. My doctor said that they look like HPV. He advised me to apply antifungal and steroid cream and wear condoms. The cream was not very effective even after four days. Can it be something other than HPV? Will condoms prevent it from spreading it to a partner? Will it get transmitted by kissing? || Doctor: Hello. For further query consult an internal medicine physician online --> | patient: hi doctor, i have a few warts on my leg and a barely noticeable wart on my penis. my doctor said that they look like hpv. he advised me to apply antifungal and steroid cream and wear condoms. the cream was not very effective even after four days. can it be something other than hpv? will condoms prevent it from spreading it to a partner? will it get transmitted by kissing? || doctor: hello. for further query consult an internal medicine physician online --> |
10,116 | Q. As I feel nauseous, can I split the daily dose of Paroxetine? | Hi doctor, I am taking Paroxetine 20 mg tablet daily for my anxiety. Initially, I have been having half a tablet for a few months and have been told to now take the full tablet. However, I get very nauseous on taking the full tablet. So, I was wondering if I could take half in the morning and a half in the evening to avoid feeling horrible. Shall I? | Hi. For further information consult a psychiatrist online --> | Patient: Hi doctor, I am taking Paroxetine 20 mg tablet daily for my anxiety. Initially, I have been having half a tablet for a few months and have been told to now take the full tablet. However, I get very nauseous on taking the full tablet. So, I was wondering if I could take half in the morning and a half in the evening to avoid feeling horrible. Shall I? || Doctor: Hi. For further information consult a psychiatrist online --> | patient: hi doctor, i am taking paroxetine 20 mg tablet daily for my anxiety. initially, i have been having half a tablet for a few months and have been told to now take the full tablet. however, i get very nauseous on taking the full tablet. so, i was wondering if i could take half in the morning and a half in the evening to avoid feeling horrible. shall i? || doctor: hi. for further information consult a psychiatrist online --> |
10,117 | Q. Is bilateral papilledema a serious one? | Hi doctor, My wife was recently seen by an ophthalmologist for loss of peripheral vision in one eye and a feeling of something wrong with her eye, as though it were closed. Ophthalmologist diagnosed it as bilateral papilledema and referred to neurologist for immediate follow up. The ophthalmologist insisted the follow up and MRI to be taken immediately. However, at neurologist my wife nervously downplayed symptoms and the doctor, who is overbooked, has her next appointment in two months and the MRI tentatively in four weeks out. Should we seek another doctor? We are concerned that this should be handled more rapidly based on the ophthalmologist reaction. | Hi. Please do not get panic. Papilledema is swelling of optic nerve head due to increase in intracranial pressure. This pressure may be high due to some tumor or blockage of sinuses or idiopathic (without cause). The investigations required are: This is common in young females and even more common if patient is taking oral contraceptive pills. Revert back with the perimetry reports to an eye care ophthalmologist online --> | Patient: Hi doctor, My wife was recently seen by an ophthalmologist for loss of peripheral vision in one eye and a feeling of something wrong with her eye, as though it were closed. Ophthalmologist diagnosed it as bilateral papilledema and referred to neurologist for immediate follow up. The ophthalmologist insisted the follow up and MRI to be taken immediately. However, at neurologist my wife nervously downplayed symptoms and the doctor, who is overbooked, has her next appointment in two months and the MRI tentatively in four weeks out. Should we seek another doctor? We are concerned that this should be handled more rapidly based on the ophthalmologist reaction. || Doctor: Hi. Please do not get panic. Papilledema is swelling of optic nerve head due to increase in intracranial pressure. This pressure may be high due to some tumor or blockage of sinuses or idiopathic (without cause). The investigations required are: This is common in young females and even more common if patient is taking oral contraceptive pills. Revert back with the perimetry reports to an eye care ophthalmologist online --> | patient: hi doctor, my wife was recently seen by an ophthalmologist for loss of peripheral vision in one eye and a feeling of something wrong with her eye, as though it were closed. ophthalmologist diagnosed it as bilateral papilledema and referred to neurologist for immediate follow up. the ophthalmologist insisted the follow up and mri to be taken immediately. however, at neurologist my wife nervously downplayed symptoms and the doctor, who is overbooked, has her next appointment in two months and the mri tentatively in four weeks out. should we seek another doctor? we are concerned that this should be handled more rapidly based on the ophthalmologist reaction. || doctor: hi. please do not get panic. papilledema is swelling of optic nerve head due to increase in intracranial pressure. this pressure may be high due to some tumor or blockage of sinuses or idiopathic (without cause). the investigations required are: this is common in young females and even more common if patient is taking oral contraceptive pills. revert back with the perimetry reports to an eye care ophthalmologist online --> |
10,118 | Q. Does a breakout of cold sores mean I am HIV positive? | Hello doctor, I had pelvic pain for two to three days. My period was very spotty this month. I did not really have one and my period has always been regular. Could this be a sign and symptom of HIV? I am not pregnant. I get yearly lab tests and everything is normal. I got a yearly TB test at the hospital I work and I never saw the LVN draw up the medicine into the syringe to inject in me. So, now I am wondering if she would have used a dirty needle. Three weeks after my TB test, I broke out with a cold sore. I do not know if it is just the wrong timing I mean. I usually get cold sores maybe one to two times a year since I was a child. I did not think anything of a cold sore until my period got all goofed up. Now I am worried that the LVN would have used a dirty needle and infected me. I have no other signs or symptoms of anything. Please help. | Hello. I have noted your concern. Regards. For more information consult an HIV AIDS specialist online --> | Patient: Hello doctor, I had pelvic pain for two to three days. My period was very spotty this month. I did not really have one and my period has always been regular. Could this be a sign and symptom of HIV? I am not pregnant. I get yearly lab tests and everything is normal. I got a yearly TB test at the hospital I work and I never saw the LVN draw up the medicine into the syringe to inject in me. So, now I am wondering if she would have used a dirty needle. Three weeks after my TB test, I broke out with a cold sore. I do not know if it is just the wrong timing I mean. I usually get cold sores maybe one to two times a year since I was a child. I did not think anything of a cold sore until my period got all goofed up. Now I am worried that the LVN would have used a dirty needle and infected me. I have no other signs or symptoms of anything. Please help. || Doctor: Hello. I have noted your concern. Regards. For more information consult an HIV AIDS specialist online --> | patient: hello doctor, i had pelvic pain for two to three days. my period was very spotty this month. i did not really have one and my period has always been regular. could this be a sign and symptom of hiv? i am not pregnant. i get yearly lab tests and everything is normal. i got a yearly tb test at the hospital i work and i never saw the lvn draw up the medicine into the syringe to inject in me. so, now i am wondering if she would have used a dirty needle. three weeks after my tb test, i broke out with a cold sore. i do not know if it is just the wrong timing i mean. i usually get cold sores maybe one to two times a year since i was a child. i did not think anything of a cold sore until my period got all goofed up. now i am worried that the lvn would have used a dirty needle and infected me. i have no other signs or symptoms of anything. please help. || doctor: hello. i have noted your concern. regards. for more information consult an hiv aids specialist online --> |
10,119 | Q. Can cataract surgery be had in a person with high blood sugar levels? | Hello doctor, My 68-year-old mother has cataracts in her both eyes. She is advised to have a cataract surgery in her right eye. But her blood sugar level is 150 mg/dL at fasting and 190 mg/dL postprandial. Her HbA1c is 8.8%. We are confused whether cataract operation can be undertaken with this sugar level. Please suggest | Hello. For any surgery be it cataract surgery or any other, blood sugar levels are needed to be in control. Fasting less than 110 mmHg and postmeal less than 140 though levels you have mentioned are not so high. The problem is your mother's HbA1c (glycated hemoglobin) is 8.8 which shows her blood sugar has been high for the past three months. Get in touch with your doctor who is taking care of diabetes and get her treatment revised. We need normal sugar for at least two weeks before one can go for surgery. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, My 68-year-old mother has cataracts in her both eyes. She is advised to have a cataract surgery in her right eye. But her blood sugar level is 150 mg/dL at fasting and 190 mg/dL postprandial. Her HbA1c is 8.8%. We are confused whether cataract operation can be undertaken with this sugar level. Please suggest || Doctor: Hello. For any surgery be it cataract surgery or any other, blood sugar levels are needed to be in control. Fasting less than 110 mmHg and postmeal less than 140 though levels you have mentioned are not so high. The problem is your mother's HbA1c (glycated hemoglobin) is 8.8 which shows her blood sugar has been high for the past three months. Get in touch with your doctor who is taking care of diabetes and get her treatment revised. We need normal sugar for at least two weeks before one can go for surgery. For more information consult an eye care ophthalmologist online --> | patient: hello doctor, my 68-year-old mother has cataracts in her both eyes. she is advised to have a cataract surgery in her right eye. but her blood sugar level is 150 mg/dl at fasting and 190 mg/dl postprandial. her hba1c is 8.8%. we are confused whether cataract operation can be undertaken with this sugar level. please suggest || doctor: hello. for any surgery be it cataract surgery or any other, blood sugar levels are needed to be in control. fasting less than 110 mmhg and postmeal less than 140 though levels you have mentioned are not so high. the problem is your mother's hba1c (glycated hemoglobin) is 8.8 which shows her blood sugar has been high for the past three months. get in touch with your doctor who is taking care of diabetes and get her treatment revised. we need normal sugar for at least two weeks before one can go for surgery. for more information consult an eye care ophthalmologist online --> |
10,120 | Q. Please suggest ways to overcome my physical and mental exhaustion. | Hello doctor, I was a healthy, mentally sharp and energized person before. But, for the past 12 years, my brain and body get tired very easily. I am having mental and physical exhaustion and the condition is gradually worsening. I feel drowsy after studying for some time. With this problem, my studies have dropped a lot. I get very easily fatigued by doing just 15% of normal work for this age. My physical work has dropped because of lower limb dragging while walking or standing for some time for the last 10 years. I am also having neck muscles stiffness while seeing up or down and shortness of breath. I feel a sore in my lower back muscles after standing for some time. My eyes get strained while reading or watching television or browsing internet for very less time. I do get excessive sweating and there is a rise of heart rate for below moderate work since 5 years. I am unable to go gym. I fear to do yoga due to shortness of breath, weakness and exhaustion. I also have decreased cognition. Due to the mental and physical exhaustion, I am irritable sometimes. I went to all the best doctors in my place and no one was able to find the disease. Even the psychiatry doctors were also unable to find the cause of these irregular symptoms. As allopathy doctors were unable to diagnose the cause of my symptoms, I have used some over-the-counter ayurveda medicines. Does any ayurveda medicine cause these symptoms after using them for a long time? I am currently on venlafaxine tablet 225mg. | Hi. Family history or negative thinking or some incident. Bipolar disorder. Psychiatric treatment. Keep yourself busy with productive work and positive environment. Revert back after a month to an ayurveda specialist online.---> | Patient: Hello doctor, I was a healthy, mentally sharp and energized person before. But, for the past 12 years, my brain and body get tired very easily. I am having mental and physical exhaustion and the condition is gradually worsening. I feel drowsy after studying for some time. With this problem, my studies have dropped a lot. I get very easily fatigued by doing just 15% of normal work for this age. My physical work has dropped because of lower limb dragging while walking or standing for some time for the last 10 years. I am also having neck muscles stiffness while seeing up or down and shortness of breath. I feel a sore in my lower back muscles after standing for some time. My eyes get strained while reading or watching television or browsing internet for very less time. I do get excessive sweating and there is a rise of heart rate for below moderate work since 5 years. I am unable to go gym. I fear to do yoga due to shortness of breath, weakness and exhaustion. I also have decreased cognition. Due to the mental and physical exhaustion, I am irritable sometimes. I went to all the best doctors in my place and no one was able to find the disease. Even the psychiatry doctors were also unable to find the cause of these irregular symptoms. As allopathy doctors were unable to diagnose the cause of my symptoms, I have used some over-the-counter ayurveda medicines. Does any ayurveda medicine cause these symptoms after using them for a long time? I am currently on venlafaxine tablet 225mg. || Doctor: Hi. Family history or negative thinking or some incident. Bipolar disorder. Psychiatric treatment. Keep yourself busy with productive work and positive environment. Revert back after a month to an ayurveda specialist online.---> | patient: hello doctor, i was a healthy, mentally sharp and energized person before. but, for the past 12 years, my brain and body get tired very easily. i am having mental and physical exhaustion and the condition is gradually worsening. i feel drowsy after studying for some time. with this problem, my studies have dropped a lot. i get very easily fatigued by doing just 15% of normal work for this age. my physical work has dropped because of lower limb dragging while walking or standing for some time for the last 10 years. i am also having neck muscles stiffness while seeing up or down and shortness of breath. i feel a sore in my lower back muscles after standing for some time. my eyes get strained while reading or watching television or browsing internet for very less time. i do get excessive sweating and there is a rise of heart rate for below moderate work since 5 years. i am unable to go gym. i fear to do yoga due to shortness of breath, weakness and exhaustion. i also have decreased cognition. due to the mental and physical exhaustion, i am irritable sometimes. i went to all the best doctors in my place and no one was able to find the disease. even the psychiatry doctors were also unable to find the cause of these irregular symptoms. as allopathy doctors were unable to diagnose the cause of my symptoms, i have used some over-the-counter ayurveda medicines. does any ayurveda medicine cause these symptoms after using them for a long time? i am currently on venlafaxine tablet 225mg. || doctor: hi. family history or negative thinking or some incident. bipolar disorder. psychiatric treatment. keep yourself busy with productive work and positive environment. revert back after a month to an ayurveda specialist online.---> |
10,121 | Q. What can be done for itchiness in breast below nipple? | Hello doctor,I am a-25-year old married woman. I have major itching in both my breasts. It started off on the left side but now even on the right side, it has started to itch. I am not able to keep myself from scratching and the entire part below my left nipple is bruised now. There is no redness. The breast felt heavy initially. The itchy sensation in the breast is below the nipple area and spreads down. Please help me with a basic diagnosis and medication. I had a similar itching couple of years back but it disappeared on its own. I am shy to see a dermatologist in the clinic. | Hello. Perhaps you have either a fungal infection or it could be a sort of dermatitis. Treatment for both these conditions is entirely different. Therefore, I request you to kindly upload a few images of the affected areas so that I can confirm and guide you better. For more information consult a dermatologist online --> | Patient: Hello doctor,I am a-25-year old married woman. I have major itching in both my breasts. It started off on the left side but now even on the right side, it has started to itch. I am not able to keep myself from scratching and the entire part below my left nipple is bruised now. There is no redness. The breast felt heavy initially. The itchy sensation in the breast is below the nipple area and spreads down. Please help me with a basic diagnosis and medication. I had a similar itching couple of years back but it disappeared on its own. I am shy to see a dermatologist in the clinic. || Doctor: Hello. Perhaps you have either a fungal infection or it could be a sort of dermatitis. Treatment for both these conditions is entirely different. Therefore, I request you to kindly upload a few images of the affected areas so that I can confirm and guide you better. For more information consult a dermatologist online --> | patient: hello doctor,i am a-25-year old married woman. i have major itching in both my breasts. it started off on the left side but now even on the right side, it has started to itch. i am not able to keep myself from scratching and the entire part below my left nipple is bruised now. there is no redness. the breast felt heavy initially. the itchy sensation in the breast is below the nipple area and spreads down. please help me with a basic diagnosis and medication. i had a similar itching couple of years back but it disappeared on its own. i am shy to see a dermatologist in the clinic. || doctor: hello. perhaps you have either a fungal infection or it could be a sort of dermatitis. treatment for both these conditions is entirely different. therefore, i request you to kindly upload a few images of the affected areas so that i can confirm and guide you better. for more information consult a dermatologist online --> |
10,122 | Q. My 45 days old baby is fussy and aggressive while I feed her. What to do? | Hi doctor, My baby girl is 45 days old. She is fully breastfed. At many times, she seems to be fussy and aggressive while I nurse her. I rule out either the possibility of milk being too fast or too slow since on both occasions she seems to react the same. After being fussy, she appears to be on and off from my nipple and screams when I pull her off from my breast and cries when offered milk. After crying for a few minutes, I swing her and she goes back to sleep. Her crying is so painful to watch. Can you help me with this? | Hello. For further doubts consult a paediatrician online --> | Patient: Hi doctor, My baby girl is 45 days old. She is fully breastfed. At many times, she seems to be fussy and aggressive while I nurse her. I rule out either the possibility of milk being too fast or too slow since on both occasions she seems to react the same. After being fussy, she appears to be on and off from my nipple and screams when I pull her off from my breast and cries when offered milk. After crying for a few minutes, I swing her and she goes back to sleep. Her crying is so painful to watch. Can you help me with this? || Doctor: Hello. For further doubts consult a paediatrician online --> | patient: hi doctor, my baby girl is 45 days old. she is fully breastfed. at many times, she seems to be fussy and aggressive while i nurse her. i rule out either the possibility of milk being too fast or too slow since on both occasions she seems to react the same. after being fussy, she appears to be on and off from my nipple and screams when i pull her off from my breast and cries when offered milk. after crying for a few minutes, i swing her and she goes back to sleep. her crying is so painful to watch. can you help me with this? || doctor: hello. for further doubts consult a paediatrician online --> |
10,123 | Q. I get excruciating pain in prostate after ejaculation. Please help. | Hi doctor, This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate, or just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in my prostate. It is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. I am just turning 20. I am very active and healthy, so something like this has harmed me physically and psychologically. Please help. | Hello. You need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychological causes with the partner. (I do not think you fall under later categories). Please answer some of my queries. Do you have intercourse before? Any relationship issues? Do you have hematospermia (blood in semen) anytime? Any surgeries in childhood? Any testicular swelling or UTI (urinary tract infection) in the past? Any foul-smelling discharge from urethra? Any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you a diabetic? Though I still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis. | Patient: Hi doctor, This is a bit of an awkward question for me as I have never talked about it before, but I have been worrying about the condition of my prostate. If I masturbate, or just ejaculate for that matter, I get a very harsh pain more than once in about 24 hours period which I believe to be in my prostate. It is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. I am just turning 20. I am very active and healthy, so something like this has harmed me physically and psychologically. Please help. || Doctor: Hello. You need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. Sometimes it can be due to psychological causes with the partner. (I do not think you fall under later categories). Please answer some of my queries. Do you have intercourse before? Any relationship issues? Do you have hematospermia (blood in semen) anytime? Any surgeries in childhood? Any testicular swelling or UTI (urinary tract infection) in the past? Any foul-smelling discharge from urethra? Any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? Are you a diabetic? Though I still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis. | patient: hi doctor, this is a bit of an awkward question for me as i have never talked about it before, but i have been worrying about the condition of my prostate. if i masturbate, or just ejaculate for that matter, i get a very harsh pain more than once in about 24 hours period which i believe to be in my prostate. it is in the same place every time and it can go on for quite a while, and even come back multiple times throughout the day. i am just turning 20. i am very active and healthy, so something like this has harmed me physically and psychologically. please help. || doctor: hello. you need to understand that painful ejaculation both during masturbation or intercourse is mostly due to infection or inflammation of the sexual tract such as seminal vesicle, prostate, urethra or with the use of certain drugs. sometimes it can be due to psychological causes with the partner. (i do not think you fall under later categories). please answer some of my queries. do you have intercourse before? any relationship issues? do you have hematospermia (blood in semen) anytime? any surgeries in childhood? any testicular swelling or uti (urinary tract infection) in the past? any foul-smelling discharge from urethra? any other urinary symptoms such as frequency, urgency, poor stream, nocturia, dribbling, burning micturation? are you a diabetic? though i still believe that your symptoms are due to inflammation of sex organs but above questions will help me to reach a proper diagnosis. |
10,124 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,125 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,126 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,127 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,128 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,129 | Q. Why do I get sharp stabbing pain inside the bone? | Hi doctor, I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advice. The x-ray and MRI reports are normal. | Hello. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. Previous injury. 1. X-rays (digital) of the affected ankle - anteroposterior and lateral views. 2. MRI of the affected ankle which you have already done. 3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). 4. A clinical picture of your affected ankle. Will decide after relevant investigations. Follow up with investigations to an orthopaedician and traumatologist online.---> | Patient: Hi doctor, I am unable to bear weight on my healed ankle. I had a fracture of the same ankle four years ago. This problem has been there since six months. Climbing stairs is a problem. I get pain inside my bone, sharp stabbing pain and some burning sensation. This stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when I climb stairs (put weight on the ankle). The bone is feeling sore all the time. Please advice. The x-ray and MRI reports are normal. || Doctor: Hello. You have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. Previous injury. 1. X-rays (digital) of the affected ankle - anteroposterior and lateral views. 2. MRI of the affected ankle which you have already done. 3. Recent blood tests especially serum vitamin D and B12 levels, serum uric acid levels, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). 4. A clinical picture of your affected ankle. Will decide after relevant investigations. Follow up with investigations to an orthopaedician and traumatologist online.---> | patient: hi doctor, i am unable to bear weight on my healed ankle. i had a fracture of the same ankle four years ago. this problem has been there since six months. climbing stairs is a problem. i get pain inside my bone, sharp stabbing pain and some burning sensation. this stabbing pain stays for a week or so with no movement and goes away after a week of rest, but returns when i climb stairs (put weight on the ankle). the bone is feeling sore all the time. please advice. the x-ray and mri reports are normal. || doctor: hello. you have mentioned that you sustained an ankle fracture around four years ago and now you have persistent symptoms in the same ankle joint. previous injury. 1. x-rays (digital) of the affected ankle - anteroposterior and lateral views. 2. mri of the affected ankle which you have already done. 3. recent blood tests especially serum vitamin d and b12 levels, serum uric acid levels, erythrocyte sedimentation rate (esr) and c-reactive protein (crp). 4. a clinical picture of your affected ankle. will decide after relevant investigations. follow up with investigations to an orthopaedician and traumatologist online.---> |
10,130 | Q. Is there any ayurvedic treatment for quadriplegia? | Hello doctor, My 66 year old dad got traumatic quadriplegia after a road traffic accident. He underwent cervical decompression and laminectomy. There is a little improvement in his hands, neck, and shoulder movements. But, his legs are not moving at all. Will he ever be able to move his legs again? Will physiotherapy help? I am attaching his MRI report. | Hello. I just read your query and saw the MRI report (attachment removed to protect patient identity). I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online --> | Patient: Hello doctor, My 66 year old dad got traumatic quadriplegia after a road traffic accident. He underwent cervical decompression and laminectomy. There is a little improvement in his hands, neck, and shoulder movements. But, his legs are not moving at all. Will he ever be able to move his legs again? Will physiotherapy help? I am attaching his MRI report. || Doctor: Hello. I just read your query and saw the MRI report (attachment removed to protect patient identity). I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online --> | patient: hello doctor, my 66 year old dad got traumatic quadriplegia after a road traffic accident. he underwent cervical decompression and laminectomy. there is a little improvement in his hands, neck, and shoulder movements. but, his legs are not moving at all. will he ever be able to move his legs again? will physiotherapy help? i am attaching his mri report. || doctor: hello. i just read your query and saw the mri report (attachment removed to protect patient identity). i hope you are satisfied with my answer. for further queries consult an ayurveda specialist online --> |
10,131 | Q. Is Patanjali hridaya amrit or Himalaya abana safe in high cholesterol patients? | Hello doctor, I have high cholesterol. Total :250 Ldl:160 Triglyceride: 240 Hdl:41 Bp: 125/78 Local doctor gave me arjuna syrup with patanjali hridya amrit. But, I have query that hridya amrit will affect my heart and lower my bp. I do not have blood pressure and hridya amrit is used for high bp and high cholestrol. Another medicine is there like himlaya abana. Which medicine is safe and effective to use? Himalaya abana or patanjli hirdya amrit. Please advise one of from these two. | Hello. I just read your query and saw all your reports (attachment has been removed to protect patient identity). See, both these tablets are used for high blood pressure as well as for cardiovascular disease. There is some difference between contents of both. As far as your problem is concerned, your lipid profile have higher values than normal. So your physician has advised you both of these medicines, which are helpful for your problem. You can take Patanjali hridya Amrit vati. It helps in lowering bad cholesterol and also avoid formation of plaque in between arteries. As a result, helps in keeping heart healthy. If you feel any trouble after taking this medicine then you can stop taking it. Otherwise, take it as per your physician's advise. It will not harm you or will not lower your blood pressure. When you perform your investigations again after some time and your cholesterol level will come to normal, then your doctor will taper off these medicines and ultimately stop these. Along with these medicines, improve your diet and lifestyle. Avoid oily and deep-fried food and fast food, etc. Prefer home made food and take more of fresh fruits and vegetables. Do walk daily at least for 30 to 60 minutes a day. It will also help you in controlling your cholesterol level. Try to do some exercise or yoga daily . For more information consult an ayurveda specialist --> | Patient: Hello doctor, I have high cholesterol. Total :250 Ldl:160 Triglyceride: 240 Hdl:41 Bp: 125/78 Local doctor gave me arjuna syrup with patanjali hridya amrit. But, I have query that hridya amrit will affect my heart and lower my bp. I do not have blood pressure and hridya amrit is used for high bp and high cholestrol. Another medicine is there like himlaya abana. Which medicine is safe and effective to use? Himalaya abana or patanjli hirdya amrit. Please advise one of from these two. || Doctor: Hello. I just read your query and saw all your reports (attachment has been removed to protect patient identity). See, both these tablets are used for high blood pressure as well as for cardiovascular disease. There is some difference between contents of both. As far as your problem is concerned, your lipid profile have higher values than normal. So your physician has advised you both of these medicines, which are helpful for your problem. You can take Patanjali hridya Amrit vati. It helps in lowering bad cholesterol and also avoid formation of plaque in between arteries. As a result, helps in keeping heart healthy. If you feel any trouble after taking this medicine then you can stop taking it. Otherwise, take it as per your physician's advise. It will not harm you or will not lower your blood pressure. When you perform your investigations again after some time and your cholesterol level will come to normal, then your doctor will taper off these medicines and ultimately stop these. Along with these medicines, improve your diet and lifestyle. Avoid oily and deep-fried food and fast food, etc. Prefer home made food and take more of fresh fruits and vegetables. Do walk daily at least for 30 to 60 minutes a day. It will also help you in controlling your cholesterol level. Try to do some exercise or yoga daily . For more information consult an ayurveda specialist --> | patient: hello doctor, i have high cholesterol. total :250 ldl:160 triglyceride: 240 hdl:41 bp: 125/78 local doctor gave me arjuna syrup with patanjali hridya amrit. but, i have query that hridya amrit will affect my heart and lower my bp. i do not have blood pressure and hridya amrit is used for high bp and high cholestrol. another medicine is there like himlaya abana. which medicine is safe and effective to use? himalaya abana or patanjli hirdya amrit. please advise one of from these two. || doctor: hello. i just read your query and saw all your reports (attachment has been removed to protect patient identity). see, both these tablets are used for high blood pressure as well as for cardiovascular disease. there is some difference between contents of both. as far as your problem is concerned, your lipid profile have higher values than normal. so your physician has advised you both of these medicines, which are helpful for your problem. you can take patanjali hridya amrit vati. it helps in lowering bad cholesterol and also avoid formation of plaque in between arteries. as a result, helps in keeping heart healthy. if you feel any trouble after taking this medicine then you can stop taking it. otherwise, take it as per your physician's advise. it will not harm you or will not lower your blood pressure. when you perform your investigations again after some time and your cholesterol level will come to normal, then your doctor will taper off these medicines and ultimately stop these. along with these medicines, improve your diet and lifestyle. avoid oily and deep-fried food and fast food, etc. prefer home made food and take more of fresh fruits and vegetables. do walk daily at least for 30 to 60 minutes a day. it will also help you in controlling your cholesterol level. try to do some exercise or yoga daily . for more information consult an ayurveda specialist --> |
10,132 | Q. I am getting recurrent blood clot in my mouth. Could it be due to any deficiency? | Hi doctor, I just delivered a baby five months ago. Since two months, I have this recurrent blood clot in my mouth (photo attached). Whenever I wake up, I feel it, and it comes up as a huge blood clot. Initially, it is not painful but is at the same site each time. And later, it turns into an ulcer that was very painful. This is the third time in the last two months. I am getting a tingling feeling before the blood clot appears. Could it be due to any deficiency or could I be biting it in my sleep? | Hi. For further information consult a dentist online --> | Patient: Hi doctor, I just delivered a baby five months ago. Since two months, I have this recurrent blood clot in my mouth (photo attached). Whenever I wake up, I feel it, and it comes up as a huge blood clot. Initially, it is not painful but is at the same site each time. And later, it turns into an ulcer that was very painful. This is the third time in the last two months. I am getting a tingling feeling before the blood clot appears. Could it be due to any deficiency or could I be biting it in my sleep? || Doctor: Hi. For further information consult a dentist online --> | patient: hi doctor, i just delivered a baby five months ago. since two months, i have this recurrent blood clot in my mouth (photo attached). whenever i wake up, i feel it, and it comes up as a huge blood clot. initially, it is not painful but is at the same site each time. and later, it turns into an ulcer that was very painful. this is the third time in the last two months. i am getting a tingling feeling before the blood clot appears. could it be due to any deficiency or could i be biting it in my sleep? || doctor: hi. for further information consult a dentist online --> |
10,133 | Q. How to overcome my strange anxiety? | Hi doctor, I have a strange anxiety that something will happen to my loved ones whenever they go out. What shall I do? | Hi. Revert back after two weeks to a psychiatrist online --> | Patient: Hi doctor, I have a strange anxiety that something will happen to my loved ones whenever they go out. What shall I do? || Doctor: Hi. Revert back after two weeks to a psychiatrist online --> | patient: hi doctor, i have a strange anxiety that something will happen to my loved ones whenever they go out. what shall i do? || doctor: hi. revert back after two weeks to a psychiatrist online --> |
10,134 | Q. I have recurrent pressure and burning sensation in food pipe. What should I do? | Hello doctor, I am a 35-year-old male. I feel pressure and a sort of burning sensation in my food pipe. My very first symptom occurred in the form of trapped burp in the chest last month. I had a bit of bulgum alongside which I keep throwing out. I took Pan 40 for two weeks and stopped thereafter as it was not doing much wonder. I consulted one doctor online he suggested me a five-day course of medicines Rifagut 550, Librax, and Rabium DSR. I started feeling better in the due course. Now it has been two days there have been mild symptoms like burning and pressure feeling in the food pipe post taking meals. Kindly suggest what to do? | Hello. Your symptoms sound more of a problem known as gastroesophageal reflux disorder which is due to reflux of contents into your esophagus from your stomach. Have short frequent meals. Do not overload yourself. Have a walk after meals and do not directly lie down. Cut down your intake of coffee, and alcohol. I would suggest you to continue a couple of medicines that will make you feel better. | Patient: Hello doctor, I am a 35-year-old male. I feel pressure and a sort of burning sensation in my food pipe. My very first symptom occurred in the form of trapped burp in the chest last month. I had a bit of bulgum alongside which I keep throwing out. I took Pan 40 for two weeks and stopped thereafter as it was not doing much wonder. I consulted one doctor online he suggested me a five-day course of medicines Rifagut 550, Librax, and Rabium DSR. I started feeling better in the due course. Now it has been two days there have been mild symptoms like burning and pressure feeling in the food pipe post taking meals. Kindly suggest what to do? || Doctor: Hello. Your symptoms sound more of a problem known as gastroesophageal reflux disorder which is due to reflux of contents into your esophagus from your stomach. Have short frequent meals. Do not overload yourself. Have a walk after meals and do not directly lie down. Cut down your intake of coffee, and alcohol. I would suggest you to continue a couple of medicines that will make you feel better. | patient: hello doctor, i am a 35-year-old male. i feel pressure and a sort of burning sensation in my food pipe. my very first symptom occurred in the form of trapped burp in the chest last month. i had a bit of bulgum alongside which i keep throwing out. i took pan 40 for two weeks and stopped thereafter as it was not doing much wonder. i consulted one doctor online he suggested me a five-day course of medicines rifagut 550, librax, and rabium dsr. i started feeling better in the due course. now it has been two days there have been mild symptoms like burning and pressure feeling in the food pipe post taking meals. kindly suggest what to do? || doctor: hello. your symptoms sound more of a problem known as gastroesophageal reflux disorder which is due to reflux of contents into your esophagus from your stomach. have short frequent meals. do not overload yourself. have a walk after meals and do not directly lie down. cut down your intake of coffee, and alcohol. i would suggest you to continue a couple of medicines that will make you feel better. |
10,135 | Q. What can be done for blurred vision after getting deodorant in my eyes? | Hi doctor, This morning by mistake I sprayed the body deodorant directly into my eyes. Thereafter, I cleaned my eyes thoroughly with water and put some V.Rohto drops in them. The whole day has passed but the vision in my left eye is still blurry. Is it something urgent to be taken care of and should I see a doctor now? | Hi. It is not an emergency. You can use Rohto drops (Naphazoline hydrochloride), along with it start using lubricants like Refresh tears eyedrops or Tears naturale (Carboxymethylcellulose, Dextran, etc) eyedrops once every three hours. Wash out all of the chemical from your eye using clean filter water which is comfortably warm. Apply an ice pack to relieve pain. You will need to see an eye specialist in case: Accidental. Slit-lamp examination. Chemical injury. To start with antibiotics or steroids depending on the slit-lamp exam findings. Protective goggles. For more information consult an eye care ophthalmologist online.---> | Patient: Hi doctor, This morning by mistake I sprayed the body deodorant directly into my eyes. Thereafter, I cleaned my eyes thoroughly with water and put some V.Rohto drops in them. The whole day has passed but the vision in my left eye is still blurry. Is it something urgent to be taken care of and should I see a doctor now? || Doctor: Hi. It is not an emergency. You can use Rohto drops (Naphazoline hydrochloride), along with it start using lubricants like Refresh tears eyedrops or Tears naturale (Carboxymethylcellulose, Dextran, etc) eyedrops once every three hours. Wash out all of the chemical from your eye using clean filter water which is comfortably warm. Apply an ice pack to relieve pain. You will need to see an eye specialist in case: Accidental. Slit-lamp examination. Chemical injury. To start with antibiotics or steroids depending on the slit-lamp exam findings. Protective goggles. For more information consult an eye care ophthalmologist online.---> | patient: hi doctor, this morning by mistake i sprayed the body deodorant directly into my eyes. thereafter, i cleaned my eyes thoroughly with water and put some v.rohto drops in them. the whole day has passed but the vision in my left eye is still blurry. is it something urgent to be taken care of and should i see a doctor now? || doctor: hi. it is not an emergency. you can use rohto drops (naphazoline hydrochloride), along with it start using lubricants like refresh tears eyedrops or tears naturale (carboxymethylcellulose, dextran, etc) eyedrops once every three hours. wash out all of the chemical from your eye using clean filter water which is comfortably warm. apply an ice pack to relieve pain. you will need to see an eye specialist in case: accidental. slit-lamp examination. chemical injury. to start with antibiotics or steroids depending on the slit-lamp exam findings. protective goggles. for more information consult an eye care ophthalmologist online.---> |
10,136 | Q. How can I cure dry skin around my lips that is peeling off? | Hello doctor, My skin around the lip is always dry and peeling off. I tried applying all natural moisturizers like ghee, olive oil, etc. My doctor has asked me to take Neurobion for vitamin deficiency. Still, no improvement related to dryness. Kindly suggest a remedy for this. | Hi. I suggest you apply Flutivate (Fluticasone propionate) cream, twice daily for a week. Thereafter, I suggest you apply NMF-e lip balm, 2 to 3 times in a day. For more information consult a dermatologist online --> | Patient: Hello doctor, My skin around the lip is always dry and peeling off. I tried applying all natural moisturizers like ghee, olive oil, etc. My doctor has asked me to take Neurobion for vitamin deficiency. Still, no improvement related to dryness. Kindly suggest a remedy for this. || Doctor: Hi. I suggest you apply Flutivate (Fluticasone propionate) cream, twice daily for a week. Thereafter, I suggest you apply NMF-e lip balm, 2 to 3 times in a day. For more information consult a dermatologist online --> | patient: hello doctor, my skin around the lip is always dry and peeling off. i tried applying all natural moisturizers like ghee, olive oil, etc. my doctor has asked me to take neurobion for vitamin deficiency. still, no improvement related to dryness. kindly suggest a remedy for this. || doctor: hi. i suggest you apply flutivate (fluticasone propionate) cream, twice daily for a week. thereafter, i suggest you apply nmf-e lip balm, 2 to 3 times in a day. for more information consult a dermatologist online --> |
10,137 | Q. Can gynecomastia turn into a tumor in the future? | Dear doctor, I am a 25-year-old male. I am worried about my breast. When I was 10 years old, I found there are some circular discs inside both my breasts. It was untreated then as I am too young. And forgot about it. But in recent time, after 15 years, I am just worried again. The lump are in both breast and when I press over my breast, it feels circular disc-like tissue around the nipple (there is some very enlarged tissue at least 1 cm). There is no general pain but when I press hard on the enlarged tissue I feel some pain. No persistent pain. Neither discharge from nipple nor redness on both breast. | Hello. You have something called gynecomastia. It is very common among males of your age group. It is the continuation of a normal physiological process. There are four grades based on the size. There is no medication to treat it. Leaving it does not cause any health issues. We need to treat it for cosmetic reasons. It is a daycare procedure where liposuction is done to shape up the chest and the gland is excised. You can find some pre and post surgery pictures online. The recovery is quick. You will be able to get back to work after two days. You will need to wear a pressure garment for three to four weeks. For more information consult a plastic surgeon online --> | Patient: Dear doctor, I am a 25-year-old male. I am worried about my breast. When I was 10 years old, I found there are some circular discs inside both my breasts. It was untreated then as I am too young. And forgot about it. But in recent time, after 15 years, I am just worried again. The lump are in both breast and when I press over my breast, it feels circular disc-like tissue around the nipple (there is some very enlarged tissue at least 1 cm). There is no general pain but when I press hard on the enlarged tissue I feel some pain. No persistent pain. Neither discharge from nipple nor redness on both breast. || Doctor: Hello. You have something called gynecomastia. It is very common among males of your age group. It is the continuation of a normal physiological process. There are four grades based on the size. There is no medication to treat it. Leaving it does not cause any health issues. We need to treat it for cosmetic reasons. It is a daycare procedure where liposuction is done to shape up the chest and the gland is excised. You can find some pre and post surgery pictures online. The recovery is quick. You will be able to get back to work after two days. You will need to wear a pressure garment for three to four weeks. For more information consult a plastic surgeon online --> | patient: dear doctor, i am a 25-year-old male. i am worried about my breast. when i was 10 years old, i found there are some circular discs inside both my breasts. it was untreated then as i am too young. and forgot about it. but in recent time, after 15 years, i am just worried again. the lump are in both breast and when i press over my breast, it feels circular disc-like tissue around the nipple (there is some very enlarged tissue at least 1 cm). there is no general pain but when i press hard on the enlarged tissue i feel some pain. no persistent pain. neither discharge from nipple nor redness on both breast. || doctor: hello. you have something called gynecomastia. it is very common among males of your age group. it is the continuation of a normal physiological process. there are four grades based on the size. there is no medication to treat it. leaving it does not cause any health issues. we need to treat it for cosmetic reasons. it is a daycare procedure where liposuction is done to shape up the chest and the gland is excised. you can find some pre and post surgery pictures online. the recovery is quick. you will be able to get back to work after two days. you will need to wear a pressure garment for three to four weeks. for more information consult a plastic surgeon online --> |
10,138 | Q. What treatment can be had for severe head to toe muscle twitches? | Hello doctor, I have had muscle twitches from head to toe for say 12 months. About four weeks ago, my left thumb started twitching involuntarily and it would not stop 24 x 7 not even during sleep. This morning, I felt the right thumb started to pain. My blood tests are clear and so are my MRI of the brain and spine. The GP said that I have to wait for four months to see a neurologist. I have also suffered vertigo on and off for the last 12 months. I have been stressed the last two months but this started after the stress calmed down. Can you kindly help? I am on Nexium and a contraceptive pill. | Hello. Do you feel any kind of weakness or thinning of the limbs? Do you see the twitching or only feel it? Do you feel any tingling sensations in the limbs? Is there any family history of a similar illness? Are there any thyroid function tests done? Do you have any cramps? For more information consult a neurologist online --> | Patient: Hello doctor, I have had muscle twitches from head to toe for say 12 months. About four weeks ago, my left thumb started twitching involuntarily and it would not stop 24 x 7 not even during sleep. This morning, I felt the right thumb started to pain. My blood tests are clear and so are my MRI of the brain and spine. The GP said that I have to wait for four months to see a neurologist. I have also suffered vertigo on and off for the last 12 months. I have been stressed the last two months but this started after the stress calmed down. Can you kindly help? I am on Nexium and a contraceptive pill. || Doctor: Hello. Do you feel any kind of weakness or thinning of the limbs? Do you see the twitching or only feel it? Do you feel any tingling sensations in the limbs? Is there any family history of a similar illness? Are there any thyroid function tests done? Do you have any cramps? For more information consult a neurologist online --> | patient: hello doctor, i have had muscle twitches from head to toe for say 12 months. about four weeks ago, my left thumb started twitching involuntarily and it would not stop 24 x 7 not even during sleep. this morning, i felt the right thumb started to pain. my blood tests are clear and so are my mri of the brain and spine. the gp said that i have to wait for four months to see a neurologist. i have also suffered vertigo on and off for the last 12 months. i have been stressed the last two months but this started after the stress calmed down. can you kindly help? i am on nexium and a contraceptive pill. || doctor: hello. do you feel any kind of weakness or thinning of the limbs? do you see the twitching or only feel it? do you feel any tingling sensations in the limbs? is there any family history of a similar illness? are there any thyroid function tests done? do you have any cramps? for more information consult a neurologist online --> |
10,139 | Q. How many days after taking Unwanted 72 can I expect withdrawal bleeding? | Hello doctor,My fiance and I got intimate last week. The top part of his penis was wet. I am not sure if it was urine or pre-cum. He rubbed his penis outside my vagina, but there was no penetration. I took Unwanted 72 on the next day. Are there any chances of pregnancy? | Hello. It is highly unlikely for you to get pregnant. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | Patient: Hello doctor,My fiance and I got intimate last week. The top part of his penis was wet. I am not sure if it was urine or pre-cum. He rubbed his penis outside my vagina, but there was no penetration. I took Unwanted 72 on the next day. Are there any chances of pregnancy? || Doctor: Hello. It is highly unlikely for you to get pregnant. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | patient: hello doctor,my fiance and i got intimate last week. the top part of his penis was wet. i am not sure if it was urine or pre-cum. he rubbed his penis outside my vagina, but there was no penetration. i took unwanted 72 on the next day. are there any chances of pregnancy? || doctor: hello. it is highly unlikely for you to get pregnant. hope this helps you and get back if you have any doubts. for more information consult an internal medicine physician online --> |
10,140 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,141 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,142 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,143 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,144 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,145 | Q. I have a lot of pus-filled pimples on scalp with pain and dandruff. What should I do to get rid of it? | Hello doctor, I am having a lot of pimples on the scalp. Pimples are with white pus. There is a lot of pain and a lot of dandruff along with this. What should I do? | Hi. You seem to be having scalp folliculitis which is an infection of your glands on the scalp. It can sometimes be related to dandruff in which case scalp pustular psoriasis has to be ruled out. You need to reduce your sugar and milk or milk product intake. Reduce eggs and red meat. Folliculitis can sometimes be recurrent which would then require a long term treatment. I need to know if you are on any other medications, have any known drug allergies or other health issues? So as to give you the right treatment. In case nothing of these are there you can take tablet Minoz 50 mg (Minocycline) at morning and night after food along with tablet Oflox 200 mg at morning and night after food. You can use Fusiscalp lotion at morning and night over the scalp and wash your scalp with Tarscalp shampoo. | Patient: Hello doctor, I am having a lot of pimples on the scalp. Pimples are with white pus. There is a lot of pain and a lot of dandruff along with this. What should I do? || Doctor: Hi. You seem to be having scalp folliculitis which is an infection of your glands on the scalp. It can sometimes be related to dandruff in which case scalp pustular psoriasis has to be ruled out. You need to reduce your sugar and milk or milk product intake. Reduce eggs and red meat. Folliculitis can sometimes be recurrent which would then require a long term treatment. I need to know if you are on any other medications, have any known drug allergies or other health issues? So as to give you the right treatment. In case nothing of these are there you can take tablet Minoz 50 mg (Minocycline) at morning and night after food along with tablet Oflox 200 mg at morning and night after food. You can use Fusiscalp lotion at morning and night over the scalp and wash your scalp with Tarscalp shampoo. | patient: hello doctor, i am having a lot of pimples on the scalp. pimples are with white pus. there is a lot of pain and a lot of dandruff along with this. what should i do? || doctor: hi. you seem to be having scalp folliculitis which is an infection of your glands on the scalp. it can sometimes be related to dandruff in which case scalp pustular psoriasis has to be ruled out. you need to reduce your sugar and milk or milk product intake. reduce eggs and red meat. folliculitis can sometimes be recurrent which would then require a long term treatment. i need to know if you are on any other medications, have any known drug allergies or other health issues? so as to give you the right treatment. in case nothing of these are there you can take tablet minoz 50 mg (minocycline) at morning and night after food along with tablet oflox 200 mg at morning and night after food. you can use fusiscalp lotion at morning and night over the scalp and wash your scalp with tarscalp shampoo. |
10,146 | Q. Does mild concentric LVH regress with medicines, exercise and proper diet? | Hello doctor, I am 31 years old, weight 87 kg and height 5 feet 7 inches. I have a problem of high BP. There is little chest pain. ECG report (leftward axis). Echo report (mild concentric LVH and diastolic dysfunction and normal systolic function). LVEF 60 %. Total cholesterol 213. TSH normal. No sugar. Creatinine normal. Renal Doppler report (no evidence of renal artery stenosis). History of alcohol and smoking for the past five years, now quit. Currently on medicine Nebistar SA (Nebivolol 5 mg and Amlodipine 2.5) and in evening Eslo 2.5. BP was 160/120 now 130/90-95. Please advice whether the medicines are alright or not. Any changes in medicine you would like to suggest? Will be very thankful if you kindly respond to my request. Thanks a lot. | Hello. I have seen your reports (attachment removed to protect patient identity). Your echo is almost normal. Your current medicines appear to control your BP adequately. So, there is no need to change them. But your weight of 87 kg for your height of 5 feet 7 inches is very high. That is the reason for your high BP. If you want your BP to be controlled without taking any medicines, you have to reduce your weight to 75 kg. Warm regards. For more information consult a cardiologist online --> | Patient: Hello doctor, I am 31 years old, weight 87 kg and height 5 feet 7 inches. I have a problem of high BP. There is little chest pain. ECG report (leftward axis). Echo report (mild concentric LVH and diastolic dysfunction and normal systolic function). LVEF 60 %. Total cholesterol 213. TSH normal. No sugar. Creatinine normal. Renal Doppler report (no evidence of renal artery stenosis). History of alcohol and smoking for the past five years, now quit. Currently on medicine Nebistar SA (Nebivolol 5 mg and Amlodipine 2.5) and in evening Eslo 2.5. BP was 160/120 now 130/90-95. Please advice whether the medicines are alright or not. Any changes in medicine you would like to suggest? Will be very thankful if you kindly respond to my request. Thanks a lot. || Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Your echo is almost normal. Your current medicines appear to control your BP adequately. So, there is no need to change them. But your weight of 87 kg for your height of 5 feet 7 inches is very high. That is the reason for your high BP. If you want your BP to be controlled without taking any medicines, you have to reduce your weight to 75 kg. Warm regards. For more information consult a cardiologist online --> | patient: hello doctor, i am 31 years old, weight 87 kg and height 5 feet 7 inches. i have a problem of high bp. there is little chest pain. ecg report (leftward axis). echo report (mild concentric lvh and diastolic dysfunction and normal systolic function). lvef 60 %. total cholesterol 213. tsh normal. no sugar. creatinine normal. renal doppler report (no evidence of renal artery stenosis). history of alcohol and smoking for the past five years, now quit. currently on medicine nebistar sa (nebivolol 5 mg and amlodipine 2.5) and in evening eslo 2.5. bp was 160/120 now 130/90-95. please advice whether the medicines are alright or not. any changes in medicine you would like to suggest? will be very thankful if you kindly respond to my request. thanks a lot. || doctor: hello. i have seen your reports (attachment removed to protect patient identity). your echo is almost normal. your current medicines appear to control your bp adequately. so, there is no need to change them. but your weight of 87 kg for your height of 5 feet 7 inches is very high. that is the reason for your high bp. if you want your bp to be controlled without taking any medicines, you have to reduce your weight to 75 kg. warm regards. for more information consult a cardiologist online --> |
10,147 | Q. My platelet count, uric acid, SGOT, and SGPT are deranged. How can I be treated? | Hello doctor, I am a 29-year-old man and I weigh 115 Kg. My preventive health checkup results show the following irregularities: Mean platelet volume 12, CHCM 31.8, mean platelet volume at 12, total cholesterol 200.6, serum uric acid 7.8, globulin 3.7, SGOT 93.27, SGPT 213.87, and vitamin D total 25- hydroxy at 5.05. Kindly advise me on the lab results. | Hello. I will explain the above one by one. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I am a 29-year-old man and I weigh 115 Kg. My preventive health checkup results show the following irregularities: Mean platelet volume 12, CHCM 31.8, mean platelet volume at 12, total cholesterol 200.6, serum uric acid 7.8, globulin 3.7, SGOT 93.27, SGPT 213.87, and vitamin D total 25- hydroxy at 5.05. Kindly advise me on the lab results. || Doctor: Hello. I will explain the above one by one. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor, i am a 29-year-old man and i weigh 115 kg. my preventive health checkup results show the following irregularities: mean platelet volume 12, chcm 31.8, mean platelet volume at 12, total cholesterol 200.6, serum uric acid 7.8, globulin 3.7, sgot 93.27, sgpt 213.87, and vitamin d total 25- hydroxy at 5.05. kindly advise me on the lab results. || doctor: hello. i will explain the above one by one. regards. for more information consult an internal medicine physician online --> |
10,148 | Q. I have diabetes in spite of taking Amaryl and Janumet. Please suggest. | Hello doctor, I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. | Hello. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin can be increased to 1000 thrice daily but then you have to take Sitagliptin 50 twice separately. Amaryl 2 can be made twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If even after making this change, your blood sugar levels are not controlled within one month, you may have to take Insulin. With this, strict diet restrictions and weight reduction have to be followed. If you have any further questions, please feel free to write. For more information consult a general practitioner online --> | Patient: Hello doctor, I am a 51 year old male. I have diabetes. My fasting is 150 to 160 and PP is 250 to 300. I am taking Amaryl 2 mg morning and Janumet 50/1000 after lunch and dinner. Please suggest. || Doctor: Hello. You are already taking Amaryl (Glimepiride) 2 mg and Janumet 50/1000 (Sitagliptin and Metformin) twice but still, your blood sugar is not under control. Are you following dietary restrictions properly? Your weight is on the higher side. I suggest the dose of Metformin can be increased to 1000 thrice daily but then you have to take Sitagliptin 50 twice separately. Amaryl 2 can be made twice daily. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If even after making this change, your blood sugar levels are not controlled within one month, you may have to take Insulin. With this, strict diet restrictions and weight reduction have to be followed. If you have any further questions, please feel free to write. For more information consult a general practitioner online --> | patient: hello doctor, i am a 51 year old male. i have diabetes. my fasting is 150 to 160 and pp is 250 to 300. i am taking amaryl 2 mg morning and janumet 50/1000 after lunch and dinner. please suggest. || doctor: hello. you are already taking amaryl (glimepiride) 2 mg and janumet 50/1000 (sitagliptin and metformin) twice but still, your blood sugar is not under control. are you following dietary restrictions properly? your weight is on the higher side. i suggest the dose of metformin can be increased to 1000 thrice daily but then you have to take sitagliptin 50 twice separately. amaryl 2 can be made twice daily. consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. if even after making this change, your blood sugar levels are not controlled within one month, you may have to take insulin. with this, strict diet restrictions and weight reduction have to be followed. if you have any further questions, please feel free to write. for more information consult a general practitioner online --> |
10,149 | Q. I have white patches in thigh area and waistline. What could this be? | Hello doctor, I am a 24 year old female. I have developed white patches in thigh area and waistline. There is no itching, irritation or pain. Also small white marks are developing in my neck region. What could this be? | Hi. How long has it been there? Also attach photographs of the affected areas and revert back to a dermatologist online --> | Patient: Hello doctor, I am a 24 year old female. I have developed white patches in thigh area and waistline. There is no itching, irritation or pain. Also small white marks are developing in my neck region. What could this be? || Doctor: Hi. How long has it been there? Also attach photographs of the affected areas and revert back to a dermatologist online --> | patient: hello doctor, i am a 24 year old female. i have developed white patches in thigh area and waistline. there is no itching, irritation or pain. also small white marks are developing in my neck region. what could this be? || doctor: hi. how long has it been there? also attach photographs of the affected areas and revert back to a dermatologist online --> |
10,150 | Q. Is it possible to get pregnant with non-penetrative sex? | Hello doctor, Three months ago, I had intimate contact with a boy and I was dry humping him on top. I felt his penis inside me, but I stopped immediately. Our clothes were on the entire time. I got my period in that month and the next. But, I am late for this month by 13 days. I have taken multiple blood tests and stick pregnancy tests and they are all negative. However, I just took one yesterday, and after three hours, there was a faint blue line which I do not know is false positive or real pregnancy. I have never had sex and I do not know if what I did can cause pregnancy. I am really nervous and am extremely anxious. Please help. | Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor, Three months ago, I had intimate contact with a boy and I was dry humping him on top. I felt his penis inside me, but I stopped immediately. Our clothes were on the entire time. I got my period in that month and the next. But, I am late for this month by 13 days. I have taken multiple blood tests and stick pregnancy tests and they are all negative. However, I just took one yesterday, and after three hours, there was a faint blue line which I do not know is false positive or real pregnancy. I have never had sex and I do not know if what I did can cause pregnancy. I am really nervous and am extremely anxious. Please help. || Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor, three months ago, i had intimate contact with a boy and i was dry humping him on top. i felt his penis inside me, but i stopped immediately. our clothes were on the entire time. i got my period in that month and the next. but, i am late for this month by 13 days. i have taken multiple blood tests and stick pregnancy tests and they are all negative. however, i just took one yesterday, and after three hours, there was a faint blue line which i do not know is false positive or real pregnancy. i have never had sex and i do not know if what i did can cause pregnancy. i am really nervous and am extremely anxious. please help. || doctor: hello. i went through your post. regards. for more information consult an internal medicine physician online --> |
10,151 | Q. Is it safe to take Telma 40 and Dilzem tablets together? | Hello doctor, My father recently underwent an operation on his right leg, that is, PFN. After the operation was performed, an echo was done on the 16th of last month. The echo pressure is 75 mmHg and RA-RV were dilated. So, the doctor suggested the following medicines: Dilzem SR twice a day. Lexilactone half tablet in the morning. Eliquis 5 mg twice a day. On the 5th of this month, an echo was done again. The pressure was 40 mmHg and normal RA-RV. We consulted the doctor on the 17th, and he suggested the following medicines: Dilzem SR 90 twice a day. Equilis 5 mg twice a day. Telma 40 at night. Is it safe to take Telma 40 and Dilzem SR both tablets together as both lower the blood pressure? His BP is 126/80. Before the operation, my father took Telpress am 40 regularly. | Hello. Regards. For more information consult a cardiologist online --> | Patient: Hello doctor, My father recently underwent an operation on his right leg, that is, PFN. After the operation was performed, an echo was done on the 16th of last month. The echo pressure is 75 mmHg and RA-RV were dilated. So, the doctor suggested the following medicines: Dilzem SR twice a day. Lexilactone half tablet in the morning. Eliquis 5 mg twice a day. On the 5th of this month, an echo was done again. The pressure was 40 mmHg and normal RA-RV. We consulted the doctor on the 17th, and he suggested the following medicines: Dilzem SR 90 twice a day. Equilis 5 mg twice a day. Telma 40 at night. Is it safe to take Telma 40 and Dilzem SR both tablets together as both lower the blood pressure? His BP is 126/80. Before the operation, my father took Telpress am 40 regularly. || Doctor: Hello. Regards. For more information consult a cardiologist online --> | patient: hello doctor, my father recently underwent an operation on his right leg, that is, pfn. after the operation was performed, an echo was done on the 16th of last month. the echo pressure is 75 mmhg and ra-rv were dilated. so, the doctor suggested the following medicines: dilzem sr twice a day. lexilactone half tablet in the morning. eliquis 5 mg twice a day. on the 5th of this month, an echo was done again. the pressure was 40 mmhg and normal ra-rv. we consulted the doctor on the 17th, and he suggested the following medicines: dilzem sr 90 twice a day. equilis 5 mg twice a day. telma 40 at night. is it safe to take telma 40 and dilzem sr both tablets together as both lower the blood pressure? his bp is 126/80. before the operation, my father took telpress am 40 regularly. || doctor: hello. regards. for more information consult a cardiologist online --> |
10,152 | Q. I feel so down and inferior to everyone. Why? | Hi doctor, I feel so down and inferior to everyone. While growing up, I got everything I wanted. I had the best childhood. I was not the most pleasant kid though. I was mean and I wish now I could change it. I thought I was the cool kid. In middle school, I was bullied without actually letting it get to me. I feel like it mentally affected me even though I did not want it to. I was called short and ugly and make fun of. Regardless, somehow I let it go and now I feel inferior to everyone. Everything I do makes me feel like I do not belong. When I am on the train I feel like everyone is looking at me. When I am hanging out with my friends I feel like I have to be someone else. I want to be more outgoing. Please help. | Hi. For further information consult a psychiatrist online --> | Patient: Hi doctor, I feel so down and inferior to everyone. While growing up, I got everything I wanted. I had the best childhood. I was not the most pleasant kid though. I was mean and I wish now I could change it. I thought I was the cool kid. In middle school, I was bullied without actually letting it get to me. I feel like it mentally affected me even though I did not want it to. I was called short and ugly and make fun of. Regardless, somehow I let it go and now I feel inferior to everyone. Everything I do makes me feel like I do not belong. When I am on the train I feel like everyone is looking at me. When I am hanging out with my friends I feel like I have to be someone else. I want to be more outgoing. Please help. || Doctor: Hi. For further information consult a psychiatrist online --> | patient: hi doctor, i feel so down and inferior to everyone. while growing up, i got everything i wanted. i had the best childhood. i was not the most pleasant kid though. i was mean and i wish now i could change it. i thought i was the cool kid. in middle school, i was bullied without actually letting it get to me. i feel like it mentally affected me even though i did not want it to. i was called short and ugly and make fun of. regardless, somehow i let it go and now i feel inferior to everyone. everything i do makes me feel like i do not belong. when i am on the train i feel like everyone is looking at me. when i am hanging out with my friends i feel like i have to be someone else. i want to be more outgoing. please help. || doctor: hi. for further information consult a psychiatrist online --> |
10,153 | Q. What ayurvedic medicines can help cure boils around my buttock area? | Hello doctor, I am a 32-year-old man. I have been suffering from recurrent boils and folliculitis on and around my butt area since two months. It comes and goes. Sometimes, it lasts for three days and sometimes seven days, but never more than that. This time I got one on my hipline and it lasted for around three weeks. Since then I got more on the other side which again lasted for around two to three weeks. The size of the first one was approximately 0.7 cm. At present, there are two on the left side and one on the right. Surprisingly, one day I was unable to sit properly because of pain and the next day there was no pain and this continued for some days and then I got relief for three to five days and suddenly felt pain the very next day. They occur almost at the same place. I suffer from tiny ones from time to time, but they vanish in three to five days and are never an issue. Also, I sit for a prolonged period of time all day long. I have heard that it happens because of that as well. Is it true? I do not want antibiotics. Can it be cured without them? How do I make sure if it is caused by bacteria or something else? | Hello. There are small boils around the anal area, recurrent formation and inflammation mostly occur in the anal fistula. But it needs physical examination to know the the exact diagnosis. Prolonged sitting, driving two-wheelers, chronic constipation as these are the causes of anal fistula. Inflammation, recurrent boils around the butt area may also be due to an allergic condition. We need more details about this and pictures of the affected areas to know better diagnosis and treatment. For more information consult an ayurveda specialist online --> | Patient: Hello doctor, I am a 32-year-old man. I have been suffering from recurrent boils and folliculitis on and around my butt area since two months. It comes and goes. Sometimes, it lasts for three days and sometimes seven days, but never more than that. This time I got one on my hipline and it lasted for around three weeks. Since then I got more on the other side which again lasted for around two to three weeks. The size of the first one was approximately 0.7 cm. At present, there are two on the left side and one on the right. Surprisingly, one day I was unable to sit properly because of pain and the next day there was no pain and this continued for some days and then I got relief for three to five days and suddenly felt pain the very next day. They occur almost at the same place. I suffer from tiny ones from time to time, but they vanish in three to five days and are never an issue. Also, I sit for a prolonged period of time all day long. I have heard that it happens because of that as well. Is it true? I do not want antibiotics. Can it be cured without them? How do I make sure if it is caused by bacteria or something else? || Doctor: Hello. There are small boils around the anal area, recurrent formation and inflammation mostly occur in the anal fistula. But it needs physical examination to know the the exact diagnosis. Prolonged sitting, driving two-wheelers, chronic constipation as these are the causes of anal fistula. Inflammation, recurrent boils around the butt area may also be due to an allergic condition. We need more details about this and pictures of the affected areas to know better diagnosis and treatment. For more information consult an ayurveda specialist online --> | patient: hello doctor, i am a 32-year-old man. i have been suffering from recurrent boils and folliculitis on and around my butt area since two months. it comes and goes. sometimes, it lasts for three days and sometimes seven days, but never more than that. this time i got one on my hipline and it lasted for around three weeks. since then i got more on the other side which again lasted for around two to three weeks. the size of the first one was approximately 0.7 cm. at present, there are two on the left side and one on the right. surprisingly, one day i was unable to sit properly because of pain and the next day there was no pain and this continued for some days and then i got relief for three to five days and suddenly felt pain the very next day. they occur almost at the same place. i suffer from tiny ones from time to time, but they vanish in three to five days and are never an issue. also, i sit for a prolonged period of time all day long. i have heard that it happens because of that as well. is it true? i do not want antibiotics. can it be cured without them? how do i make sure if it is caused by bacteria or something else? || doctor: hello. there are small boils around the anal area, recurrent formation and inflammation mostly occur in the anal fistula. but it needs physical examination to know the the exact diagnosis. prolonged sitting, driving two-wheelers, chronic constipation as these are the causes of anal fistula. inflammation, recurrent boils around the butt area may also be due to an allergic condition. we need more details about this and pictures of the affected areas to know better diagnosis and treatment. for more information consult an ayurveda specialist online --> |
10,154 | Q. I am bleeding after 17 days of IUI. Why? | Hi doctor, I had gone through IUI on 17 days before that is on the 14th day of menstrual cycle. Yesterday onwards I am getting thick brown bleeding with less flow. Now, I am near my period date. I am also having slight pain and cramping near my lower abdomen and back pain. I am confused whether I am pregnant or not. What should I do now? I am on Susten 300 and Real fol-D. Shall I continue my medicines in the current situation? | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had gone through IUI on 17 days before that is on the 14th day of menstrual cycle. Yesterday onwards I am getting thick brown bleeding with less flow. Now, I am near my period date. I am also having slight pain and cramping near my lower abdomen and back pain. I am confused whether I am pregnant or not. What should I do now? I am on Susten 300 and Real fol-D. Shall I continue my medicines in the current situation? || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had gone through iui on 17 days before that is on the 14th day of menstrual cycle. yesterday onwards i am getting thick brown bleeding with less flow. now, i am near my period date. i am also having slight pain and cramping near my lower abdomen and back pain. i am confused whether i am pregnant or not. what should i do now? i am on susten 300 and real fol-d. shall i continue my medicines in the current situation? || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
10,155 | Q. I take Sibelium for my headaches, but it is not very effective. Please suggest a cure. | Hello doctor,I have been suffering from headaches frequently. They usually last for two to three days. I am taking Sibelium 10 mg tablets since a long time. I also observe a swelling on my face and stiffness and heaviness around my eyes during the event of a headache. I am unable to lead a normal life. When I take Sibelium, the frequency of the headaches get reduced. What is the permanent solution? | Hello. I went through your post. You are suffering from a migraine and your symptoms are caused by it. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I have been suffering from headaches frequently. They usually last for two to three days. I am taking Sibelium 10 mg tablets since a long time. I also observe a swelling on my face and stiffness and heaviness around my eyes during the event of a headache. I am unable to lead a normal life. When I take Sibelium, the frequency of the headaches get reduced. What is the permanent solution? || Doctor: Hello. I went through your post. You are suffering from a migraine and your symptoms are caused by it. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor,i have been suffering from headaches frequently. they usually last for two to three days. i am taking sibelium 10 mg tablets since a long time. i also observe a swelling on my face and stiffness and heaviness around my eyes during the event of a headache. i am unable to lead a normal life. when i take sibelium, the frequency of the headaches get reduced. what is the permanent solution? || doctor: hello. i went through your post. you are suffering from a migraine and your symptoms are caused by it. regards. for more information consult an internal medicine physician online --> |
10,156 | Q. Are there any methods to increase the size of penis? | Hello doctor, I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis? | Hi. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your's should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. | Patient: Hello doctor, I am 22 years old. I have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes I feel pain while urinating. Are there any methods to increase the size of the penis? || Doctor: Hi. Coming back to your query, I will let you know that the average penile size (erect) is 4.7 inches so your's should be quite normal. If you do not have difficulty with intercourse and your partner is satisfied then I do not think there is a need for any medications. (medications has a limited role and has side effects too). If you feel there is phimosis (inability to retract foreskin) get circumcision done. It is is a very basic procedure and will let you to urinate better. Moreover, there is no hygiene-related problems after circumcision. You can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. It helps to increase in both length and girth. Try to shed some weight. You can give a try of tablet Tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. | patient: hello doctor, i am 22 years old. i have problems with my penis it is 4 inches when erect and the foreskin is very tight and sometimes i feel pain while urinating. are there any methods to increase the size of the penis? || doctor: hi. coming back to your query, i will let you know that the average penile size (erect) is 4.7 inches so your's should be quite normal. if you do not have difficulty with intercourse and your partner is satisfied then i do not think there is a need for any medications. (medications has a limited role and has side effects too). if you feel there is phimosis (inability to retract foreskin) get circumcision done. it is is a very basic procedure and will let you to urinate better. moreover, there is no hygiene-related problems after circumcision. you can try some non invasive methods to increase the size and strength such as penile pump, jelquing in this when penis is erect apply any lubricant (oil) around base of the shaft and milk towards the end. it helps to increase in both length and girth. try to shed some weight. you can give a try of tablet tadalafil 2.5 mg once a day for 1 month and see the results, it will not make you dependent so do not worry. |
10,157 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,158 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,159 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,160 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,161 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,162 | Q. I got a water-like vaginal discharge for a week. Will it affect my fertility? | Hi doctor, I am a 25 year old woman, who got married three months back. I had my last period, exactly a month back. This month, I got water-like vaginal discharge for a week. I was experiencing lower abdominal pain and pain in the vagina. I usually get my periods every 28 days, but this time my periods got delayed by five days. So, I thought I was pregnant, but then I got my periods. Why did I get this vaginal discharge? Is there any health issue? Please reply. | Hi. How are you doing? Hope I have clarified your query, do write back. All the best. For further queries consult an infertility specialist online --> | Patient: Hi doctor, I am a 25 year old woman, who got married three months back. I had my last period, exactly a month back. This month, I got water-like vaginal discharge for a week. I was experiencing lower abdominal pain and pain in the vagina. I usually get my periods every 28 days, but this time my periods got delayed by five days. So, I thought I was pregnant, but then I got my periods. Why did I get this vaginal discharge? Is there any health issue? Please reply. || Doctor: Hi. How are you doing? Hope I have clarified your query, do write back. All the best. For further queries consult an infertility specialist online --> | patient: hi doctor, i am a 25 year old woman, who got married three months back. i had my last period, exactly a month back. this month, i got water-like vaginal discharge for a week. i was experiencing lower abdominal pain and pain in the vagina. i usually get my periods every 28 days, but this time my periods got delayed by five days. so, i thought i was pregnant, but then i got my periods. why did i get this vaginal discharge? is there any health issue? please reply. || doctor: hi. how are you doing? hope i have clarified your query, do write back. all the best. for further queries consult an infertility specialist online --> |
10,163 | Q. Can I have I-pill after three days of unprotected sex? | Hi doctor, I had unprotected sex and taken a pill after the sex. I did not get any bleeding after taking a pill. Then, I had unprotected sex again after six days. Shall I take Unwanted 72 today that is, after three days of last unprotected sex? | Hi. If you have not crossed 72 hours of intercourse, then please take an emergency contraceptive pill. However, if you have already crossed 72 hours of intercourse, then there is no help for taking the medication. In case of doubt, you can get a urine pregnancy test done with early morning urine sample to ensure that your not pregnant. Do not take any medications without an expert advice. Just get your urine pregnancy test done and get back to me with the reports. Take care. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had unprotected sex and taken a pill after the sex. I did not get any bleeding after taking a pill. Then, I had unprotected sex again after six days. Shall I take Unwanted 72 today that is, after three days of last unprotected sex? || Doctor: Hi. If you have not crossed 72 hours of intercourse, then please take an emergency contraceptive pill. However, if you have already crossed 72 hours of intercourse, then there is no help for taking the medication. In case of doubt, you can get a urine pregnancy test done with early morning urine sample to ensure that your not pregnant. Do not take any medications without an expert advice. Just get your urine pregnancy test done and get back to me with the reports. Take care. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had unprotected sex and taken a pill after the sex. i did not get any bleeding after taking a pill. then, i had unprotected sex again after six days. shall i take unwanted 72 today that is, after three days of last unprotected sex? || doctor: hi. if you have not crossed 72 hours of intercourse, then please take an emergency contraceptive pill. however, if you have already crossed 72 hours of intercourse, then there is no help for taking the medication. in case of doubt, you can get a urine pregnancy test done with early morning urine sample to ensure that your not pregnant. do not take any medications without an expert advice. just get your urine pregnancy test done and get back to me with the reports. take care. for further information consult an obstetrician and gynaecologist online --> |
10,164 | Q. Is it necessary to undergo biopsy for an UTI? | Hi doctor, My aunt is suffering from urine infection. Doctor advised her to go for a biopsy to find out the cause. My concern is, is it safe to get a biopsy? | Hi. I understood your concern. But, biopsy is not recommended for any form urinary tract infection (UTI). Biopsy is a test of a small amount of mass which is usually done when cancer is suspected. For further assistance consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, My aunt is suffering from urine infection. Doctor advised her to go for a biopsy to find out the cause. My concern is, is it safe to get a biopsy? || Doctor: Hi. I understood your concern. But, biopsy is not recommended for any form urinary tract infection (UTI). Biopsy is a test of a small amount of mass which is usually done when cancer is suspected. For further assistance consult an obstetrician and gynaecologist online --> | patient: hi doctor, my aunt is suffering from urine infection. doctor advised her to go for a biopsy to find out the cause. my concern is, is it safe to get a biopsy? || doctor: hi. i understood your concern. but, biopsy is not recommended for any form urinary tract infection (uti). biopsy is a test of a small amount of mass which is usually done when cancer is suspected. for further assistance consult an obstetrician and gynaecologist online --> |
10,165 | Q. My father has got brain hemorrhage. Is he out of danger now? | Hi doctor, My father, who is 58 years old, has got brain hemorrhage before eight days. He was immediately hospitalized, and till today he is in CCU. He has some body movement, but he is in the unconscious state. He cannot open his eyes, cannot talk and does not have any mouth moment. He can breathe naturally without external oxygen. His previous medical history includes diabetes, constipation, high BP and continuous whistling problem in both ears since last 20 years. Also, he had a heart attack before seven years. Now, every part of his body below the neck is fine except the right hand. He never required a ventilator. Is he out of danger zone? How much time will he take to open his eyes and come out of unconscious state? Is it normal for such patients? I have attached all reports of my father. Please reply me as soon as possible. | Hello. For further information consult a neuro surgeon online --> | Patient: Hi doctor, My father, who is 58 years old, has got brain hemorrhage before eight days. He was immediately hospitalized, and till today he is in CCU. He has some body movement, but he is in the unconscious state. He cannot open his eyes, cannot talk and does not have any mouth moment. He can breathe naturally without external oxygen. His previous medical history includes diabetes, constipation, high BP and continuous whistling problem in both ears since last 20 years. Also, he had a heart attack before seven years. Now, every part of his body below the neck is fine except the right hand. He never required a ventilator. Is he out of danger zone? How much time will he take to open his eyes and come out of unconscious state? Is it normal for such patients? I have attached all reports of my father. Please reply me as soon as possible. || Doctor: Hello. For further information consult a neuro surgeon online --> | patient: hi doctor, my father, who is 58 years old, has got brain hemorrhage before eight days. he was immediately hospitalized, and till today he is in ccu. he has some body movement, but he is in the unconscious state. he cannot open his eyes, cannot talk and does not have any mouth moment. he can breathe naturally without external oxygen. his previous medical history includes diabetes, constipation, high bp and continuous whistling problem in both ears since last 20 years. also, he had a heart attack before seven years. now, every part of his body below the neck is fine except the right hand. he never required a ventilator. is he out of danger zone? how much time will he take to open his eyes and come out of unconscious state? is it normal for such patients? i have attached all reports of my father. please reply me as soon as possible. || doctor: hello. for further information consult a neuro surgeon online --> |
10,166 | Q. My fiancee had two I-pills within 10 days. Was that necessary? | Hi doctor, My fiancee was undergoing her menstrual cycle between 30th of last month till the third of this month. We had an unprotected intercourse during that time, and she did not take any contraceptives. Two weeks later, on the 16th of this month, we had unprotected sex again. This time she took an I-pill. We again had an unprotected intercourse between 23rd to 24th of this month. Due to fear, she had another I-pill on 24th of this month. I request you to address the following queries: 1. Was it necessary for her to take an I-pill on 24th of this month despite taking it on 17th of the same month? 2. Do you advise that she should have received an I-pill post intercourse on the third of this month when she just finished her menstrual cycle? 3. She experienced light spotting on the 23rd of this month. Could these be the symptoms of the upcoming menstrual cycle (due by 30th of this month)? We will appreciate your answers. Thank you. | Hi. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, My fiancee was undergoing her menstrual cycle between 30th of last month till the third of this month. We had an unprotected intercourse during that time, and she did not take any contraceptives. Two weeks later, on the 16th of this month, we had unprotected sex again. This time she took an I-pill. We again had an unprotected intercourse between 23rd to 24th of this month. Due to fear, she had another I-pill on 24th of this month. I request you to address the following queries: 1. Was it necessary for her to take an I-pill on 24th of this month despite taking it on 17th of the same month? 2. Do you advise that she should have received an I-pill post intercourse on the third of this month when she just finished her menstrual cycle? 3. She experienced light spotting on the 23rd of this month. Could these be the symptoms of the upcoming menstrual cycle (due by 30th of this month)? We will appreciate your answers. Thank you. || Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> | patient: hi doctor, my fiancee was undergoing her menstrual cycle between 30th of last month till the third of this month. we had an unprotected intercourse during that time, and she did not take any contraceptives. two weeks later, on the 16th of this month, we had unprotected sex again. this time she took an i-pill. we again had an unprotected intercourse between 23rd to 24th of this month. due to fear, she had another i-pill on 24th of this month. i request you to address the following queries: 1. was it necessary for her to take an i-pill on 24th of this month despite taking it on 17th of the same month? 2. do you advise that she should have received an i-pill post intercourse on the third of this month when she just finished her menstrual cycle? 3. she experienced light spotting on the 23rd of this month. could these be the symptoms of the upcoming menstrual cycle (due by 30th of this month)? we will appreciate your answers. thank you. || doctor: hi. for further queries consult an obstetrician and gynaecologist online --> |
10,167 | Q. For the past four days, I have chest congestion and mild chest pain. Is it due to COVID-19? | My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain. So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,, Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones) I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night) | Hi. Welcome to icliniq. I am Dr Anshul Varshney for your help. What we know about corona with current available experience is that it has presentation in most cases with Dry cough and Fever which may later turn into breathlessness. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good drug for respiratory tract infection. However in case you have any recent contact with corona patient, or there is a community spread in your area, then you should get in touch with your doctor. If he doubts, he would get you tested for COVID. Or you can request him for a Chest X-ray as well as Complete blood count that would help in confirming. So, I hope it helps you. And I wish you as well as the whole world a speedy recovery. Regards Dr Anshul Varshney, MD | Patient: My symptoms are that for the past 4 day so or so I have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain. So I have been staying in bed and on Tamiflu for a few days and 2500 MG of Amoxicillin since yesterday with mild improvement. My other symptom includes that I get a bit tired if I walk more than 5 minutes,, Not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..I am just paranoid about covid...ALSO I have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones) I am also not fatigued and actually insomniac as I usual am (sleep a few hours at night) || Doctor: Hi. Welcome to icliniq. I am Dr Anshul Varshney for your help. What we know about corona with current available experience is that it has presentation in most cases with Dry cough and Fever which may later turn into breathlessness. Fever has to be there in COVID. Since you have had no fever , cough is productive, Covid is virtually out. You might be having Allergic cough or some Lower Respiratory Tract Infection. You are on Amoxicillin which is a very good drug for respiratory tract infection. However in case you have any recent contact with corona patient, or there is a community spread in your area, then you should get in touch with your doctor. If he doubts, he would get you tested for COVID. Or you can request him for a Chest X-ray as well as Complete blood count that would help in confirming. So, I hope it helps you. And I wish you as well as the whole world a speedy recovery. Regards Dr Anshul Varshney, MD | patient: my symptoms are that for the past 4 day so or so i have had some congestion in my chest that comes and goes... a few times (a total of about 3 hours in 4 days) very mild chest pain. so i have been staying in bed and on tamiflu for a few days and 2500 mg of amoxicillin since yesterday with mild improvement. my other symptom includes that i get a bit tired if i walk more than 5 minutes,, not had a fever, chills, cough or a sore throat...and have not lost my taste or smell..i am just paranoid about covid...also i have had one incident of yellow drainage that came from my lungs as flem but more instance of clear drainage (but only 3 small ones) i am also not fatigued and actually insomniac as i usual am (sleep a few hours at night) || doctor: hi. welcome to icliniq. i am dr anshul varshney for your help. what we know about corona with current available experience is that it has presentation in most cases with dry cough and fever which may later turn into breathlessness. fever has to be there in covid. since you have had no fever , cough is productive, covid is virtually out. you might be having allergic cough or some lower respiratory tract infection. you are on amoxicillin which is a very good drug for respiratory tract infection. however in case you have any recent contact with corona patient, or there is a community spread in your area, then you should get in touch with your doctor. if he doubts, he would get you tested for covid. or you can request him for a chest x-ray as well as complete blood count that would help in confirming. so, i hope it helps you. and i wish you as well as the whole world a speedy recovery. regards dr anshul varshney, md |
10,168 | Q. CKD patient with high phosphorus content. Is dialysis required now? | Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right way of treatment? He is on Insulin, but his fasting sugar is 59 and hemoglobin is 8.90 at the moment. Urine output is equal to input. His current medicines are these Minipress 0.25 mg, Moxovas, Zyloric and Arkamin. He is having constipation problem. I have attached his reports for your reference. Please help. | Hi. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. Iron profile, ferritin and iPTH. Chronic kidney disease (CKD) or end-stage renal disease (ESRD) due to possible diabetic nephropathy. 1. Continue your previous medications along with the tablet Revlamer 400 mg one tablet twice daily with meals. 2. Take Lactifiber two scoops at night. Avoid all sorts of painkillers and alternative medicines containing heavy metals. Revert back after the investigations to a nephrologist online.---> | Patient: Hello doctor, My father is suffering from CKD for the past one year. His creatinine level is 11.05, urea is 144 and uric acid is 5.10. He has no swelling or breathlessness, but his phosphorus content is high 5.80. We have not started the dialysis at the moment. Could you please guide the right way of treatment? He is on Insulin, but his fasting sugar is 59 and hemoglobin is 8.90 at the moment. Urine output is equal to input. His current medicines are these Minipress 0.25 mg, Moxovas, Zyloric and Arkamin. He is having constipation problem. I have attached his reports for your reference. Please help. || Doctor: Hi. After seeing all the details and your father's reports (attachment removed to protect patient identity). I would like to ask few questions. Iron profile, ferritin and iPTH. Chronic kidney disease (CKD) or end-stage renal disease (ESRD) due to possible diabetic nephropathy. 1. Continue your previous medications along with the tablet Revlamer 400 mg one tablet twice daily with meals. 2. Take Lactifiber two scoops at night. Avoid all sorts of painkillers and alternative medicines containing heavy metals. Revert back after the investigations to a nephrologist online.---> | patient: hello doctor, my father is suffering from ckd for the past one year. his creatinine level is 11.05, urea is 144 and uric acid is 5.10. he has no swelling or breathlessness, but his phosphorus content is high 5.80. we have not started the dialysis at the moment. could you please guide the right way of treatment? he is on insulin, but his fasting sugar is 59 and hemoglobin is 8.90 at the moment. urine output is equal to input. his current medicines are these minipress 0.25 mg, moxovas, zyloric and arkamin. he is having constipation problem. i have attached his reports for your reference. please help. || doctor: hi. after seeing all the details and your father's reports (attachment removed to protect patient identity). i would like to ask few questions. iron profile, ferritin and ipth. chronic kidney disease (ckd) or end-stage renal disease (esrd) due to possible diabetic nephropathy. 1. continue your previous medications along with the tablet revlamer 400 mg one tablet twice daily with meals. 2. take lactifiber two scoops at night. avoid all sorts of painkillers and alternative medicines containing heavy metals. revert back after the investigations to a nephrologist online.---> |
10,169 | Q. What is the painless bump on shaft of penis? | Hi doctor,I have a bump on the shaft of my penis. It is not painful and it is the same color as my skin. The bump is only visible when I pull back the foreskin. However, there is a small cut visible when the skin is more extended. It is like the bump is covering the small lesion. There is also another lesion nearby, also visible when the skin gets more extended. This time, no bump, but it is like the skin is covering the cut as well. Do you know what it could be, and what should I do?I have been taking Fucidin, as I thought it was the same issue as I had before, but it seems different this time. | Hello. I have seen images sent by you (attachment removed to protect patient identity). Yes, there is a bump on the penile shaft. It appears because of repeated small trauma may be during masturbation or sexual intercourse. At present I want you to apply Mupirocin topical ointment twice daily for two weeks. It will heal. Avoid masturbation or sexual intercourse. For more information consult a urologist online --> | Patient: Hi doctor,I have a bump on the shaft of my penis. It is not painful and it is the same color as my skin. The bump is only visible when I pull back the foreskin. However, there is a small cut visible when the skin is more extended. It is like the bump is covering the small lesion. There is also another lesion nearby, also visible when the skin gets more extended. This time, no bump, but it is like the skin is covering the cut as well. Do you know what it could be, and what should I do?I have been taking Fucidin, as I thought it was the same issue as I had before, but it seems different this time. || Doctor: Hello. I have seen images sent by you (attachment removed to protect patient identity). Yes, there is a bump on the penile shaft. It appears because of repeated small trauma may be during masturbation or sexual intercourse. At present I want you to apply Mupirocin topical ointment twice daily for two weeks. It will heal. Avoid masturbation or sexual intercourse. For more information consult a urologist online --> | patient: hi doctor,i have a bump on the shaft of my penis. it is not painful and it is the same color as my skin. the bump is only visible when i pull back the foreskin. however, there is a small cut visible when the skin is more extended. it is like the bump is covering the small lesion. there is also another lesion nearby, also visible when the skin gets more extended. this time, no bump, but it is like the skin is covering the cut as well. do you know what it could be, and what should i do?i have been taking fucidin, as i thought it was the same issue as i had before, but it seems different this time. || doctor: hello. i have seen images sent by you (attachment removed to protect patient identity). yes, there is a bump on the penile shaft. it appears because of repeated small trauma may be during masturbation or sexual intercourse. at present i want you to apply mupirocin topical ointment twice daily for two weeks. it will heal. avoid masturbation or sexual intercourse. for more information consult a urologist online --> |
10,170 | Q. What to do for my partner's delayed period after taking I-pill? | Hi doctor, I had sex with my partner. It has been five days now. She has not got her periods. She took I-pill within 75 hours of sex. I need suggestions. How to deal with this issue? | Hi. Taking I-pill within 72 hours of unprotected intercourse reduces the risk of pregnancy by 88 percent. When was her last period? Periods may be late due to I-pill. | Patient: Hi doctor, I had sex with my partner. It has been five days now. She has not got her periods. She took I-pill within 75 hours of sex. I need suggestions. How to deal with this issue? || Doctor: Hi. Taking I-pill within 72 hours of unprotected intercourse reduces the risk of pregnancy by 88 percent. When was her last period? Periods may be late due to I-pill. | patient: hi doctor, i had sex with my partner. it has been five days now. she has not got her periods. she took i-pill within 75 hours of sex. i need suggestions. how to deal with this issue? || doctor: hi. taking i-pill within 72 hours of unprotected intercourse reduces the risk of pregnancy by 88 percent. when was her last period? periods may be late due to i-pill. |
10,171 | Q. Is there any medicine to overcome the effects of alcohol? | Hi doctor, I am contacting you regarding an uncle of mine. He is 40 years old. His health issues are related to alcohol (beer). He drinks quite a few times a week. When he starts drinking, he drinks a few liters before stopping. He also smokes, but only sometimes. He finds heavy breathing after just minor physical activity. In his medical history, he has high blood pressure, high cholesterol, anemia, anxiety disorder, severe headache and sometimes constipation. He had also ulcer earlier and was recommended Omeprazole. He found this medicine to be helpful for him in the beginning only, but not now anymore. I know of a fact that it is best for him to quit drinking alcohol or at least reduce the amount of it. He has been advised for this several times. But, he is addicted to it and is not easy for him to quit. My question is specifically related to alcohol. Is there any medication he can take before or after intake of alcohol which can be helpful for him in kind of safe drinking? He takes Omeprazole, but is not satisfied with the results. | Hi. For further information consult a general medicine physician online --> | Patient: Hi doctor, I am contacting you regarding an uncle of mine. He is 40 years old. His health issues are related to alcohol (beer). He drinks quite a few times a week. When he starts drinking, he drinks a few liters before stopping. He also smokes, but only sometimes. He finds heavy breathing after just minor physical activity. In his medical history, he has high blood pressure, high cholesterol, anemia, anxiety disorder, severe headache and sometimes constipation. He had also ulcer earlier and was recommended Omeprazole. He found this medicine to be helpful for him in the beginning only, but not now anymore. I know of a fact that it is best for him to quit drinking alcohol or at least reduce the amount of it. He has been advised for this several times. But, he is addicted to it and is not easy for him to quit. My question is specifically related to alcohol. Is there any medication he can take before or after intake of alcohol which can be helpful for him in kind of safe drinking? He takes Omeprazole, but is not satisfied with the results. || Doctor: Hi. For further information consult a general medicine physician online --> | patient: hi doctor, i am contacting you regarding an uncle of mine. he is 40 years old. his health issues are related to alcohol (beer). he drinks quite a few times a week. when he starts drinking, he drinks a few liters before stopping. he also smokes, but only sometimes. he finds heavy breathing after just minor physical activity. in his medical history, he has high blood pressure, high cholesterol, anemia, anxiety disorder, severe headache and sometimes constipation. he had also ulcer earlier and was recommended omeprazole. he found this medicine to be helpful for him in the beginning only, but not now anymore. i know of a fact that it is best for him to quit drinking alcohol or at least reduce the amount of it. he has been advised for this several times. but, he is addicted to it and is not easy for him to quit. my question is specifically related to alcohol. is there any medication he can take before or after intake of alcohol which can be helpful for him in kind of safe drinking? he takes omeprazole, but is not satisfied with the results. || doctor: hi. for further information consult a general medicine physician online --> |
10,172 | Q. Should I give Meftal-P if fever persists even after P-250? | Hello doctor, My son has got a fever from the morning and I have started with P-250 with 6 ml as his dosage. He is 6 years old weighing 20.4 kg. I have completed the fourth dosage for the day at 11.30 AM. His current temperature shows 102.7 F. Should I go ahead with Meftal-P 60 ml suspension if the high temp persists? If yes, then what time should I give him that and what would be the right dosage for him? | Hello. Most of the kids do not respond to Paracetamol alone which is present in P-250. I suggest giving syrup Ibugesic plus (Ibuprofen and Paracetamol) 12 ml which is required for his weight. And this should be repeated every six hours. If the child has a fever between those six hours, you can give Meftal P 8 ml. This can be repeated every eight hours. Always wait at least two hours after every medication for the fever to reduce. If it does not reduce, then you can give the second medicine. Also, always do tepid sponging of the whole body 30 minutes after giving medicine in case of high fever to dissipate heat faster. If the child develops any other symptoms like cold or cough give symptomatic medication for it. It looks like a viral fever as of now. Hope this has answered your question. For more information consult a paediatrician online --> | Patient: Hello doctor, My son has got a fever from the morning and I have started with P-250 with 6 ml as his dosage. He is 6 years old weighing 20.4 kg. I have completed the fourth dosage for the day at 11.30 AM. His current temperature shows 102.7 F. Should I go ahead with Meftal-P 60 ml suspension if the high temp persists? If yes, then what time should I give him that and what would be the right dosage for him? || Doctor: Hello. Most of the kids do not respond to Paracetamol alone which is present in P-250. I suggest giving syrup Ibugesic plus (Ibuprofen and Paracetamol) 12 ml which is required for his weight. And this should be repeated every six hours. If the child has a fever between those six hours, you can give Meftal P 8 ml. This can be repeated every eight hours. Always wait at least two hours after every medication for the fever to reduce. If it does not reduce, then you can give the second medicine. Also, always do tepid sponging of the whole body 30 minutes after giving medicine in case of high fever to dissipate heat faster. If the child develops any other symptoms like cold or cough give symptomatic medication for it. It looks like a viral fever as of now. Hope this has answered your question. For more information consult a paediatrician online --> | patient: hello doctor, my son has got a fever from the morning and i have started with p-250 with 6 ml as his dosage. he is 6 years old weighing 20.4 kg. i have completed the fourth dosage for the day at 11.30 am. his current temperature shows 102.7 f. should i go ahead with meftal-p 60 ml suspension if the high temp persists? if yes, then what time should i give him that and what would be the right dosage for him? || doctor: hello. most of the kids do not respond to paracetamol alone which is present in p-250. i suggest giving syrup ibugesic plus (ibuprofen and paracetamol) 12 ml which is required for his weight. and this should be repeated every six hours. if the child has a fever between those six hours, you can give meftal p 8 ml. this can be repeated every eight hours. always wait at least two hours after every medication for the fever to reduce. if it does not reduce, then you can give the second medicine. also, always do tepid sponging of the whole body 30 minutes after giving medicine in case of high fever to dissipate heat faster. if the child develops any other symptoms like cold or cough give symptomatic medication for it. it looks like a viral fever as of now. hope this has answered your question. for more information consult a paediatrician online --> |
10,173 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,174 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,175 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,176 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,177 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,178 | Q. I have allergy in feet with fluid-filled vesicles and itching. What is my problem? | Hello doctor, I am having an allergic reaction on both of my feet. It will start like fluid-filled vesicle, then it will get hardened and will start peeling off the skin. There is an excess of itching in that affected area. I had consulted a dermatologist and was told that it is contact dermatitis. Doctor prescribed me Momate-F ointment for two weeks and asked me to change the footwear. It did not subside after two weeks and then the doctor prescribed Halovate-F ointment and Levocetirizine for two weeks. Then also it is not subsiding. It has been more than two months and still, eczema is present and new areas on my foot are getting affected. | Hi. Very itchy rash over the feet with fluid-filled vesicular lesions is tinea pedis vesicular type. No response to steroids also confirms that. Contact dermatitis also mimics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids. I can see some involvement of toe clefts. Please tell me are clefts involved? How much duration since the start? How it started, like which area and which foot? Do you buy any new shoes, or anything new when they started? Do you have wet work of feet often? Any other medical condition you have like DM, BP, etc., renal or liver disease? Start the following treatment. Capsule Itraconazole 200 mg bd after meals for three weeks, Terbinafine cream twice daily for three weeks, Loratadine 10 mg once daily for itching for 10 days, KZ dusting powder. Avoid wetting or sweating of feet. Keep dry. Dry shoes in sun. Change socks daily. Fungus. Contact dermatitis. Antifungals. Keep dry. After three weeks. | Patient: Hello doctor, I am having an allergic reaction on both of my feet. It will start like fluid-filled vesicle, then it will get hardened and will start peeling off the skin. There is an excess of itching in that affected area. I had consulted a dermatologist and was told that it is contact dermatitis. Doctor prescribed me Momate-F ointment for two weeks and asked me to change the footwear. It did not subside after two weeks and then the doctor prescribed Halovate-F ointment and Levocetirizine for two weeks. Then also it is not subsiding. It has been more than two months and still, eczema is present and new areas on my foot are getting affected. || Doctor: Hi. Very itchy rash over the feet with fluid-filled vesicular lesions is tinea pedis vesicular type. No response to steroids also confirms that. Contact dermatitis also mimics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids. I can see some involvement of toe clefts. Please tell me are clefts involved? How much duration since the start? How it started, like which area and which foot? Do you buy any new shoes, or anything new when they started? Do you have wet work of feet often? Any other medical condition you have like DM, BP, etc., renal or liver disease? Start the following treatment. Capsule Itraconazole 200 mg bd after meals for three weeks, Terbinafine cream twice daily for three weeks, Loratadine 10 mg once daily for itching for 10 days, KZ dusting powder. Avoid wetting or sweating of feet. Keep dry. Dry shoes in sun. Change socks daily. Fungus. Contact dermatitis. Antifungals. Keep dry. After three weeks. | patient: hello doctor, i am having an allergic reaction on both of my feet. it will start like fluid-filled vesicle, then it will get hardened and will start peeling off the skin. there is an excess of itching in that affected area. i had consulted a dermatologist and was told that it is contact dermatitis. doctor prescribed me momate-f ointment for two weeks and asked me to change the footwear. it did not subside after two weeks and then the doctor prescribed halovate-f ointment and levocetirizine for two weeks. then also it is not subsiding. it has been more than two months and still, eczema is present and new areas on my foot are getting affected. || doctor: hi. very itchy rash over the feet with fluid-filled vesicular lesions is tinea pedis vesicular type. no response to steroids also confirms that. contact dermatitis also mimics it and bilateral also gives suspicion of dermatitis but you did not respond to steroids. i can see some involvement of toe clefts. please tell me are clefts involved? how much duration since the start? how it started, like which area and which foot? do you buy any new shoes, or anything new when they started? do you have wet work of feet often? any other medical condition you have like dm, bp, etc., renal or liver disease? start the following treatment. capsule itraconazole 200 mg bd after meals for three weeks, terbinafine cream twice daily for three weeks, loratadine 10 mg once daily for itching for 10 days, kz dusting powder. avoid wetting or sweating of feet. keep dry. dry shoes in sun. change socks daily. fungus. contact dermatitis. antifungals. keep dry. after three weeks. |
10,179 | Q. Please suggest a remedy for my itching. | Hi doctor, I am a female, aged 22. I started facing some itching problems in my hip region, including the buttock cleft for almost 2 to 2.5 years now. The itching occurs occasionally, but now it has led to darkening of the involved area. Sometimes, small papules arise on the area as well. I am really concerned now as it looks extremely bad due to the pigmentation. Also, it itches a lot. Please give me a remedy regarding my problem. | Hi. For further information consult a dermatologist online --> | Patient: Hi doctor, I am a female, aged 22. I started facing some itching problems in my hip region, including the buttock cleft for almost 2 to 2.5 years now. The itching occurs occasionally, but now it has led to darkening of the involved area. Sometimes, small papules arise on the area as well. I am really concerned now as it looks extremely bad due to the pigmentation. Also, it itches a lot. Please give me a remedy regarding my problem. || Doctor: Hi. For further information consult a dermatologist online --> | patient: hi doctor, i am a female, aged 22. i started facing some itching problems in my hip region, including the buttock cleft for almost 2 to 2.5 years now. the itching occurs occasionally, but now it has led to darkening of the involved area. sometimes, small papules arise on the area as well. i am really concerned now as it looks extremely bad due to the pigmentation. also, it itches a lot. please give me a remedy regarding my problem. || doctor: hi. for further information consult a dermatologist online --> |
10,180 | Q. What does my urethral swab test reveal? | Hi doctor, My urethral swab test showed epithelial cells +1, polymorphonuclear cells +1 and no microorganisms found. Please let me know what does it mean. Thank you. | Hi. This report is normal. For further information consult a venereologist online --> | Patient: Hi doctor, My urethral swab test showed epithelial cells +1, polymorphonuclear cells +1 and no microorganisms found. Please let me know what does it mean. Thank you. || Doctor: Hi. This report is normal. For further information consult a venereologist online --> | patient: hi doctor, my urethral swab test showed epithelial cells +1, polymorphonuclear cells +1 and no microorganisms found. please let me know what does it mean. thank you. || doctor: hi. this report is normal. for further information consult a venereologist online --> |
10,181 | Q. Should I use special eyeglasses if I spend a lot of time in front of the computer? | Hello doctor,I am a 38 year old male. I spend nearly 12 hours in front of the laptop every day due to the nature of my work. I have a cylindrical power of -.75 in my right eye for almost five years now. However, nowadays I feeling eye strain. At my workplace, a doctor advised me to use special lenses which provide comfort when using digital devices. My query is are these really helpful or a normal single vision lens with an antireflection coating would do. Your inputs would be much helpful. | Hello. You will be fine. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor,I am a 38 year old male. I spend nearly 12 hours in front of the laptop every day due to the nature of my work. I have a cylindrical power of -.75 in my right eye for almost five years now. However, nowadays I feeling eye strain. At my workplace, a doctor advised me to use special lenses which provide comfort when using digital devices. My query is are these really helpful or a normal single vision lens with an antireflection coating would do. Your inputs would be much helpful. || Doctor: Hello. You will be fine. For more information consult an eye care ophthalmologist online --> | patient: hello doctor,i am a 38 year old male. i spend nearly 12 hours in front of the laptop every day due to the nature of my work. i have a cylindrical power of -.75 in my right eye for almost five years now. however, nowadays i feeling eye strain. at my workplace, a doctor advised me to use special lenses which provide comfort when using digital devices. my query is are these really helpful or a normal single vision lens with an antireflection coating would do. your inputs would be much helpful. || doctor: hello. you will be fine. for more information consult an eye care ophthalmologist online --> |
10,182 | Q. I have a family history of HOCM. Is this something to worry? | Hi doctor, I am a 25 year old woman. About three months ago, I started having ectopic beats and palpitations. It made me quite worried, because they were definitely something new. I have a family history of sudden death from hypertrophic cardiomyopathy. So, I decided to have an echo and a 24 hour Holter monitor. The echo showed that structurally my heart is fine and according to the Holter monitor results I had dozens of PVCs (some of them were couplets), a few PACs and sinus tachycardia. My blood test results were normal, too. A couple of days later PVCs began to occur not only during rest, but also during exercise, which really scared me. One day while walking home, I had some kind of bigeminy (every other beat was abnormal) that almost took my breath away. Therefore, I wanted to get a stress test on a stationary bicycle just in case. I had some singular PVCs at an intensity level of 120 watts with the heart rate of 164. Is this something to worry about? My cardiologist said that the results do not suggest any heart disease, but I am still afraid to exercise anymore. What about multifocal PVCs, ventricular couplets and bigeminy in a structurally normal heart? Are they dangerous? | Hi. For further information consult a cardiologist online --> | Patient: Hi doctor, I am a 25 year old woman. About three months ago, I started having ectopic beats and palpitations. It made me quite worried, because they were definitely something new. I have a family history of sudden death from hypertrophic cardiomyopathy. So, I decided to have an echo and a 24 hour Holter monitor. The echo showed that structurally my heart is fine and according to the Holter monitor results I had dozens of PVCs (some of them were couplets), a few PACs and sinus tachycardia. My blood test results were normal, too. A couple of days later PVCs began to occur not only during rest, but also during exercise, which really scared me. One day while walking home, I had some kind of bigeminy (every other beat was abnormal) that almost took my breath away. Therefore, I wanted to get a stress test on a stationary bicycle just in case. I had some singular PVCs at an intensity level of 120 watts with the heart rate of 164. Is this something to worry about? My cardiologist said that the results do not suggest any heart disease, but I am still afraid to exercise anymore. What about multifocal PVCs, ventricular couplets and bigeminy in a structurally normal heart? Are they dangerous? || Doctor: Hi. For further information consult a cardiologist online --> | patient: hi doctor, i am a 25 year old woman. about three months ago, i started having ectopic beats and palpitations. it made me quite worried, because they were definitely something new. i have a family history of sudden death from hypertrophic cardiomyopathy. so, i decided to have an echo and a 24 hour holter monitor. the echo showed that structurally my heart is fine and according to the holter monitor results i had dozens of pvcs (some of them were couplets), a few pacs and sinus tachycardia. my blood test results were normal, too. a couple of days later pvcs began to occur not only during rest, but also during exercise, which really scared me. one day while walking home, i had some kind of bigeminy (every other beat was abnormal) that almost took my breath away. therefore, i wanted to get a stress test on a stationary bicycle just in case. i had some singular pvcs at an intensity level of 120 watts with the heart rate of 164. is this something to worry about? my cardiologist said that the results do not suggest any heart disease, but i am still afraid to exercise anymore. what about multifocal pvcs, ventricular couplets and bigeminy in a structurally normal heart? are they dangerous? || doctor: hi. for further information consult a cardiologist online --> |
10,183 | Q. What is the cause for frequent urination issue? | Hello doctor,Three years back, I had frequent urination problem. I underwent several tests, scans, TRUS and also underwent cystoscopy twice. They found classification in prostate and termed it as prostatitis. I had consulted close to 5 doctors and some of them said it is not prostatitis. So, still I am not sure what condition do I suffer from. But, my symptoms remain the same. I urinate even when my bladder is not full. After urination, there is irritation, itching, burning sensation as well as slight dribbling. During urination, I do not feel any burning. But, it is a weak stream after bowel movement and the irritation in the penile area is high. 6 months back, when I did a urine culture, it showed infection. But, doctors discarded it and linked it to prostatitis. I hope, I can find a proper diagnosis and treatment and also get rid off these symptoms, that I am suffering with since 2 years. Thank you. | Hello. I am sorry to know about your persistent problem. There is no point in changing the urologists. I would suggest you to read and understand about prostatitis. I would suggest the following treatment plan: Meanwhile, do not worry about your problems and keep your focus on your work and family life. I suggest you to visit an endourologist and discuss about these drugs. Wish you a speedy recovery. Revert back after the investigations to a urologist online --> | Patient: Hello doctor,Three years back, I had frequent urination problem. I underwent several tests, scans, TRUS and also underwent cystoscopy twice. They found classification in prostate and termed it as prostatitis. I had consulted close to 5 doctors and some of them said it is not prostatitis. So, still I am not sure what condition do I suffer from. But, my symptoms remain the same. I urinate even when my bladder is not full. After urination, there is irritation, itching, burning sensation as well as slight dribbling. During urination, I do not feel any burning. But, it is a weak stream after bowel movement and the irritation in the penile area is high. 6 months back, when I did a urine culture, it showed infection. But, doctors discarded it and linked it to prostatitis. I hope, I can find a proper diagnosis and treatment and also get rid off these symptoms, that I am suffering with since 2 years. Thank you. || Doctor: Hello. I am sorry to know about your persistent problem. There is no point in changing the urologists. I would suggest you to read and understand about prostatitis. I would suggest the following treatment plan: Meanwhile, do not worry about your problems and keep your focus on your work and family life. I suggest you to visit an endourologist and discuss about these drugs. Wish you a speedy recovery. Revert back after the investigations to a urologist online --> | patient: hello doctor,three years back, i had frequent urination problem. i underwent several tests, scans, trus and also underwent cystoscopy twice. they found classification in prostate and termed it as prostatitis. i had consulted close to 5 doctors and some of them said it is not prostatitis. so, still i am not sure what condition do i suffer from. but, my symptoms remain the same. i urinate even when my bladder is not full. after urination, there is irritation, itching, burning sensation as well as slight dribbling. during urination, i do not feel any burning. but, it is a weak stream after bowel movement and the irritation in the penile area is high. 6 months back, when i did a urine culture, it showed infection. but, doctors discarded it and linked it to prostatitis. i hope, i can find a proper diagnosis and treatment and also get rid off these symptoms, that i am suffering with since 2 years. thank you. || doctor: hello. i am sorry to know about your persistent problem. there is no point in changing the urologists. i would suggest you to read and understand about prostatitis. i would suggest the following treatment plan: meanwhile, do not worry about your problems and keep your focus on your work and family life. i suggest you to visit an endourologist and discuss about these drugs. wish you a speedy recovery. revert back after the investigations to a urologist online --> |
10,184 | Q. I have spastic paraplegia. Will dopamine help me? | Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? | Hi. L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases. For further follow up, consult a neurologist online --> | Patient: Hello doctor, I have spastic paraplegia. Everything I have tried has not worked. I was told to try a medication called L-Dopa. Will this medication help me? || Doctor: Hi. L- Dopa is Levodopa and is a drug for parkinson's disease. It will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. It is definitely going to help you if there is any deficiency. But if there is no deficiency, it will be of no help. In my clinical experience, Baclofen helps mostly in resistant cases. For further follow up, consult a neurologist online --> | patient: hello doctor, i have spastic paraplegia. everything i have tried has not worked. i was told to try a medication called l-dopa. will this medication help me? || doctor: hi. l- dopa is levodopa and is a drug for parkinson's disease. it will help you in spastic paraplegia in case there is a deficiency of dopamine in substantia niagra of your brain. it is definitely going to help you if there is any deficiency. but if there is no deficiency, it will be of no help. in my clinical experience, baclofen helps mostly in resistant cases. for further follow up, consult a neurologist online --> |
10,185 | Q. My wife is very abusive, and she does not like my parents and sister. What to do? | Hello doctor, My wife is very abusive and says the wrong things sometimes. Her mood goes off, and she remains like that for 2 to 3 days. After which, I have to make a lot of efforts by saying sorry so many times, and then she would become normal. During such a period, she will not talk or talk only through messages or talk in an angry way, and she behaves very angrily. Then she says anything and becomes very angry, and she starts shouting. She has mood swing issues. When she was a month and a half pregnant, her mood was bad for seven straight days. She does not like my parents and sister and does not want them staying with us. A month back, when my son was born, my parents had come to see the baby. She did not like them visiting and wanted to send them out. But, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent's place. She does not want to come back, and she says that my mom and sister are doing black magic, and I support them. She is threatening for divorce now. Earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. She is very fond of her mother and wants to stay with her mother and does not want to come back. What should I do? | Hi. I read your query and understand your concerns. I hope this helps you. Thanks and regards. For more information consult a psychologist counsellor online --> | Patient: Hello doctor, My wife is very abusive and says the wrong things sometimes. Her mood goes off, and she remains like that for 2 to 3 days. After which, I have to make a lot of efforts by saying sorry so many times, and then she would become normal. During such a period, she will not talk or talk only through messages or talk in an angry way, and she behaves very angrily. Then she says anything and becomes very angry, and she starts shouting. She has mood swing issues. When she was a month and a half pregnant, her mood was bad for seven straight days. She does not like my parents and sister and does not want them staying with us. A month back, when my son was born, my parents had come to see the baby. She did not like them visiting and wanted to send them out. But, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent's place. She does not want to come back, and she says that my mom and sister are doing black magic, and I support them. She is threatening for divorce now. Earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. She is very fond of her mother and wants to stay with her mother and does not want to come back. What should I do? || Doctor: Hi. I read your query and understand your concerns. I hope this helps you. Thanks and regards. For more information consult a psychologist counsellor online --> | patient: hello doctor, my wife is very abusive and says the wrong things sometimes. her mood goes off, and she remains like that for 2 to 3 days. after which, i have to make a lot of efforts by saying sorry so many times, and then she would become normal. during such a period, she will not talk or talk only through messages or talk in an angry way, and she behaves very angrily. then she says anything and becomes very angry, and she starts shouting. she has mood swing issues. when she was a month and a half pregnant, her mood was bad for seven straight days. she does not like my parents and sister and does not want them staying with us. a month back, when my son was born, my parents had come to see the baby. she did not like them visiting and wanted to send them out. but, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent's place. she does not want to come back, and she says that my mom and sister are doing black magic, and i support them. she is threatening for divorce now. earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. she is very fond of her mother and wants to stay with her mother and does not want to come back. what should i do? || doctor: hi. i read your query and understand your concerns. i hope this helps you. thanks and regards. for more information consult a psychologist counsellor online --> |
10,186 | Q. What is the permanent solution for irregular periods? | Hi doctor, My sister is 22 years old. She is suffering from irregular periods. She is taking Diane-35 to get regular periods. If she stops the tablet, then her periods will go missing. What is the permanent solution for her? Please suggest. Additionally, she has thyroid problem. She is under regular medicine for thyroid. | Hi. 1. Obesity. 2. Cystic ovaries. 3. Hypothyroidism. Serum LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, TSH (thyroid stimulating hormone), T3, T4, testosterone and DHEA (dehydroepiandrosterone). Also, ultrasonography of whole abdomen has to be taken. Hyperprolactinemia. PCOS. Conservative with exercise, swimming and walking regularly. Avoid junk food, stress and anxiety. Try to reduce body weight. Revert back after a month or after next cycle with investigation reports to an obstetrician and gynaecologist online.---> | Patient: Hi doctor, My sister is 22 years old. She is suffering from irregular periods. She is taking Diane-35 to get regular periods. If she stops the tablet, then her periods will go missing. What is the permanent solution for her? Please suggest. Additionally, she has thyroid problem. She is under regular medicine for thyroid. || Doctor: Hi. 1. Obesity. 2. Cystic ovaries. 3. Hypothyroidism. Serum LH (luteinizing hormone), FSH (follicle stimulating hormone), prolactin, TSH (thyroid stimulating hormone), T3, T4, testosterone and DHEA (dehydroepiandrosterone). Also, ultrasonography of whole abdomen has to be taken. Hyperprolactinemia. PCOS. Conservative with exercise, swimming and walking regularly. Avoid junk food, stress and anxiety. Try to reduce body weight. Revert back after a month or after next cycle with investigation reports to an obstetrician and gynaecologist online.---> | patient: hi doctor, my sister is 22 years old. she is suffering from irregular periods. she is taking diane-35 to get regular periods. if she stops the tablet, then her periods will go missing. what is the permanent solution for her? please suggest. additionally, she has thyroid problem. she is under regular medicine for thyroid. || doctor: hi. 1. obesity. 2. cystic ovaries. 3. hypothyroidism. serum lh (luteinizing hormone), fsh (follicle stimulating hormone), prolactin, tsh (thyroid stimulating hormone), t3, t4, testosterone and dhea (dehydroepiandrosterone). also, ultrasonography of whole abdomen has to be taken. hyperprolactinemia. pcos. conservative with exercise, swimming and walking regularly. avoid junk food, stress and anxiety. try to reduce body weight. revert back after a month or after next cycle with investigation reports to an obstetrician and gynaecologist online.---> |
10,187 | Q. Mine and my wife's blood group is B. Will it cause any problem in our married life? | Hello doctor, My wife's and mine blood groups are the same. Both of our blood group is B. Will there be any problem in our married life? | Hi. There are two major blood group systems. You have not mentioned the Rh grouping. You both have the same blood group and can conceive without any fear. There is no worry regarding same blood group. The point that should be kept in mind is if your wife has a negative group and the child is Rh positive, then to prevent hemolysis in the second child, an anti-D injection is given. It is good that you are alert regarding pre-conception counseling. You and your wife need to do CBC (complete blood count) with PS (peripheral smear). I am advising this because if there are microcytic hypochromic red blood cells and the RBC mass is high, then HPLC (high-performance liquid chromatography) should be done to rule out hemoglobinopathy, especially thalassemia minor. If you both are thalassemia minor, then fetus amniocentesis needs to be done to rule out thalassemia major in the baby. Take care. Hope your concern is solved. For further queries consult a hematologist online --> | Patient: Hello doctor, My wife's and mine blood groups are the same. Both of our blood group is B. Will there be any problem in our married life? || Doctor: Hi. There are two major blood group systems. You have not mentioned the Rh grouping. You both have the same blood group and can conceive without any fear. There is no worry regarding same blood group. The point that should be kept in mind is if your wife has a negative group and the child is Rh positive, then to prevent hemolysis in the second child, an anti-D injection is given. It is good that you are alert regarding pre-conception counseling. You and your wife need to do CBC (complete blood count) with PS (peripheral smear). I am advising this because if there are microcytic hypochromic red blood cells and the RBC mass is high, then HPLC (high-performance liquid chromatography) should be done to rule out hemoglobinopathy, especially thalassemia minor. If you both are thalassemia minor, then fetus amniocentesis needs to be done to rule out thalassemia major in the baby. Take care. Hope your concern is solved. For further queries consult a hematologist online --> | patient: hello doctor, my wife's and mine blood groups are the same. both of our blood group is b. will there be any problem in our married life? || doctor: hi. there are two major blood group systems. you have not mentioned the rh grouping. you both have the same blood group and can conceive without any fear. there is no worry regarding same blood group. the point that should be kept in mind is if your wife has a negative group and the child is rh positive, then to prevent hemolysis in the second child, an anti-d injection is given. it is good that you are alert regarding pre-conception counseling. you and your wife need to do cbc (complete blood count) with ps (peripheral smear). i am advising this because if there are microcytic hypochromic red blood cells and the rbc mass is high, then hplc (high-performance liquid chromatography) should be done to rule out hemoglobinopathy, especially thalassemia minor. if you both are thalassemia minor, then fetus amniocentesis needs to be done to rule out thalassemia major in the baby. take care. hope your concern is solved. for further queries consult a hematologist online --> |
10,188 | Q. Though my EKG showed sinus tachycardia, why did not my doctor worry about that? | Hi doctor, I am a 30 year old female. Yesterday, I had an EKG for chest pain. My doctor said that my heart is great although my EKG automated interpretation was abnormal. It read sinus tachycardia (BPM 111) and non-specific ST depression, non-diagnostic for this age. | Hello. I understand you are worried. Please do not worry. For further information consult a cardiologist online --> | Patient: Hi doctor, I am a 30 year old female. Yesterday, I had an EKG for chest pain. My doctor said that my heart is great although my EKG automated interpretation was abnormal. It read sinus tachycardia (BPM 111) and non-specific ST depression, non-diagnostic for this age. || Doctor: Hello. I understand you are worried. Please do not worry. For further information consult a cardiologist online --> | patient: hi doctor, i am a 30 year old female. yesterday, i had an ekg for chest pain. my doctor said that my heart is great although my ekg automated interpretation was abnormal. it read sinus tachycardia (bpm 111) and non-specific st depression, non-diagnostic for this age. || doctor: hello. i understand you are worried. please do not worry. for further information consult a cardiologist online --> |
10,189 | Q. Please suggest a treatment for the swelling in my lower eyelid. | Hi doctor, I got a swelling in the left lower eyelid as can be seen in the picture before four days. It is painful and the eye turned red. Since yesterday, I have been using Ciprofloxacin eye drops, but there is no relief. I got similar problem in my right lower eyelid a year back. Since, two months I am staying in hot climate. Also, I have mild dandruff. What is the diagnosis and treatment? | Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert back after a week to an eye care ophthalmologist online --> | Patient: Hi doctor, I got a swelling in the left lower eyelid as can be seen in the picture before four days. It is painful and the eye turned red. Since yesterday, I have been using Ciprofloxacin eye drops, but there is no relief. I got similar problem in my right lower eyelid a year back. Since, two months I am staying in hot climate. Also, I have mild dandruff. What is the diagnosis and treatment? || Doctor: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert back after a week to an eye care ophthalmologist online --> | patient: hi doctor, i got a swelling in the left lower eyelid as can be seen in the picture before four days. it is painful and the eye turned red. since yesterday, i have been using ciprofloxacin eye drops, but there is no relief. i got similar problem in my right lower eyelid a year back. since, two months i am staying in hot climate. also, i have mild dandruff. what is the diagnosis and treatment? || doctor: hi. i have gone through the pictures of your eyes (attachment removed to protect patient identity). revert back after a week to an eye care ophthalmologist online --> |
10,190 | Q. Due to betrayal from a bad relationship, I am completely stressed out. Please suggest solution. | Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately. My issue is I feel like crying very often. I feel being hated by my friends and acquaintances. I fell into a toxic relationship one and a half years back. He betrayed me but I cannot let him go as I am so addicted. And now I do not have any close acquaintances to turn up on. I was under psychiatric treatment for the past one year. I was put on Fluvoxin 100 and Dicorate which I stopped due to weight gain. Now I do not want to be under medication. Some therapies or strategies would be better for me it seems. Please help. | Hello. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. I will give you one example. In fever, Crocin /Paracetamol helps is given. To this, you can add cold water sponging which helps, but you cannot replace Crocin with sponging. This is the exact same thing. There are medicines which also help you not gain weight, or are weight neutral. You can ask your doctor for the same. One example of such a dose plan would be Fluoxetine 20 mg and Lithium 300 mg and Aripiprazole 2 mg. Also if u wish, you can consult a psychologist for some sessions of CBT (cognitive behavioral therapy) and undergo six to eight sessions online or locally. | Patient: Hello doctor, I am a 42 year old female. I have a 12-year-old son. My husband is 44 years old and is a heart patient who has undergone a CABG 10 years back. My husband is such a nice support and love to me. My son is very smart and vibrant I try my best to be happy with them. But I fail desperately. My issue is I feel like crying very often. I feel being hated by my friends and acquaintances. I fell into a toxic relationship one and a half years back. He betrayed me but I cannot let him go as I am so addicted. And now I do not have any close acquaintances to turn up on. I was under psychiatric treatment for the past one year. I was put on Fluvoxin 100 and Dicorate which I stopped due to weight gain. Now I do not want to be under medication. Some therapies or strategies would be better for me it seems. Please help. || Doctor: Hello. You have clear depressive symptoms. It happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. Medicines help to replace chemical deficiency and correct the imbalance. Counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. I will give you one example. In fever, Crocin /Paracetamol helps is given. To this, you can add cold water sponging which helps, but you cannot replace Crocin with sponging. This is the exact same thing. There are medicines which also help you not gain weight, or are weight neutral. You can ask your doctor for the same. One example of such a dose plan would be Fluoxetine 20 mg and Lithium 300 mg and Aripiprazole 2 mg. Also if u wish, you can consult a psychologist for some sessions of CBT (cognitive behavioral therapy) and undergo six to eight sessions online or locally. | patient: hello doctor, i am a 42 year old female. i have a 12-year-old son. my husband is 44 years old and is a heart patient who has undergone a cabg 10 years back. my husband is such a nice support and love to me. my son is very smart and vibrant i try my best to be happy with them. but i fail desperately. my issue is i feel like crying very often. i feel being hated by my friends and acquaintances. i fell into a toxic relationship one and a half years back. he betrayed me but i cannot let him go as i am so addicted. and now i do not have any close acquaintances to turn up on. i was under psychiatric treatment for the past one year. i was put on fluvoxin 100 and dicorate which i stopped due to weight gain. now i do not want to be under medication. some therapies or strategies would be better for me it seems. please help. || doctor: hello. you have clear depressive symptoms. it happens due to reduced levels of certain neurotransmitters such as serotonin which reduce the stress handling capacity of the brain. medicines help to replace chemical deficiency and correct the imbalance. counseling will on augment or add to the effectiveness of the medicines but it cannot replace it. i will give you one example. in fever, crocin /paracetamol helps is given. to this, you can add cold water sponging which helps, but you cannot replace crocin with sponging. this is the exact same thing. there are medicines which also help you not gain weight, or are weight neutral. you can ask your doctor for the same. one example of such a dose plan would be fluoxetine 20 mg and lithium 300 mg and aripiprazole 2 mg. also if u wish, you can consult a psychologist for some sessions of cbt (cognitive behavioral therapy) and undergo six to eight sessions online or locally. |
10,191 | Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. || Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am trying to conceive but my husband and i did cocaine a week ago. how long should my husband and i wait to safely continue to try to get pregnant? how long until it is out of our system? how long does cocaine stay in sperm? thanks in advance. || doctor: hello, wellcome to iclinq.com. there are few researches/studies on cocaine use by males and its effect on pregnancy. few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). so, most of the people take not just cocaine but a combination of drugs. cocaine narrows blood vessels (vasoconstriction). it can lead to erectile dysfunction. few studies suggest that it has receptors on testicles and sperm. so, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. its half-life is an hour. so, it takes about an hour for half of the cocaine consumed to leave the body. but, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. after a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. it can be detected in the saliva and blood for an average 12-48 hours. in hairs and sweat for an extended period of time, it can be detected. so, after all the above description, i do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? secondly, how long he has been taking it? for you, have you been on alcohol, cocaine or smoking? if you had taken in the past, better to quit completely. my advice is, try to avoid drugs like cocaine, alcohol, ketamine, and mdma completely for a couple of months before trying for pregnancy. because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. best of luck. for more information consult an obstetrician and gynaecologist online --> |
10,192 | Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? || Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my fiancee and i had unprotected sex a few days back, but i did not ejaculate inside her. just to be on the safer side, we wanted to use the emergency contraceptive pill. but due to some restriction in the country where we live, plan b or emergency contraceptive pills are not available. i read that yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. can yasmin be used as an emergency contraceptive pill? and at what dosage? || doctor: hi. how are you doing? yes, as you have heard, yasmin can be used as an emergency pill. even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. as soon as possible, earlier the better, i suggest taking four tablets of yasmin (combination of ethinyl estradiol and drospirenone) at the time, repeat four more tablets after 12 hours. this being a high dose of hormones, it will suddenly increase the inner lining of the uterus. then as it is a single dose, the inner lining will fall off. this makes it unfavorable for the possible embryo or baby to settle into the uterus. she will get her periods within 7 to 10 days of the last pill. but do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. this is an old method, but it is an effective emergency method. just do not delay the pills. as time passes by, the effectiveness reduces. hope i have clarified your query, do write back. all the best. for further queries consult an obstetrician and gynaecologist online --> |
10,193 | Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. || Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> | patient: hello doctor, my friend aged 30 had two drops of phenol mistaking for milk. he vomited and had lot of salt water. please advice for any side effect. || doctor: hi. i want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. 1. no, there is not much problem right now as he vomited and also had a lot of water. it is fine because it was only two drops. 2. we usually do not go for emesis (vomiting) for phenol poisoning cases. because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. as it was only two drops, i do not think it may cause much trouble. if he feels short of breath contact me back, otherwise fine. 1. he should avoid re-exposure. 2. rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. for further follow up consult a general practitioner online.---> |
10,194 | Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? || Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | patient: hello doctor,as i have pcod problem and also cyst, i take tablets for period. my friend suggested kalachikai powder. i used it for 30 days continuously, but no use. how many days should i take that powder and how to overcome this problem? || doctor: hello. for pcod (polycystic ovarian disease), powder kalachikai has a good effect, but the duration of treatment is long (more than three months). for proper evaluation of disease, please go for usg whole abdomen and other investigations. if the size and number of cysts are more, then i suggest consulting a gynecologist as you may require surgery. if the number and size of cysts are less, you may continue treatment along with syrup evecare 10 ml bd and kanchnar guggulu two bd. for more information consult an ayurveda specialist online --> |
10,195 | Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? || Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had sex for the first time. after that, i did not get my periods yet. i went to a gynecologist. she had taken my blood sample and it was negative. but, still i have not gotten my periods and it has been a week ahead. what could be the reason for my late periods? || doctor: hello. as the serum beta hcg levels are less than 3 miu/ml, the pregnancy is definitely ruled out. the delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. the menses can get delayed even up to two weeks, so just wait for another week and they should arrive. if not, then you can safely opt for a progesterone withdrawal to resume menses. for further information consult an obstetrician and gynaecologist online --> |
10,196 | Q. What are the side effects of taking Adderall for a long time? | Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, which has given a very good result, it seems stable for now. He also takes an antidepressant for depression from the past eight years. He also had a bicuspid aortic valve at birth, but it was only diagnosed in adulthood, and it has caused no symptoms so far. I am just wondering what are the risks of him developing any serious illness in the next ten years. I am particularly concerned about his IH. Is IH a serious disorder beyond social and professional consequences? Since it is a neurological disorder, is he at a higher risk for neurodegenerative diseases in the future like PD, REM behavior disorder, Alzheimer's, dementia, MS, ALS, MSA, neuropathy, sleep apnea, or other serious neurological and sleep disorders? I have heard that depression and sleep disorders (like RBD) are risk factors for these neurological disorders. I have heard that taking Adderall long term is also a risk factor for PD in a new study. How might his multiple medications interact with each other or contribute to these risk factors? Does having idiopathic hypersomnia predispose him to develop REM behavior disorder in the future? What are the early signs of REM behavior disorders? Research shows that RBD is a reliable precursor to predict PD in the next 5 to 12 years, what are your opinions on his susceptibility to RBD (and by implication, PD) due to idiopathic hypersomnia? Are they in any way related? He does not have symptoms of REM behavior disorder as far as I am aware of, though he sometimes does have some periodic minor twitching or jerking while asleep, is it a side effect of antidepressant? Could it be PLMD? Does PLMD tend to lead to RBD? How big of a deal is depression? He shows no symptoms at all with his medications. I have general anxiety disorder and take Xanax once in a while, and I know that medications are not magic. I am just wondering if he is silently feeling sad all the time, even if the medicines make it more manageable to go through daily lives. He has been on it for eight years, and he said if he stops taking them for a couple of days, he starts to "feel it" again. Will he ever be cured completely? Will his BAV more likely to develop into other cardiovascular diseases like hypertension, high cholesterol, sudden death, enlarged heart, stenosis, leakage, calcification, etc.? At what point will he require surgery and how will that affect his hypersomnia and Adderall intake? Is it possible that he might never be able to take Adderall again at some point? What is the prognosis of his situation in your opinion? Can he exercise hard? I am also wondering about the inheritability of idiopathic hypersomnia, depression, and BAV. Lastly, I am just wondering if these conditions should be a major cause for concerns for me as a partner with whom he has a potential future and family with. What should I expect in regards to potential behavioral change, psychosis, and sexual dysfunction? And how should I support? | Hi. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully conscious, usually triggered by strong emotion like laughter or anger) and, perhaps most unfortunately (for me and fellow IHers), the lack of refreshment post-napping in idiopathic hypersomnia. Excessive daytime sleepiness (EDS) is the severe difficulty sustaining full alertness even during active and stimulating situations and the high probability of falling asleep inadvertently during sedentary activities. The social and professional consequences are as follows: Stimulants like Adderall (combination of Amphetamine and Dextroamphetamine) raises the body temperature, heart rate, and blood pressure, and repeated use or abuse, particularly in high doses, can create a range of medical issues from a stroke to a seizure to a heart attack. Adderall can cause damage to the heart and cardiovascular system when used for a prolonged period of time, especially when used in excess. The most common ADHD (attention deficit hyperactivity disorder) medication cardiovascular problems reported are hypertension (high blood pressure) and tachycardia (irregular heart rate). Sudden cardiac death may also be a potential side effect of Adderall. Other side effects of abusing Adderall long-term include: Using Adderall heavily for a long period of time increases all the risk factors and potential long-term side effects, which may get progressively worse. For more information consult an internal medicine physician online --> | Patient: Hi doctor, I have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. He was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. He is now taking Adderall 60 mg a day total, spread over six times, and is using Flumazenil cream, which has given a very good result, it seems stable for now. He also takes an antidepressant for depression from the past eight years. He also had a bicuspid aortic valve at birth, but it was only diagnosed in adulthood, and it has caused no symptoms so far. I am just wondering what are the risks of him developing any serious illness in the next ten years. I am particularly concerned about his IH. Is IH a serious disorder beyond social and professional consequences? Since it is a neurological disorder, is he at a higher risk for neurodegenerative diseases in the future like PD, REM behavior disorder, Alzheimer's, dementia, MS, ALS, MSA, neuropathy, sleep apnea, or other serious neurological and sleep disorders? I have heard that depression and sleep disorders (like RBD) are risk factors for these neurological disorders. I have heard that taking Adderall long term is also a risk factor for PD in a new study. How might his multiple medications interact with each other or contribute to these risk factors? Does having idiopathic hypersomnia predispose him to develop REM behavior disorder in the future? What are the early signs of REM behavior disorders? Research shows that RBD is a reliable precursor to predict PD in the next 5 to 12 years, what are your opinions on his susceptibility to RBD (and by implication, PD) due to idiopathic hypersomnia? Are they in any way related? He does not have symptoms of REM behavior disorder as far as I am aware of, though he sometimes does have some periodic minor twitching or jerking while asleep, is it a side effect of antidepressant? Could it be PLMD? Does PLMD tend to lead to RBD? How big of a deal is depression? He shows no symptoms at all with his medications. I have general anxiety disorder and take Xanax once in a while, and I know that medications are not magic. I am just wondering if he is silently feeling sad all the time, even if the medicines make it more manageable to go through daily lives. He has been on it for eight years, and he said if he stops taking them for a couple of days, he starts to "feel it" again. Will he ever be cured completely? Will his BAV more likely to develop into other cardiovascular diseases like hypertension, high cholesterol, sudden death, enlarged heart, stenosis, leakage, calcification, etc.? At what point will he require surgery and how will that affect his hypersomnia and Adderall intake? Is it possible that he might never be able to take Adderall again at some point? What is the prognosis of his situation in your opinion? Can he exercise hard? I am also wondering about the inheritability of idiopathic hypersomnia, depression, and BAV. Lastly, I am just wondering if these conditions should be a major cause for concerns for me as a partner with whom he has a potential future and family with. What should I expect in regards to potential behavioral change, psychosis, and sexual dysfunction? And how should I support? || Doctor: Hi. Idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. The biggest distinguishing characteristics include differences in REM (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully conscious, usually triggered by strong emotion like laughter or anger) and, perhaps most unfortunately (for me and fellow IHers), the lack of refreshment post-napping in idiopathic hypersomnia. Excessive daytime sleepiness (EDS) is the severe difficulty sustaining full alertness even during active and stimulating situations and the high probability of falling asleep inadvertently during sedentary activities. The social and professional consequences are as follows: Stimulants like Adderall (combination of Amphetamine and Dextroamphetamine) raises the body temperature, heart rate, and blood pressure, and repeated use or abuse, particularly in high doses, can create a range of medical issues from a stroke to a seizure to a heart attack. Adderall can cause damage to the heart and cardiovascular system when used for a prolonged period of time, especially when used in excess. The most common ADHD (attention deficit hyperactivity disorder) medication cardiovascular problems reported are hypertension (high blood pressure) and tachycardia (irregular heart rate). Sudden cardiac death may also be a potential side effect of Adderall. Other side effects of abusing Adderall long-term include: Using Adderall heavily for a long period of time increases all the risk factors and potential long-term side effects, which may get progressively worse. For more information consult an internal medicine physician online --> | patient: hi doctor, i have a 29 year old boyfriend, who weighs 190 lbs and 6 feet tall, he is a former athlete in college. he was diagnosed with idiopathic hypersomnia through the spinal tab, five years ago. he is now taking adderall 60 mg a day total, spread over six times, and is using flumazenil cream, which has given a very good result, it seems stable for now. he also takes an antidepressant for depression from the past eight years. he also had a bicuspid aortic valve at birth, but it was only diagnosed in adulthood, and it has caused no symptoms so far. i am just wondering what are the risks of him developing any serious illness in the next ten years. i am particularly concerned about his ih. is ih a serious disorder beyond social and professional consequences? since it is a neurological disorder, is he at a higher risk for neurodegenerative diseases in the future like pd, rem behavior disorder, alzheimer's, dementia, ms, als, msa, neuropathy, sleep apnea, or other serious neurological and sleep disorders? i have heard that depression and sleep disorders (like rbd) are risk factors for these neurological disorders. i have heard that taking adderall long term is also a risk factor for pd in a new study. how might his multiple medications interact with each other or contribute to these risk factors? does having idiopathic hypersomnia predispose him to develop rem behavior disorder in the future? what are the early signs of rem behavior disorders? research shows that rbd is a reliable precursor to predict pd in the next 5 to 12 years, what are your opinions on his susceptibility to rbd (and by implication, pd) due to idiopathic hypersomnia? are they in any way related? he does not have symptoms of rem behavior disorder as far as i am aware of, though he sometimes does have some periodic minor twitching or jerking while asleep, is it a side effect of antidepressant? could it be plmd? does plmd tend to lead to rbd? how big of a deal is depression? he shows no symptoms at all with his medications. i have general anxiety disorder and take xanax once in a while, and i know that medications are not magic. i am just wondering if he is silently feeling sad all the time, even if the medicines make it more manageable to go through daily lives. he has been on it for eight years, and he said if he stops taking them for a couple of days, he starts to "feel it" again. will he ever be cured completely? will his bav more likely to develop into other cardiovascular diseases like hypertension, high cholesterol, sudden death, enlarged heart, stenosis, leakage, calcification, etc.? at what point will he require surgery and how will that affect his hypersomnia and adderall intake? is it possible that he might never be able to take adderall again at some point? what is the prognosis of his situation in your opinion? can he exercise hard? i am also wondering about the inheritability of idiopathic hypersomnia, depression, and bav. lastly, i am just wondering if these conditions should be a major cause for concerns for me as a partner with whom he has a potential future and family with. what should i expect in regards to potential behavioral change, psychosis, and sexual dysfunction? and how should i support? || doctor: hi. idiopathic hypersomnia is a sleep disorder even less common than narcolepsy, a rare sleep disease. the biggest distinguishing characteristics include differences in rem (rapid eye movement) sleep, the absence of cataplexy (a sudden weakness in the muscles while fully conscious, usually triggered by strong emotion like laughter or anger) and, perhaps most unfortunately (for me and fellow ihers), the lack of refreshment post-napping in idiopathic hypersomnia. excessive daytime sleepiness (eds) is the severe difficulty sustaining full alertness even during active and stimulating situations and the high probability of falling asleep inadvertently during sedentary activities. the social and professional consequences are as follows: stimulants like adderall (combination of amphetamine and dextroamphetamine) raises the body temperature, heart rate, and blood pressure, and repeated use or abuse, particularly in high doses, can create a range of medical issues from a stroke to a seizure to a heart attack. adderall can cause damage to the heart and cardiovascular system when used for a prolonged period of time, especially when used in excess. the most common adhd (attention deficit hyperactivity disorder) medication cardiovascular problems reported are hypertension (high blood pressure) and tachycardia (irregular heart rate). sudden cardiac death may also be a potential side effect of adderall. other side effects of abusing adderall long-term include: using adderall heavily for a long period of time increases all the risk factors and potential long-term side effects, which may get progressively worse. for more information consult an internal medicine physician online --> |
10,197 | Q. What does my HSV report suggest? | Hi doctor,My HSV 1+2 IgM serum 0.5 and IgG serum 20.8 through CLIA. I am going to get married soon. I do not want my partner to get infected. Please guide. | Hi. For further information consult a venereologist online --> | Patient: Hi doctor,My HSV 1+2 IgM serum 0.5 and IgG serum 20.8 through CLIA. I am going to get married soon. I do not want my partner to get infected. Please guide. || Doctor: Hi. For further information consult a venereologist online --> | patient: hi doctor,my hsv 1+2 igm serum 0.5 and igg serum 20.8 through clia. i am going to get married soon. i do not want my partner to get infected. please guide. || doctor: hi. for further information consult a venereologist online --> |
10,198 | Q. Why am I so lean even after eating healthy foods? | Hi doctor, I am a 22 year old male weighing 45 kg and my height is 5'5". My concern is why I am so lean despite of eating healthy foods. Please help. Thank you. | Hello. Thanks for using this platform. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I am a 22 year old male weighing 45 kg and my height is 5'5". My concern is why I am so lean despite of eating healthy foods. Please help. Thank you. || Doctor: Hello. Thanks for using this platform. For further information consult an internal medicine physician online --> | patient: hi doctor, i am a 22 year old male weighing 45 kg and my height is 5'5". my concern is why i am so lean despite of eating healthy foods. please help. thank you. || doctor: hello. thanks for using this platform. for further information consult an internal medicine physician online --> |
10,199 | Q. Is surgery necessary for a mild benign prostatic hyperplasia? | Hello doctor, I am a 58 year old male. Except for low blood pressure, I am in generally perfect health with mild benign prostatic hyperplasia (BPH) that has not been getting noticeably worse lately but, has been present for years. While my stream is certainly not like when I was younger, I have no difficulty in voiding other than it takes more time and I do not have to urinate frequently (considering the amount of liquid intake). The stream is enhanced to relatively normal with low-dose saw palmetto and 5 mg Tadalafil. I do drink plenty of water. On following a dietary shift away from red and white meat (still consuming fish and eggs) with plenty of fruits and vegetables, I began producing sand in my urine which prompted me to see a urologist. The urologist insists this condition is caused by excessive urinary retention due to BPH. On my volition, I had the sand analyzed to determine it was 100 % carbonate apatite, which I know from basic chemistry, precipitates in alkaline pH. With a pH meter, I learned my urine was often 8+ which I have corrected with dietary changes (based on PRAL score) and L-methionine if needed and monitor throughout the day to keep it mildly acidic. This has alleviated the stone formation. A digital exam at the routine physicals with multiple doctors has elicited no concerns, stating either no or mild enlargement felt. However, CT scan reportedly reveals lateral enlargement. Multiple ultrasounds show that my bladder retention currently is not excessive (9 to 30 cc) but, a recent UroCuff test indicates a bladder pressure of 260" H20 (with the meds mentioned above) with no accompanying abdominal muscle activity (no pushing). My flow is quite good with what I am presently taking, something I would characterize as pretty normal for a healthy adult male. It is just that apparently to achieve that flow my bladder is quite muscular. I do not feel like I am straining at all when voiding, just relaxed. The urologist insists that a prostate surgery (microwave) is needed to correct the BPH and alleviate the higher than normal bladder pressure and he thinks I will still have future stone formation if it is not corrected. He says that an elevated bladder pressure is damaging on the bladder. He states he is supported by cystoscopy that reveals pronounced striations on the interior wall, which for all I know are rugae. He characterized it as visually the bladder of an 80 year old. I do not wish to subject myself to unnecessary surgery with all its associated risks and side effects. What is the risk, (if any) associated with elevated bladder pressure? Is surgery really warranted considering the present lack of significant impact on my lifestyle? My main concern is, in the case of no perceived functional problems, is the elevated bladder pressure actually harmful to the bladder or kidneys? Or is it just like any other muscle that simply develops in response to use and is harmless compensation. | Hello. I have gone through your history. For more information consult a urologist online --> | Patient: Hello doctor, I am a 58 year old male. Except for low blood pressure, I am in generally perfect health with mild benign prostatic hyperplasia (BPH) that has not been getting noticeably worse lately but, has been present for years. While my stream is certainly not like when I was younger, I have no difficulty in voiding other than it takes more time and I do not have to urinate frequently (considering the amount of liquid intake). The stream is enhanced to relatively normal with low-dose saw palmetto and 5 mg Tadalafil. I do drink plenty of water. On following a dietary shift away from red and white meat (still consuming fish and eggs) with plenty of fruits and vegetables, I began producing sand in my urine which prompted me to see a urologist. The urologist insists this condition is caused by excessive urinary retention due to BPH. On my volition, I had the sand analyzed to determine it was 100 % carbonate apatite, which I know from basic chemistry, precipitates in alkaline pH. With a pH meter, I learned my urine was often 8+ which I have corrected with dietary changes (based on PRAL score) and L-methionine if needed and monitor throughout the day to keep it mildly acidic. This has alleviated the stone formation. A digital exam at the routine physicals with multiple doctors has elicited no concerns, stating either no or mild enlargement felt. However, CT scan reportedly reveals lateral enlargement. Multiple ultrasounds show that my bladder retention currently is not excessive (9 to 30 cc) but, a recent UroCuff test indicates a bladder pressure of 260" H20 (with the meds mentioned above) with no accompanying abdominal muscle activity (no pushing). My flow is quite good with what I am presently taking, something I would characterize as pretty normal for a healthy adult male. It is just that apparently to achieve that flow my bladder is quite muscular. I do not feel like I am straining at all when voiding, just relaxed. The urologist insists that a prostate surgery (microwave) is needed to correct the BPH and alleviate the higher than normal bladder pressure and he thinks I will still have future stone formation if it is not corrected. He says that an elevated bladder pressure is damaging on the bladder. He states he is supported by cystoscopy that reveals pronounced striations on the interior wall, which for all I know are rugae. He characterized it as visually the bladder of an 80 year old. I do not wish to subject myself to unnecessary surgery with all its associated risks and side effects. What is the risk, (if any) associated with elevated bladder pressure? Is surgery really warranted considering the present lack of significant impact on my lifestyle? My main concern is, in the case of no perceived functional problems, is the elevated bladder pressure actually harmful to the bladder or kidneys? Or is it just like any other muscle that simply develops in response to use and is harmless compensation. || Doctor: Hello. I have gone through your history. For more information consult a urologist online --> | patient: hello doctor, i am a 58 year old male. except for low blood pressure, i am in generally perfect health with mild benign prostatic hyperplasia (bph) that has not been getting noticeably worse lately but, has been present for years. while my stream is certainly not like when i was younger, i have no difficulty in voiding other than it takes more time and i do not have to urinate frequently (considering the amount of liquid intake). the stream is enhanced to relatively normal with low-dose saw palmetto and 5 mg tadalafil. i do drink plenty of water. on following a dietary shift away from red and white meat (still consuming fish and eggs) with plenty of fruits and vegetables, i began producing sand in my urine which prompted me to see a urologist. the urologist insists this condition is caused by excessive urinary retention due to bph. on my volition, i had the sand analyzed to determine it was 100 % carbonate apatite, which i know from basic chemistry, precipitates in alkaline ph. with a ph meter, i learned my urine was often 8+ which i have corrected with dietary changes (based on pral score) and l-methionine if needed and monitor throughout the day to keep it mildly acidic. this has alleviated the stone formation. a digital exam at the routine physicals with multiple doctors has elicited no concerns, stating either no or mild enlargement felt. however, ct scan reportedly reveals lateral enlargement. multiple ultrasounds show that my bladder retention currently is not excessive (9 to 30 cc) but, a recent urocuff test indicates a bladder pressure of 260" h20 (with the meds mentioned above) with no accompanying abdominal muscle activity (no pushing). my flow is quite good with what i am presently taking, something i would characterize as pretty normal for a healthy adult male. it is just that apparently to achieve that flow my bladder is quite muscular. i do not feel like i am straining at all when voiding, just relaxed. the urologist insists that a prostate surgery (microwave) is needed to correct the bph and alleviate the higher than normal bladder pressure and he thinks i will still have future stone formation if it is not corrected. he says that an elevated bladder pressure is damaging on the bladder. he states he is supported by cystoscopy that reveals pronounced striations on the interior wall, which for all i know are rugae. he characterized it as visually the bladder of an 80 year old. i do not wish to subject myself to unnecessary surgery with all its associated risks and side effects. what is the risk, (if any) associated with elevated bladder pressure? is surgery really warranted considering the present lack of significant impact on my lifestyle? my main concern is, in the case of no perceived functional problems, is the elevated bladder pressure actually harmful to the bladder or kidneys? or is it just like any other muscle that simply develops in response to use and is harmless compensation. || doctor: hello. i have gone through your history. for more information consult a urologist online --> |
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