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10,200 | Q. How to prevent bleeding on brushing? | Hi doctor, I noticed light bleeding while brushing. I feel minor discomfort in the gums at the centre, top and back of the teeth. I do not have much pain. Can I apply anything externally on the gums to prevent bleeding? Please advice. | Hi. For further information consult a dentist online --> | Patient: Hi doctor, I noticed light bleeding while brushing. I feel minor discomfort in the gums at the centre, top and back of the teeth. I do not have much pain. Can I apply anything externally on the gums to prevent bleeding? Please advice. || Doctor: Hi. For further information consult a dentist online --> | patient: hi doctor, i noticed light bleeding while brushing. i feel minor discomfort in the gums at the centre, top and back of the teeth. i do not have much pain. can i apply anything externally on the gums to prevent bleeding? please advice. || doctor: hi. for further information consult a dentist online --> |
10,201 | Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? || Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | patient: hi doctor,i am just wondering what is abutting and abutment of the nerve root means in a back issue. please explain. what treatment is required for annular bulging and tear? || doctor: hi. i have gone through your query with diligence and would like you to know that i am here to help you. for further information consult a neurologist online --> |
10,202 | Q. My kid was vomiting frequently and now has loose stools. What can be the issue? | Hello doctor, My dear daughter just completed 1 year yesterday and still on breastfeed (twice, a full day) along with normal food. She is lactose intolerant and was hypocalcemic (less calcium) by birth. Her doctor gave her OstoCalcium and retested after six months and she turned to be absolutely fine with calcium levels and other reports. The doctor advised going off the medicine. Now the complaint is; from last Friday, she was vomiting frequently three times. She was on breastfeed and her mother was having super acidity. On Saturday, we did not make her consume breastmilk and she was fine. On Sunday, we went for a wedding and while to and fro in the car she was vomiting. After that, there was no vomiting. She is very active but very restless (like throwing anything in hand, continuously trying to chew something specifically her own finger and looking to drink water more than normal, suddenly crying and then stops and starts behaving normally). Today, she did watery potty twice and we have her Peditrol ORS. What can be the issue? Please suggest, we are perplexed as the symptoms keep on changing each time. Is she teething? | Hello. Do not worry so much. What you are describing seems to be gastroenteritis. Continue the same medications which are going on. Watch for lethargy and dehydration. The matter should settle in two to three days. I suggest giving Enterogermina respule (probiotic vials), one respule twice a day for three to five days for faster action. Consult your child's specialist doctor, discuss with him or her and start taking the medicines with their consent. For further queries consult a child health specialist online --> | Patient: Hello doctor, My dear daughter just completed 1 year yesterday and still on breastfeed (twice, a full day) along with normal food. She is lactose intolerant and was hypocalcemic (less calcium) by birth. Her doctor gave her OstoCalcium and retested after six months and she turned to be absolutely fine with calcium levels and other reports. The doctor advised going off the medicine. Now the complaint is; from last Friday, she was vomiting frequently three times. She was on breastfeed and her mother was having super acidity. On Saturday, we did not make her consume breastmilk and she was fine. On Sunday, we went for a wedding and while to and fro in the car she was vomiting. After that, there was no vomiting. She is very active but very restless (like throwing anything in hand, continuously trying to chew something specifically her own finger and looking to drink water more than normal, suddenly crying and then stops and starts behaving normally). Today, she did watery potty twice and we have her Peditrol ORS. What can be the issue? Please suggest, we are perplexed as the symptoms keep on changing each time. Is she teething? || Doctor: Hello. Do not worry so much. What you are describing seems to be gastroenteritis. Continue the same medications which are going on. Watch for lethargy and dehydration. The matter should settle in two to three days. I suggest giving Enterogermina respule (probiotic vials), one respule twice a day for three to five days for faster action. Consult your child's specialist doctor, discuss with him or her and start taking the medicines with their consent. For further queries consult a child health specialist online --> | patient: hello doctor, my dear daughter just completed 1 year yesterday and still on breastfeed (twice, a full day) along with normal food. she is lactose intolerant and was hypocalcemic (less calcium) by birth. her doctor gave her ostocalcium and retested after six months and she turned to be absolutely fine with calcium levels and other reports. the doctor advised going off the medicine. now the complaint is; from last friday, she was vomiting frequently three times. she was on breastfeed and her mother was having super acidity. on saturday, we did not make her consume breastmilk and she was fine. on sunday, we went for a wedding and while to and fro in the car she was vomiting. after that, there was no vomiting. she is very active but very restless (like throwing anything in hand, continuously trying to chew something specifically her own finger and looking to drink water more than normal, suddenly crying and then stops and starts behaving normally). today, she did watery potty twice and we have her peditrol ors. what can be the issue? please suggest, we are perplexed as the symptoms keep on changing each time. is she teething? || doctor: hello. do not worry so much. what you are describing seems to be gastroenteritis. continue the same medications which are going on. watch for lethargy and dehydration. the matter should settle in two to three days. i suggest giving enterogermina respule (probiotic vials), one respule twice a day for three to five days for faster action. consult your child's specialist doctor, discuss with him or her and start taking the medicines with their consent. for further queries consult a child health specialist online --> |
10,203 | Q. Is it fine to start treatment for TB before the test report comes positive? | Hi doctor, My father aged 62 had undergone the kidney stone removal on both the kidneys. But, after one week of removal he suffered frequent urination with heavy pain. We have tested urine culture report and result is negative. Again we took an UV scan and come to know that the bladder size is reduced in size. He has frequent urination for 30 minutes once but only little that too very pain while releasing. I would like to know the reason for reduction in bladder size. Doctor suspect that this could be due to TB and he said we continue the treatment with TB medicines. We gave AFB urine stain and culture for confirmation, but we will receive the result only after 6 weeks. Since my dad suffered with severe pain he told us to start TB tablets. I have attached the tablets he gave. Please provide your suggestion. We are so confused regarding the treatment. Shall I start giving those medicines? If AFB result comes negative what are all the side effects? Please clear my doubts. | Hi. I went through the reports and prescription (attachment removed to protect patient identity). Urinary tract infection. 1. Urine PCR for TB (tuberculosis). 2. Need MCU (micturating cysto-urethrogram) if bladder capacity continues to be low 1. Capsule Terol (Tolterodine) 4 mg at night. 2. Tablet Urispas (Flavoxate hydrochloride) 200 mg twice a day. Revert back with the investigation reports to a urologist online.---> | Patient: Hi doctor, My father aged 62 had undergone the kidney stone removal on both the kidneys. But, after one week of removal he suffered frequent urination with heavy pain. We have tested urine culture report and result is negative. Again we took an UV scan and come to know that the bladder size is reduced in size. He has frequent urination for 30 minutes once but only little that too very pain while releasing. I would like to know the reason for reduction in bladder size. Doctor suspect that this could be due to TB and he said we continue the treatment with TB medicines. We gave AFB urine stain and culture for confirmation, but we will receive the result only after 6 weeks. Since my dad suffered with severe pain he told us to start TB tablets. I have attached the tablets he gave. Please provide your suggestion. We are so confused regarding the treatment. Shall I start giving those medicines? If AFB result comes negative what are all the side effects? Please clear my doubts. || Doctor: Hi. I went through the reports and prescription (attachment removed to protect patient identity). Urinary tract infection. 1. Urine PCR for TB (tuberculosis). 2. Need MCU (micturating cysto-urethrogram) if bladder capacity continues to be low 1. Capsule Terol (Tolterodine) 4 mg at night. 2. Tablet Urispas (Flavoxate hydrochloride) 200 mg twice a day. Revert back with the investigation reports to a urologist online.---> | patient: hi doctor, my father aged 62 had undergone the kidney stone removal on both the kidneys. but, after one week of removal he suffered frequent urination with heavy pain. we have tested urine culture report and result is negative. again we took an uv scan and come to know that the bladder size is reduced in size. he has frequent urination for 30 minutes once but only little that too very pain while releasing. i would like to know the reason for reduction in bladder size. doctor suspect that this could be due to tb and he said we continue the treatment with tb medicines. we gave afb urine stain and culture for confirmation, but we will receive the result only after 6 weeks. since my dad suffered with severe pain he told us to start tb tablets. i have attached the tablets he gave. please provide your suggestion. we are so confused regarding the treatment. shall i start giving those medicines? if afb result comes negative what are all the side effects? please clear my doubts. || doctor: hi. i went through the reports and prescription (attachment removed to protect patient identity). urinary tract infection. 1. urine pcr for tb (tuberculosis). 2. need mcu (micturating cysto-urethrogram) if bladder capacity continues to be low 1. capsule terol (tolterodine) 4 mg at night. 2. tablet urispas (flavoxate hydrochloride) 200 mg twice a day. revert back with the investigation reports to a urologist online.---> |
10,204 | Q. I am taking Atenolol from six years. But, now I feel dizzy when I take it. Why? | Hello doctor, I have been on Atenolol for the past six years. I was prescribed this for a high heart rate. It worked well the first five years. But, from the last year, it has ruined my life. I have no energy. I get light headed and dizzy. I am on 100 mg a day. I am not sure what to do. | Hello. Hope this helps you. And get back if you have any doubts. For more information consult a cardiologist online --> | Patient: Hello doctor, I have been on Atenolol for the past six years. I was prescribed this for a high heart rate. It worked well the first five years. But, from the last year, it has ruined my life. I have no energy. I get light headed and dizzy. I am on 100 mg a day. I am not sure what to do. || Doctor: Hello. Hope this helps you. And get back if you have any doubts. For more information consult a cardiologist online --> | patient: hello doctor, i have been on atenolol for the past six years. i was prescribed this for a high heart rate. it worked well the first five years. but, from the last year, it has ruined my life. i have no energy. i get light headed and dizzy. i am on 100 mg a day. i am not sure what to do. || doctor: hello. hope this helps you. and get back if you have any doubts. for more information consult a cardiologist online --> |
10,205 | Q. Could my negative blood group cause any pregnancy complication? | Hello doctor, I am 3 months pregnant. My blood group is O negative. Will I face any complication during pregnancy due to my negative blood group? I consulted with my doctor, and she told me to take Fertigyn 5000 injection once a week for four weeks. Is it safe? Will it make me get a normal delivery or C-section? | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 3 months pregnant. My blood group is O negative. Will I face any complication during pregnancy due to my negative blood group? I consulted with my doctor, and she told me to take Fertigyn 5000 injection once a week for four weeks. Is it safe? Will it make me get a normal delivery or C-section? || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 3 months pregnant. my blood group is o negative. will i face any complication during pregnancy due to my negative blood group? i consulted with my doctor, and she told me to take fertigyn 5000 injection once a week for four weeks. is it safe? will it make me get a normal delivery or c-section? || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
10,206 | Q. How to cure Moraxella catarrhalis infection? | Hi doctor, My daughter is 2 years old. Eight months before, she had ear discharge. It was diagnosed as acute otitis media and she was treated with antibiotics such as Lindacin, etc. A week after the completion of antibiotics, again she had the same problem for about three months. Then, the ENT specialist decided to clean the mastoid. Since then, she has been getting fever once in every month. It has been six months now and the 6th time she is taking antibiotics. The blood results are always showing that there is a bacteria, but never detected the location. The fever goes up to 40 and 40.1 degree Celsius. In addition, Paracetamol does not lower the fever and Ibuprofen keeps her only three hours. So, I normally do the rotation with Voltaren. We recently got a strep test for mouth, ear and nose. The nose strep had a bacteria called Moraxella catarrhalis. Would this bacteria cause such a problem? Would the CRP be so high due to this? How is it possible that such bacteria was not cured taking so many antibiotics for such a long time? Can you please advise me what should I do further? I am really worried. | Hi. Co-trimoxazole and Tetracyclines are the drugs of choice in Moraxella catarrhalis as the rate of resistance to these agents is currently less. For further information consult a general medicine physician online.---> | Patient: Hi doctor, My daughter is 2 years old. Eight months before, she had ear discharge. It was diagnosed as acute otitis media and she was treated with antibiotics such as Lindacin, etc. A week after the completion of antibiotics, again she had the same problem for about three months. Then, the ENT specialist decided to clean the mastoid. Since then, she has been getting fever once in every month. It has been six months now and the 6th time she is taking antibiotics. The blood results are always showing that there is a bacteria, but never detected the location. The fever goes up to 40 and 40.1 degree Celsius. In addition, Paracetamol does not lower the fever and Ibuprofen keeps her only three hours. So, I normally do the rotation with Voltaren. We recently got a strep test for mouth, ear and nose. The nose strep had a bacteria called Moraxella catarrhalis. Would this bacteria cause such a problem? Would the CRP be so high due to this? How is it possible that such bacteria was not cured taking so many antibiotics for such a long time? Can you please advise me what should I do further? I am really worried. || Doctor: Hi. Co-trimoxazole and Tetracyclines are the drugs of choice in Moraxella catarrhalis as the rate of resistance to these agents is currently less. For further information consult a general medicine physician online.---> | patient: hi doctor, my daughter is 2 years old. eight months before, she had ear discharge. it was diagnosed as acute otitis media and she was treated with antibiotics such as lindacin, etc. a week after the completion of antibiotics, again she had the same problem for about three months. then, the ent specialist decided to clean the mastoid. since then, she has been getting fever once in every month. it has been six months now and the 6th time she is taking antibiotics. the blood results are always showing that there is a bacteria, but never detected the location. the fever goes up to 40 and 40.1 degree celsius. in addition, paracetamol does not lower the fever and ibuprofen keeps her only three hours. so, i normally do the rotation with voltaren. we recently got a strep test for mouth, ear and nose. the nose strep had a bacteria called moraxella catarrhalis. would this bacteria cause such a problem? would the crp be so high due to this? how is it possible that such bacteria was not cured taking so many antibiotics for such a long time? can you please advise me what should i do further? i am really worried. || doctor: hi. co-trimoxazole and tetracyclines are the drugs of choice in moraxella catarrhalis as the rate of resistance to these agents is currently less. for further information consult a general medicine physician online.---> |
10,207 | 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 --> |
10,208 | 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 --> |
10,209 | 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.---> |
10,210 | 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 --> |
10,211 | 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 --> |
10,212 | Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> | Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hello doctor, i am 48 years old. i am experiencing weak erection and difficulty in sustaining the same. this condition was observed 10 years back. also, there is premature ejaculation. other physical ailments that i have are, i am suffering from hypertension and taking amlopres-l (amlodipine and lisinopril) for the last 10 years, high cholesterol and triglycerides. my cholesterol level is 225 and triglyceride is 200 for the last 12 years. i used to do frequent masturbation in early age. i do have erection during morning hours many times, particularly after sound sleep or if i had long walk previous day. i am having sildenafil 25 mg or 5 mg cialis, which is effective enough. but, i wish to get rid of tablet support and live natural way. i consulted urologist today and he prescribed me nano-leo capsules and modula 5 mg for 10 days. i wish to have your second opinion on this. please guide. || doctor: hi. for further doubts consult a sexologist online --> |
10,213 | Q. Will DHEA and Ubiquinol still work while on birth control pills? | Hello doctor, I am 39. RE has me on 600 mg Ubiquinol and 75 mg of DHEA daily due to poor egg quality. However, I am also on birth control pills due to bad endometriosis. Will the DHEA and Ubiquinol still work while on the pill? I have had two failed IVF cycles. | Hello. How are you doing? Birth control pills are a combination of estrogen and progesterone hormones. They just prevent the ovulation and have no effects on the actions of the DHEA and Ubiquinol. You can have them both at the same time. If I may advise, you already have a lot of risk factors. Your age is at the upper limit for the healthy reproductive age, two failed IVFs and endometriosis. These medicines have a limitation. They cannot regenerate new eggs from the ovaries. They are supposed to awaken the sleeping or hidden eggs. But at this age, the quality of eggs will be compromised. Also, the endometriosis would have damaged few eggs. The ideal and best option to get pregnant would be to go for donor IVF. You can have donor eggs with your partner's sperms, embryos, and your name. I suggest you suppress the endometriosis completely with injection Leuprolide, then transfer the embryos when the endometrium is thick enough. This way neither the poor egg quality nor the endometriosis will affect the pregnancy outcome. You will definitely have a healthy pregnancy. Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an infertility specialist online --> | Patient: Hello doctor, I am 39. RE has me on 600 mg Ubiquinol and 75 mg of DHEA daily due to poor egg quality. However, I am also on birth control pills due to bad endometriosis. Will the DHEA and Ubiquinol still work while on the pill? I have had two failed IVF cycles. || Doctor: Hello. How are you doing? Birth control pills are a combination of estrogen and progesterone hormones. They just prevent the ovulation and have no effects on the actions of the DHEA and Ubiquinol. You can have them both at the same time. If I may advise, you already have a lot of risk factors. Your age is at the upper limit for the healthy reproductive age, two failed IVFs and endometriosis. These medicines have a limitation. They cannot regenerate new eggs from the ovaries. They are supposed to awaken the sleeping or hidden eggs. But at this age, the quality of eggs will be compromised. Also, the endometriosis would have damaged few eggs. The ideal and best option to get pregnant would be to go for donor IVF. You can have donor eggs with your partner's sperms, embryos, and your name. I suggest you suppress the endometriosis completely with injection Leuprolide, then transfer the embryos when the endometrium is thick enough. This way neither the poor egg quality nor the endometriosis will affect the pregnancy outcome. You will definitely have a healthy pregnancy. Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an infertility specialist online --> | patient: hello doctor, i am 39. re has me on 600 mg ubiquinol and 75 mg of dhea daily due to poor egg quality. however, i am also on birth control pills due to bad endometriosis. will the dhea and ubiquinol still work while on the pill? i have had two failed ivf cycles. || doctor: hello. how are you doing? birth control pills are a combination of estrogen and progesterone hormones. they just prevent the ovulation and have no effects on the actions of the dhea and ubiquinol. you can have them both at the same time. if i may advise, you already have a lot of risk factors. your age is at the upper limit for the healthy reproductive age, two failed ivfs and endometriosis. these medicines have a limitation. they cannot regenerate new eggs from the ovaries. they are supposed to awaken the sleeping or hidden eggs. but at this age, the quality of eggs will be compromised. also, the endometriosis would have damaged few eggs. the ideal and best option to get pregnant would be to go for donor ivf. you can have donor eggs with your partner's sperms, embryos, and your name. i suggest you suppress the endometriosis completely with injection leuprolide, then transfer the embryos when the endometrium is thick enough. this way neither the poor egg quality nor the endometriosis will affect the pregnancy outcome. you will definitely have a healthy pregnancy. hope i have clarified your query. do write back if any more queries. all the best. for more information consult an infertility specialist online --> |
10,214 | Q. Is my 8 months old baby suffering from Hirschsprung's disease or severe constipation? | Hi doctor, I have gotten two different opinions from two pediatricians about my 8 months old boy. One says my boy has Hirschsprung's disease, and the other says it is just constipation. The first doctor did a rectal exam, yielding no explosive stools, and he wants my son to get a barium enema. The second doctor did not do a rectal exam and just felt my boy's stomach, and said it is not hard and has good bowel sounds. She told me to up his apple juice or water to 8 oz per day with probiotics. KUB was done and shows lots of stool in the large intestine, so the doctor told me to give Miralax and liquid suppository. My son did have suppository a week before the visits with hard poop smear in each diaper ever since. During that time, I had been reporting to my first doctor about my son's constipation. My son started with gentle solids at six months. He is today exactly 8 months old, weighs 21 lbs, and has over 90 % growth in the growth chart. He does not have weight issues. He never had a fever, no blood in stools, has passed his meconium, and had a few projectile vomiting in his lifetime. My son does not fit the HD diagnosis, but my doctor says because of the rectal exam yielding no explosive stool it means it is stuck in the large GI. Is there harm in performing barium enema? My son already had an x-ray, which shows lots of stool in the large intestine. I also just gave him Pedia-Lax, and he had a good bowel movement for the first time since two weeks. I am attaching a picture. I will give him Miralax this weekend with 8 oz liquid a day with probiotics and no solids for now. Is barium enema an old school method? I am so torn because the first doctor in a specialist and has 50 years of experience, and he is adamant that my son has HD even after consulting with his colleagues. Could this just be a bad case of constipation? Maybe, I did not insert the first suppository correctly, and maybe my son did not get enough liquid this whole time, this second liquid suppository really helped. The second doctor has eight years experience, and she is so conservative. She does not want to give a rectal exam or even suppository. She says my son is at a low risk and does not have HD. Should I see a gastroenterologist or my son before we proceed with the barium enema or should we just get it done at this point and see the results? I just did not read anything about a barium enema after online research. | Hi. There seems to be a lot of confusion that has been created. See here are my valid points: You will need to get evaluated by a pediatric surgeon, who will be able to shed light on this matter. For more information consult a paediatrician online --> | Patient: Hi doctor, I have gotten two different opinions from two pediatricians about my 8 months old boy. One says my boy has Hirschsprung's disease, and the other says it is just constipation. The first doctor did a rectal exam, yielding no explosive stools, and he wants my son to get a barium enema. The second doctor did not do a rectal exam and just felt my boy's stomach, and said it is not hard and has good bowel sounds. She told me to up his apple juice or water to 8 oz per day with probiotics. KUB was done and shows lots of stool in the large intestine, so the doctor told me to give Miralax and liquid suppository. My son did have suppository a week before the visits with hard poop smear in each diaper ever since. During that time, I had been reporting to my first doctor about my son's constipation. My son started with gentle solids at six months. He is today exactly 8 months old, weighs 21 lbs, and has over 90 % growth in the growth chart. He does not have weight issues. He never had a fever, no blood in stools, has passed his meconium, and had a few projectile vomiting in his lifetime. My son does not fit the HD diagnosis, but my doctor says because of the rectal exam yielding no explosive stool it means it is stuck in the large GI. Is there harm in performing barium enema? My son already had an x-ray, which shows lots of stool in the large intestine. I also just gave him Pedia-Lax, and he had a good bowel movement for the first time since two weeks. I am attaching a picture. I will give him Miralax this weekend with 8 oz liquid a day with probiotics and no solids for now. Is barium enema an old school method? I am so torn because the first doctor in a specialist and has 50 years of experience, and he is adamant that my son has HD even after consulting with his colleagues. Could this just be a bad case of constipation? Maybe, I did not insert the first suppository correctly, and maybe my son did not get enough liquid this whole time, this second liquid suppository really helped. The second doctor has eight years experience, and she is so conservative. She does not want to give a rectal exam or even suppository. She says my son is at a low risk and does not have HD. Should I see a gastroenterologist or my son before we proceed with the barium enema or should we just get it done at this point and see the results? I just did not read anything about a barium enema after online research. || Doctor: Hi. There seems to be a lot of confusion that has been created. See here are my valid points: You will need to get evaluated by a pediatric surgeon, who will be able to shed light on this matter. For more information consult a paediatrician online --> | patient: hi doctor, i have gotten two different opinions from two pediatricians about my 8 months old boy. one says my boy has hirschsprung's disease, and the other says it is just constipation. the first doctor did a rectal exam, yielding no explosive stools, and he wants my son to get a barium enema. the second doctor did not do a rectal exam and just felt my boy's stomach, and said it is not hard and has good bowel sounds. she told me to up his apple juice or water to 8 oz per day with probiotics. kub was done and shows lots of stool in the large intestine, so the doctor told me to give miralax and liquid suppository. my son did have suppository a week before the visits with hard poop smear in each diaper ever since. during that time, i had been reporting to my first doctor about my son's constipation. my son started with gentle solids at six months. he is today exactly 8 months old, weighs 21 lbs, and has over 90 % growth in the growth chart. he does not have weight issues. he never had a fever, no blood in stools, has passed his meconium, and had a few projectile vomiting in his lifetime. my son does not fit the hd diagnosis, but my doctor says because of the rectal exam yielding no explosive stool it means it is stuck in the large gi. is there harm in performing barium enema? my son already had an x-ray, which shows lots of stool in the large intestine. i also just gave him pedia-lax, and he had a good bowel movement for the first time since two weeks. i am attaching a picture. i will give him miralax this weekend with 8 oz liquid a day with probiotics and no solids for now. is barium enema an old school method? i am so torn because the first doctor in a specialist and has 50 years of experience, and he is adamant that my son has hd even after consulting with his colleagues. could this just be a bad case of constipation? maybe, i did not insert the first suppository correctly, and maybe my son did not get enough liquid this whole time, this second liquid suppository really helped. the second doctor has eight years experience, and she is so conservative. she does not want to give a rectal exam or even suppository. she says my son is at a low risk and does not have hd. should i see a gastroenterologist or my son before we proceed with the barium enema or should we just get it done at this point and see the results? i just did not read anything about a barium enema after online research. || doctor: hi. there seems to be a lot of confusion that has been created. see here are my valid points: you will need to get evaluated by a pediatric surgeon, who will be able to shed light on this matter. for more information consult a paediatrician online --> |
10,215 | Q. Can using too much salt in sitz bath be a causative factor for the rise in BP? | Hello doctor, I have high blood pressure, and I used to take Telma 20 mg once daily for the last two years. Besides that, I am also following and taking only right diet for my high blood pressure. But, now for about seven to eight days my BP suddenly raised up to 150/100 mmHg, though I changed taking Telma 20 mg to Telma 40 mg. I am concerned about the sudden rise in my BP. Because of an anus surgery, I take sitz bath thrice daily. In every sitz bath, I add two spoons full of salt to the water. So, please explain whether using too much salt in sitz bath could be the causative factor for the rise in BP. | Hi. For further information consult a general medicine physician online --> | Patient: Hello doctor, I have high blood pressure, and I used to take Telma 20 mg once daily for the last two years. Besides that, I am also following and taking only right diet for my high blood pressure. But, now for about seven to eight days my BP suddenly raised up to 150/100 mmHg, though I changed taking Telma 20 mg to Telma 40 mg. I am concerned about the sudden rise in my BP. Because of an anus surgery, I take sitz bath thrice daily. In every sitz bath, I add two spoons full of salt to the water. So, please explain whether using too much salt in sitz bath could be the causative factor for the rise in BP. || Doctor: Hi. For further information consult a general medicine physician online --> | patient: hello doctor, i have high blood pressure, and i used to take telma 20 mg once daily for the last two years. besides that, i am also following and taking only right diet for my high blood pressure. but, now for about seven to eight days my bp suddenly raised up to 150/100 mmhg, though i changed taking telma 20 mg to telma 40 mg. i am concerned about the sudden rise in my bp. because of an anus surgery, i take sitz bath thrice daily. in every sitz bath, i add two spoons full of salt to the water. so, please explain whether using too much salt in sitz bath could be the causative factor for the rise in bp. || doctor: hi. for further information consult a general medicine physician online --> |
10,216 | Q. What is the prognosis of recurrent squamous cell carcinoma? | Hi doctor, My father has been a patient of recurrent local squamous cell carcinoma. In the last one and half years, he has been operated for cystoprostatectomy and urethrectomy with an ileal conduit for urine bypass followed by lymphonodectomy. After all these surgeries, he had a recurrence seven months back. So, the sinus tract was operated and second line chemotherapy with Carboplatin and Gemcitabine was given. The MRI showed very good improvement. A week ago, he underwent a penectomy, scrotectomy, and a surgery of the pelvic bone. I have attached the recent biopsy report. How should we proceed? | Hi. I have reviewed the information and the biopsy report (attachment removed to protect patient identity). I know that is not a good news, but I think you people and your doctor did their best. Revert with more information to a surgical oncologist online --> | Patient: Hi doctor, My father has been a patient of recurrent local squamous cell carcinoma. In the last one and half years, he has been operated for cystoprostatectomy and urethrectomy with an ileal conduit for urine bypass followed by lymphonodectomy. After all these surgeries, he had a recurrence seven months back. So, the sinus tract was operated and second line chemotherapy with Carboplatin and Gemcitabine was given. The MRI showed very good improvement. A week ago, he underwent a penectomy, scrotectomy, and a surgery of the pelvic bone. I have attached the recent biopsy report. How should we proceed? || Doctor: Hi. I have reviewed the information and the biopsy report (attachment removed to protect patient identity). I know that is not a good news, but I think you people and your doctor did their best. Revert with more information to a surgical oncologist online --> | patient: hi doctor, my father has been a patient of recurrent local squamous cell carcinoma. in the last one and half years, he has been operated for cystoprostatectomy and urethrectomy with an ileal conduit for urine bypass followed by lymphonodectomy. after all these surgeries, he had a recurrence seven months back. so, the sinus tract was operated and second line chemotherapy with carboplatin and gemcitabine was given. the mri showed very good improvement. a week ago, he underwent a penectomy, scrotectomy, and a surgery of the pelvic bone. i have attached the recent biopsy report. how should we proceed? || doctor: hi. i have reviewed the information and the biopsy report (attachment removed to protect patient identity). i know that is not a good news, but i think you people and your doctor did their best. revert with more information to a surgical oncologist online --> |
10,217 | Q. The skin on my left foot feels raw after standing for a long time. Why? | Hi doctor, My work requires me to be on my feet. After working for 14 hours on two consecutive days, the skin on my left foot feels like it is raw. What could be causing it to feel like this? | Hi. For more information consult a physiotherapist online --> | Patient: Hi doctor, My work requires me to be on my feet. After working for 14 hours on two consecutive days, the skin on my left foot feels like it is raw. What could be causing it to feel like this? || Doctor: Hi. For more information consult a physiotherapist online --> | patient: hi doctor, my work requires me to be on my feet. after working for 14 hours on two consecutive days, the skin on my left foot feels like it is raw. what could be causing it to feel like this? || doctor: hi. for more information consult a physiotherapist online --> |
10,218 | Q. I got a PFT done. Kindly check and guide me if the values are fine. | Hi doctor, I have a signal arthritis. Rib cage hurts when I breathe. I had a clear COPD four years back and normal PFT. I stopped smoking ten years ago. I am a swimmer and have breathing problem. I also have suspected connective tissue disease. I am currently taking Humira, Methotrexate and daily I take Nexium. I recently did PFT tests. FVC is 126 %, FEV1 is 126 %, FEV1/FVC 99 % predicted, RV/TLC is 100 %, DLCO/VA 100 % predicted. Are these results fine? | Hi. For further information consult a pulmonologist online --> | Patient: Hi doctor, I have a signal arthritis. Rib cage hurts when I breathe. I had a clear COPD four years back and normal PFT. I stopped smoking ten years ago. I am a swimmer and have breathing problem. I also have suspected connective tissue disease. I am currently taking Humira, Methotrexate and daily I take Nexium. I recently did PFT tests. FVC is 126 %, FEV1 is 126 %, FEV1/FVC 99 % predicted, RV/TLC is 100 %, DLCO/VA 100 % predicted. Are these results fine? || Doctor: Hi. For further information consult a pulmonologist online --> | patient: hi doctor, i have a signal arthritis. rib cage hurts when i breathe. i had a clear copd four years back and normal pft. i stopped smoking ten years ago. i am a swimmer and have breathing problem. i also have suspected connective tissue disease. i am currently taking humira, methotrexate and daily i take nexium. i recently did pft tests. fvc is 126 %, fev1 is 126 %, fev1/fvc 99 % predicted, rv/tlc is 100 %, dlco/va 100 % predicted. are these results fine? || doctor: hi. for further information consult a pulmonologist online --> |
10,219 | Q. Why do I have shooting pain in my calves after walking? | Hello doctor, I am a 60 year old known diabetic. Since two years, I am having severe leg pain when I walk even for a small distance. I have shooting pain in my calves after just 10 minutes of walk. Doctors have diagnosed it as calcification of nerves. I have attached my reports for your reference. Please help. | Hi. You are having intermittent claudication due to a peripheral arterial disease as demonstrated by your arterial ultrasound (attachment removed to protect patient identity). I am hoping it is a Doppler ultrasound. It appears that your diabetes is under control and you do not have heart failure. I understand that you have no history of heart attack either. Peripheral vascular disease, less likely but sciatica is also possible. You have normal EMG, but there is no MRI and nerve conduction study available. If ankle-brachial index is normal, then nerve conduction study has to be taken. Peripheral vascular disease. 1. Increase the Cilostazol to 100 mg twice daily if there is no history of heart failure, heart attack and not taking two blood thinner agents together. 2. If taking Aspirin only, then it is safe to increase the dose to 100 mg twice daily. 3. I would encourage you to take 81 mg of Aspirin daily. 4. Also, do exercise grading. It is a three month program that will gradually build your exercise tolerance. Follow up in a month to an internal medicine physician online.---> | Patient: Hello doctor, I am a 60 year old known diabetic. Since two years, I am having severe leg pain when I walk even for a small distance. I have shooting pain in my calves after just 10 minutes of walk. Doctors have diagnosed it as calcification of nerves. I have attached my reports for your reference. Please help. || Doctor: Hi. You are having intermittent claudication due to a peripheral arterial disease as demonstrated by your arterial ultrasound (attachment removed to protect patient identity). I am hoping it is a Doppler ultrasound. It appears that your diabetes is under control and you do not have heart failure. I understand that you have no history of heart attack either. Peripheral vascular disease, less likely but sciatica is also possible. You have normal EMG, but there is no MRI and nerve conduction study available. If ankle-brachial index is normal, then nerve conduction study has to be taken. Peripheral vascular disease. 1. Increase the Cilostazol to 100 mg twice daily if there is no history of heart failure, heart attack and not taking two blood thinner agents together. 2. If taking Aspirin only, then it is safe to increase the dose to 100 mg twice daily. 3. I would encourage you to take 81 mg of Aspirin daily. 4. Also, do exercise grading. It is a three month program that will gradually build your exercise tolerance. Follow up in a month to an internal medicine physician online.---> | patient: hello doctor, i am a 60 year old known diabetic. since two years, i am having severe leg pain when i walk even for a small distance. i have shooting pain in my calves after just 10 minutes of walk. doctors have diagnosed it as calcification of nerves. i have attached my reports for your reference. please help. || doctor: hi. you are having intermittent claudication due to a peripheral arterial disease as demonstrated by your arterial ultrasound (attachment removed to protect patient identity). i am hoping it is a doppler ultrasound. it appears that your diabetes is under control and you do not have heart failure. i understand that you have no history of heart attack either. peripheral vascular disease, less likely but sciatica is also possible. you have normal emg, but there is no mri and nerve conduction study available. if ankle-brachial index is normal, then nerve conduction study has to be taken. peripheral vascular disease. 1. increase the cilostazol to 100 mg twice daily if there is no history of heart failure, heart attack and not taking two blood thinner agents together. 2. if taking aspirin only, then it is safe to increase the dose to 100 mg twice daily. 3. i would encourage you to take 81 mg of aspirin daily. 4. also, do exercise grading. it is a three month program that will gradually build your exercise tolerance. follow up in a month to an internal medicine physician online.---> |
10,220 | Q. My father has developed weakness in the right hand and leg. He is not able to walk. Please help. | Hello doctor, My father is 75 years old and he is overweight. My father stays with my relatives in a remote place. Last night when he was sleeping outside, the weather was cold due to rain and the fan was on. He had felt cold at midnight and when he woke up, they found his right hand and leg were not working properly. He can feel everything, he can also move both legs and hands, but feels lack of power in the right hand and leg. He is not able to walk and not able to drink water. They reside in a place where there is no neurologist. They visited an ayurvedic doctor this morning and he has given some ayurvedic medicne and nurokind plus injection 2mL once daily. Please suggest the right treatment. | Hi. Best thing is to get a CT scan head done and share the reports as soon as possible. Delay should be avoided. Also provide the below details: 1) Is he a smoker? 2) Does he have diabetes, high blood pressure or heart disease? 3) How many hours have passed since he developed this weakness? Revert back to a neurologist online for further follow up --> | Patient: Hello doctor, My father is 75 years old and he is overweight. My father stays with my relatives in a remote place. Last night when he was sleeping outside, the weather was cold due to rain and the fan was on. He had felt cold at midnight and when he woke up, they found his right hand and leg were not working properly. He can feel everything, he can also move both legs and hands, but feels lack of power in the right hand and leg. He is not able to walk and not able to drink water. They reside in a place where there is no neurologist. They visited an ayurvedic doctor this morning and he has given some ayurvedic medicne and nurokind plus injection 2mL once daily. Please suggest the right treatment. || Doctor: Hi. Best thing is to get a CT scan head done and share the reports as soon as possible. Delay should be avoided. Also provide the below details: 1) Is he a smoker? 2) Does he have diabetes, high blood pressure or heart disease? 3) How many hours have passed since he developed this weakness? Revert back to a neurologist online for further follow up --> | patient: hello doctor, my father is 75 years old and he is overweight. my father stays with my relatives in a remote place. last night when he was sleeping outside, the weather was cold due to rain and the fan was on. he had felt cold at midnight and when he woke up, they found his right hand and leg were not working properly. he can feel everything, he can also move both legs and hands, but feels lack of power in the right hand and leg. he is not able to walk and not able to drink water. they reside in a place where there is no neurologist. they visited an ayurvedic doctor this morning and he has given some ayurvedic medicne and nurokind plus injection 2ml once daily. please suggest the right treatment. || doctor: hi. best thing is to get a ct scan head done and share the reports as soon as possible. delay should be avoided. also provide the below details: 1) is he a smoker? 2) does he have diabetes, high blood pressure or heart disease? 3) how many hours have passed since he developed this weakness? revert back to a neurologist online for further follow up --> |
10,221 | Q. I am 12 weeks pregnant, and my NT scan showed 3 mm thickness. Should I redo the scan? | Hello doctor, I am a healthy 41 year old woman, and I am 12 weeks pregnant for the first time. The results of my NIPT harmony test indicated no risk for trisomy 21, 18, and 13. The results of my blood test and NT scan showed that everything was normal except the nuchal fold thickness was 3 mm. This gave a risk of 1:106 for trisomy 21. The nasal bone was, however, visible. My understanding is that, despite the 3 mm nuchal fold thickness, I can assume that the risk of Down's syndrome is extremely low based on the results of the NIPT test and visibility of the nasal bone. I have been told that it is not necessary to consider having an amniocentesis. I understand, however, that there is a risk of heart defects, and I have been told that a cardiologist will examine my ultrasound in week 18 to see if there are any problems. Can you please comment on my situation and tell me if there are any specific questions that I should be asking my doctor or if there are any other tests I should consider? For example, I understand that the NT scan can be performed until 13 weeks and six days. Should I consider having the scan done one more time before this date to see if the nuchal fold thickness has changed? And should I have my next ultrasound earlier than week 18? | Hi. First of all, I would like to congratulate you on starting this beautiful journey, being a mom of two, I understand your concerns. Here is what I would suggest. I hope it helps. Take care. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I am a healthy 41 year old woman, and I am 12 weeks pregnant for the first time. The results of my NIPT harmony test indicated no risk for trisomy 21, 18, and 13. The results of my blood test and NT scan showed that everything was normal except the nuchal fold thickness was 3 mm. This gave a risk of 1:106 for trisomy 21. The nasal bone was, however, visible. My understanding is that, despite the 3 mm nuchal fold thickness, I can assume that the risk of Down's syndrome is extremely low based on the results of the NIPT test and visibility of the nasal bone. I have been told that it is not necessary to consider having an amniocentesis. I understand, however, that there is a risk of heart defects, and I have been told that a cardiologist will examine my ultrasound in week 18 to see if there are any problems. Can you please comment on my situation and tell me if there are any specific questions that I should be asking my doctor or if there are any other tests I should consider? For example, I understand that the NT scan can be performed until 13 weeks and six days. Should I consider having the scan done one more time before this date to see if the nuchal fold thickness has changed? And should I have my next ultrasound earlier than week 18? || Doctor: Hi. First of all, I would like to congratulate you on starting this beautiful journey, being a mom of two, I understand your concerns. Here is what I would suggest. I hope it helps. Take care. For more information consult an internal medicine physician online --> | patient: hello doctor, i am a healthy 41 year old woman, and i am 12 weeks pregnant for the first time. the results of my nipt harmony test indicated no risk for trisomy 21, 18, and 13. the results of my blood test and nt scan showed that everything was normal except the nuchal fold thickness was 3 mm. this gave a risk of 1:106 for trisomy 21. the nasal bone was, however, visible. my understanding is that, despite the 3 mm nuchal fold thickness, i can assume that the risk of down's syndrome is extremely low based on the results of the nipt test and visibility of the nasal bone. i have been told that it is not necessary to consider having an amniocentesis. i understand, however, that there is a risk of heart defects, and i have been told that a cardiologist will examine my ultrasound in week 18 to see if there are any problems. can you please comment on my situation and tell me if there are any specific questions that i should be asking my doctor or if there are any other tests i should consider? for example, i understand that the nt scan can be performed until 13 weeks and six days. should i consider having the scan done one more time before this date to see if the nuchal fold thickness has changed? and should i have my next ultrasound earlier than week 18? || doctor: hi. first of all, i would like to congratulate you on starting this beautiful journey, being a mom of two, i understand your concerns. here is what i would suggest. i hope it helps. take care. for more information consult an internal medicine physician online --> |
10,222 | Q. How to regulate high blood sugar? | Hi doctor. I am suffering from type 2 diabetes. My last blood sugar level was 400 mg/dL. I am on Insulin. But it is not coming back to normal. What shall I do? | Hi. Since you have not mentioned the duration of diabetes, I have to assume that you may be having it for a minimum of 5 years. Coming to your values, your blood pressure (BP) looks fantastic and you have excellent weight for height. We will control your sugar in stepwise fashion. I think you are taking only Glimepiride. Change this to Glimepiride plus Metformin combination. Go for Euglim M2 one tablet in the morning before food and one at night before food. Insulin resistance. 1. Urine routine. 2. Lipid profile. 3. ECG. Uncontrolled diabetes refractory to treatment. 1. Diet. 2. Exercise. 3. Altering drugs. 4. Control of complications. Absolutely no sugar should be added in diet. Avoid chocolates, sweets and rice at night. Reduce the intake of oily foods. Revert back with the answers for the above questions to a diabetologist online.---> | Patient: Hi doctor. I am suffering from type 2 diabetes. My last blood sugar level was 400 mg/dL. I am on Insulin. But it is not coming back to normal. What shall I do? || Doctor: Hi. Since you have not mentioned the duration of diabetes, I have to assume that you may be having it for a minimum of 5 years. Coming to your values, your blood pressure (BP) looks fantastic and you have excellent weight for height. We will control your sugar in stepwise fashion. I think you are taking only Glimepiride. Change this to Glimepiride plus Metformin combination. Go for Euglim M2 one tablet in the morning before food and one at night before food. Insulin resistance. 1. Urine routine. 2. Lipid profile. 3. ECG. Uncontrolled diabetes refractory to treatment. 1. Diet. 2. Exercise. 3. Altering drugs. 4. Control of complications. Absolutely no sugar should be added in diet. Avoid chocolates, sweets and rice at night. Reduce the intake of oily foods. Revert back with the answers for the above questions to a diabetologist online.---> | patient: hi doctor. i am suffering from type 2 diabetes. my last blood sugar level was 400 mg/dl. i am on insulin. but it is not coming back to normal. what shall i do? || doctor: hi. since you have not mentioned the duration of diabetes, i have to assume that you may be having it for a minimum of 5 years. coming to your values, your blood pressure (bp) looks fantastic and you have excellent weight for height. we will control your sugar in stepwise fashion. i think you are taking only glimepiride. change this to glimepiride plus metformin combination. go for euglim m2 one tablet in the morning before food and one at night before food. insulin resistance. 1. urine routine. 2. lipid profile. 3. ecg. uncontrolled diabetes refractory to treatment. 1. diet. 2. exercise. 3. altering drugs. 4. control of complications. absolutely no sugar should be added in diet. avoid chocolates, sweets and rice at night. reduce the intake of oily foods. revert back with the answers for the above questions to a diabetologist online.---> |
10,223 | Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. || Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | patient: hi doctor, i am a 26 year old male. i am 5 feet and 9 inches tall and weigh 255 pounds. when i eat spicy food, i poop blood. sometimes when i have constipation as well, i poop a little bit of blood. i am really scared that i have colon cancer. i do have diarrhea often. i do not have a family history of colon cancer. i got blood tests done last night. please find my reports attached. || doctor: hello. i have gone through your information and test reports (attachment removed to protect patient identity). so, in view of that, there are a couple of things that i can opine upon: hope that helps. for more information consult a general surgeon online --> |
10,224 | 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 --> |
10,225 | 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 --> |
10,226 | 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.---> |
10,227 | 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 --> |
10,228 | 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 --> |
10,229 | Q. Is it safe to use Glutathione pills for skin whitening? | Hello doctor, Is it safe to use Glutathione pills for skin whitening? | Hi. Glutathione is used as a health supplement. It has good antioxidant properties. It prevents aging changes. It improves the immune system of the body. It is safe for adults of all age groups. Avoid intake of Glutathione pills if you develop sensitivity to it. | Patient: Hello doctor, Is it safe to use Glutathione pills for skin whitening? || Doctor: Hi. Glutathione is used as a health supplement. It has good antioxidant properties. It prevents aging changes. It improves the immune system of the body. It is safe for adults of all age groups. Avoid intake of Glutathione pills if you develop sensitivity to it. | patient: hello doctor, is it safe to use glutathione pills for skin whitening? || doctor: hi. glutathione is used as a health supplement. it has good antioxidant properties. it prevents aging changes. it improves the immune system of the body. it is safe for adults of all age groups. avoid intake of glutathione pills if you develop sensitivity to it. |
10,230 | Q. My urethral opening is red and lumpy. Is it herpes or warts? | Hi doctor, From the last three months, my urethral opening is a little swollen. The inside of the opening seems to be red and lumpy. I seem to be leaking a lot of urine after urinating. My urine also has some kind of clear floating object on top. I am scared if this is herpes or warts or HPV. My foreskin also seems to be dry and flaky. Do the photos look like warts or herpes? What color should a normal penile hole be? Why is my urine leaking? The meatus opening is a little swollen. I have attached some photos. | Hi. Revert with more information to a urologist online --> | Patient: Hi doctor, From the last three months, my urethral opening is a little swollen. The inside of the opening seems to be red and lumpy. I seem to be leaking a lot of urine after urinating. My urine also has some kind of clear floating object on top. I am scared if this is herpes or warts or HPV. My foreskin also seems to be dry and flaky. Do the photos look like warts or herpes? What color should a normal penile hole be? Why is my urine leaking? The meatus opening is a little swollen. I have attached some photos. || Doctor: Hi. Revert with more information to a urologist online --> | patient: hi doctor, from the last three months, my urethral opening is a little swollen. the inside of the opening seems to be red and lumpy. i seem to be leaking a lot of urine after urinating. my urine also has some kind of clear floating object on top. i am scared if this is herpes or warts or hpv. my foreskin also seems to be dry and flaky. do the photos look like warts or herpes? what color should a normal penile hole be? why is my urine leaking? the meatus opening is a little swollen. i have attached some photos. || doctor: hi. revert with more information to a urologist online --> |
10,231 | Q. What is the permanent solution for testicular pain? | Hi doctor, I have a mild pain in the right testis since two months. The USG report showed slight thickening of the spermatic cord. Now, after 10 days of antibiotic courses referred by the physician, then the condition is better. But when I lift some weight or drive a car, then the pain starts again. What is the permanent solution? I have attached my report and prescription here for your reference. | Hi. Continue antibiotics for 10 days. It takes time to resolve the pain of epididymitis, may be four weeks. For further information consult a urologist online.---> | Patient: Hi doctor, I have a mild pain in the right testis since two months. The USG report showed slight thickening of the spermatic cord. Now, after 10 days of antibiotic courses referred by the physician, then the condition is better. But when I lift some weight or drive a car, then the pain starts again. What is the permanent solution? I have attached my report and prescription here for your reference. || Doctor: Hi. Continue antibiotics for 10 days. It takes time to resolve the pain of epididymitis, may be four weeks. For further information consult a urologist online.---> | patient: hi doctor, i have a mild pain in the right testis since two months. the usg report showed slight thickening of the spermatic cord. now, after 10 days of antibiotic courses referred by the physician, then the condition is better. but when i lift some weight or drive a car, then the pain starts again. what is the permanent solution? i have attached my report and prescription here for your reference. || doctor: hi. continue antibiotics for 10 days. it takes time to resolve the pain of epididymitis, may be four weeks. for further information consult a urologist online.---> |
10,232 | Q. How to prevent stammering? | Hi doctor, I have been suffering from stammering for the last 14 years. Now my age is 20. I am a male. I am facing difficulty while talking with others or when I read something. My tongue comes out while stammering. So, I am not talking with anyone now. Stammer has become a big problem in my life. Please help to get rid of this. | Hi. I am sorry for your suffering. For further information consult a speech therapist online --> | Patient: Hi doctor, I have been suffering from stammering for the last 14 years. Now my age is 20. I am a male. I am facing difficulty while talking with others or when I read something. My tongue comes out while stammering. So, I am not talking with anyone now. Stammer has become a big problem in my life. Please help to get rid of this. || Doctor: Hi. I am sorry for your suffering. For further information consult a speech therapist online --> | patient: hi doctor, i have been suffering from stammering for the last 14 years. now my age is 20. i am a male. i am facing difficulty while talking with others or when i read something. my tongue comes out while stammering. so, i am not talking with anyone now. stammer has become a big problem in my life. please help to get rid of this. || doctor: hi. i am sorry for your suffering. for further information consult a speech therapist online --> |
10,233 | Q. Why does my WBC count fluctuate? | Hi doctor, My WBC count keeps fluctuating. First it gone up to 83000 from 10500 last month and then it became 12900. Now again for the past few days it is high at 22200. Can you please help with this issue? | Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> | Patient: Hi doctor, My WBC count keeps fluctuating. First it gone up to 83000 from 10500 last month and then it became 12900. Now again for the past few days it is high at 22200. Can you please help with this issue? || Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> | patient: hi doctor, my wbc count keeps fluctuating. first it gone up to 83000 from 10500 last month and then it became 12900. now again for the past few days it is high at 22200. can you please help with this issue? || doctor: hi. based on your query, my opinion is as follows: for further information consult a hematologist online --> |
10,234 | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. || Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | patient: hello doctor, i have multiple small cysts in both ovaries (pcos). our family friend suggested me to consume kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). i have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks i got my periods. then i had checked whether the cysts were dissolved by having an abdomen scan. but still, small multiple follicules have been seen in it with both ovaries enlarged. kindly suggest me what i can do further. i got married before one and a half years and i am much worried about my pregnancy. i have gallstones as well. || doctor: hello. i just read your query. see kalarachi kai choornam is helpful in amenorrhea. as far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. now, you have got your periods you can start trying for conception. but i advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. ovulation study is performed under the supervision of a gynecologist. for gall stones, surgical intervention is required generally. medicine is not of much help. |
10,235 | Q. I am suffering with disc bulge. Please get me a solution for it. | Hi doctor, I am suffering from disc bulge at the level of L5-S1. It causes pressure at nerve root for past two months. I am under treatment but no satisfactory improvement in these two months. Please help. | Hi. You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely compression of both exiting L5 nerve roots. I would like to know few more details such as, Revert back with your MRI and x-ray films to a spine surgeon online --> | Patient: Hi doctor, I am suffering from disc bulge at the level of L5-S1. It causes pressure at nerve root for past two months. I am under treatment but no satisfactory improvement in these two months. Please help. || Doctor: Hi. You have mentioned from MRI findings as L5/S1 disc bulge, instability at L5/S1 level and pars defect of L5 with likely compression of both exiting L5 nerve roots. I would like to know few more details such as, Revert back with your MRI and x-ray films to a spine surgeon online --> | patient: hi doctor, i am suffering from disc bulge at the level of l5-s1. it causes pressure at nerve root for past two months. i am under treatment but no satisfactory improvement in these two months. please help. || doctor: hi. you have mentioned from mri findings as l5/s1 disc bulge, instability at l5/s1 level and pars defect of l5 with likely compression of both exiting l5 nerve roots. i would like to know few more details such as, revert back with your mri and x-ray films to a spine surgeon online --> |
10,236 | Q. How long should I take treatment to dissolve a tuberculosis lump? | Hi doctor, I have a small lump on the right side of my neck near the cervical area. I have been having this for the last one month. Although I am on treatment, the lump has not gone. The doctor took out the pus from the infected area, and the laboratory reports confirmed it as tuberculosis. In that regard, I would like to ask how much time it will take to dissolve this lump? What are the remedies? | Hi. For further information consult a pathologist online --> | Patient: Hi doctor, I have a small lump on the right side of my neck near the cervical area. I have been having this for the last one month. Although I am on treatment, the lump has not gone. The doctor took out the pus from the infected area, and the laboratory reports confirmed it as tuberculosis. In that regard, I would like to ask how much time it will take to dissolve this lump? What are the remedies? || Doctor: Hi. For further information consult a pathologist online --> | patient: hi doctor, i have a small lump on the right side of my neck near the cervical area. i have been having this for the last one month. although i am on treatment, the lump has not gone. the doctor took out the pus from the infected area, and the laboratory reports confirmed it as tuberculosis. in that regard, i would like to ask how much time it will take to dissolve this lump? what are the remedies? || doctor: hi. for further information consult a pathologist online --> |
10,237 | Q. What can cause blood in stools? | Hi doctor, I am facing an embarrassing problem. Since last two weeks, I feel like going to the toilet more than once, while usually I do it only once in the morning. Also, I am a bit uncomfortable as all day it feels like I have not cleared my bowel activities for the day. Recently, about four days back, I noticed blood along with my stool. It was full red in color and fresh. Also, to mention that from last two weeks my stool was very hard. So, I doubt if it is a case of internal tear in the stool passing line and not a serious case of piles. But to add, these days I am feeling a bit uncomfortable near my anus and some sort of itching type, but not exactly itching. Today morning, I saw five to six fresh blood drops and then only stool passed out. I touched my anus with my finger and found fresh and red blood in my fingers. I also found one small blood clot near the anal area. I am really worried about this. Please help me with this. About 9 years back, the same kind of problem happened. But, my father took me to a doctor and as far I remember the doctor gave me two ointments for application inside the anus. Then after a few days I was fine. Kindly help me and let me know if you want to know anything more. | Hi. I am sorry to hear that you are having these concerns. Fresh red blood in your stools may come from any one of the following: For further information consult an internal medicine physician online --> | Patient: Hi doctor, I am facing an embarrassing problem. Since last two weeks, I feel like going to the toilet more than once, while usually I do it only once in the morning. Also, I am a bit uncomfortable as all day it feels like I have not cleared my bowel activities for the day. Recently, about four days back, I noticed blood along with my stool. It was full red in color and fresh. Also, to mention that from last two weeks my stool was very hard. So, I doubt if it is a case of internal tear in the stool passing line and not a serious case of piles. But to add, these days I am feeling a bit uncomfortable near my anus and some sort of itching type, but not exactly itching. Today morning, I saw five to six fresh blood drops and then only stool passed out. I touched my anus with my finger and found fresh and red blood in my fingers. I also found one small blood clot near the anal area. I am really worried about this. Please help me with this. About 9 years back, the same kind of problem happened. But, my father took me to a doctor and as far I remember the doctor gave me two ointments for application inside the anus. Then after a few days I was fine. Kindly help me and let me know if you want to know anything more. || Doctor: Hi. I am sorry to hear that you are having these concerns. Fresh red blood in your stools may come from any one of the following: For further information consult an internal medicine physician online --> | patient: hi doctor, i am facing an embarrassing problem. since last two weeks, i feel like going to the toilet more than once, while usually i do it only once in the morning. also, i am a bit uncomfortable as all day it feels like i have not cleared my bowel activities for the day. recently, about four days back, i noticed blood along with my stool. it was full red in color and fresh. also, to mention that from last two weeks my stool was very hard. so, i doubt if it is a case of internal tear in the stool passing line and not a serious case of piles. but to add, these days i am feeling a bit uncomfortable near my anus and some sort of itching type, but not exactly itching. today morning, i saw five to six fresh blood drops and then only stool passed out. i touched my anus with my finger and found fresh and red blood in my fingers. i also found one small blood clot near the anal area. i am really worried about this. please help me with this. about 9 years back, the same kind of problem happened. but, my father took me to a doctor and as far i remember the doctor gave me two ointments for application inside the anus. then after a few days i was fine. kindly help me and let me know if you want to know anything more. || doctor: hi. i am sorry to hear that you are having these concerns. fresh red blood in your stools may come from any one of the following: for further information consult an internal medicine physician online --> |
10,238 | Q. Can Hydroquinone use on the penis cause the skin to be sensitive and red? | Hello doctor, Eighteen months ago, I had a reconstructive surgery on my penis to treat penile curvature. Two weeks post operation, hematoma exploded so I got wound breakdown. Skin necrosis ensued and I lost a small part of my penile skin. No graft or flap was used. I now have hyperpigmentation and very noticeable wound scar. For the hyperpigmentation, I have been using Hydroquinone and Mederma Intense Patch. I have been using it for two weeks. There is an improvement but the skin is getting sensitive, red, and inflamed. Should I still use it? If not, how to remove hyperpigmentation from the penis skin? What about the wound scar? Will it shrink and disappear with time or there are other solutions? I need to know what I can do to remove both hyperpigmentation and wound scar from the penis skin. I have attached pictures for reference. | Hello. It is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). First of all, the Hydroquinone used over the skin especially over the thin penile skin does have side effects. I advise you not to use it for more than 15 days with a month's gap in between. If it is along with any kind of steroid then not more than 10 days. The scar seems to be still in an immature state. I suggest the onion peel based ointment such as the Contractubex Gel should work. You can use it twice daily. For more information consult a plastic surgeon online --> | Patient: Hello doctor, Eighteen months ago, I had a reconstructive surgery on my penis to treat penile curvature. Two weeks post operation, hematoma exploded so I got wound breakdown. Skin necrosis ensued and I lost a small part of my penile skin. No graft or flap was used. I now have hyperpigmentation and very noticeable wound scar. For the hyperpigmentation, I have been using Hydroquinone and Mederma Intense Patch. I have been using it for two weeks. There is an improvement but the skin is getting sensitive, red, and inflamed. Should I still use it? If not, how to remove hyperpigmentation from the penis skin? What about the wound scar? Will it shrink and disappear with time or there are other solutions? I need to know what I can do to remove both hyperpigmentation and wound scar from the penis skin. I have attached pictures for reference. || Doctor: Hello. It is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). First of all, the Hydroquinone used over the skin especially over the thin penile skin does have side effects. I advise you not to use it for more than 15 days with a month's gap in between. If it is along with any kind of steroid then not more than 10 days. The scar seems to be still in an immature state. I suggest the onion peel based ointment such as the Contractubex Gel should work. You can use it twice daily. For more information consult a plastic surgeon online --> | patient: hello doctor, eighteen months ago, i had a reconstructive surgery on my penis to treat penile curvature. two weeks post operation, hematoma exploded so i got wound breakdown. skin necrosis ensued and i lost a small part of my penile skin. no graft or flap was used. i now have hyperpigmentation and very noticeable wound scar. for the hyperpigmentation, i have been using hydroquinone and mederma intense patch. i have been using it for two weeks. there is an improvement but the skin is getting sensitive, red, and inflamed. should i still use it? if not, how to remove hyperpigmentation from the penis skin? what about the wound scar? will it shrink and disappear with time or there are other solutions? i need to know what i can do to remove both hyperpigmentation and wound scar from the penis skin. i have attached pictures for reference. || doctor: hello. it is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). first of all, the hydroquinone used over the skin especially over the thin penile skin does have side effects. i advise you not to use it for more than 15 days with a month's gap in between. if it is along with any kind of steroid then not more than 10 days. the scar seems to be still in an immature state. i suggest the onion peel based ointment such as the contractubex gel should work. you can use it twice daily. for more information consult a plastic surgeon online --> |
10,239 | Q. Suffering from acid reflux and bloating for the third time in a year. Why? | Hi doctor, I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that? | Hello. You described two different entities here. CT scan of abdomen and upper gastrointestinal (GI) endoscopy. 1. Indigestion. 2. Hiatus hernia. 3. Esophagitis. GERD with gastritis. Continue treatment for gastritis. For further information consult a medical gastroenterologist online.---> | Patient: Hi doctor, I am a 28 year old male. I have had severe acid reflux and stomach bloating three times in the past 12 months. It started suddenly each time. There is no prior symptom. This is the third time and it has been going on for a month. During the first time, I treated myself with antacids (Calcium carbonate) and a two week cycle of Nexium with probiotics. When it came back for the second time, I had Pepsin and Betaine hydrochloride, probiotics for a month. It worked very well. Five months later, it came back for the third time now. I have had no acid reflux, but just bloating. I am taking Betaine HCl and Pepsin, but it is not going away. I will start to bloat right after my first bite of food. Even drinking water too fast will make it. The bloating is bad. I have severe bloating and pressure for hours after I eat. I think my stomach is not producing any acid. Could it be like that? || Doctor: Hello. You described two different entities here. CT scan of abdomen and upper gastrointestinal (GI) endoscopy. 1. Indigestion. 2. Hiatus hernia. 3. Esophagitis. GERD with gastritis. Continue treatment for gastritis. For further information consult a medical gastroenterologist online.---> | patient: hi doctor, i am a 28 year old male. i have had severe acid reflux and stomach bloating three times in the past 12 months. it started suddenly each time. there is no prior symptom. this is the third time and it has been going on for a month. during the first time, i treated myself with antacids (calcium carbonate) and a two week cycle of nexium with probiotics. when it came back for the second time, i had pepsin and betaine hydrochloride, probiotics for a month. it worked very well. five months later, it came back for the third time now. i have had no acid reflux, but just bloating. i am taking betaine hcl and pepsin, but it is not going away. i will start to bloat right after my first bite of food. even drinking water too fast will make it. the bloating is bad. i have severe bloating and pressure for hours after i eat. i think my stomach is not producing any acid. could it be like that? || doctor: hello. you described two different entities here. ct scan of abdomen and upper gastrointestinal (gi) endoscopy. 1. indigestion. 2. hiatus hernia. 3. esophagitis. gerd with gastritis. continue treatment for gastritis. for further information consult a medical gastroenterologist online.---> |
10,240 | 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 --> |
10,241 | 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 --> |
10,242 | 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.---> |
10,243 | 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 --> |
10,244 | 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 --> |
10,245 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> | Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hi doctor, during masturbation i just rub the tip of the penis and not the entire penis. is it a wrong way of doing? i do not get excited during sex and unable to ejaculate. only, rubbing the tip of the penis gives me excitement. also, two weeks ago, i have undergone circumcision as my foreskin did not retract. before circumcision too, i have the same problem. please help. || doctor: hi. for further doubts consult a sexologist online --> |
10,246 | Q. Is my friend's beta thalassemia screening test normal? | Hello doctor, My cousin of 30 years old got tested for beta thalassemia screening test. He got the result as hemoglobin A2 is 2.8 %, hemoglobin F is 0.2 %, hemoglobin C, D and S are not detected. Is this normal or has any complication? Please guide. | Hi. Based on your query, my opinion is as follows: For further doubts consult a hematologist online --> | Patient: Hello doctor, My cousin of 30 years old got tested for beta thalassemia screening test. He got the result as hemoglobin A2 is 2.8 %, hemoglobin F is 0.2 %, hemoglobin C, D and S are not detected. Is this normal or has any complication? Please guide. || Doctor: Hi. Based on your query, my opinion is as follows: For further doubts consult a hematologist online --> | patient: hello doctor, my cousin of 30 years old got tested for beta thalassemia screening test. he got the result as hemoglobin a2 is 2.8 %, hemoglobin f is 0.2 %, hemoglobin c, d and s are not detected. is this normal or has any complication? please guide. || doctor: hi. based on your query, my opinion is as follows: for further doubts consult a hematologist online --> |
10,247 | Q. Is it necessary to be in sling always for an arm fracture? | Hi doctor, My 4 year old son fell down in play area and got his left arm fractured in the region of ulna and radius. We went to the emergency room immediately and the doctors did alignment and put him on cast and sling. Can you please check the x-ray and confirm the alignment? Since he is 4 years old, he is not keeping the sling all time. While playing with toys inside home, the sling is getting loosened. My worry is that, will it delay the healing process? Does the kid always need to be in sling while cast? I am attaching all the x-rays of my son. After looking into the x-ray, I had asked about the second bone not realigned properly. They told that it is fine if the alignment is greater than 20% or something like that. We are again going for a follow up in two days time. Please suggest if we need to ask them anything else during our follow up visit. Is whatever the doctor said appropriate in his case? Kindly guide us. | Hello. For further information consult an orthopaedician and traumatologist online --> | Patient: Hi doctor, My 4 year old son fell down in play area and got his left arm fractured in the region of ulna and radius. We went to the emergency room immediately and the doctors did alignment and put him on cast and sling. Can you please check the x-ray and confirm the alignment? Since he is 4 years old, he is not keeping the sling all time. While playing with toys inside home, the sling is getting loosened. My worry is that, will it delay the healing process? Does the kid always need to be in sling while cast? I am attaching all the x-rays of my son. After looking into the x-ray, I had asked about the second bone not realigned properly. They told that it is fine if the alignment is greater than 20% or something like that. We are again going for a follow up in two days time. Please suggest if we need to ask them anything else during our follow up visit. Is whatever the doctor said appropriate in his case? Kindly guide us. || Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> | patient: hi doctor, my 4 year old son fell down in play area and got his left arm fractured in the region of ulna and radius. we went to the emergency room immediately and the doctors did alignment and put him on cast and sling. can you please check the x-ray and confirm the alignment? since he is 4 years old, he is not keeping the sling all time. while playing with toys inside home, the sling is getting loosened. my worry is that, will it delay the healing process? does the kid always need to be in sling while cast? i am attaching all the x-rays of my son. after looking into the x-ray, i had asked about the second bone not realigned properly. they told that it is fine if the alignment is greater than 20% or something like that. we are again going for a follow up in two days time. please suggest if we need to ask them anything else during our follow up visit. is whatever the doctor said appropriate in his case? kindly guide us. || doctor: hello. for further information consult an orthopaedician and traumatologist online --> |
10,248 | Q. Was my circumcision botched? | Hello doctor, I am a 25 year old male, and I was circumcised as a baby, and I noticed years ago that all around the base of the head of my penis, there are small holes. Every few months I can squeeze a small amount of smelly white stuff, from some of these holes. Was my circumcision botched when I was a baby? The underside of the head of my penis looks normal, you can see the full head of the penis where it looks like a mushroom. When I get erections, it feels tight on the top of the head of my penis, and I think it is preventing my penis to extend to its full length. And if I do not wash it very well, then it smells quite bad where the holes are. Does this sound like anything you have heard before? If so, what is going on? And is there a fix for this? | Hello. Revert with more information to a urologist online --> | Patient: Hello doctor, I am a 25 year old male, and I was circumcised as a baby, and I noticed years ago that all around the base of the head of my penis, there are small holes. Every few months I can squeeze a small amount of smelly white stuff, from some of these holes. Was my circumcision botched when I was a baby? The underside of the head of my penis looks normal, you can see the full head of the penis where it looks like a mushroom. When I get erections, it feels tight on the top of the head of my penis, and I think it is preventing my penis to extend to its full length. And if I do not wash it very well, then it smells quite bad where the holes are. Does this sound like anything you have heard before? If so, what is going on? And is there a fix for this? || Doctor: Hello. Revert with more information to a urologist online --> | patient: hello doctor, i am a 25 year old male, and i was circumcised as a baby, and i noticed years ago that all around the base of the head of my penis, there are small holes. every few months i can squeeze a small amount of smelly white stuff, from some of these holes. was my circumcision botched when i was a baby? the underside of the head of my penis looks normal, you can see the full head of the penis where it looks like a mushroom. when i get erections, it feels tight on the top of the head of my penis, and i think it is preventing my penis to extend to its full length. and if i do not wash it very well, then it smells quite bad where the holes are. does this sound like anything you have heard before? if so, what is going on? and is there a fix for this? || doctor: hello. revert with more information to a urologist online --> |
10,249 | Q. Please explain my ultrasound report. | Hi doctor, I would like you to take a look at my ultrasound report from today. The region of interest he indicates superficial to the left parotid corresponds to a 12 x 14 x 5 mm focus of echogenic soft tissue, possibly representing accessory parotid tissue. Within it are some small rounded hypoechoic foci. No increased vascular flow. Multiple normal lymph nodes are noted elsewhere. | Hi. For further information consult a radiologist online --> | Patient: Hi doctor, I would like you to take a look at my ultrasound report from today. The region of interest he indicates superficial to the left parotid corresponds to a 12 x 14 x 5 mm focus of echogenic soft tissue, possibly representing accessory parotid tissue. Within it are some small rounded hypoechoic foci. No increased vascular flow. Multiple normal lymph nodes are noted elsewhere. || Doctor: Hi. For further information consult a radiologist online --> | patient: hi doctor, i would like you to take a look at my ultrasound report from today. the region of interest he indicates superficial to the left parotid corresponds to a 12 x 14 x 5 mm focus of echogenic soft tissue, possibly representing accessory parotid tissue. within it are some small rounded hypoechoic foci. no increased vascular flow. multiple normal lymph nodes are noted elsewhere. || doctor: hi. for further information consult a radiologist online --> |
10,250 | Q. Is it true that body might get habitual to antihypertensive drugs? | Hi doctor, My father is taking Telma AM 80/5. How can it be gradually lowered to AM 40/5? Please advice. | Hi. For further information consult a family physician online --> | Patient: Hi doctor, My father is taking Telma AM 80/5. How can it be gradually lowered to AM 40/5? Please advice. || Doctor: Hi. For further information consult a family physician online --> | patient: hi doctor, my father is taking telma am 80/5. how can it be gradually lowered to am 40/5? please advice. || doctor: hi. for further information consult a family physician online --> |
10,251 | Q. What is the treatment for vitiligo? | Hi doctor, I have been suffering with a skin problem for a long time of four years. They are white patches. I have taken treatment from few doctors. Doctors have asked me to apply some lotion and show sunlight to them. They also gave some blue light therapy but I developed blisters after that. So, they stopped the treatment. They are mostly on my hands, feet and shins. My past medication includes drugs called Methoxalen lotion mixed in water ans some tablets called Aciloc, Zempred 4 and Shelcal. My friend advised me ayurvedic treatment for the same, but during treatment the spots started spreading to feet. So, I just stopped it. My CBC was normal, SGPT 24, SPOT 12 and creatinine 0.64. I am fed up. Please help. | Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). As you already know, these are patches of vitiligo. This disease can be effectively treated. 1. The blue light you are referring to should be NB-UVB (narrow band ultraviolet B) chamber treatment which is quite effective and safe modality. 2. The blisters can be easily managed by decreasing the duration of exposure. The only drawback is that you will have to visit the dermatologist every alternate day, which seems to be difficult for you. 3. Also, you are applying Melanocyl lotion (Methoxsalen). Since how long are you applying it? Did it have any good effect? 4. Another option is tablet Melanocyl. The usual dose is 20 mg on alternate days. Two hours later, sunlight exposure is given for 10-15 minutes. 5, Biopeptides, topical steroids, etc., can be given. 6. Skin grafting can be carried out. 7. Let me know what dose of Zempred 4 mg (Methylprednisolone) you are on? How many tablets per day and since how long? 8. Please send me photographs of the previous dermatologist's treatments you have taken so that further management can be planned. 9. Also tell me whether lesions are currently increasing or are they stable? If stable, since how long? Revert back with the answers to a dermatologist online.---> | Patient: Hi doctor, I have been suffering with a skin problem for a long time of four years. They are white patches. I have taken treatment from few doctors. Doctors have asked me to apply some lotion and show sunlight to them. They also gave some blue light therapy but I developed blisters after that. So, they stopped the treatment. They are mostly on my hands, feet and shins. My past medication includes drugs called Methoxalen lotion mixed in water ans some tablets called Aciloc, Zempred 4 and Shelcal. My friend advised me ayurvedic treatment for the same, but during treatment the spots started spreading to feet. So, I just stopped it. My CBC was normal, SGPT 24, SPOT 12 and creatinine 0.64. I am fed up. Please help. || Doctor: Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). As you already know, these are patches of vitiligo. This disease can be effectively treated. 1. The blue light you are referring to should be NB-UVB (narrow band ultraviolet B) chamber treatment which is quite effective and safe modality. 2. The blisters can be easily managed by decreasing the duration of exposure. The only drawback is that you will have to visit the dermatologist every alternate day, which seems to be difficult for you. 3. Also, you are applying Melanocyl lotion (Methoxsalen). Since how long are you applying it? Did it have any good effect? 4. Another option is tablet Melanocyl. The usual dose is 20 mg on alternate days. Two hours later, sunlight exposure is given for 10-15 minutes. 5, Biopeptides, topical steroids, etc., can be given. 6. Skin grafting can be carried out. 7. Let me know what dose of Zempred 4 mg (Methylprednisolone) you are on? How many tablets per day and since how long? 8. Please send me photographs of the previous dermatologist's treatments you have taken so that further management can be planned. 9. Also tell me whether lesions are currently increasing or are they stable? If stable, since how long? Revert back with the answers to a dermatologist online.---> | patient: hi doctor, i have been suffering with a skin problem for a long time of four years. they are white patches. i have taken treatment from few doctors. doctors have asked me to apply some lotion and show sunlight to them. they also gave some blue light therapy but i developed blisters after that. so, they stopped the treatment. they are mostly on my hands, feet and shins. my past medication includes drugs called methoxalen lotion mixed in water ans some tablets called aciloc, zempred 4 and shelcal. my friend advised me ayurvedic treatment for the same, but during treatment the spots started spreading to feet. so, i just stopped it. my cbc was normal, sgpt 24, spot 12 and creatinine 0.64. i am fed up. please help. || doctor: hi. i have read your query in detail and do understand your concern. i also viewed the attached pictures (attachment removed to protect patient identity). as you already know, these are patches of vitiligo. this disease can be effectively treated. 1. the blue light you are referring to should be nb-uvb (narrow band ultraviolet b) chamber treatment which is quite effective and safe modality. 2. the blisters can be easily managed by decreasing the duration of exposure. the only drawback is that you will have to visit the dermatologist every alternate day, which seems to be difficult for you. 3. also, you are applying melanocyl lotion (methoxsalen). since how long are you applying it? did it have any good effect? 4. another option is tablet melanocyl. the usual dose is 20 mg on alternate days. two hours later, sunlight exposure is given for 10-15 minutes. 5, biopeptides, topical steroids, etc., can be given. 6. skin grafting can be carried out. 7. let me know what dose of zempred 4 mg (methylprednisolone) you are on? how many tablets per day and since how long? 8. please send me photographs of the previous dermatologist's treatments you have taken so that further management can be planned. 9. also tell me whether lesions are currently increasing or are they stable? if stable, since how long? revert back with the answers to a dermatologist online.---> |
10,252 | Q. Does the MRI of my head show any TMJ problem? | Hello doctor, It has been a long tiring search to find out what is wrong with me and I want to get a second opinion on the MRI of my head. The main symptoms I am having for three months are a constant sore throat, right ear feels clogged, ringing in ears at times, eyes are red all the time and sting a lot, a bad TMJ, constantly clear my throat, slight numbness on left side of the face and left back shoulder area. I wanted to ask, do my sinuses show any abnormality or thickening? Do I have any visible mass or lymph node problems? Is there any problem with my TMJ? It all started with a pain in my right upper quadrant, and then CT scan showed hemangiomas and cysts on my liver and bilateral parapelvic cysts. So, thinking the worst, I had MRI of the head and abdomen done with contrast. After many opinions and radiologist readings, they have all said my liver lesions appear benign. I have also had a clear colonoscopy and upper endoscopy. MRI of the head showed thickening of mucosa in sinuses, but it does not say how bad. I have tried everything from nasal sprays to eye drops, to allergy pills and still the same. I read that TMJD can cause eye, ear, face, and throat symptoms so wanted to get this MRI reread. I have had constant clearing of the throat and post-nasal drip for many years with no relief. All my blood reports are also normal. | Hi. I have gone through the reports (attachment removed to protect patient identity) Revert with more information to an ENT otolaryngologist online --> | Patient: Hello doctor, It has been a long tiring search to find out what is wrong with me and I want to get a second opinion on the MRI of my head. The main symptoms I am having for three months are a constant sore throat, right ear feels clogged, ringing in ears at times, eyes are red all the time and sting a lot, a bad TMJ, constantly clear my throat, slight numbness on left side of the face and left back shoulder area. I wanted to ask, do my sinuses show any abnormality or thickening? Do I have any visible mass or lymph node problems? Is there any problem with my TMJ? It all started with a pain in my right upper quadrant, and then CT scan showed hemangiomas and cysts on my liver and bilateral parapelvic cysts. So, thinking the worst, I had MRI of the head and abdomen done with contrast. After many opinions and radiologist readings, they have all said my liver lesions appear benign. I have also had a clear colonoscopy and upper endoscopy. MRI of the head showed thickening of mucosa in sinuses, but it does not say how bad. I have tried everything from nasal sprays to eye drops, to allergy pills and still the same. I read that TMJD can cause eye, ear, face, and throat symptoms so wanted to get this MRI reread. I have had constant clearing of the throat and post-nasal drip for many years with no relief. All my blood reports are also normal. || Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity) Revert with more information to an ENT otolaryngologist online --> | patient: hello doctor, it has been a long tiring search to find out what is wrong with me and i want to get a second opinion on the mri of my head. the main symptoms i am having for three months are a constant sore throat, right ear feels clogged, ringing in ears at times, eyes are red all the time and sting a lot, a bad tmj, constantly clear my throat, slight numbness on left side of the face and left back shoulder area. i wanted to ask, do my sinuses show any abnormality or thickening? do i have any visible mass or lymph node problems? is there any problem with my tmj? it all started with a pain in my right upper quadrant, and then ct scan showed hemangiomas and cysts on my liver and bilateral parapelvic cysts. so, thinking the worst, i had mri of the head and abdomen done with contrast. after many opinions and radiologist readings, they have all said my liver lesions appear benign. i have also had a clear colonoscopy and upper endoscopy. mri of the head showed thickening of mucosa in sinuses, but it does not say how bad. i have tried everything from nasal sprays to eye drops, to allergy pills and still the same. i read that tmjd can cause eye, ear, face, and throat symptoms so wanted to get this mri reread. i have had constant clearing of the throat and post-nasal drip for many years with no relief. all my blood reports are also normal. || doctor: hi. i have gone through the reports (attachment removed to protect patient identity) revert with more information to an ent otolaryngologist online --> |
10,253 | Q. Ayurveda medicines to increase the Immunity? | Hi doctor, I am a mother of a 3 year old. My son is suffering from cold and cough. He gets vomiting whenever he coughs continuously. Also, he gets cold and coughs very often in the last one year. Until 15 months of age, he did not get even a single episode of cold or a cough. I am so worried about him now. His cough is very severe at night, and he did not sleep yesterday due to a constant cough. He never gets a runny nose, and I am very much concerned about this. This time, he had fever and cold initially, and his cough started after four days. Also, he lost weight due to a cough. He maintained good weight till 1.5 years of age and nowadays, it is very hard for him to gain weight. He had the same type of a cough before six months, and it was diagnosed as viral fever and cough. For a cough, I gave Ascoril-D for two days. Then started with tulsi, betel leaves, cumin and honey kashaya once in the morning and once at night. Kindly tell me some remedy for his cough. Also, how to increase his immunity as well as weight? | Hi. To improve his immunity, please follow the below advice: For further information consult an ayurveda specialist online --> | Patient: Hi doctor, I am a mother of a 3 year old. My son is suffering from cold and cough. He gets vomiting whenever he coughs continuously. Also, he gets cold and coughs very often in the last one year. Until 15 months of age, he did not get even a single episode of cold or a cough. I am so worried about him now. His cough is very severe at night, and he did not sleep yesterday due to a constant cough. He never gets a runny nose, and I am very much concerned about this. This time, he had fever and cold initially, and his cough started after four days. Also, he lost weight due to a cough. He maintained good weight till 1.5 years of age and nowadays, it is very hard for him to gain weight. He had the same type of a cough before six months, and it was diagnosed as viral fever and cough. For a cough, I gave Ascoril-D for two days. Then started with tulsi, betel leaves, cumin and honey kashaya once in the morning and once at night. Kindly tell me some remedy for his cough. Also, how to increase his immunity as well as weight? || Doctor: Hi. To improve his immunity, please follow the below advice: For further information consult an ayurveda specialist online --> | patient: hi doctor, i am a mother of a 3 year old. my son is suffering from cold and cough. he gets vomiting whenever he coughs continuously. also, he gets cold and coughs very often in the last one year. until 15 months of age, he did not get even a single episode of cold or a cough. i am so worried about him now. his cough is very severe at night, and he did not sleep yesterday due to a constant cough. he never gets a runny nose, and i am very much concerned about this. this time, he had fever and cold initially, and his cough started after four days. also, he lost weight due to a cough. he maintained good weight till 1.5 years of age and nowadays, it is very hard for him to gain weight. he had the same type of a cough before six months, and it was diagnosed as viral fever and cough. for a cough, i gave ascoril-d for two days. then started with tulsi, betel leaves, cumin and honey kashaya once in the morning and once at night. kindly tell me some remedy for his cough. also, how to increase his immunity as well as weight? || doctor: hi. to improve his immunity, please follow the below advice: for further information consult an ayurveda specialist online --> |
10,254 | Q. Does my foot X-ray show any broken bones? | Hello doctor, I recently had an accident while cycling and twisted my foot. The foot is quite swollen. I have attached X-rays. Are any of the bones in my foot broken? What should I do to recover? | Hi. How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help. | Patient: Hello doctor, I recently had an accident while cycling and twisted my foot. The foot is quite swollen. I have attached X-rays. Are any of the bones in my foot broken? What should I do to recover? || Doctor: Hi. How was your day? I have gone through your query and the attached X-rays in detail and understand your concern. There seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. The first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. Do not bear weight on this affected limb during this period. Keep the leg elevated over a pillow. You should take analgesic anti-inflammatory tablets along with proteolytic enzymes like Trypsin, Chymotrypsin or Serratiopeptidase. Supplements of Calcium and Vitamin D3 should help. | patient: hello doctor, i recently had an accident while cycling and twisted my foot. the foot is quite swollen. i have attached x-rays. are any of the bones in my foot broken? what should i do to recover? || doctor: hi. how was your day? i have gone through your query and the attached x-rays in detail and understand your concern. there seems to be an incomplete fracture of the midfoot bone which is the main cause of the swelling of the foot. the first thing you should do is get the foot plastered in a below knee plaster cast or splint for at least one month. do not bear weight on this affected limb during this period. keep the leg elevated over a pillow. you should take analgesic anti-inflammatory tablets along with proteolytic enzymes like trypsin, chymotrypsin or serratiopeptidase. supplements of calcium and vitamin d3 should help. |
10,255 | Q. Can reactive thrombocytosis cause stroke? | Hello doctor, I donated plasma through plasmapheresis. When the IV was initially inserted, my blood did not flow through the machine. The technician came by and wiggled the IV, but the blood still did not flow. The technician then switched the IV to my other arm. It began to flow after about five minutes. I completed the process successfully. I was instructed to wait for five minutes before leaving to make sure I felt fine. The following info is an excerpt from my discharge papers. Immediately upon entering her vehicle a 35 year old female presented with nausea, vomiting, weakness, and fatigue. Patient noted that she donated plasma the day before and suffered severe side effects immediately upon entrance to her vehicle. Side effects she noted were severe and prolonged nausea, vomiting and dry heaves. As well as stomach pain, tingling in arm, slurred speech, tunnel vision and cold sweats. She was told by the plasma donation center that possible side effects of plasma donation can include most of issues noted above, and to rest and drink plenty of fluids to counteract. Patient went home, drank fluids and slept the remaining of the day as instructed. The following morning, her symptoms persisted so she called emergency number. Upon workup, patient presented with thrombocytosis, elevated WBC, severely depleted iron levels and MRI and CT scan confirmed acute ischemic stroke. Can a person with reactive thrombocytosis suffer an ischemic stroke from donating plasma or undergoing plasmapheresis? I am taking medicines for BP, cholesterol and also taking Aspirin and Iron. Please see the attachment. | Hello. For further information consult an internal medicine physician online --> | Patient: Hello doctor, I donated plasma through plasmapheresis. When the IV was initially inserted, my blood did not flow through the machine. The technician came by and wiggled the IV, but the blood still did not flow. The technician then switched the IV to my other arm. It began to flow after about five minutes. I completed the process successfully. I was instructed to wait for five minutes before leaving to make sure I felt fine. The following info is an excerpt from my discharge papers. Immediately upon entering her vehicle a 35 year old female presented with nausea, vomiting, weakness, and fatigue. Patient noted that she donated plasma the day before and suffered severe side effects immediately upon entrance to her vehicle. Side effects she noted were severe and prolonged nausea, vomiting and dry heaves. As well as stomach pain, tingling in arm, slurred speech, tunnel vision and cold sweats. She was told by the plasma donation center that possible side effects of plasma donation can include most of issues noted above, and to rest and drink plenty of fluids to counteract. Patient went home, drank fluids and slept the remaining of the day as instructed. The following morning, her symptoms persisted so she called emergency number. Upon workup, patient presented with thrombocytosis, elevated WBC, severely depleted iron levels and MRI and CT scan confirmed acute ischemic stroke. Can a person with reactive thrombocytosis suffer an ischemic stroke from donating plasma or undergoing plasmapheresis? I am taking medicines for BP, cholesterol and also taking Aspirin and Iron. Please see the attachment. || Doctor: Hello. For further information consult an internal medicine physician online --> | patient: hello doctor, i donated plasma through plasmapheresis. when the iv was initially inserted, my blood did not flow through the machine. the technician came by and wiggled the iv, but the blood still did not flow. the technician then switched the iv to my other arm. it began to flow after about five minutes. i completed the process successfully. i was instructed to wait for five minutes before leaving to make sure i felt fine. the following info is an excerpt from my discharge papers. immediately upon entering her vehicle a 35 year old female presented with nausea, vomiting, weakness, and fatigue. patient noted that she donated plasma the day before and suffered severe side effects immediately upon entrance to her vehicle. side effects she noted were severe and prolonged nausea, vomiting and dry heaves. as well as stomach pain, tingling in arm, slurred speech, tunnel vision and cold sweats. she was told by the plasma donation center that possible side effects of plasma donation can include most of issues noted above, and to rest and drink plenty of fluids to counteract. patient went home, drank fluids and slept the remaining of the day as instructed. the following morning, her symptoms persisted so she called emergency number. upon workup, patient presented with thrombocytosis, elevated wbc, severely depleted iron levels and mri and ct scan confirmed acute ischemic stroke. can a person with reactive thrombocytosis suffer an ischemic stroke from donating plasma or undergoing plasmapheresis? i am taking medicines for bp, cholesterol and also taking aspirin and iron. please see the attachment. || doctor: hello. for further information consult an internal medicine physician online --> |
10,256 | Q. How can shingles be treated? | Hello doctor, My mom has a pretty severe case of shingles. Starting on the left side mid back and goes around to the belly. She has been prescribed Pregabalin and it is not helping, they tried Gabapentin and she has bad side effects from it. We have tried compounded pain ointments, ice, cool water, etc. Nothing is helping. She is 74 with late stage COPD, diabetic and has osteoporosis severely as well. Is there anything else we can do to try to ease her pain. She is bellowing out in pain every 5 minutes. | Hi. Shingles or Herpes Zoster occur due to reactivation of chicken pox virus which hide in spinal nerve ganglion during childhood. Reactivation can occur in immunosuppression or old age, thus it runs along a nerve in girdle like fashion. It starts with fluid filled lesion which heal within upto 2 weeks but nerve damage can give severe pain which may last longer. It is called post herpetic neuralgia. I hope there is no active fluid filled lesion. If so kindly send a photo and Renal function test report. Otherwise start SR tablet Pregabalin 25 mg plus 1500 mcg Methylcobalamin tablet twice daily. Capsaicin or Lidocaine patch application. Tablet Tramadol if severe pain SOS once daily. Calamine lotion thrice daily. Review after 4 weeks. It is sometime resistant. Other modalities like intraspinal steroid or botox injection can also be tried but let's fist see how this responds. | Patient: Hello doctor, My mom has a pretty severe case of shingles. Starting on the left side mid back and goes around to the belly. She has been prescribed Pregabalin and it is not helping, they tried Gabapentin and she has bad side effects from it. We have tried compounded pain ointments, ice, cool water, etc. Nothing is helping. She is 74 with late stage COPD, diabetic and has osteoporosis severely as well. Is there anything else we can do to try to ease her pain. She is bellowing out in pain every 5 minutes. || Doctor: Hi. Shingles or Herpes Zoster occur due to reactivation of chicken pox virus which hide in spinal nerve ganglion during childhood. Reactivation can occur in immunosuppression or old age, thus it runs along a nerve in girdle like fashion. It starts with fluid filled lesion which heal within upto 2 weeks but nerve damage can give severe pain which may last longer. It is called post herpetic neuralgia. I hope there is no active fluid filled lesion. If so kindly send a photo and Renal function test report. Otherwise start SR tablet Pregabalin 25 mg plus 1500 mcg Methylcobalamin tablet twice daily. Capsaicin or Lidocaine patch application. Tablet Tramadol if severe pain SOS once daily. Calamine lotion thrice daily. Review after 4 weeks. It is sometime resistant. Other modalities like intraspinal steroid or botox injection can also be tried but let's fist see how this responds. | patient: hello doctor, my mom has a pretty severe case of shingles. starting on the left side mid back and goes around to the belly. she has been prescribed pregabalin and it is not helping, they tried gabapentin and she has bad side effects from it. we have tried compounded pain ointments, ice, cool water, etc. nothing is helping. she is 74 with late stage copd, diabetic and has osteoporosis severely as well. is there anything else we can do to try to ease her pain. she is bellowing out in pain every 5 minutes. || doctor: hi. shingles or herpes zoster occur due to reactivation of chicken pox virus which hide in spinal nerve ganglion during childhood. reactivation can occur in immunosuppression or old age, thus it runs along a nerve in girdle like fashion. it starts with fluid filled lesion which heal within upto 2 weeks but nerve damage can give severe pain which may last longer. it is called post herpetic neuralgia. i hope there is no active fluid filled lesion. if so kindly send a photo and renal function test report. otherwise start sr tablet pregabalin 25 mg plus 1500 mcg methylcobalamin tablet twice daily. capsaicin or lidocaine patch application. tablet tramadol if severe pain sos once daily. calamine lotion thrice daily. review after 4 weeks. it is sometime resistant. other modalities like intraspinal steroid or botox injection can also be tried but let's fist see how this responds. |
10,257 | 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 --> |
10,258 | 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 --> |
10,259 | 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.---> |
10,260 | 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 --> |
10,261 | 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 --> |
10,262 | Q. Can my depression and OCD be cured with just medications? | Hello doctor, I am a 34 year old male working as an engineer. Regarding my mental state, I feel lethargic and sleepy all day. I do not have the interest to do anything in life. Even if I start something, I am easily bored. I am always in a hurry. I have rapid mood swings. I cannot concentrate while reading as my mind is restless. I constantly have negative thoughts. Most of the time, I am sad. I am short tempered and my pulse rate increases rapidly. I often want to smash things or throw things at people. I ponder about doing crazy things and anticipate the outcomes of doing silly things. I have repetitive thoughts like a maniac. I do not feel like doing anything. I have lost interest even in my favorite activities. I consulted a psychiatrist and he diagnosed it as major depressive disorder with OCD traits and hypertension. But, I do not want to take medicines unless I know for sure it is really going to cure me. Please help. | Hello. The kind of thoughts that you describe and the fact that they keep coming repetitively is diagnostic of obsessive compulsive disorder (OCD). Your complaints of weakness, mood swings, anger, and a loss of interest in doing things is typical of depression. So, your doctor's diagnosis is correct. I would suggest tablet Fluvoxamine as the first choice of medicine. For OCD and depression, the best and easiest treatment which will give early results is medication. Other therapies like psychotherapy, etc. are not effective when you suffer from a severe type of OCD and depression. So, I believe that they will prolong your suffering. The earlier you start the treatment, the better it will get. If you have any doubts or negative ideas about medicines, clear them with your doctor or with me. For further queries consult a psychiatrist online --> | Patient: Hello doctor, I am a 34 year old male working as an engineer. Regarding my mental state, I feel lethargic and sleepy all day. I do not have the interest to do anything in life. Even if I start something, I am easily bored. I am always in a hurry. I have rapid mood swings. I cannot concentrate while reading as my mind is restless. I constantly have negative thoughts. Most of the time, I am sad. I am short tempered and my pulse rate increases rapidly. I often want to smash things or throw things at people. I ponder about doing crazy things and anticipate the outcomes of doing silly things. I have repetitive thoughts like a maniac. I do not feel like doing anything. I have lost interest even in my favorite activities. I consulted a psychiatrist and he diagnosed it as major depressive disorder with OCD traits and hypertension. But, I do not want to take medicines unless I know for sure it is really going to cure me. Please help. || Doctor: Hello. The kind of thoughts that you describe and the fact that they keep coming repetitively is diagnostic of obsessive compulsive disorder (OCD). Your complaints of weakness, mood swings, anger, and a loss of interest in doing things is typical of depression. So, your doctor's diagnosis is correct. I would suggest tablet Fluvoxamine as the first choice of medicine. For OCD and depression, the best and easiest treatment which will give early results is medication. Other therapies like psychotherapy, etc. are not effective when you suffer from a severe type of OCD and depression. So, I believe that they will prolong your suffering. The earlier you start the treatment, the better it will get. If you have any doubts or negative ideas about medicines, clear them with your doctor or with me. For further queries consult a psychiatrist online --> | patient: hello doctor, i am a 34 year old male working as an engineer. regarding my mental state, i feel lethargic and sleepy all day. i do not have the interest to do anything in life. even if i start something, i am easily bored. i am always in a hurry. i have rapid mood swings. i cannot concentrate while reading as my mind is restless. i constantly have negative thoughts. most of the time, i am sad. i am short tempered and my pulse rate increases rapidly. i often want to smash things or throw things at people. i ponder about doing crazy things and anticipate the outcomes of doing silly things. i have repetitive thoughts like a maniac. i do not feel like doing anything. i have lost interest even in my favorite activities. i consulted a psychiatrist and he diagnosed it as major depressive disorder with ocd traits and hypertension. but, i do not want to take medicines unless i know for sure it is really going to cure me. please help. || doctor: hello. the kind of thoughts that you describe and the fact that they keep coming repetitively is diagnostic of obsessive compulsive disorder (ocd). your complaints of weakness, mood swings, anger, and a loss of interest in doing things is typical of depression. so, your doctor's diagnosis is correct. i would suggest tablet fluvoxamine as the first choice of medicine. for ocd and depression, the best and easiest treatment which will give early results is medication. other therapies like psychotherapy, etc. are not effective when you suffer from a severe type of ocd and depression. so, i believe that they will prolong your suffering. the earlier you start the treatment, the better it will get. if you have any doubts or negative ideas about medicines, clear them with your doctor or with me. for further queries consult a psychiatrist online --> |
10,263 | Q. I have a burning pain between my eyebrows. What specialist should I consult? | Hello doctor,I have been experiencing a burning sensation and a pricking pain near my left eyebrow and between my eyebrows. I especially feel it when I am about to cry. The pain makes my eyes burn and no tears come out. I also felt this when I make certain facial movements, cough, sneeze, and when I am going to the bathroom. I have had a history of chronic sinusitis and environmental allergies. | Hello. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I have been experiencing a burning sensation and a pricking pain near my left eyebrow and between my eyebrows. I especially feel it when I am about to cry. The pain makes my eyes burn and no tears come out. I also felt this when I make certain facial movements, cough, sneeze, and when I am going to the bathroom. I have had a history of chronic sinusitis and environmental allergies. || Doctor: Hello. For more information consult an internal medicine physician online --> | patient: hello doctor,i have been experiencing a burning sensation and a pricking pain near my left eyebrow and between my eyebrows. i especially feel it when i am about to cry. the pain makes my eyes burn and no tears come out. i also felt this when i make certain facial movements, cough, sneeze, and when i am going to the bathroom. i have had a history of chronic sinusitis and environmental allergies. || doctor: hello. for more information consult an internal medicine physician online --> |
10,264 | Q. Why is genital herpes recurring? | Hi doctor, Why do I get recurrence of genital herpes as soon as I stop antiviral drugs? | Hello. It may be due to poor immune status, diabetes, drugs, or poor nutrition which may lead to decreased resistance to infection. If the sexual partner has it, then there is a chance of developing it. I suggest applying Acivir (Acyclovir) gel locally and taking capsule Acivir 400 mg five times a day for one week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> | Patient: Hi doctor, Why do I get recurrence of genital herpes as soon as I stop antiviral drugs? || Doctor: Hello. It may be due to poor immune status, diabetes, drugs, or poor nutrition which may lead to decreased resistance to infection. If the sexual partner has it, then there is a chance of developing it. I suggest applying Acivir (Acyclovir) gel locally and taking capsule Acivir 400 mg five times a day for one week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult an internal medicine physician online --> | patient: hi doctor, why do i get recurrence of genital herpes as soon as i stop antiviral drugs? || doctor: hello. it may be due to poor immune status, diabetes, drugs, or poor nutrition which may lead to decreased resistance to infection. if the sexual partner has it, then there is a chance of developing it. i suggest applying acivir (acyclovir) gel locally and taking capsule acivir 400 mg five times a day for one week. consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. for more information consult an internal medicine physician online --> |
10,265 | Q. Can a bad cold cause variation in lymphocyte count? | Hi doctor, I have done CBP and everything is fine within limits, except lymphocytes which are 14%. Normal value is between 20 and 45 and neutrophil is 75 percent, with normal range being 32 to 65. Absolute values of both are fine though lymphocytes were slightly towards lower limit. Total WBC, RBC and platelets are all fine too. I had a bad cold when I had the test done. Can this explain the difference? | Hello. For further information consult a general medicine physician online --> | Patient: Hi doctor, I have done CBP and everything is fine within limits, except lymphocytes which are 14%. Normal value is between 20 and 45 and neutrophil is 75 percent, with normal range being 32 to 65. Absolute values of both are fine though lymphocytes were slightly towards lower limit. Total WBC, RBC and platelets are all fine too. I had a bad cold when I had the test done. Can this explain the difference? || Doctor: Hello. For further information consult a general medicine physician online --> | patient: hi doctor, i have done cbp and everything is fine within limits, except lymphocytes which are 14%. normal value is between 20 and 45 and neutrophil is 75 percent, with normal range being 32 to 65. absolute values of both are fine though lymphocytes were slightly towards lower limit. total wbc, rbc and platelets are all fine too. i had a bad cold when i had the test done. can this explain the difference? || doctor: hello. for further information consult a general medicine physician online --> |
10,266 | Q. From my reports are there any preventive measures I should take for diabetes? | Hello doctor,I am a 40-year-old male. I am a vegetarian. I pursue an active lifestyle. I do not smoke or drink. I am a long distance endurance marathon runner. I also strength train three days a week and run two days a week. I got my sugar test, thyroid profile and vitamin D levels checked yesterday. I am attaching the detailed reports, summary as follows:Blood Glucose (F) 89 mg/dL.Blood Glucose (PP) 102 mg/dL.Urine sugar (both in F and PP) not present.HbA1C 5.8 %.Thyroid profile: T3(CLIA) 57 ng/mL, T4(FPIA) 6.38 ug/dL, TSH(CLIA) 1.81 uIU/mL.Vitamin D (25 hydroxycholecalciferol) 26.97 ng/mL.From the reference ranges, things seem to be fine. I just wanted to check with you for any precautions or preventive measures to be taken. Thanks. | Hello. Everything is perfect except vitamin D level, which seems to be on the borderline and for which I suggest taking Cholecalciferol granules, once weekly for one or two months. Hope it helps. Regards. For more information consult a general practitioner online --> | Patient: Hello doctor,I am a 40-year-old male. I am a vegetarian. I pursue an active lifestyle. I do not smoke or drink. I am a long distance endurance marathon runner. I also strength train three days a week and run two days a week. I got my sugar test, thyroid profile and vitamin D levels checked yesterday. I am attaching the detailed reports, summary as follows:Blood Glucose (F) 89 mg/dL.Blood Glucose (PP) 102 mg/dL.Urine sugar (both in F and PP) not present.HbA1C 5.8 %.Thyroid profile: T3(CLIA) 57 ng/mL, T4(FPIA) 6.38 ug/dL, TSH(CLIA) 1.81 uIU/mL.Vitamin D (25 hydroxycholecalciferol) 26.97 ng/mL.From the reference ranges, things seem to be fine. I just wanted to check with you for any precautions or preventive measures to be taken. Thanks. || Doctor: Hello. Everything is perfect except vitamin D level, which seems to be on the borderline and for which I suggest taking Cholecalciferol granules, once weekly for one or two months. Hope it helps. Regards. For more information consult a general practitioner online --> | patient: hello doctor,i am a 40-year-old male. i am a vegetarian. i pursue an active lifestyle. i do not smoke or drink. i am a long distance endurance marathon runner. i also strength train three days a week and run two days a week. i got my sugar test, thyroid profile and vitamin d levels checked yesterday. i am attaching the detailed reports, summary as follows:blood glucose (f) 89 mg/dl.blood glucose (pp) 102 mg/dl.urine sugar (both in f and pp) not present.hba1c 5.8 %.thyroid profile: t3(clia) 57 ng/ml, t4(fpia) 6.38 ug/dl, tsh(clia) 1.81 uiu/ml.vitamin d (25 hydroxycholecalciferol) 26.97 ng/ml.from the reference ranges, things seem to be fine. i just wanted to check with you for any precautions or preventive measures to be taken. thanks. || doctor: hello. everything is perfect except vitamin d level, which seems to be on the borderline and for which i suggest taking cholecalciferol granules, once weekly for one or two months. hope it helps. regards. for more information consult a general practitioner online --> |
10,267 | Q. Since the time I took antibiotics four years back, I am having stomach issues. What to do? | I've been having stomach issues for almost 4 years now, when I was put on two rounds of back-to-back antibiotics for a bad tooth abscess. I was put on Augmentin and then Clindamycin, along with the use of Motrin and Tylenol as directed by my dentist. Since then, I have had stomach issues including: going to the bathroom more often, feeling pressure when having to go to the bathroom, occasional mucus in stool, and more recently, bouts of nausea, bloating/cramping, and very smelly gas. I have had various blood panels, tried probiotics (including VSL), rifaximin, diet changes, and I'm currently on Viberzi, which helped but made me a bit constipated/tired/bloated, so I lowered the dosage to 1 pill (100mg) per day instead of 2, which decreased side effects but also decreased effectiveness of the drug. Also, it seems my metabolism has shifted after the antibiotics and I gained weight faster than I ever have, and I am still struggling to keep my weight down after making significant diet and lifestyle changes. Any insight here into the weight gain and then anything else I could try for the stomach symptoms? Thank you! | Hello, Welcome to icliniq I have reviewed your concern. After taking antibiotics your gut bacterial composition has been changed and it has started to cause troubles for you. Weight gain is also seen in such cases. Since you have tried a lot of things and finally viberzi showing some results for you. I am happy things have finally got some control. For your concern regarding relatively rapid weight gain and metabolic shift is genuine. I would say, you are a good observant. What further helps you to restore your gut bacterial composition is to opt for natural selection. Like food changes, you have to avoid junk and bakery products as much as possible, Take alot of yoghurt (natural probiotic) and fruits. Increase use of vegetables. Avoid alcohol if you are taking. Continue exercise or at lease try to remain active. Collectively, this will change the story, you will feel better, but definitely process is slow and it will take time. So you have to exercise patience. I hope you will find it super helpful, give your feedback, let us know after a week, how you feel. If we could do further for you, we will definitely do but it depends how you take the things from here. Humble regards | Patient: I've been having stomach issues for almost 4 years now, when I was put on two rounds of back-to-back antibiotics for a bad tooth abscess. I was put on Augmentin and then Clindamycin, along with the use of Motrin and Tylenol as directed by my dentist. Since then, I have had stomach issues including: going to the bathroom more often, feeling pressure when having to go to the bathroom, occasional mucus in stool, and more recently, bouts of nausea, bloating/cramping, and very smelly gas. I have had various blood panels, tried probiotics (including VSL), rifaximin, diet changes, and I'm currently on Viberzi, which helped but made me a bit constipated/tired/bloated, so I lowered the dosage to 1 pill (100mg) per day instead of 2, which decreased side effects but also decreased effectiveness of the drug. Also, it seems my metabolism has shifted after the antibiotics and I gained weight faster than I ever have, and I am still struggling to keep my weight down after making significant diet and lifestyle changes. Any insight here into the weight gain and then anything else I could try for the stomach symptoms? Thank you! || Doctor: Hello, Welcome to icliniq I have reviewed your concern. After taking antibiotics your gut bacterial composition has been changed and it has started to cause troubles for you. Weight gain is also seen in such cases. Since you have tried a lot of things and finally viberzi showing some results for you. I am happy things have finally got some control. For your concern regarding relatively rapid weight gain and metabolic shift is genuine. I would say, you are a good observant. What further helps you to restore your gut bacterial composition is to opt for natural selection. Like food changes, you have to avoid junk and bakery products as much as possible, Take alot of yoghurt (natural probiotic) and fruits. Increase use of vegetables. Avoid alcohol if you are taking. Continue exercise or at lease try to remain active. Collectively, this will change the story, you will feel better, but definitely process is slow and it will take time. So you have to exercise patience. I hope you will find it super helpful, give your feedback, let us know after a week, how you feel. If we could do further for you, we will definitely do but it depends how you take the things from here. Humble regards | patient: i've been having stomach issues for almost 4 years now, when i was put on two rounds of back-to-back antibiotics for a bad tooth abscess. i was put on augmentin and then clindamycin, along with the use of motrin and tylenol as directed by my dentist. since then, i have had stomach issues including: going to the bathroom more often, feeling pressure when having to go to the bathroom, occasional mucus in stool, and more recently, bouts of nausea, bloating/cramping, and very smelly gas. i have had various blood panels, tried probiotics (including vsl), rifaximin, diet changes, and i'm currently on viberzi, which helped but made me a bit constipated/tired/bloated, so i lowered the dosage to 1 pill (100mg) per day instead of 2, which decreased side effects but also decreased effectiveness of the drug. also, it seems my metabolism has shifted after the antibiotics and i gained weight faster than i ever have, and i am still struggling to keep my weight down after making significant diet and lifestyle changes. any insight here into the weight gain and then anything else i could try for the stomach symptoms? thank you! || doctor: hello, welcome to icliniq i have reviewed your concern. after taking antibiotics your gut bacterial composition has been changed and it has started to cause troubles for you. weight gain is also seen in such cases. since you have tried a lot of things and finally viberzi showing some results for you. i am happy things have finally got some control. for your concern regarding relatively rapid weight gain and metabolic shift is genuine. i would say, you are a good observant. what further helps you to restore your gut bacterial composition is to opt for natural selection. like food changes, you have to avoid junk and bakery products as much as possible, take alot of yoghurt (natural probiotic) and fruits. increase use of vegetables. avoid alcohol if you are taking. continue exercise or at lease try to remain active. collectively, this will change the story, you will feel better, but definitely process is slow and it will take time. so you have to exercise patience. i hope you will find it super helpful, give your feedback, let us know after a week, how you feel. if we could do further for you, we will definitely do but it depends how you take the things from here. humble regards |
10,268 | Q. Swollen gums causing dislocation of teeth. What can be done? | Hi doctor, I have developed swollen gums from about six months and four months ago, my front gums were also swollen. During the course of two to three days, my front teeth began to develop a gap. Within a weeks time, one of the teeth became loose and more dislocated. My nearby dentist suggested me to put a cover on the teeth after filling it from the bottom. I do not want my teeth to remain dislocated and fixed in that position. I want my teeth back in the normal position. | Hi. I have gone through your images (attachment removed to protect patient identity). This is midline pathological diastema,that means there was either an aggressive infection or the formation of a cyst (midline palatal cyst) that cause the gap. This can also happen due to trauma. In your case, if there is no more swelling or there is no more drainage of pus, you can go for fixed orthodontic appliances followed by a retainer. You do not want to build up your teeth with filling material. But in case if there is any primary cause, you need to treat it first. Please reply to my following questions: I need an IOPA (intraoral periapical radiograph) and OPG (orthopantomogram) of the region to view the cause. Brush twice daily with an ultrasoft brush. For more information consult a dentist online --> | Patient: Hi doctor, I have developed swollen gums from about six months and four months ago, my front gums were also swollen. During the course of two to three days, my front teeth began to develop a gap. Within a weeks time, one of the teeth became loose and more dislocated. My nearby dentist suggested me to put a cover on the teeth after filling it from the bottom. I do not want my teeth to remain dislocated and fixed in that position. I want my teeth back in the normal position. || Doctor: Hi. I have gone through your images (attachment removed to protect patient identity). This is midline pathological diastema,that means there was either an aggressive infection or the formation of a cyst (midline palatal cyst) that cause the gap. This can also happen due to trauma. In your case, if there is no more swelling or there is no more drainage of pus, you can go for fixed orthodontic appliances followed by a retainer. You do not want to build up your teeth with filling material. But in case if there is any primary cause, you need to treat it first. Please reply to my following questions: I need an IOPA (intraoral periapical radiograph) and OPG (orthopantomogram) of the region to view the cause. Brush twice daily with an ultrasoft brush. For more information consult a dentist online --> | patient: hi doctor, i have developed swollen gums from about six months and four months ago, my front gums were also swollen. during the course of two to three days, my front teeth began to develop a gap. within a weeks time, one of the teeth became loose and more dislocated. my nearby dentist suggested me to put a cover on the teeth after filling it from the bottom. i do not want my teeth to remain dislocated and fixed in that position. i want my teeth back in the normal position. || doctor: hi. i have gone through your images (attachment removed to protect patient identity). this is midline pathological diastema,that means there was either an aggressive infection or the formation of a cyst (midline palatal cyst) that cause the gap. this can also happen due to trauma. in your case, if there is no more swelling or there is no more drainage of pus, you can go for fixed orthodontic appliances followed by a retainer. you do not want to build up your teeth with filling material. but in case if there is any primary cause, you need to treat it first. please reply to my following questions: i need an iopa (intraoral periapical radiograph) and opg (orthopantomogram) of the region to view the cause. brush twice daily with an ultrasoft brush. for more information consult a dentist online --> |
10,269 | Q. Can infection on penis cause severe itching? | Hi doctor, I am suffering from an infection on my penis. I am using Clotrimazole cream over the infection. Once I miss applying cream a day, the penis gets infected with red patches, pus-filled boils and there is severe itching. My partner is not affected by any problem though we are sexually active. I am not diabetic when I saw my blood test. Kindly help me to cure it. I am frustrated with my problem. Kindly give me medical advice. | Hi. Please send photos of the affected area before applying Clotrimazole cream. After seeing your images, I can give my comment about your problem. Revert with more information to a dermatologist online --> | Patient: Hi doctor, I am suffering from an infection on my penis. I am using Clotrimazole cream over the infection. Once I miss applying cream a day, the penis gets infected with red patches, pus-filled boils and there is severe itching. My partner is not affected by any problem though we are sexually active. I am not diabetic when I saw my blood test. Kindly help me to cure it. I am frustrated with my problem. Kindly give me medical advice. || Doctor: Hi. Please send photos of the affected area before applying Clotrimazole cream. After seeing your images, I can give my comment about your problem. Revert with more information to a dermatologist online --> | patient: hi doctor, i am suffering from an infection on my penis. i am using clotrimazole cream over the infection. once i miss applying cream a day, the penis gets infected with red patches, pus-filled boils and there is severe itching. my partner is not affected by any problem though we are sexually active. i am not diabetic when i saw my blood test. kindly help me to cure it. i am frustrated with my problem. kindly give me medical advice. || doctor: hi. please send photos of the affected area before applying clotrimazole cream. after seeing your images, i can give my comment about your problem. revert with more information to a dermatologist online --> |
10,270 | Q. I have non-alcoholic fatty liver disease. Is light beer bad for my liver? | Hello doctor, I was diagnosed with non-alcoholic fatty liver disease last year. My liver enzymes are very high. I used to drink champagne, wine, and other hard liquor, a few times a week. But now, I switched to light beer. Is it bad for my liver? | Hello. Hope this helps you, and get back if you have any doubts. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I was diagnosed with non-alcoholic fatty liver disease last year. My liver enzymes are very high. I used to drink champagne, wine, and other hard liquor, a few times a week. But now, I switched to light beer. Is it bad for my liver? || Doctor: Hello. Hope this helps you, and get back if you have any doubts. For more information consult an internal medicine physician online --> | patient: hello doctor, i was diagnosed with non-alcoholic fatty liver disease last year. my liver enzymes are very high. i used to drink champagne, wine, and other hard liquor, a few times a week. but now, i switched to light beer. is it bad for my liver? || doctor: hello. hope this helps you, and get back if you have any doubts. for more information consult an internal medicine physician online --> |
10,271 | Q. My last endoscopy for gastritis was eight years ago. Do I need another test? | Hello doctor, Eight years ago, I had an esophagogastroduodenoscopy. It came back normal except for some mild chronic antrum gastritis (reactive gastritis) and mild duodenal bulb duodenitis. I have been on Prilosec for 10 years, but have recently had some flare-ups, lots of stomach gurgling, gas, and constipation issues. Do you think I need another test? | Hello. Hope I have cleared your queries to your satisfaction. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor, Eight years ago, I had an esophagogastroduodenoscopy. It came back normal except for some mild chronic antrum gastritis (reactive gastritis) and mild duodenal bulb duodenitis. I have been on Prilosec for 10 years, but have recently had some flare-ups, lots of stomach gurgling, gas, and constipation issues. Do you think I need another test? || Doctor: Hello. Hope I have cleared your queries to your satisfaction. For more information consult a medical gastroenterologist online --> | patient: hello doctor, eight years ago, i had an esophagogastroduodenoscopy. it came back normal except for some mild chronic antrum gastritis (reactive gastritis) and mild duodenal bulb duodenitis. i have been on prilosec for 10 years, but have recently had some flare-ups, lots of stomach gurgling, gas, and constipation issues. do you think i need another test? || doctor: hello. hope i have cleared your queries to your satisfaction. for more information consult a medical gastroenterologist online --> |
10,272 | Q. Ulcer present in food pipe. Can Lignocaine hydrochloride be swallowed? | Hello doctor, My father, aged 45 years is going through chemotherapy after a major surgery in which his stomach was removed. He has Non-Hodgkin lymphoma. The medication given to him is R-CHOP. Now, it has been 9 days since his second cycle of chemotherapy and he has painful mouth ulcers, one of which is on the food pipe. Doctor has advised to use Lignocaine hydrochloride as anesthetic before eating to avoid pain. He can tolerate the pain in the mouth but when the food touches the ulcer on the food pipe, it hurts him badly. He is taking Mucaine gel for ulcer on the throat. Is there any quick solution? Can Lignocaine or Lidocaine or Xylocaine hydrochloride 2% be swallowed? Please help. | Hi. For further queries consult a surgical oncologist online --> | Patient: Hello doctor, My father, aged 45 years is going through chemotherapy after a major surgery in which his stomach was removed. He has Non-Hodgkin lymphoma. The medication given to him is R-CHOP. Now, it has been 9 days since his second cycle of chemotherapy and he has painful mouth ulcers, one of which is on the food pipe. Doctor has advised to use Lignocaine hydrochloride as anesthetic before eating to avoid pain. He can tolerate the pain in the mouth but when the food touches the ulcer on the food pipe, it hurts him badly. He is taking Mucaine gel for ulcer on the throat. Is there any quick solution? Can Lignocaine or Lidocaine or Xylocaine hydrochloride 2% be swallowed? Please help. || Doctor: Hi. For further queries consult a surgical oncologist online --> | patient: hello doctor, my father, aged 45 years is going through chemotherapy after a major surgery in which his stomach was removed. he has non-hodgkin lymphoma. the medication given to him is r-chop. now, it has been 9 days since his second cycle of chemotherapy and he has painful mouth ulcers, one of which is on the food pipe. doctor has advised to use lignocaine hydrochloride as anesthetic before eating to avoid pain. he can tolerate the pain in the mouth but when the food touches the ulcer on the food pipe, it hurts him badly. he is taking mucaine gel for ulcer on the throat. is there any quick solution? can lignocaine or lidocaine or xylocaine hydrochloride 2% be swallowed? please help. || doctor: hi. for further queries consult a surgical oncologist online --> |
10,273 | 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 --> |
10,274 | 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 --> |
10,275 | 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.---> |
10,276 | 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 --> |
10,277 | 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 --> |
10,278 | Q. I have oily dandruff and dry hairs with hair fall. How can I be treated? | Hello doctor, I have oily dandruff and dry hairs and hair fall. So what should I do if I wash hairs every day so they will become more dry and thin too? | Hello. Many people with dandruff have oily skin and the latest research shows that the real culprit is probably a tiny fungus called Malassezia globosa that needs oil to grow. It only becomes a problem when the fungus grows too rapidly, and our natural renewal of cells is disturbed. It causes skin cells to renew too fast and dandruff will start to show because the skin cells bond with the oil on the surface of your scalp. This process results in the formation of white flakes. Regular shampooing can even irritate your skin that may aggravate flakes formation. Do not wash your hair more than two times a week or every alternate day. Use organic shampoos without skin irritants. While washing your hair use lukewarm water. Do not use nails just massage it gently with fingers. Then wash with cold water. You may use antifungal Nizoral shampoo to control dandruff. You may use it once a week for six to eight weeks. If symptoms still persist, you need to consult your dermatologist. He will guide you in the right way. For more information consult a general medicine physician online --> | Patient: Hello doctor, I have oily dandruff and dry hairs and hair fall. So what should I do if I wash hairs every day so they will become more dry and thin too? || Doctor: Hello. Many people with dandruff have oily skin and the latest research shows that the real culprit is probably a tiny fungus called Malassezia globosa that needs oil to grow. It only becomes a problem when the fungus grows too rapidly, and our natural renewal of cells is disturbed. It causes skin cells to renew too fast and dandruff will start to show because the skin cells bond with the oil on the surface of your scalp. This process results in the formation of white flakes. Regular shampooing can even irritate your skin that may aggravate flakes formation. Do not wash your hair more than two times a week or every alternate day. Use organic shampoos without skin irritants. While washing your hair use lukewarm water. Do not use nails just massage it gently with fingers. Then wash with cold water. You may use antifungal Nizoral shampoo to control dandruff. You may use it once a week for six to eight weeks. If symptoms still persist, you need to consult your dermatologist. He will guide you in the right way. For more information consult a general medicine physician online --> | patient: hello doctor, i have oily dandruff and dry hairs and hair fall. so what should i do if i wash hairs every day so they will become more dry and thin too? || doctor: hello. many people with dandruff have oily skin and the latest research shows that the real culprit is probably a tiny fungus called malassezia globosa that needs oil to grow. it only becomes a problem when the fungus grows too rapidly, and our natural renewal of cells is disturbed. it causes skin cells to renew too fast and dandruff will start to show because the skin cells bond with the oil on the surface of your scalp. this process results in the formation of white flakes. regular shampooing can even irritate your skin that may aggravate flakes formation. do not wash your hair more than two times a week or every alternate day. use organic shampoos without skin irritants. while washing your hair use lukewarm water. do not use nails just massage it gently with fingers. then wash with cold water. you may use antifungal nizoral shampoo to control dandruff. you may use it once a week for six to eight weeks. if symptoms still persist, you need to consult your dermatologist. he will guide you in the right way. for more information consult a general medicine physician online --> |
10,279 | Q. My BP is normal at home, but high in the clinic. Why? | Hi doctor, I have been regularly taking hypertension medicines Amlopin-M and Omnitan-H for a long time. My blood pressure was normal when measured at home with the help of an automatic BP monitor and a mercury sphygmomanometer by a doctor's assistant in my home. But, in the clinic, my doctor diagnosed me with a blood pressure of 190/110 mmHg. He changed my medicines and I have uploaded the same prescription for your reference. When I had the tablet Vinicor XL at 9 PM, I started having severe problems like excessive thirst, severe headache, sleeplessness and dizziness after 1 hour. When I consulted my doctor the next day, he told me to stop taking Vinicor XL. I had a better sleep next night, but still I feel like I have an overdose as I am feeling weaker, lightheaded and have tremors. My blood pressure readings at home have dropped lower than their usual values. The blood pressure readings at the hospital are still 160/100 mmHg. Please suggest the correct dosage of prescribed medicines. | Hi. Renal function tests, ECG (electrocardiogram), echocardiography and urine routine test. Revert back with the reports to a cardiologist online.---> | Patient: Hi doctor, I have been regularly taking hypertension medicines Amlopin-M and Omnitan-H for a long time. My blood pressure was normal when measured at home with the help of an automatic BP monitor and a mercury sphygmomanometer by a doctor's assistant in my home. But, in the clinic, my doctor diagnosed me with a blood pressure of 190/110 mmHg. He changed my medicines and I have uploaded the same prescription for your reference. When I had the tablet Vinicor XL at 9 PM, I started having severe problems like excessive thirst, severe headache, sleeplessness and dizziness after 1 hour. When I consulted my doctor the next day, he told me to stop taking Vinicor XL. I had a better sleep next night, but still I feel like I have an overdose as I am feeling weaker, lightheaded and have tremors. My blood pressure readings at home have dropped lower than their usual values. The blood pressure readings at the hospital are still 160/100 mmHg. Please suggest the correct dosage of prescribed medicines. || Doctor: Hi. Renal function tests, ECG (electrocardiogram), echocardiography and urine routine test. Revert back with the reports to a cardiologist online.---> | patient: hi doctor, i have been regularly taking hypertension medicines amlopin-m and omnitan-h for a long time. my blood pressure was normal when measured at home with the help of an automatic bp monitor and a mercury sphygmomanometer by a doctor's assistant in my home. but, in the clinic, my doctor diagnosed me with a blood pressure of 190/110 mmhg. he changed my medicines and i have uploaded the same prescription for your reference. when i had the tablet vinicor xl at 9 pm, i started having severe problems like excessive thirst, severe headache, sleeplessness and dizziness after 1 hour. when i consulted my doctor the next day, he told me to stop taking vinicor xl. i had a better sleep next night, but still i feel like i have an overdose as i am feeling weaker, lightheaded and have tremors. my blood pressure readings at home have dropped lower than their usual values. the blood pressure readings at the hospital are still 160/100 mmhg. please suggest the correct dosage of prescribed medicines. || doctor: hi. renal function tests, ecg (electrocardiogram), echocardiography and urine routine test. revert back with the reports to a cardiologist online.---> |
10,280 | Q. How can we treat meningioma tumor? | Hi doctor, My grandmother is affected with meningioma tumor. Please advise what has to be done. | Hello. I have gone through your attachment (attachment removed to protect patient identity). The meningioma is a benign tumor, which grows slowly. But, the meningioma present in your grandmother is in the advanced stage, causing compression of the adjacent brain structures. For this reason, I would recommend surgery as soon as possible in order to prevent her from death or cardiac arrest. You should discuss with a neurosurgeon about this problem. For more information consult a neurologist online --> | Patient: Hi doctor, My grandmother is affected with meningioma tumor. Please advise what has to be done. || Doctor: Hello. I have gone through your attachment (attachment removed to protect patient identity). The meningioma is a benign tumor, which grows slowly. But, the meningioma present in your grandmother is in the advanced stage, causing compression of the adjacent brain structures. For this reason, I would recommend surgery as soon as possible in order to prevent her from death or cardiac arrest. You should discuss with a neurosurgeon about this problem. For more information consult a neurologist online --> | patient: hi doctor, my grandmother is affected with meningioma tumor. please advise what has to be done. || doctor: hello. i have gone through your attachment (attachment removed to protect patient identity). the meningioma is a benign tumor, which grows slowly. but, the meningioma present in your grandmother is in the advanced stage, causing compression of the adjacent brain structures. for this reason, i would recommend surgery as soon as possible in order to prevent her from death or cardiac arrest. you should discuss with a neurosurgeon about this problem. for more information consult a neurologist online --> |
10,281 | Q. After having sex for the first time, is there a way to stop hymen bleeding? | Hello doctor, Can you please give me answers to the following questions, please? After having sex for the first time, is there a way to speed up the cure and stop bleeding of the hymen? How should the bleeding part be cleaned and with what? How do I know that the hymen is totally restored or cured? How long should I wait for the next intimate relationship? Thank you. | Hi. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, Can you please give me answers to the following questions, please? After having sex for the first time, is there a way to speed up the cure and stop bleeding of the hymen? How should the bleeding part be cleaned and with what? How do I know that the hymen is totally restored or cured? How long should I wait for the next intimate relationship? Thank you. || Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, can you please give me answers to the following questions, please? after having sex for the first time, is there a way to speed up the cure and stop bleeding of the hymen? how should the bleeding part be cleaned and with what? how do i know that the hymen is totally restored or cured? how long should i wait for the next intimate relationship? thank you. || doctor: hi. for more information consult an obstetrician and gynaecologist online --> |
10,282 | Q. Can I take vitamin A tablet to improve my vision? | Hello doctor, I wear specs. Can I take vitamin A chewable tablets daily to make my vision good? Will it cause any problem? Kindly share your advice. | Hi. For further information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I wear specs. Can I take vitamin A chewable tablets daily to make my vision good? Will it cause any problem? Kindly share your advice. || Doctor: Hi. For further information consult an eye care ophthalmologist online --> | patient: hello doctor, i wear specs. can i take vitamin a chewable tablets daily to make my vision good? will it cause any problem? kindly share your advice. || doctor: hi. for further information consult an eye care ophthalmologist online --> |
10,283 | Q. Why are my heels turning green with cracks? | Hello doctor, I have a big problem with my feet. They are turning green on the heels and the skin is very dead and cracking really bad. Can you tell me what to do about this and what it is? | Hi. I have gone through your case. You are having keratoderma. And most of the time it is due to dryness. Soak your feet in lukewarrm water for 30 to 40 minutes and then rub with file or pumice to remove dead skin and then apply vaseline or petroleum jelly two times a day. Take care. | Patient: Hello doctor, I have a big problem with my feet. They are turning green on the heels and the skin is very dead and cracking really bad. Can you tell me what to do about this and what it is? || Doctor: Hi. I have gone through your case. You are having keratoderma. And most of the time it is due to dryness. Soak your feet in lukewarrm water for 30 to 40 minutes and then rub with file or pumice to remove dead skin and then apply vaseline or petroleum jelly two times a day. Take care. | patient: hello doctor, i have a big problem with my feet. they are turning green on the heels and the skin is very dead and cracking really bad. can you tell me what to do about this and what it is? || doctor: hi. i have gone through your case. you are having keratoderma. and most of the time it is due to dryness. soak your feet in lukewarrm water for 30 to 40 minutes and then rub with file or pumice to remove dead skin and then apply vaseline or petroleum jelly two times a day. take care. |
10,284 | Q. Is it a must to avoid Diclofenac during pregnancy? | Hi doctor, My wife is 34 weeks pregnant. Because of severe wrist pain, she had Diclofenac tablets for five days. Now, we are worried after reading on internet that Diclofenac should be avoided during pregnancy. Will it cause any danger to her pregnancy? Please help us doctor. | Hello. For further doubts consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, My wife is 34 weeks pregnant. Because of severe wrist pain, she had Diclofenac tablets for five days. Now, we are worried after reading on internet that Diclofenac should be avoided during pregnancy. Will it cause any danger to her pregnancy? Please help us doctor. || Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> | patient: hi doctor, my wife is 34 weeks pregnant. because of severe wrist pain, she had diclofenac tablets for five days. now, we are worried after reading on internet that diclofenac should be avoided during pregnancy. will it cause any danger to her pregnancy? please help us doctor. || doctor: hello. for further doubts consult an obstetrician and gynaecologist online --> |
10,285 | Q. Can I take Norethisterone after taking I-pill to delay periods? | Hello doctor, I took an emergency contraceptive pill (I-pill) yesterday. Can I take Norethisterone tablets now for a week? I need to delay my periods which are due in two days. | Hello. You have to understand that I-pill is a high dose Progesterone pill, much stronger than Norethisterone. So, if your aim is to avoid pregnancy then you have to wait for the withdrawal bleeding for the endometrium to be shed out to confirm pregnancy safety. Your menses if were due in the next two days, then they are naturally likely to be delayed because of I-pill intake by about 4 to 5 days because of high Progesterone content. If you intend to delay menses and at the same time ensure pregnancy safety together then it would be difficult to ensure any pregnancy safety, because if you get pregnant then this Norethisterone would further support the pregnancy and not prevent it. The I-pill increases tubal motility and hence if Progesterone is not withdrawn, as after its single dose, pregnancy may happen and I-pill may fail. So ideally wait for your menses now within next seven days and if the bleeding is heavy then you may take antifibrinolytics to reduce the bleeding but do not delay it this time, for pregnancy safety takes an upper hand over your intended delay of menses. | Patient: Hello doctor, I took an emergency contraceptive pill (I-pill) yesterday. Can I take Norethisterone tablets now for a week? I need to delay my periods which are due in two days. || Doctor: Hello. You have to understand that I-pill is a high dose Progesterone pill, much stronger than Norethisterone. So, if your aim is to avoid pregnancy then you have to wait for the withdrawal bleeding for the endometrium to be shed out to confirm pregnancy safety. Your menses if were due in the next two days, then they are naturally likely to be delayed because of I-pill intake by about 4 to 5 days because of high Progesterone content. If you intend to delay menses and at the same time ensure pregnancy safety together then it would be difficult to ensure any pregnancy safety, because if you get pregnant then this Norethisterone would further support the pregnancy and not prevent it. The I-pill increases tubal motility and hence if Progesterone is not withdrawn, as after its single dose, pregnancy may happen and I-pill may fail. So ideally wait for your menses now within next seven days and if the bleeding is heavy then you may take antifibrinolytics to reduce the bleeding but do not delay it this time, for pregnancy safety takes an upper hand over your intended delay of menses. | patient: hello doctor, i took an emergency contraceptive pill (i-pill) yesterday. can i take norethisterone tablets now for a week? i need to delay my periods which are due in two days. || doctor: hello. you have to understand that i-pill is a high dose progesterone pill, much stronger than norethisterone. so, if your aim is to avoid pregnancy then you have to wait for the withdrawal bleeding for the endometrium to be shed out to confirm pregnancy safety. your menses if were due in the next two days, then they are naturally likely to be delayed because of i-pill intake by about 4 to 5 days because of high progesterone content. if you intend to delay menses and at the same time ensure pregnancy safety together then it would be difficult to ensure any pregnancy safety, because if you get pregnant then this norethisterone would further support the pregnancy and not prevent it. the i-pill increases tubal motility and hence if progesterone is not withdrawn, as after its single dose, pregnancy may happen and i-pill may fail. so ideally wait for your menses now within next seven days and if the bleeding is heavy then you may take antifibrinolytics to reduce the bleeding but do not delay it this time, for pregnancy safety takes an upper hand over your intended delay of menses. |
10,286 | Q. My mother has diarrhea, and her stomach is bloated and paining. Please help. | Hi doctor, My mom is not feeling well, and I am concerned about internal bleeding. This morning, she had a decreased appetite, foot swelling (right), and diarrhea. She has back pain along with pain and bloating in the abdomen. She just wants to go to bed. She also noticed some spotting in her underwear, although she had a hysterectomy over 10 years ago. She mentioned that yesterday she felt a strange tight feeling followed by a "warm spreading" sensation. I am very worried. Please help. | Hi. For more information consult an internal medicine physician online --> | Patient: Hi doctor, My mom is not feeling well, and I am concerned about internal bleeding. This morning, she had a decreased appetite, foot swelling (right), and diarrhea. She has back pain along with pain and bloating in the abdomen. She just wants to go to bed. She also noticed some spotting in her underwear, although she had a hysterectomy over 10 years ago. She mentioned that yesterday she felt a strange tight feeling followed by a "warm spreading" sensation. I am very worried. Please help. || Doctor: Hi. For more information consult an internal medicine physician online --> | patient: hi doctor, my mom is not feeling well, and i am concerned about internal bleeding. this morning, she had a decreased appetite, foot swelling (right), and diarrhea. she has back pain along with pain and bloating in the abdomen. she just wants to go to bed. she also noticed some spotting in her underwear, although she had a hysterectomy over 10 years ago. she mentioned that yesterday she felt a strange tight feeling followed by a "warm spreading" sensation. i am very worried. please help. || doctor: hi. for more information consult an internal medicine physician online --> |
10,287 | Q. Please suggest ayurvedic medicine for depression, OCD, and hair loss. | Hello doctor, I am writing some details before asking my question which might help you while answering. I am male, 29 years, 5"10', 80 kg, good physique, sharp mind (according to my colleagues, teachers and academic performance), extrovert, suffering from moderate hair loss (genetic), family history of heart diseases and hypertension (though my BP is absolutely fine as I regularly exercise), suffering from OCD and moderate depression for last one year (due to career and some personal reasons). I am taking Paroxetine for this and that has been helpful, the condition has improved. I am prone to gain weight easily, sometimes suffer from constipation, prone to acidity, prone to anxiety, cannot remain hungry, become irritable when hungry, maximum hunger in the morning, always take heavy breakfast, regularly do exercise. Now my question. Please suggest some herb, capsule or ayurvedic remedy which can act as a general body tonic in long-term, desired effects, anti-aging, maintaining youth, stamina, strength, sexual power, muscle building, avoiding diseases which people generally get in the 50s, means something which is very good for overall physical and mental health. You can tell me any herb or capsule, or multiple capsules. This is my main question and if you wish, you can tell me something which can help me with OCD and depression. Earlier I used to get increased pitta as my dosha (when I was suffering from hair loss 2 to 3 years back), but now I get increased vata dosha (for last year since when I am suffering from OCD and depression), some give me a mix of increased pitta and vata doshas. | Hello. I just read your query. See let me tell you one thing first that your mind is under your control. If you cannot change anything then there is no need to crib on it. So first of all, let go of the things which make you angry, sad or affect your mood. Because one single negative thought is enough to spoil a day. One day has gone and it will happen again and again, and as a result, you will get some psychological problem. As you have asked about herbs which can help you in remaining healthy forever, so let me tell you stress and depression play a major role in your physical fitness too because in depression, at the hormonal level and chemical level many reactions occur which refrain your body from doing many good things. So try to remain positive as much as you can. Now come to medicine, as you have moderate depression and you also want something which has anti-aging effects and good effects on sexual power, etc., start taking capsule Ashwagandha two capsules two times a day with water after food for one month. It has multiple benefits according to your problems. Ashwagandha will help you in depression as well as improve your physical health. Along with this, take capsule Brahmi two capsules two times a day with water after food for one month. These will calm your mind and body. It will help you in OCD (obsessive-compulsive disorder) and depression. For hair loss take Mahabhringraj oil and do gentle massage with it on your scalp on every alternate day. Wash your hairs with mild herbal shampoo. Take Asthiposhak tablets two tablets two times a day with water after food for one month for hair growth. Add curry leaves, figs, raisins, in your diet for hair growth. Take one glass of lukewarm milk at bedtime and add some almond powder and some cardamom powder and a little bit of honey in it. Avoid TV, laptop and mobile one hour before sleeping because their blue light hinders normal sleep pattern. Try to do meditation daily as it is beneficial for mind and will stabilize your mood. If you can spare some time then you can go to a nearby Panchakarma center and ask for procedures like Shirodhara, etc., which have good results in depression. Try all these things regularly and you will feel positive results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby reputed ayurveda physician too. For more information consult an ayurveda specialist online --> | Patient: Hello doctor, I am writing some details before asking my question which might help you while answering. I am male, 29 years, 5"10', 80 kg, good physique, sharp mind (according to my colleagues, teachers and academic performance), extrovert, suffering from moderate hair loss (genetic), family history of heart diseases and hypertension (though my BP is absolutely fine as I regularly exercise), suffering from OCD and moderate depression for last one year (due to career and some personal reasons). I am taking Paroxetine for this and that has been helpful, the condition has improved. I am prone to gain weight easily, sometimes suffer from constipation, prone to acidity, prone to anxiety, cannot remain hungry, become irritable when hungry, maximum hunger in the morning, always take heavy breakfast, regularly do exercise. Now my question. Please suggest some herb, capsule or ayurvedic remedy which can act as a general body tonic in long-term, desired effects, anti-aging, maintaining youth, stamina, strength, sexual power, muscle building, avoiding diseases which people generally get in the 50s, means something which is very good for overall physical and mental health. You can tell me any herb or capsule, or multiple capsules. This is my main question and if you wish, you can tell me something which can help me with OCD and depression. Earlier I used to get increased pitta as my dosha (when I was suffering from hair loss 2 to 3 years back), but now I get increased vata dosha (for last year since when I am suffering from OCD and depression), some give me a mix of increased pitta and vata doshas. || Doctor: Hello. I just read your query. See let me tell you one thing first that your mind is under your control. If you cannot change anything then there is no need to crib on it. So first of all, let go of the things which make you angry, sad or affect your mood. Because one single negative thought is enough to spoil a day. One day has gone and it will happen again and again, and as a result, you will get some psychological problem. As you have asked about herbs which can help you in remaining healthy forever, so let me tell you stress and depression play a major role in your physical fitness too because in depression, at the hormonal level and chemical level many reactions occur which refrain your body from doing many good things. So try to remain positive as much as you can. Now come to medicine, as you have moderate depression and you also want something which has anti-aging effects and good effects on sexual power, etc., start taking capsule Ashwagandha two capsules two times a day with water after food for one month. It has multiple benefits according to your problems. Ashwagandha will help you in depression as well as improve your physical health. Along with this, take capsule Brahmi two capsules two times a day with water after food for one month. These will calm your mind and body. It will help you in OCD (obsessive-compulsive disorder) and depression. For hair loss take Mahabhringraj oil and do gentle massage with it on your scalp on every alternate day. Wash your hairs with mild herbal shampoo. Take Asthiposhak tablets two tablets two times a day with water after food for one month for hair growth. Add curry leaves, figs, raisins, in your diet for hair growth. Take one glass of lukewarm milk at bedtime and add some almond powder and some cardamom powder and a little bit of honey in it. Avoid TV, laptop and mobile one hour before sleeping because their blue light hinders normal sleep pattern. Try to do meditation daily as it is beneficial for mind and will stabilize your mood. If you can spare some time then you can go to a nearby Panchakarma center and ask for procedures like Shirodhara, etc., which have good results in depression. Try all these things regularly and you will feel positive results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby reputed ayurveda physician too. For more information consult an ayurveda specialist online --> | patient: hello doctor, i am writing some details before asking my question which might help you while answering. i am male, 29 years, 5"10', 80 kg, good physique, sharp mind (according to my colleagues, teachers and academic performance), extrovert, suffering from moderate hair loss (genetic), family history of heart diseases and hypertension (though my bp is absolutely fine as i regularly exercise), suffering from ocd and moderate depression for last one year (due to career and some personal reasons). i am taking paroxetine for this and that has been helpful, the condition has improved. i am prone to gain weight easily, sometimes suffer from constipation, prone to acidity, prone to anxiety, cannot remain hungry, become irritable when hungry, maximum hunger in the morning, always take heavy breakfast, regularly do exercise. now my question. please suggest some herb, capsule or ayurvedic remedy which can act as a general body tonic in long-term, desired effects, anti-aging, maintaining youth, stamina, strength, sexual power, muscle building, avoiding diseases which people generally get in the 50s, means something which is very good for overall physical and mental health. you can tell me any herb or capsule, or multiple capsules. this is my main question and if you wish, you can tell me something which can help me with ocd and depression. earlier i used to get increased pitta as my dosha (when i was suffering from hair loss 2 to 3 years back), but now i get increased vata dosha (for last year since when i am suffering from ocd and depression), some give me a mix of increased pitta and vata doshas. || doctor: hello. i just read your query. see let me tell you one thing first that your mind is under your control. if you cannot change anything then there is no need to crib on it. so first of all, let go of the things which make you angry, sad or affect your mood. because one single negative thought is enough to spoil a day. one day has gone and it will happen again and again, and as a result, you will get some psychological problem. as you have asked about herbs which can help you in remaining healthy forever, so let me tell you stress and depression play a major role in your physical fitness too because in depression, at the hormonal level and chemical level many reactions occur which refrain your body from doing many good things. so try to remain positive as much as you can. now come to medicine, as you have moderate depression and you also want something which has anti-aging effects and good effects on sexual power, etc., start taking capsule ashwagandha two capsules two times a day with water after food for one month. it has multiple benefits according to your problems. ashwagandha will help you in depression as well as improve your physical health. along with this, take capsule brahmi two capsules two times a day with water after food for one month. these will calm your mind and body. it will help you in ocd (obsessive-compulsive disorder) and depression. for hair loss take mahabhringraj oil and do gentle massage with it on your scalp on every alternate day. wash your hairs with mild herbal shampoo. take asthiposhak tablets two tablets two times a day with water after food for one month for hair growth. add curry leaves, figs, raisins, in your diet for hair growth. take one glass of lukewarm milk at bedtime and add some almond powder and some cardamom powder and a little bit of honey in it. avoid tv, laptop and mobile one hour before sleeping because their blue light hinders normal sleep pattern. try to do meditation daily as it is beneficial for mind and will stabilize your mood. if you can spare some time then you can go to a nearby panchakarma center and ask for procedures like shirodhara, etc., which have good results in depression. try all these things regularly and you will feel positive results within a month. consult me after one month regarding improvement and for further management or you can consult a nearby reputed ayurveda physician too. for more information consult an ayurveda specialist online --> |
10,288 | 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 --> |
10,289 | 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 --> |
10,290 | 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.---> |
10,291 | 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 --> |
10,292 | 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 --> |
10,293 | Q. Why is the heart rate hitting 130 with pacemaker? | Hi doctor,My mother had pacemaker operation six months back. From past five days, her heart rate is hitting 130 very frequently (when she is not idle) every 20 minutes or so. She is feeling a discomfort because of this. When we met the doctor with the pacemaker test, he told everything is normal. My question here is if everything is normal why heart rate is hitting 130 frequently? It is on every activity she does like walk, bath, etc. Please kindly advise me on this. | Hello. Although it is difficult to answer without knowing the exact diagnosis, if pacemaker/ AICD is working well per interrogation, she is safe in terms of fatal arrhythmia or dangerously low heart rate, as her device will kick in if it detects any abnormalities. This arrhythmia may be sinus tachycardia or may be dehydration. My advice would be to hydrate her well and ask her cardiologist to go up on beta blocker dose if her blood pressure tolerates. I can give more specific answers, provided knowing the diagnosis, device she is having, and her current medications. Thanks. For more information consult an internal medicine physician online --> | Patient: Hi doctor,My mother had pacemaker operation six months back. From past five days, her heart rate is hitting 130 very frequently (when she is not idle) every 20 minutes or so. She is feeling a discomfort because of this. When we met the doctor with the pacemaker test, he told everything is normal. My question here is if everything is normal why heart rate is hitting 130 frequently? It is on every activity she does like walk, bath, etc. Please kindly advise me on this. || Doctor: Hello. Although it is difficult to answer without knowing the exact diagnosis, if pacemaker/ AICD is working well per interrogation, she is safe in terms of fatal arrhythmia or dangerously low heart rate, as her device will kick in if it detects any abnormalities. This arrhythmia may be sinus tachycardia or may be dehydration. My advice would be to hydrate her well and ask her cardiologist to go up on beta blocker dose if her blood pressure tolerates. I can give more specific answers, provided knowing the diagnosis, device she is having, and her current medications. Thanks. For more information consult an internal medicine physician online --> | patient: hi doctor,my mother had pacemaker operation six months back. from past five days, her heart rate is hitting 130 very frequently (when she is not idle) every 20 minutes or so. she is feeling a discomfort because of this. when we met the doctor with the pacemaker test, he told everything is normal. my question here is if everything is normal why heart rate is hitting 130 frequently? it is on every activity she does like walk, bath, etc. please kindly advise me on this. || doctor: hello. although it is difficult to answer without knowing the exact diagnosis, if pacemaker/ aicd is working well per interrogation, she is safe in terms of fatal arrhythmia or dangerously low heart rate, as her device will kick in if it detects any abnormalities. this arrhythmia may be sinus tachycardia or may be dehydration. my advice would be to hydrate her well and ask her cardiologist to go up on beta blocker dose if her blood pressure tolerates. i can give more specific answers, provided knowing the diagnosis, device she is having, and her current medications. thanks. for more information consult an internal medicine physician online --> |
10,294 | Q. Something like tartar broke off from my teeth. What has to be done? | Hello doctor, Something broke off from one of my teeth, and I would like to know what was it that broke and what I should do about it (if anything). I think it might have been tartar or cementum, but I do not know. They are hard and off whitish (a little yellowing). They are the same as that material that appears roughly along the bottom edges of my lower incisors. I think they are either tartar or cementum, but I do not know. Please let me know what you think they are and what my options are. | Hello. I have been through your query and I can understand your concern. It seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. From the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. During orthodontic treatment, the accumulation of tartar is common. You need to take extra care while brushing and cleaning the teeth. I would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. Moreover, I would like to advise you to maintain good oral hygiene and use mouthwashes. For more information consult a dentist online --> | Patient: Hello doctor, Something broke off from one of my teeth, and I would like to know what was it that broke and what I should do about it (if anything). I think it might have been tartar or cementum, but I do not know. They are hard and off whitish (a little yellowing). They are the same as that material that appears roughly along the bottom edges of my lower incisors. I think they are either tartar or cementum, but I do not know. Please let me know what you think they are and what my options are. || Doctor: Hello. I have been through your query and I can understand your concern. It seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. From the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. During orthodontic treatment, the accumulation of tartar is common. You need to take extra care while brushing and cleaning the teeth. I would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. Moreover, I would like to advise you to maintain good oral hygiene and use mouthwashes. For more information consult a dentist online --> | patient: hello doctor, something broke off from one of my teeth, and i would like to know what was it that broke and what i should do about it (if anything). i think it might have been tartar or cementum, but i do not know. they are hard and off whitish (a little yellowing). they are the same as that material that appears roughly along the bottom edges of my lower incisors. i think they are either tartar or cementum, but i do not know. please let me know what you think they are and what my options are. || doctor: hello. i have been through your query and i can understand your concern. it seems the broken part is tartar (calculus) which gets accumulated over teeth mainly lower inner side of the front teeth. from the images, (attachment removed to protect patient identity) it seems you are undergoing orthodontic treatment. during orthodontic treatment, the accumulation of tartar is common. you need to take extra care while brushing and cleaning the teeth. i would advise you to have a visit to the dental clinic and get an oral prophylaxis and cleaning done. moreover, i would like to advise you to maintain good oral hygiene and use mouthwashes. for more information consult a dentist online --> |
10,295 | Q. Having ocular hypertension,will it lead to glaucoma? Is there a risk of blindness? | Hello, I would like to have a remote eye view on a question related to glaucoma. I am 35 years old and I am being followed for 5 years for ocular hypertension. I have between 23 and 26 mmHg by applanation tonometer. My field of vision is good. Optical Coherence Tomography (OCT) examinations are good. And my optic nerves seem normal. During the first 4 years I had followed every six months. I do not have any treatment for the moment. Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions: Given my young age and this pressure, will it likely lead to glaucoma? My potential life expectancy is still important, is there a risk of blindness? I have a 4 years old boy, when should he start being examined for this problem? I would like to have more children, however, I wonder about the risk of transmitting a possible glaucoma which slows me yet. Thank you. | Hello. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent development of glaucoma. Hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmHg and keep it around 14-15 mmHg. If treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. Hope it helps. Consult an eye care ophthalmologist online for further clarifications --> | Patient: Hello, I would like to have a remote eye view on a question related to glaucoma. I am 35 years old and I am being followed for 5 years for ocular hypertension. I have between 23 and 26 mmHg by applanation tonometer. My field of vision is good. Optical Coherence Tomography (OCT) examinations are good. And my optic nerves seem normal. During the first 4 years I had followed every six months. I do not have any treatment for the moment. Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions: Given my young age and this pressure, will it likely lead to glaucoma? My potential life expectancy is still important, is there a risk of blindness? I have a 4 years old boy, when should he start being examined for this problem? I would like to have more children, however, I wonder about the risk of transmitting a possible glaucoma which slows me yet. Thank you. || Doctor: Hello. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent development of glaucoma. Hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmHg and keep it around 14-15 mmHg. If treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. Hope it helps. Consult an eye care ophthalmologist online for further clarifications --> | patient: hello, i would like to have a remote eye view on a question related to glaucoma. i am 35 years old and i am being followed for 5 years for ocular hypertension. i have between 23 and 26 mmhg by applanation tonometer. my field of vision is good. optical coherence tomography (oct) examinations are good. and my optic nerves seem normal. during the first 4 years i had followed every six months. i do not have any treatment for the moment. given my age, this worries me somewhat. so, i would like to get your opinion in response to some of my questions: given my young age and this pressure, will it likely lead to glaucoma? my potential life expectancy is still important, is there a risk of blindness? i have a 4 years old boy, when should he start being examined for this problem? i would like to have more children, however, i wonder about the risk of transmitting a possible glaucoma which slows me yet. thank you. || doctor: hello. i reviewed your history. it seems from the history that you are having ocular hypertension. since the results of visual field, optic disc changes and oct are normal, there is no glaucoma. but treatment of ocular hypertension is necessary for you to prevent development of glaucoma. hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmhg and keep it around 14-15 mmhg. if treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. hope it helps. consult an eye care ophthalmologist online for further clarifications --> |
10,296 | Q. I accidentally got eyelash remover gel in my eye. Do I have to go to the ER? | Hello doctor, I accidentally got eyelash remover gel in my eye. I flushed it out with water for 15 minutes at 6.30 PM and then again at 8 PM. It still seems red, burns, and my vision is a bit blurry. The gel has these ingredients: propylene carbonate, polyethylene glycol, ethoxyethanol, methoxy ethanol, paraben, and vinyl polymer salt. Do I have to go to the ER? | Hello. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I accidentally got eyelash remover gel in my eye. I flushed it out with water for 15 minutes at 6.30 PM and then again at 8 PM. It still seems red, burns, and my vision is a bit blurry. The gel has these ingredients: propylene carbonate, polyethylene glycol, ethoxyethanol, methoxy ethanol, paraben, and vinyl polymer salt. Do I have to go to the ER? || Doctor: Hello. For more information consult an eye care ophthalmologist online --> | patient: hello doctor, i accidentally got eyelash remover gel in my eye. i flushed it out with water for 15 minutes at 6.30 pm and then again at 8 pm. it still seems red, burns, and my vision is a bit blurry. the gel has these ingredients: propylene carbonate, polyethylene glycol, ethoxyethanol, methoxy ethanol, paraben, and vinyl polymer salt. do i have to go to the er? || doctor: hello. for more information consult an eye care ophthalmologist online --> |
10,297 | Q. I am suffering from back pain when I get up in the morning. What can be the reason? | Hello Doctor, I am a 23 year old male suffering from back pain. Mostly pain occurs during sleep at night and soon after I wake up in the morning. And the pain vanishes after sometime (approximately 10-15 minutes). What could be the reason for the pain? | Hi. There are many reasons for back pain like We may have to do some investigations to pinpoint the source of pain before starting the treatment. As of now do hot water fomentation and take tablet Paracetamol 650 mg thrice a day. Consult an orthopaedician online regarding the investigations to be done --> | Patient: Hello Doctor, I am a 23 year old male suffering from back pain. Mostly pain occurs during sleep at night and soon after I wake up in the morning. And the pain vanishes after sometime (approximately 10-15 minutes). What could be the reason for the pain? || Doctor: Hi. There are many reasons for back pain like We may have to do some investigations to pinpoint the source of pain before starting the treatment. As of now do hot water fomentation and take tablet Paracetamol 650 mg thrice a day. Consult an orthopaedician online regarding the investigations to be done --> | patient: hello doctor, i am a 23 year old male suffering from back pain. mostly pain occurs during sleep at night and soon after i wake up in the morning. and the pain vanishes after sometime (approximately 10-15 minutes). what could be the reason for the pain? || doctor: hi. there are many reasons for back pain like we may have to do some investigations to pinpoint the source of pain before starting the treatment. as of now do hot water fomentation and take tablet paracetamol 650 mg thrice a day. consult an orthopaedician online regarding the investigations to be done --> |
10,298 | Q. What should I do for healthy and glowing skin? | Hi doctor, I am a 20 year old female. My weight is 48 kg and height is 5'2". I have a fair skin. I had nodular acne on face, back and shoulder. I was on Isotretinoin for 5 months and I have got over my acne. But, my skin looks lifeless, unmoisturized and dull in the face, hands and shoulder, even after applying moisturizer. What should I do now to get a healthy and glowing skin all over my body? | Hi. For further information consult a dermatologist online --> | Patient: Hi doctor, I am a 20 year old female. My weight is 48 kg and height is 5'2". I have a fair skin. I had nodular acne on face, back and shoulder. I was on Isotretinoin for 5 months and I have got over my acne. But, my skin looks lifeless, unmoisturized and dull in the face, hands and shoulder, even after applying moisturizer. What should I do now to get a healthy and glowing skin all over my body? || Doctor: Hi. For further information consult a dermatologist online --> | patient: hi doctor, i am a 20 year old female. my weight is 48 kg and height is 5'2". i have a fair skin. i had nodular acne on face, back and shoulder. i was on isotretinoin for 5 months and i have got over my acne. but, my skin looks lifeless, unmoisturized and dull in the face, hands and shoulder, even after applying moisturizer. what should i do now to get a healthy and glowing skin all over my body? || doctor: hi. for further information consult a dermatologist online --> |
10,299 | Q. How likely is IVF successful during menopause? | Hello doctor, I am 46 years old. I no longer get my periods. What are my chances of conception? Doctors say I am at menopause. Can I have a successful IVF? | Hi. The best age for a lady to get pregnant is 19-35 years. The principle behind this is, every day your eggs are growing and out of the cohort of eggs, the best egg is selected, and remaining growing eggs go for atrophy. So by 35 years most of the good eggs are gone. After that age too, you have the chance of pregnancy, but lesser than the age of 35 years. After 40 years of age, the chance of pregnancy further reduce. As the age of lady increases the eggs left behind are not as healthy as the previous month. So even if you get pregnant, the baby is at risk of developing anomalies. But if your period has stopped, then you need to know if there are any eggs in ovaries. You can have any of the birth control pills (packet of 21 pills) twice daily for 10 days. No matter what the cause is, you will have periods within 7-10 days. On day 3 or 4 of the period do serum FSH (follicle-stimulating hormone) and AMH (anti-mullerian hormone). FSH >7 Miu/ml and AMH < 1.1 ng/ ml means egg count is below normal. The only option for pregnancy is IVF using donor eggs. This can definitely be the best option to get pregnant. I hope this helps. | Patient: Hello doctor, I am 46 years old. I no longer get my periods. What are my chances of conception? Doctors say I am at menopause. Can I have a successful IVF? || Doctor: Hi. The best age for a lady to get pregnant is 19-35 years. The principle behind this is, every day your eggs are growing and out of the cohort of eggs, the best egg is selected, and remaining growing eggs go for atrophy. So by 35 years most of the good eggs are gone. After that age too, you have the chance of pregnancy, but lesser than the age of 35 years. After 40 years of age, the chance of pregnancy further reduce. As the age of lady increases the eggs left behind are not as healthy as the previous month. So even if you get pregnant, the baby is at risk of developing anomalies. But if your period has stopped, then you need to know if there are any eggs in ovaries. You can have any of the birth control pills (packet of 21 pills) twice daily for 10 days. No matter what the cause is, you will have periods within 7-10 days. On day 3 or 4 of the period do serum FSH (follicle-stimulating hormone) and AMH (anti-mullerian hormone). FSH >7 Miu/ml and AMH < 1.1 ng/ ml means egg count is below normal. The only option for pregnancy is IVF using donor eggs. This can definitely be the best option to get pregnant. I hope this helps. | patient: hello doctor, i am 46 years old. i no longer get my periods. what are my chances of conception? doctors say i am at menopause. can i have a successful ivf? || doctor: hi. the best age for a lady to get pregnant is 19-35 years. the principle behind this is, every day your eggs are growing and out of the cohort of eggs, the best egg is selected, and remaining growing eggs go for atrophy. so by 35 years most of the good eggs are gone. after that age too, you have the chance of pregnancy, but lesser than the age of 35 years. after 40 years of age, the chance of pregnancy further reduce. as the age of lady increases the eggs left behind are not as healthy as the previous month. so even if you get pregnant, the baby is at risk of developing anomalies. but if your period has stopped, then you need to know if there are any eggs in ovaries. you can have any of the birth control pills (packet of 21 pills) twice daily for 10 days. no matter what the cause is, you will have periods within 7-10 days. on day 3 or 4 of the period do serum fsh (follicle-stimulating hormone) and amh (anti-mullerian hormone). fsh >7 miu/ml and amh < 1.1 ng/ ml means egg count is below normal. the only option for pregnancy is ivf using donor eggs. this can definitely be the best option to get pregnant. i hope this helps. |
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