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10,300 | Q. Will mechanical penis straightening devices fix Peyronie's disease? | Hello doctor, I recently have come down with Peyronie's disease. Will the mechanical penis straightening devices fix this condition? I am 59 years old and I have never had this condition before. Also, it seems like this condition started when I started taking a Viagra lower cost substitute simply sold as Sildenafil a couple of months ago. The start of the condition seems to coincide with the start of taking Sildenafil. Maybe just a coincidence? | Hi. Firstly, the reason for developing Peyronie's is due to repeated microtrauma which slowly gets fibrosed. It takes many months to develop and it is not related to the change of medication. Secondly, for management, it depends on how severe the fibrosis is. Mechanical stretching and straightening do help if the lesion is small and the fibrosis is not very severe. It is unlikely that they will completely fix the condition, but you will be able to achieve enough straightening to engage in intercourse. For further queries consult a urologist online --> | Patient: Hello doctor, I recently have come down with Peyronie's disease. Will the mechanical penis straightening devices fix this condition? I am 59 years old and I have never had this condition before. Also, it seems like this condition started when I started taking a Viagra lower cost substitute simply sold as Sildenafil a couple of months ago. The start of the condition seems to coincide with the start of taking Sildenafil. Maybe just a coincidence? || Doctor: Hi. Firstly, the reason for developing Peyronie's is due to repeated microtrauma which slowly gets fibrosed. It takes many months to develop and it is not related to the change of medication. Secondly, for management, it depends on how severe the fibrosis is. Mechanical stretching and straightening do help if the lesion is small and the fibrosis is not very severe. It is unlikely that they will completely fix the condition, but you will be able to achieve enough straightening to engage in intercourse. For further queries consult a urologist online --> | patient: hello doctor, i recently have come down with peyronie's disease. will the mechanical penis straightening devices fix this condition? i am 59 years old and i have never had this condition before. also, it seems like this condition started when i started taking a viagra lower cost substitute simply sold as sildenafil a couple of months ago. the start of the condition seems to coincide with the start of taking sildenafil. maybe just a coincidence? || doctor: hi. firstly, the reason for developing peyronie's is due to repeated microtrauma which slowly gets fibrosed. it takes many months to develop and it is not related to the change of medication. secondly, for management, it depends on how severe the fibrosis is. mechanical stretching and straightening do help if the lesion is small and the fibrosis is not very severe. it is unlikely that they will completely fix the condition, but you will be able to achieve enough straightening to engage in intercourse. for further queries consult a urologist online --> |
10,301 | Q. Shall I take Lysine for herpes infection? | Hi doctor, I have herpes. It was diagnosed around 2 years ago. I had a breakout and took some antiviral Acyclovir pills. I am starting to have outbreaks again on my lips. I have both types of herpes. I have heard that Lysine fights herpes and so I am taking some vitamins too. I would like to know the amount of Lysine I can take per day. Also, at what time of the day can I have Lysine and vitamins? Is there anything you can recommend for oral herpes breakouts? What is the most effective medicine to avoid oral herpes? What is the most effective medicine for genital herpes? I am in a relationship and I got my partner infected a long while ago. I am scared, sad and depressed to tell him. I feel like I will not be able to living with herpes. I feel a very deeply anxious way. Please help. | Hi. You need to understand the basic pathology about herpes. For further information consult a dermatologist online --> | Patient: Hi doctor, I have herpes. It was diagnosed around 2 years ago. I had a breakout and took some antiviral Acyclovir pills. I am starting to have outbreaks again on my lips. I have both types of herpes. I have heard that Lysine fights herpes and so I am taking some vitamins too. I would like to know the amount of Lysine I can take per day. Also, at what time of the day can I have Lysine and vitamins? Is there anything you can recommend for oral herpes breakouts? What is the most effective medicine to avoid oral herpes? What is the most effective medicine for genital herpes? I am in a relationship and I got my partner infected a long while ago. I am scared, sad and depressed to tell him. I feel like I will not be able to living with herpes. I feel a very deeply anxious way. Please help. || Doctor: Hi. You need to understand the basic pathology about herpes. For further information consult a dermatologist online --> | patient: hi doctor, i have herpes. it was diagnosed around 2 years ago. i had a breakout and took some antiviral acyclovir pills. i am starting to have outbreaks again on my lips. i have both types of herpes. i have heard that lysine fights herpes and so i am taking some vitamins too. i would like to know the amount of lysine i can take per day. also, at what time of the day can i have lysine and vitamins? is there anything you can recommend for oral herpes breakouts? what is the most effective medicine to avoid oral herpes? what is the most effective medicine for genital herpes? i am in a relationship and i got my partner infected a long while ago. i am scared, sad and depressed to tell him. i feel like i will not be able to living with herpes. i feel a very deeply anxious way. please help. || doctor: hi. you need to understand the basic pathology about herpes. for further information consult a dermatologist online --> |
10,302 | Q. I had some tests for my irregular periods and would like to have an overview of it. | Hi doctor, I am a 28 year old married female. My weight is 63 kg and height is 5'1". I have a problem with irregular periods. I was on Ovral L tablet for three months and my periods were regular until last month. Again, I did not have a period of this current month. I had some tests, and I would like to have an overview of it. | Hi. I have gone through your query and images (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am a 28 year old married female. My weight is 63 kg and height is 5'1". I have a problem with irregular periods. I was on Ovral L tablet for three months and my periods were regular until last month. Again, I did not have a period of this current month. I had some tests, and I would like to have an overview of it. || Doctor: Hi. I have gone through your query and images (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am a 28 year old married female. my weight is 63 kg and height is 5'1". i have a problem with irregular periods. i was on ovral l tablet for three months and my periods were regular until last month. again, i did not have a period of this current month. i had some tests, and i would like to have an overview of it. || doctor: hi. i have gone through your query and images (attachment removed to protect patient identity). for further information consult an obstetrician and gynaecologist online --> |
10,303 | Q. I have some mild acne and huge pores on cheeks. What can be done? | Hello doctor, I have been using Isopropyl alcohol as a face wash (diluted with water) for the last eight years, and am exploring more healthier and effective skincare routines. I have a mild acne and huge pores on my cheeks. Currently, I have purchased a variety of products and would like to receive your input as to whether or not this is a terrible routine or one that will work to create healthy skin. Every day I take Beta-Carotene, Lycopene, and Astaxanthin supplements. Morning (every-other) I use moisturizer, then apply Niacinamide lotion, Moisturize, then apply Azelaic Acid cream. At night, moisturize, then apply Retinol cream. | Hi. Your skin routine is good, you can go on with it. Please choose a moisturizer that is not clogging, and is non-comedogenic, lotion form is better than cream since you have mild acne. Niacinamide and Azelaic acid are helpful for acne, they are mild, but a higher concentration of Azelaic acid can cause little irritation to the skin. If Azelaic acid is 4 % and less, it should be fine to use every day. Retinol works well for enlarged pores, also for acne. It helps to exfoliate the skin. Start retinol slow, use a thin layer on the face on alternate nights initially, then increase the frequency of application to nightly, Retinol is anti-aging too, it helps with wrinkles, pigmentation. Beta-carotene, Lycopene are antioxidants, they are considered as systemic or oral sunscreen. Only, addition to your routine is to use a moisturizer with sunscreen that is non-comedogenic, use this in the morning instead of your regular moisturizer. Sunscreen is the must in any skin routine, UV rays from sunlight are the reason for early wrinkles, pigmentation of skin as well as skin cancer (squamous cell carcinoma and basal cell carcinoma, melanomas). Keep your body hydrated with at least 2 to 3 liters of water per day, and consume fruits and vegetables which are rich in beta-carotene and vitamin A like carrot, papaya, watermelon, muskmelon, pomegranate. | Patient: Hello doctor, I have been using Isopropyl alcohol as a face wash (diluted with water) for the last eight years, and am exploring more healthier and effective skincare routines. I have a mild acne and huge pores on my cheeks. Currently, I have purchased a variety of products and would like to receive your input as to whether or not this is a terrible routine or one that will work to create healthy skin. Every day I take Beta-Carotene, Lycopene, and Astaxanthin supplements. Morning (every-other) I use moisturizer, then apply Niacinamide lotion, Moisturize, then apply Azelaic Acid cream. At night, moisturize, then apply Retinol cream. || Doctor: Hi. Your skin routine is good, you can go on with it. Please choose a moisturizer that is not clogging, and is non-comedogenic, lotion form is better than cream since you have mild acne. Niacinamide and Azelaic acid are helpful for acne, they are mild, but a higher concentration of Azelaic acid can cause little irritation to the skin. If Azelaic acid is 4 % and less, it should be fine to use every day. Retinol works well for enlarged pores, also for acne. It helps to exfoliate the skin. Start retinol slow, use a thin layer on the face on alternate nights initially, then increase the frequency of application to nightly, Retinol is anti-aging too, it helps with wrinkles, pigmentation. Beta-carotene, Lycopene are antioxidants, they are considered as systemic or oral sunscreen. Only, addition to your routine is to use a moisturizer with sunscreen that is non-comedogenic, use this in the morning instead of your regular moisturizer. Sunscreen is the must in any skin routine, UV rays from sunlight are the reason for early wrinkles, pigmentation of skin as well as skin cancer (squamous cell carcinoma and basal cell carcinoma, melanomas). Keep your body hydrated with at least 2 to 3 liters of water per day, and consume fruits and vegetables which are rich in beta-carotene and vitamin A like carrot, papaya, watermelon, muskmelon, pomegranate. | patient: hello doctor, i have been using isopropyl alcohol as a face wash (diluted with water) for the last eight years, and am exploring more healthier and effective skincare routines. i have a mild acne and huge pores on my cheeks. currently, i have purchased a variety of products and would like to receive your input as to whether or not this is a terrible routine or one that will work to create healthy skin. every day i take beta-carotene, lycopene, and astaxanthin supplements. morning (every-other) i use moisturizer, then apply niacinamide lotion, moisturize, then apply azelaic acid cream. at night, moisturize, then apply retinol cream. || doctor: hi. your skin routine is good, you can go on with it. please choose a moisturizer that is not clogging, and is non-comedogenic, lotion form is better than cream since you have mild acne. niacinamide and azelaic acid are helpful for acne, they are mild, but a higher concentration of azelaic acid can cause little irritation to the skin. if azelaic acid is 4 % and less, it should be fine to use every day. retinol works well for enlarged pores, also for acne. it helps to exfoliate the skin. start retinol slow, use a thin layer on the face on alternate nights initially, then increase the frequency of application to nightly, retinol is anti-aging too, it helps with wrinkles, pigmentation. beta-carotene, lycopene are antioxidants, they are considered as systemic or oral sunscreen. only, addition to your routine is to use a moisturizer with sunscreen that is non-comedogenic, use this in the morning instead of your regular moisturizer. sunscreen is the must in any skin routine, uv rays from sunlight are the reason for early wrinkles, pigmentation of skin as well as skin cancer (squamous cell carcinoma and basal cell carcinoma, melanomas). keep your body hydrated with at least 2 to 3 liters of water per day, and consume fruits and vegetables which are rich in beta-carotene and vitamin a like carrot, papaya, watermelon, muskmelon, pomegranate. |
10,304 | Q. I am pregnant. I do not want to carry my pregnancy. Can I take abortion pills? | Hi, I was supposed to get my period on the 19th of this month. Generally, my period lasts 25 days, but it did not arrive this month. After taking a urine test using a pregnancy detection kit, I received a positive result. So, I think I am pregnant. I have not taken a scan or contacted a doctor. I do not want to carry my pregnancy. Is it necessary to have a scan performed before taking abortion pills or can I take the pills directly? If so, can you please make suggestions as to the pills I should take and how to use them? Also, what is the last date for me to terminate my pregnancy using pills? If there are any side effects, please mention them as well. | Hi and welcome to icliniq.com. Since a urine pregnancy test result was positive, you are pregnant. However, it is very important to confirm the same by scan and to locate the pregnancy to make sure it is in the uterus and not outside, which is called an ectopic pregnancy. Ectopic pregnancies cannot be aborted by pills and they present a dangerous situation, which requires immediate medical attention. You can terminate an intra-uterine pregnancy with pills up to 63 days after the first day of your last period. Following that, failure rates are high. The earlier the termination, the less risk of complications. Pills for termination cannot be prescribed over the phone or online, as it is illegal and dangerous. I would also advise you to consult an obstetrician and gynaecologist online about receiving counseling on ending your pregnancy --> Take care. | Patient: Hi, I was supposed to get my period on the 19th of this month. Generally, my period lasts 25 days, but it did not arrive this month. After taking a urine test using a pregnancy detection kit, I received a positive result. So, I think I am pregnant. I have not taken a scan or contacted a doctor. I do not want to carry my pregnancy. Is it necessary to have a scan performed before taking abortion pills or can I take the pills directly? If so, can you please make suggestions as to the pills I should take and how to use them? Also, what is the last date for me to terminate my pregnancy using pills? If there are any side effects, please mention them as well. || Doctor: Hi and welcome to icliniq.com. Since a urine pregnancy test result was positive, you are pregnant. However, it is very important to confirm the same by scan and to locate the pregnancy to make sure it is in the uterus and not outside, which is called an ectopic pregnancy. Ectopic pregnancies cannot be aborted by pills and they present a dangerous situation, which requires immediate medical attention. You can terminate an intra-uterine pregnancy with pills up to 63 days after the first day of your last period. Following that, failure rates are high. The earlier the termination, the less risk of complications. Pills for termination cannot be prescribed over the phone or online, as it is illegal and dangerous. I would also advise you to consult an obstetrician and gynaecologist online about receiving counseling on ending your pregnancy --> Take care. | patient: hi, i was supposed to get my period on the 19th of this month. generally, my period lasts 25 days, but it did not arrive this month. after taking a urine test using a pregnancy detection kit, i received a positive result. so, i think i am pregnant. i have not taken a scan or contacted a doctor. i do not want to carry my pregnancy. is it necessary to have a scan performed before taking abortion pills or can i take the pills directly? if so, can you please make suggestions as to the pills i should take and how to use them? also, what is the last date for me to terminate my pregnancy using pills? if there are any side effects, please mention them as well. || doctor: hi and welcome to icliniq.com. since a urine pregnancy test result was positive, you are pregnant. however, it is very important to confirm the same by scan and to locate the pregnancy to make sure it is in the uterus and not outside, which is called an ectopic pregnancy. ectopic pregnancies cannot be aborted by pills and they present a dangerous situation, which requires immediate medical attention. you can terminate an intra-uterine pregnancy with pills up to 63 days after the first day of your last period. following that, failure rates are high. the earlier the termination, the less risk of complications. pills for termination cannot be prescribed over the phone or online, as it is illegal and dangerous. i would also advise you to consult an obstetrician and gynaecologist online about receiving counseling on ending your pregnancy --> take care. |
10,305 | 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 --> |
10,306 | 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 --> |
10,307 | 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.---> |
10,308 | 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 --> |
10,309 | 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 --> |
10,310 | Q. What is the chance of getting pregnant at the age of 40 after endometriosis surgery? | Hi doctor, I was diagnosed with endometriosis and had surgery last year. Now we are married for four years and I am not getting pregnant. My age is 40 and my husband is 42. Please suggest. | Hello. I understand it has been a year since your endometriosis surgery. I am not clear if you have taken any treatment following that to enable conception. From the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), I will try to make my suggestions. As age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down. Endometriosis is a disease that not only affects the ovaries but later causes adhesions, which also hamper your chance for pregnancy. It is also notorious to recur. Putting all these together, the chances of a natural pregnancy comes down, though definitely not impossible. But the medical advice here and the ideal thing would be not to lose too much time and go in for ART procedures like IVF (in vitro fertilization). Because once the maternal ovarian reserve becomes too low, the chances of pregnancy in an IVF cycle also becomes less. So it would be ideal not to waste time and think of approaching any of the IVF centers. Also, I would like to add that this COVID time is not the right time to start an IVF treatment though. I hope this helps. | Patient: Hi doctor, I was diagnosed with endometriosis and had surgery last year. Now we are married for four years and I am not getting pregnant. My age is 40 and my husband is 42. Please suggest. || Doctor: Hello. I understand it has been a year since your endometriosis surgery. I am not clear if you have taken any treatment following that to enable conception. From the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), I will try to make my suggestions. As age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down. Endometriosis is a disease that not only affects the ovaries but later causes adhesions, which also hamper your chance for pregnancy. It is also notorious to recur. Putting all these together, the chances of a natural pregnancy comes down, though definitely not impossible. But the medical advice here and the ideal thing would be not to lose too much time and go in for ART procedures like IVF (in vitro fertilization). Because once the maternal ovarian reserve becomes too low, the chances of pregnancy in an IVF cycle also becomes less. So it would be ideal not to waste time and think of approaching any of the IVF centers. Also, I would like to add that this COVID time is not the right time to start an IVF treatment though. I hope this helps. | patient: hi doctor, i was diagnosed with endometriosis and had surgery last year. now we are married for four years and i am not getting pregnant. my age is 40 and my husband is 42. please suggest. || doctor: hello. i understand it has been a year since your endometriosis surgery. i am not clear if you have taken any treatment following that to enable conception. from the limited information, you have given me and assuming that your partner's parameters are normal (as you have not mentioned anything about it), i will try to make my suggestions. as age advances, the maternal ovarian reserve comes down, which means the number of eggs a female has come down. endometriosis is a disease that not only affects the ovaries but later causes adhesions, which also hamper your chance for pregnancy. it is also notorious to recur. putting all these together, the chances of a natural pregnancy comes down, though definitely not impossible. but the medical advice here and the ideal thing would be not to lose too much time and go in for art procedures like ivf (in vitro fertilization). because once the maternal ovarian reserve becomes too low, the chances of pregnancy in an ivf cycle also becomes less. so it would be ideal not to waste time and think of approaching any of the ivf centers. also, i would like to add that this covid time is not the right time to start an ivf treatment though. i hope this helps. |
10,311 | Q. What is withdrawal bleeding? | Hello doctor, Emergency contraception is 95% effective means is there some chance of getting pregnant? What more precautions could be taken during sex so that there will be full surety about it? After taking it, will the periods be painful? In what way will it alter periods? Will it change the number of days of period? And what is withdrawal bleeding? Will it be there immediately after taking it? Or after a day or two? When it will be 100% effective? Is there any other way to avoid pregnancy completely in unprotected sex? | Hi. I have read and understood your problem. Yes, there is some chance of pregnancy. You can use condom, but there is no contraception 100% effective even after contraception-operation very small chance of pregnancy remains. You can bleed any day after taking I-pill. There is no fixed rule it may take even 10 days and bleeding usually will be normal not painful. When bleeding occurs after stopping pill, it is called withdrawal bleeding. Withdrawal bleeding rules out pregnancy. However, your next period may come early or late, so take precaution with adequate contraception. Contraceptive pills can change your bleeding amount and cycle for one or two months. It will be effective only after sex pill, not before sex. But, as mentioned above there is no 100% effective method. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, Emergency contraception is 95% effective means is there some chance of getting pregnant? What more precautions could be taken during sex so that there will be full surety about it? After taking it, will the periods be painful? In what way will it alter periods? Will it change the number of days of period? And what is withdrawal bleeding? Will it be there immediately after taking it? Or after a day or two? When it will be 100% effective? Is there any other way to avoid pregnancy completely in unprotected sex? || Doctor: Hi. I have read and understood your problem. Yes, there is some chance of pregnancy. You can use condom, but there is no contraception 100% effective even after contraception-operation very small chance of pregnancy remains. You can bleed any day after taking I-pill. There is no fixed rule it may take even 10 days and bleeding usually will be normal not painful. When bleeding occurs after stopping pill, it is called withdrawal bleeding. Withdrawal bleeding rules out pregnancy. However, your next period may come early or late, so take precaution with adequate contraception. Contraceptive pills can change your bleeding amount and cycle for one or two months. It will be effective only after sex pill, not before sex. But, as mentioned above there is no 100% effective method. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, emergency contraception is 95% effective means is there some chance of getting pregnant? what more precautions could be taken during sex so that there will be full surety about it? after taking it, will the periods be painful? in what way will it alter periods? will it change the number of days of period? and what is withdrawal bleeding? will it be there immediately after taking it? or after a day or two? when it will be 100% effective? is there any other way to avoid pregnancy completely in unprotected sex? || doctor: hi. i have read and understood your problem. yes, there is some chance of pregnancy. you can use condom, but there is no contraception 100% effective even after contraception-operation very small chance of pregnancy remains. you can bleed any day after taking i-pill. there is no fixed rule it may take even 10 days and bleeding usually will be normal not painful. when bleeding occurs after stopping pill, it is called withdrawal bleeding. withdrawal bleeding rules out pregnancy. however, your next period may come early or late, so take precaution with adequate contraception. contraceptive pills can change your bleeding amount and cycle for one or two months. it will be effective only after sex pill, not before sex. but, as mentioned above there is no 100% effective method. for further queries consult an obstetrician and gynaecologist online --> |
10,312 | Q. I have small red rashes on my glans penis. What could be the cause? | Hi doctor, I have small red rashes on my glans penis. It started as a small blister. When cleaned, it peeled like skin. However, if it is not cleaned, white discharge gets in and around the site. I am not taking any kind of medications. | Hello. Please revert with an image. Revert with more information to a cosmetologist online --> | Patient: Hi doctor, I have small red rashes on my glans penis. It started as a small blister. When cleaned, it peeled like skin. However, if it is not cleaned, white discharge gets in and around the site. I am not taking any kind of medications. || Doctor: Hello. Please revert with an image. Revert with more information to a cosmetologist online --> | patient: hi doctor, i have small red rashes on my glans penis. it started as a small blister. when cleaned, it peeled like skin. however, if it is not cleaned, white discharge gets in and around the site. i am not taking any kind of medications. || doctor: hello. please revert with an image. revert with more information to a cosmetologist online --> |
10,313 | Q. I am scared of getting an infection from the hospital. Am I overthinking? | Hello doctor, I had an ENT examination and the specialist did not use gloves but, did not touch the part going into the nose the first time. The tubing, the second time it went up my nose, was touched at the bottom by her at the light. I am very OCD usually and watched this happen but, somehow trusted her as she is well respected. She had used hand sanitizer when she came in but shook my hand. Having been at another doctor's myself prior and registering my thumbprint on the check-in, I did use hand sanitizer twice after. But, I was holding a clean plastic cup from the water cooler with what I believe, was a clean tissue to hold the cup. She then did the procedure the second time having touched the tip of the scope with the fingers. She wrote back to me saying she will change her ways. The PCP is under the same system and asked me not to worry but, agreed to do the testing when I pushed. What tests should I have? Should I wait to get symptoms? Again, I am not sure she even used the wall sanitizer. I am asking the PCP to do an HIV and MRSA test. What else should I have her test me for? I am not vaccinated against Hepatitis B. Should I ask for a TB test? Does a general staph culture exist to rule out colonization? I work with children in talk therapy. So, I want to be sure I do not have anything communicable. I know it is hard to tell. But, I am panicking. What tests would you suggest? In what priority? Please be kind. I am already blaming myself for not speaking up. I can barely get up in the morning. I anxiously await your response. Thank you. | Hello. I went through your query and understood your concern. Regards. For further queries consult a general medicine physician online --> | Patient: Hello doctor, I had an ENT examination and the specialist did not use gloves but, did not touch the part going into the nose the first time. The tubing, the second time it went up my nose, was touched at the bottom by her at the light. I am very OCD usually and watched this happen but, somehow trusted her as she is well respected. She had used hand sanitizer when she came in but shook my hand. Having been at another doctor's myself prior and registering my thumbprint on the check-in, I did use hand sanitizer twice after. But, I was holding a clean plastic cup from the water cooler with what I believe, was a clean tissue to hold the cup. She then did the procedure the second time having touched the tip of the scope with the fingers. She wrote back to me saying she will change her ways. The PCP is under the same system and asked me not to worry but, agreed to do the testing when I pushed. What tests should I have? Should I wait to get symptoms? Again, I am not sure she even used the wall sanitizer. I am asking the PCP to do an HIV and MRSA test. What else should I have her test me for? I am not vaccinated against Hepatitis B. Should I ask for a TB test? Does a general staph culture exist to rule out colonization? I work with children in talk therapy. So, I want to be sure I do not have anything communicable. I know it is hard to tell. But, I am panicking. What tests would you suggest? In what priority? Please be kind. I am already blaming myself for not speaking up. I can barely get up in the morning. I anxiously await your response. Thank you. || Doctor: Hello. I went through your query and understood your concern. Regards. For further queries consult a general medicine physician online --> | patient: hello doctor, i had an ent examination and the specialist did not use gloves but, did not touch the part going into the nose the first time. the tubing, the second time it went up my nose, was touched at the bottom by her at the light. i am very ocd usually and watched this happen but, somehow trusted her as she is well respected. she had used hand sanitizer when she came in but shook my hand. having been at another doctor's myself prior and registering my thumbprint on the check-in, i did use hand sanitizer twice after. but, i was holding a clean plastic cup from the water cooler with what i believe, was a clean tissue to hold the cup. she then did the procedure the second time having touched the tip of the scope with the fingers. she wrote back to me saying she will change her ways. the pcp is under the same system and asked me not to worry but, agreed to do the testing when i pushed. what tests should i have? should i wait to get symptoms? again, i am not sure she even used the wall sanitizer. i am asking the pcp to do an hiv and mrsa test. what else should i have her test me for? i am not vaccinated against hepatitis b. should i ask for a tb test? does a general staph culture exist to rule out colonization? i work with children in talk therapy. so, i want to be sure i do not have anything communicable. i know it is hard to tell. but, i am panicking. what tests would you suggest? in what priority? please be kind. i am already blaming myself for not speaking up. i can barely get up in the morning. i anxiously await your response. thank you. || doctor: hello. i went through your query and understood your concern. regards. for further queries consult a general medicine physician online --> |
10,314 | Q. What to do for low Vitamin D levels? | Hello doctor, Yesterday I took blood tests for hemogram, fasting sugar, and vitamin D. My vitamin D is too low. It is lower than 3. I have tiredness and joint pain too. Please suggest some medicines and diets. | Hello. I went through your post. However, please attach your recent blood reports. For more information consult an internal medicine physician online --> | Patient: Hello doctor, Yesterday I took blood tests for hemogram, fasting sugar, and vitamin D. My vitamin D is too low. It is lower than 3. I have tiredness and joint pain too. Please suggest some medicines and diets. || Doctor: Hello. I went through your post. However, please attach your recent blood reports. For more information consult an internal medicine physician online --> | patient: hello doctor, yesterday i took blood tests for hemogram, fasting sugar, and vitamin d. my vitamin d is too low. it is lower than 3. i have tiredness and joint pain too. please suggest some medicines and diets. || doctor: hello. i went through your post. however, please attach your recent blood reports. for more information consult an internal medicine physician online --> |
10,315 | Q. Would Besivance clear my eye infection? | Hi doctor, I am a 27-year-old male. Recently, in a strip club. I fingered a dancer. I do not remember if I touched my eyes after that or not. About a week later, my eyes became red and watery. I went to an ophthalmologist and was prescribed a course of Besivance (Besifloxacin ophthalmic suspension). I took it and my eyes are marginally better but still red and itchy. 1) Is it possible that I could have contracted chlamydia conjunctivitis from this encounter? 2) Would Besivance have cleared that infection? 3) Is there any need for further testing? | Hello. We cannot rule out chlamydia conjunctivitis. It usually happens from secretions of genitalia as in your case. We usually prescribe fluoroquinolone antibiotic. Besivance is also fluoroquinolone. This should help you. Ideally, we take a conjunctival swab and culture it to confirm the diagnosis. For more information consult an eye care ophthalmologist online --> | Patient: Hi doctor, I am a 27-year-old male. Recently, in a strip club. I fingered a dancer. I do not remember if I touched my eyes after that or not. About a week later, my eyes became red and watery. I went to an ophthalmologist and was prescribed a course of Besivance (Besifloxacin ophthalmic suspension). I took it and my eyes are marginally better but still red and itchy. 1) Is it possible that I could have contracted chlamydia conjunctivitis from this encounter? 2) Would Besivance have cleared that infection? 3) Is there any need for further testing? || Doctor: Hello. We cannot rule out chlamydia conjunctivitis. It usually happens from secretions of genitalia as in your case. We usually prescribe fluoroquinolone antibiotic. Besivance is also fluoroquinolone. This should help you. Ideally, we take a conjunctival swab and culture it to confirm the diagnosis. For more information consult an eye care ophthalmologist online --> | patient: hi doctor, i am a 27-year-old male. recently, in a strip club. i fingered a dancer. i do not remember if i touched my eyes after that or not. about a week later, my eyes became red and watery. i went to an ophthalmologist and was prescribed a course of besivance (besifloxacin ophthalmic suspension). i took it and my eyes are marginally better but still red and itchy. 1) is it possible that i could have contracted chlamydia conjunctivitis from this encounter? 2) would besivance have cleared that infection? 3) is there any need for further testing? || doctor: hello. we cannot rule out chlamydia conjunctivitis. it usually happens from secretions of genitalia as in your case. we usually prescribe fluoroquinolone antibiotic. besivance is also fluoroquinolone. this should help you. ideally, we take a conjunctival swab and culture it to confirm the diagnosis. for more information consult an eye care ophthalmologist online --> |
10,316 | Q. Can mucosal polyp in maxillary sinus cause headache? | Hi doctor, I am a 19 year old second year MBBS student. I have been suffering from central headaches for the past two years. It is progressing in frequency and intensity. It increases on bending, sneezing and straining. It is mild to moderate in intensity and occurs almost four days a week. My doctor advised a CT scan and it is normal except for a mucosal polyp in the left maxillary sinus. What could be the diagnosis? | Hi. For further doubts consult a general medicine physician online --> | Patient: Hi doctor, I am a 19 year old second year MBBS student. I have been suffering from central headaches for the past two years. It is progressing in frequency and intensity. It increases on bending, sneezing and straining. It is mild to moderate in intensity and occurs almost four days a week. My doctor advised a CT scan and it is normal except for a mucosal polyp in the left maxillary sinus. What could be the diagnosis? || Doctor: Hi. For further doubts consult a general medicine physician online --> | patient: hi doctor, i am a 19 year old second year mbbs student. i have been suffering from central headaches for the past two years. it is progressing in frequency and intensity. it increases on bending, sneezing and straining. it is mild to moderate in intensity and occurs almost four days a week. my doctor advised a ct scan and it is normal except for a mucosal polyp in the left maxillary sinus. what could be the diagnosis? || doctor: hi. for further doubts consult a general medicine physician online --> |
10,317 | Q. I was bitten by a chameleon. I did take Vaxirab. Now I am feeling pain in my arm and my back. Give me your advice. | Dear Doctor, I was bitten by a chameleon. I did take Vaxirab yesterday. Now I am feeling pain in my arm and a very little pain in my back. I fear if am infected by rabies? What should I do. Give me your advice. | Hi. Rabies will not affect too early. What you are having now, could be the side effects of Vaxirab. But if the rabies status of the chameleon is not known or if you cannot observe whether that chameleon lives for another 10 days, then you may also require Rabies Immunoglobulin. Ask your doctor for that. What you have taken is a Rabies Vaccine but you also require Rabies Immunoglobulin for full protection. Consult a general medicine physician online --> | Patient: Dear Doctor, I was bitten by a chameleon. I did take Vaxirab yesterday. Now I am feeling pain in my arm and a very little pain in my back. I fear if am infected by rabies? What should I do. Give me your advice. || Doctor: Hi. Rabies will not affect too early. What you are having now, could be the side effects of Vaxirab. But if the rabies status of the chameleon is not known or if you cannot observe whether that chameleon lives for another 10 days, then you may also require Rabies Immunoglobulin. Ask your doctor for that. What you have taken is a Rabies Vaccine but you also require Rabies Immunoglobulin for full protection. Consult a general medicine physician online --> | patient: dear doctor, i was bitten by a chameleon. i did take vaxirab yesterday. now i am feeling pain in my arm and a very little pain in my back. i fear if am infected by rabies? what should i do. give me your advice. || doctor: hi. rabies will not affect too early. what you are having now, could be the side effects of vaxirab. but if the rabies status of the chameleon is not known or if you cannot observe whether that chameleon lives for another 10 days, then you may also require rabies immunoglobulin. ask your doctor for that. what you have taken is a rabies vaccine but you also require rabies immunoglobulin for full protection. consult a general medicine physician online --> |
10,318 | Q. Can anti-anxiety medication cause erectile dysfunction and decrease libido? | Hello doctor, I got married last month. I am not able to maintain a strong erection that is needed for penetration. And, my libido is also low nowadays. | Hello. Revert with more information to sexologist online --> | Patient: Hello doctor, I got married last month. I am not able to maintain a strong erection that is needed for penetration. And, my libido is also low nowadays. || Doctor: Hello. Revert with more information to sexologist online --> | patient: hello doctor, i got married last month. i am not able to maintain a strong erection that is needed for penetration. and, my libido is also low nowadays. || doctor: hello. revert with more information to sexologist online --> |
10,319 | Q. Does blood in cough and red pimples in neck mean cancer? | Hello doctor,I got blood in my cough two weeks back only once and there are red pimples on my neck. I am feeling weak. I used to take tobacco one year back which I left after rehabilitation. I have read that these are symptoms of cancer. | Hi. Do not panic. At this young stage lung cancer is unlikely, blood in sputum has multiple reasons like bronchitis, bronchiectasis, which can be treated. The red rash can be a local vasculitis or allergic cause too. Kindly do a routine blood test and chest X-ray and contact us through profile for further follow-up. | Patient: Hello doctor,I got blood in my cough two weeks back only once and there are red pimples on my neck. I am feeling weak. I used to take tobacco one year back which I left after rehabilitation. I have read that these are symptoms of cancer. || Doctor: Hi. Do not panic. At this young stage lung cancer is unlikely, blood in sputum has multiple reasons like bronchitis, bronchiectasis, which can be treated. The red rash can be a local vasculitis or allergic cause too. Kindly do a routine blood test and chest X-ray and contact us through profile for further follow-up. | patient: hello doctor,i got blood in my cough two weeks back only once and there are red pimples on my neck. i am feeling weak. i used to take tobacco one year back which i left after rehabilitation. i have read that these are symptoms of cancer. || doctor: hi. do not panic. at this young stage lung cancer is unlikely, blood in sputum has multiple reasons like bronchitis, bronchiectasis, which can be treated. the red rash can be a local vasculitis or allergic cause too. kindly do a routine blood test and chest x-ray and contact us through profile for further follow-up. |
10,320 | Q. A 2 year old baby gets cough when weather changes and has low Hb. Kindly help. | Hello doctor, My brother's child (2 years old male) has been suffering from the following ailments: He was hospitalized due to severe pneumonia and bronchitis two months back. He will get a cough when the weather changes to cloudy, rainy, or very cold weather and when he has more cough he will get a high fever (sometimes reaches 104 degrees). He will not eat properly. So we try to give him food with a small number of intervals. His hemoglobin is 10.5/A1+. His mother is having hypothyroid and on thyroid medicine of 75 mg per day Thyronorm. His immunity may be sensitive and he is getting all vaccination as per government schedule. | Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Hemoglobin level is low, it should be around 12 g/dl. CRP (C-reactive protein) level is high, suggestive of acute infection during hospitalization. Urine infection was also present at the time of admission. Repeated infections occur in a child with a low immune system. In my opinion, you should give syrup Vitcofol (Folic acid, Nicotinamide, and Cyanocobalamin) 2.5 ml two times a day for one month, and syrup Bevon (Vitamin A, E, Cholecalciferol, etc.) 5 ml once a day for one month. Vitcofol to increase the iron level and Bevon is a multivitamin syrup to increase immunity. Give food rich in fat and protein like full cream milk two times a day. Add a small amount of ghee or butter in every meal. Give egg once a day. In fruits, give banana, apple, and mango. Give paneer and soybean curry. Give two almonds daily. Give nonvegetarian food also, if you eat. Repeat hemoglobin level and review after one month. For more information consult a child health specialist online --> | Patient: Hello doctor, My brother's child (2 years old male) has been suffering from the following ailments: He was hospitalized due to severe pneumonia and bronchitis two months back. He will get a cough when the weather changes to cloudy, rainy, or very cold weather and when he has more cough he will get a high fever (sometimes reaches 104 degrees). He will not eat properly. So we try to give him food with a small number of intervals. His hemoglobin is 10.5/A1+. His mother is having hypothyroid and on thyroid medicine of 75 mg per day Thyronorm. His immunity may be sensitive and he is getting all vaccination as per government schedule. || Doctor: Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Hemoglobin level is low, it should be around 12 g/dl. CRP (C-reactive protein) level is high, suggestive of acute infection during hospitalization. Urine infection was also present at the time of admission. Repeated infections occur in a child with a low immune system. In my opinion, you should give syrup Vitcofol (Folic acid, Nicotinamide, and Cyanocobalamin) 2.5 ml two times a day for one month, and syrup Bevon (Vitamin A, E, Cholecalciferol, etc.) 5 ml once a day for one month. Vitcofol to increase the iron level and Bevon is a multivitamin syrup to increase immunity. Give food rich in fat and protein like full cream milk two times a day. Add a small amount of ghee or butter in every meal. Give egg once a day. In fruits, give banana, apple, and mango. Give paneer and soybean curry. Give two almonds daily. Give nonvegetarian food also, if you eat. Repeat hemoglobin level and review after one month. For more information consult a child health specialist online --> | patient: hello doctor, my brother's child (2 years old male) has been suffering from the following ailments: he was hospitalized due to severe pneumonia and bronchitis two months back. he will get a cough when the weather changes to cloudy, rainy, or very cold weather and when he has more cough he will get a high fever (sometimes reaches 104 degrees). he will not eat properly. so we try to give him food with a small number of intervals. his hemoglobin is 10.5/a1+. his mother is having hypothyroid and on thyroid medicine of 75 mg per day thyronorm. his immunity may be sensitive and he is getting all vaccination as per government schedule. || doctor: hi. i have seen the reports that you have attached (attachment removed to protect patient identity). hemoglobin level is low, it should be around 12 g/dl. crp (c-reactive protein) level is high, suggestive of acute infection during hospitalization. urine infection was also present at the time of admission. repeated infections occur in a child with a low immune system. in my opinion, you should give syrup vitcofol (folic acid, nicotinamide, and cyanocobalamin) 2.5 ml two times a day for one month, and syrup bevon (vitamin a, e, cholecalciferol, etc.) 5 ml once a day for one month. vitcofol to increase the iron level and bevon is a multivitamin syrup to increase immunity. give food rich in fat and protein like full cream milk two times a day. add a small amount of ghee or butter in every meal. give egg once a day. in fruits, give banana, apple, and mango. give paneer and soybean curry. give two almonds daily. give nonvegetarian food also, if you eat. repeat hemoglobin level and review after one month. for more information consult a child health specialist online --> |
10,321 | Q. My mother has 50% hearing loss after exposed to loud noise. Will Hearing loss pills help? | Hello doctor, My mom is 67 years old. She got exposed to a sudden loud noise from fireworks about a month ago, and it caused loss of hearing to about 50% (audiometry). She started taking Prednisolone three days after the incident, and also some multivitamin pills, but no improvement yet. Mixed voices or phone calls teases her ears, and she can stand only for a few minutes. I wanted to know if you have any recommendations? Are hearing loss pills or Hear All pills effective? | Hi, Welcome to icliniq.com. With age, the hearing ability reduces for all, no partiality. That is called presbycusis in medical term. Moreover, the loud noise added to the process of deterioration. If she is diabetic and hypertensive those factors will add on to the deterioration process. Now coming to the point of using medicines, please get it very clear these medicines can help 5% improvement in hearing, but that has no visible effect. Whether it is 50 dB loss or 45 dB loss, the problem is all most the same right? So without wasting further time, kindly (with the report) go the audiologist and fit her with digital programmable hearing aids (if both the ears are affected then both ears should be fitted to have balance hearing and to make hearing areas of the brain active in both sides of the brain). | Patient: Hello doctor, My mom is 67 years old. She got exposed to a sudden loud noise from fireworks about a month ago, and it caused loss of hearing to about 50% (audiometry). She started taking Prednisolone three days after the incident, and also some multivitamin pills, but no improvement yet. Mixed voices or phone calls teases her ears, and she can stand only for a few minutes. I wanted to know if you have any recommendations? Are hearing loss pills or Hear All pills effective? || Doctor: Hi, Welcome to icliniq.com. With age, the hearing ability reduces for all, no partiality. That is called presbycusis in medical term. Moreover, the loud noise added to the process of deterioration. If she is diabetic and hypertensive those factors will add on to the deterioration process. Now coming to the point of using medicines, please get it very clear these medicines can help 5% improvement in hearing, but that has no visible effect. Whether it is 50 dB loss or 45 dB loss, the problem is all most the same right? So without wasting further time, kindly (with the report) go the audiologist and fit her with digital programmable hearing aids (if both the ears are affected then both ears should be fitted to have balance hearing and to make hearing areas of the brain active in both sides of the brain). | patient: hello doctor, my mom is 67 years old. she got exposed to a sudden loud noise from fireworks about a month ago, and it caused loss of hearing to about 50% (audiometry). she started taking prednisolone three days after the incident, and also some multivitamin pills, but no improvement yet. mixed voices or phone calls teases her ears, and she can stand only for a few minutes. i wanted to know if you have any recommendations? are hearing loss pills or hear all pills effective? || doctor: hi, welcome to icliniq.com. with age, the hearing ability reduces for all, no partiality. that is called presbycusis in medical term. moreover, the loud noise added to the process of deterioration. if she is diabetic and hypertensive those factors will add on to the deterioration process. now coming to the point of using medicines, please get it very clear these medicines can help 5% improvement in hearing, but that has no visible effect. whether it is 50 db loss or 45 db loss, the problem is all most the same right? so without wasting further time, kindly (with the report) go the audiologist and fit her with digital programmable hearing aids (if both the ears are affected then both ears should be fitted to have balance hearing and to make hearing areas of the brain active in both sides of the brain). |
10,322 | 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 --> |
10,323 | 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 --> |
10,324 | 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.---> |
10,325 | 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 --> |
10,326 | 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 --> |
10,327 | Q. What medicine can control itching after being bitten by a hairy caterpillar? | Hello doctor, I was itching all of a sudden today while eating dinner. I thought it would be a normal itch, so resisted itching. After around 70 minutes, when I itched on my groin and thigh area, it started itching too much and when I saw under my shorts, it was full of mosquito bite like appearance. Then, I saw one small hairy caterpillar on the outer edge of my trouser. So, this itching was because of that. I have included the picture of that insect. It is not the exact picture, but it is for your reference. I applied some salt and turmeric and washed with facewash since it was neem and soap two to three times and took a full bath. I consumed one allergy tablet as well. Now itching is under control. I want to know what should I do now and is there anything that I did wrong or should have done which I did not? No injections, as the hospital is very far. Also, I do not know if it crawled in my bedsheet as well. I will sleep on it. Should I change my bedsheet? Actually, due to some problem I cannot change it, so is there any way to wipe if it is absolutely required. I have one additional query. Should I always use an antibacterial soap if I have recurrent boils or folliculitis on my body? Can I use normal soap and shampoo? Can you recommend any antibacterial hair shampoo which can be applied to hair and one antibacterial body wash if there is any? | Hello. I have seen the photograph (attachment removed to protect patient identity). The insect could possibly be a kind of caterpillar commonly called as blanket worms. One may get reactions to its sting with rashes and urticaria. Apply Calosoft AF (Calamine, Aloe vera, and liquid paraffin) and could take a Levocetirizine 5 mg tablet to control itching. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. You may require injections and antibiotics if there are sores due to its sting and if the rash is bad, you may need medications for a couple of weeks. Definitely, the blanket sheets and clothes need to be checked and changed. Please see a doctor to confirm the insect bite. For more information consult a dermatologist online --> | Patient: Hello doctor, I was itching all of a sudden today while eating dinner. I thought it would be a normal itch, so resisted itching. After around 70 minutes, when I itched on my groin and thigh area, it started itching too much and when I saw under my shorts, it was full of mosquito bite like appearance. Then, I saw one small hairy caterpillar on the outer edge of my trouser. So, this itching was because of that. I have included the picture of that insect. It is not the exact picture, but it is for your reference. I applied some salt and turmeric and washed with facewash since it was neem and soap two to three times and took a full bath. I consumed one allergy tablet as well. Now itching is under control. I want to know what should I do now and is there anything that I did wrong or should have done which I did not? No injections, as the hospital is very far. Also, I do not know if it crawled in my bedsheet as well. I will sleep on it. Should I change my bedsheet? Actually, due to some problem I cannot change it, so is there any way to wipe if it is absolutely required. I have one additional query. Should I always use an antibacterial soap if I have recurrent boils or folliculitis on my body? Can I use normal soap and shampoo? Can you recommend any antibacterial hair shampoo which can be applied to hair and one antibacterial body wash if there is any? || Doctor: Hello. I have seen the photograph (attachment removed to protect patient identity). The insect could possibly be a kind of caterpillar commonly called as blanket worms. One may get reactions to its sting with rashes and urticaria. Apply Calosoft AF (Calamine, Aloe vera, and liquid paraffin) and could take a Levocetirizine 5 mg tablet to control itching. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. You may require injections and antibiotics if there are sores due to its sting and if the rash is bad, you may need medications for a couple of weeks. Definitely, the blanket sheets and clothes need to be checked and changed. Please see a doctor to confirm the insect bite. For more information consult a dermatologist online --> | patient: hello doctor, i was itching all of a sudden today while eating dinner. i thought it would be a normal itch, so resisted itching. after around 70 minutes, when i itched on my groin and thigh area, it started itching too much and when i saw under my shorts, it was full of mosquito bite like appearance. then, i saw one small hairy caterpillar on the outer edge of my trouser. so, this itching was because of that. i have included the picture of that insect. it is not the exact picture, but it is for your reference. i applied some salt and turmeric and washed with facewash since it was neem and soap two to three times and took a full bath. i consumed one allergy tablet as well. now itching is under control. i want to know what should i do now and is there anything that i did wrong or should have done which i did not? no injections, as the hospital is very far. also, i do not know if it crawled in my bedsheet as well. i will sleep on it. should i change my bedsheet? actually, due to some problem i cannot change it, so is there any way to wipe if it is absolutely required. i have one additional query. should i always use an antibacterial soap if i have recurrent boils or folliculitis on my body? can i use normal soap and shampoo? can you recommend any antibacterial hair shampoo which can be applied to hair and one antibacterial body wash if there is any? || doctor: hello. i have seen the photograph (attachment removed to protect patient identity). the insect could possibly be a kind of caterpillar commonly called as blanket worms. one may get reactions to its sting with rashes and urticaria. apply calosoft af (calamine, aloe vera, and liquid paraffin) and could take a levocetirizine 5 mg tablet to control itching. consult your specialist doctor, discuss with him or her and with their consent take the medicine. you may require injections and antibiotics if there are sores due to its sting and if the rash is bad, you may need medications for a couple of weeks. definitely, the blanket sheets and clothes need to be checked and changed. please see a doctor to confirm the insect bite. for more information consult a dermatologist online --> |
10,328 | Q. Can we conclude breast cancer with FNAC report? | Hi doctor, My wife, who is 41 years old, developed lumps in her breast a few months back. She consulted a doctor and was suggested to take Vitamin E tablets and asked to undergo mammogram and FNAC. The test results are enclosed. The doctor told us nothing to worry since the lumps are benign and the lumps have now completely disappeared. But, the report says further tests may be done. My wife does not want to undergo any more tests. Can we conclude that it is safe based on the reports? She had a similar problem about eight to nine years back and at that time also another doctor gave her Vitamin E tablets and the lumps disappeared. No tests were conducted that time. Please advise. | Hi. I have seen your reports (attachment removed to protect patient identity). Revert back with the answer to the above question to a medical oncologist online --> | Patient: Hi doctor, My wife, who is 41 years old, developed lumps in her breast a few months back. She consulted a doctor and was suggested to take Vitamin E tablets and asked to undergo mammogram and FNAC. The test results are enclosed. The doctor told us nothing to worry since the lumps are benign and the lumps have now completely disappeared. But, the report says further tests may be done. My wife does not want to undergo any more tests. Can we conclude that it is safe based on the reports? She had a similar problem about eight to nine years back and at that time also another doctor gave her Vitamin E tablets and the lumps disappeared. No tests were conducted that time. Please advise. || Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). Revert back with the answer to the above question to a medical oncologist online --> | patient: hi doctor, my wife, who is 41 years old, developed lumps in her breast a few months back. she consulted a doctor and was suggested to take vitamin e tablets and asked to undergo mammogram and fnac. the test results are enclosed. the doctor told us nothing to worry since the lumps are benign and the lumps have now completely disappeared. but, the report says further tests may be done. my wife does not want to undergo any more tests. can we conclude that it is safe based on the reports? she had a similar problem about eight to nine years back and at that time also another doctor gave her vitamin e tablets and the lumps disappeared. no tests were conducted that time. please advise. || doctor: hi. i have seen your reports (attachment removed to protect patient identity). revert back with the answer to the above question to a medical oncologist online --> |
10,329 | Q. I bled after I-pill, but missed period on due date. Am I pregnant? | Hi doctor, My periods got ended on the 12th of last month and I had protected sex on 15th. As I noticed some semen on me, I took an I-pill on the same day. Then, I got periods after 8 days of I-pill, which lasted for five days as usual. But, the period was not like the way I usually get. There was no heavy flow or continuous flow of blood. The color of the blood was brown. My actual due date is 7th of this month and I missed it now. I am worried whether I am pregnant. Please help me with this issue. | Hello. First of all relax. You are not pregnant. Your periods came early because of I-pill medicine (emergency contraceptive pill). Sometimes, it can make periods come early and sometimes, it can delay. In your case, it made your periods early. But, I want to caution you that you should not use I-pill medicine in daily routine as it is a very strong medicine and have side effects also. In your case, you did not even need to take I-pill because your periods finished on 12th and you had sex on 15th. You cannot become pregnant if you do sex in the first 10 days of your periods. For further information consult an internal medicine physician online --> | Patient: Hi doctor, My periods got ended on the 12th of last month and I had protected sex on 15th. As I noticed some semen on me, I took an I-pill on the same day. Then, I got periods after 8 days of I-pill, which lasted for five days as usual. But, the period was not like the way I usually get. There was no heavy flow or continuous flow of blood. The color of the blood was brown. My actual due date is 7th of this month and I missed it now. I am worried whether I am pregnant. Please help me with this issue. || Doctor: Hello. First of all relax. You are not pregnant. Your periods came early because of I-pill medicine (emergency contraceptive pill). Sometimes, it can make periods come early and sometimes, it can delay. In your case, it made your periods early. But, I want to caution you that you should not use I-pill medicine in daily routine as it is a very strong medicine and have side effects also. In your case, you did not even need to take I-pill because your periods finished on 12th and you had sex on 15th. You cannot become pregnant if you do sex in the first 10 days of your periods. For further information consult an internal medicine physician online --> | patient: hi doctor, my periods got ended on the 12th of last month and i had protected sex on 15th. as i noticed some semen on me, i took an i-pill on the same day. then, i got periods after 8 days of i-pill, which lasted for five days as usual. but, the period was not like the way i usually get. there was no heavy flow or continuous flow of blood. the color of the blood was brown. my actual due date is 7th of this month and i missed it now. i am worried whether i am pregnant. please help me with this issue. || doctor: hello. first of all relax. you are not pregnant. your periods came early because of i-pill medicine (emergency contraceptive pill). sometimes, it can make periods come early and sometimes, it can delay. in your case, it made your periods early. but, i want to caution you that you should not use i-pill medicine in daily routine as it is a very strong medicine and have side effects also. in your case, you did not even need to take i-pill because your periods finished on 12th and you had sex on 15th. you cannot become pregnant if you do sex in the first 10 days of your periods. for further information consult an internal medicine physician online --> |
10,330 | Q. What could be the best medicine for allergic rhinitis? | Hi, I am currently using Duonase nasal spray and Odimont LC for the allergic rhinitis. I am getting mild fever after taking Duonase. Is it safe to take Duonase? Can I take Paracetamol for fever while using Duonase? Is there any alternative for Duonase without steroids? | Hi. For further information consult an allergy specialist online --> | Patient: Hi, I am currently using Duonase nasal spray and Odimont LC for the allergic rhinitis. I am getting mild fever after taking Duonase. Is it safe to take Duonase? Can I take Paracetamol for fever while using Duonase? Is there any alternative for Duonase without steroids? || Doctor: Hi. For further information consult an allergy specialist online --> | patient: hi, i am currently using duonase nasal spray and odimont lc for the allergic rhinitis. i am getting mild fever after taking duonase. is it safe to take duonase? can i take paracetamol for fever while using duonase? is there any alternative for duonase without steroids? || doctor: hi. for further information consult an allergy specialist online --> |
10,331 | Q. Please suggest some medicine for pimples on my back? | Hi doctor, I am 21 years old. I have pimples with some sort of rash and redness on my back. I am having these for more than two months now. When I use anti-fungal powder, they will dry but comes again. They are present only on the back, not anywhere else. I have attached my photos with this. Please suggest some medicine. Thank you. | Hi, Welcome to icliniq.com. Hormonal imbalance and seborrhea. 1. Lipid profile. 2. Liver function tests. Pityrosporum folliculitis. Truncal acne. Revert back after six weeks to a dermatologist online.---> | Patient: Hi doctor, I am 21 years old. I have pimples with some sort of rash and redness on my back. I am having these for more than two months now. When I use anti-fungal powder, they will dry but comes again. They are present only on the back, not anywhere else. I have attached my photos with this. Please suggest some medicine. Thank you. || Doctor: Hi, Welcome to icliniq.com. Hormonal imbalance and seborrhea. 1. Lipid profile. 2. Liver function tests. Pityrosporum folliculitis. Truncal acne. Revert back after six weeks to a dermatologist online.---> | patient: hi doctor, i am 21 years old. i have pimples with some sort of rash and redness on my back. i am having these for more than two months now. when i use anti-fungal powder, they will dry but comes again. they are present only on the back, not anywhere else. i have attached my photos with this. please suggest some medicine. thank you. || doctor: hi, welcome to icliniq.com. hormonal imbalance and seborrhea. 1. lipid profile. 2. liver function tests. pityrosporum folliculitis. truncal acne. revert back after six weeks to a dermatologist online.---> |
10,332 | Q. Is it possible to get sudden allergy to certain foods with no prior episodes? | Hi doctor, I am a 30-year-old male. In the space of two weeks, I developed an allergic reaction to three different foods peanuts, shellfish, and Avacado. I never had problems with either of these foods (or any food for that matter) before and this hit me very suddenly. So far the reactions are mild, just some minor tingling and flushing of skin, particularly on my arms, but they are significant enough to be noticeable. I have always been into health and fitness and take a variety of vitamins and supplements though I am cutting back on those out of concern that they may have aggravated my immune system into producing this allergic response. My questions are: is it normal to develop an allergy to multiple foods simultaneously? And what can I do to prevent the onset of any further reactions developing? I am currently on Memantine and Adderall. | Hi. First of all, allergic reactions to food are sudden and happen without any prior history. It is very common for people to develop allergies. Yes, it is common to have these kinds of food allergies. Some people have episodic allergies and they subside completely and for few people, it stays. No one can prevent an allergic episode in the future. It is your genetic system that has caused this. You should always keep anti-allergic tablets, steroid tablets, and always have a back up to get a steroid shot for allergies. Because sometimes these might range from basic skin rashes, itching and flushing to life-threatening spasms. Hence should always be careful. When you consume the above foods next time, keep observing for symptoms. I hope this helps. | Patient: Hi doctor, I am a 30-year-old male. In the space of two weeks, I developed an allergic reaction to three different foods peanuts, shellfish, and Avacado. I never had problems with either of these foods (or any food for that matter) before and this hit me very suddenly. So far the reactions are mild, just some minor tingling and flushing of skin, particularly on my arms, but they are significant enough to be noticeable. I have always been into health and fitness and take a variety of vitamins and supplements though I am cutting back on those out of concern that they may have aggravated my immune system into producing this allergic response. My questions are: is it normal to develop an allergy to multiple foods simultaneously? And what can I do to prevent the onset of any further reactions developing? I am currently on Memantine and Adderall. || Doctor: Hi. First of all, allergic reactions to food are sudden and happen without any prior history. It is very common for people to develop allergies. Yes, it is common to have these kinds of food allergies. Some people have episodic allergies and they subside completely and for few people, it stays. No one can prevent an allergic episode in the future. It is your genetic system that has caused this. You should always keep anti-allergic tablets, steroid tablets, and always have a back up to get a steroid shot for allergies. Because sometimes these might range from basic skin rashes, itching and flushing to life-threatening spasms. Hence should always be careful. When you consume the above foods next time, keep observing for symptoms. I hope this helps. | patient: hi doctor, i am a 30-year-old male. in the space of two weeks, i developed an allergic reaction to three different foods peanuts, shellfish, and avacado. i never had problems with either of these foods (or any food for that matter) before and this hit me very suddenly. so far the reactions are mild, just some minor tingling and flushing of skin, particularly on my arms, but they are significant enough to be noticeable. i have always been into health and fitness and take a variety of vitamins and supplements though i am cutting back on those out of concern that they may have aggravated my immune system into producing this allergic response. my questions are: is it normal to develop an allergy to multiple foods simultaneously? and what can i do to prevent the onset of any further reactions developing? i am currently on memantine and adderall. || doctor: hi. first of all, allergic reactions to food are sudden and happen without any prior history. it is very common for people to develop allergies. yes, it is common to have these kinds of food allergies. some people have episodic allergies and they subside completely and for few people, it stays. no one can prevent an allergic episode in the future. it is your genetic system that has caused this. you should always keep anti-allergic tablets, steroid tablets, and always have a back up to get a steroid shot for allergies. because sometimes these might range from basic skin rashes, itching and flushing to life-threatening spasms. hence should always be careful. when you consume the above foods next time, keep observing for symptoms. i hope this helps. |
10,333 | Q. Why are the legs and hands not functioning in a diabetic patient? | Hello doctor, My 72-year-old mother is diabetic. Suddenly her right leg and right hand are not functioning. In MRI scan of the head, it is told that bursting of vein or tube is reported. Could leg and hand function be restored? | Hi. The recovery of the weakness of limbs depends on the extent of brain damage. For that, I need to go through the scan report completely. Kindly upload the scan report and I shall give you a precise idea of what you can expect in recovery. | Patient: Hello doctor, My 72-year-old mother is diabetic. Suddenly her right leg and right hand are not functioning. In MRI scan of the head, it is told that bursting of vein or tube is reported. Could leg and hand function be restored? || Doctor: Hi. The recovery of the weakness of limbs depends on the extent of brain damage. For that, I need to go through the scan report completely. Kindly upload the scan report and I shall give you a precise idea of what you can expect in recovery. | patient: hello doctor, my 72-year-old mother is diabetic. suddenly her right leg and right hand are not functioning. in mri scan of the head, it is told that bursting of vein or tube is reported. could leg and hand function be restored? || doctor: hi. the recovery of the weakness of limbs depends on the extent of brain damage. for that, i need to go through the scan report completely. kindly upload the scan report and i shall give you a precise idea of what you can expect in recovery. |
10,334 | Q. My baby is 5 days old and is suffering from Pierre Robin syndrome. Kindly advice. | Hello doctor, My baby is 5 days old and is suffering from Pierre Robin syndrome. Kindly advice. | Hello. Pierre Robin syndrome consists of the following defects mostly: Kindly let us know what all defects your baby has at present and what all complications he has. Based on that he needs to be managed . Revert back with the details to a paediatrician online for further follow up --> | Patient: Hello doctor, My baby is 5 days old and is suffering from Pierre Robin syndrome. Kindly advice. || Doctor: Hello. Pierre Robin syndrome consists of the following defects mostly: Kindly let us know what all defects your baby has at present and what all complications he has. Based on that he needs to be managed . Revert back with the details to a paediatrician online for further follow up --> | patient: hello doctor, my baby is 5 days old and is suffering from pierre robin syndrome. kindly advice. || doctor: hello. pierre robin syndrome consists of the following defects mostly: kindly let us know what all defects your baby has at present and what all complications he has. based on that he needs to be managed . revert back with the details to a paediatrician online for further follow up --> |
10,335 | Q. For thalassemia major, when would my son require his first blood transfusion? | Hello doctor, My son is 15 months old and has been diagnosed with thalassemia major. My only question is when he would require his first blood transfusion? Because typically people feel strong symptoms of anemia and need medical help when Hb goes below 6. But, my child has Hb of 3.7 probably for over a month and two weeks have passed till the last testing, and he looks normal. I want to know how he is surviving at this low Hb. He plays well, sleeps well and walks in a walker and from today, he started taking a few steps on his own. Is this because of HbF, which is 96%? If so, then till what age HbF will be produced in his body? I have read about treatments for thalassemia people in which medicines are given to increase HbF production and by this many people do not have to go for BT. Is this a viable option or should I go for BT for my child? | Hi. I can understand your concerns. For further information consult an internal medicine physician online --> | Patient: Hello doctor, My son is 15 months old and has been diagnosed with thalassemia major. My only question is when he would require his first blood transfusion? Because typically people feel strong symptoms of anemia and need medical help when Hb goes below 6. But, my child has Hb of 3.7 probably for over a month and two weeks have passed till the last testing, and he looks normal. I want to know how he is surviving at this low Hb. He plays well, sleeps well and walks in a walker and from today, he started taking a few steps on his own. Is this because of HbF, which is 96%? If so, then till what age HbF will be produced in his body? I have read about treatments for thalassemia people in which medicines are given to increase HbF production and by this many people do not have to go for BT. Is this a viable option or should I go for BT for my child? || Doctor: Hi. I can understand your concerns. For further information consult an internal medicine physician online --> | patient: hello doctor, my son is 15 months old and has been diagnosed with thalassemia major. my only question is when he would require his first blood transfusion? because typically people feel strong symptoms of anemia and need medical help when hb goes below 6. but, my child has hb of 3.7 probably for over a month and two weeks have passed till the last testing, and he looks normal. i want to know how he is surviving at this low hb. he plays well, sleeps well and walks in a walker and from today, he started taking a few steps on his own. is this because of hbf, which is 96%? if so, then till what age hbf will be produced in his body? i have read about treatments for thalassemia people in which medicines are given to increase hbf production and by this many people do not have to go for bt. is this a viable option or should i go for bt for my child? || doctor: hi. i can understand your concerns. for further information consult an internal medicine physician online --> |
10,336 | Q. Do I have pseudocholinesterase deficiency based on the blood results? | Hello doctor, I am hoping someone can tell me if I have pseudocholinesterase deficiency based on the blood results below? My father has it and found out the hard way after surgery. His sister also has it. The results from my blood test were: Cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Cholinesterase W/DIB INH cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Dibucaine number Result: 81.3 L Reference range: 81.6-88.3 % Inhibit | Hello. You may have atypical pseudocholinesterase deficiency due to a heterozygous mutation which is hereditary. Pseudocholinesterase is an enzyme responsible for the metabolism of certain anesthetic drugs like succinylcholine and ester group of local anesthetics. Your Dibucaine number is 81 that is quite normal. But still, some drugs can be avoided if you require anesthesia. It is not like you cannot have a surgery. If you have a surgery in the future, please tell your anesthetist about this so he will be more careful in choosing drugs. I hope this lessens your worries to some extent. For more information consult an anesthesiologist online --> | Patient: Hello doctor, I am hoping someone can tell me if I have pseudocholinesterase deficiency based on the blood results below? My father has it and found out the hard way after surgery. His sister also has it. The results from my blood test were: Cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Cholinesterase W/DIB INH cholinesterase, serum Result: 2228 L Reference range: 2673-6592 IU/L Dibucaine number Result: 81.3 L Reference range: 81.6-88.3 % Inhibit || Doctor: Hello. You may have atypical pseudocholinesterase deficiency due to a heterozygous mutation which is hereditary. Pseudocholinesterase is an enzyme responsible for the metabolism of certain anesthetic drugs like succinylcholine and ester group of local anesthetics. Your Dibucaine number is 81 that is quite normal. But still, some drugs can be avoided if you require anesthesia. It is not like you cannot have a surgery. If you have a surgery in the future, please tell your anesthetist about this so he will be more careful in choosing drugs. I hope this lessens your worries to some extent. For more information consult an anesthesiologist online --> | patient: hello doctor, i am hoping someone can tell me if i have pseudocholinesterase deficiency based on the blood results below? my father has it and found out the hard way after surgery. his sister also has it. the results from my blood test were: cholinesterase, serum result: 2228 l reference range: 2673-6592 iu/l cholinesterase w/dib inh cholinesterase, serum result: 2228 l reference range: 2673-6592 iu/l dibucaine number result: 81.3 l reference range: 81.6-88.3 % inhibit || doctor: hello. you may have atypical pseudocholinesterase deficiency due to a heterozygous mutation which is hereditary. pseudocholinesterase is an enzyme responsible for the metabolism of certain anesthetic drugs like succinylcholine and ester group of local anesthetics. your dibucaine number is 81 that is quite normal. but still, some drugs can be avoided if you require anesthesia. it is not like you cannot have a surgery. if you have a surgery in the future, please tell your anesthetist about this so he will be more careful in choosing drugs. i hope this lessens your worries to some extent. for more information consult an anesthesiologist online --> |
10,337 | Q. Please suggest medicine for amebiasis. | Hello doctor, I am a 21 year old male suffering from chronic amebiasis for the past two to three years. I had tried Flagyl (Metronidazole ), Fasigyn (Tinidazole ), Ciplox-TZ, Oflox-OZ, Bandy and many other ayurveda medicines. But, nothing seems improved. So, could you provide any other drug? Please suggest medicine to be used for amebiasis. I have taken the above medicines for the past one year. | Hello. Revert back with the answers to the above questions to a medical gastroenterologist online --> | Patient: Hello doctor, I am a 21 year old male suffering from chronic amebiasis for the past two to three years. I had tried Flagyl (Metronidazole ), Fasigyn (Tinidazole ), Ciplox-TZ, Oflox-OZ, Bandy and many other ayurveda medicines. But, nothing seems improved. So, could you provide any other drug? Please suggest medicine to be used for amebiasis. I have taken the above medicines for the past one year. || Doctor: Hello. Revert back with the answers to the above questions to a medical gastroenterologist online --> | patient: hello doctor, i am a 21 year old male suffering from chronic amebiasis for the past two to three years. i had tried flagyl (metronidazole ), fasigyn (tinidazole ), ciplox-tz, oflox-oz, bandy and many other ayurveda medicines. but, nothing seems improved. so, could you provide any other drug? please suggest medicine to be used for amebiasis. i have taken the above medicines for the past one year. || doctor: hello. revert back with the answers to the above questions to a medical gastroenterologist online --> |
10,338 | 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 --> |
10,339 | 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 --> |
10,340 | 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.---> |
10,341 | 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 --> |
10,342 | 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 --> |
10,343 | Q. Does the presence of beta-hCG in male indicate malignancy? | Helo doctor, I am a male. I have discovered a lump in my right chest area, just below my nipple. It appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. No pain, no visible changes from outside. I am 49 years old and have the following established preexisting conditions like Hashimoto's, slight hypertension, migraines since childhood, and some allergies. I do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. A blood panel ordered by my GP now returns a slightly elevated free beta HCG level (3.24 mIU/ml with a reference value of 3.0 for males). All other results including CBC are normal, PSA and AFP, as well as HCG are negative, sexual hormones panel is normal. I cannot detect any abnormalities with my testicles. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? | Hi. First of all, I must say you have written your history very well. What I searched and concluded is: 1. About your HCG (human chorionic gonadotropin) level, your b-HCG is raised while total HCG is normal. Get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. Get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. Get FNAC (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? To answer this question, I was just wondering why you got HCG done in first place as you were asymptomatic? Neither of the drugs you are taking does not interfere with this test (b HCG). You cannot just ignore and sit on it (if b-HCG is deranged), you have to find a cause be it faulty lab investigation itself. | Patient: Helo doctor, I am a male. I have discovered a lump in my right chest area, just below my nipple. It appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. No pain, no visible changes from outside. I am 49 years old and have the following established preexisting conditions like Hashimoto's, slight hypertension, migraines since childhood, and some allergies. I do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. A blood panel ordered by my GP now returns a slightly elevated free beta HCG level (3.24 mIU/ml with a reference value of 3.0 for males). All other results including CBC are normal, PSA and AFP, as well as HCG are negative, sexual hormones panel is normal. I cannot detect any abnormalities with my testicles. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? || Doctor: Hi. First of all, I must say you have written your history very well. What I searched and concluded is: 1. About your HCG (human chorionic gonadotropin) level, your b-HCG is raised while total HCG is normal. Get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. Get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. Get FNAC (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. I understand that any detected beta HCG in males indicates a malignancy. How worried should I be? To answer this question, I was just wondering why you got HCG done in first place as you were asymptomatic? Neither of the drugs you are taking does not interfere with this test (b HCG). You cannot just ignore and sit on it (if b-HCG is deranged), you have to find a cause be it faulty lab investigation itself. | patient: helo doctor, i am a male. i have discovered a lump in my right chest area, just below my nipple. it appears to be roughly 3-5 cm in diameter, movable against all surrounding tissue, and it feels smooth, even-shaped, and firm but not hard, rather elastic. no pain, no visible changes from outside. i am 49 years old and have the following established preexisting conditions like hashimoto's, slight hypertension, migraines since childhood, and some allergies. i do have recurrent episodes of polyuria for many years that were diagnosed as stress-related some years ago after all differentials had been excluded. a blood panel ordered by my gp now returns a slightly elevated free beta hcg level (3.24 miu/ml with a reference value of 3.0 for males). all other results including cbc are normal, psa and afp, as well as hcg are negative, sexual hormones panel is normal. i cannot detect any abnormalities with my testicles. i understand that any detected beta hcg in males indicates a malignancy. how worried should i be? || doctor: hi. first of all, i must say you have written your history very well. what i searched and concluded is: 1. about your hcg (human chorionic gonadotropin) level, your b-hcg is raised while total hcg is normal. get it repeated from some other lab, if still raised then proceed to step 2 and 3. 2. get ultrasound scrotum (to see for any hyoechoic areas or area of calcification). 3. get fnac (fine needle aspiration cytology) or excision biopsy of 3-5 cm lesion below your nipple. i understand that any detected beta hcg in males indicates a malignancy. how worried should i be? to answer this question, i was just wondering why you got hcg done in first place as you were asymptomatic? neither of the drugs you are taking does not interfere with this test (b hcg). you cannot just ignore and sit on it (if b-hcg is deranged), you have to find a cause be it faulty lab investigation itself. |
10,344 | Q. How can typhoid be cured? | Hello doctor, My wife is 70 years old and was diagnosed with typhoid and was given Ceftas 200 TDS for 21 days and Argex 500 OD for seven days. The Widal test showed typhi O: 1:160, typhi H: 1:160, typhi AH: 1:80 and typhi BH: 1:40 after 10 days of treatment. The treatment was continued as above and after 2 to 4 days the temperature came down to 98.0 to 98.8. Now five days after completing the medicine course we again got her Widal test and results are the same as were in firsts test. Now, I would like to be advised how to treat her weakness and is there any treatment to kill the bacteria causing the fever and should we go for vaccine inoculation once more now. | Hello. I guess, she is not having a fever now. If fever has settled down then it means all bacterias are killed. These test may remain positive for some time or may be lifelong, so, not to chase the reports. Weakness will be there for few weeks. She should have a healthy diet and may have multivitamin supplements like syrup Zincovit two tablespoon once a day for two weeks for early recovery. Vaccination is recommended to repeat every three to five years, so she may take another course of vaccine as she is getting typhoid frequently. For more information consult a general medicine physician online --> | Patient: Hello doctor, My wife is 70 years old and was diagnosed with typhoid and was given Ceftas 200 TDS for 21 days and Argex 500 OD for seven days. The Widal test showed typhi O: 1:160, typhi H: 1:160, typhi AH: 1:80 and typhi BH: 1:40 after 10 days of treatment. The treatment was continued as above and after 2 to 4 days the temperature came down to 98.0 to 98.8. Now five days after completing the medicine course we again got her Widal test and results are the same as were in firsts test. Now, I would like to be advised how to treat her weakness and is there any treatment to kill the bacteria causing the fever and should we go for vaccine inoculation once more now. || Doctor: Hello. I guess, she is not having a fever now. If fever has settled down then it means all bacterias are killed. These test may remain positive for some time or may be lifelong, so, not to chase the reports. Weakness will be there for few weeks. She should have a healthy diet and may have multivitamin supplements like syrup Zincovit two tablespoon once a day for two weeks for early recovery. Vaccination is recommended to repeat every three to five years, so she may take another course of vaccine as she is getting typhoid frequently. For more information consult a general medicine physician online --> | patient: hello doctor, my wife is 70 years old and was diagnosed with typhoid and was given ceftas 200 tds for 21 days and argex 500 od for seven days. the widal test showed typhi o: 1:160, typhi h: 1:160, typhi ah: 1:80 and typhi bh: 1:40 after 10 days of treatment. the treatment was continued as above and after 2 to 4 days the temperature came down to 98.0 to 98.8. now five days after completing the medicine course we again got her widal test and results are the same as were in firsts test. now, i would like to be advised how to treat her weakness and is there any treatment to kill the bacteria causing the fever and should we go for vaccine inoculation once more now. || doctor: hello. i guess, she is not having a fever now. if fever has settled down then it means all bacterias are killed. these test may remain positive for some time or may be lifelong, so, not to chase the reports. weakness will be there for few weeks. she should have a healthy diet and may have multivitamin supplements like syrup zincovit two tablespoon once a day for two weeks for early recovery. vaccination is recommended to repeat every three to five years, so she may take another course of vaccine as she is getting typhoid frequently. for more information consult a general medicine physician online --> |
10,345 | Q. What can cause arm pain particularly after sleep? | Hi doctor, I am a 23 year old male student. I have severe pain in my right arm for the past 12 hours. There is no other accompanying symptom. I had encountered the same problem a couple of times in the past. The pain starts suddenly preferably after sleep. What to do? | Hello. 1. Cervical disc radiculopathy. 2. Saturday night palsy (radial nerve compression). 3. Rotator cuff tear or sprain. Revert back with the answers to an internal medicine physician online.---> | Patient: Hi doctor, I am a 23 year old male student. I have severe pain in my right arm for the past 12 hours. There is no other accompanying symptom. I had encountered the same problem a couple of times in the past. The pain starts suddenly preferably after sleep. What to do? || Doctor: Hello. 1. Cervical disc radiculopathy. 2. Saturday night palsy (radial nerve compression). 3. Rotator cuff tear or sprain. Revert back with the answers to an internal medicine physician online.---> | patient: hi doctor, i am a 23 year old male student. i have severe pain in my right arm for the past 12 hours. there is no other accompanying symptom. i had encountered the same problem a couple of times in the past. the pain starts suddenly preferably after sleep. what to do? || doctor: hello. 1. cervical disc radiculopathy. 2. saturday night palsy (radial nerve compression). 3. rotator cuff tear or sprain. revert back with the answers to an internal medicine physician online.---> |
10,346 | Q. As a depression patient, facing concentration problem. will my concentration improve? | Hi, I am a depression patient. Taking depression medicine for a long time. Now I have stopped taking the medicine as it makes me very sleepy. Now I feel, as soon as I start reading something inside my mind, I am not be able to read it properly. And while reading, after few minutes I sit like a statue and I feel what I am reading is not processed inside my mind. I have consulted it with a doctor and he says that, there is some depression still left in me and also there may be a damage in the concentration centre of the brain because of the long existing depression. Now my question is will my concentraion improve, and when shall I be able to speak and read in my mind properly? | Hi, Thanks for posting a query at icliniq. First of all I need to know what was the drug, how long you took that medicine and have you felt tolerance to either effect or side effect of that drug? At this stage I like to inform you that with current available medication, only two thirds of the patients improve, the remaining and the other one third fail to improve even after trial of multiple drugs. The next course of action is decided on the basis of residual symptoms, magnitude of improvement, comorbid medical and psychiatric conditions, tolerability and affordability to name a few. In your case your doctor may be right but if you are taking same medication for more than six weeks then it is time to intervene. If the concentration problem arose after the use of drug then it might be the side effect of drug itself and in that case it needs replacement. If the prescribed drug dose is in lower range side, then increasing the drug dose might be the solution. At this stage I would like to tell you that drugs available currentlyt may be used for improving concentration after a detailed history of the patient and review of all previous drugs. I suggest you to approach a psychiatrist either online or in person for correction of your problem. You can also book a slot for an online video chat session, I will be happy to help you out. | Patient: Hi, I am a depression patient. Taking depression medicine for a long time. Now I have stopped taking the medicine as it makes me very sleepy. Now I feel, as soon as I start reading something inside my mind, I am not be able to read it properly. And while reading, after few minutes I sit like a statue and I feel what I am reading is not processed inside my mind. I have consulted it with a doctor and he says that, there is some depression still left in me and also there may be a damage in the concentration centre of the brain because of the long existing depression. Now my question is will my concentraion improve, and when shall I be able to speak and read in my mind properly? || Doctor: Hi, Thanks for posting a query at icliniq. First of all I need to know what was the drug, how long you took that medicine and have you felt tolerance to either effect or side effect of that drug? At this stage I like to inform you that with current available medication, only two thirds of the patients improve, the remaining and the other one third fail to improve even after trial of multiple drugs. The next course of action is decided on the basis of residual symptoms, magnitude of improvement, comorbid medical and psychiatric conditions, tolerability and affordability to name a few. In your case your doctor may be right but if you are taking same medication for more than six weeks then it is time to intervene. If the concentration problem arose after the use of drug then it might be the side effect of drug itself and in that case it needs replacement. If the prescribed drug dose is in lower range side, then increasing the drug dose might be the solution. At this stage I would like to tell you that drugs available currentlyt may be used for improving concentration after a detailed history of the patient and review of all previous drugs. I suggest you to approach a psychiatrist either online or in person for correction of your problem. You can also book a slot for an online video chat session, I will be happy to help you out. | patient: hi, i am a depression patient. taking depression medicine for a long time. now i have stopped taking the medicine as it makes me very sleepy. now i feel, as soon as i start reading something inside my mind, i am not be able to read it properly. and while reading, after few minutes i sit like a statue and i feel what i am reading is not processed inside my mind. i have consulted it with a doctor and he says that, there is some depression still left in me and also there may be a damage in the concentration centre of the brain because of the long existing depression. now my question is will my concentraion improve, and when shall i be able to speak and read in my mind properly? || doctor: hi, thanks for posting a query at icliniq. first of all i need to know what was the drug, how long you took that medicine and have you felt tolerance to either effect or side effect of that drug? at this stage i like to inform you that with current available medication, only two thirds of the patients improve, the remaining and the other one third fail to improve even after trial of multiple drugs. the next course of action is decided on the basis of residual symptoms, magnitude of improvement, comorbid medical and psychiatric conditions, tolerability and affordability to name a few. in your case your doctor may be right but if you are taking same medication for more than six weeks then it is time to intervene. if the concentration problem arose after the use of drug then it might be the side effect of drug itself and in that case it needs replacement. if the prescribed drug dose is in lower range side, then increasing the drug dose might be the solution. at this stage i would like to tell you that drugs available currentlyt may be used for improving concentration after a detailed history of the patient and review of all previous drugs. i suggest you to approach a psychiatrist either online or in person for correction of your problem. you can also book a slot for an online video chat session, i will be happy to help you out. |
10,347 | Q. I had a diet without rice and meat. Is it healthy? | Hello doctor,I had this diet with no rice and meat for five months. Is it healthy? I eat meat but only when I attend occasions. I was 99 back then and now I am 73 kg. | Hello. An ideal diet is a balanced combination of carbohydrates, proteins, and fats. Eating meat is not a necessity if you are taking adequate vegetarian proteins. If you are avoiding rice, but substituting that with any other healthy carbohydrate, that should be fine too. But remember that your diet should be sustainable. Always look into the future and think if you can follow a particular diet all your life. If the answer is no, that may not be the ideal diet for you. Another point I would like to add is that rice is a healthy grain, just as other grains are shown to be. Rice contains many nutrients. If your ancestors have been eating rice, then it is the grain your body recognizes and digests easily. Eat what your grandmother would feed you, cook all your meals at home, include lots of fruit and vegetables and your diet will be sorted. I hope that helps. For more information consult a nutritionist online --> | Patient: Hello doctor,I had this diet with no rice and meat for five months. Is it healthy? I eat meat but only when I attend occasions. I was 99 back then and now I am 73 kg. || Doctor: Hello. An ideal diet is a balanced combination of carbohydrates, proteins, and fats. Eating meat is not a necessity if you are taking adequate vegetarian proteins. If you are avoiding rice, but substituting that with any other healthy carbohydrate, that should be fine too. But remember that your diet should be sustainable. Always look into the future and think if you can follow a particular diet all your life. If the answer is no, that may not be the ideal diet for you. Another point I would like to add is that rice is a healthy grain, just as other grains are shown to be. Rice contains many nutrients. If your ancestors have been eating rice, then it is the grain your body recognizes and digests easily. Eat what your grandmother would feed you, cook all your meals at home, include lots of fruit and vegetables and your diet will be sorted. I hope that helps. For more information consult a nutritionist online --> | patient: hello doctor,i had this diet with no rice and meat for five months. is it healthy? i eat meat but only when i attend occasions. i was 99 back then and now i am 73 kg. || doctor: hello. an ideal diet is a balanced combination of carbohydrates, proteins, and fats. eating meat is not a necessity if you are taking adequate vegetarian proteins. if you are avoiding rice, but substituting that with any other healthy carbohydrate, that should be fine too. but remember that your diet should be sustainable. always look into the future and think if you can follow a particular diet all your life. if the answer is no, that may not be the ideal diet for you. another point i would like to add is that rice is a healthy grain, just as other grains are shown to be. rice contains many nutrients. if your ancestors have been eating rice, then it is the grain your body recognizes and digests easily. eat what your grandmother would feed you, cook all your meals at home, include lots of fruit and vegetables and your diet will be sorted. i hope that helps. for more information consult a nutritionist online --> |
10,348 | Q. My son has a painless bump on his palm. Is it a wart? | Hi doctor, My son, who is 6 years old, has a bump on the palm of his hand. It is a hard bump, and he is on antibiotic Cefalexin 259 mg. Is this a wart? It does not pain on touching. He has had this for about a week and a half. His primary care doctor did not seem to know what it was so she prescribed an antibiotic. I have attached a photo of the bump. | Hi. I have seen the photo (attachment removed to protect patient identity). For more information consult a dermatologist online --> | Patient: Hi doctor, My son, who is 6 years old, has a bump on the palm of his hand. It is a hard bump, and he is on antibiotic Cefalexin 259 mg. Is this a wart? It does not pain on touching. He has had this for about a week and a half. His primary care doctor did not seem to know what it was so she prescribed an antibiotic. I have attached a photo of the bump. || Doctor: Hi. I have seen the photo (attachment removed to protect patient identity). For more information consult a dermatologist online --> | patient: hi doctor, my son, who is 6 years old, has a bump on the palm of his hand. it is a hard bump, and he is on antibiotic cefalexin 259 mg. is this a wart? it does not pain on touching. he has had this for about a week and a half. his primary care doctor did not seem to know what it was so she prescribed an antibiotic. i have attached a photo of the bump. || doctor: hi. i have seen the photo (attachment removed to protect patient identity). for more information consult a dermatologist online --> |
10,349 | Q. Would the pill have damaged the fetus in any way now that I am pregnant? | Hello doctor, After having intercourse with my husband, I had taken Unwanted 72 within 12 hours of intercourse. But, I missed my periods and got pregnant. Now, my question is will this ECP damage the fetus in any way? I also want to let you know that six months back, I had an abortion as my child was very low. Kindly suggest me, is it safe to continue my pregnancy with all these problems? | Hello. I have gone through your history and understand your concerns. Yes, you can continue the pregnancy after taking I-pill as it will not be harmful to your baby. But, yes if you had an abortion within one year, it may affect your health. So, take proper healthy and nutritious diet. Kindly give more information about your abortion, if it was medical or surgical. Hope you found it useful. Feel free to ask more information. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, After having intercourse with my husband, I had taken Unwanted 72 within 12 hours of intercourse. But, I missed my periods and got pregnant. Now, my question is will this ECP damage the fetus in any way? I also want to let you know that six months back, I had an abortion as my child was very low. Kindly suggest me, is it safe to continue my pregnancy with all these problems? || Doctor: Hello. I have gone through your history and understand your concerns. Yes, you can continue the pregnancy after taking I-pill as it will not be harmful to your baby. But, yes if you had an abortion within one year, it may affect your health. So, take proper healthy and nutritious diet. Kindly give more information about your abortion, if it was medical or surgical. Hope you found it useful. Feel free to ask more information. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, after having intercourse with my husband, i had taken unwanted 72 within 12 hours of intercourse. but, i missed my periods and got pregnant. now, my question is will this ecp damage the fetus in any way? i also want to let you know that six months back, i had an abortion as my child was very low. kindly suggest me, is it safe to continue my pregnancy with all these problems? || doctor: hello. i have gone through your history and understand your concerns. yes, you can continue the pregnancy after taking i-pill as it will not be harmful to your baby. but, yes if you had an abortion within one year, it may affect your health. so, take proper healthy and nutritious diet. kindly give more information about your abortion, if it was medical or surgical. hope you found it useful. feel free to ask more information. for more information consult an obstetrician and gynaecologist online --> |
10,350 | Q. Why am I having red bumps on my chest and neck? | Hello doctor,About two and a half weeks back, I noticed a lot of red bumps spreading on my chest and some are starting to go up my neck. They do not hurt or itch. They look like regular small pimples or whiteheads that I sometimes get on my chest, but these have not gone away or lessened. I use a wash with Benzoyl peroxide and it does not seem to be doing anything. I also use Onexton on my face but not on my chest. So, I do not know if that is related. I recently started taking birth control again, about a month ago, but I have taken this exact brand before and it did not cause this previously. I am 20 years old. I recently got some new shower gels and thought maybe I was allergic to one of them, but it is only my chest that is breaking out. I have stopped using any scented shower gels and just use a feminine wash all over my body because I know it is good at balancing pH levels. | Hi. I have noted your details and concerns. Your history and details point out towards a hormonal cause of the symptoms. The hormonal preparations are well known to result in a picture that you described. Since the body's hormonal status is ever changing, therefore, one may not get the same effects everytime a hormonal pill is used. In such a situation, using frequent washing of the area will help but the best way out would be to seek counseling for alternate methods of contraception. Changing shower gels and anti-acne preparations have not worked to your advantage as the current problem needed a different approach. I am very hopeful that your problem will be now resolved and you will feel good. For more information consult a dermatologist online --> | Patient: Hello doctor,About two and a half weeks back, I noticed a lot of red bumps spreading on my chest and some are starting to go up my neck. They do not hurt or itch. They look like regular small pimples or whiteheads that I sometimes get on my chest, but these have not gone away or lessened. I use a wash with Benzoyl peroxide and it does not seem to be doing anything. I also use Onexton on my face but not on my chest. So, I do not know if that is related. I recently started taking birth control again, about a month ago, but I have taken this exact brand before and it did not cause this previously. I am 20 years old. I recently got some new shower gels and thought maybe I was allergic to one of them, but it is only my chest that is breaking out. I have stopped using any scented shower gels and just use a feminine wash all over my body because I know it is good at balancing pH levels. || Doctor: Hi. I have noted your details and concerns. Your history and details point out towards a hormonal cause of the symptoms. The hormonal preparations are well known to result in a picture that you described. Since the body's hormonal status is ever changing, therefore, one may not get the same effects everytime a hormonal pill is used. In such a situation, using frequent washing of the area will help but the best way out would be to seek counseling for alternate methods of contraception. Changing shower gels and anti-acne preparations have not worked to your advantage as the current problem needed a different approach. I am very hopeful that your problem will be now resolved and you will feel good. For more information consult a dermatologist online --> | patient: hello doctor,about two and a half weeks back, i noticed a lot of red bumps spreading on my chest and some are starting to go up my neck. they do not hurt or itch. they look like regular small pimples or whiteheads that i sometimes get on my chest, but these have not gone away or lessened. i use a wash with benzoyl peroxide and it does not seem to be doing anything. i also use onexton on my face but not on my chest. so, i do not know if that is related. i recently started taking birth control again, about a month ago, but i have taken this exact brand before and it did not cause this previously. i am 20 years old. i recently got some new shower gels and thought maybe i was allergic to one of them, but it is only my chest that is breaking out. i have stopped using any scented shower gels and just use a feminine wash all over my body because i know it is good at balancing ph levels. || doctor: hi. i have noted your details and concerns. your history and details point out towards a hormonal cause of the symptoms. the hormonal preparations are well known to result in a picture that you described. since the body's hormonal status is ever changing, therefore, one may not get the same effects everytime a hormonal pill is used. in such a situation, using frequent washing of the area will help but the best way out would be to seek counseling for alternate methods of contraception. changing shower gels and anti-acne preparations have not worked to your advantage as the current problem needed a different approach. i am very hopeful that your problem will be now resolved and you will feel good. for more information consult a dermatologist online --> |
10,351 | Q. Why am I getting bruises on my legs often? | Hi doctor, I keep getting bruises on both of my legs and they are in different colors. I have not banged recently and I do not know the reason. What can it be? I am regularly using an inhaler for asthma. | Hi. Complete hemogram wit peripheral smear, bleeding time, clotting time, prothrombin time, APTT with INR (activated partial thromboplastin time with an international normalized ratio). 1) Gardner-Diamond syndrome (rare condition with painful bruising). 2) Long term use of steroids. 3) Normal skin tendency. Thrombophob ointment (Heparin Sodium) for local application twice daily. Revert back with the reports to a dermatologist online.---> | Patient: Hi doctor, I keep getting bruises on both of my legs and they are in different colors. I have not banged recently and I do not know the reason. What can it be? I am regularly using an inhaler for asthma. || Doctor: Hi. Complete hemogram wit peripheral smear, bleeding time, clotting time, prothrombin time, APTT with INR (activated partial thromboplastin time with an international normalized ratio). 1) Gardner-Diamond syndrome (rare condition with painful bruising). 2) Long term use of steroids. 3) Normal skin tendency. Thrombophob ointment (Heparin Sodium) for local application twice daily. Revert back with the reports to a dermatologist online.---> | patient: hi doctor, i keep getting bruises on both of my legs and they are in different colors. i have not banged recently and i do not know the reason. what can it be? i am regularly using an inhaler for asthma. || doctor: hi. complete hemogram wit peripheral smear, bleeding time, clotting time, prothrombin time, aptt with inr (activated partial thromboplastin time with an international normalized ratio). 1) gardner-diamond syndrome (rare condition with painful bruising). 2) long term use of steroids. 3) normal skin tendency. thrombophob ointment (heparin sodium) for local application twice daily. revert back with the reports to a dermatologist online.---> |
10,352 | Q. Please diagnose and interpret the eye test findings. | Hello doctor,I have a case file and I would like you to diagnose it and do the interpretation for each test and case history. I have uploaded a PDF file with all the tests and the questions that I want you to answer. | Hello. I have gone through the reports (attachment removed to protect patient identity). I will now sequentially explain the results of each test to you. The stereoscopic images of the right eye fundus and optic disc show an area of darkening inferiorly, suggestive of a retinal nerve fiber layer defect indicative of early damage. (This is better seen in the red-free images.) The same area of damage is seen again in the OCT (optical coherence tomography) reports, both in the disc scan and the ganglion cell analysis. Finally, this area of damage is confirmed on the visual field report. The darkened spots seen are suggestive of an early visual field loss called a nasal step that is commonly seen in glaucoma. (This will need to be confirmed in a second visual field report repeated two weeks to one month after the first test. These investigations confirm the diagnosis of glaucoma in the right eye. However, since the recorded intraocular pressure is 18 mmHg, that is, within the normal limits, my main differentials, in this case, would be: The left eye appears normal as of now, but this condition can be asymmetric in its incidence. Hence, a regular clinical exam schedule supplemented with investigations is advised. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor,I have a case file and I would like you to diagnose it and do the interpretation for each test and case history. I have uploaded a PDF file with all the tests and the questions that I want you to answer. || Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). I will now sequentially explain the results of each test to you. The stereoscopic images of the right eye fundus and optic disc show an area of darkening inferiorly, suggestive of a retinal nerve fiber layer defect indicative of early damage. (This is better seen in the red-free images.) The same area of damage is seen again in the OCT (optical coherence tomography) reports, both in the disc scan and the ganglion cell analysis. Finally, this area of damage is confirmed on the visual field report. The darkened spots seen are suggestive of an early visual field loss called a nasal step that is commonly seen in glaucoma. (This will need to be confirmed in a second visual field report repeated two weeks to one month after the first test. These investigations confirm the diagnosis of glaucoma in the right eye. However, since the recorded intraocular pressure is 18 mmHg, that is, within the normal limits, my main differentials, in this case, would be: The left eye appears normal as of now, but this condition can be asymmetric in its incidence. Hence, a regular clinical exam schedule supplemented with investigations is advised. For more information consult an eye care ophthalmologist online --> | patient: hello doctor,i have a case file and i would like you to diagnose it and do the interpretation for each test and case history. i have uploaded a pdf file with all the tests and the questions that i want you to answer. || doctor: hello. i have gone through the reports (attachment removed to protect patient identity). i will now sequentially explain the results of each test to you. the stereoscopic images of the right eye fundus and optic disc show an area of darkening inferiorly, suggestive of a retinal nerve fiber layer defect indicative of early damage. (this is better seen in the red-free images.) the same area of damage is seen again in the oct (optical coherence tomography) reports, both in the disc scan and the ganglion cell analysis. finally, this area of damage is confirmed on the visual field report. the darkened spots seen are suggestive of an early visual field loss called a nasal step that is commonly seen in glaucoma. (this will need to be confirmed in a second visual field report repeated two weeks to one month after the first test. these investigations confirm the diagnosis of glaucoma in the right eye. however, since the recorded intraocular pressure is 18 mmhg, that is, within the normal limits, my main differentials, in this case, would be: the left eye appears normal as of now, but this condition can be asymmetric in its incidence. hence, a regular clinical exam schedule supplemented with investigations is advised. for more information consult an eye care ophthalmologist online --> |
10,353 | Q. How to know the reason for tiredness and sick feeling? | Hi doctor, I am an 18 year old girl. I have been feeling very weak and tired. I am not getting sleep during the night and so I sleep throughout the day and wake up in the evening. I smoke and drink. Last weekend, I felt horribly sick after drinking. I get major headaches at times on the right side of the corner of my head. I have completely reduced smoking as I feel nauseous after I smoke. I got typhoid and dengue before seven months. I had jaundice 4 years back and since then I get pain in my stomach if I dance or run. I want to get healthier. My weight is 44 kg and my face has literally gone including dark circles. My eating habits are pretty bad and I eat after long hours. I really want to get healthy and look better. I want to have stamina as I have become very weak. I used to workout at the gym, but I would feel sick all the time during that phase. Please guide me. And yes, I go through horrible pain during my periods and I go through bad PMS phase. Thank you. | Hello. Thank you for the detailed history. CBC (complete blood count), liver and kidney function test, electrolytes, vitamin D and vitamin B12 level, TSH (thyroid-stimulating hormone) and anti-HIV antibodies. I suggest Vitamin B12 1000 mcg daily and Vitamin D 5000 IU daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online.---> | Patient: Hi doctor, I am an 18 year old girl. I have been feeling very weak and tired. I am not getting sleep during the night and so I sleep throughout the day and wake up in the evening. I smoke and drink. Last weekend, I felt horribly sick after drinking. I get major headaches at times on the right side of the corner of my head. I have completely reduced smoking as I feel nauseous after I smoke. I got typhoid and dengue before seven months. I had jaundice 4 years back and since then I get pain in my stomach if I dance or run. I want to get healthier. My weight is 44 kg and my face has literally gone including dark circles. My eating habits are pretty bad and I eat after long hours. I really want to get healthy and look better. I want to have stamina as I have become very weak. I used to workout at the gym, but I would feel sick all the time during that phase. Please guide me. And yes, I go through horrible pain during my periods and I go through bad PMS phase. Thank you. || Doctor: Hello. Thank you for the detailed history. CBC (complete blood count), liver and kidney function test, electrolytes, vitamin D and vitamin B12 level, TSH (thyroid-stimulating hormone) and anti-HIV antibodies. I suggest Vitamin B12 1000 mcg daily and Vitamin D 5000 IU daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to an internal medicine physician online.---> | patient: hi doctor, i am an 18 year old girl. i have been feeling very weak and tired. i am not getting sleep during the night and so i sleep throughout the day and wake up in the evening. i smoke and drink. last weekend, i felt horribly sick after drinking. i get major headaches at times on the right side of the corner of my head. i have completely reduced smoking as i feel nauseous after i smoke. i got typhoid and dengue before seven months. i had jaundice 4 years back and since then i get pain in my stomach if i dance or run. i want to get healthier. my weight is 44 kg and my face has literally gone including dark circles. my eating habits are pretty bad and i eat after long hours. i really want to get healthy and look better. i want to have stamina as i have become very weak. i used to workout at the gym, but i would feel sick all the time during that phase. please guide me. and yes, i go through horrible pain during my periods and i go through bad pms phase. thank you. || doctor: hello. thank you for the detailed history. cbc (complete blood count), liver and kidney function test, electrolytes, vitamin d and vitamin b12 level, tsh (thyroid-stimulating hormone) and anti-hiv antibodies. i suggest vitamin b12 1000 mcg daily and vitamin d 5000 iu daily. consult your specialist doctor, discuss with him or her and take the medicine with consent. revert back with the reports to an internal medicine physician online.---> |
10,354 | Q. I have skin problem in joints with vitamin D deficiency. Please help. | Hi doctor, I am a 35-year-old male. I have a problem in my skin, especially, on joints. I have had already consulted a dermatologist and she suggested consulting a rheumatologist based on the symptoms. Due to COVID-19, I could not consult but now it is spreading very fast. Could you please help? I also have vitamin D deficiency and taking D-rise and Lobate S ointment. | Hi. I have gone through your query and reports. (attachment removed to protect patient identity). Your vitamin D is significantly low for which you are already on the supplement. I want to ask you about skin problem and joint pains. Since the prescription was not fully loaded, I could not figure out the exact diagnosis of what the dermatologist has said. Did they mention about psoriasis? As psoriasis and joint pains can be related. If you could attach a picture of the skin lesion, it may be helpful. Is there any early morning stiffness in the joints? Any backpain or neck pain? Any one in the family with a history of skin problem? Do let me know these answers and picture of your skin lesion to guide you further. | Patient: Hi doctor, I am a 35-year-old male. I have a problem in my skin, especially, on joints. I have had already consulted a dermatologist and she suggested consulting a rheumatologist based on the symptoms. Due to COVID-19, I could not consult but now it is spreading very fast. Could you please help? I also have vitamin D deficiency and taking D-rise and Lobate S ointment. || Doctor: Hi. I have gone through your query and reports. (attachment removed to protect patient identity). Your vitamin D is significantly low for which you are already on the supplement. I want to ask you about skin problem and joint pains. Since the prescription was not fully loaded, I could not figure out the exact diagnosis of what the dermatologist has said. Did they mention about psoriasis? As psoriasis and joint pains can be related. If you could attach a picture of the skin lesion, it may be helpful. Is there any early morning stiffness in the joints? Any backpain or neck pain? Any one in the family with a history of skin problem? Do let me know these answers and picture of your skin lesion to guide you further. | patient: hi doctor, i am a 35-year-old male. i have a problem in my skin, especially, on joints. i have had already consulted a dermatologist and she suggested consulting a rheumatologist based on the symptoms. due to covid-19, i could not consult but now it is spreading very fast. could you please help? i also have vitamin d deficiency and taking d-rise and lobate s ointment. || doctor: hi. i have gone through your query and reports. (attachment removed to protect patient identity). your vitamin d is significantly low for which you are already on the supplement. i want to ask you about skin problem and joint pains. since the prescription was not fully loaded, i could not figure out the exact diagnosis of what the dermatologist has said. did they mention about psoriasis? as psoriasis and joint pains can be related. if you could attach a picture of the skin lesion, it may be helpful. is there any early morning stiffness in the joints? any backpain or neck pain? any one in the family with a history of skin problem? do let me know these answers and picture of your skin lesion to guide you further. |
10,355 | 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 --> |
10,356 | 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 --> |
10,357 | 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.---> |
10,358 | 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 --> |
10,359 | 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 --> |
10,360 | Q. Accidentally, dog's teeth touched me while playing. Should I get vaccine? | Hi doctor,I used to put biscuits for a stray dog in my office. Today, when I saw it, it came to me and started playing with me. Accidentally, one of the teeth touched my finger, but there was no injury or bleeding. Kindly advice if I should take a vaccine. Also, two months before I had Rabipur injection since one dog teeth hit my finger and I was injured. | Hi. For further information consult a general practitioner online --> | Patient: Hi doctor,I used to put biscuits for a stray dog in my office. Today, when I saw it, it came to me and started playing with me. Accidentally, one of the teeth touched my finger, but there was no injury or bleeding. Kindly advice if I should take a vaccine. Also, two months before I had Rabipur injection since one dog teeth hit my finger and I was injured. || Doctor: Hi. For further information consult a general practitioner online --> | patient: hi doctor,i used to put biscuits for a stray dog in my office. today, when i saw it, it came to me and started playing with me. accidentally, one of the teeth touched my finger, but there was no injury or bleeding. kindly advice if i should take a vaccine. also, two months before i had rabipur injection since one dog teeth hit my finger and i was injured. || doctor: hi. for further information consult a general practitioner online --> |
10,361 | Q. Is surgery needed for shoulder dislocation and fracture? | Hello doctor, I wish to know if a surgery is needed for shoulder dislocation-cum-fracture. The patient is already undergoing treatment for arthritis and depression. So, will there be complications if put on anesthesia? | Hello. Revert with more information to an orthopaedician and traumatologist online --> | Patient: Hello doctor, I wish to know if a surgery is needed for shoulder dislocation-cum-fracture. The patient is already undergoing treatment for arthritis and depression. So, will there be complications if put on anesthesia? || Doctor: Hello. Revert with more information to an orthopaedician and traumatologist online --> | patient: hello doctor, i wish to know if a surgery is needed for shoulder dislocation-cum-fracture. the patient is already undergoing treatment for arthritis and depression. so, will there be complications if put on anesthesia? || doctor: hello. revert with more information to an orthopaedician and traumatologist online --> |
10,362 | Q. What medication should I take for my skin rashes? | Hi doctor, I have been experiencing skin rashes, as shown in the attached photo, for the past three weeks. It all started with itching sensation in both hands, and then red spots came all over my arms, face, and legs. I have also itching in my head. I was given Avil injection at the hospital and Avil tablets. I also took Teczine tablet afterward. Yesterday I took L Montus tablet. I am also attaching a photo of my prescription. Today, I feel weak and dizzy, as I am fasting, and I took the injection while fasting. What medication best suits my case? Thank you so much. | Hi. I saw the picture (attachment removed to protect patient identity). This is acute urticaria. I suggest you try taking the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Tablet Avil (Pheniramine maleate) is antihistamine that can cause drowsiness. Some patients complain of drowsiness even after taking Levocetirizine. But you need to take Levocetirizine. Any tablet taken on an empty stomach can cause gastritis. If you have difficulty in swallowing or breathing, then you should visit a doctor immediately. Get the following blood test done: If urticaria is persistent, and if you still have the rashes, then I suggest Injection Avil 2 cc IM and Injection Hydrocort (Hydrocortisone sodium succinate) 100 mg IV. Stat dose can be given. If the rash has subsided, then continue with above medications. For more information consult a cosmetologist online --> | Patient: Hi doctor, I have been experiencing skin rashes, as shown in the attached photo, for the past three weeks. It all started with itching sensation in both hands, and then red spots came all over my arms, face, and legs. I have also itching in my head. I was given Avil injection at the hospital and Avil tablets. I also took Teczine tablet afterward. Yesterday I took L Montus tablet. I am also attaching a photo of my prescription. Today, I feel weak and dizzy, as I am fasting, and I took the injection while fasting. What medication best suits my case? Thank you so much. || Doctor: Hi. I saw the picture (attachment removed to protect patient identity). This is acute urticaria. I suggest you try taking the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Tablet Avil (Pheniramine maleate) is antihistamine that can cause drowsiness. Some patients complain of drowsiness even after taking Levocetirizine. But you need to take Levocetirizine. Any tablet taken on an empty stomach can cause gastritis. If you have difficulty in swallowing or breathing, then you should visit a doctor immediately. Get the following blood test done: If urticaria is persistent, and if you still have the rashes, then I suggest Injection Avil 2 cc IM and Injection Hydrocort (Hydrocortisone sodium succinate) 100 mg IV. Stat dose can be given. If the rash has subsided, then continue with above medications. For more information consult a cosmetologist online --> | patient: hi doctor, i have been experiencing skin rashes, as shown in the attached photo, for the past three weeks. it all started with itching sensation in both hands, and then red spots came all over my arms, face, and legs. i have also itching in my head. i was given avil injection at the hospital and avil tablets. i also took teczine tablet afterward. yesterday i took l montus tablet. i am also attaching a photo of my prescription. today, i feel weak and dizzy, as i am fasting, and i took the injection while fasting. what medication best suits my case? thank you so much. || doctor: hi. i saw the picture (attachment removed to protect patient identity). this is acute urticaria. i suggest you try taking the following: consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. tablet avil (pheniramine maleate) is antihistamine that can cause drowsiness. some patients complain of drowsiness even after taking levocetirizine. but you need to take levocetirizine. any tablet taken on an empty stomach can cause gastritis. if you have difficulty in swallowing or breathing, then you should visit a doctor immediately. get the following blood test done: if urticaria is persistent, and if you still have the rashes, then i suggest injection avil 2 cc im and injection hydrocort (hydrocortisone sodium succinate) 100 mg iv. stat dose can be given. if the rash has subsided, then continue with above medications. for more information consult a cosmetologist online --> |
10,363 | Q. How can red spots on the head of my penis be treated? | Hello doctor, The head of my penis is itchy and there are few red spots in certain areas on the head. This has been happening for the past week or so. I have stopped applying soap to the area and I wash it with lukewarm water twice a day and apply Candid-B thereafter. The itchiness went away after three to four days but as I stopped doing that, the itching has been back. Initially, I had some pain while retracting my foreskin and my foreskin was kind of swollen but there was no pain and swelling. At times, I find a white substance around the foreskin when I try to retract it. Should I continue applying Candid-B for few more days? And what other precautions should I take so that it does not happen in the future? | Hello. With your description, I feel you are suffering from a fungal infection of your genitalia. Kindly stop Candid-B cream (Beclometasone Topical and Clotrimazole Topical). It has steroids in it. This gives you temporary relief from itching but promotes fungal growth. However, I cannot precisely diagnose your condition without having seen your clinical picture. I would suggest you attach a clinical picture along with your query. I would suggest you use For more information consult a dermatologist online --> | Patient: Hello doctor, The head of my penis is itchy and there are few red spots in certain areas on the head. This has been happening for the past week or so. I have stopped applying soap to the area and I wash it with lukewarm water twice a day and apply Candid-B thereafter. The itchiness went away after three to four days but as I stopped doing that, the itching has been back. Initially, I had some pain while retracting my foreskin and my foreskin was kind of swollen but there was no pain and swelling. At times, I find a white substance around the foreskin when I try to retract it. Should I continue applying Candid-B for few more days? And what other precautions should I take so that it does not happen in the future? || Doctor: Hello. With your description, I feel you are suffering from a fungal infection of your genitalia. Kindly stop Candid-B cream (Beclometasone Topical and Clotrimazole Topical). It has steroids in it. This gives you temporary relief from itching but promotes fungal growth. However, I cannot precisely diagnose your condition without having seen your clinical picture. I would suggest you attach a clinical picture along with your query. I would suggest you use For more information consult a dermatologist online --> | patient: hello doctor, the head of my penis is itchy and there are few red spots in certain areas on the head. this has been happening for the past week or so. i have stopped applying soap to the area and i wash it with lukewarm water twice a day and apply candid-b thereafter. the itchiness went away after three to four days but as i stopped doing that, the itching has been back. initially, i had some pain while retracting my foreskin and my foreskin was kind of swollen but there was no pain and swelling. at times, i find a white substance around the foreskin when i try to retract it. should i continue applying candid-b for few more days? and what other precautions should i take so that it does not happen in the future? || doctor: hello. with your description, i feel you are suffering from a fungal infection of your genitalia. kindly stop candid-b cream (beclometasone topical and clotrimazole topical). it has steroids in it. this gives you temporary relief from itching but promotes fungal growth. however, i cannot precisely diagnose your condition without having seen your clinical picture. i would suggest you attach a clinical picture along with your query. i would suggest you use for more information consult a dermatologist online --> |
10,364 | Q. I am suffering from warts and molluscum. How did I get the infection? | Hello doctor, I am a 24 year old male. Last year, I had a few molluscum contagiosum in my lower abdomen. I took the treatment, and they were gone. After two to three months, I got one skin tag on the skin around my penis. I applied a lotion (Salicylic acid 16.7% and Lactic acid 16.7%), and the skin tag was removed. But, it came back after three months. Currently, I am suffering from genital warts and taking treatment. My doctor told me to get some test and here are the results. Lipid profile - triglycerides 125 mg/dL, HDL 35 mg/dL and LDL 113 mg/dL, CBC - lymphocyte 44%, serum amylase 121 IU/L, Helicobacter pylori IgA 0.45 (negative) and urine test - pus cells 3 to 4/HPF. Currently, I am taking these medicine as advised by my doctor. Zincolak one tablet twice daily, Zycolchin one tablet twice daily and Dicaris 150 mg one tablet once a day for three days. My question is that I am a healthy man with high immunity. I never get sick all around the year. How did I catch this infection? I have multiple sex partner, but I never had sex without a condom, or my condom never broke. Please give me a detailed answer and also give me advice for the treatment. | Hello. Warts and molluscum are common sexually acquired infections and can occur in healthy individuals. Warts spread by touch and condoms will only protect the covered area. Base of the penis, thighs, lower abdomen are all exposed. So, both warts and molluscum can be transmitted even with condom usage. For treatment, I suggest you Imiquimod 5% cream. Apply it over the affected area thrice a week and leave it overnight and wash in the morning. Use it for 16 weeks. Consult your specialist doctor, discuss with him or her and take treatment with consent. Also, you should get tested for HIV and hepatitis. For further information consult a dermatologist online --> | Patient: Hello doctor, I am a 24 year old male. Last year, I had a few molluscum contagiosum in my lower abdomen. I took the treatment, and they were gone. After two to three months, I got one skin tag on the skin around my penis. I applied a lotion (Salicylic acid 16.7% and Lactic acid 16.7%), and the skin tag was removed. But, it came back after three months. Currently, I am suffering from genital warts and taking treatment. My doctor told me to get some test and here are the results. Lipid profile - triglycerides 125 mg/dL, HDL 35 mg/dL and LDL 113 mg/dL, CBC - lymphocyte 44%, serum amylase 121 IU/L, Helicobacter pylori IgA 0.45 (negative) and urine test - pus cells 3 to 4/HPF. Currently, I am taking these medicine as advised by my doctor. Zincolak one tablet twice daily, Zycolchin one tablet twice daily and Dicaris 150 mg one tablet once a day for three days. My question is that I am a healthy man with high immunity. I never get sick all around the year. How did I catch this infection? I have multiple sex partner, but I never had sex without a condom, or my condom never broke. Please give me a detailed answer and also give me advice for the treatment. || Doctor: Hello. Warts and molluscum are common sexually acquired infections and can occur in healthy individuals. Warts spread by touch and condoms will only protect the covered area. Base of the penis, thighs, lower abdomen are all exposed. So, both warts and molluscum can be transmitted even with condom usage. For treatment, I suggest you Imiquimod 5% cream. Apply it over the affected area thrice a week and leave it overnight and wash in the morning. Use it for 16 weeks. Consult your specialist doctor, discuss with him or her and take treatment with consent. Also, you should get tested for HIV and hepatitis. For further information consult a dermatologist online --> | patient: hello doctor, i am a 24 year old male. last year, i had a few molluscum contagiosum in my lower abdomen. i took the treatment, and they were gone. after two to three months, i got one skin tag on the skin around my penis. i applied a lotion (salicylic acid 16.7% and lactic acid 16.7%), and the skin tag was removed. but, it came back after three months. currently, i am suffering from genital warts and taking treatment. my doctor told me to get some test and here are the results. lipid profile - triglycerides 125 mg/dl, hdl 35 mg/dl and ldl 113 mg/dl, cbc - lymphocyte 44%, serum amylase 121 iu/l, helicobacter pylori iga 0.45 (negative) and urine test - pus cells 3 to 4/hpf. currently, i am taking these medicine as advised by my doctor. zincolak one tablet twice daily, zycolchin one tablet twice daily and dicaris 150 mg one tablet once a day for three days. my question is that i am a healthy man with high immunity. i never get sick all around the year. how did i catch this infection? i have multiple sex partner, but i never had sex without a condom, or my condom never broke. please give me a detailed answer and also give me advice for the treatment. || doctor: hello. warts and molluscum are common sexually acquired infections and can occur in healthy individuals. warts spread by touch and condoms will only protect the covered area. base of the penis, thighs, lower abdomen are all exposed. so, both warts and molluscum can be transmitted even with condom usage. for treatment, i suggest you imiquimod 5% cream. apply it over the affected area thrice a week and leave it overnight and wash in the morning. use it for 16 weeks. consult your specialist doctor, discuss with him or her and take treatment with consent. also, you should get tested for hiv and hepatitis. for further information consult a dermatologist online --> |
10,365 | 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 --> |
10,366 | Q. I have a pancreatic tumour,can the tumour alone be removed or the whole pancreas has to be removed? | Hello Doctor, I have a pancreatic tumour, diagnosed as low grade malignant tumour of the size of 1.2cm in the pancreas. Three months ago it was 1.0 cm in size. It is not a cyst. CT contrast shows a solid mass. The PET scan has been advised when my pancreas is healed, as it is inflamed now. I have a question to the surgery of such a tumour, if necessary. Can the tumour alone be removed or the whole pancreas has to be removed? In general I would like your opinion about such a procedure. Regards. | Hi. Revert back to a surgical oncologist online for further queries regarding surgical removal of the tumour --> | Patient: Hello Doctor, I have a pancreatic tumour, diagnosed as low grade malignant tumour of the size of 1.2cm in the pancreas. Three months ago it was 1.0 cm in size. It is not a cyst. CT contrast shows a solid mass. The PET scan has been advised when my pancreas is healed, as it is inflamed now. I have a question to the surgery of such a tumour, if necessary. Can the tumour alone be removed or the whole pancreas has to be removed? In general I would like your opinion about such a procedure. Regards. || Doctor: Hi. Revert back to a surgical oncologist online for further queries regarding surgical removal of the tumour --> | patient: hello doctor, i have a pancreatic tumour, diagnosed as low grade malignant tumour of the size of 1.2cm in the pancreas. three months ago it was 1.0 cm in size. it is not a cyst. ct contrast shows a solid mass. the pet scan has been advised when my pancreas is healed, as it is inflamed now. i have a question to the surgery of such a tumour, if necessary. can the tumour alone be removed or the whole pancreas has to be removed? in general i would like your opinion about such a procedure. regards. || doctor: hi. revert back to a surgical oncologist online for further queries regarding surgical removal of the tumour --> |
10,367 | Q. Can a change from allopathy to ayurveda antidepressant cause fatigue? | Hello doctor, I had allopathic antidepressant for the past two years. Now, I replaced that by ayurveda treatment, but I am feeling very much fatigue, tired, lazy and dizzy. What is the reason? Currently, I am having Manasamitra vatakam medicine. | Hi. Revert back with the asked details to an ayurveda specialist online --> | Patient: Hello doctor, I had allopathic antidepressant for the past two years. Now, I replaced that by ayurveda treatment, but I am feeling very much fatigue, tired, lazy and dizzy. What is the reason? Currently, I am having Manasamitra vatakam medicine. || Doctor: Hi. Revert back with the asked details to an ayurveda specialist online --> | patient: hello doctor, i had allopathic antidepressant for the past two years. now, i replaced that by ayurveda treatment, but i am feeling very much fatigue, tired, lazy and dizzy. what is the reason? currently, i am having manasamitra vatakam medicine. || doctor: hi. revert back with the asked details to an ayurveda specialist online --> |
10,368 | Q. Does thyroid problem delay pregnancy? | Hi doctor, I am a 27 year old unmarried female. Before six months, I was diagnosed with hypothyroidism. I have been taking Thyronorm 100 mcg. Recently, I had TSH test and the level was 0.47 U/mL, which is considered as hyperthyroid. When my doctor asked me the previous dosage, by mistake I told her 150 mcg, but my actual dosage was 100 mcg. So, she suggested 125 mcg. I tried to contact my doctor, but could not reach her. Shall I take Thyronorm 75 mcg? When will my thyroid levels become normal? | Hi. For further information consult an endocrinologist online --> | Patient: Hi doctor, I am a 27 year old unmarried female. Before six months, I was diagnosed with hypothyroidism. I have been taking Thyronorm 100 mcg. Recently, I had TSH test and the level was 0.47 U/mL, which is considered as hyperthyroid. When my doctor asked me the previous dosage, by mistake I told her 150 mcg, but my actual dosage was 100 mcg. So, she suggested 125 mcg. I tried to contact my doctor, but could not reach her. Shall I take Thyronorm 75 mcg? When will my thyroid levels become normal? || Doctor: Hi. For further information consult an endocrinologist online --> | patient: hi doctor, i am a 27 year old unmarried female. before six months, i was diagnosed with hypothyroidism. i have been taking thyronorm 100 mcg. recently, i had tsh test and the level was 0.47 u/ml, which is considered as hyperthyroid. when my doctor asked me the previous dosage, by mistake i told her 150 mcg, but my actual dosage was 100 mcg. so, she suggested 125 mcg. i tried to contact my doctor, but could not reach her. shall i take thyronorm 75 mcg? when will my thyroid levels become normal? || doctor: hi. for further information consult an endocrinologist online --> |
10,369 | Q. I have pain in ribs and breathing problems. Is it a sign of lung cancer? | Hi doctor, For past four weeks, I have pain in my ribs. Also, I am experiencing breathing problems. It feels like something has stuck in the heart. For, a few days pain has been decreased. But breathing problem persists. I am also experiencing pain in my lower back. The pain is massive at night times. There is no sign of a cough. Will it be a sign of lung cancer? | Hi. Such symptoms are seen in the following conditions: 1. Heart diseases. 2. Pneumonia or Pleural Effusion. 3. Acidity or muscular pain. Now to be on the safer side, I would recommend you to get a Chest x-ray and ECG done. Based on the reports, we would discuss the treatment apart. I hope it helps you. For more information consult a pulmonologist online --> | Patient: Hi doctor, For past four weeks, I have pain in my ribs. Also, I am experiencing breathing problems. It feels like something has stuck in the heart. For, a few days pain has been decreased. But breathing problem persists. I am also experiencing pain in my lower back. The pain is massive at night times. There is no sign of a cough. Will it be a sign of lung cancer? || Doctor: Hi. Such symptoms are seen in the following conditions: 1. Heart diseases. 2. Pneumonia or Pleural Effusion. 3. Acidity or muscular pain. Now to be on the safer side, I would recommend you to get a Chest x-ray and ECG done. Based on the reports, we would discuss the treatment apart. I hope it helps you. For more information consult a pulmonologist online --> | patient: hi doctor, for past four weeks, i have pain in my ribs. also, i am experiencing breathing problems. it feels like something has stuck in the heart. for, a few days pain has been decreased. but breathing problem persists. i am also experiencing pain in my lower back. the pain is massive at night times. there is no sign of a cough. will it be a sign of lung cancer? || doctor: hi. such symptoms are seen in the following conditions: 1. heart diseases. 2. pneumonia or pleural effusion. 3. acidity or muscular pain. now to be on the safer side, i would recommend you to get a chest x-ray and ecg done. based on the reports, we would discuss the treatment apart. i hope it helps you. for more information consult a pulmonologist online --> |
10,370 | Q. My father's ENT found a small lesion at his vocal fold. Is this something serious? | Hi doctor, This is regarding the health of my 57 year old father. He is a non-smoker, vegetarian, and a non-drinker. He had a complaint of a low voice since the last 10 days. Yesterday, he had to visit an ENT for a check up. They did a video laryngoscopy and found a small lesion at the vocal junction. I am attaching the photos for your understanding. The doctor suggested medication. He told that there is a 90 % chance, it will be normal in a week. If not, we have to plan for a minor surgery. Could you please let me know how serious it is? Is surgery required? If yes, how painful will it be? | Hello. I have seen the pictures (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> | Patient: Hi doctor, This is regarding the health of my 57 year old father. He is a non-smoker, vegetarian, and a non-drinker. He had a complaint of a low voice since the last 10 days. Yesterday, he had to visit an ENT for a check up. They did a video laryngoscopy and found a small lesion at the vocal junction. I am attaching the photos for your understanding. The doctor suggested medication. He told that there is a 90 % chance, it will be normal in a week. If not, we have to plan for a minor surgery. Could you please let me know how serious it is? Is surgery required? If yes, how painful will it be? || Doctor: Hello. I have seen the pictures (attachment removed to protect patient identity). For further queries consult an internal medicine physician online --> | patient: hi doctor, this is regarding the health of my 57 year old father. he is a non-smoker, vegetarian, and a non-drinker. he had a complaint of a low voice since the last 10 days. yesterday, he had to visit an ent for a check up. they did a video laryngoscopy and found a small lesion at the vocal junction. i am attaching the photos for your understanding. the doctor suggested medication. he told that there is a 90 % chance, it will be normal in a week. if not, we have to plan for a minor surgery. could you please let me know how serious it is? is surgery required? if yes, how painful will it be? || doctor: hello. i have seen the pictures (attachment removed to protect patient identity). for further queries consult an internal medicine physician online --> |
10,371 | 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 --> |
10,372 | 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 --> |
10,373 | 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.---> |
10,374 | 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 --> |
10,375 | 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 --> |
10,376 | 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 --> |
10,377 | Q. My biopsy report showed granulomatous mastitis. Was the biopsy specimen autolyzed? | Hi doctor, A wide excision was done last year, and the report showed granulomatous mastitis. How can autolyzed tissue alter the report of biopsy? What do you mean by autolysis? What if the specimen is autolyzed? What would you do? | Hi. Hope your concern is solved. Take care. For more information consult a pathologist online --> | Patient: Hi doctor, A wide excision was done last year, and the report showed granulomatous mastitis. How can autolyzed tissue alter the report of biopsy? What do you mean by autolysis? What if the specimen is autolyzed? What would you do? || Doctor: Hi. Hope your concern is solved. Take care. For more information consult a pathologist online --> | patient: hi doctor, a wide excision was done last year, and the report showed granulomatous mastitis. how can autolyzed tissue alter the report of biopsy? what do you mean by autolysis? what if the specimen is autolyzed? what would you do? || doctor: hi. hope your concern is solved. take care. for more information consult a pathologist online --> |
10,378 | Q. I have missed my period and now feel nauseous and constipated. Am I pregnant? | Hello doctor, I feel like I may be pregnant. I have been constipated, bad back pains, been very fatigued, nauseous, and often feeling of having to pee. I have not fully missed a period but had a very light period a little over a week ago, it was way darker than normal also very light and lasted for maybe two days. Which is odd because I have been taking birth control for almost three years now so my period has become very regular and the same consistency each time. Also another weird thing, since I am curious if I am with child or not, I have stopped taking my birth control, and as you should know, when you stop taking it the next day you bleed. Which is what normally happens to me if I miss one. But, I have not had any blood at all and it has been four days now. A week back, I took two pregnancy tests which both came out negative. Is it possible that I have taken the tests too early? I am going to a clinic today but not sure if I should. | Hello. Learning that you have been taking your birth control since last three years regularly, the bleeding that you had a week before in form of scanty menses was a breakthrough bleed and can happen in cases with prolonged oral contraceptive pill uses. The pregnancy test is negative, which it should be. The menses should generally occur after 5 to 7 days post stoppage pill pack. So, if no menses in a week, post-pill stoppage then a serum beta hCG test may be done to rule out any pregnancy conclusively first and if negative then you should wait for the menses to occur (the symptoms experienced are then premenstrual symptoms and not for pregnancy). | Patient: Hello doctor, I feel like I may be pregnant. I have been constipated, bad back pains, been very fatigued, nauseous, and often feeling of having to pee. I have not fully missed a period but had a very light period a little over a week ago, it was way darker than normal also very light and lasted for maybe two days. Which is odd because I have been taking birth control for almost three years now so my period has become very regular and the same consistency each time. Also another weird thing, since I am curious if I am with child or not, I have stopped taking my birth control, and as you should know, when you stop taking it the next day you bleed. Which is what normally happens to me if I miss one. But, I have not had any blood at all and it has been four days now. A week back, I took two pregnancy tests which both came out negative. Is it possible that I have taken the tests too early? I am going to a clinic today but not sure if I should. || Doctor: Hello. Learning that you have been taking your birth control since last three years regularly, the bleeding that you had a week before in form of scanty menses was a breakthrough bleed and can happen in cases with prolonged oral contraceptive pill uses. The pregnancy test is negative, which it should be. The menses should generally occur after 5 to 7 days post stoppage pill pack. So, if no menses in a week, post-pill stoppage then a serum beta hCG test may be done to rule out any pregnancy conclusively first and if negative then you should wait for the menses to occur (the symptoms experienced are then premenstrual symptoms and not for pregnancy). | patient: hello doctor, i feel like i may be pregnant. i have been constipated, bad back pains, been very fatigued, nauseous, and often feeling of having to pee. i have not fully missed a period but had a very light period a little over a week ago, it was way darker than normal also very light and lasted for maybe two days. which is odd because i have been taking birth control for almost three years now so my period has become very regular and the same consistency each time. also another weird thing, since i am curious if i am with child or not, i have stopped taking my birth control, and as you should know, when you stop taking it the next day you bleed. which is what normally happens to me if i miss one. but, i have not had any blood at all and it has been four days now. a week back, i took two pregnancy tests which both came out negative. is it possible that i have taken the tests too early? i am going to a clinic today but not sure if i should. || doctor: hello. learning that you have been taking your birth control since last three years regularly, the bleeding that you had a week before in form of scanty menses was a breakthrough bleed and can happen in cases with prolonged oral contraceptive pill uses. the pregnancy test is negative, which it should be. the menses should generally occur after 5 to 7 days post stoppage pill pack. so, if no menses in a week, post-pill stoppage then a serum beta hcg test may be done to rule out any pregnancy conclusively first and if negative then you should wait for the menses to occur (the symptoms experienced are then premenstrual symptoms and not for pregnancy). |
10,379 | Q. Can panic attack occur while taking antidepressants? | Hi doctor, I am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. I have been on Effexor XR 75 mg for six months and have been stable. Last week my tooth was pulled out and I was put on Motrin 800. I had around two tablets for three days and it made me feel fuzzy and my chest heavy. My vitals are all normal. My boyfriend is a surgeon and he monitored me. I was also put on Amoxicillin 875 mg BID. After my follow-up visit with oral surgeon, I was put on Z-Pak. Within a few hours of my first dose of Z-Pak I felt sick. That night, I woke up with chest pain and dizziness and had a panic attack. It subsided after a few minutes, but I have not been feeling good since. I do have a low grade temperature (99.2), chills and hot flashes. When I am sick, my anxiety does kick into high gear. I took Ativan 0.5 mg. I am nervous because this is the most anxiety I have had in a while. Does this mean my Effexor is not working? | Hi. The heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of Venlafaxine withdrawal. Did you miss a dose of Venlafaxine? Another explanation is that these medicines that you are taking for your tooth issue interacted with Venlafaxine, thereby reducing its effect. Though, there is no reported interaction between these medicines, individual differences in metabolism are common and could be a cause in your case. My advice for you would be not to jump to the conclusion that Venlafaxine has stopped working. Take higher doses of Ativan, even up to 2 mg thrice a day if required for the next few days. Wait till the other drugs are out of your system that is for three to four days and check whether the anxiety disappears on its own or not. The most obvious remedy would be to increase the dose of Venlafaxine by 37.5 mg and watch. Since we are not sure of the interaction yet, you could rather wait for a few days. If you can do a plasma drug level test of Venlafaxine, that would be great. Another thing to do would be an ECG and rule out QT interval prolongation by medicines, unlikely but better to rule out. In the worst scenario, if Venlafaxine has stopped working at 75 mg then you would be increasing the dose of Venlafaxine, but not looking for alternatives. For further information consult a psychiatrist online --> | Patient: Hi doctor, I am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. I have been on Effexor XR 75 mg for six months and have been stable. Last week my tooth was pulled out and I was put on Motrin 800. I had around two tablets for three days and it made me feel fuzzy and my chest heavy. My vitals are all normal. My boyfriend is a surgeon and he monitored me. I was also put on Amoxicillin 875 mg BID. After my follow-up visit with oral surgeon, I was put on Z-Pak. Within a few hours of my first dose of Z-Pak I felt sick. That night, I woke up with chest pain and dizziness and had a panic attack. It subsided after a few minutes, but I have not been feeling good since. I do have a low grade temperature (99.2), chills and hot flashes. When I am sick, my anxiety does kick into high gear. I took Ativan 0.5 mg. I am nervous because this is the most anxiety I have had in a while. Does this mean my Effexor is not working? || Doctor: Hi. The heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of Venlafaxine withdrawal. Did you miss a dose of Venlafaxine? Another explanation is that these medicines that you are taking for your tooth issue interacted with Venlafaxine, thereby reducing its effect. Though, there is no reported interaction between these medicines, individual differences in metabolism are common and could be a cause in your case. My advice for you would be not to jump to the conclusion that Venlafaxine has stopped working. Take higher doses of Ativan, even up to 2 mg thrice a day if required for the next few days. Wait till the other drugs are out of your system that is for three to four days and check whether the anxiety disappears on its own or not. The most obvious remedy would be to increase the dose of Venlafaxine by 37.5 mg and watch. Since we are not sure of the interaction yet, you could rather wait for a few days. If you can do a plasma drug level test of Venlafaxine, that would be great. Another thing to do would be an ECG and rule out QT interval prolongation by medicines, unlikely but better to rule out. In the worst scenario, if Venlafaxine has stopped working at 75 mg then you would be increasing the dose of Venlafaxine, but not looking for alternatives. For further information consult a psychiatrist online --> | patient: hi doctor, i am a 29 year old female with a 15 year history of panic disorder with medicine sensitivity. i have been on effexor xr 75 mg for six months and have been stable. last week my tooth was pulled out and i was put on motrin 800. i had around two tablets for three days and it made me feel fuzzy and my chest heavy. my vitals are all normal. my boyfriend is a surgeon and he monitored me. i was also put on amoxicillin 875 mg bid. after my follow-up visit with oral surgeon, i was put on z-pak. within a few hours of my first dose of z-pak i felt sick. that night, i woke up with chest pain and dizziness and had a panic attack. it subsided after a few minutes, but i have not been feeling good since. i do have a low grade temperature (99.2), chills and hot flashes. when i am sick, my anxiety does kick into high gear. i took ativan 0.5 mg. i am nervous because this is the most anxiety i have had in a while. does this mean my effexor is not working? || doctor: hi. the heightened anxiety, panic attacks, uneasiness, hot or cold flushes, sleep disturbance, low grade fever could all be the symptoms of venlafaxine withdrawal. did you miss a dose of venlafaxine? another explanation is that these medicines that you are taking for your tooth issue interacted with venlafaxine, thereby reducing its effect. though, there is no reported interaction between these medicines, individual differences in metabolism are common and could be a cause in your case. my advice for you would be not to jump to the conclusion that venlafaxine has stopped working. take higher doses of ativan, even up to 2 mg thrice a day if required for the next few days. wait till the other drugs are out of your system that is for three to four days and check whether the anxiety disappears on its own or not. the most obvious remedy would be to increase the dose of venlafaxine by 37.5 mg and watch. since we are not sure of the interaction yet, you could rather wait for a few days. if you can do a plasma drug level test of venlafaxine, that would be great. another thing to do would be an ecg and rule out qt interval prolongation by medicines, unlikely but better to rule out. in the worst scenario, if venlafaxine has stopped working at 75 mg then you would be increasing the dose of venlafaxine, but not looking for alternatives. for further information consult a psychiatrist online --> |
10,380 | Q. I am fatigued and have extreme mood swings. Is it due to my thyroid levels? | Hello doctor, For the past six months, I was severely fatigued and had unstable mood swings. At my regular check up, I found out my T4 levels are borderline. I think T3 is normal, but not optimal. Here are the levels: TSH 1.73 (0.45 to 4.5) T3 2.7 (1.4 to 4.4) T4 0.83 (0.8 to 1.8) My general physician asked me to take Eltroxin 25 mg whereas my endocrinologist feels that my reports are normal. Since we are planning for a baby this year, I am worried as the physician said it might affect the pregnancy, if I do not take the medicines. And, my cholesterol levels are a little elevated too. Vitamin D is at 19 which is on the lower side. My weight has increased by four to five kg. Are these correlated? Should I take the medicine or not? Please help. | Hello. I just read your query and understand your concerns. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> | Patient: Hello doctor, For the past six months, I was severely fatigued and had unstable mood swings. At my regular check up, I found out my T4 levels are borderline. I think T3 is normal, but not optimal. Here are the levels: TSH 1.73 (0.45 to 4.5) T3 2.7 (1.4 to 4.4) T4 0.83 (0.8 to 1.8) My general physician asked me to take Eltroxin 25 mg whereas my endocrinologist feels that my reports are normal. Since we are planning for a baby this year, I am worried as the physician said it might affect the pregnancy, if I do not take the medicines. And, my cholesterol levels are a little elevated too. Vitamin D is at 19 which is on the lower side. My weight has increased by four to five kg. Are these correlated? Should I take the medicine or not? Please help. || Doctor: Hello. I just read your query and understand your concerns. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> | patient: hello doctor, for the past six months, i was severely fatigued and had unstable mood swings. at my regular check up, i found out my t4 levels are borderline. i think t3 is normal, but not optimal. here are the levels: tsh 1.73 (0.45 to 4.5) t3 2.7 (1.4 to 4.4) t4 0.83 (0.8 to 1.8) my general physician asked me to take eltroxin 25 mg whereas my endocrinologist feels that my reports are normal. since we are planning for a baby this year, i am worried as the physician said it might affect the pregnancy, if i do not take the medicines. and, my cholesterol levels are a little elevated too. vitamin d is at 19 which is on the lower side. my weight has increased by four to five kg. are these correlated? should i take the medicine or not? please help. || doctor: hello. i just read your query and understand your concerns. hope you find my advice of some benefit. good luck. for more information consult an endocrinologist online --> |
10,381 | Q. I have high SGOT, SGPT, cholesterol and triglycerides levels. Please help. | Hello doctor,My blood test show SGOT and SGPT 100 and 239, respectively. Cholesterol level is 314 and triglycerides is 209. Kindly suggest which specialist doctor I should consult for both. | Hello. Your concern is regarding which doctor to consult. So you can consult a physician or gastroenterologist for examination and management. I would like to give you some information regarding your reports (attachment removed to protect patient identity). You can have metabolic syndrome and so measure your blood pressure as well. Fatty liver has to be ruled out here by USG abdomen scan. Udiliv (Ursodeoxycholic acid) tablet can be prescribed to bring down liver enzymes value lower. To reduce cholesterol you can be prescribed Rosuvastatin 5 mg OD daily. You have to restrict fatty foods. For more information consult a family physician online --> | Patient: Hello doctor,My blood test show SGOT and SGPT 100 and 239, respectively. Cholesterol level is 314 and triglycerides is 209. Kindly suggest which specialist doctor I should consult for both. || Doctor: Hello. Your concern is regarding which doctor to consult. So you can consult a physician or gastroenterologist for examination and management. I would like to give you some information regarding your reports (attachment removed to protect patient identity). You can have metabolic syndrome and so measure your blood pressure as well. Fatty liver has to be ruled out here by USG abdomen scan. Udiliv (Ursodeoxycholic acid) tablet can be prescribed to bring down liver enzymes value lower. To reduce cholesterol you can be prescribed Rosuvastatin 5 mg OD daily. You have to restrict fatty foods. For more information consult a family physician online --> | patient: hello doctor,my blood test show sgot and sgpt 100 and 239, respectively. cholesterol level is 314 and triglycerides is 209. kindly suggest which specialist doctor i should consult for both. || doctor: hello. your concern is regarding which doctor to consult. so you can consult a physician or gastroenterologist for examination and management. i would like to give you some information regarding your reports (attachment removed to protect patient identity). you can have metabolic syndrome and so measure your blood pressure as well. fatty liver has to be ruled out here by usg abdomen scan. udiliv (ursodeoxycholic acid) tablet can be prescribed to bring down liver enzymes value lower. to reduce cholesterol you can be prescribed rosuvastatin 5 mg od daily. you have to restrict fatty foods. for more information consult a family physician online --> |
10,382 | Q. How do I control dandruff and hair fall? | Hi doctor, I am having problem with dandruff. My scalp is oily. I am losing hair and I feel that I will become bald. I used Candid-TV, but it did not help. Please advice. | Hi. For severe dandruff, you should take oral medicines apart from topical treatment. Consider taking tablet Ketoconazole 200 mg once daily for two weeks and apply Candid B lotion (Clotrimazole) on the affected scalp twice daily. As far as shampoo is concerned, use shampoo containing Ketoconazole every alternate day to start with and then taper slowly as you feel improvement. Shampoo has to be used for a long time as dandruff and hairfall is a chronic disease. Avoid oiling your scalp. For further information consult a dermatologist online --> | Patient: Hi doctor, I am having problem with dandruff. My scalp is oily. I am losing hair and I feel that I will become bald. I used Candid-TV, but it did not help. Please advice. || Doctor: Hi. For severe dandruff, you should take oral medicines apart from topical treatment. Consider taking tablet Ketoconazole 200 mg once daily for two weeks and apply Candid B lotion (Clotrimazole) on the affected scalp twice daily. As far as shampoo is concerned, use shampoo containing Ketoconazole every alternate day to start with and then taper slowly as you feel improvement. Shampoo has to be used for a long time as dandruff and hairfall is a chronic disease. Avoid oiling your scalp. For further information consult a dermatologist online --> | patient: hi doctor, i am having problem with dandruff. my scalp is oily. i am losing hair and i feel that i will become bald. i used candid-tv, but it did not help. please advice. || doctor: hi. for severe dandruff, you should take oral medicines apart from topical treatment. consider taking tablet ketoconazole 200 mg once daily for two weeks and apply candid b lotion (clotrimazole) on the affected scalp twice daily. as far as shampoo is concerned, use shampoo containing ketoconazole every alternate day to start with and then taper slowly as you feel improvement. shampoo has to be used for a long time as dandruff and hairfall is a chronic disease. avoid oiling your scalp. for further information consult a dermatologist online --> |
10,383 | Q. I have a painless red bump on my scrotum. What could be the cause? | Hello doctor, I have a painless red bump on my scrotum. I am uploading some pictures. Kindly let me know what this could be. | Hello. I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. A surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, VDRL, HIV , and blood sugar. For more information consult a dermatologist online --> | Patient: Hello doctor, I have a painless red bump on my scrotum. I am uploading some pictures. Kindly let me know what this could be. || Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. A surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, VDRL, HIV , and blood sugar. For more information consult a dermatologist online --> | patient: hello doctor, i have a painless red bump on my scrotum. i am uploading some pictures. kindly let me know what this could be. || doctor: hello. i have read your query and examined your picture (attachment removed to protect patient identity). from your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. the pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. if it is a sebaceous cyst, you should get it removed. a surgical excision by needling or radio frequency cautery is the treatment of choice. molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. a white body is present in the bump. it is a contagious and sexually transmitted infection which can spread and form new lesions. the treatment plan will be needling to extrude the material inside and tca cautery. you will need to rule out immunosuppression by doing certain tests like hbsag, anti-hcv, vdrl, hiv , and blood sugar. for more information consult a dermatologist online --> |
10,384 | Q. What are the transparent gray colored thread-shaped things floating on my eye? | Hi doctor, One day when I was walking in the snow, I noticed transparent gray color thread-shaped things floating on my eye. Especially when I concentrate on them and when it is bright. I have no other symptoms like blurry vision, eye pain or vision loss. They are very annoying and seem to drift when I look at them. Is it dangerous? Please suggest some treatment for this. | Hello. For further queries consult an eye care ophthalmologist online --> | Patient: Hi doctor, One day when I was walking in the snow, I noticed transparent gray color thread-shaped things floating on my eye. Especially when I concentrate on them and when it is bright. I have no other symptoms like blurry vision, eye pain or vision loss. They are very annoying and seem to drift when I look at them. Is it dangerous? Please suggest some treatment for this. || Doctor: Hello. For further queries consult an eye care ophthalmologist online --> | patient: hi doctor, one day when i was walking in the snow, i noticed transparent gray color thread-shaped things floating on my eye. especially when i concentrate on them and when it is bright. i have no other symptoms like blurry vision, eye pain or vision loss. they are very annoying and seem to drift when i look at them. is it dangerous? please suggest some treatment for this. || doctor: hello. for further queries consult an eye care ophthalmologist online --> |
10,385 | Q. What could cause anal fissure? | Hi doctor,I have fissure-in-ano. The fissure is posterior that is internal. I have tried Smuth and Sucral Ano cream. But, it did not heal. Can you suggest the best treatment? | Hi. Revert back with the detailed history to a medical gastroenterologist online --> | Patient: Hi doctor,I have fissure-in-ano. The fissure is posterior that is internal. I have tried Smuth and Sucral Ano cream. But, it did not heal. Can you suggest the best treatment? || Doctor: Hi. Revert back with the detailed history to a medical gastroenterologist online --> | patient: hi doctor,i have fissure-in-ano. the fissure is posterior that is internal. i have tried smuth and sucral ano cream. but, it did not heal. can you suggest the best treatment? || doctor: hi. revert back with the detailed history to a medical gastroenterologist online --> |
10,386 | Q. A 26 month old stopped talking all of a sudden. What could her condition be? | Hello doctor,A 26 month old girl stopped talking at 19 months and started showing less response and a medical assessment was done and termed the child as differently abled. Some home therapies were done and the child was then allowed to interact with more people and now she showed drastic improvement in terms of behavior and restarted uttering some words but still could not identify her face and body parts, toys and diaper, etc. Can she be a normal child like others? All these happened in a gap of two months. Her EEG is fine and MRI scan not done yet. The doctors team said she needs speech therapy and other motor skills therapy which is yet to be started next month. Please help us find what is her actual problem and whether she will be a normal child. | Hello. Please get an MRI brain done with a repeat EEG to rule out any anomalies in the brain and its functioning. From your history, this seems more like a psychological issue rather than anything else, very important clues being that the child was apparently alright and had no history of any convulsion or any brain-related events prior to this episode. Another very important clue is that the child improved drastically over a period of two months. Please get an MRI brain and repeat EEG for the child and then consult a pediatric neurologist and then if required, consult a child psychologist. It is too early to comment on the prognosis or actually what the child is suffering from since I have not seen the child or interacted with the child. The signs that you mention may be early signs of autism. For more information consult a paediatrician online --> | Patient: Hello doctor,A 26 month old girl stopped talking at 19 months and started showing less response and a medical assessment was done and termed the child as differently abled. Some home therapies were done and the child was then allowed to interact with more people and now she showed drastic improvement in terms of behavior and restarted uttering some words but still could not identify her face and body parts, toys and diaper, etc. Can she be a normal child like others? All these happened in a gap of two months. Her EEG is fine and MRI scan not done yet. The doctors team said she needs speech therapy and other motor skills therapy which is yet to be started next month. Please help us find what is her actual problem and whether she will be a normal child. || Doctor: Hello. Please get an MRI brain done with a repeat EEG to rule out any anomalies in the brain and its functioning. From your history, this seems more like a psychological issue rather than anything else, very important clues being that the child was apparently alright and had no history of any convulsion or any brain-related events prior to this episode. Another very important clue is that the child improved drastically over a period of two months. Please get an MRI brain and repeat EEG for the child and then consult a pediatric neurologist and then if required, consult a child psychologist. It is too early to comment on the prognosis or actually what the child is suffering from since I have not seen the child or interacted with the child. The signs that you mention may be early signs of autism. For more information consult a paediatrician online --> | patient: hello doctor,a 26 month old girl stopped talking at 19 months and started showing less response and a medical assessment was done and termed the child as differently abled. some home therapies were done and the child was then allowed to interact with more people and now she showed drastic improvement in terms of behavior and restarted uttering some words but still could not identify her face and body parts, toys and diaper, etc. can she be a normal child like others? all these happened in a gap of two months. her eeg is fine and mri scan not done yet. the doctors team said she needs speech therapy and other motor skills therapy which is yet to be started next month. please help us find what is her actual problem and whether she will be a normal child. || doctor: hello. please get an mri brain done with a repeat eeg to rule out any anomalies in the brain and its functioning. from your history, this seems more like a psychological issue rather than anything else, very important clues being that the child was apparently alright and had no history of any convulsion or any brain-related events prior to this episode. another very important clue is that the child improved drastically over a period of two months. please get an mri brain and repeat eeg for the child and then consult a pediatric neurologist and then if required, consult a child psychologist. it is too early to comment on the prognosis or actually what the child is suffering from since i have not seen the child or interacted with the child. the signs that you mention may be early signs of autism. for more information consult a paediatrician online --> |
10,387 | 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 --> |
10,388 | 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 --> |
10,389 | 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 --> |
10,390 | 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.---> |
10,391 | 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 --> |
10,392 | 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 --> |
10,393 | Q. Are blood clots an indication of successful termination of pregnancy? | Hello doctor, I recently went through a medical abortion yesterday. I was two weeks into gestation, the cramping and bleeding started four hours later. I did pass out a few blood clots shortly after the cramps started. My concern is that the bleeding was not heavy at all that today the bleeding stopped. Is this normal? And does this mean that the abortion was successful? Are blood clots an indication that the pregnancy has ended? | Hi. Abortion will definitely cause bleeding more than normal periods. Passage of blood clots may just indicate the start of process of abortion and bleeding may continue for 5 to 7 days. It all depends on the quantity of blood clots you passed. If it was indeed excessive abortion might have been complete (which is rare, as bleeding generally lasts for a week or so). Just wait for a week and then you can decide further course of action depending on further bleeding. | Patient: Hello doctor, I recently went through a medical abortion yesterday. I was two weeks into gestation, the cramping and bleeding started four hours later. I did pass out a few blood clots shortly after the cramps started. My concern is that the bleeding was not heavy at all that today the bleeding stopped. Is this normal? And does this mean that the abortion was successful? Are blood clots an indication that the pregnancy has ended? || Doctor: Hi. Abortion will definitely cause bleeding more than normal periods. Passage of blood clots may just indicate the start of process of abortion and bleeding may continue for 5 to 7 days. It all depends on the quantity of blood clots you passed. If it was indeed excessive abortion might have been complete (which is rare, as bleeding generally lasts for a week or so). Just wait for a week and then you can decide further course of action depending on further bleeding. | patient: hello doctor, i recently went through a medical abortion yesterday. i was two weeks into gestation, the cramping and bleeding started four hours later. i did pass out a few blood clots shortly after the cramps started. my concern is that the bleeding was not heavy at all that today the bleeding stopped. is this normal? and does this mean that the abortion was successful? are blood clots an indication that the pregnancy has ended? || doctor: hi. abortion will definitely cause bleeding more than normal periods. passage of blood clots may just indicate the start of process of abortion and bleeding may continue for 5 to 7 days. it all depends on the quantity of blood clots you passed. if it was indeed excessive abortion might have been complete (which is rare, as bleeding generally lasts for a week or so). just wait for a week and then you can decide further course of action depending on further bleeding. |
10,394 | Q. Can I go for LASIK with high astigmatism? | Hello doctor, I have -2.5 cylindrical in the right and -4 in the left eye and SPH is 4.75 in the right and 5 in the left eye. Can I go for LASIK? Will it be successful as I have high astigmatism? | Hi. For further information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I have -2.5 cylindrical in the right and -4 in the left eye and SPH is 4.75 in the right and 5 in the left eye. Can I go for LASIK? Will it be successful as I have high astigmatism? || Doctor: Hi. For further information consult an eye care ophthalmologist online --> | patient: hello doctor, i have -2.5 cylindrical in the right and -4 in the left eye and sph is 4.75 in the right and 5 in the left eye. can i go for lasik? will it be successful as i have high astigmatism? || doctor: hi. for further information consult an eye care ophthalmologist online --> |
10,395 | Q. I feel weak and lethargic off late. What should I do? | Hello doctor, I am a 27 year old male. My blood test results are as follows: hsCRP is 3.48, SGPT is 63.1, GGT is 85.6, and lipoprotein (a) is 47.1. Rest of the 80 odd blood tests are in the normal range. Should I follow up with any tests? Is there anything to worry about, especially regarding my heart and liver? I feel weak and lethargic. | Hello. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> | Patient: Hello doctor, I am a 27 year old male. My blood test results are as follows: hsCRP is 3.48, SGPT is 63.1, GGT is 85.6, and lipoprotein (a) is 47.1. Rest of the 80 odd blood tests are in the normal range. Should I follow up with any tests? Is there anything to worry about, especially regarding my heart and liver? I feel weak and lethargic. || 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 am a 27 year old male. my blood test results are as follows: hscrp is 3.48, sgpt is 63.1, ggt is 85.6, and lipoprotein (a) is 47.1. rest of the 80 odd blood tests are in the normal range. should i follow up with any tests? is there anything to worry about, especially regarding my heart and liver? i feel weak and lethargic. || doctor: hello. hope this helps you and get back if you have any doubts. for more information consult a cardiologist online --> |
10,396 | Q. How to get treated for panic disorder? | Hi doctor, I often get a feeling that my heart is going to stop. I have panic disorder also. Please help. | Hi. For further information consult a psychiatrist online --> | Patient: Hi doctor, I often get a feeling that my heart is going to stop. I have panic disorder also. Please help. || Doctor: Hi. For further information consult a psychiatrist online --> | patient: hi doctor, i often get a feeling that my heart is going to stop. i have panic disorder also. please help. || doctor: hi. for further information consult a psychiatrist online --> |
10,397 | Q. I have chest soreness and radiating pain. Is this due to pleurisy or costochondritis? | Hello doctor, I am a 36 year old, otherwise healthy (as far as I know) female. I was a smoker earlier. No history of heart disease. My mother has COPD, but has been a long time smoker. Two and a half weeks ago, I went on a hayride with my sons. I have a short stature. To get on and off the hayride, I literally had to pull myself up onto the trailer. (Imagine pulling yourself out of a swimming pool). The next morning, I woke up with chest soreness. I had pain in the upper left chest area, a few inches to the left of sternum. That was a radiating pain over the breast towards armpit. Pain worsened on bending over. Also, I could locate very tender spots when pressing on the area with fingers. I had no pain during regular breathing, but very deep breaths caused pain to worsen (from the left of sternum radiating across and to the left breast). Over the past two and a half weeks, pain has improved, but still not completely subsided. Most of the pain (while bending) is gone, but I still have tender areas across upper left chest when poking around with finger (trigger points?). I have some minor discomfort on taking deep breath, but greatly improved from what it was. And now pain is just in an area to the left of my left breast. Now, pain is mostly towards armpit area and may be slightly radiating to the upper, bottom side of arm. I do not have much pain as it was in the beginning, but more of soreness. It is not constant, it occurs mostly just when I move in a certain way or tense my chest. Also I am noticing upper left back discomfort, not really pain. Local FNP suspects strained muscle. No x-rays were done. I have no cough, no shortness of breath, no loss of appetite, no indigestion or heartburn. Otherwise I feel fine. My concern is that I still have some pain and discomfort after almost 3 weeks. Shouldn't a muscle strain be healed by now? I am a bit concerned as it may be something more serious than a strained muscle, perhaps pleurisy or costochondritis? | Hello. You are right, muscular pain will not last so long. Pleurisy: Chostochondritis: Another possibility is that you might have a rib fracture. Start taking analgesic and hot fomentation 2-3 times a day for the painful region. Use a thoracic belt to restrict movements of the affected part. Get a chest x-ray done immediately and revert back to a general practitioner online --> | Patient: Hello doctor, I am a 36 year old, otherwise healthy (as far as I know) female. I was a smoker earlier. No history of heart disease. My mother has COPD, but has been a long time smoker. Two and a half weeks ago, I went on a hayride with my sons. I have a short stature. To get on and off the hayride, I literally had to pull myself up onto the trailer. (Imagine pulling yourself out of a swimming pool). The next morning, I woke up with chest soreness. I had pain in the upper left chest area, a few inches to the left of sternum. That was a radiating pain over the breast towards armpit. Pain worsened on bending over. Also, I could locate very tender spots when pressing on the area with fingers. I had no pain during regular breathing, but very deep breaths caused pain to worsen (from the left of sternum radiating across and to the left breast). Over the past two and a half weeks, pain has improved, but still not completely subsided. Most of the pain (while bending) is gone, but I still have tender areas across upper left chest when poking around with finger (trigger points?). I have some minor discomfort on taking deep breath, but greatly improved from what it was. And now pain is just in an area to the left of my left breast. Now, pain is mostly towards armpit area and may be slightly radiating to the upper, bottom side of arm. I do not have much pain as it was in the beginning, but more of soreness. It is not constant, it occurs mostly just when I move in a certain way or tense my chest. Also I am noticing upper left back discomfort, not really pain. Local FNP suspects strained muscle. No x-rays were done. I have no cough, no shortness of breath, no loss of appetite, no indigestion or heartburn. Otherwise I feel fine. My concern is that I still have some pain and discomfort after almost 3 weeks. Shouldn't a muscle strain be healed by now? I am a bit concerned as it may be something more serious than a strained muscle, perhaps pleurisy or costochondritis? || Doctor: Hello. You are right, muscular pain will not last so long. Pleurisy: Chostochondritis: Another possibility is that you might have a rib fracture. Start taking analgesic and hot fomentation 2-3 times a day for the painful region. Use a thoracic belt to restrict movements of the affected part. Get a chest x-ray done immediately and revert back to a general practitioner online --> | patient: hello doctor, i am a 36 year old, otherwise healthy (as far as i know) female. i was a smoker earlier. no history of heart disease. my mother has copd, but has been a long time smoker. two and a half weeks ago, i went on a hayride with my sons. i have a short stature. to get on and off the hayride, i literally had to pull myself up onto the trailer. (imagine pulling yourself out of a swimming pool). the next morning, i woke up with chest soreness. i had pain in the upper left chest area, a few inches to the left of sternum. that was a radiating pain over the breast towards armpit. pain worsened on bending over. also, i could locate very tender spots when pressing on the area with fingers. i had no pain during regular breathing, but very deep breaths caused pain to worsen (from the left of sternum radiating across and to the left breast). over the past two and a half weeks, pain has improved, but still not completely subsided. most of the pain (while bending) is gone, but i still have tender areas across upper left chest when poking around with finger (trigger points?). i have some minor discomfort on taking deep breath, but greatly improved from what it was. and now pain is just in an area to the left of my left breast. now, pain is mostly towards armpit area and may be slightly radiating to the upper, bottom side of arm. i do not have much pain as it was in the beginning, but more of soreness. it is not constant, it occurs mostly just when i move in a certain way or tense my chest. also i am noticing upper left back discomfort, not really pain. local fnp suspects strained muscle. no x-rays were done. i have no cough, no shortness of breath, no loss of appetite, no indigestion or heartburn. otherwise i feel fine. my concern is that i still have some pain and discomfort after almost 3 weeks. shouldn't a muscle strain be healed by now? i am a bit concerned as it may be something more serious than a strained muscle, perhaps pleurisy or costochondritis? || doctor: hello. you are right, muscular pain will not last so long. pleurisy: chostochondritis: another possibility is that you might have a rib fracture. start taking analgesic and hot fomentation 2-3 times a day for the painful region. use a thoracic belt to restrict movements of the affected part. get a chest x-ray done immediately and revert back to a general practitioner online --> |
10,398 | 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. |
10,399 | Q. Can penile pump cause my penis to be numb? | Hello doctor, I am using a penile pump under the direction of a urologist. Over a period of each of five days, I think I had overstretched the penis and now have a loss of sensitivity and soreness with no erection. Do you know if it will and how long it may take to recover sensation and remove the soreness? What are the treatment options? The numb penis is very distracting. I am not sure how much damage the penile pump could cause. I am worried waiting too long. Thank you for your help. | Hello. A penile pump is a form of physical or mechanical treatment. Have you tried oral PDE5 (phosphodiesterase type 5) inhibitors like Viagra (Sildenafil)? It is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. I discourage you to use a penile pump as it has started to cause physical damage. Maybe your technique is wrong. Numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. It may take four to six weeks. If you are interested, I can guide you in use of injection therapy in which you inject erection drugs with a small syringe in your penis before intercourse (you should not have any heart ailments for injection therapy).Injection therapy also has a few side effects. At present, you just discontinue using the pump and wait for it to heal. If you want you can continue using it provided you know the correct technique. For more information consult an andrologist online --> | Patient: Hello doctor, I am using a penile pump under the direction of a urologist. Over a period of each of five days, I think I had overstretched the penis and now have a loss of sensitivity and soreness with no erection. Do you know if it will and how long it may take to recover sensation and remove the soreness? What are the treatment options? The numb penis is very distracting. I am not sure how much damage the penile pump could cause. I am worried waiting too long. Thank you for your help. || Doctor: Hello. A penile pump is a form of physical or mechanical treatment. Have you tried oral PDE5 (phosphodiesterase type 5) inhibitors like Viagra (Sildenafil)? It is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. I discourage you to use a penile pump as it has started to cause physical damage. Maybe your technique is wrong. Numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. It may take four to six weeks. If you are interested, I can guide you in use of injection therapy in which you inject erection drugs with a small syringe in your penis before intercourse (you should not have any heart ailments for injection therapy).Injection therapy also has a few side effects. At present, you just discontinue using the pump and wait for it to heal. If you want you can continue using it provided you know the correct technique. For more information consult an andrologist online --> | patient: hello doctor, i am using a penile pump under the direction of a urologist. over a period of each of five days, i think i had overstretched the penis and now have a loss of sensitivity and soreness with no erection. do you know if it will and how long it may take to recover sensation and remove the soreness? what are the treatment options? the numb penis is very distracting. i am not sure how much damage the penile pump could cause. i am worried waiting too long. thank you for your help. || doctor: hello. a penile pump is a form of physical or mechanical treatment. have you tried oral pde5 (phosphodiesterase type 5) inhibitors like viagra (sildenafil)? it is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. i discourage you to use a penile pump as it has started to cause physical damage. maybe your technique is wrong. numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. it may take four to six weeks. if you are interested, i can guide you in use of injection therapy in which you inject erection drugs with a small syringe in your penis before intercourse (you should not have any heart ailments for injection therapy).injection therapy also has a few side effects. at present, you just discontinue using the pump and wait for it to heal. if you want you can continue using it provided you know the correct technique. for more information consult an andrologist online --> |
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