conversation_id int64 0 257k | description stringlengths 1 1.5k | patient_text stringlengths 1 17.7k | doctor_text stringlengths 2 11.4k | text_for_keyword stringlengths 75 18.8k | text_for_keyword_lower stringlengths 75 18.8k |
|---|---|---|---|---|---|
10,400 | Q. My baby is 5 months old and has loose motion. Please help. | Hi, My baby is 5 months old. In the past 24 hours, when she passes stools, it is semi-thin and very less quantity. She passes stools for around 6-7 times a day instead of once or twice. Please help. | Hi, Thank you for your query on icliniq.com. Hope I have answered your query. If you have any clarification, consult a paediatrician online --> | Patient: Hi, My baby is 5 months old. In the past 24 hours, when she passes stools, it is semi-thin and very less quantity. She passes stools for around 6-7 times a day instead of once or twice. Please help. || Doctor: Hi, Thank you for your query on icliniq.com. Hope I have answered your query. If you have any clarification, consult a paediatrician online --> | patient: hi, my baby is 5 months old. in the past 24 hours, when she passes stools, it is semi-thin and very less quantity. she passes stools for around 6-7 times a day instead of once or twice. please help. || doctor: hi, thank you for your query on icliniq.com. hope i have answered your query. if you have any clarification, consult a paediatrician online --> |
10,401 | Q. In spite of testing positive for herpes, can I receive kidney transplant? | Hello doctor,I have chronic kidney disease and am on dialysis and scheduled for transplant next month. Today I tested positive for genital herpes. Will this cause me to not be able to receive a transplant? I know you have to take immunosuppressants and I do not know how this will affect my situation. | Hi. The immunosuppressive agents taken post-transplant will increase the risk of having an outbreak of genital herpes. So you have to report to your doctor to put you in a prophylactic antiviral therapy. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I have chronic kidney disease and am on dialysis and scheduled for transplant next month. Today I tested positive for genital herpes. Will this cause me to not be able to receive a transplant? I know you have to take immunosuppressants and I do not know how this will affect my situation. || Doctor: Hi. The immunosuppressive agents taken post-transplant will increase the risk of having an outbreak of genital herpes. So you have to report to your doctor to put you in a prophylactic antiviral therapy. For more information consult an internal medicine physician online --> | patient: hello doctor,i have chronic kidney disease and am on dialysis and scheduled for transplant next month. today i tested positive for genital herpes. will this cause me to not be able to receive a transplant? i know you have to take immunosuppressants and i do not know how this will affect my situation. || doctor: hi. the immunosuppressive agents taken post-transplant will increase the risk of having an outbreak of genital herpes. so you have to report to your doctor to put you in a prophylactic antiviral therapy. for more information consult an internal medicine physician online --> |
10,402 | Q. What can happen with prolonged use of topical steroids? | Hi doctor, Two years back I had the problem of ringworm on my upper leg near both side of testes and I used antifungal cream Betnovate C and Quadriderm. By using this cream my ringworm are gone but skin becomes very thin with rashes mark. Now there is no problem with ringworm but the skin looks very ugly. Please help. | Hello. Looking at the history and the picture (attachment removed to protect patient identity) there seems to be a clear correlation. For further information consult a dermatologist online --> | Patient: Hi doctor, Two years back I had the problem of ringworm on my upper leg near both side of testes and I used antifungal cream Betnovate C and Quadriderm. By using this cream my ringworm are gone but skin becomes very thin with rashes mark. Now there is no problem with ringworm but the skin looks very ugly. Please help. || Doctor: Hello. Looking at the history and the picture (attachment removed to protect patient identity) there seems to be a clear correlation. For further information consult a dermatologist online --> | patient: hi doctor, two years back i had the problem of ringworm on my upper leg near both side of testes and i used antifungal cream betnovate c and quadriderm. by using this cream my ringworm are gone but skin becomes very thin with rashes mark. now there is no problem with ringworm but the skin looks very ugly. please help. || doctor: hello. looking at the history and the picture (attachment removed to protect patient identity) there seems to be a clear correlation. for further information consult a dermatologist online --> |
10,403 | Q. What can be done for swollen painful preauricular tips. | Hello doctor, I am a 21-year-old female. I have preauricular pits, that have drained smelly discharge ever since I was born. I have them in both ears. The right does not drain often. The left drains every day more than once a day. The left has become really swollen and painful recently. I am not sure of what to do because I now understand that the discharge means it is infected and it is hard for the surgery, if infected. Plus they have been infected for so long. I have also read that after surgery, it could reoccur. | Hi. Let me answer your query in parts. It is a developmental anomaly, a branchial cleft anomaly. Once we remove the whole sinus tract, it does not recur. To see till where it extends one must do a fistulogram scan. When infected we do not do surgery. We do culture sensitivity and institute appropriate antibiotics and clear infection and plan for surgery later. It is a curable problem. Do send us a picture of the ears both sides and send to me. | Patient: Hello doctor, I am a 21-year-old female. I have preauricular pits, that have drained smelly discharge ever since I was born. I have them in both ears. The right does not drain often. The left drains every day more than once a day. The left has become really swollen and painful recently. I am not sure of what to do because I now understand that the discharge means it is infected and it is hard for the surgery, if infected. Plus they have been infected for so long. I have also read that after surgery, it could reoccur. || Doctor: Hi. Let me answer your query in parts. It is a developmental anomaly, a branchial cleft anomaly. Once we remove the whole sinus tract, it does not recur. To see till where it extends one must do a fistulogram scan. When infected we do not do surgery. We do culture sensitivity and institute appropriate antibiotics and clear infection and plan for surgery later. It is a curable problem. Do send us a picture of the ears both sides and send to me. | patient: hello doctor, i am a 21-year-old female. i have preauricular pits, that have drained smelly discharge ever since i was born. i have them in both ears. the right does not drain often. the left drains every day more than once a day. the left has become really swollen and painful recently. i am not sure of what to do because i now understand that the discharge means it is infected and it is hard for the surgery, if infected. plus they have been infected for so long. i have also read that after surgery, it could reoccur. || doctor: hi. let me answer your query in parts. it is a developmental anomaly, a branchial cleft anomaly. once we remove the whole sinus tract, it does not recur. to see till where it extends one must do a fistulogram scan. when infected we do not do surgery. we do culture sensitivity and institute appropriate antibiotics and clear infection and plan for surgery later. it is a curable problem. do send us a picture of the ears both sides and send to me. |
10,404 | 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 --> |
10,405 | 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 --> |
10,406 | 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.---> |
10,407 | 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 --> |
10,408 | 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 --> |
10,409 | Q. I have normal vision and good sleep. Why do I have headache? | Hi doctor, I am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. I feel pressure when I bend forward and also some discharge from the nose with a salty taste. I am getting the pain while watching television and when working in the computer. I am having a good sleep and my vision is also normal. But, when I press my forehead just above my left eye, I feel throbbing pain. I have consulted two neurologists. They did not recommend for any scan. One suggested Gabapentin and another Sibelium 10 mg once a day at night for a month. Both asked me to do some physical works like closing eyes, stretching hands, walk and step one foot after another. What is my problem? Please explain. | Hello. I had gone through all the details that you have posted. The differential diagnosis for your problem would be as follows. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. I feel pressure when I bend forward and also some discharge from the nose with a salty taste. I am getting the pain while watching television and when working in the computer. I am having a good sleep and my vision is also normal. But, when I press my forehead just above my left eye, I feel throbbing pain. I have consulted two neurologists. They did not recommend for any scan. One suggested Gabapentin and another Sibelium 10 mg once a day at night for a month. Both asked me to do some physical works like closing eyes, stretching hands, walk and step one foot after another. What is my problem? Please explain. || Doctor: Hello. I had gone through all the details that you have posted. The differential diagnosis for your problem would be as follows. For further information consult an internal medicine physician online --> | patient: hi doctor, i am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. i feel pressure when i bend forward and also some discharge from the nose with a salty taste. i am getting the pain while watching television and when working in the computer. i am having a good sleep and my vision is also normal. but, when i press my forehead just above my left eye, i feel throbbing pain. i have consulted two neurologists. they did not recommend for any scan. one suggested gabapentin and another sibelium 10 mg once a day at night for a month. both asked me to do some physical works like closing eyes, stretching hands, walk and step one foot after another. what is my problem? please explain. || doctor: hello. i had gone through all the details that you have posted. the differential diagnosis for your problem would be as follows. for further information consult an internal medicine physician online --> |
10,410 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> | Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hi doctor, during masturbation i just rub the tip of the penis and not the entire penis. is it a wrong way of doing? i do not get excited during sex and unable to ejaculate. only, rubbing the tip of the penis gives me excitement. also, two weeks ago, i have undergone circumcision as my foreskin did not retract. before circumcision too, i have the same problem. please help. || doctor: hi. for further doubts consult a sexologist online --> |
10,411 | Q. I had severe palpitations but my ECG and echo are normal. What could it be? | Hello doctor, I had an episode of severe palpitations early this year, following which I went through ECG, 2D echo, stress test, and troponin. All the tests were normal. I have been experiencing intermittent chest, neck, and back pain since two yrars. The doctor started with Nebicard SM 5 mg, which he recently halved to 2.5 mg. Both the cardiologists I visited, have ruled out the possibility of a cardiac problem. I am anxiety-prone. I often feel like I may die of a heart attack. The thoughts of death have increased in the past two weeks. My pulse rate seems to be between 55 to 65 bpm at rest and does not seem to rise beyond 80 bpm even while walking. The chest, neck, and back pain still persists. At times I feel dizzy, weak, and very occasionally feel short of breath. | Hello. I understand your concern. Anxiety is widespread amongst healthy young adults these days. Most often, palpitation is not as a result of a heart problem. I usually advise my patients to engage in exercises like Yoga or deep breathing exercises. Getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. If you stick to these changes, there should be an improvement in four to six weeks. If you do not get better, you will have to see a psychologist. Best regards. For more information consult a cardiologist online --> | Patient: Hello doctor, I had an episode of severe palpitations early this year, following which I went through ECG, 2D echo, stress test, and troponin. All the tests were normal. I have been experiencing intermittent chest, neck, and back pain since two yrars. The doctor started with Nebicard SM 5 mg, which he recently halved to 2.5 mg. Both the cardiologists I visited, have ruled out the possibility of a cardiac problem. I am anxiety-prone. I often feel like I may die of a heart attack. The thoughts of death have increased in the past two weeks. My pulse rate seems to be between 55 to 65 bpm at rest and does not seem to rise beyond 80 bpm even while walking. The chest, neck, and back pain still persists. At times I feel dizzy, weak, and very occasionally feel short of breath. || Doctor: Hello. I understand your concern. Anxiety is widespread amongst healthy young adults these days. Most often, palpitation is not as a result of a heart problem. I usually advise my patients to engage in exercises like Yoga or deep breathing exercises. Getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. If you stick to these changes, there should be an improvement in four to six weeks. If you do not get better, you will have to see a psychologist. Best regards. For more information consult a cardiologist online --> | patient: hello doctor, i had an episode of severe palpitations early this year, following which i went through ecg, 2d echo, stress test, and troponin. all the tests were normal. i have been experiencing intermittent chest, neck, and back pain since two yrars. the doctor started with nebicard sm 5 mg, which he recently halved to 2.5 mg. both the cardiologists i visited, have ruled out the possibility of a cardiac problem. i am anxiety-prone. i often feel like i may die of a heart attack. the thoughts of death have increased in the past two weeks. my pulse rate seems to be between 55 to 65 bpm at rest and does not seem to rise beyond 80 bpm even while walking. the chest, neck, and back pain still persists. at times i feel dizzy, weak, and very occasionally feel short of breath. || doctor: hello. i understand your concern. anxiety is widespread amongst healthy young adults these days. most often, palpitation is not as a result of a heart problem. i usually advise my patients to engage in exercises like yoga or deep breathing exercises. getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. if you stick to these changes, there should be an improvement in four to six weeks. if you do not get better, you will have to see a psychologist. best regards. for more information consult a cardiologist online --> |
10,412 | Q. I have anal bleeding because of piles. What treatment can be had? | Hello doctor, I am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. What should I do? | Hello. I would suggest the following at this point in time. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This is going to help you a lot. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor, I am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. What should I do? || Doctor: Hello. I would suggest the following at this point in time. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This is going to help you a lot. For more information consult a medical gastroenterologist online --> | patient: hello doctor, i am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. what should i do? || doctor: hello. i would suggest the following at this point in time. consult your specialist doctor, discuss with him or her and with their consent take the medicines. this is going to help you a lot. for more information consult a medical gastroenterologist online --> |
10,413 | Q. Can prostatitis cause the veins in my urethra to get darker and inflated? | Hello doctor, I am a 29 year old male, who has prostatitis. My prostatitis symptoms flared up four months ago, after eight months of partial remission. Last week, my pain got worse with cramping over my pubic bone. Now, the discomfort and cramping comes in multiple places simultaneously (perineum, penis, rectum, and over the pubic bone), they get me very tired and stressed, and I tend to feel cold. I also feel pressure at the base of the penis and some pressure and itching in the urethra and outside the penis. I had not experienced pain in so many places before. I am quite concerned about this and do not know what is causing this. What will be the next line of action? In the past four months, I also noticed that from time to time, the veins in my urethra get darker and inflate slightly, changing the color of my urethra especially, if I sit down for a long time on an uncomfortable seat, is this normal? What could cause this? Does my MRI of pelvis show any abnormalities? I have also attached two figures of the urethra, and the images may not show the true color of the veins. Prostatitis symptoms like penile pain, pain during and after ejaculation, pain while starting urination, perineum pain, rectal pain, and lower back pain, started more than three years ago. Few months after a sexual encounter, I had a sharp feeling in the tip of the penis. The medications that I took are Cipro, Doxycycline, and Septrin. While taking these antibiotics, I only felt a slight improvement, and immediately symptoms returned after stopping the medication. I had to stop all antibiotics, due to adverse side effects (stomach related). Symptoms such as pain after ejaculation, pain in the perineum, and penile discomfort returned immediately after few days. But, after 3 to 4 weeks they became negligible. For next six months, my prostatitis related issues were minimal but it would flare up if I did any sports. During this time I had severe stomach issues (bloating, constipation, food sensitivities). As my stomach issues improved and as I got active, on one occasion while having sex I felt the same pinch in the tip of the penis, following this, in the course of two months all my symptoms were back. After this, I went through the discomfort for four months, during this time I realized that my semen's color has changed to yellow. Following this, I managed to reduce my discomfort by diet and avoiding sitting on normal chairs. Four months ago, my symptoms started again after a day of sitting on a normal chair for an hour followed by a sexual encounter, this time the symptoms did not leave. At this time, I started having pain after walking and also the sensation of an unemptied bladder a lot. I started undergoing internal pelvic floor therapy, which reduced some of my lower back pain; however, my pelvic floor became very sensitive, on two occasions some physical activities started horrible spasms in my pelvis for days. Four weeks ago, I sensed a pain over my pubic bone. However, last week after trying some Magnesium supplements, this pain increased. The next day after an ejaculation, my urethra was very sore, and at night the pain over the pubic bone came about, and it was awful. The day after, I was in a lot of pain, I could not stand up from the pain. Since then I feel multiple places spasm at the same time in my pelvis, pubic bone, the base of the penis, and lower abdomen, which triggers horrible sensation in my body. Please help me. | Hi. I am really sorry to know about your problems. I have gone through your MRI images and other reports (attachment removed to protect patient identity), and all reports are normal. I hope I have answered your queries and guided you. Please get back to me in case you need any further clarifications. For more information consult an andrologist online --> | Patient: Hello doctor, I am a 29 year old male, who has prostatitis. My prostatitis symptoms flared up four months ago, after eight months of partial remission. Last week, my pain got worse with cramping over my pubic bone. Now, the discomfort and cramping comes in multiple places simultaneously (perineum, penis, rectum, and over the pubic bone), they get me very tired and stressed, and I tend to feel cold. I also feel pressure at the base of the penis and some pressure and itching in the urethra and outside the penis. I had not experienced pain in so many places before. I am quite concerned about this and do not know what is causing this. What will be the next line of action? In the past four months, I also noticed that from time to time, the veins in my urethra get darker and inflate slightly, changing the color of my urethra especially, if I sit down for a long time on an uncomfortable seat, is this normal? What could cause this? Does my MRI of pelvis show any abnormalities? I have also attached two figures of the urethra, and the images may not show the true color of the veins. Prostatitis symptoms like penile pain, pain during and after ejaculation, pain while starting urination, perineum pain, rectal pain, and lower back pain, started more than three years ago. Few months after a sexual encounter, I had a sharp feeling in the tip of the penis. The medications that I took are Cipro, Doxycycline, and Septrin. While taking these antibiotics, I only felt a slight improvement, and immediately symptoms returned after stopping the medication. I had to stop all antibiotics, due to adverse side effects (stomach related). Symptoms such as pain after ejaculation, pain in the perineum, and penile discomfort returned immediately after few days. But, after 3 to 4 weeks they became negligible. For next six months, my prostatitis related issues were minimal but it would flare up if I did any sports. During this time I had severe stomach issues (bloating, constipation, food sensitivities). As my stomach issues improved and as I got active, on one occasion while having sex I felt the same pinch in the tip of the penis, following this, in the course of two months all my symptoms were back. After this, I went through the discomfort for four months, during this time I realized that my semen's color has changed to yellow. Following this, I managed to reduce my discomfort by diet and avoiding sitting on normal chairs. Four months ago, my symptoms started again after a day of sitting on a normal chair for an hour followed by a sexual encounter, this time the symptoms did not leave. At this time, I started having pain after walking and also the sensation of an unemptied bladder a lot. I started undergoing internal pelvic floor therapy, which reduced some of my lower back pain; however, my pelvic floor became very sensitive, on two occasions some physical activities started horrible spasms in my pelvis for days. Four weeks ago, I sensed a pain over my pubic bone. However, last week after trying some Magnesium supplements, this pain increased. The next day after an ejaculation, my urethra was very sore, and at night the pain over the pubic bone came about, and it was awful. The day after, I was in a lot of pain, I could not stand up from the pain. Since then I feel multiple places spasm at the same time in my pelvis, pubic bone, the base of the penis, and lower abdomen, which triggers horrible sensation in my body. Please help me. || Doctor: Hi. I am really sorry to know about your problems. I have gone through your MRI images and other reports (attachment removed to protect patient identity), and all reports are normal. I hope I have answered your queries and guided you. Please get back to me in case you need any further clarifications. For more information consult an andrologist online --> | patient: hello doctor, i am a 29 year old male, who has prostatitis. my prostatitis symptoms flared up four months ago, after eight months of partial remission. last week, my pain got worse with cramping over my pubic bone. now, the discomfort and cramping comes in multiple places simultaneously (perineum, penis, rectum, and over the pubic bone), they get me very tired and stressed, and i tend to feel cold. i also feel pressure at the base of the penis and some pressure and itching in the urethra and outside the penis. i had not experienced pain in so many places before. i am quite concerned about this and do not know what is causing this. what will be the next line of action? in the past four months, i also noticed that from time to time, the veins in my urethra get darker and inflate slightly, changing the color of my urethra especially, if i sit down for a long time on an uncomfortable seat, is this normal? what could cause this? does my mri of pelvis show any abnormalities? i have also attached two figures of the urethra, and the images may not show the true color of the veins. prostatitis symptoms like penile pain, pain during and after ejaculation, pain while starting urination, perineum pain, rectal pain, and lower back pain, started more than three years ago. few months after a sexual encounter, i had a sharp feeling in the tip of the penis. the medications that i took are cipro, doxycycline, and septrin. while taking these antibiotics, i only felt a slight improvement, and immediately symptoms returned after stopping the medication. i had to stop all antibiotics, due to adverse side effects (stomach related). symptoms such as pain after ejaculation, pain in the perineum, and penile discomfort returned immediately after few days. but, after 3 to 4 weeks they became negligible. for next six months, my prostatitis related issues were minimal but it would flare up if i did any sports. during this time i had severe stomach issues (bloating, constipation, food sensitivities). as my stomach issues improved and as i got active, on one occasion while having sex i felt the same pinch in the tip of the penis, following this, in the course of two months all my symptoms were back. after this, i went through the discomfort for four months, during this time i realized that my semen's color has changed to yellow. following this, i managed to reduce my discomfort by diet and avoiding sitting on normal chairs. four months ago, my symptoms started again after a day of sitting on a normal chair for an hour followed by a sexual encounter, this time the symptoms did not leave. at this time, i started having pain after walking and also the sensation of an unemptied bladder a lot. i started undergoing internal pelvic floor therapy, which reduced some of my lower back pain; however, my pelvic floor became very sensitive, on two occasions some physical activities started horrible spasms in my pelvis for days. four weeks ago, i sensed a pain over my pubic bone. however, last week after trying some magnesium supplements, this pain increased. the next day after an ejaculation, my urethra was very sore, and at night the pain over the pubic bone came about, and it was awful. the day after, i was in a lot of pain, i could not stand up from the pain. since then i feel multiple places spasm at the same time in my pelvis, pubic bone, the base of the penis, and lower abdomen, which triggers horrible sensation in my body. please help me. || doctor: hi. i am really sorry to know about your problems. i have gone through your mri images and other reports (attachment removed to protect patient identity), and all reports are normal. i hope i have answered your queries and guided you. please get back to me in case you need any further clarifications. for more information consult an andrologist online --> |
10,414 | Q. How to handle the ego of an 18 year old girl? | Hi doctor, I am a teacher and I do not live with my husband. When I left my country my childern were 7.5, 6 and 2.5 years old. Now in the new place, they are 19.5, 18 and 14.5 years old. My daughter, who is 18 years old, is wild. She is doing her first year college. My daughter got involved with a boy last year. The boy became close to me and was my internet friend. We will talk about my daughter and he said that she is just a friend until I discovered last year. On weekends, my daughter lives with that boy. She will stay in the boy's house, even if the family refuses. This behavior is due to negligence. I took my daughter away from him and now she fights with the people, especially my family and anybody related to my family except her cousin who is my sister's daughter. I get angry as her involvement with her boyfriend of a weird personality. I do not know how to deal with my daughter. I discussed with the boy's sister and she told many things about what happened. The boy did not want her anymore, but insisted to give him money for not to leave her. Now my daughter is at home and she does not do anything rather than eating in her room. I do not talk with her as she disrespects me which really hurts me. Now again she is about to enter the school and we had quarreled again. I know that my daughter has a personality disorder too. Please I need your advice. | Hi. For further information consult a psychologist counsellor online --> | Patient: Hi doctor, I am a teacher and I do not live with my husband. When I left my country my childern were 7.5, 6 and 2.5 years old. Now in the new place, they are 19.5, 18 and 14.5 years old. My daughter, who is 18 years old, is wild. She is doing her first year college. My daughter got involved with a boy last year. The boy became close to me and was my internet friend. We will talk about my daughter and he said that she is just a friend until I discovered last year. On weekends, my daughter lives with that boy. She will stay in the boy's house, even if the family refuses. This behavior is due to negligence. I took my daughter away from him and now she fights with the people, especially my family and anybody related to my family except her cousin who is my sister's daughter. I get angry as her involvement with her boyfriend of a weird personality. I do not know how to deal with my daughter. I discussed with the boy's sister and she told many things about what happened. The boy did not want her anymore, but insisted to give him money for not to leave her. Now my daughter is at home and she does not do anything rather than eating in her room. I do not talk with her as she disrespects me which really hurts me. Now again she is about to enter the school and we had quarreled again. I know that my daughter has a personality disorder too. Please I need your advice. || Doctor: Hi. For further information consult a psychologist counsellor online --> | patient: hi doctor, i am a teacher and i do not live with my husband. when i left my country my childern were 7.5, 6 and 2.5 years old. now in the new place, they are 19.5, 18 and 14.5 years old. my daughter, who is 18 years old, is wild. she is doing her first year college. my daughter got involved with a boy last year. the boy became close to me and was my internet friend. we will talk about my daughter and he said that she is just a friend until i discovered last year. on weekends, my daughter lives with that boy. she will stay in the boy's house, even if the family refuses. this behavior is due to negligence. i took my daughter away from him and now she fights with the people, especially my family and anybody related to my family except her cousin who is my sister's daughter. i get angry as her involvement with her boyfriend of a weird personality. i do not know how to deal with my daughter. i discussed with the boy's sister and she told many things about what happened. the boy did not want her anymore, but insisted to give him money for not to leave her. now my daughter is at home and she does not do anything rather than eating in her room. i do not talk with her as she disrespects me which really hurts me. now again she is about to enter the school and we had quarreled again. i know that my daughter has a personality disorder too. please i need your advice. || doctor: hi. for further information consult a psychologist counsellor online --> |
10,415 | Q. Does 62% of abnormal sperm indicate infertility? | Hi doctor, My sperm analysis report shows 62% abnormal spermatozoa. Is it something to worry? | Hi. Revert back with the answer to the above question to an andrologist online --> | Patient: Hi doctor, My sperm analysis report shows 62% abnormal spermatozoa. Is it something to worry? || Doctor: Hi. Revert back with the answer to the above question to an andrologist online --> | patient: hi doctor, my sperm analysis report shows 62% abnormal spermatozoa. is it something to worry? || doctor: hi. revert back with the answer to the above question to an andrologist online --> |
10,416 | Q. What are the side effects of Gorochanadi Gulika? | Hi doctor, My daughter is 2 years and 5 months old. She was on tablet Gorochanadi Gulika when she was 1 and a half year old. She took it for a month to balance her vata-pitta dosha, and she was all right. This year also the same medicine was advised as she was not very active, and I am giving her the tablet. I want to know the side effects of the drug. And how to diagnose them? | Hi. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult me. Thank you. For further queries consult an ayurveda specialist online --> | Patient: Hi doctor, My daughter is 2 years and 5 months old. She was on tablet Gorochanadi Gulika when she was 1 and a half year old. She took it for a month to balance her vata-pitta dosha, and she was all right. This year also the same medicine was advised as she was not very active, and I am giving her the tablet. I want to know the side effects of the drug. And how to diagnose them? || Doctor: Hi. I just read your query. I hope you are satisfied with my answer. For more queries, you can consult me. Thank you. For further queries consult an ayurveda specialist online --> | patient: hi doctor, my daughter is 2 years and 5 months old. she was on tablet gorochanadi gulika when she was 1 and a half year old. she took it for a month to balance her vata-pitta dosha, and she was all right. this year also the same medicine was advised as she was not very active, and i am giving her the tablet. i want to know the side effects of the drug. and how to diagnose them? || doctor: hi. i just read your query. i hope you are satisfied with my answer. for more queries, you can consult me. thank you. for further queries consult an ayurveda specialist online --> |
10,417 | Q. Taking manasamitra vatakam for anxiety. Suggest me the right dosage and details of food restrictions | My son has been asked to take manasamitra vatakam for anxiety by a friend who is a Sanskrit scholar. He is now 17 years old. What is the right dosage? Any food restrictions? | Hi, If your son needs to take manasamitra vatakam, you can buy only a good brand. Hope this helps. If you would like to have a detailed analysis of the problem of your son, please either book a phone consulttaion with an Ayurveda Specialist or consult a psychiatrist online --> | Patient: My son has been asked to take manasamitra vatakam for anxiety by a friend who is a Sanskrit scholar. He is now 17 years old. What is the right dosage? Any food restrictions? || Doctor: Hi, If your son needs to take manasamitra vatakam, you can buy only a good brand. Hope this helps. If you would like to have a detailed analysis of the problem of your son, please either book a phone consulttaion with an Ayurveda Specialist or consult a psychiatrist online --> | patient: my son has been asked to take manasamitra vatakam for anxiety by a friend who is a sanskrit scholar. he is now 17 years old. what is the right dosage? any food restrictions? || doctor: hi, if your son needs to take manasamitra vatakam, you can buy only a good brand. hope this helps. if you would like to have a detailed analysis of the problem of your son, please either book a phone consulttaion with an ayurveda specialist or consult a psychiatrist online --> |
10,418 | Q. What could cause recurrent fever and body pain in a 13 year old? | Hi doctor,My son is 13 years old and his weight is 46 kg. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. Please help. | Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> | Patient: Hi doctor,My son is 13 years old and his weight is 46 kg. His WBC is 6000, lymphocyte is around 50% (checked thrice in the last two years), Hb is 11 g% and HbE trait. His overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. Please help. || Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> | patient: hi doctor,my son is 13 years old and his weight is 46 kg. his wbc is 6000, lymphocyte is around 50% (checked thrice in the last two years), hb is 11 g% and hbe trait. his overall health is fine, but he is getting recurrent fever attack of around four to five times in a year with severe body pain. please help. || doctor: hi. based on your query, my opinion is as follows: for further information consult a hematologist online --> |
10,419 | Q. How do I sustain penile erection? | Hello doctor, I am a 67 year old retired IT professional. I am a non-diabetic. My weight is 74 kg and height is 174 cm. My BMI is around 24. I am fully active with every day 8 to 10 km walk without fail. I did not visit doctor in the last 50 years for any major illness. My CBC count is normal and no issues with cholesterol. I am a BP patient for more than 11 years. Now my BP is normal with tablet Temsan 80 one a day. 11 years back it started with 40 and has gone up to 80 now. I am a non-smoker and non-alcoholic. I have been enjoying normal sex life. Since 21 days, I am getting penile erection but not able to sustain the same for longer time to complete the intercourse. There is no other medical condition or problem. I sleep well at night for six to seven hours and also used to have a nap for one hour in the afternoon. There is no tension or anxiety in the day-to-day life. List of medicines I take every day are Temsan 80 one tablet, Citracal 500 one tablet and vitamin supplements two gummies. Please let me know your comments. Thank you. | Hi. I have read and understood your problem. Revert back with the asked details to a urologist online --> | Patient: Hello doctor, I am a 67 year old retired IT professional. I am a non-diabetic. My weight is 74 kg and height is 174 cm. My BMI is around 24. I am fully active with every day 8 to 10 km walk without fail. I did not visit doctor in the last 50 years for any major illness. My CBC count is normal and no issues with cholesterol. I am a BP patient for more than 11 years. Now my BP is normal with tablet Temsan 80 one a day. 11 years back it started with 40 and has gone up to 80 now. I am a non-smoker and non-alcoholic. I have been enjoying normal sex life. Since 21 days, I am getting penile erection but not able to sustain the same for longer time to complete the intercourse. There is no other medical condition or problem. I sleep well at night for six to seven hours and also used to have a nap for one hour in the afternoon. There is no tension or anxiety in the day-to-day life. List of medicines I take every day are Temsan 80 one tablet, Citracal 500 one tablet and vitamin supplements two gummies. Please let me know your comments. Thank you. || Doctor: Hi. I have read and understood your problem. Revert back with the asked details to a urologist online --> | patient: hello doctor, i am a 67 year old retired it professional. i am a non-diabetic. my weight is 74 kg and height is 174 cm. my bmi is around 24. i am fully active with every day 8 to 10 km walk without fail. i did not visit doctor in the last 50 years for any major illness. my cbc count is normal and no issues with cholesterol. i am a bp patient for more than 11 years. now my bp is normal with tablet temsan 80 one a day. 11 years back it started with 40 and has gone up to 80 now. i am a non-smoker and non-alcoholic. i have been enjoying normal sex life. since 21 days, i am getting penile erection but not able to sustain the same for longer time to complete the intercourse. there is no other medical condition or problem. i sleep well at night for six to seven hours and also used to have a nap for one hour in the afternoon. there is no tension or anxiety in the day-to-day life. list of medicines i take every day are temsan 80 one tablet, citracal 500 one tablet and vitamin supplements two gummies. please let me know your comments. thank you. || doctor: hi. i have read and understood your problem. revert back with the asked details to a urologist online --> |
10,420 | Q. Are symptoms of pregnancy and premenstrual cycle relatively the same? | Hi doctor, Recently, I had unprotected sex. The first time, we both were drunk, but I know I did not ejaculate. Also, we did not use any form of contraception. She was ovulating during the second time and I used the withdrawal method. What are the chances that she can get pregnant? | Hi. Well, ovulation is the period wherein egg is released from the ovary and that needs a single sperm to head towards a pregnancy. There is about 30% chance of getting pregnant following unprotected sex during ovulation. She can have I-pill within 72 hours, preferably within 24 hours or as early as possible to avoid unwanted pregnancy. It is safe and does not affect her future fertility except for mild immediate nausea. I would also advise her to go for a urine pregnancy test about 14 days after intercourse if she does not get her periods. For further information consult an internal medicine physician online --> | Patient: Hi doctor, Recently, I had unprotected sex. The first time, we both were drunk, but I know I did not ejaculate. Also, we did not use any form of contraception. She was ovulating during the second time and I used the withdrawal method. What are the chances that she can get pregnant? || Doctor: Hi. Well, ovulation is the period wherein egg is released from the ovary and that needs a single sperm to head towards a pregnancy. There is about 30% chance of getting pregnant following unprotected sex during ovulation. She can have I-pill within 72 hours, preferably within 24 hours or as early as possible to avoid unwanted pregnancy. It is safe and does not affect her future fertility except for mild immediate nausea. I would also advise her to go for a urine pregnancy test about 14 days after intercourse if she does not get her periods. For further information consult an internal medicine physician online --> | patient: hi doctor, recently, i had unprotected sex. the first time, we both were drunk, but i know i did not ejaculate. also, we did not use any form of contraception. she was ovulating during the second time and i used the withdrawal method. what are the chances that she can get pregnant? || doctor: hi. well, ovulation is the period wherein egg is released from the ovary and that needs a single sperm to head towards a pregnancy. there is about 30% chance of getting pregnant following unprotected sex during ovulation. she can have i-pill within 72 hours, preferably within 24 hours or as early as possible to avoid unwanted pregnancy. it is safe and does not affect her future fertility except for mild immediate nausea. i would also advise her to go for a urine pregnancy test about 14 days after intercourse if she does not get her periods. for further information consult an internal medicine physician online --> |
10,421 | Q. What is the possibility of muscle twitch for a long period without any related symptoms to be ALS? | Hello doctor, I was smoking weed for almost six years daily. Last July, I stopped, and then I started to have panic attacks with heart palpitation. I went to a cardiologist and everything was fine. But since then I became so anxious and I was aware of everything going on in my body. After that, I started to notice muscle twitching, in every muscle. At first, I thought it was a heart issue but after seeing three cardiologists the results were the same, my heart is fine. Then of course, I Googled it and I see some scary diseases like ALS. I went to a neurologist who, after some questions and examination said that it was due to an anxiety issue. To be sure he sent me to an institute specializing in the detection of neuromuscular disease, a neurophysiologist did a clinical examination (strength, reflex) and an EMG, and no abnormalities was showed, it were before three months. A month later, as my twitching was still going on, I went to another neurophysiologist, he did another EMG and again everything was normal. My neurologist said that it is impossible its ALS because muscle twitching for nearly eight months without any weakness. And I started to have so tingling and buzzing sensation. Again my neurologist said that it is very common with an anxiety disorder like mine. I started to take pills and to see a therapist for one month. I have to say that twitching is way better when my anxiety is low but sometimes it came back strong. I am so worried about ALS. My questions are: is EMG test reliable? Is it true that usually fasciculations come after or along with the weakness in ALS? Fasciculation for eight months without any weakness does rule out ALS? Does ALS cause pain? | Hi. I understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. Coming to your specific questions: Yes, fasciculations and weakness in ALS (amyotrophic lateral sclerosis) come together, actually, weakness comes first and fasciculations are generally unnoticed by patients, they are usually revealed upon asking or found by EMG (electromyography). EMG is reliable and diagnostic for ALS. Fasciculations without weakness ruled out ALS, eight months are a long duration for ALS, if it would have been ALS, it would have progressed to much extent. And ALS is painless, it is motor neuron disease, so the sensory system is perfectly normal. I would suggest you to try one tablet called Carnisure plus (contains Levocarnitin 500 mg and Methylcobalamin 1500 microgram). It is a vitamin for muscle and nerves, you can take it in the night daily for a few weeks and see the effect. Avoid coffee and other stimulants. | Patient: Hello doctor, I was smoking weed for almost six years daily. Last July, I stopped, and then I started to have panic attacks with heart palpitation. I went to a cardiologist and everything was fine. But since then I became so anxious and I was aware of everything going on in my body. After that, I started to notice muscle twitching, in every muscle. At first, I thought it was a heart issue but after seeing three cardiologists the results were the same, my heart is fine. Then of course, I Googled it and I see some scary diseases like ALS. I went to a neurologist who, after some questions and examination said that it was due to an anxiety issue. To be sure he sent me to an institute specializing in the detection of neuromuscular disease, a neurophysiologist did a clinical examination (strength, reflex) and an EMG, and no abnormalities was showed, it were before three months. A month later, as my twitching was still going on, I went to another neurophysiologist, he did another EMG and again everything was normal. My neurologist said that it is impossible its ALS because muscle twitching for nearly eight months without any weakness. And I started to have so tingling and buzzing sensation. Again my neurologist said that it is very common with an anxiety disorder like mine. I started to take pills and to see a therapist for one month. I have to say that twitching is way better when my anxiety is low but sometimes it came back strong. I am so worried about ALS. My questions are: is EMG test reliable? Is it true that usually fasciculations come after or along with the weakness in ALS? Fasciculation for eight months without any weakness does rule out ALS? Does ALS cause pain? || Doctor: Hi. I understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. Coming to your specific questions: Yes, fasciculations and weakness in ALS (amyotrophic lateral sclerosis) come together, actually, weakness comes first and fasciculations are generally unnoticed by patients, they are usually revealed upon asking or found by EMG (electromyography). EMG is reliable and diagnostic for ALS. Fasciculations without weakness ruled out ALS, eight months are a long duration for ALS, if it would have been ALS, it would have progressed to much extent. And ALS is painless, it is motor neuron disease, so the sensory system is perfectly normal. I would suggest you to try one tablet called Carnisure plus (contains Levocarnitin 500 mg and Methylcobalamin 1500 microgram). It is a vitamin for muscle and nerves, you can take it in the night daily for a few weeks and see the effect. Avoid coffee and other stimulants. | patient: hello doctor, i was smoking weed for almost six years daily. last july, i stopped, and then i started to have panic attacks with heart palpitation. i went to a cardiologist and everything was fine. but since then i became so anxious and i was aware of everything going on in my body. after that, i started to notice muscle twitching, in every muscle. at first, i thought it was a heart issue but after seeing three cardiologists the results were the same, my heart is fine. then of course, i googled it and i see some scary diseases like als. i went to a neurologist who, after some questions and examination said that it was due to an anxiety issue. to be sure he sent me to an institute specializing in the detection of neuromuscular disease, a neurophysiologist did a clinical examination (strength, reflex) and an emg, and no abnormalities was showed, it were before three months. a month later, as my twitching was still going on, i went to another neurophysiologist, he did another emg and again everything was normal. my neurologist said that it is impossible its als because muscle twitching for nearly eight months without any weakness. and i started to have so tingling and buzzing sensation. again my neurologist said that it is very common with an anxiety disorder like mine. i started to take pills and to see a therapist for one month. i have to say that twitching is way better when my anxiety is low but sometimes it came back strong. i am so worried about als. my questions are: is emg test reliable? is it true that usually fasciculations come after or along with the weakness in als? fasciculation for eight months without any weakness does rule out als? does als cause pain? || doctor: hi. i understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. coming to your specific questions: yes, fasciculations and weakness in als (amyotrophic lateral sclerosis) come together, actually, weakness comes first and fasciculations are generally unnoticed by patients, they are usually revealed upon asking or found by emg (electromyography). emg is reliable and diagnostic for als. fasciculations without weakness ruled out als, eight months are a long duration for als, if it would have been als, it would have progressed to much extent. and als is painless, it is motor neuron disease, so the sensory system is perfectly normal. i would suggest you to try one tablet called carnisure plus (contains levocarnitin 500 mg and methylcobalamin 1500 microgram). it is a vitamin for muscle and nerves, you can take it in the night daily for a few weeks and see the effect. avoid coffee and other stimulants. |
10,422 | 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 --> |
10,423 | 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 --> |
10,424 | 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.---> |
10,425 | 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 --> |
10,426 | 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 --> |
10,427 | Q. My blood group is B-positive and fiance has A-negative. Can I marry her? | Hello doctor,I am going to marry A-negative girl. And my blood group is B-positive. So, is there any complication or we can go ahead? | Hello. I have reviewed your query. To put it simply, persons of any blood groups can marry and have healthy children. But when the female is of negative blood group and male is of positive blood group (as in your case), the baby has a chance of having a positive blood group. This baby blood may pass through the mother’s blood through placenta, leading to formation of antibodies in mother’s blood and posing risk to further babies. But this is not much a problem, because this can be avoided by taking a RhIG injection during pregnancy and immediately after delivery. To conclude, you can marry a negative blood group girl, but you need to mention her Rh-negative blood group to your doctor immediately after the conception of pregnancy so that she can get her RhIG injection during and immediately after delivery. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I am going to marry A-negative girl. And my blood group is B-positive. So, is there any complication or we can go ahead? || Doctor: Hello. I have reviewed your query. To put it simply, persons of any blood groups can marry and have healthy children. But when the female is of negative blood group and male is of positive blood group (as in your case), the baby has a chance of having a positive blood group. This baby blood may pass through the mother’s blood through placenta, leading to formation of antibodies in mother’s blood and posing risk to further babies. But this is not much a problem, because this can be avoided by taking a RhIG injection during pregnancy and immediately after delivery. To conclude, you can marry a negative blood group girl, but you need to mention her Rh-negative blood group to your doctor immediately after the conception of pregnancy so that she can get her RhIG injection during and immediately after delivery. For more information consult an internal medicine physician online --> | patient: hello doctor,i am going to marry a-negative girl. and my blood group is b-positive. so, is there any complication or we can go ahead? || doctor: hello. i have reviewed your query. to put it simply, persons of any blood groups can marry and have healthy children. but when the female is of negative blood group and male is of positive blood group (as in your case), the baby has a chance of having a positive blood group. this baby blood may pass through the mother’s blood through placenta, leading to formation of antibodies in mother’s blood and posing risk to further babies. but this is not much a problem, because this can be avoided by taking a rhig injection during pregnancy and immediately after delivery. to conclude, you can marry a negative blood group girl, but you need to mention her rh-negative blood group to your doctor immediately after the conception of pregnancy so that she can get her rhig injection during and immediately after delivery. for more information consult an internal medicine physician online --> |
10,428 | Q. I am getting radiating right hip pain. Is this due to psoriatic arthritis? | Hi doctor, I am 26 years old. Since a week, I am getting pain in the right leg hip and sometimes, extending till right knee and calf muscle. I feel that something is trying to project on the left side. | Hello. Revert with the details to an orthopaedician and traumatologist online --> | Patient: Hi doctor, I am 26 years old. Since a week, I am getting pain in the right leg hip and sometimes, extending till right knee and calf muscle. I feel that something is trying to project on the left side. || Doctor: Hello. Revert with the details to an orthopaedician and traumatologist online --> | patient: hi doctor, i am 26 years old. since a week, i am getting pain in the right leg hip and sometimes, extending till right knee and calf muscle. i feel that something is trying to project on the left side. || doctor: hello. revert with the details to an orthopaedician and traumatologist online --> |
10,429 | Q. I use glasses but still have difficulty in reading. How to solve this? | Dear doctor, I am 33 years old and I am using glasses for the last two years. My glasses numbers are right side is 3.5 and the left side is 1 but it is difficult to read books or newspaper. Can you help me? What can I do to solve the problem? | Hello. There could be two things that can cause a difficulty with your reading vision. Firstly, you could have developed premature presbyopia and although this is less likely given your young age, this condition is on the rise nowadays. In this condition, you will find it comfortable to read if you simply keep your books or mobile phones a bit farther than usual. In case you have this issue, kindly get your eyes re-examined by an ophthalmologist or optometrist to include near vision correction as well. Secondly, in case you have recently changed your glasses the problem could lie with: These can be rectified once again by examination by your ophthalmologist or optometrist. For more information consult an eye care ophthalmologist online --> | Patient: Dear doctor, I am 33 years old and I am using glasses for the last two years. My glasses numbers are right side is 3.5 and the left side is 1 but it is difficult to read books or newspaper. Can you help me? What can I do to solve the problem? || Doctor: Hello. There could be two things that can cause a difficulty with your reading vision. Firstly, you could have developed premature presbyopia and although this is less likely given your young age, this condition is on the rise nowadays. In this condition, you will find it comfortable to read if you simply keep your books or mobile phones a bit farther than usual. In case you have this issue, kindly get your eyes re-examined by an ophthalmologist or optometrist to include near vision correction as well. Secondly, in case you have recently changed your glasses the problem could lie with: These can be rectified once again by examination by your ophthalmologist or optometrist. For more information consult an eye care ophthalmologist online --> | patient: dear doctor, i am 33 years old and i am using glasses for the last two years. my glasses numbers are right side is 3.5 and the left side is 1 but it is difficult to read books or newspaper. can you help me? what can i do to solve the problem? || doctor: hello. there could be two things that can cause a difficulty with your reading vision. firstly, you could have developed premature presbyopia and although this is less likely given your young age, this condition is on the rise nowadays. in this condition, you will find it comfortable to read if you simply keep your books or mobile phones a bit farther than usual. in case you have this issue, kindly get your eyes re-examined by an ophthalmologist or optometrist to include near vision correction as well. secondly, in case you have recently changed your glasses the problem could lie with: these can be rectified once again by examination by your ophthalmologist or optometrist. for more information consult an eye care ophthalmologist online --> |
10,430 | Q. What is accure laser? | Hi doctor, What is accure laser? I have done cosmelan, but my skin looks dehydrated and dull. Will accure laser help? My skin was fair and now it seems dull and little reddish. Please help. | Hi. Accure is a diode laser used mainly for inflammatory acne and rejuvenation of skin. It will reduce sebum production to decrease acne. Cosmelan is a peel used for pigmentation over the face. Use sunscreen daily to protect skin from sun exposure and good moisturizer to avoid dryness. I also suggest Epithelial AH cream (Sodium hyaluronate). Consult your specialist doctor, discuss with him or her and take the medicine with consent. Do you have active acne or pigmentation? For further information consult a dermatologist online --> | Patient: Hi doctor, What is accure laser? I have done cosmelan, but my skin looks dehydrated and dull. Will accure laser help? My skin was fair and now it seems dull and little reddish. Please help. || Doctor: Hi. Accure is a diode laser used mainly for inflammatory acne and rejuvenation of skin. It will reduce sebum production to decrease acne. Cosmelan is a peel used for pigmentation over the face. Use sunscreen daily to protect skin from sun exposure and good moisturizer to avoid dryness. I also suggest Epithelial AH cream (Sodium hyaluronate). Consult your specialist doctor, discuss with him or her and take the medicine with consent. Do you have active acne or pigmentation? For further information consult a dermatologist online --> | patient: hi doctor, what is accure laser? i have done cosmelan, but my skin looks dehydrated and dull. will accure laser help? my skin was fair and now it seems dull and little reddish. please help. || doctor: hi. accure is a diode laser used mainly for inflammatory acne and rejuvenation of skin. it will reduce sebum production to decrease acne. cosmelan is a peel used for pigmentation over the face. use sunscreen daily to protect skin from sun exposure and good moisturizer to avoid dryness. i also suggest epithelial ah cream (sodium hyaluronate). consult your specialist doctor, discuss with him or her and take the medicine with consent. do you have active acne or pigmentation? for further information consult a dermatologist online --> |
10,431 | Q. Apart from getting injections, what treatments are available for seborrheic dermatitis? | Hello doctor, Eight years ago, a car wreck shattered the windshield, and my head got injured with pieces of glass. They did not take the glass out, and I have also been dying my hair since I was 16. I developed fibromyalgia from the wreck, which is supposed to be relatively non-progressive, however as the years went by I started experiencing debilitating neck pain paired with even worse migraines. I did stretching, physical therapy, chiropractor, and even medication, but nothing seemed to help. Last year, a pharmacy refused to refill my Tramadol. I was in such a debilitating pain that I went home and stared at where my headache was coming from, and I noticed my hair was growing funny in certain areas. So, I started to comb close to the scalp, and the hair that where my natural color started coming out of my scalp and pain started being relieved. I also noticed that rubberized glass was coming out of so many areas in my scalp. At this point, I could see all of the places where there was glass lodged and each time I shaved an area to get the glass out, the pain lessened in a way I will never even forget. I went and just shaved my head. After a few months, my scalp is so itchy, flaky, scaly, and pieces of glasses are still making their way out. So, I went to see a dermatologist, who said it is seborrheic dermatitis, but I have used everything you could use for that (Clobetasol, Ketoconazole, apple cider vinegar, Prednisone, some topical cream, Salicylic acid shampoo, tar shampoo, coconut oil, etc.). But still, I have to shave my head because my scalp is still very messed up. I think my follicles are damaged, so aside from getting injections at a dermatologist office, what treatments are available for that? Do you have a specific shampoo you recommend for repairing follicles? | Hi. The diagnosis from your history would still be seborrheic dermatitis or sebopsoriasis or scalp psoriasis. This is more of a cyclical problem, it tends to curb down with 2 to 3 months of treatment, but recurring back with a change in season or lifestyle. However, it naturally settles down as the age increases, usually around 30 to 35 years of age. The pain, as you describe, could even be neurogenic in view of a past history of trauma to the skin. This could damage the nerve fibers, which have a very slow tendency to regrow and recover, resulting in chronic pain. With regards to your scalp scaling, I would advise you to restart with a Ketoconazole, Zinc pyrithione, and coal tar combination shampoo. Initially, it would be recommended to start using it every alternate day for three weeks, with a gradual tapering in frequency. Thereafter, use it twice a week for next three weeks, and then weekly once for next three weeks along with the simultaneous introduction of your regular shampoo. In order to repair the damaged follicles, you could take oral supplements containing Biotin and Pantothenic acid, daily one tablet for a month. Consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. For more information consult a dermatologist online --> | Patient: Hello doctor, Eight years ago, a car wreck shattered the windshield, and my head got injured with pieces of glass. They did not take the glass out, and I have also been dying my hair since I was 16. I developed fibromyalgia from the wreck, which is supposed to be relatively non-progressive, however as the years went by I started experiencing debilitating neck pain paired with even worse migraines. I did stretching, physical therapy, chiropractor, and even medication, but nothing seemed to help. Last year, a pharmacy refused to refill my Tramadol. I was in such a debilitating pain that I went home and stared at where my headache was coming from, and I noticed my hair was growing funny in certain areas. So, I started to comb close to the scalp, and the hair that where my natural color started coming out of my scalp and pain started being relieved. I also noticed that rubberized glass was coming out of so many areas in my scalp. At this point, I could see all of the places where there was glass lodged and each time I shaved an area to get the glass out, the pain lessened in a way I will never even forget. I went and just shaved my head. After a few months, my scalp is so itchy, flaky, scaly, and pieces of glasses are still making their way out. So, I went to see a dermatologist, who said it is seborrheic dermatitis, but I have used everything you could use for that (Clobetasol, Ketoconazole, apple cider vinegar, Prednisone, some topical cream, Salicylic acid shampoo, tar shampoo, coconut oil, etc.). But still, I have to shave my head because my scalp is still very messed up. I think my follicles are damaged, so aside from getting injections at a dermatologist office, what treatments are available for that? Do you have a specific shampoo you recommend for repairing follicles? || Doctor: Hi. The diagnosis from your history would still be seborrheic dermatitis or sebopsoriasis or scalp psoriasis. This is more of a cyclical problem, it tends to curb down with 2 to 3 months of treatment, but recurring back with a change in season or lifestyle. However, it naturally settles down as the age increases, usually around 30 to 35 years of age. The pain, as you describe, could even be neurogenic in view of a past history of trauma to the skin. This could damage the nerve fibers, which have a very slow tendency to regrow and recover, resulting in chronic pain. With regards to your scalp scaling, I would advise you to restart with a Ketoconazole, Zinc pyrithione, and coal tar combination shampoo. Initially, it would be recommended to start using it every alternate day for three weeks, with a gradual tapering in frequency. Thereafter, use it twice a week for next three weeks, and then weekly once for next three weeks along with the simultaneous introduction of your regular shampoo. In order to repair the damaged follicles, you could take oral supplements containing Biotin and Pantothenic acid, daily one tablet for a month. Consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. For more information consult a dermatologist online --> | patient: hello doctor, eight years ago, a car wreck shattered the windshield, and my head got injured with pieces of glass. they did not take the glass out, and i have also been dying my hair since i was 16. i developed fibromyalgia from the wreck, which is supposed to be relatively non-progressive, however as the years went by i started experiencing debilitating neck pain paired with even worse migraines. i did stretching, physical therapy, chiropractor, and even medication, but nothing seemed to help. last year, a pharmacy refused to refill my tramadol. i was in such a debilitating pain that i went home and stared at where my headache was coming from, and i noticed my hair was growing funny in certain areas. so, i started to comb close to the scalp, and the hair that where my natural color started coming out of my scalp and pain started being relieved. i also noticed that rubberized glass was coming out of so many areas in my scalp. at this point, i could see all of the places where there was glass lodged and each time i shaved an area to get the glass out, the pain lessened in a way i will never even forget. i went and just shaved my head. after a few months, my scalp is so itchy, flaky, scaly, and pieces of glasses are still making their way out. so, i went to see a dermatologist, who said it is seborrheic dermatitis, but i have used everything you could use for that (clobetasol, ketoconazole, apple cider vinegar, prednisone, some topical cream, salicylic acid shampoo, tar shampoo, coconut oil, etc.). but still, i have to shave my head because my scalp is still very messed up. i think my follicles are damaged, so aside from getting injections at a dermatologist office, what treatments are available for that? do you have a specific shampoo you recommend for repairing follicles? || doctor: hi. the diagnosis from your history would still be seborrheic dermatitis or sebopsoriasis or scalp psoriasis. this is more of a cyclical problem, it tends to curb down with 2 to 3 months of treatment, but recurring back with a change in season or lifestyle. however, it naturally settles down as the age increases, usually around 30 to 35 years of age. the pain, as you describe, could even be neurogenic in view of a past history of trauma to the skin. this could damage the nerve fibers, which have a very slow tendency to regrow and recover, resulting in chronic pain. with regards to your scalp scaling, i would advise you to restart with a ketoconazole, zinc pyrithione, and coal tar combination shampoo. initially, it would be recommended to start using it every alternate day for three weeks, with a gradual tapering in frequency. thereafter, use it twice a week for next three weeks, and then weekly once for next three weeks along with the simultaneous introduction of your regular shampoo. in order to repair the damaged follicles, you could take oral supplements containing biotin and pantothenic acid, daily one tablet for a month. consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. for more information consult a dermatologist online --> |
10,432 | Q. Can Anmum Materna milk result in more vomiting and diarrhea during pregnancy? | Good day Doctors. I'm 22yo. My last period was on 18th to 21st last month. I just took 2 pregnancy test this 26th and it's positive. First baby. I bought anmum materna Q+ milk after i knew I'm pregnant but I'm having diarrhea and i vomit more than usual. Since it's still ECQ, i can't go out to have prenatal check up. I wonder how many weeks I'm pregnant and I'd like to know if is it bad to sleep in the morning while awake in the evening. I slept a lot in the morning. Thanks for the response. Take care. | Hello, Welcome to i cliniq , Congrats for your pregnancy So LMP of yours is 18th last month so you are 7 weeks +5 days .You have to perform a ulrtasound to evaluate the embryo and heart activity . Second vomiting is one of the most commen symptom of pregnancy that may accompany you still at 12 weeks . There are some minor side effect of anum materna like diarrhea ,upset stomach ect .If the diarrhea is moderate to severe ,or tha last for a long time you can stop the supplements. The most important tablette to take during 12 weeks of pregnancy is folic acid 400mcg ,one table a day . You can sleep and rest as you want ,but a light activity will mantain you healthier. I hope ,i've been helpful. Best regards | Patient: Good day Doctors. I'm 22yo. My last period was on 18th to 21st last month. I just took 2 pregnancy test this 26th and it's positive. First baby. I bought anmum materna Q+ milk after i knew I'm pregnant but I'm having diarrhea and i vomit more than usual. Since it's still ECQ, i can't go out to have prenatal check up. I wonder how many weeks I'm pregnant and I'd like to know if is it bad to sleep in the morning while awake in the evening. I slept a lot in the morning. Thanks for the response. Take care. || Doctor: Hello, Welcome to i cliniq , Congrats for your pregnancy So LMP of yours is 18th last month so you are 7 weeks +5 days .You have to perform a ulrtasound to evaluate the embryo and heart activity . Second vomiting is one of the most commen symptom of pregnancy that may accompany you still at 12 weeks . There are some minor side effect of anum materna like diarrhea ,upset stomach ect .If the diarrhea is moderate to severe ,or tha last for a long time you can stop the supplements. The most important tablette to take during 12 weeks of pregnancy is folic acid 400mcg ,one table a day . You can sleep and rest as you want ,but a light activity will mantain you healthier. I hope ,i've been helpful. Best regards | patient: good day doctors. i'm 22yo. my last period was on 18th to 21st last month. i just took 2 pregnancy test this 26th and it's positive. first baby. i bought anmum materna q+ milk after i knew i'm pregnant but i'm having diarrhea and i vomit more than usual. since it's still ecq, i can't go out to have prenatal check up. i wonder how many weeks i'm pregnant and i'd like to know if is it bad to sleep in the morning while awake in the evening. i slept a lot in the morning. thanks for the response. take care. || doctor: hello, welcome to i cliniq , congrats for your pregnancy so lmp of yours is 18th last month so you are 7 weeks +5 days .you have to perform a ulrtasound to evaluate the embryo and heart activity . second vomiting is one of the most commen symptom of pregnancy that may accompany you still at 12 weeks . there are some minor side effect of anum materna like diarrhea ,upset stomach ect .if the diarrhea is moderate to severe ,or tha last for a long time you can stop the supplements. the most important tablette to take during 12 weeks of pregnancy is folic acid 400mcg ,one table a day . you can sleep and rest as you want ,but a light activity will mantain you healthier. i hope ,i've been helpful. best regards |
10,433 | Q. Why am I feeling hand cramps and leg twitches after stopping Seroquel? | Hi doctor, I was on 600 to 900 mg of Seroquel for at least 5 years. I contacted my psychiatrist about stopping the medication when I realized it had been prescribed for a condition that I do not have. My doctor was not open to this conversation and I unwisely decided to stop the medicine on my own. I did a fair amount of research prior to my titration and even went so far as to map out my titration schedule on a calendar. My main withdrawal concerns were anxiety, rapid heartbeat and insomnia. After a few days of titration when I realized I was not having any withdrawal effects I basically stopped cold turkey. About two weeks later, I experienced a weird cramping sensation in my hand. Based upon my rigorous physical activity, I assumed that I was dehydrated. The symptoms persisted for a few days and I decided to see a doctor. My laboratory reports ruled out an electrolyte imbalance, but I decided to start daily calcium and a multivitamin regimen at the recommendation of the doctor. Then, my symptoms have gotten out of control. I have had burning, pins and needles, tingling, numbness and cramping in both hands and feet. Recently, in the past few days, I have started to experience muscle twitches in both legs. I have seen a primary care physician and a neurologist. Also, I have had numerous laboratory tests and they were all normal. My electrolytes are good, no vitamin deficiency, liver and kidney function are good, thyroid good, no rheumatoid arthritis, no muscle wasting and I seemed to pass the in-office neurological examination. I feel like my electrical system has been misfiring for weeks. Every day, it is something different. In the past few months, I guess the good news (I think) is that the pain is less. But, what concerns me is that this is not stopping and now my legs are twitching. My neurologist seems to think this is all because I stopped Seroquel suddenly. In a sense, this is somewhat relieving. But, at the same time, I have not been able to find any other reports of similar withdrawal symptoms. I did not have any of the common withdrawal symptoms. My two main concerns are will this ever permanently stop? What happens if it continues to progress? Lastly, what else do I need to do to rule out the diagnoses? I am a very active and healthy 43 year old woman. I am not on any regular medication. I tend to agree with the neurologist's theory as the symptoms coincided with the termination of Seroquel. Aside from what I am experiencing now, the sickest I have ever been is when I had pneumonia. Please help me. | Hi. We are here to help you. For further information consult a neurologist online --> | Patient: Hi doctor, I was on 600 to 900 mg of Seroquel for at least 5 years. I contacted my psychiatrist about stopping the medication when I realized it had been prescribed for a condition that I do not have. My doctor was not open to this conversation and I unwisely decided to stop the medicine on my own. I did a fair amount of research prior to my titration and even went so far as to map out my titration schedule on a calendar. My main withdrawal concerns were anxiety, rapid heartbeat and insomnia. After a few days of titration when I realized I was not having any withdrawal effects I basically stopped cold turkey. About two weeks later, I experienced a weird cramping sensation in my hand. Based upon my rigorous physical activity, I assumed that I was dehydrated. The symptoms persisted for a few days and I decided to see a doctor. My laboratory reports ruled out an electrolyte imbalance, but I decided to start daily calcium and a multivitamin regimen at the recommendation of the doctor. Then, my symptoms have gotten out of control. I have had burning, pins and needles, tingling, numbness and cramping in both hands and feet. Recently, in the past few days, I have started to experience muscle twitches in both legs. I have seen a primary care physician and a neurologist. Also, I have had numerous laboratory tests and they were all normal. My electrolytes are good, no vitamin deficiency, liver and kidney function are good, thyroid good, no rheumatoid arthritis, no muscle wasting and I seemed to pass the in-office neurological examination. I feel like my electrical system has been misfiring for weeks. Every day, it is something different. In the past few months, I guess the good news (I think) is that the pain is less. But, what concerns me is that this is not stopping and now my legs are twitching. My neurologist seems to think this is all because I stopped Seroquel suddenly. In a sense, this is somewhat relieving. But, at the same time, I have not been able to find any other reports of similar withdrawal symptoms. I did not have any of the common withdrawal symptoms. My two main concerns are will this ever permanently stop? What happens if it continues to progress? Lastly, what else do I need to do to rule out the diagnoses? I am a very active and healthy 43 year old woman. I am not on any regular medication. I tend to agree with the neurologist's theory as the symptoms coincided with the termination of Seroquel. Aside from what I am experiencing now, the sickest I have ever been is when I had pneumonia. Please help me. || Doctor: Hi. We are here to help you. For further information consult a neurologist online --> | patient: hi doctor, i was on 600 to 900 mg of seroquel for at least 5 years. i contacted my psychiatrist about stopping the medication when i realized it had been prescribed for a condition that i do not have. my doctor was not open to this conversation and i unwisely decided to stop the medicine on my own. i did a fair amount of research prior to my titration and even went so far as to map out my titration schedule on a calendar. my main withdrawal concerns were anxiety, rapid heartbeat and insomnia. after a few days of titration when i realized i was not having any withdrawal effects i basically stopped cold turkey. about two weeks later, i experienced a weird cramping sensation in my hand. based upon my rigorous physical activity, i assumed that i was dehydrated. the symptoms persisted for a few days and i decided to see a doctor. my laboratory reports ruled out an electrolyte imbalance, but i decided to start daily calcium and a multivitamin regimen at the recommendation of the doctor. then, my symptoms have gotten out of control. i have had burning, pins and needles, tingling, numbness and cramping in both hands and feet. recently, in the past few days, i have started to experience muscle twitches in both legs. i have seen a primary care physician and a neurologist. also, i have had numerous laboratory tests and they were all normal. my electrolytes are good, no vitamin deficiency, liver and kidney function are good, thyroid good, no rheumatoid arthritis, no muscle wasting and i seemed to pass the in-office neurological examination. i feel like my electrical system has been misfiring for weeks. every day, it is something different. in the past few months, i guess the good news (i think) is that the pain is less. but, what concerns me is that this is not stopping and now my legs are twitching. my neurologist seems to think this is all because i stopped seroquel suddenly. in a sense, this is somewhat relieving. but, at the same time, i have not been able to find any other reports of similar withdrawal symptoms. i did not have any of the common withdrawal symptoms. my two main concerns are will this ever permanently stop? what happens if it continues to progress? lastly, what else do i need to do to rule out the diagnoses? i am a very active and healthy 43 year old woman. i am not on any regular medication. i tend to agree with the neurologist's theory as the symptoms coincided with the termination of seroquel. aside from what i am experiencing now, the sickest i have ever been is when i had pneumonia. please help me. || doctor: hi. we are here to help you. for further information consult a neurologist online --> |
10,434 | Q. I have eye pain, cluster headache, and allergy to light. Please help. | Hello doctor, I am having burning eye pain with a cluster headache which usually increases in the afternoon and keep increasing until bedtime. Tightly tying a cloth around my head and eyes covered gives relief. There is a severe allergy to light. Darkness is preferred during the attack. Please help. | Hello. You are most likely suffering from a migraine headache. Eye pain is part of the migraine complex. If you have these episodes you are advised a detailed consultation online or offline with a neurologist. Some initial steps that may help are: For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I am having burning eye pain with a cluster headache which usually increases in the afternoon and keep increasing until bedtime. Tightly tying a cloth around my head and eyes covered gives relief. There is a severe allergy to light. Darkness is preferred during the attack. Please help. || Doctor: Hello. You are most likely suffering from a migraine headache. Eye pain is part of the migraine complex. If you have these episodes you are advised a detailed consultation online or offline with a neurologist. Some initial steps that may help are: For more information consult an eye care ophthalmologist online --> | patient: hello doctor, i am having burning eye pain with a cluster headache which usually increases in the afternoon and keep increasing until bedtime. tightly tying a cloth around my head and eyes covered gives relief. there is a severe allergy to light. darkness is preferred during the attack. please help. || doctor: hello. you are most likely suffering from a migraine headache. eye pain is part of the migraine complex. if you have these episodes you are advised a detailed consultation online or offline with a neurologist. some initial steps that may help are: for more information consult an eye care ophthalmologist online --> |
10,435 | Q. My father is in coma. Tracheostomy has been done. Is it safe to remove tracheostomy at this stage? | Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage? | Hi. Consult a criticalcare physician online for further help --> | Patient: Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage? || Doctor: Hi. Consult a criticalcare physician online for further help --> | patient: hello doctor, my father is in coma. tracheostomy has been done. he is off the ventilator, but has coughing problems. his gcs is 7. is it safe to remove tracheostomy at this stage? || doctor: hi. consult a criticalcare physician online for further help --> |
10,436 | Q. I have flu from a couple of weeks. Please help. | Hi doctor, I am a 64 year old male, and I weight 80 kg, and my height is 1.62 m. I have this terrible flu from the last couple of weeks. I had three courses of antibiotic Clarithromycin for three days only, and I think that is the reason that the virus became stronger. I was also given two pills of Erythromycin, four times a day and finally Doxycycline, four pills for the first time, which I vomited while going home. I took two Doxycycline pills in that evening, two pills after 12 hours and then two pills once a day at the same time. I felt better after the last antibiotic for 3 to 4 days, but now I feel awful. I am either shivering badly or feeling very hot, and my mucus is currently light yellow in color. I did wake up five times last night feeling terrible. I tried washing my sinuses with a sinus rinse and had ginger tea. I feel very weak and unwell and desperate to get better. What to do? I am sick from a long time, and I have lost hope. It was categorically a chest infection from the beginning. 10 days back, I got my blood, lungs, and blood pressure tested, which were all normal. I have never felt so sick. Your advice in this matter will be greatly appreciated. I am desperately waiting for an answer from you. Best wishes. | Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online --> | Patient: Hi doctor, I am a 64 year old male, and I weight 80 kg, and my height is 1.62 m. I have this terrible flu from the last couple of weeks. I had three courses of antibiotic Clarithromycin for three days only, and I think that is the reason that the virus became stronger. I was also given two pills of Erythromycin, four times a day and finally Doxycycline, four pills for the first time, which I vomited while going home. I took two Doxycycline pills in that evening, two pills after 12 hours and then two pills once a day at the same time. I felt better after the last antibiotic for 3 to 4 days, but now I feel awful. I am either shivering badly or feeling very hot, and my mucus is currently light yellow in color. I did wake up five times last night feeling terrible. I tried washing my sinuses with a sinus rinse and had ginger tea. I feel very weak and unwell and desperate to get better. What to do? I am sick from a long time, and I have lost hope. It was categorically a chest infection from the beginning. 10 days back, I got my blood, lungs, and blood pressure tested, which were all normal. I have never felt so sick. Your advice in this matter will be greatly appreciated. I am desperately waiting for an answer from you. Best wishes. || Doctor: Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online --> | patient: hi doctor, i am a 64 year old male, and i weight 80 kg, and my height is 1.62 m. i have this terrible flu from the last couple of weeks. i had three courses of antibiotic clarithromycin for three days only, and i think that is the reason that the virus became stronger. i was also given two pills of erythromycin, four times a day and finally doxycycline, four pills for the first time, which i vomited while going home. i took two doxycycline pills in that evening, two pills after 12 hours and then two pills once a day at the same time. i felt better after the last antibiotic for 3 to 4 days, but now i feel awful. i am either shivering badly or feeling very hot, and my mucus is currently light yellow in color. i did wake up five times last night feeling terrible. i tried washing my sinuses with a sinus rinse and had ginger tea. i feel very weak and unwell and desperate to get better. what to do? i am sick from a long time, and i have lost hope. it was categorically a chest infection from the beginning. 10 days back, i got my blood, lungs, and blood pressure tested, which were all normal. i have never felt so sick. your advice in this matter will be greatly appreciated. i am desperately waiting for an answer from you. best wishes. || doctor: hi. i hope it helps you. if you have any further query, please ask me. for further queries consult an internal medicine physician online --> |
10,437 | Q. I pee frequently,my stool is green in colour and pubic area is also itching. Please help. | Hello doctor, I am an 18 year old girl. Sometimes, I pee frequently in a day but do not feel any pain or burning sensation. Besides this, my stool is light green in colour. I feel scared when I see the colour of the stool everytime in the toilet bowl. My pubic area is also itching sometimes. Currently, I am taking oxytrol. Other symptoms that I have are dry skin and dry lips. Please help. | Hello. If you can answer my questions I can help you better: I would advise you to do a Complete Blood Count test (CBC). Drink plenty of water and apple juice. Eat light food. Revert back to me with the said details, I will guide you further. | Patient: Hello doctor, I am an 18 year old girl. Sometimes, I pee frequently in a day but do not feel any pain or burning sensation. Besides this, my stool is light green in colour. I feel scared when I see the colour of the stool everytime in the toilet bowl. My pubic area is also itching sometimes. Currently, I am taking oxytrol. Other symptoms that I have are dry skin and dry lips. Please help. || Doctor: Hello. If you can answer my questions I can help you better: I would advise you to do a Complete Blood Count test (CBC). Drink plenty of water and apple juice. Eat light food. Revert back to me with the said details, I will guide you further. | patient: hello doctor, i am an 18 year old girl. sometimes, i pee frequently in a day but do not feel any pain or burning sensation. besides this, my stool is light green in colour. i feel scared when i see the colour of the stool everytime in the toilet bowl. my pubic area is also itching sometimes. currently, i am taking oxytrol. other symptoms that i have are dry skin and dry lips. please help. || doctor: hello. if you can answer my questions i can help you better: i would advise you to do a complete blood count test (cbc). drink plenty of water and apple juice. eat light food. revert back to me with the said details, i will guide you further. |
10,438 | 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 --> |
10,439 | 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 --> |
10,440 | 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.---> |
10,441 | 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 --> |
10,442 | 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 --> |
10,443 | Q. What are the ways to lighten a dark skin tone without damaging it? | Hi doctor, I just wanted to find out is it possible to lighten a dark skin tone without damaging it? If so could this be done at home or at a dermatologist? Would you recommend a teenager getting it? When I was younger I had a light skin tone but due to alot of swimming and sun exposure I damaged it and got dark, is it possible to get the same skin tone I had? I am a female, 18. | Hi. Skin color is genetic. Amount of sun exposure can increase or decrease it, as per your genetic constitution of skin melanocytes the dark pigment producing cells. Dark skin is healthy as it prevents its bearer the side effects of sun exposure thus lesser chances of dreaded skin cancers and delayed skin ageing. Still ignorant people think white skin is better and a false psychological cosmetic superiority is associated with it. This is fostered by fairness cosmetic industry to promote their interests.White skin need additional sunscreen protection to prevent aging and cancers but for those who still need fairer skin can avoid sunlight as much as possible and also sunscreen then the melanocytes in their skin will produce less dark pigment and thus fairer skin. So you can avoid sun exposure and use regular sunscreen that much is best non harmful way to be so called fairer. | Patient: Hi doctor, I just wanted to find out is it possible to lighten a dark skin tone without damaging it? If so could this be done at home or at a dermatologist? Would you recommend a teenager getting it? When I was younger I had a light skin tone but due to alot of swimming and sun exposure I damaged it and got dark, is it possible to get the same skin tone I had? I am a female, 18. || Doctor: Hi. Skin color is genetic. Amount of sun exposure can increase or decrease it, as per your genetic constitution of skin melanocytes the dark pigment producing cells. Dark skin is healthy as it prevents its bearer the side effects of sun exposure thus lesser chances of dreaded skin cancers and delayed skin ageing. Still ignorant people think white skin is better and a false psychological cosmetic superiority is associated with it. This is fostered by fairness cosmetic industry to promote their interests.White skin need additional sunscreen protection to prevent aging and cancers but for those who still need fairer skin can avoid sunlight as much as possible and also sunscreen then the melanocytes in their skin will produce less dark pigment and thus fairer skin. So you can avoid sun exposure and use regular sunscreen that much is best non harmful way to be so called fairer. | patient: hi doctor, i just wanted to find out is it possible to lighten a dark skin tone without damaging it? if so could this be done at home or at a dermatologist? would you recommend a teenager getting it? when i was younger i had a light skin tone but due to alot of swimming and sun exposure i damaged it and got dark, is it possible to get the same skin tone i had? i am a female, 18. || doctor: hi. skin color is genetic. amount of sun exposure can increase or decrease it, as per your genetic constitution of skin melanocytes the dark pigment producing cells. dark skin is healthy as it prevents its bearer the side effects of sun exposure thus lesser chances of dreaded skin cancers and delayed skin ageing. still ignorant people think white skin is better and a false psychological cosmetic superiority is associated with it. this is fostered by fairness cosmetic industry to promote their interests.white skin need additional sunscreen protection to prevent aging and cancers but for those who still need fairer skin can avoid sunlight as much as possible and also sunscreen then the melanocytes in their skin will produce less dark pigment and thus fairer skin. so you can avoid sun exposure and use regular sunscreen that much is best non harmful way to be so called fairer. |
10,444 | Q. I have a throbbing headache on the left side. Kindly help. | Hi doctor, I have been having a throbbing pressure pain on the left side of my head for three days now. It is between my upper ear and temple and going about an inch up my head. | Hi. For further doubts consult an internal medicine physician online --> | Patient: Hi doctor, I have been having a throbbing pressure pain on the left side of my head for three days now. It is between my upper ear and temple and going about an inch up my head. || Doctor: Hi. For further doubts consult an internal medicine physician online --> | patient: hi doctor, i have been having a throbbing pressure pain on the left side of my head for three days now. it is between my upper ear and temple and going about an inch up my head. || doctor: hi. for further doubts consult an internal medicine physician online --> |
10,445 | Q. What are the consequences of water breaking at 31 weeks of pregnancy? | Hello doctor, I am 31 weeks pregnant. I have a history of previous C-section. Now, the water broke out and I have been administered with steroids, Tocolytics and IV antibiotics. Then, my MFM admitted me to the hospital. However, the doctor has not decided to perform C-section even with period like bleeding and contractions every three minutes for almost four hours straight. I am curious as to know why they are not performing a C-section. I am very concerned that the risk of staying pregnant is outweighing the benefit. Kindly give your opinion. | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 31 weeks pregnant. I have a history of previous C-section. Now, the water broke out and I have been administered with steroids, Tocolytics and IV antibiotics. Then, my MFM admitted me to the hospital. However, the doctor has not decided to perform C-section even with period like bleeding and contractions every three minutes for almost four hours straight. I am curious as to know why they are not performing a C-section. I am very concerned that the risk of staying pregnant is outweighing the benefit. Kindly give your opinion. || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 31 weeks pregnant. i have a history of previous c-section. now, the water broke out and i have been administered with steroids, tocolytics and iv antibiotics. then, my mfm admitted me to the hospital. however, the doctor has not decided to perform c-section even with period like bleeding and contractions every three minutes for almost four hours straight. i am curious as to know why they are not performing a c-section. i am very concerned that the risk of staying pregnant is outweighing the benefit. kindly give your opinion. || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
10,446 | Q. Why has platelet count gone down after CABG? | Hi doctor, My father underwent CABG before six months. Till then he was on Clopilet alone. His platelet would remain 150000. After CABG, he has been put on Ecosprin and after that his platelets remain 110000 to 140000. Is that fine? He has no other complaints. Is there something we can do to improve his platelet count? He had stroke and also underwent chemotherapy for NHL before four years. I have attached the list of medicines he is currently taking. I have attached his CBC report for your reference. Why platelet count went down after CABG? | Hi. Based on our query, my opinion is as follows: For further information consult a hematologist online --> | Patient: Hi doctor, My father underwent CABG before six months. Till then he was on Clopilet alone. His platelet would remain 150000. After CABG, he has been put on Ecosprin and after that his platelets remain 110000 to 140000. Is that fine? He has no other complaints. Is there something we can do to improve his platelet count? He had stroke and also underwent chemotherapy for NHL before four years. I have attached the list of medicines he is currently taking. I have attached his CBC report for your reference. Why platelet count went down after CABG? || Doctor: Hi. Based on our query, my opinion is as follows: For further information consult a hematologist online --> | patient: hi doctor, my father underwent cabg before six months. till then he was on clopilet alone. his platelet would remain 150000. after cabg, he has been put on ecosprin and after that his platelets remain 110000 to 140000. is that fine? he has no other complaints. is there something we can do to improve his platelet count? he had stroke and also underwent chemotherapy for nhl before four years. i have attached the list of medicines he is currently taking. i have attached his cbc report for your reference. why platelet count went down after cabg? || doctor: hi. based on our query, my opinion is as follows: for further information consult a hematologist online --> |
10,447 | Q. How to reduce my hair fall and improve my hair growth? | Hi doctor, I am 30 years old. I have hair fall, hair loss, and tangled hair. I use coconut oil for my hair. | Hi. Take capsule Bhringraj (Eclipta alba) two capsules two times a day with water after food for one month. Take capsule Asthiposhak (Asthisamhurta with Amalaki) two capsules two times a day with water after food for one month. These both will help you for hair fall and hair loss. Use Mahabhringraj oil (Eclipta alba with Sesame oil) and apply it over your scalp through gentle massage two to three times a week. Apply curd over your scalp for two times in a week for half an hour and then wash it away with mild herbal shampoo. Try all these things regularly, and you will feel better results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby Ayurveda physician. | Patient: Hi doctor, I am 30 years old. I have hair fall, hair loss, and tangled hair. I use coconut oil for my hair. || Doctor: Hi. Take capsule Bhringraj (Eclipta alba) two capsules two times a day with water after food for one month. Take capsule Asthiposhak (Asthisamhurta with Amalaki) two capsules two times a day with water after food for one month. These both will help you for hair fall and hair loss. Use Mahabhringraj oil (Eclipta alba with Sesame oil) and apply it over your scalp through gentle massage two to three times a week. Apply curd over your scalp for two times in a week for half an hour and then wash it away with mild herbal shampoo. Try all these things regularly, and you will feel better results within a month. Consult me after one month regarding improvement and for further management or you can consult a nearby Ayurveda physician. | patient: hi doctor, i am 30 years old. i have hair fall, hair loss, and tangled hair. i use coconut oil for my hair. || doctor: hi. take capsule bhringraj (eclipta alba) two capsules two times a day with water after food for one month. take capsule asthiposhak (asthisamhurta with amalaki) two capsules two times a day with water after food for one month. these both will help you for hair fall and hair loss. use mahabhringraj oil (eclipta alba with sesame oil) and apply it over your scalp through gentle massage two to three times a week. apply curd over your scalp for two times in a week for half an hour and then wash it away with mild herbal shampoo. try all these things regularly, and you will feel better results within a month. consult me after one month regarding improvement and for further management or you can consult a nearby ayurveda physician. |
10,448 | Q. Please suggest the best treatment for baldness. | Hello doctor, I am a 36 year old single male. I have severe hair fall and I feel that I am going bald. You can see in the attached pictures. Around two years back, hair fall started and the volume reduced to half of my original hair. Now, I feel almost all hair has gone. I am taking antidepressant medicines Daxid 200 mg, Maxmala 50 mg and Olanzapine 2.5 for the last 10 to 12 years of stress, anxiety and eating disorder problem. I have male baldness pattern. My father and grandfather got bald at age of 35 and I feel that baldness is in my gene. I have used Minoxidil 5% for approximately seven months, but did not find any good results. So, I stopped taking it before three months. Now every day about 100 hairs are falling and crown, forehead, upper and middle head has become completely bald. I took multivitamin, Biotin and Androanagen tablets for a few months, but had no use. Please suggest me some ways to save the existing hair. Also, suggest me some fast method of therapies to regrow hair as I am looking for a life partner. Please suggest treatments without side effects. | Hi. For further information consult a dermatologist online --> | Patient: Hello doctor, I am a 36 year old single male. I have severe hair fall and I feel that I am going bald. You can see in the attached pictures. Around two years back, hair fall started and the volume reduced to half of my original hair. Now, I feel almost all hair has gone. I am taking antidepressant medicines Daxid 200 mg, Maxmala 50 mg and Olanzapine 2.5 for the last 10 to 12 years of stress, anxiety and eating disorder problem. I have male baldness pattern. My father and grandfather got bald at age of 35 and I feel that baldness is in my gene. I have used Minoxidil 5% for approximately seven months, but did not find any good results. So, I stopped taking it before three months. Now every day about 100 hairs are falling and crown, forehead, upper and middle head has become completely bald. I took multivitamin, Biotin and Androanagen tablets for a few months, but had no use. Please suggest me some ways to save the existing hair. Also, suggest me some fast method of therapies to regrow hair as I am looking for a life partner. Please suggest treatments without side effects. || Doctor: Hi. For further information consult a dermatologist online --> | patient: hello doctor, i am a 36 year old single male. i have severe hair fall and i feel that i am going bald. you can see in the attached pictures. around two years back, hair fall started and the volume reduced to half of my original hair. now, i feel almost all hair has gone. i am taking antidepressant medicines daxid 200 mg, maxmala 50 mg and olanzapine 2.5 for the last 10 to 12 years of stress, anxiety and eating disorder problem. i have male baldness pattern. my father and grandfather got bald at age of 35 and i feel that baldness is in my gene. i have used minoxidil 5% for approximately seven months, but did not find any good results. so, i stopped taking it before three months. now every day about 100 hairs are falling and crown, forehead, upper and middle head has become completely bald. i took multivitamin, biotin and androanagen tablets for a few months, but had no use. please suggest me some ways to save the existing hair. also, suggest me some fast method of therapies to regrow hair as i am looking for a life partner. please suggest treatments without side effects. || doctor: hi. for further information consult a dermatologist online --> |
10,449 | Q. Will I get cancer as a result of CT scan? | Hi doctor, I am a 50 year old male. My height is 5'11" and weight is 170 lbs. I do not have any major health issue, but my brother and mother had recently come down with leukemia. Recently had a CT scan of the abdomen and pelvis repeated with and without contrast material. Before four years, I also had three CT scans due to kidney stones. I had one CT scan in my age of 12 or 13 for chest. I am walking around all day thinking that will I get cancer as a result of the CT scan that I had. I am very upset with what had taken place. Furthermore, I searched in internet and it is more scarier to look at the dose levels and the corresponding moderate risk equal to just one CT scan. If just one scan is equal to moderate risk, then what about the total risk of all the scans that I have had? Some additional information that I obtained regarding the scans are, the recent scan is 87 DLP which is equal to 14 milligray. Two scans in three years are 564 DLP and 785 DLP respectively. I do not know the dose of the scans taken for kidney and chest. Well, I hope to hear from you soon and I hope that my question and concerns are clear for a good answer. Thank you very much. | Hi. For further information consult a radiologist online --> | Patient: Hi doctor, I am a 50 year old male. My height is 5'11" and weight is 170 lbs. I do not have any major health issue, but my brother and mother had recently come down with leukemia. Recently had a CT scan of the abdomen and pelvis repeated with and without contrast material. Before four years, I also had three CT scans due to kidney stones. I had one CT scan in my age of 12 or 13 for chest. I am walking around all day thinking that will I get cancer as a result of the CT scan that I had. I am very upset with what had taken place. Furthermore, I searched in internet and it is more scarier to look at the dose levels and the corresponding moderate risk equal to just one CT scan. If just one scan is equal to moderate risk, then what about the total risk of all the scans that I have had? Some additional information that I obtained regarding the scans are, the recent scan is 87 DLP which is equal to 14 milligray. Two scans in three years are 564 DLP and 785 DLP respectively. I do not know the dose of the scans taken for kidney and chest. Well, I hope to hear from you soon and I hope that my question and concerns are clear for a good answer. Thank you very much. || Doctor: Hi. For further information consult a radiologist online --> | patient: hi doctor, i am a 50 year old male. my height is 5'11" and weight is 170 lbs. i do not have any major health issue, but my brother and mother had recently come down with leukemia. recently had a ct scan of the abdomen and pelvis repeated with and without contrast material. before four years, i also had three ct scans due to kidney stones. i had one ct scan in my age of 12 or 13 for chest. i am walking around all day thinking that will i get cancer as a result of the ct scan that i had. i am very upset with what had taken place. furthermore, i searched in internet and it is more scarier to look at the dose levels and the corresponding moderate risk equal to just one ct scan. if just one scan is equal to moderate risk, then what about the total risk of all the scans that i have had? some additional information that i obtained regarding the scans are, the recent scan is 87 dlp which is equal to 14 milligray. two scans in three years are 564 dlp and 785 dlp respectively. i do not know the dose of the scans taken for kidney and chest. well, i hope to hear from you soon and i hope that my question and concerns are clear for a good answer. thank you very much. || doctor: hi. for further information consult a radiologist online --> |
10,450 | Q. There was blood coming out of my nostril after workout. Should I get it checked? | Hello doctor,I am a 23 year old male. I have started to workout recently. Today, after workout and cardio when I was taking a shower I saw blood coming out of my right nostril. The blood stopped immediately but there was bleeding from my right nostril for a few seconds. I have experienced this for the first time in my life. Should I get it checked? Please help. | Hello. Bleeding from nostrils is one of the common conditions encountered in our daily practice. The most common cause in young population is dryness in the nose and nose crusts from nose picking. The other possible causes include: Please provide me with more details in order to reach the appropriate diagnosis: I suggest: For more information consult an internal medicine physician online --> | Patient: Hello doctor,I am a 23 year old male. I have started to workout recently. Today, after workout and cardio when I was taking a shower I saw blood coming out of my right nostril. The blood stopped immediately but there was bleeding from my right nostril for a few seconds. I have experienced this for the first time in my life. Should I get it checked? Please help. || Doctor: Hello. Bleeding from nostrils is one of the common conditions encountered in our daily practice. The most common cause in young population is dryness in the nose and nose crusts from nose picking. The other possible causes include: Please provide me with more details in order to reach the appropriate diagnosis: I suggest: For more information consult an internal medicine physician online --> | patient: hello doctor,i am a 23 year old male. i have started to workout recently. today, after workout and cardio when i was taking a shower i saw blood coming out of my right nostril. the blood stopped immediately but there was bleeding from my right nostril for a few seconds. i have experienced this for the first time in my life. should i get it checked? please help. || doctor: hello. bleeding from nostrils is one of the common conditions encountered in our daily practice. the most common cause in young population is dryness in the nose and nose crusts from nose picking. the other possible causes include: please provide me with more details in order to reach the appropriate diagnosis: i suggest: for more information consult an internal medicine physician online --> |
10,451 | Q. White patches seen on cheeks of 9 month old boy. What could it be due to? | Hi doctor, White patches are found on the cheeks of 9 months old baby boy. And also, there are some white patches near the eyes. What is that? | Hi. It is very common in children. It is due to calcium deficiency. I suggest giving a calcium supplement like Calcium Sandoz tablet to the child. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For further information consult a dermatologist online --> | Patient: Hi doctor, White patches are found on the cheeks of 9 months old baby boy. And also, there are some white patches near the eyes. What is that? || Doctor: Hi. It is very common in children. It is due to calcium deficiency. I suggest giving a calcium supplement like Calcium Sandoz tablet to the child. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For further information consult a dermatologist online --> | patient: hi doctor, white patches are found on the cheeks of 9 months old baby boy. and also, there are some white patches near the eyes. what is that? || doctor: hi. it is very common in children. it is due to calcium deficiency. i suggest giving a calcium supplement like calcium sandoz tablet to the child. consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. for further information consult a dermatologist online --> |
10,452 | Q. What does my daughter's blood report suggest? | Hello doctor, Our daughter aged 3 years 3 months has been frequently sick in her life. She was even hospitalized thrice and was on drips for stomach related diseases. Most often, her illnesses are related to stomach issues with symptoms typically including repeated vomiting, diarrhea and sometimes fever. Here in our place, the doctors are quick to prescribe a lot of medicine, often two antibiotics simultaneously. As I was concerned about all the medication that she has been on in the course of her life and about her general health and immunity, we decided to do a blood test the other day. Now, we would like to get some advice from a pediatrician on the results (attached), particularly in relation to her past consumption of medicine. | Hi. I have gone through your query and the reports (attachment removed to protect patient identity). For further information consult a paediatrician online --> | Patient: Hello doctor, Our daughter aged 3 years 3 months has been frequently sick in her life. She was even hospitalized thrice and was on drips for stomach related diseases. Most often, her illnesses are related to stomach issues with symptoms typically including repeated vomiting, diarrhea and sometimes fever. Here in our place, the doctors are quick to prescribe a lot of medicine, often two antibiotics simultaneously. As I was concerned about all the medication that she has been on in the course of her life and about her general health and immunity, we decided to do a blood test the other day. Now, we would like to get some advice from a pediatrician on the results (attached), particularly in relation to her past consumption of medicine. || Doctor: Hi. I have gone through your query and the reports (attachment removed to protect patient identity). For further information consult a paediatrician online --> | patient: hello doctor, our daughter aged 3 years 3 months has been frequently sick in her life. she was even hospitalized thrice and was on drips for stomach related diseases. most often, her illnesses are related to stomach issues with symptoms typically including repeated vomiting, diarrhea and sometimes fever. here in our place, the doctors are quick to prescribe a lot of medicine, often two antibiotics simultaneously. as i was concerned about all the medication that she has been on in the course of her life and about her general health and immunity, we decided to do a blood test the other day. now, we would like to get some advice from a pediatrician on the results (attached), particularly in relation to her past consumption of medicine. || doctor: hi. i have gone through your query and the reports (attachment removed to protect patient identity). for further information consult a paediatrician online --> |
10,453 | Q. Can you see the attached CBC report, and let me know if there is anything serious ? | Hi doctor, My wife's iron and ferritin were low, so the doctor ordered CBC. CBC showed low WBC, high monocytes, and high RBC, which is what made us scared. She has schistocytes and elliptocytes among other RBC morphologies. We read about it and are very worried, and she had a C-section three years back. Her iron is 13 ug/dL, iron binding is 484 ug/dL, iron saturation is 3 %, and ferritin is 3 ng/mL. I have attached her CBC report. Are her reports indicative of something serious? She also has pain between her legs and the pelvic area. She has vitamin D deficiency and vitamin B12 deficiency. She also had iron-deficiency anemia in the past, for which she took Ferrous sulfate. She is currently taking vitamin D and Thyrax medicines. | Hello. I have gone through your wife's reports (attachment removed to protect patient identity). The report shows schistocytes, which are fragmented RBC (red blood cell), commonly seen in hemolytic anemia. So, to rule out hemolysis, serum LDH (lactate dehydrogenase), reticulocyte count, and serum bilirubin should be tested. If hemoglobinopathy is suspected, then HPLC (high-performance liquid chromatography) can be done. As there is a history of iron-deficiency anemia (IDA), which decreases the iron level and increases TIBC (total iron binding capacity). So, treatment for IDA should be started with iron tablets like Ferrous sulfate or iron injections. Her monocyte count is slightly elevated, but absolute monocyte count is more important which is within the normal limits. Total WBC count is low, which can be due to any drug, infections like tuberculosis, typhoid, parvovirus B19, temporary infection, EBV (Epstein-Barr) virus infection, etc. Hence for that clinical examination and correlation has to be done. But in smear, no abnormal cells are seen, so there is nothing alarmingly wrong. Continue treatment for iron-deficiency anemia. Repeat peripheral smear after ten to twenty days and follow-up. Revert after twenty days to a hematologist online --> | Patient: Hi doctor, My wife's iron and ferritin were low, so the doctor ordered CBC. CBC showed low WBC, high monocytes, and high RBC, which is what made us scared. She has schistocytes and elliptocytes among other RBC morphologies. We read about it and are very worried, and she had a C-section three years back. Her iron is 13 ug/dL, iron binding is 484 ug/dL, iron saturation is 3 %, and ferritin is 3 ng/mL. I have attached her CBC report. Are her reports indicative of something serious? She also has pain between her legs and the pelvic area. She has vitamin D deficiency and vitamin B12 deficiency. She also had iron-deficiency anemia in the past, for which she took Ferrous sulfate. She is currently taking vitamin D and Thyrax medicines. || Doctor: Hello. I have gone through your wife's reports (attachment removed to protect patient identity). The report shows schistocytes, which are fragmented RBC (red blood cell), commonly seen in hemolytic anemia. So, to rule out hemolysis, serum LDH (lactate dehydrogenase), reticulocyte count, and serum bilirubin should be tested. If hemoglobinopathy is suspected, then HPLC (high-performance liquid chromatography) can be done. As there is a history of iron-deficiency anemia (IDA), which decreases the iron level and increases TIBC (total iron binding capacity). So, treatment for IDA should be started with iron tablets like Ferrous sulfate or iron injections. Her monocyte count is slightly elevated, but absolute monocyte count is more important which is within the normal limits. Total WBC count is low, which can be due to any drug, infections like tuberculosis, typhoid, parvovirus B19, temporary infection, EBV (Epstein-Barr) virus infection, etc. Hence for that clinical examination and correlation has to be done. But in smear, no abnormal cells are seen, so there is nothing alarmingly wrong. Continue treatment for iron-deficiency anemia. Repeat peripheral smear after ten to twenty days and follow-up. Revert after twenty days to a hematologist online --> | patient: hi doctor, my wife's iron and ferritin were low, so the doctor ordered cbc. cbc showed low wbc, high monocytes, and high rbc, which is what made us scared. she has schistocytes and elliptocytes among other rbc morphologies. we read about it and are very worried, and she had a c-section three years back. her iron is 13 ug/dl, iron binding is 484 ug/dl, iron saturation is 3 %, and ferritin is 3 ng/ml. i have attached her cbc report. are her reports indicative of something serious? she also has pain between her legs and the pelvic area. she has vitamin d deficiency and vitamin b12 deficiency. she also had iron-deficiency anemia in the past, for which she took ferrous sulfate. she is currently taking vitamin d and thyrax medicines. || doctor: hello. i have gone through your wife's reports (attachment removed to protect patient identity). the report shows schistocytes, which are fragmented rbc (red blood cell), commonly seen in hemolytic anemia. so, to rule out hemolysis, serum ldh (lactate dehydrogenase), reticulocyte count, and serum bilirubin should be tested. if hemoglobinopathy is suspected, then hplc (high-performance liquid chromatography) can be done. as there is a history of iron-deficiency anemia (ida), which decreases the iron level and increases tibc (total iron binding capacity). so, treatment for ida should be started with iron tablets like ferrous sulfate or iron injections. her monocyte count is slightly elevated, but absolute monocyte count is more important which is within the normal limits. total wbc count is low, which can be due to any drug, infections like tuberculosis, typhoid, parvovirus b19, temporary infection, ebv (epstein-barr) virus infection, etc. hence for that clinical examination and correlation has to be done. but in smear, no abnormal cells are seen, so there is nothing alarmingly wrong. continue treatment for iron-deficiency anemia. repeat peripheral smear after ten to twenty days and follow-up. revert after twenty days to a hematologist online --> |
10,454 | Q. What causes ringing sensation in ear? | Hello doctor, I have experienced ringing in my right ear 3 days ago and it has not stopped since then. It is not that loud and I do not hear it when the environment is noisy. It is really bothering and stressing me out and I do not know what to do. I wanted to have this checked but it is just so hard to get an appointment and go out right now given the covid situation. Please help me understand this. Thank you. | Hi. Taking your age into account I would like to recommend you not to use earphones or listen to very loud music, avoid caffeinated drinks like tea, coffee, alcohol, if any. Sleep completely, do not take stress. Please mention which type of sound you are perceiving, tone type or noise type. Use resound relief app (android/iOS) on speaker with moderate sound during silence, because the inside sound must be bothering you during silence and sleep. This is called tinnitus that you are suffering from, most probably with these practice it will go away, please after this situation goes normal go for puretone audiometry test and immitance audiometry test along with otoscopy. | Patient: Hello doctor, I have experienced ringing in my right ear 3 days ago and it has not stopped since then. It is not that loud and I do not hear it when the environment is noisy. It is really bothering and stressing me out and I do not know what to do. I wanted to have this checked but it is just so hard to get an appointment and go out right now given the covid situation. Please help me understand this. Thank you. || Doctor: Hi. Taking your age into account I would like to recommend you not to use earphones or listen to very loud music, avoid caffeinated drinks like tea, coffee, alcohol, if any. Sleep completely, do not take stress. Please mention which type of sound you are perceiving, tone type or noise type. Use resound relief app (android/iOS) on speaker with moderate sound during silence, because the inside sound must be bothering you during silence and sleep. This is called tinnitus that you are suffering from, most probably with these practice it will go away, please after this situation goes normal go for puretone audiometry test and immitance audiometry test along with otoscopy. | patient: hello doctor, i have experienced ringing in my right ear 3 days ago and it has not stopped since then. it is not that loud and i do not hear it when the environment is noisy. it is really bothering and stressing me out and i do not know what to do. i wanted to have this checked but it is just so hard to get an appointment and go out right now given the covid situation. please help me understand this. thank you. || doctor: hi. taking your age into account i would like to recommend you not to use earphones or listen to very loud music, avoid caffeinated drinks like tea, coffee, alcohol, if any. sleep completely, do not take stress. please mention which type of sound you are perceiving, tone type or noise type. use resound relief app (android/ios) on speaker with moderate sound during silence, because the inside sound must be bothering you during silence and sleep. this is called tinnitus that you are suffering from, most probably with these practice it will go away, please after this situation goes normal go for puretone audiometry test and immitance audiometry test along with otoscopy. |
10,455 | 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 --> |
10,456 | 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 --> |
10,457 | 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.---> |
10,458 | 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 --> |
10,459 | 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 --> |
10,460 | Q. What can be done for tooth pain because of broken tooth? | Hello doctor, I am having a lot of pain on my upper right side with a broken tooth. The pain is going up in my face to my head. Could you tell me what I can do? I have been taking Tylenol for pain. | Hi. You need not worry. Your chief complaint suggests pain in the upper right back region which is due to a carious tooth (attachment removed to protect patient identity). So as far your emergency is concerned, you are advised to use following medications: Amoxicillin-Clavulanic acid 625 mg TDS for five days, tablet Zerodol SP (Aceclofenac 100 mg plus Paracetamol 325 mg + Serratiopeptidase 15 mg) BD for three days but after food to avoid impact on stomach, take tablet Pantoprazole 40 mg OD for seven days, tablet Ketorolac 10 mg SOS. Place this tablet under tongue it will relieve your pain immediately. This is for emergency treatment. To address this problem properly, I suggest you after taking medication, go to the nearby dentist for restorative procedure or extraction. You are advised to take following precautions to prevent pain like salt gargles twice, do not bite on hard objects or use sugar-rich drinks for next one week. Keep mouth clean and rinse after eating so that food cannot lodge in the broken tooth. | Patient: Hello doctor, I am having a lot of pain on my upper right side with a broken tooth. The pain is going up in my face to my head. Could you tell me what I can do? I have been taking Tylenol for pain. || Doctor: Hi. You need not worry. Your chief complaint suggests pain in the upper right back region which is due to a carious tooth (attachment removed to protect patient identity). So as far your emergency is concerned, you are advised to use following medications: Amoxicillin-Clavulanic acid 625 mg TDS for five days, tablet Zerodol SP (Aceclofenac 100 mg plus Paracetamol 325 mg + Serratiopeptidase 15 mg) BD for three days but after food to avoid impact on stomach, take tablet Pantoprazole 40 mg OD for seven days, tablet Ketorolac 10 mg SOS. Place this tablet under tongue it will relieve your pain immediately. This is for emergency treatment. To address this problem properly, I suggest you after taking medication, go to the nearby dentist for restorative procedure or extraction. You are advised to take following precautions to prevent pain like salt gargles twice, do not bite on hard objects or use sugar-rich drinks for next one week. Keep mouth clean and rinse after eating so that food cannot lodge in the broken tooth. | patient: hello doctor, i am having a lot of pain on my upper right side with a broken tooth. the pain is going up in my face to my head. could you tell me what i can do? i have been taking tylenol for pain. || doctor: hi. you need not worry. your chief complaint suggests pain in the upper right back region which is due to a carious tooth (attachment removed to protect patient identity). so as far your emergency is concerned, you are advised to use following medications: amoxicillin-clavulanic acid 625 mg tds for five days, tablet zerodol sp (aceclofenac 100 mg plus paracetamol 325 mg + serratiopeptidase 15 mg) bd for three days but after food to avoid impact on stomach, take tablet pantoprazole 40 mg od for seven days, tablet ketorolac 10 mg sos. place this tablet under tongue it will relieve your pain immediately. this is for emergency treatment. to address this problem properly, i suggest you after taking medication, go to the nearby dentist for restorative procedure or extraction. you are advised to take following precautions to prevent pain like salt gargles twice, do not bite on hard objects or use sugar-rich drinks for next one week. keep mouth clean and rinse after eating so that food cannot lodge in the broken tooth. |
10,461 | Q. Will the lower teeth touching the veneers on top teeth cause any problem? | Hello doctor,I have composite veneers on both of my front teeth. Sometimes, if I sense my bottom teeth touching the bonded teeth, even lightly while eating or brushing or what have you, I worry that since enamel is stronger than the bonding material, this will somehow alter the bonding. Is this possible? Thank you in advance for your insight. I spent a lot of money on the procedure and want to know what exactly would need to happen as far as my bottom teeth making contact with my top teeth in order to actually alter the appearance. | Hello. As far as normal occlusion or normal bite is concerned, the upper front teeth should not touch the lower front teeth. There should be a gap of at least 1 to 2 mm. But, sometimes when you are eating or trying to make the contact then it is absolutely normal. This way the bonding is not going to get affected. The doctors generally plan the treatment really well before giving the veneers. So, you need not worry about the bonding. Hope you got your answer. Regards. For more information consult a dentist online --> | Patient: Hello doctor,I have composite veneers on both of my front teeth. Sometimes, if I sense my bottom teeth touching the bonded teeth, even lightly while eating or brushing or what have you, I worry that since enamel is stronger than the bonding material, this will somehow alter the bonding. Is this possible? Thank you in advance for your insight. I spent a lot of money on the procedure and want to know what exactly would need to happen as far as my bottom teeth making contact with my top teeth in order to actually alter the appearance. || Doctor: Hello. As far as normal occlusion or normal bite is concerned, the upper front teeth should not touch the lower front teeth. There should be a gap of at least 1 to 2 mm. But, sometimes when you are eating or trying to make the contact then it is absolutely normal. This way the bonding is not going to get affected. The doctors generally plan the treatment really well before giving the veneers. So, you need not worry about the bonding. Hope you got your answer. Regards. For more information consult a dentist online --> | patient: hello doctor,i have composite veneers on both of my front teeth. sometimes, if i sense my bottom teeth touching the bonded teeth, even lightly while eating or brushing or what have you, i worry that since enamel is stronger than the bonding material, this will somehow alter the bonding. is this possible? thank you in advance for your insight. i spent a lot of money on the procedure and want to know what exactly would need to happen as far as my bottom teeth making contact with my top teeth in order to actually alter the appearance. || doctor: hello. as far as normal occlusion or normal bite is concerned, the upper front teeth should not touch the lower front teeth. there should be a gap of at least 1 to 2 mm. but, sometimes when you are eating or trying to make the contact then it is absolutely normal. this way the bonding is not going to get affected. the doctors generally plan the treatment really well before giving the veneers. so, you need not worry about the bonding. hope you got your answer. regards. for more information consult a dentist online --> |
10,462 | Q. My WBC counts are falling down. What is the reason? | Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts recently in the past three months were 3.23 K/mcL, 3.13 K/mcL, 4.50-11.00 K/mcL, respectively. | Hi. I can understand your worries. First, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. Not only it depends on the count, but also on the appearance of the cells that give the diagnosis of myelodysplasia. In your case, none of the absolute values of neutrophils, Hb or platelets qualifies for meeting the threshold criterion for MDS (myelodysplastic syndromes) (attachment removed to protect patient identity). These are called prerequisite criteria and they are Hb less than 110 g/L, neutrophils less than 1.5 g/L and for platelets less than 100 g/L. A glass slide review will also cover if any abnormal cells are present. If there are dysplastic features and abnormal cells present then, a further diagnostic workup is definitely needed. In your case, the prerequisite criteria are not met. If a glass slide has not been reviewed, I suggest to do it once. Secondly, it is important to check for hematinic deficiencies such as vitamin B 12, folic acid, and iron. You have your serum levels of folic acid checked, because you may be deficient, since, the folic acid normally does not have proper stores in the body. Your vitamin B12 is close to the lower limit, which means that there might be a functional deficiency, causing megaloblastic changes in the bone marrow and this may be the reason behind the low neutrophil counts. Consider intake of any medications, that may cause suppression of bone marrow. Non-steroidal anti-inflammatory agents and Paracetamol are the reason behind the low count of neutrophils. I would consider these points before taking diagnostic work up to MDS. For more information consult a hematologist online --> | Patient: Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts recently in the past three months were 3.23 K/mcL, 3.13 K/mcL, 4.50-11.00 K/mcL, respectively. || Doctor: Hi. I can understand your worries. First, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. Not only it depends on the count, but also on the appearance of the cells that give the diagnosis of myelodysplasia. In your case, none of the absolute values of neutrophils, Hb or platelets qualifies for meeting the threshold criterion for MDS (myelodysplastic syndromes) (attachment removed to protect patient identity). These are called prerequisite criteria and they are Hb less than 110 g/L, neutrophils less than 1.5 g/L and for platelets less than 100 g/L. A glass slide review will also cover if any abnormal cells are present. If there are dysplastic features and abnormal cells present then, a further diagnostic workup is definitely needed. In your case, the prerequisite criteria are not met. If a glass slide has not been reviewed, I suggest to do it once. Secondly, it is important to check for hematinic deficiencies such as vitamin B 12, folic acid, and iron. You have your serum levels of folic acid checked, because you may be deficient, since, the folic acid normally does not have proper stores in the body. Your vitamin B12 is close to the lower limit, which means that there might be a functional deficiency, causing megaloblastic changes in the bone marrow and this may be the reason behind the low neutrophil counts. Consider intake of any medications, that may cause suppression of bone marrow. Non-steroidal anti-inflammatory agents and Paracetamol are the reason behind the low count of neutrophils. I would consider these points before taking diagnostic work up to MDS. For more information consult a hematologist online --> | patient: hi doctor, i am concerned about my low and falling wbc count recently. i do not have any chronic diseases. my doctor says, it is vitamin b12 deficiency and the doctor has prescribed vitamin b12 to take 1000 mg per day. my mother had mds, diagnosed two years back and expired from it. my wbc counts recently in the past three months were 3.23 k/mcl, 3.13 k/mcl, 4.50-11.00 k/mcl, respectively. || doctor: hi. i can understand your worries. first, it is of utmost importance to have a glass slide reviewed by a hematologist to check for the morphologic abnormalities, that is the dysplastic features of the cells. not only it depends on the count, but also on the appearance of the cells that give the diagnosis of myelodysplasia. in your case, none of the absolute values of neutrophils, hb or platelets qualifies for meeting the threshold criterion for mds (myelodysplastic syndromes) (attachment removed to protect patient identity). these are called prerequisite criteria and they are hb less than 110 g/l, neutrophils less than 1.5 g/l and for platelets less than 100 g/l. a glass slide review will also cover if any abnormal cells are present. if there are dysplastic features and abnormal cells present then, a further diagnostic workup is definitely needed. in your case, the prerequisite criteria are not met. if a glass slide has not been reviewed, i suggest to do it once. secondly, it is important to check for hematinic deficiencies such as vitamin b 12, folic acid, and iron. you have your serum levels of folic acid checked, because you may be deficient, since, the folic acid normally does not have proper stores in the body. your vitamin b12 is close to the lower limit, which means that there might be a functional deficiency, causing megaloblastic changes in the bone marrow and this may be the reason behind the low neutrophil counts. consider intake of any medications, that may cause suppression of bone marrow. non-steroidal anti-inflammatory agents and paracetamol are the reason behind the low count of neutrophils. i would consider these points before taking diagnostic work up to mds. for more information consult a hematologist online --> |
10,463 | Q. How to judge a person wisely? | Hi doctor, I am a 21 year old male. I am usually little under-confident in judging someone. Whether known or a stranger, objectively it is really difficult for me. Please give me some tips regard this. I mean it to be as general as possible. | Hi. For further information consult a psychologist counsellor online --> | Patient: Hi doctor, I am a 21 year old male. I am usually little under-confident in judging someone. Whether known or a stranger, objectively it is really difficult for me. Please give me some tips regard this. I mean it to be as general as possible. || Doctor: Hi. For further information consult a psychologist counsellor online --> | patient: hi doctor, i am a 21 year old male. i am usually little under-confident in judging someone. whether known or a stranger, objectively it is really difficult for me. please give me some tips regard this. i mean it to be as general as possible. || doctor: hi. for further information consult a psychologist counsellor online --> |
10,464 | Q. Does erythematous gastritis result in stomach cancer issues in future? | Hi doctor, Four months back, I had issues of stomach bloating and frequent bowel movement. My DP did an endoscopy and found out the I had erythematous gastritis. He had prescribed medicine for one month. The issue of stomach bloating and frequent bowel movement issue got resolved. But now and then I keep getting stomach bloating issue. And even if I press my stomach inside below the ribs area and right and left of mid-belly there is a mild pain. Please assist with my below queries: Is erythematous gastritis a serious sickness? Does erythematous gastritis result in stomach cancer issues in the future? Why does my stomach bloating problems occurs now and then? Are there any other tests to be performed to confirm no other underlying issues in my stomach? | Hi. Erythematous gastritis is simply inflammation of stomach that can occur due to excessive stress, faulty lifestyle, alcohol, and painkiller abuse. Now following are your answers: It is not serious. You just need treatment for long duration. Unlikely to result in cancer. Take a combination of Pantoprazole and Domperidone once daily for a few weeks. You can ask your doctor for tablet Mebeverine. No further tests are required. You need to correct your lifestyle. Walk, exercise, meditation helps greatly. | Patient: Hi doctor, Four months back, I had issues of stomach bloating and frequent bowel movement. My DP did an endoscopy and found out the I had erythematous gastritis. He had prescribed medicine for one month. The issue of stomach bloating and frequent bowel movement issue got resolved. But now and then I keep getting stomach bloating issue. And even if I press my stomach inside below the ribs area and right and left of mid-belly there is a mild pain. Please assist with my below queries: Is erythematous gastritis a serious sickness? Does erythematous gastritis result in stomach cancer issues in the future? Why does my stomach bloating problems occurs now and then? Are there any other tests to be performed to confirm no other underlying issues in my stomach? || Doctor: Hi. Erythematous gastritis is simply inflammation of stomach that can occur due to excessive stress, faulty lifestyle, alcohol, and painkiller abuse. Now following are your answers: It is not serious. You just need treatment for long duration. Unlikely to result in cancer. Take a combination of Pantoprazole and Domperidone once daily for a few weeks. You can ask your doctor for tablet Mebeverine. No further tests are required. You need to correct your lifestyle. Walk, exercise, meditation helps greatly. | patient: hi doctor, four months back, i had issues of stomach bloating and frequent bowel movement. my dp did an endoscopy and found out the i had erythematous gastritis. he had prescribed medicine for one month. the issue of stomach bloating and frequent bowel movement issue got resolved. but now and then i keep getting stomach bloating issue. and even if i press my stomach inside below the ribs area and right and left of mid-belly there is a mild pain. please assist with my below queries: is erythematous gastritis a serious sickness? does erythematous gastritis result in stomach cancer issues in the future? why does my stomach bloating problems occurs now and then? are there any other tests to be performed to confirm no other underlying issues in my stomach? || doctor: hi. erythematous gastritis is simply inflammation of stomach that can occur due to excessive stress, faulty lifestyle, alcohol, and painkiller abuse. now following are your answers: it is not serious. you just need treatment for long duration. unlikely to result in cancer. take a combination of pantoprazole and domperidone once daily for a few weeks. you can ask your doctor for tablet mebeverine. no further tests are required. you need to correct your lifestyle. walk, exercise, meditation helps greatly. |
10,465 | Q. I get recurrent diarrhea and doctor suggested sensitive intestine. What is my problem? | Hello doctor, For the past one year, I am having diarrhea. I went to the doctor. He wrote me some tests. My blood, urine, and feces are normal and negative for parasites. My stomach ultrasound, colonoscopy are normal. Six months later, I went to the dentist. She asked me to take Flagyl 500 mg (Metronidazole). On the next day, my feces was normal and tight. I asked another gastroenterologist and he said to continue the Flagyl for 14 days. After 10 days I had diarrhea again. The doctors are telling me that I have very sensitive intestines and advise me to take probiotics and Ibutin gelsectan. I still have diarrhea. What is your idea about my problem? | Hello. As you described this condition to be lasting for almost more than a year, it can be IBS (irritable bowel syndrome), but IBS usually starts at an early age than this, although it can happen at any age. That is why it is important to rule out all organic causes before labeling it as a sensitive bowel (IBS). Please answer the following questions to rule out organic causes. Do you have any weight loss with it? How many episodes of loose stools do you have in 24 hours? Do you get up in the night for stools? Do you have any crampy abdominal pain with it? Is there any blood in stools or mucus? Is your sleep disturbed? Any stress? Any travel history to tropics? Any biopsy was taken during the colonoscopy to rule out microscopic colitis? Meanwhile, do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics. 1.TSH (thyroid-stimulating hormone). 2.CRP (C-reactive protein). IBS? Tablet Rifixamine 550 mg 1+0+1 for 21 days. | Patient: Hello doctor, For the past one year, I am having diarrhea. I went to the doctor. He wrote me some tests. My blood, urine, and feces are normal and negative for parasites. My stomach ultrasound, colonoscopy are normal. Six months later, I went to the dentist. She asked me to take Flagyl 500 mg (Metronidazole). On the next day, my feces was normal and tight. I asked another gastroenterologist and he said to continue the Flagyl for 14 days. After 10 days I had diarrhea again. The doctors are telling me that I have very sensitive intestines and advise me to take probiotics and Ibutin gelsectan. I still have diarrhea. What is your idea about my problem? || Doctor: Hello. As you described this condition to be lasting for almost more than a year, it can be IBS (irritable bowel syndrome), but IBS usually starts at an early age than this, although it can happen at any age. That is why it is important to rule out all organic causes before labeling it as a sensitive bowel (IBS). Please answer the following questions to rule out organic causes. Do you have any weight loss with it? How many episodes of loose stools do you have in 24 hours? Do you get up in the night for stools? Do you have any crampy abdominal pain with it? Is there any blood in stools or mucus? Is your sleep disturbed? Any stress? Any travel history to tropics? Any biopsy was taken during the colonoscopy to rule out microscopic colitis? Meanwhile, do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics. 1.TSH (thyroid-stimulating hormone). 2.CRP (C-reactive protein). IBS? Tablet Rifixamine 550 mg 1+0+1 for 21 days. | patient: hello doctor, for the past one year, i am having diarrhea. i went to the doctor. he wrote me some tests. my blood, urine, and feces are normal and negative for parasites. my stomach ultrasound, colonoscopy are normal. six months later, i went to the dentist. she asked me to take flagyl 500 mg (metronidazole). on the next day, my feces was normal and tight. i asked another gastroenterologist and he said to continue the flagyl for 14 days. after 10 days i had diarrhea again. the doctors are telling me that i have very sensitive intestines and advise me to take probiotics and ibutin gelsectan. i still have diarrhea. what is your idea about my problem? || doctor: hello. as you described this condition to be lasting for almost more than a year, it can be ibs (irritable bowel syndrome), but ibs usually starts at an early age than this, although it can happen at any age. that is why it is important to rule out all organic causes before labeling it as a sensitive bowel (ibs). please answer the following questions to rule out organic causes. do you have any weight loss with it? how many episodes of loose stools do you have in 24 hours? do you get up in the night for stools? do you have any crampy abdominal pain with it? is there any blood in stools or mucus? is your sleep disturbed? any stress? any travel history to tropics? any biopsy was taken during the colonoscopy to rule out microscopic colitis? meanwhile, do a few of these lab tests and start this treatment in addition to probiotics but the tablet should be taken four hours apart from probiotics. 1.tsh (thyroid-stimulating hormone). 2.crp (c-reactive protein). ibs? tablet rifixamine 550 mg 1+0+1 for 21 days. |
10,466 | Q. Can I have sex after 13 days of hernia surgery? | Hi doctor,I had hiatal hernia surgery and Nissen fundoplication 13 days ago. I did not have sex with my girlfriend for the past 13 days. Would it be fine to make love now? I know that having orgasm put some muscle tension over the abdomen. Will it cause any damage to the stitch? | Hi. We are here to help you. I understand your concern. For further information consult a medical gastroenterologist online --> | Patient: Hi doctor,I had hiatal hernia surgery and Nissen fundoplication 13 days ago. I did not have sex with my girlfriend for the past 13 days. Would it be fine to make love now? I know that having orgasm put some muscle tension over the abdomen. Will it cause any damage to the stitch? || Doctor: Hi. We are here to help you. I understand your concern. For further information consult a medical gastroenterologist online --> | patient: hi doctor,i had hiatal hernia surgery and nissen fundoplication 13 days ago. i did not have sex with my girlfriend for the past 13 days. would it be fine to make love now? i know that having orgasm put some muscle tension over the abdomen. will it cause any damage to the stitch? || doctor: hi. we are here to help you. i understand your concern. for further information consult a medical gastroenterologist online --> |
10,467 | Q. How to remove plaque and tartar at home naturally? | Hello doctor, How to remove plaque and tartar from teeth at home by natural means? | Hello. For more information consult a dentist online --> | Patient: Hello doctor, How to remove plaque and tartar from teeth at home by natural means? || Doctor: Hello. For more information consult a dentist online --> | patient: hello doctor, how to remove plaque and tartar from teeth at home by natural means? || doctor: hello. for more information consult a dentist online --> |
10,468 | Q. Why am I having pain, numbness and bladder control issues? | Hi doctor, I am a 27-year-old male and have pain, numbness and bladder control issues. Kindly guide me. | Hi. Pain numbness and bladder control issues point towards spine pathology. If you have done some MRI, then please upload the images else I would recommend a dorsolumbar spine MRI. For more information consult a radiologist online --> | Patient: Hi doctor, I am a 27-year-old male and have pain, numbness and bladder control issues. Kindly guide me. || Doctor: Hi. Pain numbness and bladder control issues point towards spine pathology. If you have done some MRI, then please upload the images else I would recommend a dorsolumbar spine MRI. For more information consult a radiologist online --> | patient: hi doctor, i am a 27-year-old male and have pain, numbness and bladder control issues. kindly guide me. || doctor: hi. pain numbness and bladder control issues point towards spine pathology. if you have done some mri, then please upload the images else i would recommend a dorsolumbar spine mri. for more information consult a radiologist online --> |
10,469 | Q. I have vulvodynia, will I always have this? Have you seen this cured in your experience? | Hi doctor, I am 48 years old and have been in good health. I have not been officially diagnosed, but I think my issue is some form of vulvodynia. Symptoms started as discomfort as if something was digging around my panty line. This went away completely for three weeks. Then again started to get stabbing pain and burning sensations as if raw skin (very sore). I had scanned and swab test done, all came back clear. I had internal and external investigations in vain, but terrible soreness was there. Finally after two months, GP prescribed Amitryptiline 20 mg and last week put up to 30 mg. I was using Lanacane every day but GP prescribed Cinchocaine ointment which helped greatly. GP said that it will take a few months to get back to normal but I read on the internet which gives out loads of horror stories. Should this go away eventually? | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am 48 years old and have been in good health. I have not been officially diagnosed, but I think my issue is some form of vulvodynia. Symptoms started as discomfort as if something was digging around my panty line. This went away completely for three weeks. Then again started to get stabbing pain and burning sensations as if raw skin (very sore). I had scanned and swab test done, all came back clear. I had internal and external investigations in vain, but terrible soreness was there. Finally after two months, GP prescribed Amitryptiline 20 mg and last week put up to 30 mg. I was using Lanacane every day but GP prescribed Cinchocaine ointment which helped greatly. GP said that it will take a few months to get back to normal but I read on the internet which gives out loads of horror stories. Should this go away eventually? || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am 48 years old and have been in good health. i have not been officially diagnosed, but i think my issue is some form of vulvodynia. symptoms started as discomfort as if something was digging around my panty line. this went away completely for three weeks. then again started to get stabbing pain and burning sensations as if raw skin (very sore). i had scanned and swab test done, all came back clear. i had internal and external investigations in vain, but terrible soreness was there. finally after two months, gp prescribed amitryptiline 20 mg and last week put up to 30 mg. i was using lanacane every day but gp prescribed cinchocaine ointment which helped greatly. gp said that it will take a few months to get back to normal but i read on the internet which gives out loads of horror stories. should this go away eventually? || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
10,470 | Q. What can be done for receding gums in an 18-year-old? | Hello doctor, I am 18 years old and my gums have been reversing. I brush every day and ever since I noticed my gums receding I tried to brush softer like barely touch the teeth soft. I floss my teeth every day too. I tried telling my father about this but he thought nothing about this. It has become so bad that my two bottom front teeth gums are almost at the bottom of the teeth. I do not know what else to do. I do not have many materials to go off of because my mother does not believe in-joke remedies. My teeth do not bother me when I eat and they are not extra sensitive. The gum receding is going all around my mouth but it is the worse on two bottom teeth. I am not on my period. I just want help. I visited my friend's house where everyone in his household smokes a month and a half ago. Then two weeks ago his mother picked me and him up from school and she was smoking. No one in my family smokes. | Hello. How are you doing? The image is not much clear (attachment removed to protect patient identity), but based on what I could appreciate, it looks like gingivitis. Hence, your gums look shiny and swollen. The reason could be deposits (though not much seen in the image), or puberty associated. Just do lukewarm salt water gargling as many times as possible. Use a soft bristles brush and follow bass sulcular brushing method. Brush once in 12 hours. Gargle after every meal. You can get scaling (professional cleaning of teeth) done by your dentist. Do not worry. It is a very common dental condition and can be cured. And, your gums are not receded, they are just swollen. Do you have pain, bleeding of gums or tooth mobility? And what medication are you taking? Also, do you have any medical condition? As this can change the diagnosis and treatment plan. You will be totally fine. Relax. Take care. For more information consult a dentist online --> | Patient: Hello doctor, I am 18 years old and my gums have been reversing. I brush every day and ever since I noticed my gums receding I tried to brush softer like barely touch the teeth soft. I floss my teeth every day too. I tried telling my father about this but he thought nothing about this. It has become so bad that my two bottom front teeth gums are almost at the bottom of the teeth. I do not know what else to do. I do not have many materials to go off of because my mother does not believe in-joke remedies. My teeth do not bother me when I eat and they are not extra sensitive. The gum receding is going all around my mouth but it is the worse on two bottom teeth. I am not on my period. I just want help. I visited my friend's house where everyone in his household smokes a month and a half ago. Then two weeks ago his mother picked me and him up from school and she was smoking. No one in my family smokes. || Doctor: Hello. How are you doing? The image is not much clear (attachment removed to protect patient identity), but based on what I could appreciate, it looks like gingivitis. Hence, your gums look shiny and swollen. The reason could be deposits (though not much seen in the image), or puberty associated. Just do lukewarm salt water gargling as many times as possible. Use a soft bristles brush and follow bass sulcular brushing method. Brush once in 12 hours. Gargle after every meal. You can get scaling (professional cleaning of teeth) done by your dentist. Do not worry. It is a very common dental condition and can be cured. And, your gums are not receded, they are just swollen. Do you have pain, bleeding of gums or tooth mobility? And what medication are you taking? Also, do you have any medical condition? As this can change the diagnosis and treatment plan. You will be totally fine. Relax. Take care. For more information consult a dentist online --> | patient: hello doctor, i am 18 years old and my gums have been reversing. i brush every day and ever since i noticed my gums receding i tried to brush softer like barely touch the teeth soft. i floss my teeth every day too. i tried telling my father about this but he thought nothing about this. it has become so bad that my two bottom front teeth gums are almost at the bottom of the teeth. i do not know what else to do. i do not have many materials to go off of because my mother does not believe in-joke remedies. my teeth do not bother me when i eat and they are not extra sensitive. the gum receding is going all around my mouth but it is the worse on two bottom teeth. i am not on my period. i just want help. i visited my friend's house where everyone in his household smokes a month and a half ago. then two weeks ago his mother picked me and him up from school and she was smoking. no one in my family smokes. || doctor: hello. how are you doing? the image is not much clear (attachment removed to protect patient identity), but based on what i could appreciate, it looks like gingivitis. hence, your gums look shiny and swollen. the reason could be deposits (though not much seen in the image), or puberty associated. just do lukewarm salt water gargling as many times as possible. use a soft bristles brush and follow bass sulcular brushing method. brush once in 12 hours. gargle after every meal. you can get scaling (professional cleaning of teeth) done by your dentist. do not worry. it is a very common dental condition and can be cured. and, your gums are not receded, they are just swollen. do you have pain, bleeding of gums or tooth mobility? and what medication are you taking? also, do you have any medical condition? as this can change the diagnosis and treatment plan. you will be totally fine. relax. take care. for more information consult a dentist online --> |
10,471 | 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 --> |
10,472 | 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 --> |
10,473 | 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.---> |
10,474 | 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 --> |
10,475 | 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 --> |
10,476 | Q. I am obese and hypertensive. Please suggest tips to prevent contracting COVID-19. | Hi doctor, My question is about COVID-19. I am very worried about this virus. I am 29 years old and my job is essential so I am still out in the field. I am overweight and take medications for high blood pressure including Lisinopril and Metoprolol. Everything I read said this puts me at way more of a risk for severe complications or death if I catch it. I am also worried about my children who are both under the age of two. Is there anything I should know or to help in preventing this virus or help not take a turn for the worse if I contract it due do being overweight and taking high blood pressure medications? | Hi. Certain important points that can be put to good use by you: 1. Wear a surgical mask or an N95 mask (it is a little suffocating) when you go out to work. 2. Make sure to not touch any part of your face, ears, or head after touching any object outside your house. If you have the urge to touch or scratch your face, please wash your hands with soap and water and then and only touch your face. 3. Push buttons and open doors and handles with the elbow or with the forearm or arm and not with the hand. That way your hand surface will not be contaminated for a long time. 4. Maintain social distancing (3 feet between two people) and no gathering of four people or more in a place for more than 15 minutes. 5. As soon as you reach home from outside, prevent your kids from touching you. Head straight to the bathroom, have a warm bath with soap, and keep all your clothes that you were wearing for washing. 6. Continue taking your medication on time as going on. Also, maintain a healthy diet. I hope the above points help. | Patient: Hi doctor, My question is about COVID-19. I am very worried about this virus. I am 29 years old and my job is essential so I am still out in the field. I am overweight and take medications for high blood pressure including Lisinopril and Metoprolol. Everything I read said this puts me at way more of a risk for severe complications or death if I catch it. I am also worried about my children who are both under the age of two. Is there anything I should know or to help in preventing this virus or help not take a turn for the worse if I contract it due do being overweight and taking high blood pressure medications? || Doctor: Hi. Certain important points that can be put to good use by you: 1. Wear a surgical mask or an N95 mask (it is a little suffocating) when you go out to work. 2. Make sure to not touch any part of your face, ears, or head after touching any object outside your house. If you have the urge to touch or scratch your face, please wash your hands with soap and water and then and only touch your face. 3. Push buttons and open doors and handles with the elbow or with the forearm or arm and not with the hand. That way your hand surface will not be contaminated for a long time. 4. Maintain social distancing (3 feet between two people) and no gathering of four people or more in a place for more than 15 minutes. 5. As soon as you reach home from outside, prevent your kids from touching you. Head straight to the bathroom, have a warm bath with soap, and keep all your clothes that you were wearing for washing. 6. Continue taking your medication on time as going on. Also, maintain a healthy diet. I hope the above points help. | patient: hi doctor, my question is about covid-19. i am very worried about this virus. i am 29 years old and my job is essential so i am still out in the field. i am overweight and take medications for high blood pressure including lisinopril and metoprolol. everything i read said this puts me at way more of a risk for severe complications or death if i catch it. i am also worried about my children who are both under the age of two. is there anything i should know or to help in preventing this virus or help not take a turn for the worse if i contract it due do being overweight and taking high blood pressure medications? || doctor: hi. certain important points that can be put to good use by you: 1. wear a surgical mask or an n95 mask (it is a little suffocating) when you go out to work. 2. make sure to not touch any part of your face, ears, or head after touching any object outside your house. if you have the urge to touch or scratch your face, please wash your hands with soap and water and then and only touch your face. 3. push buttons and open doors and handles with the elbow or with the forearm or arm and not with the hand. that way your hand surface will not be contaminated for a long time. 4. maintain social distancing (3 feet between two people) and no gathering of four people or more in a place for more than 15 minutes. 5. as soon as you reach home from outside, prevent your kids from touching you. head straight to the bathroom, have a warm bath with soap, and keep all your clothes that you were wearing for washing. 6. continue taking your medication on time as going on. also, maintain a healthy diet. i hope the above points help. |
10,477 | Q. Any advice on going off low dosage bipolar medications? | Hello doctor,I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much sooner, the dosage was increased. I followed up with counseling, which was very helpful and lowered the dosage down to what my psychiatrist said was not really clinically high enough to do any good (100 mg and 25 mg), but he felt I should have something in my system in case I needed it and could build up to a higher dose quicker. I continued at this low dosage for several years and recently sought a second opinion and another psychiatrist said I should try going off the medication since the dosage was so low and my lab results showed very low levels of the Carbamazepine. I am willing to give it a try, what do you think? I workout often, have a stable job, a stable relationship, family in the area, etc. | Hello. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. However, I feel prevention is better than cure and I will prefer to take on one medication at a time and that too slowly. I mean four weeks for a single medication and eight weeks total to stop both the medications. To conclude I like to state that I will prefer to support the opinion of the second psychiatrist for the following reasons. I hope this helps you. For more information consult a psychiatrist online --> | Patient: Hello doctor,I am a 56 year old male. I was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of Carbamazepine (200 mg) and Lamotrigine (100 mg) for about six years and during that time felt fine. During another relationship that I should have ended much sooner, the dosage was increased. I followed up with counseling, which was very helpful and lowered the dosage down to what my psychiatrist said was not really clinically high enough to do any good (100 mg and 25 mg), but he felt I should have something in my system in case I needed it and could build up to a higher dose quicker. I continued at this low dosage for several years and recently sought a second opinion and another psychiatrist said I should try going off the medication since the dosage was so low and my lab results showed very low levels of the Carbamazepine. I am willing to give it a try, what do you think? I workout often, have a stable job, a stable relationship, family in the area, etc. || Doctor: Hello. I read your query and understand your concerns. As you can see both of your psychiatrists agree that the dose is too low to have any efficacy and I agree with same as 100 mg of Carbamazepine and 25 mg of Lamotrigine have no value in the treatment of bipolar disorder. However, I feel prevention is better than cure and I will prefer to take on one medication at a time and that too slowly. I mean four weeks for a single medication and eight weeks total to stop both the medications. To conclude I like to state that I will prefer to support the opinion of the second psychiatrist for the following reasons. I hope this helps you. For more information consult a psychiatrist online --> | patient: hello doctor,i am a 56 year old male. i was diagnosed bi-polar, as part of an attempt to save a failing marriage and took a low dose of carbamazepine (200 mg) and lamotrigine (100 mg) for about six years and during that time felt fine. during another relationship that i should have ended much sooner, the dosage was increased. i followed up with counseling, which was very helpful and lowered the dosage down to what my psychiatrist said was not really clinically high enough to do any good (100 mg and 25 mg), but he felt i should have something in my system in case i needed it and could build up to a higher dose quicker. i continued at this low dosage for several years and recently sought a second opinion and another psychiatrist said i should try going off the medication since the dosage was so low and my lab results showed very low levels of the carbamazepine. i am willing to give it a try, what do you think? i workout often, have a stable job, a stable relationship, family in the area, etc. || doctor: hello. i read your query and understand your concerns. as you can see both of your psychiatrists agree that the dose is too low to have any efficacy and i agree with same as 100 mg of carbamazepine and 25 mg of lamotrigine have no value in the treatment of bipolar disorder. however, i feel prevention is better than cure and i will prefer to take on one medication at a time and that too slowly. i mean four weeks for a single medication and eight weeks total to stop both the medications. to conclude i like to state that i will prefer to support the opinion of the second psychiatrist for the following reasons. i hope this helps you. for more information consult a psychiatrist online --> |
10,478 | Q. I am a 33 year old with high cholesterol. Do I need medicines to lower it? | Hello doctor, I am a 33 year old with high cholesterol (reading attached). I had first deducted this high cholesterol in 2016. I have been doing some moderate walking (not regularly though). I have general weakness, lack of strength, stamina, and my hands tremble when I lift anything heavy, also if squat or do sit-ups there is slight tremble. I have a lot of red meat in my diet till last week and also eating out which I plan to reduce. I do not have BP. Family has a history of diabetes. But my fasting blood sugar is normal. I have reduced my fat intake and have included flak seeds, and almonds in my diet and reduced eating out. I am eating fish oil, shuddha guggulu (Himalaya medicine) to reduce cholesterol from last one month. Should I consult a doctor to take medicine to lower my cholesterol? What should I do to reduce my cholesterol/ LDL? | Hello. Firstly your reports are not attached. You should try it again or else contact the administrator. In this young age, we usually do not start medicine unless cholesterol is very high, say more than 250 or LDL more than 160 or so. So, you need to change your lifestyle first and have regular exercise for two to three months and repeat lipid profile after that. If it is controlled on that we will continue the same or else we will start medicine after eight to 10 weeks. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid yellow part of eggs as it is rich in cholesterol. Avoid smoking and alcohol if any. There should not be abdominal fat deposition or obesity. Try to achieve BMI under 23. I think your elevated cholesterol should respond to dietary modifications. Your other symptoms are due to general weakness and lack of regular exercises but once get yourself examined by a local doctor for muscle power and reflexes just to be extra sure. Hope this helps you and get back if you have any doubts and also upload the lipid profile report. For more information consult a cardiologist online --> | Patient: Hello doctor, I am a 33 year old with high cholesterol (reading attached). I had first deducted this high cholesterol in 2016. I have been doing some moderate walking (not regularly though). I have general weakness, lack of strength, stamina, and my hands tremble when I lift anything heavy, also if squat or do sit-ups there is slight tremble. I have a lot of red meat in my diet till last week and also eating out which I plan to reduce. I do not have BP. Family has a history of diabetes. But my fasting blood sugar is normal. I have reduced my fat intake and have included flak seeds, and almonds in my diet and reduced eating out. I am eating fish oil, shuddha guggulu (Himalaya medicine) to reduce cholesterol from last one month. Should I consult a doctor to take medicine to lower my cholesterol? What should I do to reduce my cholesterol/ LDL? || Doctor: Hello. Firstly your reports are not attached. You should try it again or else contact the administrator. In this young age, we usually do not start medicine unless cholesterol is very high, say more than 250 or LDL more than 160 or so. So, you need to change your lifestyle first and have regular exercise for two to three months and repeat lipid profile after that. If it is controlled on that we will continue the same or else we will start medicine after eight to 10 weeks. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid yellow part of eggs as it is rich in cholesterol. Avoid smoking and alcohol if any. There should not be abdominal fat deposition or obesity. Try to achieve BMI under 23. I think your elevated cholesterol should respond to dietary modifications. Your other symptoms are due to general weakness and lack of regular exercises but once get yourself examined by a local doctor for muscle power and reflexes just to be extra sure. Hope this helps you and get back if you have any doubts and also upload the lipid profile report. For more information consult a cardiologist online --> | patient: hello doctor, i am a 33 year old with high cholesterol (reading attached). i had first deducted this high cholesterol in 2016. i have been doing some moderate walking (not regularly though). i have general weakness, lack of strength, stamina, and my hands tremble when i lift anything heavy, also if squat or do sit-ups there is slight tremble. i have a lot of red meat in my diet till last week and also eating out which i plan to reduce. i do not have bp. family has a history of diabetes. but my fasting blood sugar is normal. i have reduced my fat intake and have included flak seeds, and almonds in my diet and reduced eating out. i am eating fish oil, shuddha guggulu (himalaya medicine) to reduce cholesterol from last one month. should i consult a doctor to take medicine to lower my cholesterol? what should i do to reduce my cholesterol/ ldl? || doctor: hello. firstly your reports are not attached. you should try it again or else contact the administrator. in this young age, we usually do not start medicine unless cholesterol is very high, say more than 250 or ldl more than 160 or so. so, you need to change your lifestyle first and have regular exercise for two to three months and repeat lipid profile after that. if it is controlled on that we will continue the same or else we will start medicine after eight to 10 weeks. you should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid yellow part of eggs as it is rich in cholesterol. avoid smoking and alcohol if any. there should not be abdominal fat deposition or obesity. try to achieve bmi under 23. i think your elevated cholesterol should respond to dietary modifications. your other symptoms are due to general weakness and lack of regular exercises but once get yourself examined by a local doctor for muscle power and reflexes just to be extra sure. hope this helps you and get back if you have any doubts and also upload the lipid profile report. for more information consult a cardiologist online --> |
10,479 | Q. Why is there diabetic neuropathy in spite of being on insulin? | Hello doctor, Although my mother is on insulin for 7 years, she has diabetic neuropathy and some complications since one week. Also, the doctor tried but the complications are not going. | Hello. You have not mentioned the age of your mother. Diabetic neuropathy is a common complication seen in patients who have long-term or uncontrolled diabetes. It may not be completely reversible. However, talk to your doctor about taking Vitamin B12 supplements and Gabapentin which may help relieve her symptoms to a certain extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. These drugs have to be prescribed by your doctor after assessment of your mother's clinical condition. Also, consult a physiotherapist who could teach her some simple exercises to reduce the progress of neuropathy. Most important of all is to have blood sugar levels under good control and take care not to have any injuries. For more information consult a diabetologist online --> | Patient: Hello doctor, Although my mother is on insulin for 7 years, she has diabetic neuropathy and some complications since one week. Also, the doctor tried but the complications are not going. || Doctor: Hello. You have not mentioned the age of your mother. Diabetic neuropathy is a common complication seen in patients who have long-term or uncontrolled diabetes. It may not be completely reversible. However, talk to your doctor about taking Vitamin B12 supplements and Gabapentin which may help relieve her symptoms to a certain extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. These drugs have to be prescribed by your doctor after assessment of your mother's clinical condition. Also, consult a physiotherapist who could teach her some simple exercises to reduce the progress of neuropathy. Most important of all is to have blood sugar levels under good control and take care not to have any injuries. For more information consult a diabetologist online --> | patient: hello doctor, although my mother is on insulin for 7 years, she has diabetic neuropathy and some complications since one week. also, the doctor tried but the complications are not going. || doctor: hello. you have not mentioned the age of your mother. diabetic neuropathy is a common complication seen in patients who have long-term or uncontrolled diabetes. it may not be completely reversible. however, talk to your doctor about taking vitamin b12 supplements and gabapentin which may help relieve her symptoms to a certain extent. consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. these drugs have to be prescribed by your doctor after assessment of your mother's clinical condition. also, consult a physiotherapist who could teach her some simple exercises to reduce the progress of neuropathy. most important of all is to have blood sugar levels under good control and take care not to have any injuries. for more information consult a diabetologist online --> |
10,480 | Q. In frozen embryo procedure, are shots necessary or will suppositories do? | Hello doctor, When doing a frozen embryo transfer cycle, is it absolutely necessary to use progesterone in oil shots or will the suppositories work the same? | Hello. How are you doing? Hope I have clarified your query. Do write back. All the best. For more information consult an infertility specialist online --> | Patient: Hello doctor, When doing a frozen embryo transfer cycle, is it absolutely necessary to use progesterone in oil shots or will the suppositories work the same? || Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back. All the best. For more information consult an infertility specialist online --> | patient: hello doctor, when doing a frozen embryo transfer cycle, is it absolutely necessary to use progesterone in oil shots or will the suppositories work the same? || doctor: hello. how are you doing? hope i have clarified your query. do write back. all the best. for more information consult an infertility specialist online --> |
10,481 | Q. Can lower abdominal pain occur after unprotected sex? | Hello doctor, My query is regarding sexually transmitted infection. I had unprotected sex 51 days back. I had mild fever with a very mild burning sensation on my penis for three days after that encounter. I consulted a doctor and she gave five shots of Ceftriaxone for five days. The mild burning sensation continued, but there were no warts or sores on the penis. I was negative for chlamydia and gonorrhea. The girl had colonies of candida albicans in her VDRL report. A month ago, there was a small sore on the foreskin of my penis and the very mild burning sensation was still there. I had to shift from the place because of my work and consulted a new doctor. The new doctor suspected it as herpes and gave me antivirals. That worked well for the mild feverish feeling which I used to have sometimes. I also used the cream Fucidin for the infection. However, the mild burning sensation still prevailed. I did tests for HIV, herpes, VDRL and urine routine last month, all of which were negative and normal. I consulted the previous doctor again over phone and she advised me a dose of Doxycycline for 14 days and Azithromycin for six days. I took the course and surprisingly the mild burning sensation was off. However, I started feeling a pain in my abdomen and lower abdomen. After four to five days of finishing the course, I still feel a pain in my lower abdomen (which I can feel in backside of the abdomen also). However, the infection on the penis seems to have subsided. Currently, I am taking one tablet of Azee for six days, Metrogyl three tablets a day for three days and Zocon 150 only once. I have no rashes or any other sores or warts on my penis or my body. The foreskin was a little tight after I stopped the Doxycycline on 14th day, but nothing is there on the penis head. It was only the foreskin which troubled me and the mild burning sensation and now it seems to be fine. It is only the pain on the abdomen and lower back troubling me now. What could be the reason for the pain? | Hello. Revert back after the investigations to a sexologist online --> | Patient: Hello doctor, My query is regarding sexually transmitted infection. I had unprotected sex 51 days back. I had mild fever with a very mild burning sensation on my penis for three days after that encounter. I consulted a doctor and she gave five shots of Ceftriaxone for five days. The mild burning sensation continued, but there were no warts or sores on the penis. I was negative for chlamydia and gonorrhea. The girl had colonies of candida albicans in her VDRL report. A month ago, there was a small sore on the foreskin of my penis and the very mild burning sensation was still there. I had to shift from the place because of my work and consulted a new doctor. The new doctor suspected it as herpes and gave me antivirals. That worked well for the mild feverish feeling which I used to have sometimes. I also used the cream Fucidin for the infection. However, the mild burning sensation still prevailed. I did tests for HIV, herpes, VDRL and urine routine last month, all of which were negative and normal. I consulted the previous doctor again over phone and she advised me a dose of Doxycycline for 14 days and Azithromycin for six days. I took the course and surprisingly the mild burning sensation was off. However, I started feeling a pain in my abdomen and lower abdomen. After four to five days of finishing the course, I still feel a pain in my lower abdomen (which I can feel in backside of the abdomen also). However, the infection on the penis seems to have subsided. Currently, I am taking one tablet of Azee for six days, Metrogyl three tablets a day for three days and Zocon 150 only once. I have no rashes or any other sores or warts on my penis or my body. The foreskin was a little tight after I stopped the Doxycycline on 14th day, but nothing is there on the penis head. It was only the foreskin which troubled me and the mild burning sensation and now it seems to be fine. It is only the pain on the abdomen and lower back troubling me now. What could be the reason for the pain? || Doctor: Hello. Revert back after the investigations to a sexologist online --> | patient: hello doctor, my query is regarding sexually transmitted infection. i had unprotected sex 51 days back. i had mild fever with a very mild burning sensation on my penis for three days after that encounter. i consulted a doctor and she gave five shots of ceftriaxone for five days. the mild burning sensation continued, but there were no warts or sores on the penis. i was negative for chlamydia and gonorrhea. the girl had colonies of candida albicans in her vdrl report. a month ago, there was a small sore on the foreskin of my penis and the very mild burning sensation was still there. i had to shift from the place because of my work and consulted a new doctor. the new doctor suspected it as herpes and gave me antivirals. that worked well for the mild feverish feeling which i used to have sometimes. i also used the cream fucidin for the infection. however, the mild burning sensation still prevailed. i did tests for hiv, herpes, vdrl and urine routine last month, all of which were negative and normal. i consulted the previous doctor again over phone and she advised me a dose of doxycycline for 14 days and azithromycin for six days. i took the course and surprisingly the mild burning sensation was off. however, i started feeling a pain in my abdomen and lower abdomen. after four to five days of finishing the course, i still feel a pain in my lower abdomen (which i can feel in backside of the abdomen also). however, the infection on the penis seems to have subsided. currently, i am taking one tablet of azee for six days, metrogyl three tablets a day for three days and zocon 150 only once. i have no rashes or any other sores or warts on my penis or my body. the foreskin was a little tight after i stopped the doxycycline on 14th day, but nothing is there on the penis head. it was only the foreskin which troubled me and the mild burning sensation and now it seems to be fine. it is only the pain on the abdomen and lower back troubling me now. what could be the reason for the pain? || doctor: hello. revert back after the investigations to a sexologist online --> |
10,482 | Q. We are undergoing infertility treatment. Please advice regarding the diet. | Hello doctor, Me and my wife are undergoing infertility treatment. I am 42 years old and my wife is 37 years old. We have had a failed IVF and a failed frozen embryo transfer. One month back we had an IVF procedure and it has turned positive. Now we are in the fourth week. We are much concerned about the foods to eat and to avoid. Since we failed a couple of times, we are much concerned that any of our lifestyle habits will cause negative changes. We are taking green tea with ginger, lemon and honey for the past 3 years regularly and we consume non vegetarian food more of seafood. I read in some articles that, taking ginger and honey is not advisable during early pregnancy and also should avoid heat producing foods. So, we are much confused. Please advise regarding this issue. | Hi. The psychological as well as lifestyle changes will definitely affect the fetus (baby within the uterus). Generally, heat producing foods or activities lead to production of prostaglandins. These prostaglandins can disturb the uterus. Thus, certain foods have to be avoided. For example: groundnut, seasame, chicken, pineapple, pasalai keerai etc. Avoid white/brown sugar (from sugarcane). Use only palm jaggery or pure honey as a sweetening agent. First trimester (first three months of pregnancy) is the crucial period. Thus, if you feel/doubt something is not good, avoid it during the first three months. After that, the fetus is strongly implanted in the uterus and there would be no problem. Daily walk in the evening is good during pregnancy. From the fourth month, you can perform yoga by consulting trained yoga teachers. Many more siddha drugs are available such as calcium and iron supplements. You can buy the following siddha drugs: Stay healthy. Revert back to an ayurveda specialist online for further queries --> | Patient: Hello doctor, Me and my wife are undergoing infertility treatment. I am 42 years old and my wife is 37 years old. We have had a failed IVF and a failed frozen embryo transfer. One month back we had an IVF procedure and it has turned positive. Now we are in the fourth week. We are much concerned about the foods to eat and to avoid. Since we failed a couple of times, we are much concerned that any of our lifestyle habits will cause negative changes. We are taking green tea with ginger, lemon and honey for the past 3 years regularly and we consume non vegetarian food more of seafood. I read in some articles that, taking ginger and honey is not advisable during early pregnancy and also should avoid heat producing foods. So, we are much confused. Please advise regarding this issue. || Doctor: Hi. The psychological as well as lifestyle changes will definitely affect the fetus (baby within the uterus). Generally, heat producing foods or activities lead to production of prostaglandins. These prostaglandins can disturb the uterus. Thus, certain foods have to be avoided. For example: groundnut, seasame, chicken, pineapple, pasalai keerai etc. Avoid white/brown sugar (from sugarcane). Use only palm jaggery or pure honey as a sweetening agent. First trimester (first three months of pregnancy) is the crucial period. Thus, if you feel/doubt something is not good, avoid it during the first three months. After that, the fetus is strongly implanted in the uterus and there would be no problem. Daily walk in the evening is good during pregnancy. From the fourth month, you can perform yoga by consulting trained yoga teachers. Many more siddha drugs are available such as calcium and iron supplements. You can buy the following siddha drugs: Stay healthy. Revert back to an ayurveda specialist online for further queries --> | patient: hello doctor, me and my wife are undergoing infertility treatment. i am 42 years old and my wife is 37 years old. we have had a failed ivf and a failed frozen embryo transfer. one month back we had an ivf procedure and it has turned positive. now we are in the fourth week. we are much concerned about the foods to eat and to avoid. since we failed a couple of times, we are much concerned that any of our lifestyle habits will cause negative changes. we are taking green tea with ginger, lemon and honey for the past 3 years regularly and we consume non vegetarian food more of seafood. i read in some articles that, taking ginger and honey is not advisable during early pregnancy and also should avoid heat producing foods. so, we are much confused. please advise regarding this issue. || doctor: hi. the psychological as well as lifestyle changes will definitely affect the fetus (baby within the uterus). generally, heat producing foods or activities lead to production of prostaglandins. these prostaglandins can disturb the uterus. thus, certain foods have to be avoided. for example: groundnut, seasame, chicken, pineapple, pasalai keerai etc. avoid white/brown sugar (from sugarcane). use only palm jaggery or pure honey as a sweetening agent. first trimester (first three months of pregnancy) is the crucial period. thus, if you feel/doubt something is not good, avoid it during the first three months. after that, the fetus is strongly implanted in the uterus and there would be no problem. daily walk in the evening is good during pregnancy. from the fourth month, you can perform yoga by consulting trained yoga teachers. many more siddha drugs are available such as calcium and iron supplements. you can buy the following siddha drugs: stay healthy. revert back to an ayurveda specialist online for further queries --> |
10,483 | Q. Do you have any idea about the weird sensation in my head? | Hi doctor, I have some weird sensation in my head for over two years. I am at a complete loss for what to do. I have seen a neurologist and talked to a few other medical specialists and none of them have any idea about my problem. It literally feels like there is something moving all around my brain. I got an MRI and it came back normal. So, my doctor said it was just anxiety. But, it is definitely not anxiety. Honestly, the symptoms feel like withdrawal and I have mentioned that to my doctors as well. But, they said if I stopped my medicines 2 years ago, then probably that is not the cause for my symptoms. I swear this is not just my imagination. It literally feels like there is something bubbling in my head. It does not hurt, but there is a lot of pressure involved. I feel it is very abnormal. I just want some answer. Please help. | Hello. For further information consult a neurologist online --> | Patient: Hi doctor, I have some weird sensation in my head for over two years. I am at a complete loss for what to do. I have seen a neurologist and talked to a few other medical specialists and none of them have any idea about my problem. It literally feels like there is something moving all around my brain. I got an MRI and it came back normal. So, my doctor said it was just anxiety. But, it is definitely not anxiety. Honestly, the symptoms feel like withdrawal and I have mentioned that to my doctors as well. But, they said if I stopped my medicines 2 years ago, then probably that is not the cause for my symptoms. I swear this is not just my imagination. It literally feels like there is something bubbling in my head. It does not hurt, but there is a lot of pressure involved. I feel it is very abnormal. I just want some answer. Please help. || Doctor: Hello. For further information consult a neurologist online --> | patient: hi doctor, i have some weird sensation in my head for over two years. i am at a complete loss for what to do. i have seen a neurologist and talked to a few other medical specialists and none of them have any idea about my problem. it literally feels like there is something moving all around my brain. i got an mri and it came back normal. so, my doctor said it was just anxiety. but, it is definitely not anxiety. honestly, the symptoms feel like withdrawal and i have mentioned that to my doctors as well. but, they said if i stopped my medicines 2 years ago, then probably that is not the cause for my symptoms. i swear this is not just my imagination. it literally feels like there is something bubbling in my head. it does not hurt, but there is a lot of pressure involved. i feel it is very abnormal. i just want some answer. please help. || doctor: hello. for further information consult a neurologist online --> |
10,484 | Q. Why am I having pain below my stomach on a daily basis? | Hello doctor, I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication. | Hello. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I am a teenager. My problem is that I am having pain below my stomach and it is happening on a daily basis. I thought maybe it is happening because of masturbation. So, I stopped doing it but it is still paining. I am not taking any medication. || Doctor: Hello. The history you have provided is not sufficient to conclude the cause of your problem. But I will try to give some solution. Is the pain in the scrotum or in the inguinal area? Is it in the suprapubic region? If you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. If you have pain in the center suprapubic, it is most commonly bladder infection. Sometimes pain around other organs may radiate here. If you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. Scrotal pain like orchitis, epididymitis, torsion, varicocele etc. Consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. For more information consult an internal medicine physician online --> | patient: hello doctor, i am a teenager. my problem is that i am having pain below my stomach and it is happening on a daily basis. i thought maybe it is happening because of masturbation. so, i stopped doing it but it is still paining. i am not taking any medication. || doctor: hello. the history you have provided is not sufficient to conclude the cause of your problem. but i will try to give some solution. is the pain in the scrotum or in the inguinal area? is it in the suprapubic region? if you have pain in the right inguinal, there is a possibility of ureteric colic or appendicitis or ilium or cecal pain. if you have pain in the center suprapubic, it is most commonly bladder infection. sometimes pain around other organs may radiate here. if you have pain in the left inguinal region, it may be colitis, large bowel infection, obstruction or left ureteric colic etc. scrotal pain like orchitis, epididymitis, torsion, varicocele etc. consult your general surgeon and get one ultrasound of the abdomen and get treated accordingly. for more information consult an internal medicine physician online --> |
10,485 | Q. My dad died of multiple organ dysfunctions after a Whipple procedure. What was the cause of his death? | Hi doctor,This query is regarding my dad, who was diagnosed with obstructive jaundice last year. He was admitted to a hospital, and the doctor examined my dad and told us that they need to perform a Whipple procedure on my dad. We did not ask for a second opinion, and we let them go ahead with the surgery. The operation took 13 hours, and he was hospitalized for 41 days after the surgery. He was finally discharged after 41 days, but he was suffering from stomachaches, arms pain, and fever. The biopsy report showed stage 1 pancreatic cancer, and the oncology doctor told us that chemotherapy is not required. He just told us that CA-19-9 test needs to be done every three months, for five years. My dad recovered, and he was on a normal diet.Last month, my dad started complaining about stomach pain, so we admitted him to the hospital again. After an endoscopy and CT scan, the doctor told us that there was some infection in the operated area and that antibiotics will cure it, and my dad will be released in two days. After two days, the doctor told that the infection was still there, so they need to admit him for two more days. But after four days, my dad started having a fever, vomiting, and shivering. So, the doctor changed his antibiotics and admitted him for three more days. We requested him to refer him to another hospital, but he said that he could handle my dad's case, and told us not to worry. On the tenth day, my dad was shifted to the ICU. My dad's nails and tongue changed to dark blue color, and the doctor told us that it was due to less blood flow. My dad was bleeding in the urinary tube, so we shifted him to the hospital where the Whipple was performed. Then my dad was again admitted to the ICU, and the doctors put him on a ventilator and other life supporting devices. The doctors informed us that he was suffering from multiple organs dysfunction. And the next day morning my dad passed away. I have enclosed CT, MRI, and other lab reports. How did my father die? What caused his death? Please help me. Thanks | Hi. I have carefully gone through all your dad's reports (attachment removed to protect patient identity). Hope that explains it for you. For more information consult a medical gastroenterologist online --> | Patient: Hi doctor,This query is regarding my dad, who was diagnosed with obstructive jaundice last year. He was admitted to a hospital, and the doctor examined my dad and told us that they need to perform a Whipple procedure on my dad. We did not ask for a second opinion, and we let them go ahead with the surgery. The operation took 13 hours, and he was hospitalized for 41 days after the surgery. He was finally discharged after 41 days, but he was suffering from stomachaches, arms pain, and fever. The biopsy report showed stage 1 pancreatic cancer, and the oncology doctor told us that chemotherapy is not required. He just told us that CA-19-9 test needs to be done every three months, for five years. My dad recovered, and he was on a normal diet.Last month, my dad started complaining about stomach pain, so we admitted him to the hospital again. After an endoscopy and CT scan, the doctor told us that there was some infection in the operated area and that antibiotics will cure it, and my dad will be released in two days. After two days, the doctor told that the infection was still there, so they need to admit him for two more days. But after four days, my dad started having a fever, vomiting, and shivering. So, the doctor changed his antibiotics and admitted him for three more days. We requested him to refer him to another hospital, but he said that he could handle my dad's case, and told us not to worry. On the tenth day, my dad was shifted to the ICU. My dad's nails and tongue changed to dark blue color, and the doctor told us that it was due to less blood flow. My dad was bleeding in the urinary tube, so we shifted him to the hospital where the Whipple was performed. Then my dad was again admitted to the ICU, and the doctors put him on a ventilator and other life supporting devices. The doctors informed us that he was suffering from multiple organs dysfunction. And the next day morning my dad passed away. I have enclosed CT, MRI, and other lab reports. How did my father die? What caused his death? Please help me. Thanks || Doctor: Hi. I have carefully gone through all your dad's reports (attachment removed to protect patient identity). Hope that explains it for you. For more information consult a medical gastroenterologist online --> | patient: hi doctor,this query is regarding my dad, who was diagnosed with obstructive jaundice last year. he was admitted to a hospital, and the doctor examined my dad and told us that they need to perform a whipple procedure on my dad. we did not ask for a second opinion, and we let them go ahead with the surgery. the operation took 13 hours, and he was hospitalized for 41 days after the surgery. he was finally discharged after 41 days, but he was suffering from stomachaches, arms pain, and fever. the biopsy report showed stage 1 pancreatic cancer, and the oncology doctor told us that chemotherapy is not required. he just told us that ca-19-9 test needs to be done every three months, for five years. my dad recovered, and he was on a normal diet.last month, my dad started complaining about stomach pain, so we admitted him to the hospital again. after an endoscopy and ct scan, the doctor told us that there was some infection in the operated area and that antibiotics will cure it, and my dad will be released in two days. after two days, the doctor told that the infection was still there, so they need to admit him for two more days. but after four days, my dad started having a fever, vomiting, and shivering. so, the doctor changed his antibiotics and admitted him for three more days. we requested him to refer him to another hospital, but he said that he could handle my dad's case, and told us not to worry. on the tenth day, my dad was shifted to the icu. my dad's nails and tongue changed to dark blue color, and the doctor told us that it was due to less blood flow. my dad was bleeding in the urinary tube, so we shifted him to the hospital where the whipple was performed. then my dad was again admitted to the icu, and the doctors put him on a ventilator and other life supporting devices. the doctors informed us that he was suffering from multiple organs dysfunction. and the next day morning my dad passed away. i have enclosed ct, mri, and other lab reports. how did my father die? what caused his death? please help me. thanks || doctor: hi. i have carefully gone through all your dad's reports (attachment removed to protect patient identity). hope that explains it for you. for more information consult a medical gastroenterologist online --> |
10,486 | Q. I have penile papules and want to get rid of them. Please suggest. | Dear doctor, I have penile papules and want to get rid of them. Is there any way or medication? Please suggest. I got tested for all STDs and everything is negative. | Hello. Can you tell me the duration of complaints? Is there any associated itching or urethral discharge? What is your marital status, and if partner also having any complaints? Revert with more information to an HIV AIDS specialist online --> | Patient: Dear doctor, I have penile papules and want to get rid of them. Is there any way or medication? Please suggest. I got tested for all STDs and everything is negative. || Doctor: Hello. Can you tell me the duration of complaints? Is there any associated itching or urethral discharge? What is your marital status, and if partner also having any complaints? Revert with more information to an HIV AIDS specialist online --> | patient: dear doctor, i have penile papules and want to get rid of them. is there any way or medication? please suggest. i got tested for all stds and everything is negative. || doctor: hello. can you tell me the duration of complaints? is there any associated itching or urethral discharge? what is your marital status, and if partner also having any complaints? revert with more information to an hiv aids specialist online --> |
10,487 | Q. I get moles in my chest area after a sunburn. Why? | Hi doctor, I am a 27-year-old male. I have never had an increase in moles, except for the past two weeks I have had over 50 show up on my chest. In the past two months, I moved from one country to another, and a month ago, I had a really bad sunburn in Indonesia. | Hi. Moles are genetic collection of melanocytes which go through a cycle of emerging in childhood then become darker and fade by middle ages. In fair skin up to 50 are normal more than that increase the risk for skin cancer. And change in size, symmetry, color, symptoms also is a risk factor. Mole or nevi as called in medical term appearing in adult age like in you are always a risk factor. And in such an abrupt manner more so. They need to be followed up for any change in color, size, symmetry border, symptoms, and so. All your moles that I can see in the photo are harmless. (attachment removed to protect patient identity). Mole does increase after prolonged sun exposure as you give history. I hope you do not have any other medical problems. I advise you an initial in physically examination by a dermatologist, you can wait for lockdown, not an emergency, then you can do it yourself, all the mole for the changes described earlier, at least once a month and a complete work done by a dermatologist once every six months. Lifetime risk is very low but if you have fair skin, adult moles, more than fifty you need that follow-up to be on the safer side. I hope this helps. Sun exposure. Workup for changes. Seborrheic keratosis. Screening for changes. Every six months. | Patient: Hi doctor, I am a 27-year-old male. I have never had an increase in moles, except for the past two weeks I have had over 50 show up on my chest. In the past two months, I moved from one country to another, and a month ago, I had a really bad sunburn in Indonesia. || Doctor: Hi. Moles are genetic collection of melanocytes which go through a cycle of emerging in childhood then become darker and fade by middle ages. In fair skin up to 50 are normal more than that increase the risk for skin cancer. And change in size, symmetry, color, symptoms also is a risk factor. Mole or nevi as called in medical term appearing in adult age like in you are always a risk factor. And in such an abrupt manner more so. They need to be followed up for any change in color, size, symmetry border, symptoms, and so. All your moles that I can see in the photo are harmless. (attachment removed to protect patient identity). Mole does increase after prolonged sun exposure as you give history. I hope you do not have any other medical problems. I advise you an initial in physically examination by a dermatologist, you can wait for lockdown, not an emergency, then you can do it yourself, all the mole for the changes described earlier, at least once a month and a complete work done by a dermatologist once every six months. Lifetime risk is very low but if you have fair skin, adult moles, more than fifty you need that follow-up to be on the safer side. I hope this helps. Sun exposure. Workup for changes. Seborrheic keratosis. Screening for changes. Every six months. | patient: hi doctor, i am a 27-year-old male. i have never had an increase in moles, except for the past two weeks i have had over 50 show up on my chest. in the past two months, i moved from one country to another, and a month ago, i had a really bad sunburn in indonesia. || doctor: hi. moles are genetic collection of melanocytes which go through a cycle of emerging in childhood then become darker and fade by middle ages. in fair skin up to 50 are normal more than that increase the risk for skin cancer. and change in size, symmetry, color, symptoms also is a risk factor. mole or nevi as called in medical term appearing in adult age like in you are always a risk factor. and in such an abrupt manner more so. they need to be followed up for any change in color, size, symmetry border, symptoms, and so. all your moles that i can see in the photo are harmless. (attachment removed to protect patient identity). mole does increase after prolonged sun exposure as you give history. i hope you do not have any other medical problems. i advise you an initial in physically examination by a dermatologist, you can wait for lockdown, not an emergency, then you can do it yourself, all the mole for the changes described earlier, at least once a month and a complete work done by a dermatologist once every six months. lifetime risk is very low but if you have fair skin, adult moles, more than fifty you need that follow-up to be on the safer side. i hope this helps. sun exposure. workup for changes. seborrheic keratosis. screening for changes. every six months. |
10,488 | 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 --> |
10,489 | 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 --> |
10,490 | 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.---> |
10,491 | 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 --> |
10,492 | 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 --> |
10,493 | Q. I have constant bowel pains, and alternating diarrhea and constipation. Is it IBS? | Hi doctor, I have had a lot of constant bowel pains and alternating diarrhea and constipation. Quite often, I am noticing brown sesame seed kind of thing in feces. Is it a parasitic infection? Or is there a possibility for IBS? | Hi. Your symptoms of pain and alternating constipation and diarrhea definitely point towards IBS (irritable bowel syndrome). The natural method of reducing these symptoms is by avoiding spicy food, eating your meals on time, and drinking adequate amounts of fluids to keep yourself hydrated. It is also important to make a food routine, which means you should have meals that are familiar to your body. Avoid surprising your body with new varieties of food suddenly. There is a probiotic medicine capsule Vibact IBS (Lactobacillus plantarum) which can be taken once daily for a month. This has shown relief in some of my patients with similar complaints. As for the complaint regarding your stools, you have to undergo a complete stool examination at a diagnostic laboratory to figure out the nature of the particles in your stools. For further information consult a general practitioner online --> | Patient: Hi doctor, I have had a lot of constant bowel pains and alternating diarrhea and constipation. Quite often, I am noticing brown sesame seed kind of thing in feces. Is it a parasitic infection? Or is there a possibility for IBS? || Doctor: Hi. Your symptoms of pain and alternating constipation and diarrhea definitely point towards IBS (irritable bowel syndrome). The natural method of reducing these symptoms is by avoiding spicy food, eating your meals on time, and drinking adequate amounts of fluids to keep yourself hydrated. It is also important to make a food routine, which means you should have meals that are familiar to your body. Avoid surprising your body with new varieties of food suddenly. There is a probiotic medicine capsule Vibact IBS (Lactobacillus plantarum) which can be taken once daily for a month. This has shown relief in some of my patients with similar complaints. As for the complaint regarding your stools, you have to undergo a complete stool examination at a diagnostic laboratory to figure out the nature of the particles in your stools. For further information consult a general practitioner online --> | patient: hi doctor, i have had a lot of constant bowel pains and alternating diarrhea and constipation. quite often, i am noticing brown sesame seed kind of thing in feces. is it a parasitic infection? or is there a possibility for ibs? || doctor: hi. your symptoms of pain and alternating constipation and diarrhea definitely point towards ibs (irritable bowel syndrome). the natural method of reducing these symptoms is by avoiding spicy food, eating your meals on time, and drinking adequate amounts of fluids to keep yourself hydrated. it is also important to make a food routine, which means you should have meals that are familiar to your body. avoid surprising your body with new varieties of food suddenly. there is a probiotic medicine capsule vibact ibs (lactobacillus plantarum) which can be taken once daily for a month. this has shown relief in some of my patients with similar complaints. as for the complaint regarding your stools, you have to undergo a complete stool examination at a diagnostic laboratory to figure out the nature of the particles in your stools. for further information consult a general practitioner online --> |
10,494 | Q. My mom had hysterectomy for adenocarcinoma. Is radiation therapy compulsory? | Hello doctor, My mother had complex endometrial hyperplasia for which surgery was fixed and last week, hysterectomy along with salpingo-oophorectomy and pelvic lymphonodectomy was done. After surgery, the parts were sent for histopathology. It was diagnosed as stage-2 endometrial adenocarcinoma. The lymph nodes were normal, uterus border was also normal and well-differentiated. Now, what is the treatment for this? Is radiation therapy required even after the removal of the entire uterus and its neighboring parts? | Hello. For further queries consult a medical oncologist online --> | Patient: Hello doctor, My mother had complex endometrial hyperplasia for which surgery was fixed and last week, hysterectomy along with salpingo-oophorectomy and pelvic lymphonodectomy was done. After surgery, the parts were sent for histopathology. It was diagnosed as stage-2 endometrial adenocarcinoma. The lymph nodes were normal, uterus border was also normal and well-differentiated. Now, what is the treatment for this? Is radiation therapy required even after the removal of the entire uterus and its neighboring parts? || Doctor: Hello. For further queries consult a medical oncologist online --> | patient: hello doctor, my mother had complex endometrial hyperplasia for which surgery was fixed and last week, hysterectomy along with salpingo-oophorectomy and pelvic lymphonodectomy was done. after surgery, the parts were sent for histopathology. it was diagnosed as stage-2 endometrial adenocarcinoma. the lymph nodes were normal, uterus border was also normal and well-differentiated. now, what is the treatment for this? is radiation therapy required even after the removal of the entire uterus and its neighboring parts? || doctor: hello. for further queries consult a medical oncologist online --> |
10,495 | Q. I have burning pain after going to the toilet. Is the edge of the anus torn? | Hello doctor,I have pain after going to the toilet. For the past few days, I have been experiencing burning pain after finishing, when I try to wash. It feels like the tip of the anus is inflamed and I cannot even touch. I Feel like the edge of the anus is torn. I notice that there is no blood in the stool. I have been applying Lycor cream. Please help as I am even hesitating to go to the toilet because of this. | Hello. From what you mentioned, it seems you have an anal fissure, which is a linear injury to the anal opening. Although it is very painful, you do not have to worry. It is a very common condition that resolves over time in most cases. For the pain, GTN ointment local after each time you go to the toilet. Be aware of the headache, Panadol (Paracetamol) will improve it. For constipation, Movicol (Macrogol) three times a day plus Senna (laxative) tablet before bedtime. Also sitting in a warm bath for 15 minutes helps. If you felt a mass coming out from the anus, a surgical clinic visit will be required. Hope you get well soon. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I have pain after going to the toilet. For the past few days, I have been experiencing burning pain after finishing, when I try to wash. It feels like the tip of the anus is inflamed and I cannot even touch. I Feel like the edge of the anus is torn. I notice that there is no blood in the stool. I have been applying Lycor cream. Please help as I am even hesitating to go to the toilet because of this. || Doctor: Hello. From what you mentioned, it seems you have an anal fissure, which is a linear injury to the anal opening. Although it is very painful, you do not have to worry. It is a very common condition that resolves over time in most cases. For the pain, GTN ointment local after each time you go to the toilet. Be aware of the headache, Panadol (Paracetamol) will improve it. For constipation, Movicol (Macrogol) three times a day plus Senna (laxative) tablet before bedtime. Also sitting in a warm bath for 15 minutes helps. If you felt a mass coming out from the anus, a surgical clinic visit will be required. Hope you get well soon. For more information consult an internal medicine physician online --> | patient: hello doctor,i have pain after going to the toilet. for the past few days, i have been experiencing burning pain after finishing, when i try to wash. it feels like the tip of the anus is inflamed and i cannot even touch. i feel like the edge of the anus is torn. i notice that there is no blood in the stool. i have been applying lycor cream. please help as i am even hesitating to go to the toilet because of this. || doctor: hello. from what you mentioned, it seems you have an anal fissure, which is a linear injury to the anal opening. although it is very painful, you do not have to worry. it is a very common condition that resolves over time in most cases. for the pain, gtn ointment local after each time you go to the toilet. be aware of the headache, panadol (paracetamol) will improve it. for constipation, movicol (macrogol) three times a day plus senna (laxative) tablet before bedtime. also sitting in a warm bath for 15 minutes helps. if you felt a mass coming out from the anus, a surgical clinic visit will be required. hope you get well soon. for more information consult an internal medicine physician online --> |
10,496 | Q. Recurring vomiting & stomach cramping. What does the barium test result reveal? | Hello doctor,My daughter has had recurring vomiting and stomach cramping intermittently since the last eight months. Barium meal has shown 'gastritis' with a possible duodenal band and the small bowel series reflects some matting of the Ileum. I am not sure what all of this means and the tests do not appear to provide a conclusive diagnosis. | Hello. Gastritis reflects simply a consequence of chronic acidity and for that, I suggest the following : Now, the term matting of ileum creates a doubt about the possibility of Crohn's disease, which is an Inflammatory bowel disease. I suppose she needs a CT (computed tomography) scan as well as a colonoscopy for further evaluation. I hope it helps you. If you have any further queries, please ask me. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor,My daughter has had recurring vomiting and stomach cramping intermittently since the last eight months. Barium meal has shown 'gastritis' with a possible duodenal band and the small bowel series reflects some matting of the Ileum. I am not sure what all of this means and the tests do not appear to provide a conclusive diagnosis. || Doctor: Hello. Gastritis reflects simply a consequence of chronic acidity and for that, I suggest the following : Now, the term matting of ileum creates a doubt about the possibility of Crohn's disease, which is an Inflammatory bowel disease. I suppose she needs a CT (computed tomography) scan as well as a colonoscopy for further evaluation. I hope it helps you. If you have any further queries, please ask me. For more information consult a medical gastroenterologist online --> | patient: hello doctor,my daughter has had recurring vomiting and stomach cramping intermittently since the last eight months. barium meal has shown 'gastritis' with a possible duodenal band and the small bowel series reflects some matting of the ileum. i am not sure what all of this means and the tests do not appear to provide a conclusive diagnosis. || doctor: hello. gastritis reflects simply a consequence of chronic acidity and for that, i suggest the following : now, the term matting of ileum creates a doubt about the possibility of crohn's disease, which is an inflammatory bowel disease. i suppose she needs a ct (computed tomography) scan as well as a colonoscopy for further evaluation. i hope it helps you. if you have any further queries, please ask me. for more information consult a medical gastroenterologist online --> |
10,497 | Q. Whom should I consult for a rash that appeared after unprotected sex? | Hi doctor, I had unprotected sex about one and a half month ago. A few days later, I saw a few things that concerned me. So, about a week later, I got tested for all the common STDs and the results came back negative. But, I am still having the same issue, but not as bad as before. I have been having three tiny red bumps like rash that are occasionally itchy and possibly a weird smell. After a while, I assumed it was a yeast infection. I started taking over-the-counter Azo pill and yeast cream, but nothing really is disappearing. Please help me. | Hi. For further information consult a sexologist online --> | Patient: Hi doctor, I had unprotected sex about one and a half month ago. A few days later, I saw a few things that concerned me. So, about a week later, I got tested for all the common STDs and the results came back negative. But, I am still having the same issue, but not as bad as before. I have been having three tiny red bumps like rash that are occasionally itchy and possibly a weird smell. After a while, I assumed it was a yeast infection. I started taking over-the-counter Azo pill and yeast cream, but nothing really is disappearing. Please help me. || Doctor: Hi. For further information consult a sexologist online --> | patient: hi doctor, i had unprotected sex about one and a half month ago. a few days later, i saw a few things that concerned me. so, about a week later, i got tested for all the common stds and the results came back negative. but, i am still having the same issue, but not as bad as before. i have been having three tiny red bumps like rash that are occasionally itchy and possibly a weird smell. after a while, i assumed it was a yeast infection. i started taking over-the-counter azo pill and yeast cream, but nothing really is disappearing. please help me. || doctor: hi. for further information consult a sexologist online --> |
10,498 | Q. I get frequent urination and increased thirst only during night. Is this diabetes? | Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux. I am currently on Montelukast, Advair and Omeprazole. | Hello. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. | Patient: Hi doctor, I am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. While I am sleeping, I get up just once to urinate, sometimes not at all. Do you think I have diabetes? I got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). I think it is highly unlikely I am going to get diabetes in less than two years after the last checkup, but I wanted to confirm since my family has a history of this illness, and that is scaring me a bit. I am a 28-year-old male with asthma and acid reflux. I am currently on Montelukast, Advair and Omeprazole. || Doctor: Hello. I can understand your concern. According to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. You have a family history of DM and you have a history of acid reflux and asthma. According to your description, your present sufferings can occurr in some situations like DI (diabetes insipidus), nephrogenic diabetes, UTI (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. You should undergo fasting blood sugar test, 2HABF (2hrs after breakfast), HbA1C test, USG of W/A, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. At first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. | patient: hi doctor, i am having frequent urination and feeling extremely thirsty, especially during the night after dinner and before bed. while i am sleeping, i get up just once to urinate, sometimes not at all. do you think i have diabetes? i got my blood sugar checked, and it came out as perfectly normal (91, normal range is 80-100 for fasting). i think it is highly unlikely i am going to get diabetes in less than two years after the last checkup, but i wanted to confirm since my family has a history of this illness, and that is scaring me a bit. i am a 28-year-old male with asthma and acid reflux. i am currently on montelukast, advair and omeprazole. || doctor: hello. i can understand your concern. according to your history you have been suffering from frequent urination and feeling extremely thirsty especially during night after dinner and before bed. you have a family history of dm and you have a history of acid reflux and asthma. according to your description, your present sufferings can occurr in some situations like di (diabetes insipidus), nephrogenic diabetes, uti (urinary tract infection), kidney stones, cystitis, hypercalcemia, etc. you should undergo fasting blood sugar test, 2habf (2hrs after breakfast), hba1c test, usg of w/a, urine routine, serum electrolytes, serum calcium, water deprivation test, etc. at first, we should find out the causes which are responsible for your present sufferings and then treat them accordingly. |
10,499 | Q. I have a red rash on the shaft of my penis. What can it be? | Hello doctor, I have a red rash on the shaft of my penis. The semen is clear few days after sex. It is painful at the tip as well. We had sex for three hours. I am not sure if that caused the rash or if it is a friction due to a tight condom. A day later, I noticed this swollen rash. | Hello. Please answer these questions, so we can have a better approach. Regards. Revert with more information to an HIV AIDS specialist online --> | Patient: Hello doctor, I have a red rash on the shaft of my penis. The semen is clear few days after sex. It is painful at the tip as well. We had sex for three hours. I am not sure if that caused the rash or if it is a friction due to a tight condom. A day later, I noticed this swollen rash. || Doctor: Hello. Please answer these questions, so we can have a better approach. Regards. Revert with more information to an HIV AIDS specialist online --> | patient: hello doctor, i have a red rash on the shaft of my penis. the semen is clear few days after sex. it is painful at the tip as well. we had sex for three hours. i am not sure if that caused the rash or if it is a friction due to a tight condom. a day later, i noticed this swollen rash. || doctor: hello. please answer these questions, so we can have a better approach. regards. revert with more information to an hiv aids specialist online --> |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.