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9,200 | 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 --> |
9,201 | Q. Why is my WBC count high? | Hi doctor, I am a 66 year old female. I am suffering from hypertension and diabetes since 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? | Hi. Based on your query, my opinion is as follows. Revert back with the details mentioned above to a hematologist online --> | Patient: Hi doctor, I am a 66 year old female. I am suffering from hypertension and diabetes since 20 years. I have got an implemented stent a month ago. I am taking medicines for the all above I have mentioned. In my recent blood count, my WBC is 70000. Why? || Doctor: Hi. Based on your query, my opinion is as follows. Revert back with the details mentioned above to a hematologist online --> | patient: hi doctor, i am a 66 year old female. i am suffering from hypertension and diabetes since 20 years. i have got an implemented stent a month ago. i am taking medicines for the all above i have mentioned. in my recent blood count, my wbc is 70000. why? || doctor: hi. based on your query, my opinion is as follows. revert back with the details mentioned above to a hematologist online --> |
9,202 | Q. How to handle a schizophrenic patient? | Hi doctor, My sister is suffering from auditory hallucination and 2 years ago she has been diagnosed to have schizophrenia (paranoid). Earlier, she regularly took medicine. But now she is not taking medicine because of side effects. She is unmarried and working in a private company. She does not feel any hallucination in her office, but when she reach home she hear somebody is calling her by her name again and again. When it happens more than her tolerance capacity, she becomes quite violent and says to kill that person. She suffered with chronic suppurativa otitis media CSOM till the age of 4 and had undergone right mastoidectomy. She was almost deaf till that time and started hearing actual voices from her 4 years of age. Later she said that she was not comfortable in hearing as these sounds were too loud for her. Then she started complaining that a person repeats her name. It was diagnosed as auditory hallucination and schizophrenia. Earlier she had Risperidone 1 mg, Parkin 2 mg and Escitalopram 5 mg. Our mother is also suffering from schizophrenia but she is medicine compliant. She is maintaining it by taking regular medicine. How to handle my sister? Please guide us. | Hi. As you have mentioned that your sister is suffering from schizophrenia and shown response on the prescribed medication, start her on tablet Risperidone 3 mg at night and tablet Parkin (Trihexyphenidyl hydrochloride - THP) 2 mg in the morning. You can also give her tablet Sizodon plus one tablet at night, which is a combination of both Risperidone 3 mg and THP 2 mg. You can also opt for Risnia liquid; mix 3 mL in her food in dinner, as her compliance is poor for medication. It is Risperidone, which is in colorless and odorless liquid form, so can mix with food easily. No need of Escitalopram. If depressive symptoms appear, then you can start with Escitalopram 5 mg in the morning. Review after 15 days or whenever needed. Revert back after 15 days for follow up to a psychiatrist online --> | Patient: Hi doctor, My sister is suffering from auditory hallucination and 2 years ago she has been diagnosed to have schizophrenia (paranoid). Earlier, she regularly took medicine. But now she is not taking medicine because of side effects. She is unmarried and working in a private company. She does not feel any hallucination in her office, but when she reach home she hear somebody is calling her by her name again and again. When it happens more than her tolerance capacity, she becomes quite violent and says to kill that person. She suffered with chronic suppurativa otitis media CSOM till the age of 4 and had undergone right mastoidectomy. She was almost deaf till that time and started hearing actual voices from her 4 years of age. Later she said that she was not comfortable in hearing as these sounds were too loud for her. Then she started complaining that a person repeats her name. It was diagnosed as auditory hallucination and schizophrenia. Earlier she had Risperidone 1 mg, Parkin 2 mg and Escitalopram 5 mg. Our mother is also suffering from schizophrenia but she is medicine compliant. She is maintaining it by taking regular medicine. How to handle my sister? Please guide us. || Doctor: Hi. As you have mentioned that your sister is suffering from schizophrenia and shown response on the prescribed medication, start her on tablet Risperidone 3 mg at night and tablet Parkin (Trihexyphenidyl hydrochloride - THP) 2 mg in the morning. You can also give her tablet Sizodon plus one tablet at night, which is a combination of both Risperidone 3 mg and THP 2 mg. You can also opt for Risnia liquid; mix 3 mL in her food in dinner, as her compliance is poor for medication. It is Risperidone, which is in colorless and odorless liquid form, so can mix with food easily. No need of Escitalopram. If depressive symptoms appear, then you can start with Escitalopram 5 mg in the morning. Review after 15 days or whenever needed. Revert back after 15 days for follow up to a psychiatrist online --> | patient: hi doctor, my sister is suffering from auditory hallucination and 2 years ago she has been diagnosed to have schizophrenia (paranoid). earlier, she regularly took medicine. but now she is not taking medicine because of side effects. she is unmarried and working in a private company. she does not feel any hallucination in her office, but when she reach home she hear somebody is calling her by her name again and again. when it happens more than her tolerance capacity, she becomes quite violent and says to kill that person. she suffered with chronic suppurativa otitis media csom till the age of 4 and had undergone right mastoidectomy. she was almost deaf till that time and started hearing actual voices from her 4 years of age. later she said that she was not comfortable in hearing as these sounds were too loud for her. then she started complaining that a person repeats her name. it was diagnosed as auditory hallucination and schizophrenia. earlier she had risperidone 1 mg, parkin 2 mg and escitalopram 5 mg. our mother is also suffering from schizophrenia but she is medicine compliant. she is maintaining it by taking regular medicine. how to handle my sister? please guide us. || doctor: hi. as you have mentioned that your sister is suffering from schizophrenia and shown response on the prescribed medication, start her on tablet risperidone 3 mg at night and tablet parkin (trihexyphenidyl hydrochloride - thp) 2 mg in the morning. you can also give her tablet sizodon plus one tablet at night, which is a combination of both risperidone 3 mg and thp 2 mg. you can also opt for risnia liquid; mix 3 ml in her food in dinner, as her compliance is poor for medication. it is risperidone, which is in colorless and odorless liquid form, so can mix with food easily. no need of escitalopram. if depressive symptoms appear, then you can start with escitalopram 5 mg in the morning. review after 15 days or whenever needed. revert back after 15 days for follow up to a psychiatrist online --> |
9,203 | Q. Are three negatives of IgM test conclusive of not having herpes? | Hi doctor,I had a brief interaction with a woman who is very likely to have STD, specifically herpes, and I have a few questions about herpes testing. The full story is that about three weeks ago, after a bad breakup, I went to a massage parlor. The parlor was the type that is sort of seedy and known for extras and the masseuse assumed I wanted sex and was immediately ready to go. I sort of talked her down to a handjob and the masseuse took off her clothes, straddled my legs, and did her thing while I lay on my back. For about 10 seconds during the hand-job, her genital area was pressed against my scrotal area, and she also kissed the shaft of my penis twice. There was no intercourse, and I did not see any herpes lesions on her, but I also was not able to look inside her or get more than a few brief looks between her legs before she was on top of me.After the experience, I was very worried about having contracted herpes from the genital contact, so I got some tests done. An IgM plus a full STD screen at three days after the incident, and an IgG and a second IgM at 10 days after the incident. Everything was negative. I have had no symptoms other than a bump on the inside of my thigh, and I have had bumps before in the same spot due to thigh chafing when I walk. I actually had one on the other thigh before the incident. Currently, it is about 22 days after the incident, and I am planning on getting a third IgM done to be extra sure there has been no change. What worries me is that I have read online that the IgM test is unreliable and that 50 % give false negative results. So basically, my questions are, with no symptoms, three negative IgM for HSV 1 and 2, and a negative IgG, is it safe to assume I do not have herpes? Is the IgM completely unreliable or are three negatives taken at different times conclusive? And is it fine to continue with dating and sexual activity given my current circumstances? Or should I abstain from sex completely for another nine weeks and wait till I can take a more accurate IgG? I started a new relationship a couple weeks after the incident, and I do not want to risk infecting her, but I also do not want to ruin the relationship if I do not need to. I also suffer from generalized anxiety disorder. So, any concrete information you have would be helpful. Lately, I have been having especially bad panic attacks and hot flashes. Currently, I am taking Effexor 75 mg. | Hi. I have gone through your case in detail. And after detailed analysis of your contact, it is concluded that you basically are not sure whether the woman actually had any herpes or not. Moreover, all your test results till now are negative. So, in absence of any symptoms of herpes and negative tests both for IgM and IgG, it means you are not having any herpes. So just stay relax. A false negative is said when you have a clinical lesion of herpes and clinician is quite sure of that but your tests turn out to be negative.In addition to this, if herpes had to appear it would have been evident within 10 to 14 days of your contact. As long as you are herpes free, both clinically and pathologically, you are free to go ahead. For more information consult a dermatologist online --> | Patient: Hi doctor,I had a brief interaction with a woman who is very likely to have STD, specifically herpes, and I have a few questions about herpes testing. The full story is that about three weeks ago, after a bad breakup, I went to a massage parlor. The parlor was the type that is sort of seedy and known for extras and the masseuse assumed I wanted sex and was immediately ready to go. I sort of talked her down to a handjob and the masseuse took off her clothes, straddled my legs, and did her thing while I lay on my back. For about 10 seconds during the hand-job, her genital area was pressed against my scrotal area, and she also kissed the shaft of my penis twice. There was no intercourse, and I did not see any herpes lesions on her, but I also was not able to look inside her or get more than a few brief looks between her legs before she was on top of me.After the experience, I was very worried about having contracted herpes from the genital contact, so I got some tests done. An IgM plus a full STD screen at three days after the incident, and an IgG and a second IgM at 10 days after the incident. Everything was negative. I have had no symptoms other than a bump on the inside of my thigh, and I have had bumps before in the same spot due to thigh chafing when I walk. I actually had one on the other thigh before the incident. Currently, it is about 22 days after the incident, and I am planning on getting a third IgM done to be extra sure there has been no change. What worries me is that I have read online that the IgM test is unreliable and that 50 % give false negative results. So basically, my questions are, with no symptoms, three negative IgM for HSV 1 and 2, and a negative IgG, is it safe to assume I do not have herpes? Is the IgM completely unreliable or are three negatives taken at different times conclusive? And is it fine to continue with dating and sexual activity given my current circumstances? Or should I abstain from sex completely for another nine weeks and wait till I can take a more accurate IgG? I started a new relationship a couple weeks after the incident, and I do not want to risk infecting her, but I also do not want to ruin the relationship if I do not need to. I also suffer from generalized anxiety disorder. So, any concrete information you have would be helpful. Lately, I have been having especially bad panic attacks and hot flashes. Currently, I am taking Effexor 75 mg. || Doctor: Hi. I have gone through your case in detail. And after detailed analysis of your contact, it is concluded that you basically are not sure whether the woman actually had any herpes or not. Moreover, all your test results till now are negative. So, in absence of any symptoms of herpes and negative tests both for IgM and IgG, it means you are not having any herpes. So just stay relax. A false negative is said when you have a clinical lesion of herpes and clinician is quite sure of that but your tests turn out to be negative.In addition to this, if herpes had to appear it would have been evident within 10 to 14 days of your contact. As long as you are herpes free, both clinically and pathologically, you are free to go ahead. For more information consult a dermatologist online --> | patient: hi doctor,i had a brief interaction with a woman who is very likely to have std, specifically herpes, and i have a few questions about herpes testing. the full story is that about three weeks ago, after a bad breakup, i went to a massage parlor. the parlor was the type that is sort of seedy and known for extras and the masseuse assumed i wanted sex and was immediately ready to go. i sort of talked her down to a handjob and the masseuse took off her clothes, straddled my legs, and did her thing while i lay on my back. for about 10 seconds during the hand-job, her genital area was pressed against my scrotal area, and she also kissed the shaft of my penis twice. there was no intercourse, and i did not see any herpes lesions on her, but i also was not able to look inside her or get more than a few brief looks between her legs before she was on top of me.after the experience, i was very worried about having contracted herpes from the genital contact, so i got some tests done. an igm plus a full std screen at three days after the incident, and an igg and a second igm at 10 days after the incident. everything was negative. i have had no symptoms other than a bump on the inside of my thigh, and i have had bumps before in the same spot due to thigh chafing when i walk. i actually had one on the other thigh before the incident. currently, it is about 22 days after the incident, and i am planning on getting a third igm done to be extra sure there has been no change. what worries me is that i have read online that the igm test is unreliable and that 50 % give false negative results. so basically, my questions are, with no symptoms, three negative igm for hsv 1 and 2, and a negative igg, is it safe to assume i do not have herpes? is the igm completely unreliable or are three negatives taken at different times conclusive? and is it fine to continue with dating and sexual activity given my current circumstances? or should i abstain from sex completely for another nine weeks and wait till i can take a more accurate igg? i started a new relationship a couple weeks after the incident, and i do not want to risk infecting her, but i also do not want to ruin the relationship if i do not need to. i also suffer from generalized anxiety disorder. so, any concrete information you have would be helpful. lately, i have been having especially bad panic attacks and hot flashes. currently, i am taking effexor 75 mg. || doctor: hi. i have gone through your case in detail. and after detailed analysis of your contact, it is concluded that you basically are not sure whether the woman actually had any herpes or not. moreover, all your test results till now are negative. so, in absence of any symptoms of herpes and negative tests both for igm and igg, it means you are not having any herpes. so just stay relax. a false negative is said when you have a clinical lesion of herpes and clinician is quite sure of that but your tests turn out to be negative.in addition to this, if herpes had to appear it would have been evident within 10 to 14 days of your contact. as long as you are herpes free, both clinically and pathologically, you are free to go ahead. for more information consult a dermatologist online --> |
9,204 | Q. How can I manage high cholesterol? | Hello doctor, I am 35-year-old male. My weight is 77 kg and height is 5 feet 6 inches. What is a skipping pulse? Is it blockage in the heart or not? My test reports is as follows, Cholesterol : 247, Triglycerides : 283, Hdl : 43, Ldl : 149, VLDL : 57, Non-Hdl cholesterol : 204, Lipoprotein a : 94, HS-CRP : 8, Sugar fasting : 90, and BP mostly : 130 / 85. | Hello. I recommend performing an ambulatory 24-48 hours ECG (electrocardiogram) monitoring to investigate for any cardiac arrhythmia. I would also recommend performing complete blood count and blood electrolytes for any possible imbalance, which could trigger ectopic heartbeats. Regarding your blood lipid profile, I would recommend trying to modify your diet, avoid fatty food or sugar and take a lot of omega fatty acids (fish, fish oil, olive oil, walnuts, etc.). I would also recommend taking a statin, considering your blood lipid profile. Atorvastatin 20 mg daily for a month would help improve your blood lipid profile. Hope to have been helpful! If you have any other questions, please do not hesitate to ask me again. For more information consult a cardiologist online --> | Patient: Hello doctor, I am 35-year-old male. My weight is 77 kg and height is 5 feet 6 inches. What is a skipping pulse? Is it blockage in the heart or not? My test reports is as follows, Cholesterol : 247, Triglycerides : 283, Hdl : 43, Ldl : 149, VLDL : 57, Non-Hdl cholesterol : 204, Lipoprotein a : 94, HS-CRP : 8, Sugar fasting : 90, and BP mostly : 130 / 85. || Doctor: Hello. I recommend performing an ambulatory 24-48 hours ECG (electrocardiogram) monitoring to investigate for any cardiac arrhythmia. I would also recommend performing complete blood count and blood electrolytes for any possible imbalance, which could trigger ectopic heartbeats. Regarding your blood lipid profile, I would recommend trying to modify your diet, avoid fatty food or sugar and take a lot of omega fatty acids (fish, fish oil, olive oil, walnuts, etc.). I would also recommend taking a statin, considering your blood lipid profile. Atorvastatin 20 mg daily for a month would help improve your blood lipid profile. Hope to have been helpful! If you have any other questions, please do not hesitate to ask me again. For more information consult a cardiologist online --> | patient: hello doctor, i am 35-year-old male. my weight is 77 kg and height is 5 feet 6 inches. what is a skipping pulse? is it blockage in the heart or not? my test reports is as follows, cholesterol : 247, triglycerides : 283, hdl : 43, ldl : 149, vldl : 57, non-hdl cholesterol : 204, lipoprotein a : 94, hs-crp : 8, sugar fasting : 90, and bp mostly : 130 / 85. || doctor: hello. i recommend performing an ambulatory 24-48 hours ecg (electrocardiogram) monitoring to investigate for any cardiac arrhythmia. i would also recommend performing complete blood count and blood electrolytes for any possible imbalance, which could trigger ectopic heartbeats. regarding your blood lipid profile, i would recommend trying to modify your diet, avoid fatty food or sugar and take a lot of omega fatty acids (fish, fish oil, olive oil, walnuts, etc.). i would also recommend taking a statin, considering your blood lipid profile. atorvastatin 20 mg daily for a month would help improve your blood lipid profile. hope to have been helpful! if you have any other questions, please do not hesitate to ask me again. for more information consult a cardiologist online --> |
9,205 | Q. What is the reason for inadequate breast milk secretion? | Hi doctor, I am a 30 year old woman. I have a three months old baby. I am giving formula milk for my baby from the first month, because from the beginning I did not have adequate milk secretion. Also, I am breastfeeding three to four times a day in between. As I had cold and light fever I stopped breastfeeding for two days thinking it will also affect my baby. After that my milk secretion has almost stopped. Even my baby is also not sucking from me. Now, I have recovered from the flu, but still I did not get back to my normal secretion. Not even 10 mL of milk is getting secreted. I have tried eating fenugreek, garlic, oats meal and lots of water. But, nothing has worked. I am really stressed because of this. I am not even able to breastfeed my baby for three months. I am worried. Please help me and advise accordingly. Thank you. | Hi. You really have a serious problem. For further information consult a lactation counselor online --> | Patient: Hi doctor, I am a 30 year old woman. I have a three months old baby. I am giving formula milk for my baby from the first month, because from the beginning I did not have adequate milk secretion. Also, I am breastfeeding three to four times a day in between. As I had cold and light fever I stopped breastfeeding for two days thinking it will also affect my baby. After that my milk secretion has almost stopped. Even my baby is also not sucking from me. Now, I have recovered from the flu, but still I did not get back to my normal secretion. Not even 10 mL of milk is getting secreted. I have tried eating fenugreek, garlic, oats meal and lots of water. But, nothing has worked. I am really stressed because of this. I am not even able to breastfeed my baby for three months. I am worried. Please help me and advise accordingly. Thank you. || Doctor: Hi. You really have a serious problem. For further information consult a lactation counselor online --> | patient: hi doctor, i am a 30 year old woman. i have a three months old baby. i am giving formula milk for my baby from the first month, because from the beginning i did not have adequate milk secretion. also, i am breastfeeding three to four times a day in between. as i had cold and light fever i stopped breastfeeding for two days thinking it will also affect my baby. after that my milk secretion has almost stopped. even my baby is also not sucking from me. now, i have recovered from the flu, but still i did not get back to my normal secretion. not even 10 ml of milk is getting secreted. i have tried eating fenugreek, garlic, oats meal and lots of water. but, nothing has worked. i am really stressed because of this. i am not even able to breastfeed my baby for three months. i am worried. please help me and advise accordingly. thank you. || doctor: hi. you really have a serious problem. for further information consult a lactation counselor online --> |
9,206 | Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? || Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | patient: hi doctor,i am just wondering what is abutting and abutment of the nerve root means in a back issue. please explain. what treatment is required for annular bulging and tear? || doctor: hi. i have gone through your query with diligence and would like you to know that i am here to help you. for further information consult a neurologist online --> |
9,207 | Q. Can laser be used to treat eye floaters and retinal tears? | Hello doctor, I am 29 years old. I have eye floaters in both my eyes. I am suffering from nearsightedness, and I have retinal tears. I consulted several doctors, but I did not get proper answers. The topic of eye floaters is not studied well in my country. My ophthalmologist says that I should do nothing and wait, just have a systematic evaluation of my eyes. I also consulted a laser eye surgeon. He offered me to get LASIK surgery at first, but he also did not give me definite and concise answers. The floaters almost poison my life. I am really close to a depression. My occupation is connected with computers, so I have to work on it for a long time every day. The last time, my eye floaters become more and more bothersome, and it seems to me that their number is gradually increasing. They are of different forms and sizes. I read a lot of information about the possible eye floaters treatment. To be honest, I am afraid of vitrectomy, as it is extremely risky. Laser treatment is more preferable, but I got to know that the patients of my age are not treatable by means of laser procedure. In this case, I have got some questions to ask. What should I do to stop the increasing of my eye floaters? Should I follow my ophthalmologist's advice and do nothing? Are there any successful cases of eye floaters treatment among the patients of my age by laser? Can I have a laser treatment of eye floaters when I become older or this type of eye floaters can never be treated by laser? | Hi. I have many patients like, and I have treated them also. Your age is no problem. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I am 29 years old. I have eye floaters in both my eyes. I am suffering from nearsightedness, and I have retinal tears. I consulted several doctors, but I did not get proper answers. The topic of eye floaters is not studied well in my country. My ophthalmologist says that I should do nothing and wait, just have a systematic evaluation of my eyes. I also consulted a laser eye surgeon. He offered me to get LASIK surgery at first, but he also did not give me definite and concise answers. The floaters almost poison my life. I am really close to a depression. My occupation is connected with computers, so I have to work on it for a long time every day. The last time, my eye floaters become more and more bothersome, and it seems to me that their number is gradually increasing. They are of different forms and sizes. I read a lot of information about the possible eye floaters treatment. To be honest, I am afraid of vitrectomy, as it is extremely risky. Laser treatment is more preferable, but I got to know that the patients of my age are not treatable by means of laser procedure. In this case, I have got some questions to ask. What should I do to stop the increasing of my eye floaters? Should I follow my ophthalmologist's advice and do nothing? Are there any successful cases of eye floaters treatment among the patients of my age by laser? Can I have a laser treatment of eye floaters when I become older or this type of eye floaters can never be treated by laser? || Doctor: Hi. I have many patients like, and I have treated them also. Your age is no problem. For more information consult an eye care ophthalmologist online --> | patient: hello doctor, i am 29 years old. i have eye floaters in both my eyes. i am suffering from nearsightedness, and i have retinal tears. i consulted several doctors, but i did not get proper answers. the topic of eye floaters is not studied well in my country. my ophthalmologist says that i should do nothing and wait, just have a systematic evaluation of my eyes. i also consulted a laser eye surgeon. he offered me to get lasik surgery at first, but he also did not give me definite and concise answers. the floaters almost poison my life. i am really close to a depression. my occupation is connected with computers, so i have to work on it for a long time every day. the last time, my eye floaters become more and more bothersome, and it seems to me that their number is gradually increasing. they are of different forms and sizes. i read a lot of information about the possible eye floaters treatment. to be honest, i am afraid of vitrectomy, as it is extremely risky. laser treatment is more preferable, but i got to know that the patients of my age are not treatable by means of laser procedure. in this case, i have got some questions to ask. what should i do to stop the increasing of my eye floaters? should i follow my ophthalmologist's advice and do nothing? are there any successful cases of eye floaters treatment among the patients of my age by laser? can i have a laser treatment of eye floaters when i become older or this type of eye floaters can never be treated by laser? || doctor: hi. i have many patients like, and i have treated them also. your age is no problem. for more information consult an eye care ophthalmologist online --> |
9,208 | Q. I am unable to lose weight in spite of doing exercises. Why? | Hello doctor, I am unable to lose weight even though I exercise a lot. Also, my penis size is small. Could this be a hormonal problem? | Hello. Fat is stubborn and it takes a lot of effort to get rid of it. If you are doing regular exercises, please consult a physical trainer to know whether the workout is scientifically efficient for weight reduction or not. If you are working out under the supervision of a professional and still unable to shed flab, I suggest you get your thyroid profile done along with lipid profile. The penis appears small when there is abdominal fat. I suggest you focus on the reduction of belly fat. Your organ size may be just right. For more information consult a sexologist online --> | Patient: Hello doctor, I am unable to lose weight even though I exercise a lot. Also, my penis size is small. Could this be a hormonal problem? || Doctor: Hello. Fat is stubborn and it takes a lot of effort to get rid of it. If you are doing regular exercises, please consult a physical trainer to know whether the workout is scientifically efficient for weight reduction or not. If you are working out under the supervision of a professional and still unable to shed flab, I suggest you get your thyroid profile done along with lipid profile. The penis appears small when there is abdominal fat. I suggest you focus on the reduction of belly fat. Your organ size may be just right. For more information consult a sexologist online --> | patient: hello doctor, i am unable to lose weight even though i exercise a lot. also, my penis size is small. could this be a hormonal problem? || doctor: hello. fat is stubborn and it takes a lot of effort to get rid of it. if you are doing regular exercises, please consult a physical trainer to know whether the workout is scientifically efficient for weight reduction or not. if you are working out under the supervision of a professional and still unable to shed flab, i suggest you get your thyroid profile done along with lipid profile. the penis appears small when there is abdominal fat. i suggest you focus on the reduction of belly fat. your organ size may be just right. for more information consult a sexologist online --> |
9,209 | Q. Two years after a kidney transplant, I have foamy urine and legs are swollen. Please help. | Hello doctor, Two years back, I had a kidney transplant. Now, I have swelling in legs and foamy urine. I take Prograf 3 mg in the morning and 2.5 mg at night. My BP is 102/55 mmHg. I do not have diabetes. Please help. | Hi. Hope it helps. Please feel free to ask more queries if you need further assistance. I would be happy to answer. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor, Two years back, I had a kidney transplant. Now, I have swelling in legs and foamy urine. I take Prograf 3 mg in the morning and 2.5 mg at night. My BP is 102/55 mmHg. I do not have diabetes. Please help. || Doctor: Hi. Hope it helps. Please feel free to ask more queries if you need further assistance. I would be happy to answer. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor, two years back, i had a kidney transplant. now, i have swelling in legs and foamy urine. i take prograf 3 mg in the morning and 2.5 mg at night. my bp is 102/55 mmhg. i do not have diabetes. please help. || doctor: hi. hope it helps. please feel free to ask more queries if you need further assistance. i would be happy to answer. regards. for more information consult an internal medicine physician online --> |
9,210 | Q. My brother's platelet counts are not going up even after transfusion. What to do? | Hello doctor,My brother has dengue fever. His platelet counts were dropping and once they reached 18,000 he was given one unit of platelet transfusion. But, his counts did not increase when checked after four hours and was at 17,000. So, the doctor went for a second infusion. There are no other symptoms except for this. Please suggest. | Hello. Firstly, do not panic. Dengue is a self-recovering condition. His platelet counts will gradually rise. Platelet transfusion is fine. Normally, random donor platelets (RDP) increases the platelet count by 5000 only while single donor platelets (SDP) increases it by around 30,000 to 40,000. So, you need to request your local doctor if he can make arrangements for single donor platelets. The next thing is, to increase the platelets, he can take tablet Caripill 1100 mg three times a day for five days which is papaya leaf extract, and it is hypothesized to increase platelets counts. So, you can request a local physician for the same, as there is no harm in having it. Most importantly, the priority is to avoid bleeding till his platelet count rises. So, he should strictly avoid painkillers except for Paracetamol, outdoor activities, brushing, straining at urination and defecation and any activities which may prone him to injury bleeding. He should drink plenty of water and liquids nearly three to four liters a day. His platelet count and hematocrit need to be monitored at least two times a day. Hope this helps you. Get back if you have any doubts. For more information consult an internal medicine physician online --> | Patient: Hello doctor,My brother has dengue fever. His platelet counts were dropping and once they reached 18,000 he was given one unit of platelet transfusion. But, his counts did not increase when checked after four hours and was at 17,000. So, the doctor went for a second infusion. There are no other symptoms except for this. Please suggest. || Doctor: Hello. Firstly, do not panic. Dengue is a self-recovering condition. His platelet counts will gradually rise. Platelet transfusion is fine. Normally, random donor platelets (RDP) increases the platelet count by 5000 only while single donor platelets (SDP) increases it by around 30,000 to 40,000. So, you need to request your local doctor if he can make arrangements for single donor platelets. The next thing is, to increase the platelets, he can take tablet Caripill 1100 mg three times a day for five days which is papaya leaf extract, and it is hypothesized to increase platelets counts. So, you can request a local physician for the same, as there is no harm in having it. Most importantly, the priority is to avoid bleeding till his platelet count rises. So, he should strictly avoid painkillers except for Paracetamol, outdoor activities, brushing, straining at urination and defecation and any activities which may prone him to injury bleeding. He should drink plenty of water and liquids nearly three to four liters a day. His platelet count and hematocrit need to be monitored at least two times a day. Hope this helps you. Get back if you have any doubts. For more information consult an internal medicine physician online --> | patient: hello doctor,my brother has dengue fever. his platelet counts were dropping and once they reached 18,000 he was given one unit of platelet transfusion. but, his counts did not increase when checked after four hours and was at 17,000. so, the doctor went for a second infusion. there are no other symptoms except for this. please suggest. || doctor: hello. firstly, do not panic. dengue is a self-recovering condition. his platelet counts will gradually rise. platelet transfusion is fine. normally, random donor platelets (rdp) increases the platelet count by 5000 only while single donor platelets (sdp) increases it by around 30,000 to 40,000. so, you need to request your local doctor if he can make arrangements for single donor platelets. the next thing is, to increase the platelets, he can take tablet caripill 1100 mg three times a day for five days which is papaya leaf extract, and it is hypothesized to increase platelets counts. so, you can request a local physician for the same, as there is no harm in having it. most importantly, the priority is to avoid bleeding till his platelet count rises. so, he should strictly avoid painkillers except for paracetamol, outdoor activities, brushing, straining at urination and defecation and any activities which may prone him to injury bleeding. he should drink plenty of water and liquids nearly three to four liters a day. his platelet count and hematocrit need to be monitored at least two times a day. hope this helps you. get back if you have any doubts. for more information consult an internal medicine physician online --> |
9,211 | Q. Can cold and sinus problem aggravate my peptic ulcer symptoms? | Hello doctor,I have been diagnosed with peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was then put on Lansoprazole, which I have been taking for 15 days now. After about five days, most of my initial symptoms, namely acid reflux, severe back pain, and mild stomach discomfort seemed to disappear, but then I caught a bad cold which seemed to affect my sinuses as well. Since then, the acid reflux and pain in the back has resurfaced. Do you think this is due to the cold and sinus problems? Also, do I need to go for an endoscopy at this stage? I saw improvement, although it has got worse again. Would it be better to wait for the cold to go and see what happens then? | Hi. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor,I have been diagnosed with peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was then put on Lansoprazole, which I have been taking for 15 days now. After about five days, most of my initial symptoms, namely acid reflux, severe back pain, and mild stomach discomfort seemed to disappear, but then I caught a bad cold which seemed to affect my sinuses as well. Since then, the acid reflux and pain in the back has resurfaced. Do you think this is due to the cold and sinus problems? Also, do I need to go for an endoscopy at this stage? I saw improvement, although it has got worse again. Would it be better to wait for the cold to go and see what happens then? || Doctor: Hi. For more information consult a medical gastroenterologist online --> | patient: hello doctor,i have been diagnosed with peptic ulcer four months back, and i was put on omeprazole. i took it for three and a half weeks, but then due to horrendous side effects and the need for an h.pylori test, i stopped taking it for around 10 days. the h.pylori test came back negative. i was then put on lansoprazole, which i have been taking for 15 days now. after about five days, most of my initial symptoms, namely acid reflux, severe back pain, and mild stomach discomfort seemed to disappear, but then i caught a bad cold which seemed to affect my sinuses as well. since then, the acid reflux and pain in the back has resurfaced. do you think this is due to the cold and sinus problems? also, do i need to go for an endoscopy at this stage? i saw improvement, although it has got worse again. would it be better to wait for the cold to go and see what happens then? || doctor: hi. for more information consult a medical gastroenterologist online --> |
9,212 | 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 --> |
9,213 | 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 --> |
9,214 | 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.---> |
9,215 | 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 --> |
9,216 | 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 --> |
9,217 | Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> | Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hello doctor, i am 48 years old. i am experiencing weak erection and difficulty in sustaining the same. this condition was observed 10 years back. also, there is premature ejaculation. other physical ailments that i have are, i am suffering from hypertension and taking amlopres-l (amlodipine and lisinopril) for the last 10 years, high cholesterol and triglycerides. my cholesterol level is 225 and triglyceride is 200 for the last 12 years. i used to do frequent masturbation in early age. i do have erection during morning hours many times, particularly after sound sleep or if i had long walk previous day. i am having sildenafil 25 mg or 5 mg cialis, which is effective enough. but, i wish to get rid of tablet support and live natural way. i consulted urologist today and he prescribed me nano-leo capsules and modula 5 mg for 10 days. i wish to have your second opinion on this. please guide. || doctor: hi. for further doubts consult a sexologist online --> |
9,218 | Q. What is the bump 1 cm away from base of penis in area of pubic hair? | Hi doctor, I have had a slight lump or bump in the area of my pubic hair, about 1 cm away from the base of my penis. What is it and what shall I do? | Hi. Usually, bumps appear in the pubic area due to infection of the hair follicles in the area (pubic hair folliculitis). This is very common and is not so dangerous. In some cases we need to administer antibiotics otherwise most of the cases heal on their own. Applying hot or cold sponges would be helpful. I would suggest you to please spare some time to upload a picture of the affected area for better understanding. Also, tell me, are you sexually active or not? If active, have you had unprotected sex with any partner in the recent days or so? | Patient: Hi doctor, I have had a slight lump or bump in the area of my pubic hair, about 1 cm away from the base of my penis. What is it and what shall I do? || Doctor: Hi. Usually, bumps appear in the pubic area due to infection of the hair follicles in the area (pubic hair folliculitis). This is very common and is not so dangerous. In some cases we need to administer antibiotics otherwise most of the cases heal on their own. Applying hot or cold sponges would be helpful. I would suggest you to please spare some time to upload a picture of the affected area for better understanding. Also, tell me, are you sexually active or not? If active, have you had unprotected sex with any partner in the recent days or so? | patient: hi doctor, i have had a slight lump or bump in the area of my pubic hair, about 1 cm away from the base of my penis. what is it and what shall i do? || doctor: hi. usually, bumps appear in the pubic area due to infection of the hair follicles in the area (pubic hair folliculitis). this is very common and is not so dangerous. in some cases we need to administer antibiotics otherwise most of the cases heal on their own. applying hot or cold sponges would be helpful. i would suggest you to please spare some time to upload a picture of the affected area for better understanding. also, tell me, are you sexually active or not? if active, have you had unprotected sex with any partner in the recent days or so? |
9,219 | Q. Is there anything abnormal in my complete health checkup report? | Hi doctor, I am 64 years old. I am nondiabetic. I did a complete health checkup and found my Hb1Ac at 6.5 %. I have a CRP of 35 mg/L. I have PSA at 4.4 ng/mL. My urine culture report shows a negative result. Is there anything abnormal? Please suggest. | Hi. I have gone through the reports (attachment removed to protect patient identity). The most concerning result is about your blood sugar levels. It seems that you can have diabetes. Please consult an endocrinologist for a proper evaluation. Your HbA1c is high, and blood sugar levels are also high. Avoid taking sugars in the diet and do physical activity regularly. PSA (prostate specific antigen) is very commonly high at this age group. It alarms you to have a regular follow-up visit with your urologist. It is good to check your prostate soon. Your C-reactive protein levels are also high. It can happen due to any specific inflammation. | Patient: Hi doctor, I am 64 years old. I am nondiabetic. I did a complete health checkup and found my Hb1Ac at 6.5 %. I have a CRP of 35 mg/L. I have PSA at 4.4 ng/mL. My urine culture report shows a negative result. Is there anything abnormal? Please suggest. || Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). The most concerning result is about your blood sugar levels. It seems that you can have diabetes. Please consult an endocrinologist for a proper evaluation. Your HbA1c is high, and blood sugar levels are also high. Avoid taking sugars in the diet and do physical activity regularly. PSA (prostate specific antigen) is very commonly high at this age group. It alarms you to have a regular follow-up visit with your urologist. It is good to check your prostate soon. Your C-reactive protein levels are also high. It can happen due to any specific inflammation. | patient: hi doctor, i am 64 years old. i am nondiabetic. i did a complete health checkup and found my hb1ac at 6.5 %. i have a crp of 35 mg/l. i have psa at 4.4 ng/ml. my urine culture report shows a negative result. is there anything abnormal? please suggest. || doctor: hi. i have gone through the reports (attachment removed to protect patient identity). the most concerning result is about your blood sugar levels. it seems that you can have diabetes. please consult an endocrinologist for a proper evaluation. your hba1c is high, and blood sugar levels are also high. avoid taking sugars in the diet and do physical activity regularly. psa (prostate specific antigen) is very commonly high at this age group. it alarms you to have a regular follow-up visit with your urologist. it is good to check your prostate soon. your c-reactive protein levels are also high. it can happen due to any specific inflammation. |
9,220 | Q. My 2. 7 years old daughter has cylindrical eye number. Is it a sign of keratoconus? | Hello doctor, I got my 2.7 years old daughter's eyes checked, and she has a cylindrical number of -1 and -1.25 at 180 axis. Will it increase as she grows? Is the test done on the machine, reliable? I hope this is not a sign of keratoconus. | Hello. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I got my 2.7 years old daughter's eyes checked, and she has a cylindrical number of -1 and -1.25 at 180 axis. Will it increase as she grows? Is the test done on the machine, reliable? I hope this is not a sign of keratoconus. || Doctor: Hello. For more information consult an eye care ophthalmologist online --> | patient: hello doctor, i got my 2.7 years old daughter's eyes checked, and she has a cylindrical number of -1 and -1.25 at 180 axis. will it increase as she grows? is the test done on the machine, reliable? i hope this is not a sign of keratoconus. || doctor: hello. for more information consult an eye care ophthalmologist online --> |
9,221 | Q. Why am I having hive like rash on my hand only? | Hello doctor, I am 25 years old female with no other symptoms. I had this hive like rash appear on the top of my right hand only. Has not spread, just gotten a deeper red color. Has some scab like areas I think because I scratched it at first. Does not itch anymore. Have not used any new products or exposed to any allergens. I am aware of to cause this. Again, only on my right hand. This is the fourth day of this rash. Have no idea what it could be from. I have taken Benadryl once daily, it had no effect. Also, have applied Hydrocortisone with no effect. Please help. | Hi. I have gone through your case. In my opinion, you have got an allergic reaction to something like it could be an insect bite or it could be some reaction to wild plants or weeds. It is good that you have used Hydrocortisone and I will recommend you to use it for another week. Apply two times a day for next seven days. And now about brown or black pigmentation. Then remember that it is a natural response of our skin to heal or combat any trauma with hyper or hypopigmentation. In your case, there is hyper pigmenation. Leave it as such right now. Because any creams, if used right now, will start itching and redness. And your lesions are fresh so I do not recommend it right now. Either this will lighten itself with time or if required we will try atleast after 14 days. For more information consult a dermatologist online --> | Patient: Hello doctor, I am 25 years old female with no other symptoms. I had this hive like rash appear on the top of my right hand only. Has not spread, just gotten a deeper red color. Has some scab like areas I think because I scratched it at first. Does not itch anymore. Have not used any new products or exposed to any allergens. I am aware of to cause this. Again, only on my right hand. This is the fourth day of this rash. Have no idea what it could be from. I have taken Benadryl once daily, it had no effect. Also, have applied Hydrocortisone with no effect. Please help. || Doctor: Hi. I have gone through your case. In my opinion, you have got an allergic reaction to something like it could be an insect bite or it could be some reaction to wild plants or weeds. It is good that you have used Hydrocortisone and I will recommend you to use it for another week. Apply two times a day for next seven days. And now about brown or black pigmentation. Then remember that it is a natural response of our skin to heal or combat any trauma with hyper or hypopigmentation. In your case, there is hyper pigmenation. Leave it as such right now. Because any creams, if used right now, will start itching and redness. And your lesions are fresh so I do not recommend it right now. Either this will lighten itself with time or if required we will try atleast after 14 days. For more information consult a dermatologist online --> | patient: hello doctor, i am 25 years old female with no other symptoms. i had this hive like rash appear on the top of my right hand only. has not spread, just gotten a deeper red color. has some scab like areas i think because i scratched it at first. does not itch anymore. have not used any new products or exposed to any allergens. i am aware of to cause this. again, only on my right hand. this is the fourth day of this rash. have no idea what it could be from. i have taken benadryl once daily, it had no effect. also, have applied hydrocortisone with no effect. please help. || doctor: hi. i have gone through your case. in my opinion, you have got an allergic reaction to something like it could be an insect bite or it could be some reaction to wild plants or weeds. it is good that you have used hydrocortisone and i will recommend you to use it for another week. apply two times a day for next seven days. and now about brown or black pigmentation. then remember that it is a natural response of our skin to heal or combat any trauma with hyper or hypopigmentation. in your case, there is hyper pigmenation. leave it as such right now. because any creams, if used right now, will start itching and redness. and your lesions are fresh so i do not recommend it right now. either this will lighten itself with time or if required we will try atleast after 14 days. for more information consult a dermatologist online --> |
9,222 | Q. I am experiencing diarrhea, weakness, and fever. Please help. | Hello doctor, I am experiencing diarrhea, weakness, fever, and headaches. Whenever I drink or eat anything, I have loose motions. I feel this is a heat stroke. Can you please help? | Hi. Thank you. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I am experiencing diarrhea, weakness, fever, and headaches. Whenever I drink or eat anything, I have loose motions. I feel this is a heat stroke. Can you please help? || Doctor: Hi. Thank you. For more information consult an internal medicine physician online --> | patient: hello doctor, i am experiencing diarrhea, weakness, fever, and headaches. whenever i drink or eat anything, i have loose motions. i feel this is a heat stroke. can you please help? || doctor: hi. thank you. for more information consult an internal medicine physician online --> |
9,223 | Q. What is the treatment for dengue? | Hi doctor, I have been bit by a dengue mosquito yesterday. Which medicine do I need to take? What is the treatment for dengue? Please guide. | Hi. I have gone through your query and can understand your health concern. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I have been bit by a dengue mosquito yesterday. Which medicine do I need to take? What is the treatment for dengue? Please guide. || Doctor: Hi. I have gone through your query and can understand your health concern. For further information consult an internal medicine physician online --> | patient: hi doctor, i have been bit by a dengue mosquito yesterday. which medicine do i need to take? what is the treatment for dengue? please guide. || doctor: hi. i have gone through your query and can understand your health concern. for further information consult an internal medicine physician online --> |
9,224 | Q. Until how many weeks into the pregnancy is abortion possible? | Hello doctor, I am a 25 year old unmarried girl. I am curious to know about the various options for abortions (medical and surgical) and up to how many days they can be done. I tried to look online but, I got several different answers. So, I thought of asking a doctor about it. Also, I want to know how safe is emergency contraceptive pill. I have PCOD and I am on ayurvedic treatment since the last four months. | Hello. The medical or chemical termination of pregnancy is safe and effective until 10 weeks. If it is beyond 12 weeks, surgical procedures may be required. If you take an emergency contraceptive pill within 72 hours of intercourse, there is no chance of a pregnancy. They are safe and effective. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am a 25 year old unmarried girl. I am curious to know about the various options for abortions (medical and surgical) and up to how many days they can be done. I tried to look online but, I got several different answers. So, I thought of asking a doctor about it. Also, I want to know how safe is emergency contraceptive pill. I have PCOD and I am on ayurvedic treatment since the last four months. || Doctor: Hello. The medical or chemical termination of pregnancy is safe and effective until 10 weeks. If it is beyond 12 weeks, surgical procedures may be required. If you take an emergency contraceptive pill within 72 hours of intercourse, there is no chance of a pregnancy. They are safe and effective. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am a 25 year old unmarried girl. i am curious to know about the various options for abortions (medical and surgical) and up to how many days they can be done. i tried to look online but, i got several different answers. so, i thought of asking a doctor about it. also, i want to know how safe is emergency contraceptive pill. i have pcod and i am on ayurvedic treatment since the last four months. || doctor: hello. the medical or chemical termination of pregnancy is safe and effective until 10 weeks. if it is beyond 12 weeks, surgical procedures may be required. if you take an emergency contraceptive pill within 72 hours of intercourse, there is no chance of a pregnancy. they are safe and effective. however, if you have a doubt then get back to me. take care. for more information consult an obstetrician and gynaecologist online --> |
9,225 | Q. Is it possible to have gingival recession by faulty brushing technique? | Hi doctor, I have cut my gumline due to brushing too hard. I have a slight recession on my gum. I am taking good care of my teeth. But I am panic. There is no bleeding and pain present. I used a water pick to clean it. I visited a dentist before four months. | Hi. I can understand your concern. I have gone through the attachment (attachment removed to protect patient identity). You have a pathological pocket or a healed pathological pocket. The gum recedes due to the pocket or due to faulty brushing technique. I recommend you get oral prophylaxis (dental scaling) done. Use an ultra soft toothbrush. Use modified bass technique for brushing. Also, have a habit of maintaining your brushing time within three minutes. Please let me know if you have any systemic condition like diabetes or hypertension. | Patient: Hi doctor, I have cut my gumline due to brushing too hard. I have a slight recession on my gum. I am taking good care of my teeth. But I am panic. There is no bleeding and pain present. I used a water pick to clean it. I visited a dentist before four months. || Doctor: Hi. I can understand your concern. I have gone through the attachment (attachment removed to protect patient identity). You have a pathological pocket or a healed pathological pocket. The gum recedes due to the pocket or due to faulty brushing technique. I recommend you get oral prophylaxis (dental scaling) done. Use an ultra soft toothbrush. Use modified bass technique for brushing. Also, have a habit of maintaining your brushing time within three minutes. Please let me know if you have any systemic condition like diabetes or hypertension. | patient: hi doctor, i have cut my gumline due to brushing too hard. i have a slight recession on my gum. i am taking good care of my teeth. but i am panic. there is no bleeding and pain present. i used a water pick to clean it. i visited a dentist before four months. || doctor: hi. i can understand your concern. i have gone through the attachment (attachment removed to protect patient identity). you have a pathological pocket or a healed pathological pocket. the gum recedes due to the pocket or due to faulty brushing technique. i recommend you get oral prophylaxis (dental scaling) done. use an ultra soft toothbrush. use modified bass technique for brushing. also, have a habit of maintaining your brushing time within three minutes. please let me know if you have any systemic condition like diabetes or hypertension. |
9,226 | Q. Can a 21 year old take contraceptive pill? | Hello doctor, Can a contraceptive pill be taken at 21 years of age? | Hello. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, Can a contraceptive pill be taken at 21 years of age? || Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, can a contraceptive pill be taken at 21 years of age? || doctor: hello. for further information consult an obstetrician and gynaecologist online --> |
9,227 | Q. Is the ability to sneeze, related to the brainstem? | Hi doctor,Thank you for reading my question. Since last week, I have been entirely unable to sneeze. While I have gotten the urge to sneeze many times, I cannot complete the act. In other words, I experience the 'ah' but not the 'choo.' I am very concerned, as I have never had this before. I have read on the internet that it could involve the brain stem. I do not have any other symptom that stands out. | Hi. I read your query and understand your concerns. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For more information consult a neurologist online --> | Patient: Hi doctor,Thank you for reading my question. Since last week, I have been entirely unable to sneeze. While I have gotten the urge to sneeze many times, I cannot complete the act. In other words, I experience the 'ah' but not the 'choo.' I am very concerned, as I have never had this before. I have read on the internet that it could involve the brain stem. I do not have any other symptom that stands out. || Doctor: Hi. I read your query and understand your concerns. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For more information consult a neurologist online --> | patient: hi doctor,thank you for reading my question. since last week, i have been entirely unable to sneeze. while i have gotten the urge to sneeze many times, i cannot complete the act. in other words, i experience the 'ah' but not the 'choo.' i am very concerned, as i have never had this before. i have read on the internet that it could involve the brain stem. i do not have any other symptom that stands out. || doctor: hi. i read your query and understand your concerns. i hope this answers you. feel free to contact me if you have more questions. thanks and regards. for more information consult a neurologist online --> |
9,228 | Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. || Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | patient: hi doctor, i am a 26 year old male. i am 5 feet and 9 inches tall and weigh 255 pounds. when i eat spicy food, i poop blood. sometimes when i have constipation as well, i poop a little bit of blood. i am really scared that i have colon cancer. i do have diarrhea often. i do not have a family history of colon cancer. i got blood tests done last night. please find my reports attached. || doctor: hello. i have gone through your information and test reports (attachment removed to protect patient identity). so, in view of that, there are a couple of things that i can opine upon: hope that helps. for more information consult a general surgeon online --> |
9,229 | 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 --> |
9,230 | 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 --> |
9,231 | 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.---> |
9,232 | 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 --> |
9,233 | 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 --> |
9,234 | Q. Is my LFT report normal? | Hi doctor,I sometimes get shoulder pain. I consume alcohol once a week. I am attaching my LFT report, please advice. My bilirubin direct is 0.10 mg/dL, bilirubin indirect is 0.5 mg/dL, SGOT is 35 U/L, SGPT is 79 U/L, and ALP is 68 U/L. | Hi. Your reports (attachment removed to protect patient identity) are normal. For more information consult a medical gastroenterologist online --> | Patient: Hi doctor,I sometimes get shoulder pain. I consume alcohol once a week. I am attaching my LFT report, please advice. My bilirubin direct is 0.10 mg/dL, bilirubin indirect is 0.5 mg/dL, SGOT is 35 U/L, SGPT is 79 U/L, and ALP is 68 U/L. || Doctor: Hi. Your reports (attachment removed to protect patient identity) are normal. For more information consult a medical gastroenterologist online --> | patient: hi doctor,i sometimes get shoulder pain. i consume alcohol once a week. i am attaching my lft report, please advice. my bilirubin direct is 0.10 mg/dl, bilirubin indirect is 0.5 mg/dl, sgot is 35 u/l, sgpt is 79 u/l, and alp is 68 u/l. || doctor: hi. your reports (attachment removed to protect patient identity) are normal. for more information consult a medical gastroenterologist online --> |
9,235 | Q. Is hypothyroidism totally curable with medicines and how long do I need to take medicines? | Hello Doctor, I am 30 years old. My TSH level is 36.5. Is hypothyroidism totally curable with medicines and how long do I need to take medicines? | Hi. Hypothyroidism is not totally curable. You may have to take medicines for your lifetime. If you have not yet started medicines, I advise you start taking tablet Thyronorm 75mcg daily morning in empty stomach. Repeat TSH after 2 months and revert back with the reports to an endocrinologist online --> | Patient: Hello Doctor, I am 30 years old. My TSH level is 36.5. Is hypothyroidism totally curable with medicines and how long do I need to take medicines? || Doctor: Hi. Hypothyroidism is not totally curable. You may have to take medicines for your lifetime. If you have not yet started medicines, I advise you start taking tablet Thyronorm 75mcg daily morning in empty stomach. Repeat TSH after 2 months and revert back with the reports to an endocrinologist online --> | patient: hello doctor, i am 30 years old. my tsh level is 36.5. is hypothyroidism totally curable with medicines and how long do i need to take medicines? || doctor: hi. hypothyroidism is not totally curable. you may have to take medicines for your lifetime. if you have not yet started medicines, i advise you start taking tablet thyronorm 75mcg daily morning in empty stomach. repeat tsh after 2 months and revert back with the reports to an endocrinologist online --> |
9,236 | Q. Is headache a side-effect of Nevanac ophthalmic suspension? | Hello doctor, I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist eye drops only in right eye one drop four times a day. But after using Nevanac suspension I feel pain in my left eye which was not before. I have headache after using this suspension. Is it the side effects of Nevanac suspension? Should I discontinue Nevanac? I have myopia. My power is -3.75 in left eye and -2.75 in the right eye. I have myopia since 20 years. | Hello. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherical error but your prescription shows that along with spherical error you have a cylindrical error too. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. If that is not incorporated in your glasses please include it because not using cylindrical power along with spherical can cause a headache. If Nevanac does not work in next three to four days you can try Tobramycin plus Fluorometholone eye drop twice daily for seven days. Do not use it for more than seven days. Also, get yourself checked for any near vision error, that is presbyopia. For more information consult an eye care ophthalmologist online --> | Patient: Hello doctor, I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist eye drops only in right eye one drop four times a day. But after using Nevanac suspension I feel pain in my left eye which was not before. I have headache after using this suspension. Is it the side effects of Nevanac suspension? Should I discontinue Nevanac? I have myopia. My power is -3.75 in left eye and -2.75 in the right eye. I have myopia since 20 years. || Doctor: Hello. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherical error but your prescription shows that along with spherical error you have a cylindrical error too. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. If that is not incorporated in your glasses please include it because not using cylindrical power along with spherical can cause a headache. If Nevanac does not work in next three to four days you can try Tobramycin plus Fluorometholone eye drop twice daily for seven days. Do not use it for more than seven days. Also, get yourself checked for any near vision error, that is presbyopia. For more information consult an eye care ophthalmologist online --> | patient: hello doctor, i am 37 years old. i have discomfort and mild pain in the right eye since last four days. the doctor has advised taking nevanac ophthalmic suspension 0.1 suspension, and maxmoist eye drops for dry eye. he has advised to take nevanac one drop four times daily in both eyes, and maxmoist eye drops only in right eye one drop four times a day. but after using nevanac suspension i feel pain in my left eye which was not before. i have headache after using this suspension. is it the side effects of nevanac suspension? should i discontinue nevanac? i have myopia. my power is -3.75 in left eye and -2.75 in the right eye. i have myopia since 20 years. || doctor: hello. no, nevanac (nepafenac) does not have such side effects. but, i suggest you reduce the frequency of nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. you said you are wearing -2.75 in the right and -3.75 in left. this is a spherical error but your prescription shows that along with spherical error you have a cylindrical error too. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. if that is not incorporated in your glasses please include it because not using cylindrical power along with spherical can cause a headache. if nevanac does not work in next three to four days you can try tobramycin plus fluorometholone eye drop twice daily for seven days. do not use it for more than seven days. also, get yourself checked for any near vision error, that is presbyopia. for more information consult an eye care ophthalmologist online --> |
9,237 | Q. What can be done to save a fractured milk tooth? | Hi doctor, I took my 4-year-old daughter to the dentist yesterday as two days back she fell and they said she had fractured her front tooth and it is loose. I am worried it will fall out and I really do not want it to also with it being fractured if it does come out I am worried a part of the tooth will still be left behind. What can I do? With my daughter being so young is it possible to cap the tooth or do something to fix it? Also, if there is an option to fix it, I am looking for something that is not going to be too much or too painful for her. | Hi. Do not worry. I have gone through your query and would like to tell you that it is a milk tooth and even if it is removed (due to severe mobility), we can give space maintainer, but I will have to see the X-ray and clinical photo of the tooth to guide you properly. No such serious effect will be there as the permanent tooth will anyways erupt there. An X-ray is definitely necessary to check whether there is any damage to the following permanent tooth within the bone. Secondly, if there is pulp exposure alone, we can do pulpectomy (like RCT) and if just enamel or dentin fracture, we can either smoothen the margins or fill it with tooth-colored cement. As I said, it is just milk tooth that will anyways be replaced by permanent tooth, be totally relaxed. The situation is totally manageable and no permanent effect is going to be there on the child. | Patient: Hi doctor, I took my 4-year-old daughter to the dentist yesterday as two days back she fell and they said she had fractured her front tooth and it is loose. I am worried it will fall out and I really do not want it to also with it being fractured if it does come out I am worried a part of the tooth will still be left behind. What can I do? With my daughter being so young is it possible to cap the tooth or do something to fix it? Also, if there is an option to fix it, I am looking for something that is not going to be too much or too painful for her. || Doctor: Hi. Do not worry. I have gone through your query and would like to tell you that it is a milk tooth and even if it is removed (due to severe mobility), we can give space maintainer, but I will have to see the X-ray and clinical photo of the tooth to guide you properly. No such serious effect will be there as the permanent tooth will anyways erupt there. An X-ray is definitely necessary to check whether there is any damage to the following permanent tooth within the bone. Secondly, if there is pulp exposure alone, we can do pulpectomy (like RCT) and if just enamel or dentin fracture, we can either smoothen the margins or fill it with tooth-colored cement. As I said, it is just milk tooth that will anyways be replaced by permanent tooth, be totally relaxed. The situation is totally manageable and no permanent effect is going to be there on the child. | patient: hi doctor, i took my 4-year-old daughter to the dentist yesterday as two days back she fell and they said she had fractured her front tooth and it is loose. i am worried it will fall out and i really do not want it to also with it being fractured if it does come out i am worried a part of the tooth will still be left behind. what can i do? with my daughter being so young is it possible to cap the tooth or do something to fix it? also, if there is an option to fix it, i am looking for something that is not going to be too much or too painful for her. || doctor: hi. do not worry. i have gone through your query and would like to tell you that it is a milk tooth and even if it is removed (due to severe mobility), we can give space maintainer, but i will have to see the x-ray and clinical photo of the tooth to guide you properly. no such serious effect will be there as the permanent tooth will anyways erupt there. an x-ray is definitely necessary to check whether there is any damage to the following permanent tooth within the bone. secondly, if there is pulp exposure alone, we can do pulpectomy (like rct) and if just enamel or dentin fracture, we can either smoothen the margins or fill it with tooth-colored cement. as i said, it is just milk tooth that will anyways be replaced by permanent tooth, be totally relaxed. the situation is totally manageable and no permanent effect is going to be there on the child. |
9,238 | Q. Levosure has not relieved me of my cough. What should I do? | Hello doctor, I am a 21-year-old male and I weigh 57 Kg. I am 5 feet 6 inches in height. My symptoms are a cough for one month. I am currently on tablet Levosure 500 mg, tablet Ventair 10 mg, and syrup Adovas. Please help. | Hello. The symptoms you provided are typical findings of this season. If you have a productive cough which is yellowish or greenish, it indicates a bacterial infection of the respiratory tract. It could be a case of bronchitis and Levofloxacin should work. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If not, you could get a culture and sensitivity test of the sputum and switch to another antibiotic according to the report. However, if you have a dry cough, no fever or purulent sputum, it could also be a post-infectious cough or a cough associated with postnasal drip. Also, if you smoke, it can make your cough worse. If your symptoms do not resolve with medication, you should get a chest x-ray done. For more information consult a family physician online --> | Patient: Hello doctor, I am a 21-year-old male and I weigh 57 Kg. I am 5 feet 6 inches in height. My symptoms are a cough for one month. I am currently on tablet Levosure 500 mg, tablet Ventair 10 mg, and syrup Adovas. Please help. || Doctor: Hello. The symptoms you provided are typical findings of this season. If you have a productive cough which is yellowish or greenish, it indicates a bacterial infection of the respiratory tract. It could be a case of bronchitis and Levofloxacin should work. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If not, you could get a culture and sensitivity test of the sputum and switch to another antibiotic according to the report. However, if you have a dry cough, no fever or purulent sputum, it could also be a post-infectious cough or a cough associated with postnasal drip. Also, if you smoke, it can make your cough worse. If your symptoms do not resolve with medication, you should get a chest x-ray done. For more information consult a family physician online --> | patient: hello doctor, i am a 21-year-old male and i weigh 57 kg. i am 5 feet 6 inches in height. my symptoms are a cough for one month. i am currently on tablet levosure 500 mg, tablet ventair 10 mg, and syrup adovas. please help. || doctor: hello. the symptoms you provided are typical findings of this season. if you have a productive cough which is yellowish or greenish, it indicates a bacterial infection of the respiratory tract. it could be a case of bronchitis and levofloxacin should work. consult your specialist doctor, discuss with him or her and with their consent take the medicines. if not, you could get a culture and sensitivity test of the sputum and switch to another antibiotic according to the report. however, if you have a dry cough, no fever or purulent sputum, it could also be a post-infectious cough or a cough associated with postnasal drip. also, if you smoke, it can make your cough worse. if your symptoms do not resolve with medication, you should get a chest x-ray done. for more information consult a family physician online --> |
9,239 | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. || Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | patient: hello doctor, i have multiple small cysts in both ovaries (pcos). our family friend suggested me to consume kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). i have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks i got my periods. then i had checked whether the cysts were dissolved by having an abdomen scan. but still, small multiple follicules have been seen in it with both ovaries enlarged. kindly suggest me what i can do further. i got married before one and a half years and i am much worried about my pregnancy. i have gallstones as well. || doctor: hello. i just read your query. see kalarachi kai choornam is helpful in amenorrhea. as far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. now, you have got your periods you can start trying for conception. but i advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. ovulation study is performed under the supervision of a gynecologist. for gall stones, surgical intervention is required generally. medicine is not of much help. |
9,240 | Q. May I know the reason for slurred speech in a paralyzed person? | Hi doctor,My dad has been paralyzed for three years now. He was fine, but suddenly his speech is not clear. We cannot understand what he says. May I know why this has happened? | Hello. 1. Previous stroke. 2. Modifiable risk factors like hypertension, hypercoagulable status. 3. Infection due to UTI (urinary tract infection) or bed sores. Blood complete profile, CT scan without contrast, renal function test, liver function test and serum electrolytes. 1. CVA (cerebrovascular accident). 2. Sepsis. 3. Hypovolemia. Control modifiable risk factors. The patient is too late for thrombolytic agents. Prevention of re-stroke. Control hypertension and antiplatelet therapy, For further doubts consult an internal medicine physician online.---> | Patient: Hi doctor,My dad has been paralyzed for three years now. He was fine, but suddenly his speech is not clear. We cannot understand what he says. May I know why this has happened? || Doctor: Hello. 1. Previous stroke. 2. Modifiable risk factors like hypertension, hypercoagulable status. 3. Infection due to UTI (urinary tract infection) or bed sores. Blood complete profile, CT scan without contrast, renal function test, liver function test and serum electrolytes. 1. CVA (cerebrovascular accident). 2. Sepsis. 3. Hypovolemia. Control modifiable risk factors. The patient is too late for thrombolytic agents. Prevention of re-stroke. Control hypertension and antiplatelet therapy, For further doubts consult an internal medicine physician online.---> | patient: hi doctor,my dad has been paralyzed for three years now. he was fine, but suddenly his speech is not clear. we cannot understand what he says. may i know why this has happened? || doctor: hello. 1. previous stroke. 2. modifiable risk factors like hypertension, hypercoagulable status. 3. infection due to uti (urinary tract infection) or bed sores. blood complete profile, ct scan without contrast, renal function test, liver function test and serum electrolytes. 1. cva (cerebrovascular accident). 2. sepsis. 3. hypovolemia. control modifiable risk factors. the patient is too late for thrombolytic agents. prevention of re-stroke. control hypertension and antiplatelet therapy, for further doubts consult an internal medicine physician online.---> |
9,241 | Q. I have red rashes on my corona after unprotected sex. What medicines to take? | Hello doctor,I have got red rashes on my corona. I have done unprotected sex 15 days before and my girlfriend is saying that she is still a virgin because we have not done intercourse properly. I just inserted and took out my penis. | Hello. I have seen the images (attachment removed to protect patient identity). It is herpes genitalis which is an STD (sexually transmitted disease).You need to take oral antiviral medications. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Tablet Acyclovir 400 mg three times a day after (breakfast- lunch- dinner) for seven days.Tablet Rantac (Ranitidine) 150 mg twice daily before meal for seven days. Apply T-Bact cream (Mupirocin Topical) twice daily. Avoid sexual contact. If your partner has similar complaints, then her treatment is also important. Get blood test for HIV (human immunodeficiency virus). For more information consult a dermatologist online --> | Patient: Hello doctor,I have got red rashes on my corona. I have done unprotected sex 15 days before and my girlfriend is saying that she is still a virgin because we have not done intercourse properly. I just inserted and took out my penis. || Doctor: Hello. I have seen the images (attachment removed to protect patient identity). It is herpes genitalis which is an STD (sexually transmitted disease).You need to take oral antiviral medications. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Tablet Acyclovir 400 mg three times a day after (breakfast- lunch- dinner) for seven days.Tablet Rantac (Ranitidine) 150 mg twice daily before meal for seven days. Apply T-Bact cream (Mupirocin Topical) twice daily. Avoid sexual contact. If your partner has similar complaints, then her treatment is also important. Get blood test for HIV (human immunodeficiency virus). For more information consult a dermatologist online --> | patient: hello doctor,i have got red rashes on my corona. i have done unprotected sex 15 days before and my girlfriend is saying that she is still a virgin because we have not done intercourse properly. i just inserted and took out my penis. || doctor: hello. i have seen the images (attachment removed to protect patient identity). it is herpes genitalis which is an std (sexually transmitted disease).you need to take oral antiviral medications. consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. tablet acyclovir 400 mg three times a day after (breakfast- lunch- dinner) for seven days.tablet rantac (ranitidine) 150 mg twice daily before meal for seven days. apply t-bact cream (mupirocin topical) twice daily. avoid sexual contact. if your partner has similar complaints, then her treatment is also important. get blood test for hiv (human immunodeficiency virus). for more information consult a dermatologist online --> |
9,242 | Q. How can we manage constipation and anal fissure? | Hi doctor, My mother is 48 years old. She is suffering from constipation with an anterior anal fissure for the past 10 years. Her TSH value is 7.01 mIU/L. She is taking two tablets of Bisacodyl BP 5 mg during night time every day. Now, I would like to know any suggestion from your side. | Hi. The anal fissure can be painful, and it can lead to constipation. The USG (ultrasonography) abdomen scan should be done to rule out any organic cause if present. A stool softener like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide) can be prescribed. As the fissure is present for a long time, she needs surgical management. For proctoscopy examination and operative management, you have to consult a surgeon. For more information consult a general practitioner online --> | Patient: Hi doctor, My mother is 48 years old. She is suffering from constipation with an anterior anal fissure for the past 10 years. Her TSH value is 7.01 mIU/L. She is taking two tablets of Bisacodyl BP 5 mg during night time every day. Now, I would like to know any suggestion from your side. || Doctor: Hi. The anal fissure can be painful, and it can lead to constipation. The USG (ultrasonography) abdomen scan should be done to rule out any organic cause if present. A stool softener like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide) can be prescribed. As the fissure is present for a long time, she needs surgical management. For proctoscopy examination and operative management, you have to consult a surgeon. For more information consult a general practitioner online --> | patient: hi doctor, my mother is 48 years old. she is suffering from constipation with an anterior anal fissure for the past 10 years. her tsh value is 7.01 miu/l. she is taking two tablets of bisacodyl bp 5 mg during night time every day. now, i would like to know any suggestion from your side. || doctor: hi. the anal fissure can be painful, and it can lead to constipation. the usg (ultrasonography) abdomen scan should be done to rule out any organic cause if present. a stool softener like cremaffin syrup (liquid paraffin with magnesium hydroxide) can be prescribed. as the fissure is present for a long time, she needs surgical management. for proctoscopy examination and operative management, you have to consult a surgeon. for more information consult a general practitioner online --> |
9,243 | Q. Can I use Unwanted 72 to terminate pregnancy? | Hi doctor, Is Unwanted 72 dangerous for health? Can I use Unwanted 72, if pregnancy is not confirmed? | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, Is Unwanted 72 dangerous for health? Can I use Unwanted 72, if pregnancy is not confirmed? || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, is unwanted 72 dangerous for health? can i use unwanted 72, if pregnancy is not confirmed? || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
9,244 | Q. What are the reasons for high platelet count? | Hi doctor, I am a 46 year old diabetic female. My platelet count is high at 9 lakhs in routine CBC. My iron is normal. My USG showed hepatosplenomegaly and PBS showed microcytic hypochromic anisocytosis. What shall I do now? | Hello. For further information consult a hematologist online --> | Patient: Hi doctor, I am a 46 year old diabetic female. My platelet count is high at 9 lakhs in routine CBC. My iron is normal. My USG showed hepatosplenomegaly and PBS showed microcytic hypochromic anisocytosis. What shall I do now? || Doctor: Hello. For further information consult a hematologist online --> | patient: hi doctor, i am a 46 year old diabetic female. my platelet count is high at 9 lakhs in routine cbc. my iron is normal. my usg showed hepatosplenomegaly and pbs showed microcytic hypochromic anisocytosis. what shall i do now? || doctor: hello. for further information consult a hematologist online --> |
9,245 | 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 --> |
9,246 | 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 --> |
9,247 | 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.---> |
9,248 | 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 --> |
9,249 | 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 --> |
9,250 | 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 --> |
9,251 | Q. What are the small flat bumps on penis? | Hello doctor, There are small flat bumps on penis. Is it herpes? I had rather rough sex with a partner a week before noticing these. I have been tested before and it has been negative and I have never had this before. | Hi. I am not going in favour of herpes.It looks like initial stages of penile lichen planus (attachment has been removed to protect patient identity). Herpes genitalis starts with a fluid filled blisters and do not remain for so long. For more information consult a dermatologist online --> | Patient: Hello doctor, There are small flat bumps on penis. Is it herpes? I had rather rough sex with a partner a week before noticing these. I have been tested before and it has been negative and I have never had this before. || Doctor: Hi. I am not going in favour of herpes.It looks like initial stages of penile lichen planus (attachment has been removed to protect patient identity). Herpes genitalis starts with a fluid filled blisters and do not remain for so long. For more information consult a dermatologist online --> | patient: hello doctor, there are small flat bumps on penis. is it herpes? i had rather rough sex with a partner a week before noticing these. i have been tested before and it has been negative and i have never had this before. || doctor: hi. i am not going in favour of herpes.it looks like initial stages of penile lichen planus (attachment has been removed to protect patient identity). herpes genitalis starts with a fluid filled blisters and do not remain for so long. for more information consult a dermatologist online --> |
9,252 | Q. My periods lapsed after safe sex. What to do? | Hi doctor, I had protected sex using condoms six days before my expected periods, but that was not safe. My periods has now lapsed. What should I do now? | Hi. For further doubts consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had protected sex using condoms six days before my expected periods, but that was not safe. My periods has now lapsed. What should I do now? || Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had protected sex using condoms six days before my expected periods, but that was not safe. my periods has now lapsed. what should i do now? || doctor: hi. for further doubts consult an obstetrician and gynaecologist online --> |
9,253 | Q. What to do for itching around the private parts? | Hi doctor,I am suffering with itching like eczema around my private parts for the last two years. Please help. | Hi. I have read your query in detail and do understand your concern. You could be suffering from a fungal infection. However, your symptoms may also be due to eczema. A picture and detailed history will be needed to differentiate between the two. 1. Proper oral and topical medicine for one to two months will completely cure your disease. 2. A course of oral and topical antifungal medicine like Fluconazole or Terbinafine is usually prescribed to cure one of these disease. 3. Do not use any over-the-counter medication over this area as it may be containing certain ingredients which may increase the problem. 1. Wear loose cotton clothing especially when at home. 2. Avoid hot humid climate and keep the affected area dry and avoid synthetic innerwear. Revert back with picture to a dermatologist online.---> | Patient: Hi doctor,I am suffering with itching like eczema around my private parts for the last two years. Please help. || Doctor: Hi. I have read your query in detail and do understand your concern. You could be suffering from a fungal infection. However, your symptoms may also be due to eczema. A picture and detailed history will be needed to differentiate between the two. 1. Proper oral and topical medicine for one to two months will completely cure your disease. 2. A course of oral and topical antifungal medicine like Fluconazole or Terbinafine is usually prescribed to cure one of these disease. 3. Do not use any over-the-counter medication over this area as it may be containing certain ingredients which may increase the problem. 1. Wear loose cotton clothing especially when at home. 2. Avoid hot humid climate and keep the affected area dry and avoid synthetic innerwear. Revert back with picture to a dermatologist online.---> | patient: hi doctor,i am suffering with itching like eczema around my private parts for the last two years. please help. || doctor: hi. i have read your query in detail and do understand your concern. you could be suffering from a fungal infection. however, your symptoms may also be due to eczema. a picture and detailed history will be needed to differentiate between the two. 1. proper oral and topical medicine for one to two months will completely cure your disease. 2. a course of oral and topical antifungal medicine like fluconazole or terbinafine is usually prescribed to cure one of these disease. 3. do not use any over-the-counter medication over this area as it may be containing certain ingredients which may increase the problem. 1. wear loose cotton clothing especially when at home. 2. avoid hot humid climate and keep the affected area dry and avoid synthetic innerwear. revert back with picture to a dermatologist online.---> |
9,254 | Q. How long will ganglionic cyst take to resolve? | Hi doctor, I have a cyst for the past one week and it is painful. Doctor gave me the tablets and now I do not have any pain. What should I do? Please suggest me. | Hello. I have gone through the pictures (attachment removed to protect patient identity) For further information consult an internal medicine physician online --> | Patient: Hi doctor, I have a cyst for the past one week and it is painful. Doctor gave me the tablets and now I do not have any pain. What should I do? Please suggest me. || Doctor: Hello. I have gone through the pictures (attachment removed to protect patient identity) For further information consult an internal medicine physician online --> | patient: hi doctor, i have a cyst for the past one week and it is painful. doctor gave me the tablets and now i do not have any pain. what should i do? please suggest me. || doctor: hello. i have gone through the pictures (attachment removed to protect patient identity) for further information consult an internal medicine physician online --> |
9,255 | Q. My breast milk is not sufficient for my 33 days old son. Can I give him powder milk? | Hi doctor, My second baby boy is 33 days old. I am breastfeeding him from birth, but now the breast milk is not sufficient for him. What should I do now? Shall I go for milk powders? Or is there any other way to increase breast milk production? Kindly advise. | Hi. If all above methods fail, please see a lactation consultant. For more information consult a paediatrician online --> | Patient: Hi doctor, My second baby boy is 33 days old. I am breastfeeding him from birth, but now the breast milk is not sufficient for him. What should I do now? Shall I go for milk powders? Or is there any other way to increase breast milk production? Kindly advise. || Doctor: Hi. If all above methods fail, please see a lactation consultant. For more information consult a paediatrician online --> | patient: hi doctor, my second baby boy is 33 days old. i am breastfeeding him from birth, but now the breast milk is not sufficient for him. what should i do now? shall i go for milk powders? or is there any other way to increase breast milk production? kindly advise. || doctor: hi. if all above methods fail, please see a lactation consultant. for more information consult a paediatrician online --> |
9,256 | Q. Kindly interpret test results taken after erotic massage. | Hello doctor, Can you please interpret my test lab results? I only had an erotic massage a few weeks ago. I did these tests on my own just because of curiosity. The erotic massage was safe. No sex was involved. Just body to body touch. However, I am not sure what they mean. | Hi. I have gone through your query and the reports attached (attachment removed to protect patient identity). Herpes 1 IgG positive indicates a history of herpes virus type 1 infection which is usually spread by oral contact and causes lesions in the facial region. Active lesions occur during periods of reduced immunity like other viral infections or sometimes spontaneously, rest of the time the virus remains dormant in the body. I would advise you to visit your local dermatologist for a further clinical examination and any treatment if necessary. Positive VDRL (venereal disease research laboratory) test must be taken with caution as there is a good chance of false positive. As the associated TP (Treponema pallidum) antigen test is negative, it is unlikely that you have syphilis. Though your HIV ELISA (enzyme-linked immunosorbent assay) is negative, if you have a suspicion of the possibility of contact then I would advise a repeat testing after six months without any unprotected contact just to be sure. For more information consult a urologist online --> | Patient: Hello doctor, Can you please interpret my test lab results? I only had an erotic massage a few weeks ago. I did these tests on my own just because of curiosity. The erotic massage was safe. No sex was involved. Just body to body touch. However, I am not sure what they mean. || Doctor: Hi. I have gone through your query and the reports attached (attachment removed to protect patient identity). Herpes 1 IgG positive indicates a history of herpes virus type 1 infection which is usually spread by oral contact and causes lesions in the facial region. Active lesions occur during periods of reduced immunity like other viral infections or sometimes spontaneously, rest of the time the virus remains dormant in the body. I would advise you to visit your local dermatologist for a further clinical examination and any treatment if necessary. Positive VDRL (venereal disease research laboratory) test must be taken with caution as there is a good chance of false positive. As the associated TP (Treponema pallidum) antigen test is negative, it is unlikely that you have syphilis. Though your HIV ELISA (enzyme-linked immunosorbent assay) is negative, if you have a suspicion of the possibility of contact then I would advise a repeat testing after six months without any unprotected contact just to be sure. For more information consult a urologist online --> | patient: hello doctor, can you please interpret my test lab results? i only had an erotic massage a few weeks ago. i did these tests on my own just because of curiosity. the erotic massage was safe. no sex was involved. just body to body touch. however, i am not sure what they mean. || doctor: hi. i have gone through your query and the reports attached (attachment removed to protect patient identity). herpes 1 igg positive indicates a history of herpes virus type 1 infection which is usually spread by oral contact and causes lesions in the facial region. active lesions occur during periods of reduced immunity like other viral infections or sometimes spontaneously, rest of the time the virus remains dormant in the body. i would advise you to visit your local dermatologist for a further clinical examination and any treatment if necessary. positive vdrl (venereal disease research laboratory) test must be taken with caution as there is a good chance of false positive. as the associated tp (treponema pallidum) antigen test is negative, it is unlikely that you have syphilis. though your hiv elisa (enzyme-linked immunosorbent assay) is negative, if you have a suspicion of the possibility of contact then i would advise a repeat testing after six months without any unprotected contact just to be sure. for more information consult a urologist online --> |
9,257 | Q. What are the tests to undertake in case of mild fatty liver? | Hello doctor, My wife is under Ayurveda medicine for a hip labrum tear. She had an ultrasound done as a part of some checkup. The finding is mild fatty liver. I am planning for additional blood tests. Could you please recommend the needed tests. She is nonalcoholic. Also, let me know if this is something to worry about. | Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor, My wife is under Ayurveda medicine for a hip labrum tear. She had an ultrasound done as a part of some checkup. The finding is mild fatty liver. I am planning for additional blood tests. Could you please recommend the needed tests. She is nonalcoholic. Also, let me know if this is something to worry about. || Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor, my wife is under ayurveda medicine for a hip labrum tear. she had an ultrasound done as a part of some checkup. the finding is mild fatty liver. i am planning for additional blood tests. could you please recommend the needed tests. she is nonalcoholic. also, let me know if this is something to worry about. || doctor: hello. i went through your post. regards. for more information consult an internal medicine physician online --> |
9,258 | Q. I get spotting every 15 days. What can be the reason? | Hi doctor, I am suffering from irregular periods. I am getting few spots in 15 days and also the flow was heavy during my periods. I have consulted a gynecologist here. She asked me to check the Hb count, thyroid, sugar levels, vitamin B12 and D3. Everything was fine except Hb and vitamin D3. She also asked me to take pelvis scan. After seeing the report she told me that there is a possibility of PCOS. She gave me some iron supplements for 3 months. Now, even if I strain for some time, I am getting few spots. If I stand continuously in the kitchen for more than an hour, I am getting spots. I am really scared of the problem. Is there anything to be worried? Help me with this. I am attaching my scan reports here for your reference. | Hi. You are suffering from PCOS (polycystic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. Your spotting is not related to PCOS directly. In PCOS, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. Simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy. It will also prevent ill effects of unopposed estrogen on endometrium. Another option is to induce regular withdrawal by taking Progesterone tablets (Medroxyprogesterone acetate 10 mg twice daily for 5 days) to induce menses every 30-45 days. Spotting should stop once you start oral contraceptive pills, which you can start right now if you are not trying for pregnancy. To prevent long-term ill effects of PCOS, you need to take healthy diet (low carbohydrate, fat, refined sugars and high in fiber content). Do regular exercise for at least 30-45 minutes daily and induce period by oral contraceptive pill and Progesterone tablets regularly. You should avoid gaining weight at all costs as it may impair glucose tolerance and precipitate diabetes in later life. I hope you are taking Iron and vitamin D3 supplements to recover from deficiency. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am suffering from irregular periods. I am getting few spots in 15 days and also the flow was heavy during my periods. I have consulted a gynecologist here. She asked me to check the Hb count, thyroid, sugar levels, vitamin B12 and D3. Everything was fine except Hb and vitamin D3. She also asked me to take pelvis scan. After seeing the report she told me that there is a possibility of PCOS. She gave me some iron supplements for 3 months. Now, even if I strain for some time, I am getting few spots. If I stand continuously in the kitchen for more than an hour, I am getting spots. I am really scared of the problem. Is there anything to be worried? Help me with this. I am attaching my scan reports here for your reference. || Doctor: Hi. You are suffering from PCOS (polycystic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. Your spotting is not related to PCOS directly. In PCOS, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. Simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy. It will also prevent ill effects of unopposed estrogen on endometrium. Another option is to induce regular withdrawal by taking Progesterone tablets (Medroxyprogesterone acetate 10 mg twice daily for 5 days) to induce menses every 30-45 days. Spotting should stop once you start oral contraceptive pills, which you can start right now if you are not trying for pregnancy. To prevent long-term ill effects of PCOS, you need to take healthy diet (low carbohydrate, fat, refined sugars and high in fiber content). Do regular exercise for at least 30-45 minutes daily and induce period by oral contraceptive pill and Progesterone tablets regularly. You should avoid gaining weight at all costs as it may impair glucose tolerance and precipitate diabetes in later life. I hope you are taking Iron and vitamin D3 supplements to recover from deficiency. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am suffering from irregular periods. i am getting few spots in 15 days and also the flow was heavy during my periods. i have consulted a gynecologist here. she asked me to check the hb count, thyroid, sugar levels, vitamin b12 and d3. everything was fine except hb and vitamin d3. she also asked me to take pelvis scan. after seeing the report she told me that there is a possibility of pcos. she gave me some iron supplements for 3 months. now, even if i strain for some time, i am getting few spots. if i stand continuously in the kitchen for more than an hour, i am getting spots. i am really scared of the problem. is there anything to be worried? help me with this. i am attaching my scan reports here for your reference. || doctor: hi. you are suffering from pcos (polycystic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. your spotting is not related to pcos directly. in pcos, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy. it will also prevent ill effects of unopposed estrogen on endometrium. another option is to induce regular withdrawal by taking progesterone tablets (medroxyprogesterone acetate 10 mg twice daily for 5 days) to induce menses every 30-45 days. spotting should stop once you start oral contraceptive pills, which you can start right now if you are not trying for pregnancy. to prevent long-term ill effects of pcos, you need to take healthy diet (low carbohydrate, fat, refined sugars and high in fiber content). do regular exercise for at least 30-45 minutes daily and induce period by oral contraceptive pill and progesterone tablets regularly. you should avoid gaining weight at all costs as it may impair glucose tolerance and precipitate diabetes in later life. i hope you are taking iron and vitamin d3 supplements to recover from deficiency. for further information consult an obstetrician and gynaecologist online --> |
9,259 | Q. How to treat loose motions in a 12 days old baby? | Hi doctor, My 12 days old baby boy has more frequent loose motions of up to 15 to 20 times a day. I am afraid of this. What is the treatment for this? | Hi. I can understand your concern. For further information consult a paediatrician online --> | Patient: Hi doctor, My 12 days old baby boy has more frequent loose motions of up to 15 to 20 times a day. I am afraid of this. What is the treatment for this? || Doctor: Hi. I can understand your concern. For further information consult a paediatrician online --> | patient: hi doctor, my 12 days old baby boy has more frequent loose motions of up to 15 to 20 times a day. i am afraid of this. what is the treatment for this? || doctor: hi. i can understand your concern. for further information consult a paediatrician online --> |
9,260 | Q. I experience bouts of dry cough every winter. How can I prevent that? | Hello doctor, I have a dry cough problem. While breathing, there is a difficulty. At night, it gets worse and I start to sweat. I have this problem every year during the winter. I got a blood test done and the result was 8 % eosinophilia. Please suggest. I am taking Banocide forte. | Hello. Wishing you good health. For more information consult an allergy specialist online --> | Patient: Hello doctor, I have a dry cough problem. While breathing, there is a difficulty. At night, it gets worse and I start to sweat. I have this problem every year during the winter. I got a blood test done and the result was 8 % eosinophilia. Please suggest. I am taking Banocide forte. || Doctor: Hello. Wishing you good health. For more information consult an allergy specialist online --> | patient: hello doctor, i have a dry cough problem. while breathing, there is a difficulty. at night, it gets worse and i start to sweat. i have this problem every year during the winter. i got a blood test done and the result was 8 % eosinophilia. please suggest. i am taking banocide forte. || doctor: hello. wishing you good health. for more information consult an allergy specialist online --> |
9,261 | Q. Due to stress and thyroid issue, I get a lot of hair fall. Shall I use Rogaine foam? | Hi doctor, I have a lot of stress issues and thyroid which causes my hair fall out a lot. I came across Rogaine foam 5%. I am wondering if it is safe to use it for me? I do not have any patches just hair loss and thinning. | Hi. Hair loss occurs due to a variety of reasons. Most commonly at a young age is it occurs due to androgenetic alopecia, it is a type of alopecia due to the sensitivity of our frontal scalp hair to the androgens which increase during puberty. It appears at frontal areas and progressive gradually according to the genetic makeup of a person, in females it is in the central part of the forehead. Other type of alopecia occurs due to chronic illness, chronic stress, chronic drug treatment like chemotherapy and it commence three months after the inciting illness. So to treat it we have to rule out any disease in the body, stop any drug which may be causing their fall if possible. Avoid smoking, alcohol, and do mild exercise. Take a balanced diet and keep yourself stress-free. Medical treatment includes Minoxidil 5% twice daily over the scalp. Tablet Calcium pantothenate and Biotin preparation daily. Rogain also contains Minoxidil. Foam preparation better but costly. This treatment initially is continued for six weeks then we review the progress. In androgenetic alopecia, it has to be continued until you need hair to be normal because genetically those hairs have to be fall. With medical treatment, we are only stopping them. Associated disease or stress should be treated accordingly. Initially due to Minoxidil, there is increased hair fall because the hair which will be weak suddenly fall and strong and dense hair at the place grow which takes time and maximum improvement is seen after eight months of the treatment. Hair loss has multiple factors so try eliminating all in addition to testing your thyroid. I hope this helps. | Patient: Hi doctor, I have a lot of stress issues and thyroid which causes my hair fall out a lot. I came across Rogaine foam 5%. I am wondering if it is safe to use it for me? I do not have any patches just hair loss and thinning. || Doctor: Hi. Hair loss occurs due to a variety of reasons. Most commonly at a young age is it occurs due to androgenetic alopecia, it is a type of alopecia due to the sensitivity of our frontal scalp hair to the androgens which increase during puberty. It appears at frontal areas and progressive gradually according to the genetic makeup of a person, in females it is in the central part of the forehead. Other type of alopecia occurs due to chronic illness, chronic stress, chronic drug treatment like chemotherapy and it commence three months after the inciting illness. So to treat it we have to rule out any disease in the body, stop any drug which may be causing their fall if possible. Avoid smoking, alcohol, and do mild exercise. Take a balanced diet and keep yourself stress-free. Medical treatment includes Minoxidil 5% twice daily over the scalp. Tablet Calcium pantothenate and Biotin preparation daily. Rogain also contains Minoxidil. Foam preparation better but costly. This treatment initially is continued for six weeks then we review the progress. In androgenetic alopecia, it has to be continued until you need hair to be normal because genetically those hairs have to be fall. With medical treatment, we are only stopping them. Associated disease or stress should be treated accordingly. Initially due to Minoxidil, there is increased hair fall because the hair which will be weak suddenly fall and strong and dense hair at the place grow which takes time and maximum improvement is seen after eight months of the treatment. Hair loss has multiple factors so try eliminating all in addition to testing your thyroid. I hope this helps. | patient: hi doctor, i have a lot of stress issues and thyroid which causes my hair fall out a lot. i came across rogaine foam 5%. i am wondering if it is safe to use it for me? i do not have any patches just hair loss and thinning. || doctor: hi. hair loss occurs due to a variety of reasons. most commonly at a young age is it occurs due to androgenetic alopecia, it is a type of alopecia due to the sensitivity of our frontal scalp hair to the androgens which increase during puberty. it appears at frontal areas and progressive gradually according to the genetic makeup of a person, in females it is in the central part of the forehead. other type of alopecia occurs due to chronic illness, chronic stress, chronic drug treatment like chemotherapy and it commence three months after the inciting illness. so to treat it we have to rule out any disease in the body, stop any drug which may be causing their fall if possible. avoid smoking, alcohol, and do mild exercise. take a balanced diet and keep yourself stress-free. medical treatment includes minoxidil 5% twice daily over the scalp. tablet calcium pantothenate and biotin preparation daily. rogain also contains minoxidil. foam preparation better but costly. this treatment initially is continued for six weeks then we review the progress. in androgenetic alopecia, it has to be continued until you need hair to be normal because genetically those hairs have to be fall. with medical treatment, we are only stopping them. associated disease or stress should be treated accordingly. initially due to minoxidil, there is increased hair fall because the hair which will be weak suddenly fall and strong and dense hair at the place grow which takes time and maximum improvement is seen after eight months of the treatment. hair loss has multiple factors so try eliminating all in addition to testing your thyroid. i hope this helps. |
9,262 | 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 --> |
9,263 | 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 --> |
9,264 | 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.---> |
9,265 | 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 --> |
9,266 | 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 --> |
9,267 | Q. Can hip labral tear and sports hernia both be addressed in the same surgery? | Hello doctor, I have a right side hip labral tear and a probable sports hernia on the same side. Can both these issues be addressed in the same surgery, or do they have to be addressed in separate surgeries? | Hi. It can be tackled in the same anesthesia and surgery. Hip labral repairs or excision is done arthroscopically and after that, the surgery for sports hernia can be done either open or endoscopically. So, it can be done in the same sitting of anesthesia. Before the surgery, the clinician should confirm the diagnosis of sports hernia. Has the MRI scan been done? This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online --> | Patient: Hello doctor, I have a right side hip labral tear and a probable sports hernia on the same side. Can both these issues be addressed in the same surgery, or do they have to be addressed in separate surgeries? || Doctor: Hi. It can be tackled in the same anesthesia and surgery. Hip labral repairs or excision is done arthroscopically and after that, the surgery for sports hernia can be done either open or endoscopically. So, it can be done in the same sitting of anesthesia. Before the surgery, the clinician should confirm the diagnosis of sports hernia. Has the MRI scan been done? This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online --> | patient: hello doctor, i have a right side hip labral tear and a probable sports hernia on the same side. can both these issues be addressed in the same surgery, or do they have to be addressed in separate surgeries? || doctor: hi. it can be tackled in the same anesthesia and surgery. hip labral repairs or excision is done arthroscopically and after that, the surgery for sports hernia can be done either open or endoscopically. so, it can be done in the same sitting of anesthesia. before the surgery, the clinician should confirm the diagnosis of sports hernia. has the mri scan been done? this professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. it should be correlated with clinical findings. for more information consult an orthopaedician and traumatologist online --> |
9,268 | Q. I had started with treatment for GAD. I cannot do anything without medication after I have withdrawn it. Help me tune the medications for extended usage | Hello Doctor, I have started treatment of GAD before 2.5 months as follows: (60 mg Paxil daily, 150 mg Wellbutrin one time daily and 15 mg Buspar twice a day) in addition to CTB. The results were very good and the anxiety and accompanying depression went away. Now I cannot do anything without medication because the last case happened to me when I had withdrawn the medication (Paxil 10 mg daily for 4 years) and got that relapse, so how can I tune the medications for extended usage? (i.e, which one to cancel or decrease or increase or keep the three but modify the doses) What do you suggest? Please I cannot do without medications? Is it true that the effect of these medications become weak or insignificant with time (i.e, during the usage, work only for limited time then stop working although the person continues to use it). | Hi. At first I would like to tell you briefly about Generalized Anxiety Disorder or GAD that you are already well aware of. This is a chronic, relapsing and debilitating common psychiatric disorder characterized by anxiety and worry about several events and activities for a majority of the day over a 6 months time period. The anxiety and worry associated with GAD can be distinguished from normal anxiety by their excessive nature, the difficulty involved in controlling them, and their interference in everyday life. Having said this I like to emphasize again that it is chronic and relapsing disorder. So if any one needs to discontinue medication it should be done in graded manner. Abrupt discontinuation should be avoided at any cost. You might be aware that every medication has its own side effect and risk benefit, analysis need to be done before every single prescription. In response to your question "Is it true that the effect of these medications become weak or insignificant with time?" I assure you that with prescribed medication like paxil, the answer is NO. There is no evidence of tolerance with SSRI (Paxil) and wellbutrin. Although such reports you can find in many websites managed by quacks and non medical personnel. I would say it is a MYTH and not a true phenomenon. I hope I have answered your query to a good extent. Consult a psychiatrist online for further help --> | Patient: Hello Doctor, I have started treatment of GAD before 2.5 months as follows: (60 mg Paxil daily, 150 mg Wellbutrin one time daily and 15 mg Buspar twice a day) in addition to CTB. The results were very good and the anxiety and accompanying depression went away. Now I cannot do anything without medication because the last case happened to me when I had withdrawn the medication (Paxil 10 mg daily for 4 years) and got that relapse, so how can I tune the medications for extended usage? (i.e, which one to cancel or decrease or increase or keep the three but modify the doses) What do you suggest? Please I cannot do without medications? Is it true that the effect of these medications become weak or insignificant with time (i.e, during the usage, work only for limited time then stop working although the person continues to use it). || Doctor: Hi. At first I would like to tell you briefly about Generalized Anxiety Disorder or GAD that you are already well aware of. This is a chronic, relapsing and debilitating common psychiatric disorder characterized by anxiety and worry about several events and activities for a majority of the day over a 6 months time period. The anxiety and worry associated with GAD can be distinguished from normal anxiety by their excessive nature, the difficulty involved in controlling them, and their interference in everyday life. Having said this I like to emphasize again that it is chronic and relapsing disorder. So if any one needs to discontinue medication it should be done in graded manner. Abrupt discontinuation should be avoided at any cost. You might be aware that every medication has its own side effect and risk benefit, analysis need to be done before every single prescription. In response to your question "Is it true that the effect of these medications become weak or insignificant with time?" I assure you that with prescribed medication like paxil, the answer is NO. There is no evidence of tolerance with SSRI (Paxil) and wellbutrin. Although such reports you can find in many websites managed by quacks and non medical personnel. I would say it is a MYTH and not a true phenomenon. I hope I have answered your query to a good extent. Consult a psychiatrist online for further help --> | patient: hello doctor, i have started treatment of gad before 2.5 months as follows: (60 mg paxil daily, 150 mg wellbutrin one time daily and 15 mg buspar twice a day) in addition to ctb. the results were very good and the anxiety and accompanying depression went away. now i cannot do anything without medication because the last case happened to me when i had withdrawn the medication (paxil 10 mg daily for 4 years) and got that relapse, so how can i tune the medications for extended usage? (i.e, which one to cancel or decrease or increase or keep the three but modify the doses) what do you suggest? please i cannot do without medications? is it true that the effect of these medications become weak or insignificant with time (i.e, during the usage, work only for limited time then stop working although the person continues to use it). || doctor: hi. at first i would like to tell you briefly about generalized anxiety disorder or gad that you are already well aware of. this is a chronic, relapsing and debilitating common psychiatric disorder characterized by anxiety and worry about several events and activities for a majority of the day over a 6 months time period. the anxiety and worry associated with gad can be distinguished from normal anxiety by their excessive nature, the difficulty involved in controlling them, and their interference in everyday life. having said this i like to emphasize again that it is chronic and relapsing disorder. so if any one needs to discontinue medication it should be done in graded manner. abrupt discontinuation should be avoided at any cost. you might be aware that every medication has its own side effect and risk benefit, analysis need to be done before every single prescription. in response to your question "is it true that the effect of these medications become weak or insignificant with time?" i assure you that with prescribed medication like paxil, the answer is no. there is no evidence of tolerance with ssri (paxil) and wellbutrin. although such reports you can find in many websites managed by quacks and non medical personnel. i would say it is a myth and not a true phenomenon. i hope i have answered your query to a good extent. consult a psychiatrist online for further help --> |
9,269 | Q. What is the treatment for paracetamol poisoning? | Hi doctor, My friend took 4 g of Paracetamol yesterday morning for back pain. Then, he visited the hospital yesterday evening for Paracetamol poisoning. What is the treatment for this situation? | Hello. For further doubts consult an internal medicine physician online --> | Patient: Hi doctor, My friend took 4 g of Paracetamol yesterday morning for back pain. Then, he visited the hospital yesterday evening for Paracetamol poisoning. What is the treatment for this situation? || Doctor: Hello. For further doubts consult an internal medicine physician online --> | patient: hi doctor, my friend took 4 g of paracetamol yesterday morning for back pain. then, he visited the hospital yesterday evening for paracetamol poisoning. what is the treatment for this situation? || doctor: hello. for further doubts consult an internal medicine physician online --> |
9,270 | Q. I am concerned about my PSA and free PSA values. Kindly guide me. | Hi doctor,On a recent visit to the doctor, my PSA was 4.7 and free PSA was 0.78. The prostate was swollen on the right side, but no bumps or nodes felt. I had another PSA test three weeks later and the result showed PSA 2.5 and free PSA 0.60. Under what percentage do the 0.78 and the 0.60 values fall in? What would you do at this point? My age is 73, and of course, I am concerned. Thank you. | Hello. For further doubts consult a urologist online --> | Patient: Hi doctor,On a recent visit to the doctor, my PSA was 4.7 and free PSA was 0.78. The prostate was swollen on the right side, but no bumps or nodes felt. I had another PSA test three weeks later and the result showed PSA 2.5 and free PSA 0.60. Under what percentage do the 0.78 and the 0.60 values fall in? What would you do at this point? My age is 73, and of course, I am concerned. Thank you. || Doctor: Hello. For further doubts consult a urologist online --> | patient: hi doctor,on a recent visit to the doctor, my psa was 4.7 and free psa was 0.78. the prostate was swollen on the right side, but no bumps or nodes felt. i had another psa test three weeks later and the result showed psa 2.5 and free psa 0.60. under what percentage do the 0.78 and the 0.60 values fall in? what would you do at this point? my age is 73, and of course, i am concerned. thank you. || doctor: hello. for further doubts consult a urologist online --> |
9,271 | Q. Is LASER treatment safe for piles? | Hello doctor,Is LASER treatment for piles safe or not? Any side effects? Please let me know which one is better - laser surgery or normal surgery? Waiting for your reply. | Hello. For piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. For grade one - those which bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard surgery nowadays is stapler hemorrhoidectomy. This is painless and gives best results. Earlier days open surgery was done but is painful. LASER treatment is almost not done nowadays as it can cause local complications including narrowing of the anal canal. It is highly unsafe and not a good option. Hope your query is cleared. For more information consult a general surgeon online --> | Patient: Hello doctor,Is LASER treatment for piles safe or not? Any side effects? Please let me know which one is better - laser surgery or normal surgery? Waiting for your reply. || Doctor: Hello. For piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. For grade one - those which bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard surgery nowadays is stapler hemorrhoidectomy. This is painless and gives best results. Earlier days open surgery was done but is painful. LASER treatment is almost not done nowadays as it can cause local complications including narrowing of the anal canal. It is highly unsafe and not a good option. Hope your query is cleared. For more information consult a general surgeon online --> | patient: hello doctor,is laser treatment for piles safe or not? any side effects? please let me know which one is better - laser surgery or normal surgery? waiting for your reply. || doctor: hello. for piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. for grade one - those which bleed without coming out (prolapse) you need only medicines. for grade two or above you need surgery. the standard surgery nowadays is stapler hemorrhoidectomy. this is painless and gives best results. earlier days open surgery was done but is painful. laser treatment is almost not done nowadays as it can cause local complications including narrowing of the anal canal. it is highly unsafe and not a good option. hope your query is cleared. for more information consult a general surgeon online --> |
9,272 | Q. Why do I shiver a lot during the day and losing weight? | I have fever very high which was not going I have taken overdose of tynel, advil. Now the fever is gone after taking medication. But now I feel shivering and having a feel like I am having fever but after I check there is no fever .my body weight is going down and I feel shiverings a lot during day but at night I feel very well | Hello, Sir, I am a family doctor from Icliniq and will try to answer your questions. It seems to me that you have two. The first concerns your use of Tylenol and Advil. You may not have meant to say overdose. If however, you have taken more than 800 mg of Ibuprofen or 1000 mg of Tylenol, those are excessive doses and could be associated with side effects. I would advise you to call the Canadian or US Poison Control Center. They give excellent free advice about overdoses. The second question is in regard to your fever and weight loss. I am not sure how long those things have been going on. With COVID-19 in your area, it is possible this could be your problem. There are many other causes of fever, such as influenza and various other viral and bacterial infections. Often when a fever falls, a person can feel chilled. Some things that you can do besides using Ibuprofen 400 mg up to three times a day or Tylenol 1000 mg three times a day include drinking alit of liquids getting rest and isolating your self from others. Things that would make you want to seek a doctor's care would be increasing cough, trouble breathing, chest pain, trouble thinking clearly or inability to care for yourself. I will pray that you feel better soon. Please let us know if you are not getting better or have additional questions. | Patient: I have fever very high which was not going I have taken overdose of tynel, advil. Now the fever is gone after taking medication. But now I feel shivering and having a feel like I am having fever but after I check there is no fever .my body weight is going down and I feel shiverings a lot during day but at night I feel very well || Doctor: Hello, Sir, I am a family doctor from Icliniq and will try to answer your questions. It seems to me that you have two. The first concerns your use of Tylenol and Advil. You may not have meant to say overdose. If however, you have taken more than 800 mg of Ibuprofen or 1000 mg of Tylenol, those are excessive doses and could be associated with side effects. I would advise you to call the Canadian or US Poison Control Center. They give excellent free advice about overdoses. The second question is in regard to your fever and weight loss. I am not sure how long those things have been going on. With COVID-19 in your area, it is possible this could be your problem. There are many other causes of fever, such as influenza and various other viral and bacterial infections. Often when a fever falls, a person can feel chilled. Some things that you can do besides using Ibuprofen 400 mg up to three times a day or Tylenol 1000 mg three times a day include drinking alit of liquids getting rest and isolating your self from others. Things that would make you want to seek a doctor's care would be increasing cough, trouble breathing, chest pain, trouble thinking clearly or inability to care for yourself. I will pray that you feel better soon. Please let us know if you are not getting better or have additional questions. | patient: i have fever very high which was not going i have taken overdose of tynel, advil. now the fever is gone after taking medication. but now i feel shivering and having a feel like i am having fever but after i check there is no fever .my body weight is going down and i feel shiverings a lot during day but at night i feel very well || doctor: hello, sir, i am a family doctor from icliniq and will try to answer your questions. it seems to me that you have two. the first concerns your use of tylenol and advil. you may not have meant to say overdose. if however, you have taken more than 800 mg of ibuprofen or 1000 mg of tylenol, those are excessive doses and could be associated with side effects. i would advise you to call the canadian or us poison control center. they give excellent free advice about overdoses. the second question is in regard to your fever and weight loss. i am not sure how long those things have been going on. with covid-19 in your area, it is possible this could be your problem. there are many other causes of fever, such as influenza and various other viral and bacterial infections. often when a fever falls, a person can feel chilled. some things that you can do besides using ibuprofen 400 mg up to three times a day or tylenol 1000 mg three times a day include drinking alit of liquids getting rest and isolating your self from others. things that would make you want to seek a doctor's care would be increasing cough, trouble breathing, chest pain, trouble thinking clearly or inability to care for yourself. i will pray that you feel better soon. please let us know if you are not getting better or have additional questions. |
9,273 | Q. My calcium score test result was 0. 4. Do I have any risk? | Hi doctor, I am 47 year old male, who is hypertensive from the past seven years. I take daily medicine to control my blood pressure. I do not have any other problem. I went to my cardiologist last week, for the yearly medical checkup. My LDL is 170, HDL is 41, ECG is normal, and blood test came back normal. But, my calcium score test result is 0.4 (on the LAD minimal plaque), defined minimal risk. I could not understand this calcium score test result clearly. Do I have any risk? Do I have to use statins to reduce my cholesterol level? | Hello. For more information consult a cardiologist online --> | Patient: Hi doctor, I am 47 year old male, who is hypertensive from the past seven years. I take daily medicine to control my blood pressure. I do not have any other problem. I went to my cardiologist last week, for the yearly medical checkup. My LDL is 170, HDL is 41, ECG is normal, and blood test came back normal. But, my calcium score test result is 0.4 (on the LAD minimal plaque), defined minimal risk. I could not understand this calcium score test result clearly. Do I have any risk? Do I have to use statins to reduce my cholesterol level? || Doctor: Hello. For more information consult a cardiologist online --> | patient: hi doctor, i am 47 year old male, who is hypertensive from the past seven years. i take daily medicine to control my blood pressure. i do not have any other problem. i went to my cardiologist last week, for the yearly medical checkup. my ldl is 170, hdl is 41, ecg is normal, and blood test came back normal. but, my calcium score test result is 0.4 (on the lad minimal plaque), defined minimal risk. i could not understand this calcium score test result clearly. do i have any risk? do i have to use statins to reduce my cholesterol level? || doctor: hello. for more information consult a cardiologist online --> |
9,274 | Q. I got a shave biopsy for melanoma in situ. Did the cancer cells get into my bloodstream? | Hello doctor, I have a question about the biopsy that I had done. It was a shave biopsy, and it came back as melanoma in situ. I got a wide excision done, and it looks like there is still some of this mole left that was missed by the shave. If there was still melanoma cells in this left over part of the mole, is there any way it somehow got into my bloodstream, especially right after the biopsy was performed and it was initially bleeding? I am very worried and nervous that the previously contained melanoma is now traveling throughout my body. | Hi. I have read your query and concern. For more information consult a dermatologist online --> | Patient: Hello doctor, I have a question about the biopsy that I had done. It was a shave biopsy, and it came back as melanoma in situ. I got a wide excision done, and it looks like there is still some of this mole left that was missed by the shave. If there was still melanoma cells in this left over part of the mole, is there any way it somehow got into my bloodstream, especially right after the biopsy was performed and it was initially bleeding? I am very worried and nervous that the previously contained melanoma is now traveling throughout my body. || Doctor: Hi. I have read your query and concern. For more information consult a dermatologist online --> | patient: hello doctor, i have a question about the biopsy that i had done. it was a shave biopsy, and it came back as melanoma in situ. i got a wide excision done, and it looks like there is still some of this mole left that was missed by the shave. if there was still melanoma cells in this left over part of the mole, is there any way it somehow got into my bloodstream, especially right after the biopsy was performed and it was initially bleeding? i am very worried and nervous that the previously contained melanoma is now traveling throughout my body. || doctor: hi. i have read your query and concern. for more information consult a dermatologist online --> |
9,275 | Q. Since I started taking ayurveda medicine, my stools are dark colored. Why? | Hi doctor, Due to work stress and junk stuff, I started suffering from irregular periods, indigestion, hair fall and acne for the last six to seven months. So, I went up for some ayurveda treatment. I started taking the following medicines prescribed by an ayurveda practitioner. A combination of Ashokarishta and Kumaryasava and Shatavari gulam at bedtime with milk. Now, it has been almost 2.6 months with the above medicines. My main concern is that I am getting a dark colored stool, which sinks easily and slim in nature since the day I have started taking medicine. Please resolve this concern. Is there any need for stool test? Do the above medicines have side effects or any toxicity? Also, please share some dos and don'ts on diet and lifestyle that could help my body to balance all doshas. The ayurveda specialist said that I have vata dosha. I also found hard sleeping at night and have short sleeping hours like I keep on waking up in between. Why does it happen? Kindly provide a solution for this. | Hello. I just read your query. Revert with the reports to an ayurveda specialist online --> | Patient: Hi doctor, Due to work stress and junk stuff, I started suffering from irregular periods, indigestion, hair fall and acne for the last six to seven months. So, I went up for some ayurveda treatment. I started taking the following medicines prescribed by an ayurveda practitioner. A combination of Ashokarishta and Kumaryasava and Shatavari gulam at bedtime with milk. Now, it has been almost 2.6 months with the above medicines. My main concern is that I am getting a dark colored stool, which sinks easily and slim in nature since the day I have started taking medicine. Please resolve this concern. Is there any need for stool test? Do the above medicines have side effects or any toxicity? Also, please share some dos and don'ts on diet and lifestyle that could help my body to balance all doshas. The ayurveda specialist said that I have vata dosha. I also found hard sleeping at night and have short sleeping hours like I keep on waking up in between. Why does it happen? Kindly provide a solution for this. || Doctor: Hello. I just read your query. Revert with the reports to an ayurveda specialist online --> | patient: hi doctor, due to work stress and junk stuff, i started suffering from irregular periods, indigestion, hair fall and acne for the last six to seven months. so, i went up for some ayurveda treatment. i started taking the following medicines prescribed by an ayurveda practitioner. a combination of ashokarishta and kumaryasava and shatavari gulam at bedtime with milk. now, it has been almost 2.6 months with the above medicines. my main concern is that i am getting a dark colored stool, which sinks easily and slim in nature since the day i have started taking medicine. please resolve this concern. is there any need for stool test? do the above medicines have side effects or any toxicity? also, please share some dos and don'ts on diet and lifestyle that could help my body to balance all doshas. the ayurveda specialist said that i have vata dosha. i also found hard sleeping at night and have short sleeping hours like i keep on waking up in between. why does it happen? kindly provide a solution for this. || doctor: hello. i just read your query. revert with the reports to an ayurveda specialist online --> |
9,276 | Q. Will there be any problem in pregnancy if the couple have same blood group? | Hello doctor, I am 25 years old. I am willing to marry my childhood friend. She is elder than me by five months, and our blood group is same, which is AB positive. Here are my questions: Will there be any problem during pregnancy? Any tests required to be done for ensuring no problem in future? Is there any solution? | Hello. The medical condition that is troubling is due to Rh incompatibility. There is no possibility of that in your case as you both are AB positive and hence, your blood groups are compatible. There is no problem medically. You need not go for any tests too. All the best. For further information consult a hematologist online --> | Patient: Hello doctor, I am 25 years old. I am willing to marry my childhood friend. She is elder than me by five months, and our blood group is same, which is AB positive. Here are my questions: Will there be any problem during pregnancy? Any tests required to be done for ensuring no problem in future? Is there any solution? || Doctor: Hello. The medical condition that is troubling is due to Rh incompatibility. There is no possibility of that in your case as you both are AB positive and hence, your blood groups are compatible. There is no problem medically. You need not go for any tests too. All the best. For further information consult a hematologist online --> | patient: hello doctor, i am 25 years old. i am willing to marry my childhood friend. she is elder than me by five months, and our blood group is same, which is ab positive. here are my questions: will there be any problem during pregnancy? any tests required to be done for ensuring no problem in future? is there any solution? || doctor: hello. the medical condition that is troubling is due to rh incompatibility. there is no possibility of that in your case as you both are ab positive and hence, your blood groups are compatible. there is no problem medically. you need not go for any tests too. all the best. for further information consult a hematologist online --> |
9,277 | Q. Please suggest a permanent cure for jock itch. | Hi doctor, I have jock itch from one and a half years. I consulted a dermatologist, who gave me medicines, which cured the itch. My mother told me to consult a homeopathic doctor. So, the homeopathic doctor gave me some medicines, which made the jock itch larger in the same place. I am taking the homeopathic medicines from nine months, and I have tried apple vinegar, aloe vera gel, and baking powder, but nothing helps. Please, suggest medicines which will cure this jock itch permanently. And please suggest the right diet for me. Thank you. | Hi. Revert with more information to a dermatologist online --> | Patient: Hi doctor, I have jock itch from one and a half years. I consulted a dermatologist, who gave me medicines, which cured the itch. My mother told me to consult a homeopathic doctor. So, the homeopathic doctor gave me some medicines, which made the jock itch larger in the same place. I am taking the homeopathic medicines from nine months, and I have tried apple vinegar, aloe vera gel, and baking powder, but nothing helps. Please, suggest medicines which will cure this jock itch permanently. And please suggest the right diet for me. Thank you. || Doctor: Hi. Revert with more information to a dermatologist online --> | patient: hi doctor, i have jock itch from one and a half years. i consulted a dermatologist, who gave me medicines, which cured the itch. my mother told me to consult a homeopathic doctor. so, the homeopathic doctor gave me some medicines, which made the jock itch larger in the same place. i am taking the homeopathic medicines from nine months, and i have tried apple vinegar, aloe vera gel, and baking powder, but nothing helps. please, suggest medicines which will cure this jock itch permanently. and please suggest the right diet for me. thank you. || doctor: hi. revert with more information to a dermatologist online --> |
9,278 | 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 --> |
9,279 | 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 --> |
9,280 | 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.---> |
9,281 | 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 --> |
9,282 | 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 --> |
9,283 | Q. Can you please answer my questions regarding IUD, HPV, and BV? | Hello! I am a 20 year old female. I have a few questions regarding my IUD,HPV, and BV. The itch around the genital area I had first last year, and it went away and came back three days ago. The OB said I was spotting (I recently got my IUD when I visited the OB) 1. I got my copper IUD last year, and have been experiencing “spotting” since. It’s not everyday but it happens before and after my heavy periods. Is this normal? 2. I have been to the OB before that too and they told me I have genital warts inside my vagina. I plan on just letting it go away since there seems to be no other option. I’m concerned if the IUD will make the HPV worse? 3. At the same visit, I took a pap smear and results came back positive for BV-like flora. I went undiagnosed. Will my BV go away on its own? I don’t have symptoms like grey discharge or fishy odor so I’m not that worried. 4. The reason why I went to the OB last time was because I was itching like crazy down there. My discharge was like cottage cheese. It went away for a while but just just now, I checked for the string to my IUD and my finger came out with some cottage-cheese like substance. Do I have a yeast infection? Been itching for a few days too. | Hi, I understand that your IUD and the vaginal infection is troubling you. Regarding the IUD,it's normal to have spotting after putting it in for some time.I assume you are having regular periods .If so wait for a month as your bleeding is not heavy.If it does not normalise,then it's wise to see a gynaecologist who will need to check u to see if the position of the IUD is normal 2.Regarding the BV,it would be wise to treat it at the earliest as even if u don't have symptoms now ,later it can cause issues. 3.Regarding the HPV,once your BV is treated it would be good to consider taking HPV vaccines (if u r not already vaccinated) | Patient: Hello! I am a 20 year old female. I have a few questions regarding my IUD,HPV, and BV. The itch around the genital area I had first last year, and it went away and came back three days ago. The OB said I was spotting (I recently got my IUD when I visited the OB) 1. I got my copper IUD last year, and have been experiencing “spotting” since. It’s not everyday but it happens before and after my heavy periods. Is this normal? 2. I have been to the OB before that too and they told me I have genital warts inside my vagina. I plan on just letting it go away since there seems to be no other option. I’m concerned if the IUD will make the HPV worse? 3. At the same visit, I took a pap smear and results came back positive for BV-like flora. I went undiagnosed. Will my BV go away on its own? I don’t have symptoms like grey discharge or fishy odor so I’m not that worried. 4. The reason why I went to the OB last time was because I was itching like crazy down there. My discharge was like cottage cheese. It went away for a while but just just now, I checked for the string to my IUD and my finger came out with some cottage-cheese like substance. Do I have a yeast infection? Been itching for a few days too. || Doctor: Hi, I understand that your IUD and the vaginal infection is troubling you. Regarding the IUD,it's normal to have spotting after putting it in for some time.I assume you are having regular periods .If so wait for a month as your bleeding is not heavy.If it does not normalise,then it's wise to see a gynaecologist who will need to check u to see if the position of the IUD is normal 2.Regarding the BV,it would be wise to treat it at the earliest as even if u don't have symptoms now ,later it can cause issues. 3.Regarding the HPV,once your BV is treated it would be good to consider taking HPV vaccines (if u r not already vaccinated) | patient: hello! i am a 20 year old female. i have a few questions regarding my iud,hpv, and bv. the itch around the genital area i had first last year, and it went away and came back three days ago. the ob said i was spotting (i recently got my iud when i visited the ob) 1. i got my copper iud last year, and have been experiencing “spotting” since. it’s not everyday but it happens before and after my heavy periods. is this normal? 2. i have been to the ob before that too and they told me i have genital warts inside my vagina. i plan on just letting it go away since there seems to be no other option. i’m concerned if the iud will make the hpv worse? 3. at the same visit, i took a pap smear and results came back positive for bv-like flora. i went undiagnosed. will my bv go away on its own? i don’t have symptoms like grey discharge or fishy odor so i’m not that worried. 4. the reason why i went to the ob last time was because i was itching like crazy down there. my discharge was like cottage cheese. it went away for a while but just just now, i checked for the string to my iud and my finger came out with some cottage-cheese like substance. do i have a yeast infection? been itching for a few days too. || doctor: hi, i understand that your iud and the vaginal infection is troubling you. regarding the iud,it's normal to have spotting after putting it in for some time.i assume you are having regular periods .if so wait for a month as your bleeding is not heavy.if it does not normalise,then it's wise to see a gynaecologist who will need to check u to see if the position of the iud is normal 2.regarding the bv,it would be wise to treat it at the earliest as even if u don't have symptoms now ,later it can cause issues. 3.regarding the hpv,once your bv is treated it would be good to consider taking hpv vaccines (if u r not already vaccinated) |
9,284 | Q. Why does my leg pain even after walking short distances? | Hello doctor, I am 40 years old and my leg pains while walking. Can I please know what is the reason behind this? This problem started nine years ago. But, now my leg pains after walking even 20 to 30 meters. I am currently on Thyroxine 50 mg. I have had a Doppler ultrasound. Please help. | Hello. There are many causes of leg pain. The most common is degenerative lumbar disc disease with radiculopathy due to compression of nerve root especially if the pain is only on one leg. The other causes are vitamin D and B deficiency especially if the pain is on both sides and vascular insufficiency. However, the last one is seen in smokers and elderly generally not at this age. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I am 40 years old and my leg pains while walking. Can I please know what is the reason behind this? This problem started nine years ago. But, now my leg pains after walking even 20 to 30 meters. I am currently on Thyroxine 50 mg. I have had a Doppler ultrasound. Please help. || Doctor: Hello. There are many causes of leg pain. The most common is degenerative lumbar disc disease with radiculopathy due to compression of nerve root especially if the pain is only on one leg. The other causes are vitamin D and B deficiency especially if the pain is on both sides and vascular insufficiency. However, the last one is seen in smokers and elderly generally not at this age. For more information consult an internal medicine physician online --> | patient: hello doctor, i am 40 years old and my leg pains while walking. can i please know what is the reason behind this? this problem started nine years ago. but, now my leg pains after walking even 20 to 30 meters. i am currently on thyroxine 50 mg. i have had a doppler ultrasound. please help. || doctor: hello. there are many causes of leg pain. the most common is degenerative lumbar disc disease with radiculopathy due to compression of nerve root especially if the pain is only on one leg. the other causes are vitamin d and b deficiency especially if the pain is on both sides and vascular insufficiency. however, the last one is seen in smokers and elderly generally not at this age. for more information consult an internal medicine physician online --> |
9,285 | Q. Have developed piles during pregnancy, Is it possible to have a normal delivery? | Hi doctor, I am 9 months pregnant. I am nearing my due date. I have developed piles during pregnancy. Initially it was fine, but now it has become big, swollen and painful. Can you suggest a remedy for it? Is it possible to have a normal delivery due to piles? Please give me a suitable solution, so that I can ask my doctor in advance for a C-section or normal whichever is suitable. Should I restrict any kind of food? I also had gestational diabetes but now it is under control. | Hi. I have read and understood your problem. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am 9 months pregnant. I am nearing my due date. I have developed piles during pregnancy. Initially it was fine, but now it has become big, swollen and painful. Can you suggest a remedy for it? Is it possible to have a normal delivery due to piles? Please give me a suitable solution, so that I can ask my doctor in advance for a C-section or normal whichever is suitable. Should I restrict any kind of food? I also had gestational diabetes but now it is under control. || Doctor: Hi. I have read and understood your problem. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am 9 months pregnant. i am nearing my due date. i have developed piles during pregnancy. initially it was fine, but now it has become big, swollen and painful. can you suggest a remedy for it? is it possible to have a normal delivery due to piles? please give me a suitable solution, so that i can ask my doctor in advance for a c-section or normal whichever is suitable. should i restrict any kind of food? i also had gestational diabetes but now it is under control. || doctor: hi. i have read and understood your problem. for further information consult an obstetrician and gynaecologist online --> |
9,286 | Q. I have pain in both feet while sitting. Why? | Hello doctor,I am a computer operator. While sitting, there is a pain in both the feet and in the lower part of the chest. | Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I am a computer operator. While sitting, there is a pain in both the feet and in the lower part of the chest. || Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor,i am a computer operator. while sitting, there is a pain in both the feet and in the lower part of the chest. || doctor: hello. i went through your post. regards. for more information consult an internal medicine physician online --> |
9,287 | Q. What does my endoscopic biopsy suggest? | Hi doctor, I am working as a software professional. Recently, I had discomfort in digestion, severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and he made an endoscopy and an endoscopic biopsy. The biopsy report is as below. Nature of specimen: Received single grayish white mucosal tissue bit measuring 0.3 cm. The entire tissue was processed. Macroscopic examination: Section shows single small gastric mucosal bit with superficial erosion of surface epithelium in the focal area. Foveolae and glands are unremarkable. Lamina propria shows moderately dense, diffuse infiltrate of lymphocytes, a few plasma cells and a rare polymorph. Lymphoid follicle formation is seen in one focus. Scant muscularis mucosae included shows no significant pathology. No definite H.pylori, intestinal metaplasia, glandular atrophy or dysplasia or malignancy noted in the section studied. Microscopic examination : Moderately dense, diffuse chronic inflammation in stomach (endoscopic) biopsy. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I am currently taking Razo-D in the morning and Razo 20 at night. | Hi. For further information consult a medical gastroenterologist online --> | Patient: Hi doctor, I am working as a software professional. Recently, I had discomfort in digestion, severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and he made an endoscopy and an endoscopic biopsy. The biopsy report is as below. Nature of specimen: Received single grayish white mucosal tissue bit measuring 0.3 cm. The entire tissue was processed. Macroscopic examination: Section shows single small gastric mucosal bit with superficial erosion of surface epithelium in the focal area. Foveolae and glands are unremarkable. Lamina propria shows moderately dense, diffuse infiltrate of lymphocytes, a few plasma cells and a rare polymorph. Lymphoid follicle formation is seen in one focus. Scant muscularis mucosae included shows no significant pathology. No definite H.pylori, intestinal metaplasia, glandular atrophy or dysplasia or malignancy noted in the section studied. Microscopic examination : Moderately dense, diffuse chronic inflammation in stomach (endoscopic) biopsy. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I am currently taking Razo-D in the morning and Razo 20 at night. || Doctor: Hi. For further information consult a medical gastroenterologist online --> | patient: hi doctor, i am working as a software professional. recently, i had discomfort in digestion, severe bloating, gas formation and a frequent sensation of motions. i went to a gastroenterologist and he made an endoscopy and an endoscopic biopsy. the biopsy report is as below. nature of specimen: received single grayish white mucosal tissue bit measuring 0.3 cm. the entire tissue was processed. macroscopic examination: section shows single small gastric mucosal bit with superficial erosion of surface epithelium in the focal area. foveolae and glands are unremarkable. lamina propria shows moderately dense, diffuse infiltrate of lymphocytes, a few plasma cells and a rare polymorph. lymphoid follicle formation is seen in one focus. scant muscularis mucosae included shows no significant pathology. no definite h.pylori, intestinal metaplasia, glandular atrophy or dysplasia or malignancy noted in the section studied. microscopic examination : moderately dense, diffuse chronic inflammation in stomach (endoscopic) biopsy. i had antral gastritis a year back and took medication for some time. i am always eating outside food, but nothing spicy. i am currently taking razo-d in the morning and razo 20 at night. || doctor: hi. for further information consult a medical gastroenterologist online --> |
9,288 | Q. How long can a double J ureteral stent be left inside? | Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six months ago. I have not removed my stent, is it risky? How long can I let the stent inside? Due to some problem, I am not able to go for the checkup. | Hi. For more information consult a urologist online --> | Patient: Hello doctor, I am a chronic kidney disease patient, and there are multiple stones in my right kidney. My doctor placed a double J stent almost six months ago. I have not removed my stent, is it risky? How long can I let the stent inside? Due to some problem, I am not able to go for the checkup. || Doctor: Hi. For more information consult a urologist online --> | patient: hello doctor, i am a chronic kidney disease patient, and there are multiple stones in my right kidney. my doctor placed a double j stent almost six months ago. i have not removed my stent, is it risky? how long can i let the stent inside? due to some problem, i am not able to go for the checkup. || doctor: hi. for more information consult a urologist online --> |
9,289 | Q. My face has broken out worse than before. Please help. | Hello doctor, I am an 18 year old female. My face is heavily broken out worse than ever before with patches of flaking and peeling of skin over the oily areas. I have had acne since the age of 9, and have had psoriasis since I was 7 which tends to appear on my face during winter and on the rest of my body year round. I wash my face twice a day and drink the right amount of water. My skin has never been this bad and I was wondering what may have set it off. | Hello. I have gone through your query and I have viewed the image (attachment removed to protect patient identity). You have inflammatory acne (moderate to severe grade). The flakiness over the oily skin zone is perhaps due to associated seborrheic dermatitis or sebopsoriasis. You would require oral antibiotics like Doxycycline or Minocycline. In addition, I suggest you try using topical Clindamycin and Benzoyl peroxide gel. I would also like to rule out a hormonal etiology such as PCOD (polycystic ovarian disease) as the reason for your acne. If found, you may have to be on monthly hormonal pills. For flakiness over the oily skin zones, you may use cortisone cream twice daily. Consult your specialist doctor, discuss with him or her, and start taking the medicines with their consent. For more information consult a dermatologist online --> | Patient: Hello doctor, I am an 18 year old female. My face is heavily broken out worse than ever before with patches of flaking and peeling of skin over the oily areas. I have had acne since the age of 9, and have had psoriasis since I was 7 which tends to appear on my face during winter and on the rest of my body year round. I wash my face twice a day and drink the right amount of water. My skin has never been this bad and I was wondering what may have set it off. || Doctor: Hello. I have gone through your query and I have viewed the image (attachment removed to protect patient identity). You have inflammatory acne (moderate to severe grade). The flakiness over the oily skin zone is perhaps due to associated seborrheic dermatitis or sebopsoriasis. You would require oral antibiotics like Doxycycline or Minocycline. In addition, I suggest you try using topical Clindamycin and Benzoyl peroxide gel. I would also like to rule out a hormonal etiology such as PCOD (polycystic ovarian disease) as the reason for your acne. If found, you may have to be on monthly hormonal pills. For flakiness over the oily skin zones, you may use cortisone cream twice daily. Consult your specialist doctor, discuss with him or her, and start taking the medicines with their consent. For more information consult a dermatologist online --> | patient: hello doctor, i am an 18 year old female. my face is heavily broken out worse than ever before with patches of flaking and peeling of skin over the oily areas. i have had acne since the age of 9, and have had psoriasis since i was 7 which tends to appear on my face during winter and on the rest of my body year round. i wash my face twice a day and drink the right amount of water. my skin has never been this bad and i was wondering what may have set it off. || doctor: hello. i have gone through your query and i have viewed the image (attachment removed to protect patient identity). you have inflammatory acne (moderate to severe grade). the flakiness over the oily skin zone is perhaps due to associated seborrheic dermatitis or sebopsoriasis. you would require oral antibiotics like doxycycline or minocycline. in addition, i suggest you try using topical clindamycin and benzoyl peroxide gel. i would also like to rule out a hormonal etiology such as pcod (polycystic ovarian disease) as the reason for your acne. if found, you may have to be on monthly hormonal pills. for flakiness over the oily skin zones, you may use cortisone cream twice daily. consult your specialist doctor, discuss with him or her, and start taking the medicines with their consent. for more information consult a dermatologist online --> |
9,290 | Q. Why is my wound not getting cured? | Hi doctor, I am 43 years old. I am suffering from a wound placed on the opposite side of ankle. I am unable to walk with the pain. I have been suffering with this for the last three months. I previously used Pividine microbicidal sprinkling powder and Zenflox 200. Please help. | Hi. For further information consult a general surgeon online --> | Patient: Hi doctor, I am 43 years old. I am suffering from a wound placed on the opposite side of ankle. I am unable to walk with the pain. I have been suffering with this for the last three months. I previously used Pividine microbicidal sprinkling powder and Zenflox 200. Please help. || Doctor: Hi. For further information consult a general surgeon online --> | patient: hi doctor, i am 43 years old. i am suffering from a wound placed on the opposite side of ankle. i am unable to walk with the pain. i have been suffering with this for the last three months. i previously used pividine microbicidal sprinkling powder and zenflox 200. please help. || doctor: hi. for further information consult a general surgeon online --> |
9,291 | Q. I have pain in my left testis. Is it due to the use of vacuum penile pump? | Hi doctor, I have a strange feeling in my left testicle. I ordered a vacuum penile pump, and I used it only for two days. After that, I threw it away fearing an injury, as it turned my urine red. After five days, I went to a doctor, because I had a strange feeling in my testes, but I did not have pain. The doctor gave me tablet Diclofenac 100 mg and Cystone tablet. I started taking these tablets, but after two days, I have pain in my left testis and pubic area. I also had pain on the base of my penis and erection problem. So, I went back to the same doctor, who gave me Paracetamol and Nimesulide. I got a little relief, but after a month, I still have little pain. My testes are red, and I have pain in my pubic bone area. My erection is normal now. Is this because of the injury from the penile pump? I am attaching my ultrasound report. What should I do? Please help. | Hi. Thanks for your query. I have seen the attached ultrasound (attachment removed to protect patient identity). Thanks. For more information consult an internal medicine physician online --> | Patient: Hi doctor, I have a strange feeling in my left testicle. I ordered a vacuum penile pump, and I used it only for two days. After that, I threw it away fearing an injury, as it turned my urine red. After five days, I went to a doctor, because I had a strange feeling in my testes, but I did not have pain. The doctor gave me tablet Diclofenac 100 mg and Cystone tablet. I started taking these tablets, but after two days, I have pain in my left testis and pubic area. I also had pain on the base of my penis and erection problem. So, I went back to the same doctor, who gave me Paracetamol and Nimesulide. I got a little relief, but after a month, I still have little pain. My testes are red, and I have pain in my pubic bone area. My erection is normal now. Is this because of the injury from the penile pump? I am attaching my ultrasound report. What should I do? Please help. || Doctor: Hi. Thanks for your query. I have seen the attached ultrasound (attachment removed to protect patient identity). Thanks. For more information consult an internal medicine physician online --> | patient: hi doctor, i have a strange feeling in my left testicle. i ordered a vacuum penile pump, and i used it only for two days. after that, i threw it away fearing an injury, as it turned my urine red. after five days, i went to a doctor, because i had a strange feeling in my testes, but i did not have pain. the doctor gave me tablet diclofenac 100 mg and cystone tablet. i started taking these tablets, but after two days, i have pain in my left testis and pubic area. i also had pain on the base of my penis and erection problem. so, i went back to the same doctor, who gave me paracetamol and nimesulide. i got a little relief, but after a month, i still have little pain. my testes are red, and i have pain in my pubic bone area. my erection is normal now. is this because of the injury from the penile pump? i am attaching my ultrasound report. what should i do? please help. || doctor: hi. thanks for your query. i have seen the attached ultrasound (attachment removed to protect patient identity). thanks. for more information consult an internal medicine physician online --> |
9,292 | Q. Will taking Sysron NCR prevent pregnancy? | Hello doctor, I am 36 years old. I am taking Sysron NCR 10 mg for heavy bleeding. I had unprotected sex on the 12th day of my periods. How to prevent my pregnancy? | Hello. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 36 years old. I am taking Sysron NCR 10 mg for heavy bleeding. I had unprotected sex on the 12th day of my periods. How to prevent my pregnancy? || Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 36 years old. i am taking sysron ncr 10 mg for heavy bleeding. i had unprotected sex on the 12th day of my periods. how to prevent my pregnancy? || doctor: hello. for further information consult an obstetrician and gynaecologist online --> |
9,293 | Q. Will high levels of TSH affect conception? | Hello doctor,The following is the thyroid function report of my fiancee. She is 22 years old. The TSH is 4.42, T4 is 7.53, and T3 is 1.30. Please have a look. Since her mother had a thyroid issue, I am worried that she could have it too. Do you think this could create any problem in the future? Will she need any medication in the future? Please advise. It is urgent. | Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> | Patient: Hello doctor,The following is the thyroid function report of my fiancee. She is 22 years old. The TSH is 4.42, T4 is 7.53, and T3 is 1.30. Please have a look. Since her mother had a thyroid issue, I am worried that she could have it too. Do you think this could create any problem in the future? Will she need any medication in the future? Please advise. It is urgent. || Doctor: Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> | patient: hello doctor,the following is the thyroid function report of my fiancee. she is 22 years old. the tsh is 4.42, t4 is 7.53, and t3 is 1.30. please have a look. since her mother had a thyroid issue, i am worried that she could have it too. do you think this could create any problem in the future? will she need any medication in the future? please advise. it is urgent. || doctor: hello. i just read your query. hope you find my advice of some benefit. good luck. for more information consult an endocrinologist online --> |
9,294 | Q. My chest feels tight and burns for a few days now. Is it due to COVID-19? | Is it possible to overexert yourself and then not be able to breathe afterwards for days? like chest feels really tight and burns and feels like ive got asthma or something from lifting something heavy? Been feeling like this a few days now. Was feeling sick with suspected covid19 for a few weeks. Felt like I was starting to get better, then overexherted myself carrying heavy bags and immediately experienced intense tightness in chest and shortness of breath worse than before.Went to the ER they didnt see anything wrong with heart or lungs. Got an appointment with a doc but its not until later. Whats going on? ER said it could be stress or anxiety and gave ativan which helps some. But is it ever going to go away? | Hello. the situation you are going through i can understand. its a pandemic that people of the world are suffering. your condition is quite similar to Covid19 cases, but do not worry, symptoms like FEVER, LOOSE NOSE, DIFFICULT IN BREATHING, COUGH, COLD AND THROAT PAIN are for covid positive persons. you have just breathing problem. here i will tell you something important which will help you in keeping yourself stress free. use the tab prescribed by the dr., also from today start DEEP BREATHING EXCERCISE. at first you wont be able to do breath deep but try to do slowly at first 10 secs. increase the count of breathing every minute. afyer few minutes take a deep breath hold for 3-4 secs and then release. increase holding of breath for upto 20secs. i know you can do it and you have to do this. you are so tired and got over stressed by yourself. never get panicked. aoart from DEEP BREATHING EXCERCISE do regular walk, little bit of muscle strengthening excercise as well. all this will help you in gaining your confidence, health and heart beat to normal. SLEEP FULL, EAT HEALTHY, AVOID ALCOHOL IF CONSUMES, NEVER GET STRESSED. always stay safe thank you. | Patient: Is it possible to overexert yourself and then not be able to breathe afterwards for days? like chest feels really tight and burns and feels like ive got asthma or something from lifting something heavy? Been feeling like this a few days now. Was feeling sick with suspected covid19 for a few weeks. Felt like I was starting to get better, then overexherted myself carrying heavy bags and immediately experienced intense tightness in chest and shortness of breath worse than before.Went to the ER they didnt see anything wrong with heart or lungs. Got an appointment with a doc but its not until later. Whats going on? ER said it could be stress or anxiety and gave ativan which helps some. But is it ever going to go away? || Doctor: Hello. the situation you are going through i can understand. its a pandemic that people of the world are suffering. your condition is quite similar to Covid19 cases, but do not worry, symptoms like FEVER, LOOSE NOSE, DIFFICULT IN BREATHING, COUGH, COLD AND THROAT PAIN are for covid positive persons. you have just breathing problem. here i will tell you something important which will help you in keeping yourself stress free. use the tab prescribed by the dr., also from today start DEEP BREATHING EXCERCISE. at first you wont be able to do breath deep but try to do slowly at first 10 secs. increase the count of breathing every minute. afyer few minutes take a deep breath hold for 3-4 secs and then release. increase holding of breath for upto 20secs. i know you can do it and you have to do this. you are so tired and got over stressed by yourself. never get panicked. aoart from DEEP BREATHING EXCERCISE do regular walk, little bit of muscle strengthening excercise as well. all this will help you in gaining your confidence, health and heart beat to normal. SLEEP FULL, EAT HEALTHY, AVOID ALCOHOL IF CONSUMES, NEVER GET STRESSED. always stay safe thank you. | patient: is it possible to overexert yourself and then not be able to breathe afterwards for days? like chest feels really tight and burns and feels like ive got asthma or something from lifting something heavy? been feeling like this a few days now. was feeling sick with suspected covid19 for a few weeks. felt like i was starting to get better, then overexherted myself carrying heavy bags and immediately experienced intense tightness in chest and shortness of breath worse than before.went to the er they didnt see anything wrong with heart or lungs. got an appointment with a doc but its not until later. whats going on? er said it could be stress or anxiety and gave ativan which helps some. but is it ever going to go away? || doctor: hello. the situation you are going through i can understand. its a pandemic that people of the world are suffering. your condition is quite similar to covid19 cases, but do not worry, symptoms like fever, loose nose, difficult in breathing, cough, cold and throat pain are for covid positive persons. you have just breathing problem. here i will tell you something important which will help you in keeping yourself stress free. use the tab prescribed by the dr., also from today start deep breathing excercise. at first you wont be able to do breath deep but try to do slowly at first 10 secs. increase the count of breathing every minute. afyer few minutes take a deep breath hold for 3-4 secs and then release. increase holding of breath for upto 20secs. i know you can do it and you have to do this. you are so tired and got over stressed by yourself. never get panicked. aoart from deep breathing excercise do regular walk, little bit of muscle strengthening excercise as well. all this will help you in gaining your confidence, health and heart beat to normal. sleep full, eat healthy, avoid alcohol if consumes, never get stressed. always stay safe thank you. |
9,295 | 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 --> |
9,296 | 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 --> |
9,297 | 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.---> |
9,298 | 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 --> |
9,299 | 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 --> |
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