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9,400 | Q. Why am I having anxiety and panic attack? | Hello doctor,I have anxiety and panic attack. I had chest pain and went to the doctor who said that EKG is normal. He prescribed me Zoloft and Buspar. | Hello. Yes, it could be due to an anxiety spectrum disorder. But do not worry as the treatment is possible. Continue with Zoloft (Sertraline) and Buspar (Buspirone). Medicines usually take around two to three weeks to start exerting the effect. Also, practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety. For more information consult a psychiatrist online --> | Patient: Hello doctor,I have anxiety and panic attack. I had chest pain and went to the doctor who said that EKG is normal. He prescribed me Zoloft and Buspar. || Doctor: Hello. Yes, it could be due to an anxiety spectrum disorder. But do not worry as the treatment is possible. Continue with Zoloft (Sertraline) and Buspar (Buspirone). Medicines usually take around two to three weeks to start exerting the effect. Also, practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety. For more information consult a psychiatrist online --> | patient: hello doctor,i have anxiety and panic attack. i had chest pain and went to the doctor who said that ekg is normal. he prescribed me zoloft and buspar. || doctor: hello. yes, it could be due to an anxiety spectrum disorder. but do not worry as the treatment is possible. continue with zoloft (sertraline) and buspar (buspirone). medicines usually take around two to three weeks to start exerting the effect. also, practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety. for more information consult a psychiatrist online --> |
9,401 | Q. I was diagnosed with CSOM and now, facing dizziness. What to do? | Hi doctor, Before five years, I had a left eardrum rupture and transparent watery pus discharge. It turned pale after some time. I tried an ayurvedic ear drop to treat pus discharge. Then, the pus discharge stopped, but there was some itching inside the ear. After 5 years, I was diagnosed to have CSOM in my left ear. I feel some hearing problem in the left ear. Though pus did not come again, the rupture has now gone large. Also, a few days ago, I felt severe dizziness that I could not move on my own. Dizziness occurred on moving head up or down, on getting up and during walking. Dizziness continued for the whole day and even that night I could not sleep. I took Vertin 16 mg to stop the dizziness. | Hi. Revert back with the reports to an ENT otolaryngologist online --> | Patient: Hi doctor, Before five years, I had a left eardrum rupture and transparent watery pus discharge. It turned pale after some time. I tried an ayurvedic ear drop to treat pus discharge. Then, the pus discharge stopped, but there was some itching inside the ear. After 5 years, I was diagnosed to have CSOM in my left ear. I feel some hearing problem in the left ear. Though pus did not come again, the rupture has now gone large. Also, a few days ago, I felt severe dizziness that I could not move on my own. Dizziness occurred on moving head up or down, on getting up and during walking. Dizziness continued for the whole day and even that night I could not sleep. I took Vertin 16 mg to stop the dizziness. || Doctor: Hi. Revert back with the reports to an ENT otolaryngologist online --> | patient: hi doctor, before five years, i had a left eardrum rupture and transparent watery pus discharge. it turned pale after some time. i tried an ayurvedic ear drop to treat pus discharge. then, the pus discharge stopped, but there was some itching inside the ear. after 5 years, i was diagnosed to have csom in my left ear. i feel some hearing problem in the left ear. though pus did not come again, the rupture has now gone large. also, a few days ago, i felt severe dizziness that i could not move on my own. dizziness occurred on moving head up or down, on getting up and during walking. dizziness continued for the whole day and even that night i could not sleep. i took vertin 16 mg to stop the dizziness. || doctor: hi. revert back with the reports to an ent otolaryngologist online --> |
9,402 | Q. Kindly suggest side effect free medicine for my wife's irritating behavior. | Hi doctor, My wife looks highly irritated the whole day. She screams loudly at the top of her voice the whole day, even for a small issue. She keeps criticizing and nagging people. She is 65 years old. She has asthma and in menopause. | Hello. Revert back with the answers to the above questions to a psychiatrist online --> | Patient: Hi doctor, My wife looks highly irritated the whole day. She screams loudly at the top of her voice the whole day, even for a small issue. She keeps criticizing and nagging people. She is 65 years old. She has asthma and in menopause. || Doctor: Hello. Revert back with the answers to the above questions to a psychiatrist online --> | patient: hi doctor, my wife looks highly irritated the whole day. she screams loudly at the top of her voice the whole day, even for a small issue. she keeps criticizing and nagging people. she is 65 years old. she has asthma and in menopause. || doctor: hello. revert back with the answers to the above questions to a psychiatrist online --> |
9,403 | Q. I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Please advice. | Hello doctor, I am a 31 year old male, 6 feet tall, and I weigh 215 pounds. Based upon an MRI scan 3 years ago, I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Degenerative disc in L3 L4 and L5 S1, slight curvature is seen in my neck. For the most part it is a nuisance that I tolerate. I went through pain management for a while, but could not afford the 200 plus medicines every month. Recently however the left side of my head and neck feel as if it has been caved in with a bat. No relief, no abation, just constant pain. As of last night, laying on my back causes both of my hands to go numb and a pain in my groin shooting to the back of my right leg has presented itself. I am no stranger to pain, but my day to day pain has elevated from a score of 6/10 to 8/10 and is pushing me to the edge of my endurance. Please advice. | Hello, Welcome to icliniq.com. I have studied your case. Consult an orthopaedician online for further follow up --> Take care. | Patient: Hello doctor, I am a 31 year old male, 6 feet tall, and I weigh 215 pounds. Based upon an MRI scan 3 years ago, I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Degenerative disc in L3 L4 and L5 S1, slight curvature is seen in my neck. For the most part it is a nuisance that I tolerate. I went through pain management for a while, but could not afford the 200 plus medicines every month. Recently however the left side of my head and neck feel as if it has been caved in with a bat. No relief, no abation, just constant pain. As of last night, laying on my back causes both of my hands to go numb and a pain in my groin shooting to the back of my right leg has presented itself. I am no stranger to pain, but my day to day pain has elevated from a score of 6/10 to 8/10 and is pushing me to the edge of my endurance. Please advice. || Doctor: Hello, Welcome to icliniq.com. I have studied your case. Consult an orthopaedician online for further follow up --> Take care. | patient: hello doctor, i am a 31 year old male, 6 feet tall, and i weigh 215 pounds. based upon an mri scan 3 years ago, i have a congenital malformation of the l5 lamina, retrolisthesis and spondylitis. degenerative disc in l3 l4 and l5 s1, slight curvature is seen in my neck. for the most part it is a nuisance that i tolerate. i went through pain management for a while, but could not afford the 200 plus medicines every month. recently however the left side of my head and neck feel as if it has been caved in with a bat. no relief, no abation, just constant pain. as of last night, laying on my back causes both of my hands to go numb and a pain in my groin shooting to the back of my right leg has presented itself. i am no stranger to pain, but my day to day pain has elevated from a score of 6/10 to 8/10 and is pushing me to the edge of my endurance. please advice. || doctor: hello, welcome to icliniq.com. i have studied your case. consult an orthopaedician online for further follow up --> take care. |
9,404 | 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. |
9,405 | Q. Shall I try some natural supplement to prevent hair fall? | Hello doctor, I am 18 years old. I was blessed with a thick, dark and long hair. For a year or so, I have started experiencing deterioration in the quality of my hair. I am experiencing thinning, loss of luster, split ends and hair fall with alarming rate. I was stressed during my board exams, but it was over before six months. The condition has not improved. I am normally on a healthy diet. I never use soap, but I use shampoo once or twice a week. I had been on medication for a month with some success, but the condition returned once the course was over. I had been on Keraglo Eva and Tricogro hair serum. I am willing to take relevant blood tests if necessary on your advice. I would also like to try some natural supplement such as DasGro. Please advice. | Hi. For further information consult a dermatologist online --> | Patient: Hello doctor, I am 18 years old. I was blessed with a thick, dark and long hair. For a year or so, I have started experiencing deterioration in the quality of my hair. I am experiencing thinning, loss of luster, split ends and hair fall with alarming rate. I was stressed during my board exams, but it was over before six months. The condition has not improved. I am normally on a healthy diet. I never use soap, but I use shampoo once or twice a week. I had been on medication for a month with some success, but the condition returned once the course was over. I had been on Keraglo Eva and Tricogro hair serum. I am willing to take relevant blood tests if necessary on your advice. I would also like to try some natural supplement such as DasGro. Please advice. || Doctor: Hi. For further information consult a dermatologist online --> | patient: hello doctor, i am 18 years old. i was blessed with a thick, dark and long hair. for a year or so, i have started experiencing deterioration in the quality of my hair. i am experiencing thinning, loss of luster, split ends and hair fall with alarming rate. i was stressed during my board exams, but it was over before six months. the condition has not improved. i am normally on a healthy diet. i never use soap, but i use shampoo once or twice a week. i had been on medication for a month with some success, but the condition returned once the course was over. i had been on keraglo eva and tricogro hair serum. i am willing to take relevant blood tests if necessary on your advice. i would also like to try some natural supplement such as dasgro. please advice. || doctor: hi. for further information consult a dermatologist online --> |
9,406 | Q. What medicine can treat my performance anxiety? | Hello doctor, I am married for about six months. I seem to have performance anxiety during sexual intercourse. But I am fine with masturbating though. I have proper erections. But cannot stay erect during intercourse. I have no family problems. I have tried relaxing techniques and all, but no hope. I exercise regularly and I am having no major medical issues. Can you please advice some medicines to treat this and to help get sexual arousal and erections? | Hello. Performance anxiety is quite common in newly married couples. If you are not getting relief with deep breathing and relaxation, you could try anti-anxiety pills. I would also recommend taking a tablet to help with erection for a few times until you get confident. I would suggest you taking tablet Etilaam (Etizolam) 0.5 mg and tablet Forzest (Tadalafil) 10 mg two hours before sexual activity. Please note that Forzest (Tadalafil) cannot be taken on consecutive days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a psychiatrist online --> | Patient: Hello doctor, I am married for about six months. I seem to have performance anxiety during sexual intercourse. But I am fine with masturbating though. I have proper erections. But cannot stay erect during intercourse. I have no family problems. I have tried relaxing techniques and all, but no hope. I exercise regularly and I am having no major medical issues. Can you please advice some medicines to treat this and to help get sexual arousal and erections? || Doctor: Hello. Performance anxiety is quite common in newly married couples. If you are not getting relief with deep breathing and relaxation, you could try anti-anxiety pills. I would also recommend taking a tablet to help with erection for a few times until you get confident. I would suggest you taking tablet Etilaam (Etizolam) 0.5 mg and tablet Forzest (Tadalafil) 10 mg two hours before sexual activity. Please note that Forzest (Tadalafil) cannot be taken on consecutive days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a psychiatrist online --> | patient: hello doctor, i am married for about six months. i seem to have performance anxiety during sexual intercourse. but i am fine with masturbating though. i have proper erections. but cannot stay erect during intercourse. i have no family problems. i have tried relaxing techniques and all, but no hope. i exercise regularly and i am having no major medical issues. can you please advice some medicines to treat this and to help get sexual arousal and erections? || doctor: hello. performance anxiety is quite common in newly married couples. if you are not getting relief with deep breathing and relaxation, you could try anti-anxiety pills. i would also recommend taking a tablet to help with erection for a few times until you get confident. i would suggest you taking tablet etilaam (etizolam) 0.5 mg and tablet forzest (tadalafil) 10 mg two hours before sexual activity. please note that forzest (tadalafil) cannot be taken on consecutive days. consult your specialist doctor, discuss with him or her and with their consent take the medicines. for more information consult a psychiatrist online --> |
9,407 | Q. Can mixed spongiform thyroid nodules be malignant ? | Hello doctor, I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal. Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules. | Hello. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion. Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC. For more information consult an endocrinologist online --> | Patient: Hello doctor, I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal. Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules. || Doctor: Hello. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion. Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC. For more information consult an endocrinologist online --> | patient: hello doctor, i am a female, 32 years old. i do not understand what my ultrasound report means. my gynecologist and pcp both felt a large mass on the right side of thyroid and told me that they have to refer me out and i need another biopsy. the last biopsy was a year back and it was benign. it was a solid dense nodule measuring 1.3 cm. all thyroid tests are normal. can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? i cannot find anything regarding other abnormal feature with mixed spongiform nodules. || doctor: hello. i just read your query and from what you have mentioned it appears that you have a thyroid nodule. according to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by fnac (fine needle aspiration cytology). in your ultrasound, there is no percentage depiction of the spongiform portion. secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. please, it is my advice to you to not come to any conclusion before an fnac. for more information consult an endocrinologist online --> |
9,408 | Q. My father's report states 'hypoechoic areas in the testis'. What does that mean? | Hello doctor, My 63 year old father is a diabetic patient. He suffered from a urinary tract infection of E.coli bacteria. He was treated and cured in a month. After this, he suffered from a scrotum pain and we got two ultrasounds done. In the first one, the report states 'Epididymo-orchitis'. Now, he is relieved of pain and the swelling is reduced, but not completely. The second ultrasound report states 'Enlarged left testis and epididymis altered echotexture, multiple hypoechoic areas are noted in the left testes measuring 16.1 by 9.5mm.' Can you please explain the second ultrasound report? What does it imply? What should we do next? | Hello. Diabetic patients are always prone to infection like urinary tract infections and orchitis. For more information consult a urologist online --> | Patient: Hello doctor, My 63 year old father is a diabetic patient. He suffered from a urinary tract infection of E.coli bacteria. He was treated and cured in a month. After this, he suffered from a scrotum pain and we got two ultrasounds done. In the first one, the report states 'Epididymo-orchitis'. Now, he is relieved of pain and the swelling is reduced, but not completely. The second ultrasound report states 'Enlarged left testis and epididymis altered echotexture, multiple hypoechoic areas are noted in the left testes measuring 16.1 by 9.5mm.' Can you please explain the second ultrasound report? What does it imply? What should we do next? || Doctor: Hello. Diabetic patients are always prone to infection like urinary tract infections and orchitis. For more information consult a urologist online --> | patient: hello doctor, my 63 year old father is a diabetic patient. he suffered from a urinary tract infection of e.coli bacteria. he was treated and cured in a month. after this, he suffered from a scrotum pain and we got two ultrasounds done. in the first one, the report states 'epididymo-orchitis'. now, he is relieved of pain and the swelling is reduced, but not completely. the second ultrasound report states 'enlarged left testis and epididymis altered echotexture, multiple hypoechoic areas are noted in the left testes measuring 16.1 by 9.5mm.' can you please explain the second ultrasound report? what does it imply? what should we do next? || doctor: hello. diabetic patients are always prone to infection like urinary tract infections and orchitis. for more information consult a urologist online --> |
9,409 | Q. My son sprayed mosquito repellant close to his eyes. Will this cause any impact? | Hi doctor, My son pressed a herbal mosquito repellant spray close to his eyes. I am not sure whether the liquid directly sprayed into his eyes. We immediately washed his eyes and nose as he complained about a burning sensation. But soon it was over, he can see things and recognize colors. Will this have any impact in the long run? | Hello. For further information consult an eye care ophthalmologist online --> | Patient: Hi doctor, My son pressed a herbal mosquito repellant spray close to his eyes. I am not sure whether the liquid directly sprayed into his eyes. We immediately washed his eyes and nose as he complained about a burning sensation. But soon it was over, he can see things and recognize colors. Will this have any impact in the long run? || Doctor: Hello. For further information consult an eye care ophthalmologist online --> | patient: hi doctor, my son pressed a herbal mosquito repellant spray close to his eyes. i am not sure whether the liquid directly sprayed into his eyes. we immediately washed his eyes and nose as he complained about a burning sensation. but soon it was over, he can see things and recognize colors. will this have any impact in the long run? || doctor: hello. for further information consult an eye care ophthalmologist online --> |
9,410 | 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 --> |
9,411 | 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 --> |
9,412 | 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.---> |
9,413 | 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 --> |
9,414 | 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 --> |
9,415 | 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 --> |
9,416 | 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 --> |
9,417 | Q. Why is my brother weak after stopping alcohol? | Hi doctor, My brother is suffering from extreme numbness and pain in soles and palms. He also experiences constipation, weight loss, dizziness and lack of appetite. Please help. | Hello. I had gone through the data you have posted. For further information consult an internal medicine physician online --> | Patient: Hi doctor, My brother is suffering from extreme numbness and pain in soles and palms. He also experiences constipation, weight loss, dizziness and lack of appetite. Please help. || Doctor: Hello. I had gone through the data you have posted. For further information consult an internal medicine physician online --> | patient: hi doctor, my brother is suffering from extreme numbness and pain in soles and palms. he also experiences constipation, weight loss, dizziness and lack of appetite. please help. || doctor: hello. i had gone through the data you have posted. for further information consult an internal medicine physician online --> |
9,418 | Q. Why do I have problem in bending forward? | Hello doctor, I injured my lower back while squatting about one and a half month back. I have difficulty in bending backwards. A sharp pain was felt when I used to bend backward. But, no pain in forward bending or sideway bending. Neither any pain was felt on touching the region. So, I started physiotherapy and the situation is improving. Recently, when I was playing badminton again I felt the similar pain whenever I tried to bend backward. So, I consulted a doctor. He viewed my x-ray report and said there is no such problem in it. He advised me to stay away from sports for the next 10 days. But, the pain has worsened now. I feel pain in a different region that is just above the right hip. The pain is felt on touching that part and now I have even problem in bending forward. Even sitting increases the pain now. Standing and walking makes it better. As advised by the doctor I regularly do muscle strengthening and stretching exercises, but no improvement can be seen. Please help. | Hi. The x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. So, do not worry. Instructions to reduce back pain: Facet pain - lumbar spine. Revert back after five days to an orthopaedician and traumatologist online.---> | Patient: Hello doctor, I injured my lower back while squatting about one and a half month back. I have difficulty in bending backwards. A sharp pain was felt when I used to bend backward. But, no pain in forward bending or sideway bending. Neither any pain was felt on touching the region. So, I started physiotherapy and the situation is improving. Recently, when I was playing badminton again I felt the similar pain whenever I tried to bend backward. So, I consulted a doctor. He viewed my x-ray report and said there is no such problem in it. He advised me to stay away from sports for the next 10 days. But, the pain has worsened now. I feel pain in a different region that is just above the right hip. The pain is felt on touching that part and now I have even problem in bending forward. Even sitting increases the pain now. Standing and walking makes it better. As advised by the doctor I regularly do muscle strengthening and stretching exercises, but no improvement can be seen. Please help. || Doctor: Hi. The x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. So, do not worry. Instructions to reduce back pain: Facet pain - lumbar spine. Revert back after five days to an orthopaedician and traumatologist online.---> | patient: hello doctor, i injured my lower back while squatting about one and a half month back. i have difficulty in bending backwards. a sharp pain was felt when i used to bend backward. but, no pain in forward bending or sideway bending. neither any pain was felt on touching the region. so, i started physiotherapy and the situation is improving. recently, when i was playing badminton again i felt the similar pain whenever i tried to bend backward. so, i consulted a doctor. he viewed my x-ray report and said there is no such problem in it. he advised me to stay away from sports for the next 10 days. but, the pain has worsened now. i feel pain in a different region that is just above the right hip. the pain is felt on touching that part and now i have even problem in bending forward. even sitting increases the pain now. standing and walking makes it better. as advised by the doctor i regularly do muscle strengthening and stretching exercises, but no improvement can be seen. please help. || doctor: hi. the x-ray is not very clear (attachment removed to protect patient identity), but your pain will surely reduce. so, do not worry. instructions to reduce back pain: facet pain - lumbar spine. revert back after five days to an orthopaedician and traumatologist online.---> |
9,419 | Q. Why do I have perioral movements and hand tremors? | Hi doctor, I am 31 years old. I am a known diabetic. I have been experiencing perioral movements and tremors in hand. I am on Seroquel for depression. Please help. | Hello. I understand your concern and need more information to suggest better. Revert back with the answers to a neurologist online --> | Patient: Hi doctor, I am 31 years old. I am a known diabetic. I have been experiencing perioral movements and tremors in hand. I am on Seroquel for depression. Please help. || Doctor: Hello. I understand your concern and need more information to suggest better. Revert back with the answers to a neurologist online --> | patient: hi doctor, i am 31 years old. i am a known diabetic. i have been experiencing perioral movements and tremors in hand. i am on seroquel for depression. please help. || doctor: hello. i understand your concern and need more information to suggest better. revert back with the answers to a neurologist online --> |
9,420 | Q. How to confirm if my heart is in good condition? | Hello doctor, My problem is little strange. I am 23 year old obese guy. My father expired two years ago due to cardiac arrest. I always have the fear that I might get heart problem anytime. Even my heart rate remains 90 to 100 bpm. After consultation, my doctor said it is just because of overweight and no need to worry. But, I feel like I would get heart problem. I always have the fear that I will die. I feel like I would get heart attack or injury in night as I feel my heart is not well. Few days back, I have gone through few tests, which I am enclosing with you. Please tell me the reason or test which should I go to clarify my doubt that I have a healthy heart or not? Also sometime I feel the heartbeat with the vibrating sensation very fast and sometime I feel like pain in chest may be because of winter. Please help me. | Hello. Revert back after the investigations to a cardiologist online --> | Patient: Hello doctor, My problem is little strange. I am 23 year old obese guy. My father expired two years ago due to cardiac arrest. I always have the fear that I might get heart problem anytime. Even my heart rate remains 90 to 100 bpm. After consultation, my doctor said it is just because of overweight and no need to worry. But, I feel like I would get heart problem. I always have the fear that I will die. I feel like I would get heart attack or injury in night as I feel my heart is not well. Few days back, I have gone through few tests, which I am enclosing with you. Please tell me the reason or test which should I go to clarify my doubt that I have a healthy heart or not? Also sometime I feel the heartbeat with the vibrating sensation very fast and sometime I feel like pain in chest may be because of winter. Please help me. || Doctor: Hello. Revert back after the investigations to a cardiologist online --> | patient: hello doctor, my problem is little strange. i am 23 year old obese guy. my father expired two years ago due to cardiac arrest. i always have the fear that i might get heart problem anytime. even my heart rate remains 90 to 100 bpm. after consultation, my doctor said it is just because of overweight and no need to worry. but, i feel like i would get heart problem. i always have the fear that i will die. i feel like i would get heart attack or injury in night as i feel my heart is not well. few days back, i have gone through few tests, which i am enclosing with you. please tell me the reason or test which should i go to clarify my doubt that i have a healthy heart or not? also sometime i feel the heartbeat with the vibrating sensation very fast and sometime i feel like pain in chest may be because of winter. please help me. || doctor: hello. revert back after the investigations to a cardiologist online --> |
9,421 | Q. Is it normal to have pain and tightness post hemorrhoidectomy? | Hi doctor, I had hemorrhoidectomy before six weeks. I still feel some pain and tightness while sitting. Is this normal after six weeks? I think I have anal stenosis. Stool is difficult to pass even when soft. Always have to strain and never passes naturally. I know I have a hard scar tissue. Is it possible for this to lessen or soften over time? Can some of the tightness be a result of swelling? How do I know? | Hi. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I had hemorrhoidectomy before six weeks. I still feel some pain and tightness while sitting. Is this normal after six weeks? I think I have anal stenosis. Stool is difficult to pass even when soft. Always have to strain and never passes naturally. I know I have a hard scar tissue. Is it possible for this to lessen or soften over time? Can some of the tightness be a result of swelling? How do I know? || Doctor: Hi. For further information consult an internal medicine physician online --> | patient: hi doctor, i had hemorrhoidectomy before six weeks. i still feel some pain and tightness while sitting. is this normal after six weeks? i think i have anal stenosis. stool is difficult to pass even when soft. always have to strain and never passes naturally. i know i have a hard scar tissue. is it possible for this to lessen or soften over time? can some of the tightness be a result of swelling? how do i know? || doctor: hi. for further information consult an internal medicine physician online --> |
9,422 | Q. I was advised surgery for ovarian cyst. What are the side effects? | Hello doctor, I am 23 years old. I have ovarian cyst for the last two years. I have taken medicine (Norgest) but no improvement. I have to do all the tests (blood test, CA125, MRI, ultrasound, thyroid, urine, etc. According to my last report (three months ago), my ovarian cyst size is 42.10*34.82*37.29 mm. Three to four follicles seen in right ovary. The endometrium is approximately 15.34*13.60 mm. The spleen size is 107.09 mm. All my reports are normal. But, according to my MRI reports (one year ago), the cyst size 3.3*3.0 cm. My period is normal. My doctor suggests surgery. Please suggest what I have to do. What are the side effects of surgery? Suggest some medicine for abdomen pain and the cyst to resolve. I attached all my reports. | Hello. From your history, you have a right hemorrhagic ovarian cyst, and paraovarian right sided cyst more than 5 cm which increased to this size in one year and surgery advised. This paraovarian cyst (hydatid of Morgagni) epithelium-lined fluid-filled cyst in adnexa adjacent to the fallopian tube. These cysts rarely cause symptoms, and you are having a symptom of pain for which you need treatment. These cysts could become cancerous rarely, can rupture with the fluid spreading in the lower abdomen and can spread inflammation which can involve other organs. A hemorrhagic cyst is bleeding functional ovarian cyst. It can cause pain during sex, pain in lower abdomen, bloating, lower abdominal discomfort. If left untreated, it can rupture and cause abscess formation with sometimes severe sepsis. Torsion cyst is another acute emergency. To prevent this, better to remove it before torsion. Cyst without symptoms resolves itself, but a cyst causing symptoms need intervention before severe consequences and emergencies like torsion, sepsis, etc. (mostly in case of rupture and abscess formation). You have splenomegaly as well. It means, the body systems are also getting affected by the cyst and the body wants to drain it out. I hope you got my point, that is why it is advised to remove the cyst by surgery. Sometimes, it ruptures during surgery, but at that time, the internal organ can easily be cleaned and washed with saline or sterile solutions. It will help to get relief from abdominal pressure symptoms and pain and risk of rupture and abscess and infection. A cyst is normally sent to the lab after removal for histopathology and ruling out cancer. There are few chances of complications in every surgery like internal bleed, postoperative pain or infection, but here those complications are minute as compared to advantages of removal of the cyst. Hope you understand my point. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 23 years old. I have ovarian cyst for the last two years. I have taken medicine (Norgest) but no improvement. I have to do all the tests (blood test, CA125, MRI, ultrasound, thyroid, urine, etc. According to my last report (three months ago), my ovarian cyst size is 42.10*34.82*37.29 mm. Three to four follicles seen in right ovary. The endometrium is approximately 15.34*13.60 mm. The spleen size is 107.09 mm. All my reports are normal. But, according to my MRI reports (one year ago), the cyst size 3.3*3.0 cm. My period is normal. My doctor suggests surgery. Please suggest what I have to do. What are the side effects of surgery? Suggest some medicine for abdomen pain and the cyst to resolve. I attached all my reports. || Doctor: Hello. From your history, you have a right hemorrhagic ovarian cyst, and paraovarian right sided cyst more than 5 cm which increased to this size in one year and surgery advised. This paraovarian cyst (hydatid of Morgagni) epithelium-lined fluid-filled cyst in adnexa adjacent to the fallopian tube. These cysts rarely cause symptoms, and you are having a symptom of pain for which you need treatment. These cysts could become cancerous rarely, can rupture with the fluid spreading in the lower abdomen and can spread inflammation which can involve other organs. A hemorrhagic cyst is bleeding functional ovarian cyst. It can cause pain during sex, pain in lower abdomen, bloating, lower abdominal discomfort. If left untreated, it can rupture and cause abscess formation with sometimes severe sepsis. Torsion cyst is another acute emergency. To prevent this, better to remove it before torsion. Cyst without symptoms resolves itself, but a cyst causing symptoms need intervention before severe consequences and emergencies like torsion, sepsis, etc. (mostly in case of rupture and abscess formation). You have splenomegaly as well. It means, the body systems are also getting affected by the cyst and the body wants to drain it out. I hope you got my point, that is why it is advised to remove the cyst by surgery. Sometimes, it ruptures during surgery, but at that time, the internal organ can easily be cleaned and washed with saline or sterile solutions. It will help to get relief from abdominal pressure symptoms and pain and risk of rupture and abscess and infection. A cyst is normally sent to the lab after removal for histopathology and ruling out cancer. There are few chances of complications in every surgery like internal bleed, postoperative pain or infection, but here those complications are minute as compared to advantages of removal of the cyst. Hope you understand my point. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 23 years old. i have ovarian cyst for the last two years. i have taken medicine (norgest) but no improvement. i have to do all the tests (blood test, ca125, mri, ultrasound, thyroid, urine, etc. according to my last report (three months ago), my ovarian cyst size is 42.10*34.82*37.29 mm. three to four follicles seen in right ovary. the endometrium is approximately 15.34*13.60 mm. the spleen size is 107.09 mm. all my reports are normal. but, according to my mri reports (one year ago), the cyst size 3.3*3.0 cm. my period is normal. my doctor suggests surgery. please suggest what i have to do. what are the side effects of surgery? suggest some medicine for abdomen pain and the cyst to resolve. i attached all my reports. || doctor: hello. from your history, you have a right hemorrhagic ovarian cyst, and paraovarian right sided cyst more than 5 cm which increased to this size in one year and surgery advised. this paraovarian cyst (hydatid of morgagni) epithelium-lined fluid-filled cyst in adnexa adjacent to the fallopian tube. these cysts rarely cause symptoms, and you are having a symptom of pain for which you need treatment. these cysts could become cancerous rarely, can rupture with the fluid spreading in the lower abdomen and can spread inflammation which can involve other organs. a hemorrhagic cyst is bleeding functional ovarian cyst. it can cause pain during sex, pain in lower abdomen, bloating, lower abdominal discomfort. if left untreated, it can rupture and cause abscess formation with sometimes severe sepsis. torsion cyst is another acute emergency. to prevent this, better to remove it before torsion. cyst without symptoms resolves itself, but a cyst causing symptoms need intervention before severe consequences and emergencies like torsion, sepsis, etc. (mostly in case of rupture and abscess formation). you have splenomegaly as well. it means, the body systems are also getting affected by the cyst and the body wants to drain it out. i hope you got my point, that is why it is advised to remove the cyst by surgery. sometimes, it ruptures during surgery, but at that time, the internal organ can easily be cleaned and washed with saline or sterile solutions. it will help to get relief from abdominal pressure symptoms and pain and risk of rupture and abscess and infection. a cyst is normally sent to the lab after removal for histopathology and ruling out cancer. there are few chances of complications in every surgery like internal bleed, postoperative pain or infection, but here those complications are minute as compared to advantages of removal of the cyst. hope you understand my point. for more information consult an obstetrician and gynaecologist online --> |
9,423 | Q. How to solve my daughter's behavioral issues? | Hi doctor, My 7 year old daughter started behaving strangely for the last two months. She started feeling something that stuck in her throat and she cannot swallow. Then, she said that all foods are junk and would ask whether a particular food can be taken after another food, etc. For example, Can I have milk after chocolate or rice after fruits? She feels that her hand is dirty and does not use hands to have food. Always, mother or grandmother has to feed her. She does not like taking bath or brushing teeth while going to school. At that time, she got angry, uses abusive words and causes physical harm. When she gets angry with anyone, especially relatives and parents, she uses abusive words and causes physical harm by pinching and kicking. She spits at the person or on the floor. Her spitting occurs frequently without provocation. She touches each object she comes in contact and then places her fingers over her forehead repeatedly. She her mouth full of saliva during class hours. She is calm at other times, but gets irritated very fast. She feels guilty after causing physical harm and says sorry to mother only. We feel that she cannot control her anger. Kindly help us with the diagnosis. What is her condition? How to solve this? Can this be treated with counseling? | Hi. MRI brain and electroencephalogram (EEG). Revert back with the reports to a psychiatrist online.---> | Patient: Hi doctor, My 7 year old daughter started behaving strangely for the last two months. She started feeling something that stuck in her throat and she cannot swallow. Then, she said that all foods are junk and would ask whether a particular food can be taken after another food, etc. For example, Can I have milk after chocolate or rice after fruits? She feels that her hand is dirty and does not use hands to have food. Always, mother or grandmother has to feed her. She does not like taking bath or brushing teeth while going to school. At that time, she got angry, uses abusive words and causes physical harm. When she gets angry with anyone, especially relatives and parents, she uses abusive words and causes physical harm by pinching and kicking. She spits at the person or on the floor. Her spitting occurs frequently without provocation. She touches each object she comes in contact and then places her fingers over her forehead repeatedly. She her mouth full of saliva during class hours. She is calm at other times, but gets irritated very fast. She feels guilty after causing physical harm and says sorry to mother only. We feel that she cannot control her anger. Kindly help us with the diagnosis. What is her condition? How to solve this? Can this be treated with counseling? || Doctor: Hi. MRI brain and electroencephalogram (EEG). Revert back with the reports to a psychiatrist online.---> | patient: hi doctor, my 7 year old daughter started behaving strangely for the last two months. she started feeling something that stuck in her throat and she cannot swallow. then, she said that all foods are junk and would ask whether a particular food can be taken after another food, etc. for example, can i have milk after chocolate or rice after fruits? she feels that her hand is dirty and does not use hands to have food. always, mother or grandmother has to feed her. she does not like taking bath or brushing teeth while going to school. at that time, she got angry, uses abusive words and causes physical harm. when she gets angry with anyone, especially relatives and parents, she uses abusive words and causes physical harm by pinching and kicking. she spits at the person or on the floor. her spitting occurs frequently without provocation. she touches each object she comes in contact and then places her fingers over her forehead repeatedly. she her mouth full of saliva during class hours. she is calm at other times, but gets irritated very fast. she feels guilty after causing physical harm and says sorry to mother only. we feel that she cannot control her anger. kindly help us with the diagnosis. what is her condition? how to solve this? can this be treated with counseling? || doctor: hi. mri brain and electroencephalogram (eeg). revert back with the reports to a psychiatrist online.---> |
9,424 | Q. I have pain on the left side of the jaw. Is it due to an impacted tooth or a tooth with large filling? | Hi doctor, Approximately six weeks ago, I got niggling wisdom teeth pain. The left top and bottom wisdom teeth were breaking through the gums. I got sudden pain which was severe in intensity around the back of my mouth and the lower left side. It got aggravated especially on chewing and radiating to the next tooth and along the jaw. The dentist suggested a wait and watch for few days. The next day when the wisdom tooth started to come out, the pain got severely worse over the jaw and the temporomandibular joint. I was unable to tolerate. I cannot even rest my top and bottom teeth together. I got complete numbness on the left side of the chin and lower lip and difficulty in opening my mouth for more than one or two fingers. I could not sleep and felt ill because of the pain. On the X-ray, the wisdom tooth is horizontally impacted, and there were no signs of infection or abscess. The tooth next to the wisdom has a large old filling nearing the pulp. But there are no signs of anything wrong with it on an X-ray. The dentists could not find whether it was the pressure of the impacted tooth on the next tooth or problem with the filled tooth. So, I was just given antibiotics. By the end of the antibiotics, it was slightly better, but I still felt ill. Again, the dentist decided to wait and watch. As I felt iller than the previous time, I was given another course of different antibiotics. The pain was reduced. But I still have numbness in the chin. However, most of the numbness on the lip has resolved. A constant cramp sensation along the bottom of my jaw and temporomandibular joint with the discomfort temporarily ease with rubbing or stretching or massage. I regained most of my mouth opening back, but it is uncomfortable to open and hold in that position. I also think the jaw discomfort and cramping are worse on the days when I have to talk more. The wisdom tooth and the next tooth are still mildly tender. I can eat soft foods comfortably, but I get pain in the two teeth and the gum surrounding the wisdom tooth on eating hard foods like a raw carrot. The pain will last up to an hour or more. I have never had any hot or cold sensitivity or nasty taste in my mouth. The dentist I saw thinks that it is because of the nerves from the filled tooth and wants to do root canal treatment or extraction. How would this change any of the nerve or temporomandibular joint pain? I am worried that if the impacted tooth's pressure is causing the pain, then it will make no difference anyway. Do you know a way to differentiate? Which do you think is the more likely cause? | Hi. I had gone through your question. I can understand your concern about your tooth pain. Hope my answer will help you. Visit us back if you have any further queries. Regards. For further queries consult a dentist online --> | Patient: Hi doctor, Approximately six weeks ago, I got niggling wisdom teeth pain. The left top and bottom wisdom teeth were breaking through the gums. I got sudden pain which was severe in intensity around the back of my mouth and the lower left side. It got aggravated especially on chewing and radiating to the next tooth and along the jaw. The dentist suggested a wait and watch for few days. The next day when the wisdom tooth started to come out, the pain got severely worse over the jaw and the temporomandibular joint. I was unable to tolerate. I cannot even rest my top and bottom teeth together. I got complete numbness on the left side of the chin and lower lip and difficulty in opening my mouth for more than one or two fingers. I could not sleep and felt ill because of the pain. On the X-ray, the wisdom tooth is horizontally impacted, and there were no signs of infection or abscess. The tooth next to the wisdom has a large old filling nearing the pulp. But there are no signs of anything wrong with it on an X-ray. The dentists could not find whether it was the pressure of the impacted tooth on the next tooth or problem with the filled tooth. So, I was just given antibiotics. By the end of the antibiotics, it was slightly better, but I still felt ill. Again, the dentist decided to wait and watch. As I felt iller than the previous time, I was given another course of different antibiotics. The pain was reduced. But I still have numbness in the chin. However, most of the numbness on the lip has resolved. A constant cramp sensation along the bottom of my jaw and temporomandibular joint with the discomfort temporarily ease with rubbing or stretching or massage. I regained most of my mouth opening back, but it is uncomfortable to open and hold in that position. I also think the jaw discomfort and cramping are worse on the days when I have to talk more. The wisdom tooth and the next tooth are still mildly tender. I can eat soft foods comfortably, but I get pain in the two teeth and the gum surrounding the wisdom tooth on eating hard foods like a raw carrot. The pain will last up to an hour or more. I have never had any hot or cold sensitivity or nasty taste in my mouth. The dentist I saw thinks that it is because of the nerves from the filled tooth and wants to do root canal treatment or extraction. How would this change any of the nerve or temporomandibular joint pain? I am worried that if the impacted tooth's pressure is causing the pain, then it will make no difference anyway. Do you know a way to differentiate? Which do you think is the more likely cause? || Doctor: Hi. I had gone through your question. I can understand your concern about your tooth pain. Hope my answer will help you. Visit us back if you have any further queries. Regards. For further queries consult a dentist online --> | patient: hi doctor, approximately six weeks ago, i got niggling wisdom teeth pain. the left top and bottom wisdom teeth were breaking through the gums. i got sudden pain which was severe in intensity around the back of my mouth and the lower left side. it got aggravated especially on chewing and radiating to the next tooth and along the jaw. the dentist suggested a wait and watch for few days. the next day when the wisdom tooth started to come out, the pain got severely worse over the jaw and the temporomandibular joint. i was unable to tolerate. i cannot even rest my top and bottom teeth together. i got complete numbness on the left side of the chin and lower lip and difficulty in opening my mouth for more than one or two fingers. i could not sleep and felt ill because of the pain. on the x-ray, the wisdom tooth is horizontally impacted, and there were no signs of infection or abscess. the tooth next to the wisdom has a large old filling nearing the pulp. but there are no signs of anything wrong with it on an x-ray. the dentists could not find whether it was the pressure of the impacted tooth on the next tooth or problem with the filled tooth. so, i was just given antibiotics. by the end of the antibiotics, it was slightly better, but i still felt ill. again, the dentist decided to wait and watch. as i felt iller than the previous time, i was given another course of different antibiotics. the pain was reduced. but i still have numbness in the chin. however, most of the numbness on the lip has resolved. a constant cramp sensation along the bottom of my jaw and temporomandibular joint with the discomfort temporarily ease with rubbing or stretching or massage. i regained most of my mouth opening back, but it is uncomfortable to open and hold in that position. i also think the jaw discomfort and cramping are worse on the days when i have to talk more. the wisdom tooth and the next tooth are still mildly tender. i can eat soft foods comfortably, but i get pain in the two teeth and the gum surrounding the wisdom tooth on eating hard foods like a raw carrot. the pain will last up to an hour or more. i have never had any hot or cold sensitivity or nasty taste in my mouth. the dentist i saw thinks that it is because of the nerves from the filled tooth and wants to do root canal treatment or extraction. how would this change any of the nerve or temporomandibular joint pain? i am worried that if the impacted tooth's pressure is causing the pain, then it will make no difference anyway. do you know a way to differentiate? which do you think is the more likely cause? || doctor: hi. i had gone through your question. i can understand your concern about your tooth pain. hope my answer will help you. visit us back if you have any further queries. regards. for further queries consult a dentist online --> |
9,425 | Q. How to reduce excess saliva buildup? | Hi doctor, I have been suffering from excess saliva buildup. As a kid, I would wake up with my pillow covered in drool every morning. When I was on a trip before two years where out of nowhere my saliva started building up so much that I needed to swallow it every 30 seconds. The issue would go away when I was distracted, but it has been really bothering my life for the past two years. When I have to swallow the saliva, I do not enjoy it in the slightest. It is very annoying for me. I have visited a psychotherapist for this, but they said they had never seen anyone with my issue before, despite being a cognitive behavior therapy center. I have had anxiety from this, but the anxiety has only been from thinking that this saliva will keep on building up in my mouth. I did a lot of research and saw that one of the salivary glands is capable of producing five times the normal amount of saliva or something like that, which I think is causing this. It is important to note that the excess of saliva buildup is not always there. It usually goes away when I am really distracted. When I am doing nothing I find that it really builds up and I cannot stop the excess saliva build up. Could that have something to do with the parasympathetic nervous system? Because, I have heard that it is responsible for stimulation when the body is at rest. Last week, I visited my physiotherapist for something in my arm and they also told me I was very hyperaware. I was wondering if this had something to do with it. Regardless, I also found something showing that people with excess saliva have one of their glands removed and that can help a lot. Any help you could provide with this would be of great assistance. Thank you. | Hello. I have gone through all the details posted. I can understand your problem and I will explain you the possible treatment options. For further information consult an ENT otolaryngologist online --> | Patient: Hi doctor, I have been suffering from excess saliva buildup. As a kid, I would wake up with my pillow covered in drool every morning. When I was on a trip before two years where out of nowhere my saliva started building up so much that I needed to swallow it every 30 seconds. The issue would go away when I was distracted, but it has been really bothering my life for the past two years. When I have to swallow the saliva, I do not enjoy it in the slightest. It is very annoying for me. I have visited a psychotherapist for this, but they said they had never seen anyone with my issue before, despite being a cognitive behavior therapy center. I have had anxiety from this, but the anxiety has only been from thinking that this saliva will keep on building up in my mouth. I did a lot of research and saw that one of the salivary glands is capable of producing five times the normal amount of saliva or something like that, which I think is causing this. It is important to note that the excess of saliva buildup is not always there. It usually goes away when I am really distracted. When I am doing nothing I find that it really builds up and I cannot stop the excess saliva build up. Could that have something to do with the parasympathetic nervous system? Because, I have heard that it is responsible for stimulation when the body is at rest. Last week, I visited my physiotherapist for something in my arm and they also told me I was very hyperaware. I was wondering if this had something to do with it. Regardless, I also found something showing that people with excess saliva have one of their glands removed and that can help a lot. Any help you could provide with this would be of great assistance. Thank you. || Doctor: Hello. I have gone through all the details posted. I can understand your problem and I will explain you the possible treatment options. For further information consult an ENT otolaryngologist online --> | patient: hi doctor, i have been suffering from excess saliva buildup. as a kid, i would wake up with my pillow covered in drool every morning. when i was on a trip before two years where out of nowhere my saliva started building up so much that i needed to swallow it every 30 seconds. the issue would go away when i was distracted, but it has been really bothering my life for the past two years. when i have to swallow the saliva, i do not enjoy it in the slightest. it is very annoying for me. i have visited a psychotherapist for this, but they said they had never seen anyone with my issue before, despite being a cognitive behavior therapy center. i have had anxiety from this, but the anxiety has only been from thinking that this saliva will keep on building up in my mouth. i did a lot of research and saw that one of the salivary glands is capable of producing five times the normal amount of saliva or something like that, which i think is causing this. it is important to note that the excess of saliva buildup is not always there. it usually goes away when i am really distracted. when i am doing nothing i find that it really builds up and i cannot stop the excess saliva build up. could that have something to do with the parasympathetic nervous system? because, i have heard that it is responsible for stimulation when the body is at rest. last week, i visited my physiotherapist for something in my arm and they also told me i was very hyperaware. i was wondering if this had something to do with it. regardless, i also found something showing that people with excess saliva have one of their glands removed and that can help a lot. any help you could provide with this would be of great assistance. thank you. || doctor: hello. i have gone through all the details posted. i can understand your problem and i will explain you the possible treatment options. for further information consult an ent otolaryngologist online --> |
9,426 | Q. I have ordered kottakal arya vaidya manasa mitra vatakam. What is the recommended dosage for mild anxiety/tension. | Hi doctor, I am a 24 year old male. I have ordered Manasamitra Vatakam. What is the recommended dosage for mild anxiety and tension? Is there any possible side effects? Would you also recommend any mild medicine other than this such as Ashwagandha? If so please tell me dosage and brand name. Also suggest me the recommended diet that helps to restore calmness. | Hi. Revert back after 15 days for follow up to an ayurveda specialist online --> | Patient: Hi doctor, I am a 24 year old male. I have ordered Manasamitra Vatakam. What is the recommended dosage for mild anxiety and tension? Is there any possible side effects? Would you also recommend any mild medicine other than this such as Ashwagandha? If so please tell me dosage and brand name. Also suggest me the recommended diet that helps to restore calmness. || Doctor: Hi. Revert back after 15 days for follow up to an ayurveda specialist online --> | patient: hi doctor, i am a 24 year old male. i have ordered manasamitra vatakam. what is the recommended dosage for mild anxiety and tension? is there any possible side effects? would you also recommend any mild medicine other than this such as ashwagandha? if so please tell me dosage and brand name. also suggest me the recommended diet that helps to restore calmness. || doctor: hi. revert back after 15 days for follow up to an ayurveda specialist online --> |
9,427 | 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 --> |
9,428 | 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 --> |
9,429 | 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.---> |
9,430 | 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 --> |
9,431 | 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 --> |
9,432 | Q. Apart from sex, how does HPV enter into body? | Hi doctor, I have a doubt about the cervical cancer. I know that it is caused by HPV. What are the other channels for the entry of virus into the body apart from sex? If wife and husband both are virgin at the time of marriage and are sincere after marriage, is there any chance of getting cervical cancer? | Hello. Cervical cancer is caused principally by two strains of HPV (human papillomavirus) - 16 and 18. Though there are more than 400 serotypes present but only 144 have been identified till date and of these high risk types being 16, 18, 31, 33, 34, 45, 52, and 58 which constitute 90% of cervical cancer cases. HPV commonly spreads through vaginal or anal sex. It can also pass when the infected person has no signs or symptoms. Though you have been sexually active with only one person, you can get HPV. Even a mere skin to skin contact with a HPV infected person can spread HPV. But the fact is, unless the above mentioned strains are not detected on HPV DNA studies during pap smear, it is unlikely that you shall get cervical cancer. Even if both of you are virgin and do not have HPV still if you do not have the high risk strains, you may have other strains of HPV as commensals which with regular sex often can undergo mutation and beget high risk strains. So, the best is to get a HPV vaccination done before you undertake sexual activity ideally, else as per guidelines HPV vaccination should be given to all women between 9-45 age group irrespective of their sexual activity status. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I have a doubt about the cervical cancer. I know that it is caused by HPV. What are the other channels for the entry of virus into the body apart from sex? If wife and husband both are virgin at the time of marriage and are sincere after marriage, is there any chance of getting cervical cancer? || Doctor: Hello. Cervical cancer is caused principally by two strains of HPV (human papillomavirus) - 16 and 18. Though there are more than 400 serotypes present but only 144 have been identified till date and of these high risk types being 16, 18, 31, 33, 34, 45, 52, and 58 which constitute 90% of cervical cancer cases. HPV commonly spreads through vaginal or anal sex. It can also pass when the infected person has no signs or symptoms. Though you have been sexually active with only one person, you can get HPV. Even a mere skin to skin contact with a HPV infected person can spread HPV. But the fact is, unless the above mentioned strains are not detected on HPV DNA studies during pap smear, it is unlikely that you shall get cervical cancer. Even if both of you are virgin and do not have HPV still if you do not have the high risk strains, you may have other strains of HPV as commensals which with regular sex often can undergo mutation and beget high risk strains. So, the best is to get a HPV vaccination done before you undertake sexual activity ideally, else as per guidelines HPV vaccination should be given to all women between 9-45 age group irrespective of their sexual activity status. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i have a doubt about the cervical cancer. i know that it is caused by hpv. what are the other channels for the entry of virus into the body apart from sex? if wife and husband both are virgin at the time of marriage and are sincere after marriage, is there any chance of getting cervical cancer? || doctor: hello. cervical cancer is caused principally by two strains of hpv (human papillomavirus) - 16 and 18. though there are more than 400 serotypes present but only 144 have been identified till date and of these high risk types being 16, 18, 31, 33, 34, 45, 52, and 58 which constitute 90% of cervical cancer cases. hpv commonly spreads through vaginal or anal sex. it can also pass when the infected person has no signs or symptoms. though you have been sexually active with only one person, you can get hpv. even a mere skin to skin contact with a hpv infected person can spread hpv. but the fact is, unless the above mentioned strains are not detected on hpv dna studies during pap smear, it is unlikely that you shall get cervical cancer. even if both of you are virgin and do not have hpv still if you do not have the high risk strains, you may have other strains of hpv as commensals which with regular sex often can undergo mutation and beget high risk strains. so, the best is to get a hpv vaccination done before you undertake sexual activity ideally, else as per guidelines hpv vaccination should be given to all women between 9-45 age group irrespective of their sexual activity status. for further information consult an obstetrician and gynaecologist online --> |
9,433 | Q. My father got a fever suddenly from yesterday. Should we be worried about dengue? | Hello doctor, My father had sudden fever ranging from 100 to 102.6 F yesterday, but he has no clear symptoms. As he had loose stool yesterday, he was advised Oflox O by the doctor, two tablets daily for five days. And also Dolo 650, which we started giving him yesterday. Today the fever has been around 99.5 F the whole day, and he has no stomach problem except slight abdominal pain, but he has been complaining of weakness. What could be the reason for this fever? And if the fever subsides, should we be worried about dengue? Please see the attached reports, and tell me why his blood counts are low? He is diabetic, hypertensive, and had a CABG two years back. He also suffered a right-sided hemiparesis, ten years back. He is taking Mixtard Insulin 30/70 (42 units in the morning and 12 units at night), Glycomet GP, Linagliptin 5 mg, Fibator 10 mg, Metolar 25, Dynapres 0.4, Arreno, Ecosprin, Thyronorm 25 mg, and capsule Uprise once a month. | Hi. For further queries consult a hematologist online --> | Patient: Hello doctor, My father had sudden fever ranging from 100 to 102.6 F yesterday, but he has no clear symptoms. As he had loose stool yesterday, he was advised Oflox O by the doctor, two tablets daily for five days. And also Dolo 650, which we started giving him yesterday. Today the fever has been around 99.5 F the whole day, and he has no stomach problem except slight abdominal pain, but he has been complaining of weakness. What could be the reason for this fever? And if the fever subsides, should we be worried about dengue? Please see the attached reports, and tell me why his blood counts are low? He is diabetic, hypertensive, and had a CABG two years back. He also suffered a right-sided hemiparesis, ten years back. He is taking Mixtard Insulin 30/70 (42 units in the morning and 12 units at night), Glycomet GP, Linagliptin 5 mg, Fibator 10 mg, Metolar 25, Dynapres 0.4, Arreno, Ecosprin, Thyronorm 25 mg, and capsule Uprise once a month. || Doctor: Hi. For further queries consult a hematologist online --> | patient: hello doctor, my father had sudden fever ranging from 100 to 102.6 f yesterday, but he has no clear symptoms. as he had loose stool yesterday, he was advised oflox o by the doctor, two tablets daily for five days. and also dolo 650, which we started giving him yesterday. today the fever has been around 99.5 f the whole day, and he has no stomach problem except slight abdominal pain, but he has been complaining of weakness. what could be the reason for this fever? and if the fever subsides, should we be worried about dengue? please see the attached reports, and tell me why his blood counts are low? he is diabetic, hypertensive, and had a cabg two years back. he also suffered a right-sided hemiparesis, ten years back. he is taking mixtard insulin 30/70 (42 units in the morning and 12 units at night), glycomet gp, linagliptin 5 mg, fibator 10 mg, metolar 25, dynapres 0.4, arreno, ecosprin, thyronorm 25 mg, and capsule uprise once a month. || doctor: hi. for further queries consult a hematologist online --> |
9,434 | Q. I am suffering from body lice in the groin area and waist. What should I do? | Hello doctor, I am suffering from body lice. I found some lice in the groin area and waist. I take bath daily. I washed my clothes and bedding using hot water (of temperature 75°C). Even then I am unable to get rid of them. What should I do? | Hello. I have gone through your query and the pictures (attachment removed to protect patient identity).Your suspicion is correct and this condition is known as pediculosis. The lice are an infectious condition and need to be eliminated. Fortunately, it is not difficult. You simply follow the suggested measures and you should be well again. You should be in perfect health very soon. For further follow up, consult a dermatologist online --> | Patient: Hello doctor, I am suffering from body lice. I found some lice in the groin area and waist. I take bath daily. I washed my clothes and bedding using hot water (of temperature 75°C). Even then I am unable to get rid of them. What should I do? || Doctor: Hello. I have gone through your query and the pictures (attachment removed to protect patient identity).Your suspicion is correct and this condition is known as pediculosis. The lice are an infectious condition and need to be eliminated. Fortunately, it is not difficult. You simply follow the suggested measures and you should be well again. You should be in perfect health very soon. For further follow up, consult a dermatologist online --> | patient: hello doctor, i am suffering from body lice. i found some lice in the groin area and waist. i take bath daily. i washed my clothes and bedding using hot water (of temperature 75°c). even then i am unable to get rid of them. what should i do? || doctor: hello. i have gone through your query and the pictures (attachment removed to protect patient identity).your suspicion is correct and this condition is known as pediculosis. the lice are an infectious condition and need to be eliminated. fortunately, it is not difficult. you simply follow the suggested measures and you should be well again. you should be in perfect health very soon. for further follow up, consult a dermatologist online --> |
9,435 | Q. Please explain my abdominal CT scan report in detail. | Hello doctor, A psychological stress-induced gut trauma and insult three years back resulted in a gut inflammation, distention, swelling with and without eating, malabsorption, disturbed gut flora, digestive issues, IBS, and bladder irritation. I am attaching some files. I am looking for a complete reading. Is there anything abnormal with my liver, kidneys, bladder, small intestine, large intestine, pancreas, or gall bladder? Are there any tumor, cancer signs, or organ issues? My gut is not the same anymore. Structurally, it is enlarged, swollen, and falls when I lay on a side, unlike three years back when it was always firm and flat. What is the reason behind this? I am a skinny person. I do not have fat on my body. The inflamed gut is out of shape for my normal body. Another thing I noticed in the CT scan, is that the small intestine is bundled up over the bladder, probably pushing against the bladder adding to the bladder irritation. Is it normal? | Hello. Please write back if you have any doubts. For more information consult a family physician online --> | Patient: Hello doctor, A psychological stress-induced gut trauma and insult three years back resulted in a gut inflammation, distention, swelling with and without eating, malabsorption, disturbed gut flora, digestive issues, IBS, and bladder irritation. I am attaching some files. I am looking for a complete reading. Is there anything abnormal with my liver, kidneys, bladder, small intestine, large intestine, pancreas, or gall bladder? Are there any tumor, cancer signs, or organ issues? My gut is not the same anymore. Structurally, it is enlarged, swollen, and falls when I lay on a side, unlike three years back when it was always firm and flat. What is the reason behind this? I am a skinny person. I do not have fat on my body. The inflamed gut is out of shape for my normal body. Another thing I noticed in the CT scan, is that the small intestine is bundled up over the bladder, probably pushing against the bladder adding to the bladder irritation. Is it normal? || Doctor: Hello. Please write back if you have any doubts. For more information consult a family physician online --> | patient: hello doctor, a psychological stress-induced gut trauma and insult three years back resulted in a gut inflammation, distention, swelling with and without eating, malabsorption, disturbed gut flora, digestive issues, ibs, and bladder irritation. i am attaching some files. i am looking for a complete reading. is there anything abnormal with my liver, kidneys, bladder, small intestine, large intestine, pancreas, or gall bladder? are there any tumor, cancer signs, or organ issues? my gut is not the same anymore. structurally, it is enlarged, swollen, and falls when i lay on a side, unlike three years back when it was always firm and flat. what is the reason behind this? i am a skinny person. i do not have fat on my body. the inflamed gut is out of shape for my normal body. another thing i noticed in the ct scan, is that the small intestine is bundled up over the bladder, probably pushing against the bladder adding to the bladder irritation. is it normal? || doctor: hello. please write back if you have any doubts. for more information consult a family physician online --> |
9,436 | Q. Why do I have leg pain when I stop taking vitamin D3 supplements? | Hello doctor, It all started with leg pain some two years ago. At that time my vitamin D3 level was only 8. Then, I took Uprise-D3 60000 weekly dose for two months. I was cured and fine. But after six months, the problem started again. I did my blood tests again and it was 30. I started taking vitamin D3 again and got about 70% relief. Three months later, my vitamin D3 level was 66. But when I stopped taking vitamin D3, the symptoms occurred again. Kindly help. My uric acid is 7.6 and calcium level is 10.5. | Hello. It appears that you have myalgia. I suggest that you take You need to drink eight to 10 glasses of water daily. Usually, vitamin D has to be taken along with calcium supplements even if the calcium levels are normal. Also, 50000 IU of vitamin D can cause muscle pain. Dehydration can also cause muscle pain and high uric acid levels. For more information consult an endocrinologist online --> | Patient: Hello doctor, It all started with leg pain some two years ago. At that time my vitamin D3 level was only 8. Then, I took Uprise-D3 60000 weekly dose for two months. I was cured and fine. But after six months, the problem started again. I did my blood tests again and it was 30. I started taking vitamin D3 again and got about 70% relief. Three months later, my vitamin D3 level was 66. But when I stopped taking vitamin D3, the symptoms occurred again. Kindly help. My uric acid is 7.6 and calcium level is 10.5. || Doctor: Hello. It appears that you have myalgia. I suggest that you take You need to drink eight to 10 glasses of water daily. Usually, vitamin D has to be taken along with calcium supplements even if the calcium levels are normal. Also, 50000 IU of vitamin D can cause muscle pain. Dehydration can also cause muscle pain and high uric acid levels. For more information consult an endocrinologist online --> | patient: hello doctor, it all started with leg pain some two years ago. at that time my vitamin d3 level was only 8. then, i took uprise-d3 60000 weekly dose for two months. i was cured and fine. but after six months, the problem started again. i did my blood tests again and it was 30. i started taking vitamin d3 again and got about 70% relief. three months later, my vitamin d3 level was 66. but when i stopped taking vitamin d3, the symptoms occurred again. kindly help. my uric acid is 7.6 and calcium level is 10.5. || doctor: hello. it appears that you have myalgia. i suggest that you take you need to drink eight to 10 glasses of water daily. usually, vitamin d has to be taken along with calcium supplements even if the calcium levels are normal. also, 50000 iu of vitamin d can cause muscle pain. dehydration can also cause muscle pain and high uric acid levels. for more information consult an endocrinologist online --> |
9,437 | Q. My husband has several gastric symptoms with family history of colon cancer. Please help. | Hello doctor, My husband has been having a lot of issues in the past year. He does have a history of colon cancer in his family and I am more concerned. He gets excessively bloated (looks like a pregnant lady) very often. He gets bad gas that causes pressure on his chest. Sometimes he will have problems of belching or passing any kind of gas. He will have numbness and tingling in his hands sometimes. He gets lower back pain, stomach upset, and abdominal pain that he describes as feeling like his stomach is being shredded. He has trouble with bowel movements often and there is usually a lot of blood. He does have hemorrhoids but it is still a lot of blood even with that. And I do not know if it is related, he is having pain in his testicles (not with urinating or ejaculation). He has an appointment with a gastroenterologist but it has been pushed back due to the pandemic. Please help. He is currently on Cymbalta, Xanax, and Adderall. | Hello. It is good that you are concerned regarding your husband with a positive family history. We should be alert for any conditions if they are running in the family. As per you, your husband has multiple gastric problems with back pain and numbness. These problems may be due to indigestion and less physical work up. It is very common in these lockdown days. The alarming issue is he has blood in stool that cannot be ignored. It may be due to hemorrhoids but complete checkup is necessary. I will advise you some medicines and blood investigation that should be done as early as possible. Avoid spicy and fatty diet and water intake should be adequate. Start some physical workup like cardio on treadmill if not possible to go outside. Regular habit of walking after ever meal will help. Get back to me any time after investigation. Gastric upset with bleeding PR (rectal bleeding). Colonoscopy with biopsy. Ultrasound whole abdomen abdomen and pelvis. Complete hemogram with LFT (liver function test), KFT (kidney function test), and blood sugar. Syrup Cremaffin four teaspoons at bedtime for seven days. Tablet Rifagut (Rifaximin) 400 mg twice daily for seven days, Pan DSR (Pantoprazole) once daily on empty stomach for seven days, Normaxin (Clidinium bromide, Chlordiazepoxide, Dicyclomine) twice daily for seven days. | Patient: Hello doctor, My husband has been having a lot of issues in the past year. He does have a history of colon cancer in his family and I am more concerned. He gets excessively bloated (looks like a pregnant lady) very often. He gets bad gas that causes pressure on his chest. Sometimes he will have problems of belching or passing any kind of gas. He will have numbness and tingling in his hands sometimes. He gets lower back pain, stomach upset, and abdominal pain that he describes as feeling like his stomach is being shredded. He has trouble with bowel movements often and there is usually a lot of blood. He does have hemorrhoids but it is still a lot of blood even with that. And I do not know if it is related, he is having pain in his testicles (not with urinating or ejaculation). He has an appointment with a gastroenterologist but it has been pushed back due to the pandemic. Please help. He is currently on Cymbalta, Xanax, and Adderall. || Doctor: Hello. It is good that you are concerned regarding your husband with a positive family history. We should be alert for any conditions if they are running in the family. As per you, your husband has multiple gastric problems with back pain and numbness. These problems may be due to indigestion and less physical work up. It is very common in these lockdown days. The alarming issue is he has blood in stool that cannot be ignored. It may be due to hemorrhoids but complete checkup is necessary. I will advise you some medicines and blood investigation that should be done as early as possible. Avoid spicy and fatty diet and water intake should be adequate. Start some physical workup like cardio on treadmill if not possible to go outside. Regular habit of walking after ever meal will help. Get back to me any time after investigation. Gastric upset with bleeding PR (rectal bleeding). Colonoscopy with biopsy. Ultrasound whole abdomen abdomen and pelvis. Complete hemogram with LFT (liver function test), KFT (kidney function test), and blood sugar. Syrup Cremaffin four teaspoons at bedtime for seven days. Tablet Rifagut (Rifaximin) 400 mg twice daily for seven days, Pan DSR (Pantoprazole) once daily on empty stomach for seven days, Normaxin (Clidinium bromide, Chlordiazepoxide, Dicyclomine) twice daily for seven days. | patient: hello doctor, my husband has been having a lot of issues in the past year. he does have a history of colon cancer in his family and i am more concerned. he gets excessively bloated (looks like a pregnant lady) very often. he gets bad gas that causes pressure on his chest. sometimes he will have problems of belching or passing any kind of gas. he will have numbness and tingling in his hands sometimes. he gets lower back pain, stomach upset, and abdominal pain that he describes as feeling like his stomach is being shredded. he has trouble with bowel movements often and there is usually a lot of blood. he does have hemorrhoids but it is still a lot of blood even with that. and i do not know if it is related, he is having pain in his testicles (not with urinating or ejaculation). he has an appointment with a gastroenterologist but it has been pushed back due to the pandemic. please help. he is currently on cymbalta, xanax, and adderall. || doctor: hello. it is good that you are concerned regarding your husband with a positive family history. we should be alert for any conditions if they are running in the family. as per you, your husband has multiple gastric problems with back pain and numbness. these problems may be due to indigestion and less physical work up. it is very common in these lockdown days. the alarming issue is he has blood in stool that cannot be ignored. it may be due to hemorrhoids but complete checkup is necessary. i will advise you some medicines and blood investigation that should be done as early as possible. avoid spicy and fatty diet and water intake should be adequate. start some physical workup like cardio on treadmill if not possible to go outside. regular habit of walking after ever meal will help. get back to me any time after investigation. gastric upset with bleeding pr (rectal bleeding). colonoscopy with biopsy. ultrasound whole abdomen abdomen and pelvis. complete hemogram with lft (liver function test), kft (kidney function test), and blood sugar. syrup cremaffin four teaspoons at bedtime for seven days. tablet rifagut (rifaximin) 400 mg twice daily for seven days, pan dsr (pantoprazole) once daily on empty stomach for seven days, normaxin (clidinium bromide, chlordiazepoxide, dicyclomine) twice daily for seven days. |
9,438 | Q. My dad had a heart attack. Can we wait for 2 to 3 days to do bypass surgery? | Hello doctor, My father, who is 61 years old, suddenly had chest pain, excessive sweating, and vomiting, yesterday at 6 AM. Currently, he is fine, but he is still having chest pain, so the doctor gave him oxygen today. As per his doctor, he had a heart attack, and the pain will go away after some rest. He has kept my father under observation for another day. We stay in an isolated village, so there are very less medical facilities available here. Please suggest any other option. | Hello. If he had a heart attack, then it is better to shift him to a higher center with facility for cardiac care like angiography is available. He will need further management like echocardiography, angiography, and stenting if significant blockages are there. Also, medical treatment needs to be optimized. Enquire if troponin test is positive or not. I also want to know his CK-MB levels, which indicate heart damage. If possible, ask for clinical summary and reports including ECG (electrocardiography), the treatment he is receiving, and you can upload it here for a better opinion. Hope this helps you, and get back if you have any doubts. Revert with more information to a cardiologist online --> | Patient: Hello doctor, My father, who is 61 years old, suddenly had chest pain, excessive sweating, and vomiting, yesterday at 6 AM. Currently, he is fine, but he is still having chest pain, so the doctor gave him oxygen today. As per his doctor, he had a heart attack, and the pain will go away after some rest. He has kept my father under observation for another day. We stay in an isolated village, so there are very less medical facilities available here. Please suggest any other option. || Doctor: Hello. If he had a heart attack, then it is better to shift him to a higher center with facility for cardiac care like angiography is available. He will need further management like echocardiography, angiography, and stenting if significant blockages are there. Also, medical treatment needs to be optimized. Enquire if troponin test is positive or not. I also want to know his CK-MB levels, which indicate heart damage. If possible, ask for clinical summary and reports including ECG (electrocardiography), the treatment he is receiving, and you can upload it here for a better opinion. Hope this helps you, and get back if you have any doubts. Revert with more information to a cardiologist online --> | patient: hello doctor, my father, who is 61 years old, suddenly had chest pain, excessive sweating, and vomiting, yesterday at 6 am. currently, he is fine, but he is still having chest pain, so the doctor gave him oxygen today. as per his doctor, he had a heart attack, and the pain will go away after some rest. he has kept my father under observation for another day. we stay in an isolated village, so there are very less medical facilities available here. please suggest any other option. || doctor: hello. if he had a heart attack, then it is better to shift him to a higher center with facility for cardiac care like angiography is available. he will need further management like echocardiography, angiography, and stenting if significant blockages are there. also, medical treatment needs to be optimized. enquire if troponin test is positive or not. i also want to know his ck-mb levels, which indicate heart damage. if possible, ask for clinical summary and reports including ecg (electrocardiography), the treatment he is receiving, and you can upload it here for a better opinion. hope this helps you, and get back if you have any doubts. revert with more information to a cardiologist online --> |
9,439 | Q. Is deaf and dumb problem hereditary? | Hi doctor, I got a marriage proposal where the girl's father and his brother are mute and deaf. But, surprisingly the children are at good health without any issues. Can I go ahead to marry her? Are deaf and dumb hereditary? Kindly advice. | Hi. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I got a marriage proposal where the girl's father and his brother are mute and deaf. But, surprisingly the children are at good health without any issues. Can I go ahead to marry her? Are deaf and dumb hereditary? Kindly advice. || Doctor: Hi. For further information consult an internal medicine physician online --> | patient: hi doctor, i got a marriage proposal where the girl's father and his brother are mute and deaf. but, surprisingly the children are at good health without any issues. can i go ahead to marry her? are deaf and dumb hereditary? kindly advice. || doctor: hi. for further information consult an internal medicine physician online --> |
9,440 | Q. Will travelling to a place with high rates of pollution affect my lungs? | Hello doctor, I am a 23 year old male who has just returned home from a year's trip to a country known for high rates of pollution. I am currently experiencing shortness of breath (no coughing) and excessive burping. I will try to provide you as much detail as possible. When I went, I did not have any symptoms. Three months had passed with no problem. Then I slowly started to become tired while working out and eventually at the five-month mark I was exhausted. The main symptoms I had were fatigue (unable to exercise at all), shortness of breath, pain/discomfort in the upper back, and excessive burping. Now after returning (been back for two weeks), I only have shortness of breath and burping. I still feel some discomfort in upper back but not as severe. I went to the ER and got a chest X-ray and blood work (I have listed the tests), all came back fine. So as of now I do not know what to think and I am debating whether to return there as it is known for its high pollution rate in most cities, and at times it seemed that my symptoms fluctuated with the pollution level. I do not know what to think about the shortness of breath. It feels as though I need to take deeper breaths. I am able to exercise again though. I am currently using Omeprazole for the burping. I have been using it for almost two weeks and it is not helping at all. I also have antacid and digestive enzymes that I use occasionally. What are your suggestions for tests I should take or in general? I honestly want to know if it would be a good idea to return given the information I have provided. Thanks for your help. | Hello. In case all your investigations are normal then you probably have acute bronchitis or associated anxiety. In your case scenario, my suggestion would be antiallergic like Levocetirizine and Montelukast once daily. Addition of Etizolam as an antianxiety drug would help you further. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I hope it helps you. For more information consult a pulmonologist online --> | Patient: Hello doctor, I am a 23 year old male who has just returned home from a year's trip to a country known for high rates of pollution. I am currently experiencing shortness of breath (no coughing) and excessive burping. I will try to provide you as much detail as possible. When I went, I did not have any symptoms. Three months had passed with no problem. Then I slowly started to become tired while working out and eventually at the five-month mark I was exhausted. The main symptoms I had were fatigue (unable to exercise at all), shortness of breath, pain/discomfort in the upper back, and excessive burping. Now after returning (been back for two weeks), I only have shortness of breath and burping. I still feel some discomfort in upper back but not as severe. I went to the ER and got a chest X-ray and blood work (I have listed the tests), all came back fine. So as of now I do not know what to think and I am debating whether to return there as it is known for its high pollution rate in most cities, and at times it seemed that my symptoms fluctuated with the pollution level. I do not know what to think about the shortness of breath. It feels as though I need to take deeper breaths. I am able to exercise again though. I am currently using Omeprazole for the burping. I have been using it for almost two weeks and it is not helping at all. I also have antacid and digestive enzymes that I use occasionally. What are your suggestions for tests I should take or in general? I honestly want to know if it would be a good idea to return given the information I have provided. Thanks for your help. || Doctor: Hello. In case all your investigations are normal then you probably have acute bronchitis or associated anxiety. In your case scenario, my suggestion would be antiallergic like Levocetirizine and Montelukast once daily. Addition of Etizolam as an antianxiety drug would help you further. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. I hope it helps you. For more information consult a pulmonologist online --> | patient: hello doctor, i am a 23 year old male who has just returned home from a year's trip to a country known for high rates of pollution. i am currently experiencing shortness of breath (no coughing) and excessive burping. i will try to provide you as much detail as possible. when i went, i did not have any symptoms. three months had passed with no problem. then i slowly started to become tired while working out and eventually at the five-month mark i was exhausted. the main symptoms i had were fatigue (unable to exercise at all), shortness of breath, pain/discomfort in the upper back, and excessive burping. now after returning (been back for two weeks), i only have shortness of breath and burping. i still feel some discomfort in upper back but not as severe. i went to the er and got a chest x-ray and blood work (i have listed the tests), all came back fine. so as of now i do not know what to think and i am debating whether to return there as it is known for its high pollution rate in most cities, and at times it seemed that my symptoms fluctuated with the pollution level. i do not know what to think about the shortness of breath. it feels as though i need to take deeper breaths. i am able to exercise again though. i am currently using omeprazole for the burping. i have been using it for almost two weeks and it is not helping at all. i also have antacid and digestive enzymes that i use occasionally. what are your suggestions for tests i should take or in general? i honestly want to know if it would be a good idea to return given the information i have provided. thanks for your help. || doctor: hello. in case all your investigations are normal then you probably have acute bronchitis or associated anxiety. in your case scenario, my suggestion would be antiallergic like levocetirizine and montelukast once daily. addition of etizolam as an antianxiety drug would help you further. consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. i hope it helps you. for more information consult a pulmonologist online --> |
9,441 | Q. How to confirm the reason for my abortion? | Hi doctor, I had some hormonal imbalance problem. I had my last periods two months back. I became pregnant and took an hCG test. It was 121 and I took viability scan at 7.6 weeks. The heart rate was 92 bpm, which is less compared to one week. So, doctor suggested me to repeat a scan after two weeks. I took a scan yesterday and the report says my fetus heart rate has been stopped and there is no cardiac activity. My CRL size also reduced. I took complete bed rest as per doctor advice. I am taking progesterone, Duphaston, Folinal tablets and an injection twice a week. My LH and AMH values were a little bit high. What could be the reason for this abortion? | Hello. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I had some hormonal imbalance problem. I had my last periods two months back. I became pregnant and took an hCG test. It was 121 and I took viability scan at 7.6 weeks. The heart rate was 92 bpm, which is less compared to one week. So, doctor suggested me to repeat a scan after two weeks. I took a scan yesterday and the report says my fetus heart rate has been stopped and there is no cardiac activity. My CRL size also reduced. I took complete bed rest as per doctor advice. I am taking progesterone, Duphaston, Folinal tablets and an injection twice a week. My LH and AMH values were a little bit high. What could be the reason for this abortion? || Doctor: Hello. For further information consult an internal medicine physician online --> | patient: hi doctor, i had some hormonal imbalance problem. i had my last periods two months back. i became pregnant and took an hcg test. it was 121 and i took viability scan at 7.6 weeks. the heart rate was 92 bpm, which is less compared to one week. so, doctor suggested me to repeat a scan after two weeks. i took a scan yesterday and the report says my fetus heart rate has been stopped and there is no cardiac activity. my crl size also reduced. i took complete bed rest as per doctor advice. i am taking progesterone, duphaston, folinal tablets and an injection twice a week. my lh and amh values were a little bit high. what could be the reason for this abortion? || doctor: hello. for further information consult an internal medicine physician online --> |
9,442 | Q. I am on OCP. Is there a chance to get pregnant? | Hi doctor, I am on OCP for last five to six months. I was fine. What happened this month is, due to worry, I have overdosed myself with OCP. I took, 3 OCPs last Wednesday 3 OCPs last Friday 2 OCPs last Saturday 3 OCPs last Sunday by 7 PM Yesterday (Monday) I took only one OCP at 1:30 PM but I took an i-pill around 1 PM. I had sex on Saturday afternoon. Today is my last day of OCP cycle. I found little brownish discharge this morning. I am worried. 1. What could be the cause for this spotting? 2. If I take another i-pill today would it be helpful for me or worsen the matter? Please suggest what to do. | Hi. I have read and understood your problem. I am really concerned about your anxiety. Normally, there is no chance of getting pregnancy. But, you have taken 12 OCPs in six days Wednesday to Monday and one i-pill too. Due to the excessive dosing, there is spotting. Even if you do not want pregnancy taking another i-pill today will not help you. Today is your last day of OCP, so in next few days you will get a normal bleeding/menstruation. After which you can use a progesterone containing intrauterine contraceptive device (IUCD) inserted by a gynaecologist. Also I understand that you have excessive anxiety and fear of pregnancy. So, I suggest you should consider counseling by a psychiatrist/psychologist. But be assured that you are fine and do not take unnecessary extra doses, because one OCP daily is enough. You may put a mark on the calendar as soon as you take the daily dose. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am on OCP for last five to six months. I was fine. What happened this month is, due to worry, I have overdosed myself with OCP. I took, 3 OCPs last Wednesday 3 OCPs last Friday 2 OCPs last Saturday 3 OCPs last Sunday by 7 PM Yesterday (Monday) I took only one OCP at 1:30 PM but I took an i-pill around 1 PM. I had sex on Saturday afternoon. Today is my last day of OCP cycle. I found little brownish discharge this morning. I am worried. 1. What could be the cause for this spotting? 2. If I take another i-pill today would it be helpful for me or worsen the matter? Please suggest what to do. || Doctor: Hi. I have read and understood your problem. I am really concerned about your anxiety. Normally, there is no chance of getting pregnancy. But, you have taken 12 OCPs in six days Wednesday to Monday and one i-pill too. Due to the excessive dosing, there is spotting. Even if you do not want pregnancy taking another i-pill today will not help you. Today is your last day of OCP, so in next few days you will get a normal bleeding/menstruation. After which you can use a progesterone containing intrauterine contraceptive device (IUCD) inserted by a gynaecologist. Also I understand that you have excessive anxiety and fear of pregnancy. So, I suggest you should consider counseling by a psychiatrist/psychologist. But be assured that you are fine and do not take unnecessary extra doses, because one OCP daily is enough. You may put a mark on the calendar as soon as you take the daily dose. For further queries consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am on ocp for last five to six months. i was fine. what happened this month is, due to worry, i have overdosed myself with ocp. i took, 3 ocps last wednesday 3 ocps last friday 2 ocps last saturday 3 ocps last sunday by 7 pm yesterday (monday) i took only one ocp at 1:30 pm but i took an i-pill around 1 pm. i had sex on saturday afternoon. today is my last day of ocp cycle. i found little brownish discharge this morning. i am worried. 1. what could be the cause for this spotting? 2. if i take another i-pill today would it be helpful for me or worsen the matter? please suggest what to do. || doctor: hi. i have read and understood your problem. i am really concerned about your anxiety. normally, there is no chance of getting pregnancy. but, you have taken 12 ocps in six days wednesday to monday and one i-pill too. due to the excessive dosing, there is spotting. even if you do not want pregnancy taking another i-pill today will not help you. today is your last day of ocp, so in next few days you will get a normal bleeding/menstruation. after which you can use a progesterone containing intrauterine contraceptive device (iucd) inserted by a gynaecologist. also i understand that you have excessive anxiety and fear of pregnancy. so, i suggest you should consider counseling by a psychiatrist/psychologist. but be assured that you are fine and do not take unnecessary extra doses, because one ocp daily is enough. you may put a mark on the calendar as soon as you take the daily dose. for further queries consult an obstetrician and gynaecologist online --> |
9,443 | 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 --> |
9,444 | 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 --> |
9,445 | 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.---> |
9,446 | 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 --> |
9,447 | 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 --> |
9,448 | Q. I have recurrent epistaxis with bruxism and ETD. Could it be due to sinusitis? | Hi doctor, I currently have recurrent epistaxis. This has started since four years on a yearly basis to a daily basis since six months. I have been seeing an ent consultant but due to COVID-19, I am unable to see him until August. I had recent blood tests and MRI which came back all clear. I had an endoscopic examination that said there was some crusting on the left side and rest all fine believing it is posterior and not anterior epistaxis. This is affecting the quality of my life. I have also developed bruxism and ETD with blocked ears now and then. I have also got gingivitis as well. No hayfever or allergies I am aware of. I have had suspected sinusitis but this was not confirmed. But every day, I have a watery eye, especially on the right eye. | Hello, Welcome to icliniq.com. You have recurrent epistaxis and you have been cauterized also a number of times. There does not seem to be any obvious pathology on examination by endoscopy. I must point out that epistaxis can be idiopathic in more than 50% patients. This is because certain patients tend to have nasal mucosa far more friable than others and susceptible to even most trivial trauma like nose picking or forceful blowing. Even minor colds can cause epistaxis. However, one has to be careful to rule out other causes. Hypertension is an important cause but that is usually an affliction of elderly. At your age, one would like to rule out bleeding diathesis. Did you ever have bleeding from any other site? Have you done a coagulation profile, though you have mentioned blood tests? What about liver and renal function tests? Are you on any medication other than this? Further deviated nasal septum with spurs can cause epistaxis. Did MRI mention anything like that? In case there is nothing to suggest any underlying cause, it is likely to be idiopathic. And role of precautions become all that necessary. One important thing is to prevent your nose from becoming dry as occurs in dry weather and colds. You can use liquid paraffin nasal drops to prevent mucosa from becoming dry and friable. Further you need to avoid blowing hard or frequent cleaning of nose. You can also use topical decongestants like Xylometazoline 0.02% if you develop a bleed. Avoid using them for more than seven days at stretch. You can go for a CT (computed tomography) nose and PNS (para nasal sinus) for having a better information on sinus details. | Patient: Hi doctor, I currently have recurrent epistaxis. This has started since four years on a yearly basis to a daily basis since six months. I have been seeing an ent consultant but due to COVID-19, I am unable to see him until August. I had recent blood tests and MRI which came back all clear. I had an endoscopic examination that said there was some crusting on the left side and rest all fine believing it is posterior and not anterior epistaxis. This is affecting the quality of my life. I have also developed bruxism and ETD with blocked ears now and then. I have also got gingivitis as well. No hayfever or allergies I am aware of. I have had suspected sinusitis but this was not confirmed. But every day, I have a watery eye, especially on the right eye. || Doctor: Hello, Welcome to icliniq.com. You have recurrent epistaxis and you have been cauterized also a number of times. There does not seem to be any obvious pathology on examination by endoscopy. I must point out that epistaxis can be idiopathic in more than 50% patients. This is because certain patients tend to have nasal mucosa far more friable than others and susceptible to even most trivial trauma like nose picking or forceful blowing. Even minor colds can cause epistaxis. However, one has to be careful to rule out other causes. Hypertension is an important cause but that is usually an affliction of elderly. At your age, one would like to rule out bleeding diathesis. Did you ever have bleeding from any other site? Have you done a coagulation profile, though you have mentioned blood tests? What about liver and renal function tests? Are you on any medication other than this? Further deviated nasal septum with spurs can cause epistaxis. Did MRI mention anything like that? In case there is nothing to suggest any underlying cause, it is likely to be idiopathic. And role of precautions become all that necessary. One important thing is to prevent your nose from becoming dry as occurs in dry weather and colds. You can use liquid paraffin nasal drops to prevent mucosa from becoming dry and friable. Further you need to avoid blowing hard or frequent cleaning of nose. You can also use topical decongestants like Xylometazoline 0.02% if you develop a bleed. Avoid using them for more than seven days at stretch. You can go for a CT (computed tomography) nose and PNS (para nasal sinus) for having a better information on sinus details. | patient: hi doctor, i currently have recurrent epistaxis. this has started since four years on a yearly basis to a daily basis since six months. i have been seeing an ent consultant but due to covid-19, i am unable to see him until august. i had recent blood tests and mri which came back all clear. i had an endoscopic examination that said there was some crusting on the left side and rest all fine believing it is posterior and not anterior epistaxis. this is affecting the quality of my life. i have also developed bruxism and etd with blocked ears now and then. i have also got gingivitis as well. no hayfever or allergies i am aware of. i have had suspected sinusitis but this was not confirmed. but every day, i have a watery eye, especially on the right eye. || doctor: hello, welcome to icliniq.com. you have recurrent epistaxis and you have been cauterized also a number of times. there does not seem to be any obvious pathology on examination by endoscopy. i must point out that epistaxis can be idiopathic in more than 50% patients. this is because certain patients tend to have nasal mucosa far more friable than others and susceptible to even most trivial trauma like nose picking or forceful blowing. even minor colds can cause epistaxis. however, one has to be careful to rule out other causes. hypertension is an important cause but that is usually an affliction of elderly. at your age, one would like to rule out bleeding diathesis. did you ever have bleeding from any other site? have you done a coagulation profile, though you have mentioned blood tests? what about liver and renal function tests? are you on any medication other than this? further deviated nasal septum with spurs can cause epistaxis. did mri mention anything like that? in case there is nothing to suggest any underlying cause, it is likely to be idiopathic. and role of precautions become all that necessary. one important thing is to prevent your nose from becoming dry as occurs in dry weather and colds. you can use liquid paraffin nasal drops to prevent mucosa from becoming dry and friable. further you need to avoid blowing hard or frequent cleaning of nose. you can also use topical decongestants like xylometazoline 0.02% if you develop a bleed. avoid using them for more than seven days at stretch. you can go for a ct (computed tomography) nose and pns (para nasal sinus) for having a better information on sinus details. |
9,449 | Q. Is long-term use of Etizolam harmful? | Hi doctor, I was prescribed Etizolam 0.5 mg and Escitalopram for a month, as I had insomnia, stress, and anxiety. However, during the last week, it did not seem to work. I was struggling with sleep. Is it possible that I become addicted to the drug? Will I need a higher dose to get the same effect? Is long-term use of this medicine harmful? | Hello. Remember every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> | Patient: Hi doctor, I was prescribed Etizolam 0.5 mg and Escitalopram for a month, as I had insomnia, stress, and anxiety. However, during the last week, it did not seem to work. I was struggling with sleep. Is it possible that I become addicted to the drug? Will I need a higher dose to get the same effect? Is long-term use of this medicine harmful? || Doctor: Hello. Remember every problem has a solution, you just need to try solving it and help is just a step away. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> | patient: hi doctor, i was prescribed etizolam 0.5 mg and escitalopram for a month, as i had insomnia, stress, and anxiety. however, during the last week, it did not seem to work. i was struggling with sleep. is it possible that i become addicted to the drug? will i need a higher dose to get the same effect? is long-term use of this medicine harmful? || doctor: hello. remember every problem has a solution, you just need to try solving it and help is just a step away. feel free to ask if you have any further queries. for more information consult a psychiatrist online --> |
9,450 | Q. My friend took abortion pills and is now bleeding heavily. Does she need a D and C? | Hello doctor,A 29 year old female had an abortion through pills. She took Mifepristone initially, and Misoprostol tablets 800 mcg sublingually 26 hours later. She had severe pain and contraction immediately after taking Misoprostol. Two hours later the placenta and blood clots came out. She had heavy bleeding. So, I thought the abortion was over, but two days later, the fetus came out in a rotten stage with a bad smell. Please help. I am worried about an infection. | Hello. The dosing schedule was wrong. The basic mistake was you did not know the age of the fetus. This medical abortion is recommended for pregnancies that are less than 63 days. Now, you definitely need an ultrasound of the lower abdomen. It is fortunate that she is not having any fever, bleeding or abdominal pain. I suggest you meet a gynecologist as quickly as possible. He/she will advise you after a clinical examination. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,A 29 year old female had an abortion through pills. She took Mifepristone initially, and Misoprostol tablets 800 mcg sublingually 26 hours later. She had severe pain and contraction immediately after taking Misoprostol. Two hours later the placenta and blood clots came out. She had heavy bleeding. So, I thought the abortion was over, but two days later, the fetus came out in a rotten stage with a bad smell. Please help. I am worried about an infection. || Doctor: Hello. The dosing schedule was wrong. The basic mistake was you did not know the age of the fetus. This medical abortion is recommended for pregnancies that are less than 63 days. Now, you definitely need an ultrasound of the lower abdomen. It is fortunate that she is not having any fever, bleeding or abdominal pain. I suggest you meet a gynecologist as quickly as possible. He/she will advise you after a clinical examination. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,a 29 year old female had an abortion through pills. she took mifepristone initially, and misoprostol tablets 800 mcg sublingually 26 hours later. she had severe pain and contraction immediately after taking misoprostol. two hours later the placenta and blood clots came out. she had heavy bleeding. so, i thought the abortion was over, but two days later, the fetus came out in a rotten stage with a bad smell. please help. i am worried about an infection. || doctor: hello. the dosing schedule was wrong. the basic mistake was you did not know the age of the fetus. this medical abortion is recommended for pregnancies that are less than 63 days. now, you definitely need an ultrasound of the lower abdomen. it is fortunate that she is not having any fever, bleeding or abdominal pain. i suggest you meet a gynecologist as quickly as possible. he/she will advise you after a clinical examination. for more information consult an obstetrician and gynaecologist online --> |
9,451 | Q. Can I continue taking Fluticasone Nasal Spray for sputum in my throat? | Hello doctor, I have sputum always in my throat. I have this problem for the past six months. For the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. I recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I still continue with the spray? Can I continue for longer periods? How long will it take for a complete recovery? What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat? | Hello. Do revert back for any support which you deem is necessary. I will be happy to help you. For more information consult an ENT Otolaryngologist online --> | Patient: Hello doctor, I have sputum always in my throat. I have this problem for the past six months. For the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. I recently consulted an ENT doctor and underwent a CT scan and a chest X-ray. I was diagnosed with small nasal polyps in the right maxillary sinus. The doctor prescribed me Floresp Nasal Spray. I used it for one month, and this resolved nearly 80 % of the symptoms, but I feel there is still thin mucus in the throat like a thick, sticky saliva. I used Largy M too for a short course of 10 days. Recently, I developed an urge to cough to clear the sputum in the throat. Should I still continue with the spray? Can I continue for longer periods? How long will it take for a complete recovery? What foods should I avoid? Should the urge to cough, which I get, be ignored since it is just to clear the throat? || Doctor: Hello. Do revert back for any support which you deem is necessary. I will be happy to help you. For more information consult an ENT Otolaryngologist online --> | patient: hello doctor, i have sputum always in my throat. i have this problem for the past six months. for the first two months, the sputum was in the larynx, and it was very less, but later on, the sputum began to go back to the throat. i recently consulted an ent doctor and underwent a ct scan and a chest x-ray. i was diagnosed with small nasal polyps in the right maxillary sinus. the doctor prescribed me floresp nasal spray. i used it for one month, and this resolved nearly 80 % of the symptoms, but i feel there is still thin mucus in the throat like a thick, sticky saliva. i used largy m too for a short course of 10 days. recently, i developed an urge to cough to clear the sputum in the throat. should i still continue with the spray? can i continue for longer periods? how long will it take for a complete recovery? what foods should i avoid? should the urge to cough, which i get, be ignored since it is just to clear the throat? || doctor: hello. do revert back for any support which you deem is necessary. i will be happy to help you. for more information consult an ent otolaryngologist online --> |
9,452 | Q. Within a week I had nightfall for about 5 times. Will this affect my health? | Hello doctor, I am 20 years old. I have never had sex. But within a week, I had nightfall for about 5 times. Will this affect my health? | Hello. Since you are 20, you will obviously have higher testosterone levels. If you do not masturbate, your body needs a way to get the semen out and hence occurs nightfall. Nightfall is nothing but the involuntary ejaculation of the semen from the penis during sleep. It is healthy and there is nothing to worry. I will advise you masturbate may be twice a week, as it will also enhance healthier semen formation. Consult a sexologist online for further query --> | Patient: Hello doctor, I am 20 years old. I have never had sex. But within a week, I had nightfall for about 5 times. Will this affect my health? || Doctor: Hello. Since you are 20, you will obviously have higher testosterone levels. If you do not masturbate, your body needs a way to get the semen out and hence occurs nightfall. Nightfall is nothing but the involuntary ejaculation of the semen from the penis during sleep. It is healthy and there is nothing to worry. I will advise you masturbate may be twice a week, as it will also enhance healthier semen formation. Consult a sexologist online for further query --> | patient: hello doctor, i am 20 years old. i have never had sex. but within a week, i had nightfall for about 5 times. will this affect my health? || doctor: hello. since you are 20, you will obviously have higher testosterone levels. if you do not masturbate, your body needs a way to get the semen out and hence occurs nightfall. nightfall is nothing but the involuntary ejaculation of the semen from the penis during sleep. it is healthy and there is nothing to worry. i will advise you masturbate may be twice a week, as it will also enhance healthier semen formation. consult a sexologist online for further query --> |
9,453 | Q. What is the dosage of Albendazole for worm infestation? | Hello doctor, I have worms in my stomach. How to take Albendazole tablet? What is the dosage? | Hello. So considering you have worm infestation, I suggest you try the following: Hope this helps you and get back if you have any doubts. For more information consult a general medicine physician online --> | Patient: Hello doctor, I have worms in my stomach. How to take Albendazole tablet? What is the dosage? || Doctor: Hello. So considering you have worm infestation, I suggest you try the following: Hope this helps you and get back if you have any doubts. For more information consult a general medicine physician online --> | patient: hello doctor, i have worms in my stomach. how to take albendazole tablet? what is the dosage? || doctor: hello. so considering you have worm infestation, i suggest you try the following: hope this helps you and get back if you have any doubts. for more information consult a general medicine physician online --> |
9,454 | Q. Can I use C Sora ointment if I have a fungal infection? | Hello doctor,Should I use C Sora ointment (Clobetasol propionate and Salicylic acid ointment) on my face when having a fungal infection? | Hello. For more information consult an internal medicine physician online --> | Patient: Hello doctor,Should I use C Sora ointment (Clobetasol propionate and Salicylic acid ointment) on my face when having a fungal infection? || Doctor: Hello. For more information consult an internal medicine physician online --> | patient: hello doctor,should i use c sora ointment (clobetasol propionate and salicylic acid ointment) on my face when having a fungal infection? || doctor: hello. for more information consult an internal medicine physician online --> |
9,455 | Q. My son is feeling sleepy all the time. What is his problem? | Hi doctor,My son of 23 years is feeling sleepy all the time, walks while sleeping, sleeps while standing and falls asleep while traveling in a car. He has concentration problems and very irritable. He is overweight. Of late, even his speech is not very clear. What is the problem? Which specialty doctor should I consult for treatment? | Hi. For further information consult an internal medicine physician online --> | Patient: Hi doctor,My son of 23 years is feeling sleepy all the time, walks while sleeping, sleeps while standing and falls asleep while traveling in a car. He has concentration problems and very irritable. He is overweight. Of late, even his speech is not very clear. What is the problem? Which specialty doctor should I consult for treatment? || Doctor: Hi. For further information consult an internal medicine physician online --> | patient: hi doctor,my son of 23 years is feeling sleepy all the time, walks while sleeping, sleeps while standing and falls asleep while traveling in a car. he has concentration problems and very irritable. he is overweight. of late, even his speech is not very clear. what is the problem? which specialty doctor should i consult for treatment? || doctor: hi. for further information consult an internal medicine physician online --> |
9,456 | Q. What is the treatment for sinusitis? | Hi doctor, I am a 69 year old male and retired internist. Other than vitamins and prostate-related herbs, I take no medication. I have no allergies and have never smoked. My past medical or surgical history is rather unremarkable. I have had several bouts of acute sinusitis in years past. Four weeks ago, my wife and I developed URTI. My illness had a sinus component featuring marked nasal and sinus congestion, postnasal drip, upper airway congestion and cough productive of clear sputum. I assumed the etiology was viral and treated it as such. After two weeks of little improvement, I assumed a bacterial etiology and initiated Augmentin 875 mg bid. After five days with little improvement, I switched to Cipro 500 mg bid. After four days, I saw my primary care doctor who prescribed Azithromycin 500 mg per day. Following the second day of treatment, I developed severe fatigue, generalized weakness and headache, which forced me to discontinue the Azithromycin. I then decided to wait until the Zithromax cleared my system before re-evaluating. After some eight days, I developed a purulent nasal discharge for which I again saw my primary care MD who prescribed Doxycycline 100 mg bid. Note that I requested a culture and sensitivity of the purulent discharge but was rebuffed. After 24 hours on Doxycycline, I felt greatly improved with little sinus pressure or congestion and minimal, clear nasal discharge. Now, on day four of Doxycycline, I have noted some return of the sinus pressure, post-nasal drip and nasal congestion. However, the mucus is clear. I was given a steroid nasal spray which only served to increase the mucosal irritation of my sinuses, nasal passages, throat and upper airways. I was never febrile at any point. I am exceedingly frustrated. Note that in the past I used Levaquin and developed marked insomnia and very lucid dreams when I was able to sleep. Please help. | Hi. We are here to help you. You are suffering from chronic sinusitis. And I feel this is all allergic and you do not need antibiotics. Usually an acute attack takes five days to settle down. But, if you have persisting sinusitis, you would require CT paranasal sinuses. If the CT shows slight sinus infection, then it can be treated with conservative treatment. But, if the infection is severe, you would require surgery for the same. The conservative management of sinusitis includes the following: Please share my opinion with your doctor before acting upon it. I hope it helps. For further information consult a general medicine physician online --> | Patient: Hi doctor, I am a 69 year old male and retired internist. Other than vitamins and prostate-related herbs, I take no medication. I have no allergies and have never smoked. My past medical or surgical history is rather unremarkable. I have had several bouts of acute sinusitis in years past. Four weeks ago, my wife and I developed URTI. My illness had a sinus component featuring marked nasal and sinus congestion, postnasal drip, upper airway congestion and cough productive of clear sputum. I assumed the etiology was viral and treated it as such. After two weeks of little improvement, I assumed a bacterial etiology and initiated Augmentin 875 mg bid. After five days with little improvement, I switched to Cipro 500 mg bid. After four days, I saw my primary care doctor who prescribed Azithromycin 500 mg per day. Following the second day of treatment, I developed severe fatigue, generalized weakness and headache, which forced me to discontinue the Azithromycin. I then decided to wait until the Zithromax cleared my system before re-evaluating. After some eight days, I developed a purulent nasal discharge for which I again saw my primary care MD who prescribed Doxycycline 100 mg bid. Note that I requested a culture and sensitivity of the purulent discharge but was rebuffed. After 24 hours on Doxycycline, I felt greatly improved with little sinus pressure or congestion and minimal, clear nasal discharge. Now, on day four of Doxycycline, I have noted some return of the sinus pressure, post-nasal drip and nasal congestion. However, the mucus is clear. I was given a steroid nasal spray which only served to increase the mucosal irritation of my sinuses, nasal passages, throat and upper airways. I was never febrile at any point. I am exceedingly frustrated. Note that in the past I used Levaquin and developed marked insomnia and very lucid dreams when I was able to sleep. Please help. || Doctor: Hi. We are here to help you. You are suffering from chronic sinusitis. And I feel this is all allergic and you do not need antibiotics. Usually an acute attack takes five days to settle down. But, if you have persisting sinusitis, you would require CT paranasal sinuses. If the CT shows slight sinus infection, then it can be treated with conservative treatment. But, if the infection is severe, you would require surgery for the same. The conservative management of sinusitis includes the following: Please share my opinion with your doctor before acting upon it. I hope it helps. For further information consult a general medicine physician online --> | patient: hi doctor, i am a 69 year old male and retired internist. other than vitamins and prostate-related herbs, i take no medication. i have no allergies and have never smoked. my past medical or surgical history is rather unremarkable. i have had several bouts of acute sinusitis in years past. four weeks ago, my wife and i developed urti. my illness had a sinus component featuring marked nasal and sinus congestion, postnasal drip, upper airway congestion and cough productive of clear sputum. i assumed the etiology was viral and treated it as such. after two weeks of little improvement, i assumed a bacterial etiology and initiated augmentin 875 mg bid. after five days with little improvement, i switched to cipro 500 mg bid. after four days, i saw my primary care doctor who prescribed azithromycin 500 mg per day. following the second day of treatment, i developed severe fatigue, generalized weakness and headache, which forced me to discontinue the azithromycin. i then decided to wait until the zithromax cleared my system before re-evaluating. after some eight days, i developed a purulent nasal discharge for which i again saw my primary care md who prescribed doxycycline 100 mg bid. note that i requested a culture and sensitivity of the purulent discharge but was rebuffed. after 24 hours on doxycycline, i felt greatly improved with little sinus pressure or congestion and minimal, clear nasal discharge. now, on day four of doxycycline, i have noted some return of the sinus pressure, post-nasal drip and nasal congestion. however, the mucus is clear. i was given a steroid nasal spray which only served to increase the mucosal irritation of my sinuses, nasal passages, throat and upper airways. i was never febrile at any point. i am exceedingly frustrated. note that in the past i used levaquin and developed marked insomnia and very lucid dreams when i was able to sleep. please help. || doctor: hi. we are here to help you. you are suffering from chronic sinusitis. and i feel this is all allergic and you do not need antibiotics. usually an acute attack takes five days to settle down. but, if you have persisting sinusitis, you would require ct paranasal sinuses. if the ct shows slight sinus infection, then it can be treated with conservative treatment. but, if the infection is severe, you would require surgery for the same. the conservative management of sinusitis includes the following: please share my opinion with your doctor before acting upon it. i hope it helps. for further information consult a general medicine physician online --> |
9,457 | Q. Can vitamin B12 deficiency result in unbalancing while walking? | Hi doctor, Three years back, I had the problem of unbalancing while walking. I never felt any dizziness or spinning of head. I just had a feeling that I will fall down. I consulted a doctor and he told me that it was due to vitamin B12 deficiency and also prescribed me few shots of Vitcofol. Initially, I felt a lot better after taking them and I took them for one year at reducing frequency. Though I was not completely out of the problem, doctor asked me to stop taking those shots. Now, the same problem has got back after a gap of three years. But now along with problem of unbalancing I am having weakness, palpitation and uneasiness in stomach as well as having sore mouth. Four months back, I have consulted a cardiologist. He ran few tests such as ECG, echo and TMT. My heartbeat was low at 48 bpm. No problem was detected in angiogram and no blockage was present. Doctor suggested me Orcibest 10 and Tonact ASP for low pulse rate. I was referred to a neurologist. He carried out MRI of brain and spinal cord. No abnormality was detected in either of them. My vitamin B12 was found to be 507 pg/ml. Based on my history three years back; doctor gave me vitamin B12 (Methylcobalamine) shots in spite of the vitamin B12 level being normal. After taking them I am comparatively feeling better and there is improvement in my walking. There is no uneasiness in heart as well in stomach; sore mouth has all improved drastically. After ten weekly shots and doctor reduced the frequency to one per month. But after a couple of weeks again I began to feel weak. A month back, the doctor again put me back on weekly shots of vitamin B12. My present condition is that, my energy level has improved but only slightly. The problem of unbalancing has improved but still far from normal. With shoes on, I find it very difficult to walk. With sandals and slippers I feel little easier to walk. I am still taking vitamin B12 shots. For low pulse rate, I am taking Orcibest 10 and Tonact ASP as prescribed by the cardiologist. For hypertension, I am taking Amlodac 2.5. Along with all these, I am taking vitamin E orally. I would like to have your opinion whether my treatment is on the right line or is there any other issue which is causing this problem. I am attaching my reports for your reference. Please guide. Thank you in advance. | Hello. I have read your problem in detail and have not found anything abnormal in your test reports (attachment removed to protect patient identity). Revert back with the reports to an internal medicine physician online --> | Patient: Hi doctor, Three years back, I had the problem of unbalancing while walking. I never felt any dizziness or spinning of head. I just had a feeling that I will fall down. I consulted a doctor and he told me that it was due to vitamin B12 deficiency and also prescribed me few shots of Vitcofol. Initially, I felt a lot better after taking them and I took them for one year at reducing frequency. Though I was not completely out of the problem, doctor asked me to stop taking those shots. Now, the same problem has got back after a gap of three years. But now along with problem of unbalancing I am having weakness, palpitation and uneasiness in stomach as well as having sore mouth. Four months back, I have consulted a cardiologist. He ran few tests such as ECG, echo and TMT. My heartbeat was low at 48 bpm. No problem was detected in angiogram and no blockage was present. Doctor suggested me Orcibest 10 and Tonact ASP for low pulse rate. I was referred to a neurologist. He carried out MRI of brain and spinal cord. No abnormality was detected in either of them. My vitamin B12 was found to be 507 pg/ml. Based on my history three years back; doctor gave me vitamin B12 (Methylcobalamine) shots in spite of the vitamin B12 level being normal. After taking them I am comparatively feeling better and there is improvement in my walking. There is no uneasiness in heart as well in stomach; sore mouth has all improved drastically. After ten weekly shots and doctor reduced the frequency to one per month. But after a couple of weeks again I began to feel weak. A month back, the doctor again put me back on weekly shots of vitamin B12. My present condition is that, my energy level has improved but only slightly. The problem of unbalancing has improved but still far from normal. With shoes on, I find it very difficult to walk. With sandals and slippers I feel little easier to walk. I am still taking vitamin B12 shots. For low pulse rate, I am taking Orcibest 10 and Tonact ASP as prescribed by the cardiologist. For hypertension, I am taking Amlodac 2.5. Along with all these, I am taking vitamin E orally. I would like to have your opinion whether my treatment is on the right line or is there any other issue which is causing this problem. I am attaching my reports for your reference. Please guide. Thank you in advance. || Doctor: Hello. I have read your problem in detail and have not found anything abnormal in your test reports (attachment removed to protect patient identity). Revert back with the reports to an internal medicine physician online --> | patient: hi doctor, three years back, i had the problem of unbalancing while walking. i never felt any dizziness or spinning of head. i just had a feeling that i will fall down. i consulted a doctor and he told me that it was due to vitamin b12 deficiency and also prescribed me few shots of vitcofol. initially, i felt a lot better after taking them and i took them for one year at reducing frequency. though i was not completely out of the problem, doctor asked me to stop taking those shots. now, the same problem has got back after a gap of three years. but now along with problem of unbalancing i am having weakness, palpitation and uneasiness in stomach as well as having sore mouth. four months back, i have consulted a cardiologist. he ran few tests such as ecg, echo and tmt. my heartbeat was low at 48 bpm. no problem was detected in angiogram and no blockage was present. doctor suggested me orcibest 10 and tonact asp for low pulse rate. i was referred to a neurologist. he carried out mri of brain and spinal cord. no abnormality was detected in either of them. my vitamin b12 was found to be 507 pg/ml. based on my history three years back; doctor gave me vitamin b12 (methylcobalamine) shots in spite of the vitamin b12 level being normal. after taking them i am comparatively feeling better and there is improvement in my walking. there is no uneasiness in heart as well in stomach; sore mouth has all improved drastically. after ten weekly shots and doctor reduced the frequency to one per month. but after a couple of weeks again i began to feel weak. a month back, the doctor again put me back on weekly shots of vitamin b12. my present condition is that, my energy level has improved but only slightly. the problem of unbalancing has improved but still far from normal. with shoes on, i find it very difficult to walk. with sandals and slippers i feel little easier to walk. i am still taking vitamin b12 shots. for low pulse rate, i am taking orcibest 10 and tonact asp as prescribed by the cardiologist. for hypertension, i am taking amlodac 2.5. along with all these, i am taking vitamin e orally. i would like to have your opinion whether my treatment is on the right line or is there any other issue which is causing this problem. i am attaching my reports for your reference. please guide. thank you in advance. || doctor: hello. i have read your problem in detail and have not found anything abnormal in your test reports (attachment removed to protect patient identity). revert back with the reports to an internal medicine physician online --> |
9,458 | Q. Why did my heart rate drop to 32 after a knee replacement surgery? | Hi doctor, I was in the recovery room after undergoing total knee replacement (TKR), and my heart rate dropped to 38. I felt weak and tired, so the nurse added something to my IV, and I felt fine, and all vitals returned to normal. They took me to my room, and I ate and was resting. My heart rate dropped to 32, and I was nauseated, cold, sweating, and very pale. The emergency team was called, and after 20 minutes, they got all my vital signs back to normal. They wired me with a portable heart monitor to see what was going on. The next day, I was doing knee exercises with the nurse, we walked down the hall and returned to my room, and I was put in a chair to finish my exercises when I passed out. According to my heart monitor, my heart stopped for 30 seconds. I had no idea of what happened. After 30 minutes, the emergency team had all my vitals back to normal. I was taken to ICU. My heart chambers, valves, and arteries were normal. I am 61 years old with a history of stage IIIC colon cancer with six months of chemotherapy. I have no history of blackouts, heart issues, or family history of such. Next day they put in a pacemaker only as a precautionary measure, they cannot explain how or why it happened. Three weeks after, I do not have any problems. Do you think the TKR could have caused this to happen? | Hi. I have gone through all your explanations in detail. For more information consult a cardiologist online --> | Patient: Hi doctor, I was in the recovery room after undergoing total knee replacement (TKR), and my heart rate dropped to 38. I felt weak and tired, so the nurse added something to my IV, and I felt fine, and all vitals returned to normal. They took me to my room, and I ate and was resting. My heart rate dropped to 32, and I was nauseated, cold, sweating, and very pale. The emergency team was called, and after 20 minutes, they got all my vital signs back to normal. They wired me with a portable heart monitor to see what was going on. The next day, I was doing knee exercises with the nurse, we walked down the hall and returned to my room, and I was put in a chair to finish my exercises when I passed out. According to my heart monitor, my heart stopped for 30 seconds. I had no idea of what happened. After 30 minutes, the emergency team had all my vitals back to normal. I was taken to ICU. My heart chambers, valves, and arteries were normal. I am 61 years old with a history of stage IIIC colon cancer with six months of chemotherapy. I have no history of blackouts, heart issues, or family history of such. Next day they put in a pacemaker only as a precautionary measure, they cannot explain how or why it happened. Three weeks after, I do not have any problems. Do you think the TKR could have caused this to happen? || Doctor: Hi. I have gone through all your explanations in detail. For more information consult a cardiologist online --> | patient: hi doctor, i was in the recovery room after undergoing total knee replacement (tkr), and my heart rate dropped to 38. i felt weak and tired, so the nurse added something to my iv, and i felt fine, and all vitals returned to normal. they took me to my room, and i ate and was resting. my heart rate dropped to 32, and i was nauseated, cold, sweating, and very pale. the emergency team was called, and after 20 minutes, they got all my vital signs back to normal. they wired me with a portable heart monitor to see what was going on. the next day, i was doing knee exercises with the nurse, we walked down the hall and returned to my room, and i was put in a chair to finish my exercises when i passed out. according to my heart monitor, my heart stopped for 30 seconds. i had no idea of what happened. after 30 minutes, the emergency team had all my vitals back to normal. i was taken to icu. my heart chambers, valves, and arteries were normal. i am 61 years old with a history of stage iiic colon cancer with six months of chemotherapy. i have no history of blackouts, heart issues, or family history of such. next day they put in a pacemaker only as a precautionary measure, they cannot explain how or why it happened. three weeks after, i do not have any problems. do you think the tkr could have caused this to happen? || doctor: hi. i have gone through all your explanations in detail. for more information consult a cardiologist online --> |
9,459 | Q. My wife has small itchy pimples in between her fingers. Please suggest solution. | Hello doctor, My wife has small pimples in between her fingers on both hands and they are itchy. It subsides when she uses ice water. Even wearing gloves gives relief. When using detergents or soap it increases. Two months the back same thing happened and it got cured. This is the second time and it is there for the past seven days. Please suggest remedy. | Hello. I would like to know a few things before coming to a diagnosis. Is anyone in the family has such itching? Is itching worse at night? Does any other part of the body has red spots? Which soap and detergent you use? What all housework you do? The attached photos are blurred. (attachment removed to protect patient identity). Please send a photo of better quality. | Patient: Hello doctor, My wife has small pimples in between her fingers on both hands and they are itchy. It subsides when she uses ice water. Even wearing gloves gives relief. When using detergents or soap it increases. Two months the back same thing happened and it got cured. This is the second time and it is there for the past seven days. Please suggest remedy. || Doctor: Hello. I would like to know a few things before coming to a diagnosis. Is anyone in the family has such itching? Is itching worse at night? Does any other part of the body has red spots? Which soap and detergent you use? What all housework you do? The attached photos are blurred. (attachment removed to protect patient identity). Please send a photo of better quality. | patient: hello doctor, my wife has small pimples in between her fingers on both hands and they are itchy. it subsides when she uses ice water. even wearing gloves gives relief. when using detergents or soap it increases. two months the back same thing happened and it got cured. this is the second time and it is there for the past seven days. please suggest remedy. || doctor: hello. i would like to know a few things before coming to a diagnosis. is anyone in the family has such itching? is itching worse at night? does any other part of the body has red spots? which soap and detergent you use? what all housework you do? the attached photos are blurred. (attachment removed to protect patient identity). please send a photo of better quality. |
9,460 | 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 --> |
9,461 | 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 --> |
9,462 | 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.---> |
9,463 | 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 --> |
9,464 | 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 --> |
9,465 | Q. Why do I feel uncomfortable among people? | Hello doctor, I feel weird when I am among people. I get scared sometimes. On some occasions, my mind is just blank. I do not know what to say in response, and when the conversation ends, I feel like I should have to say something good. These things depress me more. | Hello. I understand your problem. You seem to have social anxiety or anxious personality traits. This is one of the most common psychiatric problem people usually encounter but there is always a solution to every problem. Yours also has a solution. There is a therapy called exposure therapy. The more you would be exposed, the less fear you have. Apart from them, learn some soft skills and social skills. They will also help you. If nothing seems to be helping, medicine can be started which would treat all your problem. TSH (thyroid stimulating hormone). Therapy and medicines. | Patient: Hello doctor, I feel weird when I am among people. I get scared sometimes. On some occasions, my mind is just blank. I do not know what to say in response, and when the conversation ends, I feel like I should have to say something good. These things depress me more. || Doctor: Hello. I understand your problem. You seem to have social anxiety or anxious personality traits. This is one of the most common psychiatric problem people usually encounter but there is always a solution to every problem. Yours also has a solution. There is a therapy called exposure therapy. The more you would be exposed, the less fear you have. Apart from them, learn some soft skills and social skills. They will also help you. If nothing seems to be helping, medicine can be started which would treat all your problem. TSH (thyroid stimulating hormone). Therapy and medicines. | patient: hello doctor, i feel weird when i am among people. i get scared sometimes. on some occasions, my mind is just blank. i do not know what to say in response, and when the conversation ends, i feel like i should have to say something good. these things depress me more. || doctor: hello. i understand your problem. you seem to have social anxiety or anxious personality traits. this is one of the most common psychiatric problem people usually encounter but there is always a solution to every problem. yours also has a solution. there is a therapy called exposure therapy. the more you would be exposed, the less fear you have. apart from them, learn some soft skills and social skills. they will also help you. if nothing seems to be helping, medicine can be started which would treat all your problem. tsh (thyroid stimulating hormone). therapy and medicines. |
9,466 | Q. Can you suggest some medicine to overcome depression ? | Hi doctor, I am suffering from depression and I have symptoms of OCD for the past ten years. I repeat my activities like reading the same line again and again being scared of missing something. I count each and every number and believe four is to be my lucky number and even while breathing I count my breath. Sometimes, I hold my breath as I feel I am breathing in a wrong way. I am obsessed with washing hands, but I do not keep my room clean. I feel negative as nothing positive I can see or believe. I do not trust people. I feel something heavy in my heart and feel nervous the whole day. I want to know the reason for my nervousness. It is as same as we feel before the examination. I cannot focus on my work. I forget something and start doing other work. I think so much and live in a different imaginary world and so sometimes I cannot hear what others said to me. Earlier, I was planning to attempt a suicide. Now, I do not want to die, but still I am not enjoying my life. I feel my life is mechanical as I am not interested in daily chores or working at office. I am awake in the middle of the night and cannot sleep for 2 to 3 hours as I think so many unnecessary things of the past. I am going to get married in two months, but I am not happy with this relation. I choose to get married by my parent`s choice after I got rejected by my boyfriend. I am not having any friends and my relationship with my family is bitter nowadays. I want to feel fresh, excited and happy. Please suggest some medicine for me to feel happy and positive. | Hi. I can understand your concern. For further information consult a psychiatrist online ---> | Patient: Hi doctor, I am suffering from depression and I have symptoms of OCD for the past ten years. I repeat my activities like reading the same line again and again being scared of missing something. I count each and every number and believe four is to be my lucky number and even while breathing I count my breath. Sometimes, I hold my breath as I feel I am breathing in a wrong way. I am obsessed with washing hands, but I do not keep my room clean. I feel negative as nothing positive I can see or believe. I do not trust people. I feel something heavy in my heart and feel nervous the whole day. I want to know the reason for my nervousness. It is as same as we feel before the examination. I cannot focus on my work. I forget something and start doing other work. I think so much and live in a different imaginary world and so sometimes I cannot hear what others said to me. Earlier, I was planning to attempt a suicide. Now, I do not want to die, but still I am not enjoying my life. I feel my life is mechanical as I am not interested in daily chores or working at office. I am awake in the middle of the night and cannot sleep for 2 to 3 hours as I think so many unnecessary things of the past. I am going to get married in two months, but I am not happy with this relation. I choose to get married by my parent`s choice after I got rejected by my boyfriend. I am not having any friends and my relationship with my family is bitter nowadays. I want to feel fresh, excited and happy. Please suggest some medicine for me to feel happy and positive. || Doctor: Hi. I can understand your concern. For further information consult a psychiatrist online ---> | patient: hi doctor, i am suffering from depression and i have symptoms of ocd for the past ten years. i repeat my activities like reading the same line again and again being scared of missing something. i count each and every number and believe four is to be my lucky number and even while breathing i count my breath. sometimes, i hold my breath as i feel i am breathing in a wrong way. i am obsessed with washing hands, but i do not keep my room clean. i feel negative as nothing positive i can see or believe. i do not trust people. i feel something heavy in my heart and feel nervous the whole day. i want to know the reason for my nervousness. it is as same as we feel before the examination. i cannot focus on my work. i forget something and start doing other work. i think so much and live in a different imaginary world and so sometimes i cannot hear what others said to me. earlier, i was planning to attempt a suicide. now, i do not want to die, but still i am not enjoying my life. i feel my life is mechanical as i am not interested in daily chores or working at office. i am awake in the middle of the night and cannot sleep for 2 to 3 hours as i think so many unnecessary things of the past. i am going to get married in two months, but i am not happy with this relation. i choose to get married by my parent`s choice after i got rejected by my boyfriend. i am not having any friends and my relationship with my family is bitter nowadays. i want to feel fresh, excited and happy. please suggest some medicine for me to feel happy and positive. || doctor: hi. i can understand your concern. for further information consult a psychiatrist online ---> |
9,467 | Q. One of my breasts has become significantly larger after an abortion. Should I be concerned? | Hello doctor,I had an abortion five weeks ago and I noticed that my breasts have been returning to their normal size. But, one of my breasts has become significantly larger than my other breast. Should I be concerned? Should I see a gynecologist? | Hello. If, like you said, one of your breasts is significantly larger than the other, then definitely you should consult a gynecologist for a clinical examination and if required, get a sonography, mammography and also some blood tests like prolactin level done. Generally, at around 12 weeks of pregnancy, the breasts can start secreting milk. So, if you had an abortion and secretions had started coming, we may need to suppress the secretion with medicines. Remember the following: Though the reasons may be varied, a clinical examination and prolactin level test along with sonography will be enough to arrive at a diagnosis as well as give us clarity on the treatment plan. Let me tell you that a slight difference in size is normal though. And if a lump is suspected, it may need to be surgically removed. Basically, the final management depends on the reports and clinical examination. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I had an abortion five weeks ago and I noticed that my breasts have been returning to their normal size. But, one of my breasts has become significantly larger than my other breast. Should I be concerned? Should I see a gynecologist? || Doctor: Hello. If, like you said, one of your breasts is significantly larger than the other, then definitely you should consult a gynecologist for a clinical examination and if required, get a sonography, mammography and also some blood tests like prolactin level done. Generally, at around 12 weeks of pregnancy, the breasts can start secreting milk. So, if you had an abortion and secretions had started coming, we may need to suppress the secretion with medicines. Remember the following: Though the reasons may be varied, a clinical examination and prolactin level test along with sonography will be enough to arrive at a diagnosis as well as give us clarity on the treatment plan. Let me tell you that a slight difference in size is normal though. And if a lump is suspected, it may need to be surgically removed. Basically, the final management depends on the reports and clinical examination. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i had an abortion five weeks ago and i noticed that my breasts have been returning to their normal size. but, one of my breasts has become significantly larger than my other breast. should i be concerned? should i see a gynecologist? || doctor: hello. if, like you said, one of your breasts is significantly larger than the other, then definitely you should consult a gynecologist for a clinical examination and if required, get a sonography, mammography and also some blood tests like prolactin level done. generally, at around 12 weeks of pregnancy, the breasts can start secreting milk. so, if you had an abortion and secretions had started coming, we may need to suppress the secretion with medicines. remember the following: though the reasons may be varied, a clinical examination and prolactin level test along with sonography will be enough to arrive at a diagnosis as well as give us clarity on the treatment plan. let me tell you that a slight difference in size is normal though. and if a lump is suspected, it may need to be surgically removed. basically, the final management depends on the reports and clinical examination. for more information consult an obstetrician and gynaecologist online --> |
9,468 | Q. Follicle develops into big cyst every month. Doctor says, it is because of subserosal fibroid. Is this correct? | Hi, My wife has regular periods. All tests are normal. Her follicle develops into a big cyst every month. Doctor says it is because of subserosal fibroid. Is this correct? | Hi. You should consult a gynaecologist and get her hormonal profile done to rule out other causes if any. Follicular cyst may be because of PCOD (Polycystic Ovarian Disease) or it may be because of subserosal fibroid and also it can be because of hormonal changes. Subserosal fibroid is nothing but a uterine fibroid. Hope I have answered your query. If you have further questions, consult an obstetrician and gynaecologist online --> | Patient: Hi, My wife has regular periods. All tests are normal. Her follicle develops into a big cyst every month. Doctor says it is because of subserosal fibroid. Is this correct? || Doctor: Hi. You should consult a gynaecologist and get her hormonal profile done to rule out other causes if any. Follicular cyst may be because of PCOD (Polycystic Ovarian Disease) or it may be because of subserosal fibroid and also it can be because of hormonal changes. Subserosal fibroid is nothing but a uterine fibroid. Hope I have answered your query. If you have further questions, consult an obstetrician and gynaecologist online --> | patient: hi, my wife has regular periods. all tests are normal. her follicle develops into a big cyst every month. doctor says it is because of subserosal fibroid. is this correct? || doctor: hi. you should consult a gynaecologist and get her hormonal profile done to rule out other causes if any. follicular cyst may be because of pcod (polycystic ovarian disease) or it may be because of subserosal fibroid and also it can be because of hormonal changes. subserosal fibroid is nothing but a uterine fibroid. hope i have answered your query. if you have further questions, consult an obstetrician and gynaecologist online --> |
9,469 | Q. How to get pregnant with PCOD? | Hello doctor,I have PCOD. In spite of that, I want to get pregnant soon. I took the PCOD medication for six months. I was using Krimson and due to uneasiness, now I am using Deviry. Please suggest the ways to get pregnant. I am eagerly waiting for your reply. | Hello. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I have PCOD. In spite of that, I want to get pregnant soon. I took the PCOD medication for six months. I was using Krimson and due to uneasiness, now I am using Deviry. Please suggest the ways to get pregnant. I am eagerly waiting for your reply. || Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i have pcod. in spite of that, i want to get pregnant soon. i took the pcod medication for six months. i was using krimson and due to uneasiness, now i am using deviry. please suggest the ways to get pregnant. i am eagerly waiting for your reply. || doctor: hello. for more information consult an obstetrician and gynaecologist online --> |
9,470 | Q. I have a penile skin bridge. Is surgical removal necessary? | Hello doctor, I noticed that I have a penile skin bridge. I thought it was normal at first. But after searching on the internet I found that at the age of 24 it can only be removed by surgery. Is there any other method apart from surgery to remove the penile skin bridge? Please help. | Hello. If you are talking of phimosis (inability to retract the foreskin fully over your glans penis) then yes, it can be removed only by surgery. But do you actually have phimosis is the real question. Try to retract the skin and the point where it is not possible then click a picture and send it. As it is a clinical diagnosis, I will be in a better position to tell you what to do next. | Patient: Hello doctor, I noticed that I have a penile skin bridge. I thought it was normal at first. But after searching on the internet I found that at the age of 24 it can only be removed by surgery. Is there any other method apart from surgery to remove the penile skin bridge? Please help. || Doctor: Hello. If you are talking of phimosis (inability to retract the foreskin fully over your glans penis) then yes, it can be removed only by surgery. But do you actually have phimosis is the real question. Try to retract the skin and the point where it is not possible then click a picture and send it. As it is a clinical diagnosis, I will be in a better position to tell you what to do next. | patient: hello doctor, i noticed that i have a penile skin bridge. i thought it was normal at first. but after searching on the internet i found that at the age of 24 it can only be removed by surgery. is there any other method apart from surgery to remove the penile skin bridge? please help. || doctor: hello. if you are talking of phimosis (inability to retract the foreskin fully over your glans penis) then yes, it can be removed only by surgery. but do you actually have phimosis is the real question. try to retract the skin and the point where it is not possible then click a picture and send it. as it is a clinical diagnosis, i will be in a better position to tell you what to do next. |
9,471 | Q. Please guide me with the reports if I have gynecomastia. | Hi doctor, I am 26 years old. My height is 5'10" and weight is 87 kg. I am having gynecomastia. I have attached the biochemical test results, laboratory reports. Please guide the treatment if I have low testosterone. | Hi. Revert back with the reports to an endocrinologist online --> | Patient: Hi doctor, I am 26 years old. My height is 5'10" and weight is 87 kg. I am having gynecomastia. I have attached the biochemical test results, laboratory reports. Please guide the treatment if I have low testosterone. || Doctor: Hi. Revert back with the reports to an endocrinologist online --> | patient: hi doctor, i am 26 years old. my height is 5'10" and weight is 87 kg. i am having gynecomastia. i have attached the biochemical test results, laboratory reports. please guide the treatment if i have low testosterone. || doctor: hi. revert back with the reports to an endocrinologist online --> |
9,472 | Q. How is the efficacy of Vraylar for negative symptoms of schizophrenia? | Hello doctor, I am a 34 year old. I have no allergies to medications. I am schizophrenic. I take Abilify 20 mg and Solotik 200 mg. But, I suffer from negative symptoms (amotivation, alogia, etc.). I heard about a new drug Vraylar (Cariprazine). I would like to know from a specialist about the efficacy of Vraylar for negative symptoms, especially amotivation and alogia. | Hello. Tablet Vraylar (Cariprazine) is a new drug which was approved for use last year. It was found to be effective in negative symptoms of schizophrenia. However, only a few studies are available for its comparison with Abilify (Aripiprazole). These studies indicate that it is more effective in negative symptoms compare to Abilify. Thanks and regards. For more information consult a psychiatrist online --> | Patient: Hello doctor, I am a 34 year old. I have no allergies to medications. I am schizophrenic. I take Abilify 20 mg and Solotik 200 mg. But, I suffer from negative symptoms (amotivation, alogia, etc.). I heard about a new drug Vraylar (Cariprazine). I would like to know from a specialist about the efficacy of Vraylar for negative symptoms, especially amotivation and alogia. || Doctor: Hello. Tablet Vraylar (Cariprazine) is a new drug which was approved for use last year. It was found to be effective in negative symptoms of schizophrenia. However, only a few studies are available for its comparison with Abilify (Aripiprazole). These studies indicate that it is more effective in negative symptoms compare to Abilify. Thanks and regards. For more information consult a psychiatrist online --> | patient: hello doctor, i am a 34 year old. i have no allergies to medications. i am schizophrenic. i take abilify 20 mg and solotik 200 mg. but, i suffer from negative symptoms (amotivation, alogia, etc.). i heard about a new drug vraylar (cariprazine). i would like to know from a specialist about the efficacy of vraylar for negative symptoms, especially amotivation and alogia. || doctor: hello. tablet vraylar (cariprazine) is a new drug which was approved for use last year. it was found to be effective in negative symptoms of schizophrenia. however, only a few studies are available for its comparison with abilify (aripiprazole). these studies indicate that it is more effective in negative symptoms compare to abilify. thanks and regards. for more information consult a psychiatrist online --> |
9,473 | Q. What is the solution for stomach burning and constipation? | Hello doctor, I am facing stomach burning since last one month and constipation problem also. I am passing stool once in a week only and have stomach pain too. I consulted a doctor. He has given some medicine but nothing has cured. I am facing around last two months, too much anal pain and burning stomach. Could you please suggest any solution for these? Mainly constipation. | Hello. Burning sensation in the chest and stomach is mainly due to acidity, that is, high amount of acid release in the stomach. For burning sensation, you should restrict any spicy or oily food. Also, can you tell me what medicines you are taking so that we can decide if the same medicine has to be continued or new medicine has to be prescribed? For constipation, you might consider talking green vegetables and salad and at least 10 glass of water per day. Also, for constipation, bulk laxatives can be taken. The pain around the anus is because you have hardened stool and that causes excessive friction to pass, for that rectal enema can be done in the hospital set up. Also, please tell if you have a history or any other disease so that we can go further for management of your problem. Constipation, flatulence. GERD, fecal impaction. | Patient: Hello doctor, I am facing stomach burning since last one month and constipation problem also. I am passing stool once in a week only and have stomach pain too. I consulted a doctor. He has given some medicine but nothing has cured. I am facing around last two months, too much anal pain and burning stomach. Could you please suggest any solution for these? Mainly constipation. || Doctor: Hello. Burning sensation in the chest and stomach is mainly due to acidity, that is, high amount of acid release in the stomach. For burning sensation, you should restrict any spicy or oily food. Also, can you tell me what medicines you are taking so that we can decide if the same medicine has to be continued or new medicine has to be prescribed? For constipation, you might consider talking green vegetables and salad and at least 10 glass of water per day. Also, for constipation, bulk laxatives can be taken. The pain around the anus is because you have hardened stool and that causes excessive friction to pass, for that rectal enema can be done in the hospital set up. Also, please tell if you have a history or any other disease so that we can go further for management of your problem. Constipation, flatulence. GERD, fecal impaction. | patient: hello doctor, i am facing stomach burning since last one month and constipation problem also. i am passing stool once in a week only and have stomach pain too. i consulted a doctor. he has given some medicine but nothing has cured. i am facing around last two months, too much anal pain and burning stomach. could you please suggest any solution for these? mainly constipation. || doctor: hello. burning sensation in the chest and stomach is mainly due to acidity, that is, high amount of acid release in the stomach. for burning sensation, you should restrict any spicy or oily food. also, can you tell me what medicines you are taking so that we can decide if the same medicine has to be continued or new medicine has to be prescribed? for constipation, you might consider talking green vegetables and salad and at least 10 glass of water per day. also, for constipation, bulk laxatives can be taken. the pain around the anus is because you have hardened stool and that causes excessive friction to pass, for that rectal enema can be done in the hospital set up. also, please tell if you have a history or any other disease so that we can go further for management of your problem. constipation, flatulence. gerd, fecal impaction. |
9,474 | Q. Is breech position a big concern? | Hi doctor, My wife is 29 weeks pregnant. Today we had one ultrasound scan and the report is as follows. Single live fetus in breech presentation and 2v umbilical cord. Is this a big problem? Will it cause any problem to my baby during or after birth? Thank you. | Hello. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, My wife is 29 weeks pregnant. Today we had one ultrasound scan and the report is as follows. Single live fetus in breech presentation and 2v umbilical cord. Is this a big problem? Will it cause any problem to my baby during or after birth? Thank you. || Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, my wife is 29 weeks pregnant. today we had one ultrasound scan and the report is as follows. single live fetus in breech presentation and 2v umbilical cord. is this a big problem? will it cause any problem to my baby during or after birth? thank you. || doctor: hello. for further information consult an obstetrician and gynaecologist online --> |
9,475 | Q. I began to eat more to make my body look normal post jaundice. Is it safe? | Hello doctor,I am a jaundice (hepatitis A) patient. My earlier SGOT and SGPT was 81 and 117 now it became 117 and 395 respectively and bilirubin total is 1.19. When the bilirubin count decreased, I started to eat food more to make my body look normal. Will it be dangerous? | Hello. I understand your concerns, but you should not worry. Hepatitis A is self-limiting in the great majority of patients. Hepatitis A is diagnosed clinically and laboratory (HAV IgM and G) is required for the diagnosis. If you have them, please send a copy of the results in the follow up message. Please answer the following questions: My suggestions: For more information consult a general medicine physician online --> | Patient: Hello doctor,I am a jaundice (hepatitis A) patient. My earlier SGOT and SGPT was 81 and 117 now it became 117 and 395 respectively and bilirubin total is 1.19. When the bilirubin count decreased, I started to eat food more to make my body look normal. Will it be dangerous? || Doctor: Hello. I understand your concerns, but you should not worry. Hepatitis A is self-limiting in the great majority of patients. Hepatitis A is diagnosed clinically and laboratory (HAV IgM and G) is required for the diagnosis. If you have them, please send a copy of the results in the follow up message. Please answer the following questions: My suggestions: For more information consult a general medicine physician online --> | patient: hello doctor,i am a jaundice (hepatitis a) patient. my earlier sgot and sgpt was 81 and 117 now it became 117 and 395 respectively and bilirubin total is 1.19. when the bilirubin count decreased, i started to eat food more to make my body look normal. will it be dangerous? || doctor: hello. i understand your concerns, but you should not worry. hepatitis a is self-limiting in the great majority of patients. hepatitis a is diagnosed clinically and laboratory (hav igm and g) is required for the diagnosis. if you have them, please send a copy of the results in the follow up message. please answer the following questions: my suggestions: for more information consult a general medicine physician online --> |
9,476 | 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 --> |
9,477 | 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 --> |
9,478 | 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.---> |
9,479 | 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 --> |
9,480 | 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 --> |
9,481 | Q. Will medications for Gout interfere with values of liver function test? | Hi doctor, I would like to know what does my lab tells you about my current liver function. I began to struggle with daily gout pain a few months ago and finally gave in to taking the traditional drugs about one and a half months ago. Both allopurinol and probenecid caused worrisome impacts on my body. I began to experience flank pain, confused thinking, and fatigue. Around this time, I was also compelled to have my A1C checked because I was struggling with headaches, insomnia, and various degrees of itching after eating. My A1C turned out to be 5.7. I stopped taking the drugs, and did a lot of research, and was fortunate to find some supplements that seem to be effective at the intersection of both metabolic syndrome and gout. Presently, I have found that Berberine (approximately 1000mg/day) works. Gout pain is essentially gone, and blood sugar seems to be coming under control with each day, though my caloric intake in unsustainably low. Admittedly, I have taken some hesperidin, ALA, chromium, NAC, ECGC, nigella sativa oil, or triple strength turmeric occasioanally if I was having a momentary concern (not all at once), or even all in a day, but occasionally. My concern is for my ongoing liver function. Though things seem to be getting better, as the day goes on and I have taken some supplements, I will start to feel pressure in the middle of my back, kidney area, and left flank discomfort. It tends to have gone away by the time I wake up in the morning. On looking at my labs, the markers for liver function have fluctuated, but my primary care doctor never made mention of them. Is there anything you can tell me about what the changes in these ratios say? | Hi. I have seen your blood works. (attachment removed to protect patient identity). It is all normal. Usually, during the acute attack of gout, we do not start Allopurinol or uric acid decreasing medications as it can exaggerate the situation. We usually start after the acute situation is treated with drugs like NSAIDs (non-steroidal anti-inflammatory drugs). Allopurinol is started with caution if there is liver disease, kidney disease, diabetes, congestive heart failure, and high blood pressure. Are you pregnant or breastfeeding? Are you receiving chemotherapy drugs? Allopurinol can decrease the number of blood cells in your body that causes blood clot and that help you fight infections, which can make it easier for you to bleed from an injury or get sick when exposed to others who are ill. It can increase liver enzymes to decrease the blood elements. But I have seen your blood works and it is fine. If someone has kidney stones due to increased uric acid, or recurrent gout episodes, or uric acid deposition on soft tissues that is the time usually Allopurinol is started and continued I think you do not have these problems. You need to decrease your protein intake like less meats, fish, lentils, eggs, and avoid diuretics which are used to treat high blood pressure. Alcohol intake to be reduced as well. You told your HBA1c (glycated hemoglobin) is 5.7 that is pre-diabetes or borderline diabetes, so better check your fasting sugar and sugar after two hours of eating. You need to do exercise even if it is just walking for one hour daily. Stop or reduce carbohydrates especially sugar in tea and sugary juices, bread, rice, pasta, and potatoes. Intermittent fasting can also help in decreasing weight and controlling sugar. Lifestyle modifications can help a lot in your case. Have you done any ultrasound abdomen? | Patient: Hi doctor, I would like to know what does my lab tells you about my current liver function. I began to struggle with daily gout pain a few months ago and finally gave in to taking the traditional drugs about one and a half months ago. Both allopurinol and probenecid caused worrisome impacts on my body. I began to experience flank pain, confused thinking, and fatigue. Around this time, I was also compelled to have my A1C checked because I was struggling with headaches, insomnia, and various degrees of itching after eating. My A1C turned out to be 5.7. I stopped taking the drugs, and did a lot of research, and was fortunate to find some supplements that seem to be effective at the intersection of both metabolic syndrome and gout. Presently, I have found that Berberine (approximately 1000mg/day) works. Gout pain is essentially gone, and blood sugar seems to be coming under control with each day, though my caloric intake in unsustainably low. Admittedly, I have taken some hesperidin, ALA, chromium, NAC, ECGC, nigella sativa oil, or triple strength turmeric occasioanally if I was having a momentary concern (not all at once), or even all in a day, but occasionally. My concern is for my ongoing liver function. Though things seem to be getting better, as the day goes on and I have taken some supplements, I will start to feel pressure in the middle of my back, kidney area, and left flank discomfort. It tends to have gone away by the time I wake up in the morning. On looking at my labs, the markers for liver function have fluctuated, but my primary care doctor never made mention of them. Is there anything you can tell me about what the changes in these ratios say? || Doctor: Hi. I have seen your blood works. (attachment removed to protect patient identity). It is all normal. Usually, during the acute attack of gout, we do not start Allopurinol or uric acid decreasing medications as it can exaggerate the situation. We usually start after the acute situation is treated with drugs like NSAIDs (non-steroidal anti-inflammatory drugs). Allopurinol is started with caution if there is liver disease, kidney disease, diabetes, congestive heart failure, and high blood pressure. Are you pregnant or breastfeeding? Are you receiving chemotherapy drugs? Allopurinol can decrease the number of blood cells in your body that causes blood clot and that help you fight infections, which can make it easier for you to bleed from an injury or get sick when exposed to others who are ill. It can increase liver enzymes to decrease the blood elements. But I have seen your blood works and it is fine. If someone has kidney stones due to increased uric acid, or recurrent gout episodes, or uric acid deposition on soft tissues that is the time usually Allopurinol is started and continued I think you do not have these problems. You need to decrease your protein intake like less meats, fish, lentils, eggs, and avoid diuretics which are used to treat high blood pressure. Alcohol intake to be reduced as well. You told your HBA1c (glycated hemoglobin) is 5.7 that is pre-diabetes or borderline diabetes, so better check your fasting sugar and sugar after two hours of eating. You need to do exercise even if it is just walking for one hour daily. Stop or reduce carbohydrates especially sugar in tea and sugary juices, bread, rice, pasta, and potatoes. Intermittent fasting can also help in decreasing weight and controlling sugar. Lifestyle modifications can help a lot in your case. Have you done any ultrasound abdomen? | patient: hi doctor, i would like to know what does my lab tells you about my current liver function. i began to struggle with daily gout pain a few months ago and finally gave in to taking the traditional drugs about one and a half months ago. both allopurinol and probenecid caused worrisome impacts on my body. i began to experience flank pain, confused thinking, and fatigue. around this time, i was also compelled to have my a1c checked because i was struggling with headaches, insomnia, and various degrees of itching after eating. my a1c turned out to be 5.7. i stopped taking the drugs, and did a lot of research, and was fortunate to find some supplements that seem to be effective at the intersection of both metabolic syndrome and gout. presently, i have found that berberine (approximately 1000mg/day) works. gout pain is essentially gone, and blood sugar seems to be coming under control with each day, though my caloric intake in unsustainably low. admittedly, i have taken some hesperidin, ala, chromium, nac, ecgc, nigella sativa oil, or triple strength turmeric occasioanally if i was having a momentary concern (not all at once), or even all in a day, but occasionally. my concern is for my ongoing liver function. though things seem to be getting better, as the day goes on and i have taken some supplements, i will start to feel pressure in the middle of my back, kidney area, and left flank discomfort. it tends to have gone away by the time i wake up in the morning. on looking at my labs, the markers for liver function have fluctuated, but my primary care doctor never made mention of them. is there anything you can tell me about what the changes in these ratios say? || doctor: hi. i have seen your blood works. (attachment removed to protect patient identity). it is all normal. usually, during the acute attack of gout, we do not start allopurinol or uric acid decreasing medications as it can exaggerate the situation. we usually start after the acute situation is treated with drugs like nsaids (non-steroidal anti-inflammatory drugs). allopurinol is started with caution if there is liver disease, kidney disease, diabetes, congestive heart failure, and high blood pressure. are you pregnant or breastfeeding? are you receiving chemotherapy drugs? allopurinol can decrease the number of blood cells in your body that causes blood clot and that help you fight infections, which can make it easier for you to bleed from an injury or get sick when exposed to others who are ill. it can increase liver enzymes to decrease the blood elements. but i have seen your blood works and it is fine. if someone has kidney stones due to increased uric acid, or recurrent gout episodes, or uric acid deposition on soft tissues that is the time usually allopurinol is started and continued i think you do not have these problems. you need to decrease your protein intake like less meats, fish, lentils, eggs, and avoid diuretics which are used to treat high blood pressure. alcohol intake to be reduced as well. you told your hba1c (glycated hemoglobin) is 5.7 that is pre-diabetes or borderline diabetes, so better check your fasting sugar and sugar after two hours of eating. you need to do exercise even if it is just walking for one hour daily. stop or reduce carbohydrates especially sugar in tea and sugary juices, bread, rice, pasta, and potatoes. intermittent fasting can also help in decreasing weight and controlling sugar. lifestyle modifications can help a lot in your case. have you done any ultrasound abdomen? |
9,482 | Q. Please explain the procedure of cystoscopy. | Hi doctor, My urologist wants me to have a cystoscopy done and he said the preparation for this procedure is a numbing solution. I am trying to find whether the procedure can be done through general or local anesthesia. Do you have any suggestions? | Hi. For further information consult a urologist online --> | Patient: Hi doctor, My urologist wants me to have a cystoscopy done and he said the preparation for this procedure is a numbing solution. I am trying to find whether the procedure can be done through general or local anesthesia. Do you have any suggestions? || Doctor: Hi. For further information consult a urologist online --> | patient: hi doctor, my urologist wants me to have a cystoscopy done and he said the preparation for this procedure is a numbing solution. i am trying to find whether the procedure can be done through general or local anesthesia. do you have any suggestions? || doctor: hi. for further information consult a urologist online --> |
9,483 | Q. I am sensitive and fear socializing with people. Is there any effective medication? | Hello doctor, I am realizing that I am an extremely sensitive person. I fear socializing with people. I think too much about what people think about me. There is a lot of fear within me. When people scold me, I take it too deeply and even my mouth vibrates. It is conspicuously visible. I have a lot of social fear mixing with people. While greeting people in my sister's engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. Overall, I am extremely sensitive to what people think about me. I feel depressed because of my embarrassment in front of them. I am sensitive even to sound and noise. Because of this, I find it difficult to go around and play or work in a group. If someone asks me something I fear before answering. I want to be calm and tough enough to face the society. Is there any effective medication? I am a law graduate as well. This problem is affecting my career and relationship. I am too shy and absent-minded. My first and final query is what is the disorder I am having? Please explain my disorder. | Hello. What you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. Here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety: Anything else? Feel free to ask me again. Have a good day. For more information consult a psychiatrist online --> | Patient: Hello doctor, I am realizing that I am an extremely sensitive person. I fear socializing with people. I think too much about what people think about me. There is a lot of fear within me. When people scold me, I take it too deeply and even my mouth vibrates. It is conspicuously visible. I have a lot of social fear mixing with people. While greeting people in my sister's engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. Overall, I am extremely sensitive to what people think about me. I feel depressed because of my embarrassment in front of them. I am sensitive even to sound and noise. Because of this, I find it difficult to go around and play or work in a group. If someone asks me something I fear before answering. I want to be calm and tough enough to face the society. Is there any effective medication? I am a law graduate as well. This problem is affecting my career and relationship. I am too shy and absent-minded. My first and final query is what is the disorder I am having? Please explain my disorder. || Doctor: Hello. What you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. Here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety: Anything else? Feel free to ask me again. Have a good day. For more information consult a psychiatrist online --> | patient: hello doctor, i am realizing that i am an extremely sensitive person. i fear socializing with people. i think too much about what people think about me. there is a lot of fear within me. when people scold me, i take it too deeply and even my mouth vibrates. it is conspicuously visible. i have a lot of social fear mixing with people. while greeting people in my sister's engagement ceremony, while smiling at a woman, all of a sudden mouth started to vibrate in fear. overall, i am extremely sensitive to what people think about me. i feel depressed because of my embarrassment in front of them. i am sensitive even to sound and noise. because of this, i find it difficult to go around and play or work in a group. if someone asks me something i fear before answering. i want to be calm and tough enough to face the society. is there any effective medication? i am a law graduate as well. this problem is affecting my career and relationship. i am too shy and absent-minded. my first and final query is what is the disorder i am having? please explain my disorder. || doctor: hello. what you have is social phobia, anxiety and mostly is a result of a hard or strict education in childhood. here are some ways you can build your confidence in life in general and help you rid yourself of social anxiety: anything else? feel free to ask me again. have a good day. for more information consult a psychiatrist online --> |
9,484 | Q. Kindly help me to get some sleep before exams. | Hello doctor, I have an upcoming exam. I am unable to sleep no matter what. It has been three days I have not slept at night and yet I cannot fall asleep. I did take Restyl 25 mg for about 10 days. But I have stopped. Yesterday, I had taken a tablet and yet I cannot sleep at night. | Hello. Take Clonotril 0.5 mg and increase to 1 mg in case, sleep problem still exists. Zolfresh 10 mg/12.5 mg can also help and it lacks next day carry oversedation which may be helpful as you have your exams (But not as effective as Clinotril - Still it is worth a try due to no sedation on the next day after taking it). Please describe your other symptoms, if any, like anxiety, depression, appetite problems. | Patient: Hello doctor, I have an upcoming exam. I am unable to sleep no matter what. It has been three days I have not slept at night and yet I cannot fall asleep. I did take Restyl 25 mg for about 10 days. But I have stopped. Yesterday, I had taken a tablet and yet I cannot sleep at night. || Doctor: Hello. Take Clonotril 0.5 mg and increase to 1 mg in case, sleep problem still exists. Zolfresh 10 mg/12.5 mg can also help and it lacks next day carry oversedation which may be helpful as you have your exams (But not as effective as Clinotril - Still it is worth a try due to no sedation on the next day after taking it). Please describe your other symptoms, if any, like anxiety, depression, appetite problems. | patient: hello doctor, i have an upcoming exam. i am unable to sleep no matter what. it has been three days i have not slept at night and yet i cannot fall asleep. i did take restyl 25 mg for about 10 days. but i have stopped. yesterday, i had taken a tablet and yet i cannot sleep at night. || doctor: hello. take clonotril 0.5 mg and increase to 1 mg in case, sleep problem still exists. zolfresh 10 mg/12.5 mg can also help and it lacks next day carry oversedation which may be helpful as you have your exams (but not as effective as clinotril - still it is worth a try due to no sedation on the next day after taking it). please describe your other symptoms, if any, like anxiety, depression, appetite problems. |
9,485 | Q. Bleeding with clots and tissues,due to low-lying placenta. Is this placenta previa? | Hello doctor, My wife is 35 years old and first time pregnant. She got pregnant naturally. She is running into 18 weeks and five days as of today. No history of any fertility treatment ever. Last week, she had bleeding with clots and tissues (one pad soaked each time) twice in four days interval. We consulted a local doctor and had a 4D ultrasound scan. The fetus is without anomaly but she has low-lying placenta covering the os and a 14x8 mm retroplacental clot was observed. She also has cervical polyp but the local doctor observed bleeding is not due to the polyp. Along with total bed rest, the local doctor prescribed the following: Injection Proluton (once so far), Tablet Miprogen 200 mg twice a day for five days. Tablet Texakind 500 mg thrice a day for five days. Tablet Duvaldin retard twice a day. She has a tendency of sinus and recently had cough. Hence, the doctor prescribed antibiotics also. Questions: She is still bleeding, though lesser in quantity (maybe 20-30 drops). Is the above medication enough? Do you recommend any change? Is this officially placenta previa situation? We want to fly back home on the 25th having one and a half hours flight journey. Is this safe? I read contradictory views on cabin pressure factor. Are coughing and sneezing creating jerks contributing to bleeding? Since last USG mentioned "covering the os", does it mean there is a very slim chance of placenta moving away from cervix os in the coming weeks? Is this small but frequent bleeding fatal to the fetus? How to determine if it is time for blood transfusion? Sorry for the long post. This is our first time and we are very anxious due to ongoing issues. Please guide us. Thanks. | Hello. Yes, the above medication will be effective and safe. The minimal bleeding will also settle down soon. Since it has been detected by scan, then definitely it is placenta previa. At this point of time, it is better to avoid journey as it may increase the amount of bleeding. The placenta will definitely move up slowly as the pregnancy advances. Since the bleeding has reduced, it will not have any fatal effects on the baby. Regular timely scans will help to know when intervention is required and your gynecologist is the right person to decide. So relax and do not worry. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My wife is 35 years old and first time pregnant. She got pregnant naturally. She is running into 18 weeks and five days as of today. No history of any fertility treatment ever. Last week, she had bleeding with clots and tissues (one pad soaked each time) twice in four days interval. We consulted a local doctor and had a 4D ultrasound scan. The fetus is without anomaly but she has low-lying placenta covering the os and a 14x8 mm retroplacental clot was observed. She also has cervical polyp but the local doctor observed bleeding is not due to the polyp. Along with total bed rest, the local doctor prescribed the following: Injection Proluton (once so far), Tablet Miprogen 200 mg twice a day for five days. Tablet Texakind 500 mg thrice a day for five days. Tablet Duvaldin retard twice a day. She has a tendency of sinus and recently had cough. Hence, the doctor prescribed antibiotics also. Questions: She is still bleeding, though lesser in quantity (maybe 20-30 drops). Is the above medication enough? Do you recommend any change? Is this officially placenta previa situation? We want to fly back home on the 25th having one and a half hours flight journey. Is this safe? I read contradictory views on cabin pressure factor. Are coughing and sneezing creating jerks contributing to bleeding? Since last USG mentioned "covering the os", does it mean there is a very slim chance of placenta moving away from cervix os in the coming weeks? Is this small but frequent bleeding fatal to the fetus? How to determine if it is time for blood transfusion? Sorry for the long post. This is our first time and we are very anxious due to ongoing issues. Please guide us. Thanks. || Doctor: Hello. Yes, the above medication will be effective and safe. The minimal bleeding will also settle down soon. Since it has been detected by scan, then definitely it is placenta previa. At this point of time, it is better to avoid journey as it may increase the amount of bleeding. The placenta will definitely move up slowly as the pregnancy advances. Since the bleeding has reduced, it will not have any fatal effects on the baby. Regular timely scans will help to know when intervention is required and your gynecologist is the right person to decide. So relax and do not worry. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, my wife is 35 years old and first time pregnant. she got pregnant naturally. she is running into 18 weeks and five days as of today. no history of any fertility treatment ever. last week, she had bleeding with clots and tissues (one pad soaked each time) twice in four days interval. we consulted a local doctor and had a 4d ultrasound scan. the fetus is without anomaly but she has low-lying placenta covering the os and a 14x8 mm retroplacental clot was observed. she also has cervical polyp but the local doctor observed bleeding is not due to the polyp. along with total bed rest, the local doctor prescribed the following: injection proluton (once so far), tablet miprogen 200 mg twice a day for five days. tablet texakind 500 mg thrice a day for five days. tablet duvaldin retard twice a day. she has a tendency of sinus and recently had cough. hence, the doctor prescribed antibiotics also. questions: she is still bleeding, though lesser in quantity (maybe 20-30 drops). is the above medication enough? do you recommend any change? is this officially placenta previa situation? we want to fly back home on the 25th having one and a half hours flight journey. is this safe? i read contradictory views on cabin pressure factor. are coughing and sneezing creating jerks contributing to bleeding? since last usg mentioned "covering the os", does it mean there is a very slim chance of placenta moving away from cervix os in the coming weeks? is this small but frequent bleeding fatal to the fetus? how to determine if it is time for blood transfusion? sorry for the long post. this is our first time and we are very anxious due to ongoing issues. please guide us. thanks. || doctor: hello. yes, the above medication will be effective and safe. the minimal bleeding will also settle down soon. since it has been detected by scan, then definitely it is placenta previa. at this point of time, it is better to avoid journey as it may increase the amount of bleeding. the placenta will definitely move up slowly as the pregnancy advances. since the bleeding has reduced, it will not have any fatal effects on the baby. regular timely scans will help to know when intervention is required and your gynecologist is the right person to decide. so relax and do not worry. for more information consult an obstetrician and gynaecologist online --> |
9,486 | Q. My wife has been suffering from migraine and gastric irritation. What to do? | Hi doctor, My wife is suffering from a migraine. I have consulted a neurosurgeon. He has given tablets Sibelium 10 mg, Topirol 25 mg, and Serenance. But, she is unable to take food. While drinking water also she is feeling gastric irritation. She is taking Omez D and Zofran syrup before meals for gas release, and after food, she is taking Enzyme syrup. But still, she is facing the problem of constipation and headache. While taking food, the headche increases. Eight years back, she had the same issue, and she had Topaz 25 mg at that time. Her urine, blood tests, and head scan are normal. | Hi. We are here to help you. For further information consult a neurologist online --> | Patient: Hi doctor, My wife is suffering from a migraine. I have consulted a neurosurgeon. He has given tablets Sibelium 10 mg, Topirol 25 mg, and Serenance. But, she is unable to take food. While drinking water also she is feeling gastric irritation. She is taking Omez D and Zofran syrup before meals for gas release, and after food, she is taking Enzyme syrup. But still, she is facing the problem of constipation and headache. While taking food, the headche increases. Eight years back, she had the same issue, and she had Topaz 25 mg at that time. Her urine, blood tests, and head scan are normal. || Doctor: Hi. We are here to help you. For further information consult a neurologist online --> | patient: hi doctor, my wife is suffering from a migraine. i have consulted a neurosurgeon. he has given tablets sibelium 10 mg, topirol 25 mg, and serenance. but, she is unable to take food. while drinking water also she is feeling gastric irritation. she is taking omez d and zofran syrup before meals for gas release, and after food, she is taking enzyme syrup. but still, she is facing the problem of constipation and headache. while taking food, the headche increases. eight years back, she had the same issue, and she had topaz 25 mg at that time. her urine, blood tests, and head scan are normal. || doctor: hi. we are here to help you. for further information consult a neurologist online --> |
9,487 | Q. Does frequent sneezing cause low lying placenta? | Hello doctor, I am 5 months pregnant. I had an ultrasound scan today and my placenta is "anterior, 2.7cm above the internal O.S". Since a week, I have also developed piles which has subsided a little bit now. I travel to work by bus and sometimes by a 4 wheeler auto. My weight has been 55 kg since 5 months but the baby's growth is normal as per the scan. My doctor has given me progesterone tablets as of now and also an ointment for piles. I wish to know if I can continue working. Will travelling be dangerous for my baby? My due date is on November 30th. Will I be able to work till October 30th or should I stop working now? Is there any particular food pattern that I should follow because I have developed piles? | Hi. I have read and understood your problem. Best wishes for healthy pregnancy. Revert back to an obstetrician and gynaecologist online for further follow up --> | Patient: Hello doctor, I am 5 months pregnant. I had an ultrasound scan today and my placenta is "anterior, 2.7cm above the internal O.S". Since a week, I have also developed piles which has subsided a little bit now. I travel to work by bus and sometimes by a 4 wheeler auto. My weight has been 55 kg since 5 months but the baby's growth is normal as per the scan. My doctor has given me progesterone tablets as of now and also an ointment for piles. I wish to know if I can continue working. Will travelling be dangerous for my baby? My due date is on November 30th. Will I be able to work till October 30th or should I stop working now? Is there any particular food pattern that I should follow because I have developed piles? || Doctor: Hi. I have read and understood your problem. Best wishes for healthy pregnancy. Revert back to an obstetrician and gynaecologist online for further follow up --> | patient: hello doctor, i am 5 months pregnant. i had an ultrasound scan today and my placenta is "anterior, 2.7cm above the internal o.s". since a week, i have also developed piles which has subsided a little bit now. i travel to work by bus and sometimes by a 4 wheeler auto. my weight has been 55 kg since 5 months but the baby's growth is normal as per the scan. my doctor has given me progesterone tablets as of now and also an ointment for piles. i wish to know if i can continue working. will travelling be dangerous for my baby? my due date is on november 30th. will i be able to work till october 30th or should i stop working now? is there any particular food pattern that i should follow because i have developed piles? || doctor: hi. i have read and understood your problem. best wishes for healthy pregnancy. revert back to an obstetrician and gynaecologist online for further follow up --> |
9,488 | Q. Does my baby have squint eyes? | Hello doctor, The query is regarding my 6.5 months old baby girl. She has been seen by two pediatric ophthalmologists. The first one examined her eyes using a Plusoptix vision screener and assured us that everything was normal based on the testing results. He assured us that there was no strabismus. He said that she has +2 hyperopia in both eyes, but said that is normal considering her age and it will go away on its own. The second ophthalmologist diagnosed her with accommodative esotropia after a retinoscopy exam. After dilating her pupils, he said that she has hyperopia of +5 in both eyes. I am so lost as to why she got two completely different results within two weeks apart. I need a third opinion in regard to this matter. | Hi, Welcome back to icliniq.com. Hyperopia. Revert back with the details to an eye care ophthalmologist online.---> | Patient: Hello doctor, The query is regarding my 6.5 months old baby girl. She has been seen by two pediatric ophthalmologists. The first one examined her eyes using a Plusoptix vision screener and assured us that everything was normal based on the testing results. He assured us that there was no strabismus. He said that she has +2 hyperopia in both eyes, but said that is normal considering her age and it will go away on its own. The second ophthalmologist diagnosed her with accommodative esotropia after a retinoscopy exam. After dilating her pupils, he said that she has hyperopia of +5 in both eyes. I am so lost as to why she got two completely different results within two weeks apart. I need a third opinion in regard to this matter. || Doctor: Hi, Welcome back to icliniq.com. Hyperopia. Revert back with the details to an eye care ophthalmologist online.---> | patient: hello doctor, the query is regarding my 6.5 months old baby girl. she has been seen by two pediatric ophthalmologists. the first one examined her eyes using a plusoptix vision screener and assured us that everything was normal based on the testing results. he assured us that there was no strabismus. he said that she has +2 hyperopia in both eyes, but said that is normal considering her age and it will go away on its own. the second ophthalmologist diagnosed her with accommodative esotropia after a retinoscopy exam. after dilating her pupils, he said that she has hyperopia of +5 in both eyes. i am so lost as to why she got two completely different results within two weeks apart. i need a third opinion in regard to this matter. || doctor: hi, welcome back to icliniq.com. hyperopia. revert back with the details to an eye care ophthalmologist online.---> |
9,489 | Q. I was treated for UTI, but mild irritation is still present. Kindly help me. | Hello doctor, I am a 39 year old healthy male. Around two months back, I had slight inflammation and itching in my penis. It compelled me to urinate throughout the night. When I have seen the doctor, he tested my sugar, which came normal. So, he gave UTI medicines for five days. The burning sensation gone, but I realize mild irritation in the top of the urethra for more than a month. When I visited my doctor after a month he suggested me to visit a urologist. The urologist physically verified the penis and said nothing is wrong and there is an infection in the urethra. He asked me for CUE, which was normal again. He gave me medicines for five days and Cranberry tablets for 10 days. But, I feel the mild irritation still present. Kindly help me in this. | Hi. Revert back with the report to a urologist online --> | Patient: Hello doctor, I am a 39 year old healthy male. Around two months back, I had slight inflammation and itching in my penis. It compelled me to urinate throughout the night. When I have seen the doctor, he tested my sugar, which came normal. So, he gave UTI medicines for five days. The burning sensation gone, but I realize mild irritation in the top of the urethra for more than a month. When I visited my doctor after a month he suggested me to visit a urologist. The urologist physically verified the penis and said nothing is wrong and there is an infection in the urethra. He asked me for CUE, which was normal again. He gave me medicines for five days and Cranberry tablets for 10 days. But, I feel the mild irritation still present. Kindly help me in this. || Doctor: Hi. Revert back with the report to a urologist online --> | patient: hello doctor, i am a 39 year old healthy male. around two months back, i had slight inflammation and itching in my penis. it compelled me to urinate throughout the night. when i have seen the doctor, he tested my sugar, which came normal. so, he gave uti medicines for five days. the burning sensation gone, but i realize mild irritation in the top of the urethra for more than a month. when i visited my doctor after a month he suggested me to visit a urologist. the urologist physically verified the penis and said nothing is wrong and there is an infection in the urethra. he asked me for cue, which was normal again. he gave me medicines for five days and cranberry tablets for 10 days. but, i feel the mild irritation still present. kindly help me in this. || doctor: hi. revert back with the report to a urologist online --> |
9,490 | Q. What is the permanent remedy for dry and itchy ear? | Hi doctor, My mother, who is 50 years, has been having itching in the left ear since a month. We consulted an ENT doctor. He did an endoscopy and said that there is no wax formation and ear is dry. He asked my mom to put one or two drops of oil in the ear. She did that for a week and there seemed to be little improvement. She was itching again severely about 15 days ago. We then applied oil using ear buds since the itching was more in the opening of the ear that is the superficial part of the hole. When we just look into the ear with torchlight, it looks dry and flaky. Why is this happening? What is the permanent remedy for this? She has very bad dry skin. Would that have an effect on this? | Hello. With the details you have given I understand that your mother aged 50 years has been having itching in the left ear since a month which gets temporarily relieved with the application of oil. Also, an ENT consultant has ruled out any local pathology or wax or ear drum abnormalities. The above tests along with the following history can help rule out any other disease, which may be causing the ear problem. The relevant history would be any of the following. Another possibility is eustachian tube catarrh, which causes tubal block and associated decreased ventilation of the middle ear and consequent feeling of itching. The same can be controlled using the Lorfast tablet. Hope to get back from you. If you provide the above details with investigation reports and prescription of previous consultation, then we can help you better. Hope your mother gets better soon. Revert back with the reports to an ENT otolaryngologist online --> | Patient: Hi doctor, My mother, who is 50 years, has been having itching in the left ear since a month. We consulted an ENT doctor. He did an endoscopy and said that there is no wax formation and ear is dry. He asked my mom to put one or two drops of oil in the ear. She did that for a week and there seemed to be little improvement. She was itching again severely about 15 days ago. We then applied oil using ear buds since the itching was more in the opening of the ear that is the superficial part of the hole. When we just look into the ear with torchlight, it looks dry and flaky. Why is this happening? What is the permanent remedy for this? She has very bad dry skin. Would that have an effect on this? || Doctor: Hello. With the details you have given I understand that your mother aged 50 years has been having itching in the left ear since a month which gets temporarily relieved with the application of oil. Also, an ENT consultant has ruled out any local pathology or wax or ear drum abnormalities. The above tests along with the following history can help rule out any other disease, which may be causing the ear problem. The relevant history would be any of the following. Another possibility is eustachian tube catarrh, which causes tubal block and associated decreased ventilation of the middle ear and consequent feeling of itching. The same can be controlled using the Lorfast tablet. Hope to get back from you. If you provide the above details with investigation reports and prescription of previous consultation, then we can help you better. Hope your mother gets better soon. Revert back with the reports to an ENT otolaryngologist online --> | patient: hi doctor, my mother, who is 50 years, has been having itching in the left ear since a month. we consulted an ent doctor. he did an endoscopy and said that there is no wax formation and ear is dry. he asked my mom to put one or two drops of oil in the ear. she did that for a week and there seemed to be little improvement. she was itching again severely about 15 days ago. we then applied oil using ear buds since the itching was more in the opening of the ear that is the superficial part of the hole. when we just look into the ear with torchlight, it looks dry and flaky. why is this happening? what is the permanent remedy for this? she has very bad dry skin. would that have an effect on this? || doctor: hello. with the details you have given i understand that your mother aged 50 years has been having itching in the left ear since a month which gets temporarily relieved with the application of oil. also, an ent consultant has ruled out any local pathology or wax or ear drum abnormalities. the above tests along with the following history can help rule out any other disease, which may be causing the ear problem. the relevant history would be any of the following. another possibility is eustachian tube catarrh, which causes tubal block and associated decreased ventilation of the middle ear and consequent feeling of itching. the same can be controlled using the lorfast tablet. hope to get back from you. if you provide the above details with investigation reports and prescription of previous consultation, then we can help you better. hope your mother gets better soon. revert back with the reports to an ent otolaryngologist online --> |
9,491 | Q. A part of my penis discolored after a reconstructive surgery. How to treat this? | Hello doctor, Four months ago, I had a reconstructive surgery on my penis for congenital penile curvature. I had some complications such as hematoma and scar leakage, but I am good now. When my penis healed, a part of it became brown/black (discoloration). Is there a way to reverse this discoloration? Maybe what I am facing is post-inflammatory hyperpigmentation. I tried multiple creams and it did not work. Can I treat this discoloration with laser treatments such as IPL or laser resurfacing? How many sessions do I need? I attached some pictures. Thanks in advance. | Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> | Patient: Hello doctor, Four months ago, I had a reconstructive surgery on my penis for congenital penile curvature. I had some complications such as hematoma and scar leakage, but I am good now. When my penis healed, a part of it became brown/black (discoloration). Is there a way to reverse this discoloration? Maybe what I am facing is post-inflammatory hyperpigmentation. I tried multiple creams and it did not work. Can I treat this discoloration with laser treatments such as IPL or laser resurfacing? How many sessions do I need? I attached some pictures. Thanks in advance. || Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online --> | patient: hello doctor, four months ago, i had a reconstructive surgery on my penis for congenital penile curvature. i had some complications such as hematoma and scar leakage, but i am good now. when my penis healed, a part of it became brown/black (discoloration). is there a way to reverse this discoloration? maybe what i am facing is post-inflammatory hyperpigmentation. i tried multiple creams and it did not work. can i treat this discoloration with laser treatments such as ipl or laser resurfacing? how many sessions do i need? i attached some pictures. thanks in advance. || doctor: hello. i have noted your concern and i have viewed the images (attachment removed to protect patient identity). regards. for more information consult a dermatologist online --> |
9,492 | Q. I have alopecia in my beard. Will hair grow back in the patchy areas? | Hello doctor, I have noticed some alopecia on my beard. It has been there for the past few months. I have never had any issues like this before and worried that the hair will not grow back. Is there anything I can do? I am currently taking Hydrocortisone for dermatitis in private area. | Hello. I can understand your concern. According to your statement, you have alopecia on beard. It has been there for the last few months and you are on medication like Hydrocortisone for dermatitis. You may be suffered from alopecia areata which is a peculiar form of hair loss that usually affects the scalp but can occur on any hair-bearing skin like your beard. For most patients the condition resolves without treatment within a year but the hair loss is sometimes permanent. The cause of alopecia areata is probably an autoimmune reaction. This means the body's immune system incorrectly attacks the body's own cells. In case of alopecia areata, the cells under attack are in the hair follicles (structure that grow hair), especially follicles within hair-bearing skin. Alopecia Areata can be resulted from autoimmune disorders such as atopy, allergy, thyroiditis, vitiligo, etc. Even some studies show that stress, family history of alopecia, vitamin deficiency like Biotin, Vitamin A, C, D, E, etc., nutritional deficiency like iron, zinc, protein, etc., can also cause alopecia areata. For the treatment of alopecia areata, you can use Intralesional corticosteroid injections, topical Minoxidil, Anthralin cream or ointment, and topical corticosteroids. By using any of the above-mentioned medication and taking vitamin and nutrition that are mentioned above, you can get rid of alopecia areata within some months. | Patient: Hello doctor, I have noticed some alopecia on my beard. It has been there for the past few months. I have never had any issues like this before and worried that the hair will not grow back. Is there anything I can do? I am currently taking Hydrocortisone for dermatitis in private area. || Doctor: Hello. I can understand your concern. According to your statement, you have alopecia on beard. It has been there for the last few months and you are on medication like Hydrocortisone for dermatitis. You may be suffered from alopecia areata which is a peculiar form of hair loss that usually affects the scalp but can occur on any hair-bearing skin like your beard. For most patients the condition resolves without treatment within a year but the hair loss is sometimes permanent. The cause of alopecia areata is probably an autoimmune reaction. This means the body's immune system incorrectly attacks the body's own cells. In case of alopecia areata, the cells under attack are in the hair follicles (structure that grow hair), especially follicles within hair-bearing skin. Alopecia Areata can be resulted from autoimmune disorders such as atopy, allergy, thyroiditis, vitiligo, etc. Even some studies show that stress, family history of alopecia, vitamin deficiency like Biotin, Vitamin A, C, D, E, etc., nutritional deficiency like iron, zinc, protein, etc., can also cause alopecia areata. For the treatment of alopecia areata, you can use Intralesional corticosteroid injections, topical Minoxidil, Anthralin cream or ointment, and topical corticosteroids. By using any of the above-mentioned medication and taking vitamin and nutrition that are mentioned above, you can get rid of alopecia areata within some months. | patient: hello doctor, i have noticed some alopecia on my beard. it has been there for the past few months. i have never had any issues like this before and worried that the hair will not grow back. is there anything i can do? i am currently taking hydrocortisone for dermatitis in private area. || doctor: hello. i can understand your concern. according to your statement, you have alopecia on beard. it has been there for the last few months and you are on medication like hydrocortisone for dermatitis. you may be suffered from alopecia areata which is a peculiar form of hair loss that usually affects the scalp but can occur on any hair-bearing skin like your beard. for most patients the condition resolves without treatment within a year but the hair loss is sometimes permanent. the cause of alopecia areata is probably an autoimmune reaction. this means the body's immune system incorrectly attacks the body's own cells. in case of alopecia areata, the cells under attack are in the hair follicles (structure that grow hair), especially follicles within hair-bearing skin. alopecia areata can be resulted from autoimmune disorders such as atopy, allergy, thyroiditis, vitiligo, etc. even some studies show that stress, family history of alopecia, vitamin deficiency like biotin, vitamin a, c, d, e, etc., nutritional deficiency like iron, zinc, protein, etc., can also cause alopecia areata. for the treatment of alopecia areata, you can use intralesional corticosteroid injections, topical minoxidil, anthralin cream or ointment, and topical corticosteroids. by using any of the above-mentioned medication and taking vitamin and nutrition that are mentioned above, you can get rid of alopecia areata within some months. |
9,493 | 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 --> |
9,494 | 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 --> |
9,495 | 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.---> |
9,496 | 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 --> |
9,497 | 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 --> |
9,498 | Q. I had my periods after 2 months and now am having periods for 18 days now. Please help. | Hi, My age is 21 years. I had my periods after 2 months and now I am having periods for 18 days now. Though there is no pain or heavy flow, I am worried. Please help. | Hi. So, you should consult a gynaecologist online immediately for proper investigation to rule out the cause and get treated accordingly --> | Patient: Hi, My age is 21 years. I had my periods after 2 months and now I am having periods for 18 days now. Though there is no pain or heavy flow, I am worried. Please help. || Doctor: Hi. So, you should consult a gynaecologist online immediately for proper investigation to rule out the cause and get treated accordingly --> | patient: hi, my age is 21 years. i had my periods after 2 months and now i am having periods for 18 days now. though there is no pain or heavy flow, i am worried. please help. || doctor: hi. so, you should consult a gynaecologist online immediately for proper investigation to rule out the cause and get treated accordingly --> |
9,499 | Q. Suffering from OCD(Obsessive Compulsive Disorder). Taking medicines, but I do not feel completely good. Please help. | Hello doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since last 10 years. Getting treated by a doctor with medicines. But I do not feel completely good. Many times I go into very sad mood. Please give me suggestions. | Hi, Thanks for writing to us. Your answer is as follows: OCD is manageable with the help of regular psychiatric and therapeutic work. Only medicines can never treat OCD, neither managed completely. Cognitive Behavior Therapy (CBT) is paired with medical treatment to deal with obsessions and compulsions simultaneously. Medications are only used to decrease the extreme symptoms of anxiety (because of obsessions); and once they are controlled, CBT has to be immediately started for the person. CBT is mainly used to teach the skills to the person and guide him/her to control his/her obsessions and manage compulsions (behaviors) linked with thoughts. So, you are advised to consult a CBT-therapist near you and take regular sessions to learn certain techniques including ERP(Exposure and Response Prevention), Relaxation Therapy, DIET and sleep management. Alternatively you can book for an online therapy at icliniq, and we will help you with this as well. Hope it helps. | Patient: Hello doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since last 10 years. Getting treated by a doctor with medicines. But I do not feel completely good. Many times I go into very sad mood. Please give me suggestions. || Doctor: Hi, Thanks for writing to us. Your answer is as follows: OCD is manageable with the help of regular psychiatric and therapeutic work. Only medicines can never treat OCD, neither managed completely. Cognitive Behavior Therapy (CBT) is paired with medical treatment to deal with obsessions and compulsions simultaneously. Medications are only used to decrease the extreme symptoms of anxiety (because of obsessions); and once they are controlled, CBT has to be immediately started for the person. CBT is mainly used to teach the skills to the person and guide him/her to control his/her obsessions and manage compulsions (behaviors) linked with thoughts. So, you are advised to consult a CBT-therapist near you and take regular sessions to learn certain techniques including ERP(Exposure and Response Prevention), Relaxation Therapy, DIET and sleep management. Alternatively you can book for an online therapy at icliniq, and we will help you with this as well. Hope it helps. | patient: hello doctor, i am suffering from ocd (obsessive compulsive disorder) since last 10 years. getting treated by a doctor with medicines. but i do not feel completely good. many times i go into very sad mood. please give me suggestions. || doctor: hi, thanks for writing to us. your answer is as follows: ocd is manageable with the help of regular psychiatric and therapeutic work. only medicines can never treat ocd, neither managed completely. cognitive behavior therapy (cbt) is paired with medical treatment to deal with obsessions and compulsions simultaneously. medications are only used to decrease the extreme symptoms of anxiety (because of obsessions); and once they are controlled, cbt has to be immediately started for the person. cbt is mainly used to teach the skills to the person and guide him/her to control his/her obsessions and manage compulsions (behaviors) linked with thoughts. so, you are advised to consult a cbt-therapist near you and take regular sessions to learn certain techniques including erp(exposure and response prevention), relaxation therapy, diet and sleep management. alternatively you can book for an online therapy at icliniq, and we will help you with this as well. hope it helps. |
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