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9,500 | Q. What is the root cause of pancreas problem in a 17-year-old? | Hello doctor, I herewith attach the medical reports of my son aged 17 years old who had pancreas problem. He does not have any bad habits. He is taking medicine as per doctors advise. Mild home food is being given. But still now and then he reports mild stomach pain. Kindly clarify the following: What is the root cause of this pancreatic problem? How long we should give mild food and when can we give him normal food? Whether the mild stomach pain he reports is normal or any further investigation is needed? Whether it is completely curable? What is the home remedy? We are very much worried since he is very young. When he gets mild stomach pain he gets disturbed. Kindly advice. Currently, he is taking Bronac 1-0-1 and Panlipase 0-1-1. | Hi. I understand the anxiety you have regarding your son. He has pancreatitis. Is this the first time he is getting this? Does he take alcohol? Did he have any injury to the abdomen? Have you checked his serum triglycerides and calcium? Is he on any long-term medications or recently started in any medicine before the attack of pancreatitis? The cause of the problem is not clear in your son's case. It may be a genetic predisposition for pancreatitis which is the common cause in this age group. Please do the other tests which I have asked. Also, he needs a scan called MRCP (magnetic resonance cholangiopancreatography). Answers to your questions: For more information consult a general surgeon online --> | Patient: Hello doctor, I herewith attach the medical reports of my son aged 17 years old who had pancreas problem. He does not have any bad habits. He is taking medicine as per doctors advise. Mild home food is being given. But still now and then he reports mild stomach pain. Kindly clarify the following: What is the root cause of this pancreatic problem? How long we should give mild food and when can we give him normal food? Whether the mild stomach pain he reports is normal or any further investigation is needed? Whether it is completely curable? What is the home remedy? We are very much worried since he is very young. When he gets mild stomach pain he gets disturbed. Kindly advice. Currently, he is taking Bronac 1-0-1 and Panlipase 0-1-1. || Doctor: Hi. I understand the anxiety you have regarding your son. He has pancreatitis. Is this the first time he is getting this? Does he take alcohol? Did he have any injury to the abdomen? Have you checked his serum triglycerides and calcium? Is he on any long-term medications or recently started in any medicine before the attack of pancreatitis? The cause of the problem is not clear in your son's case. It may be a genetic predisposition for pancreatitis which is the common cause in this age group. Please do the other tests which I have asked. Also, he needs a scan called MRCP (magnetic resonance cholangiopancreatography). Answers to your questions: For more information consult a general surgeon online --> | patient: hello doctor, i herewith attach the medical reports of my son aged 17 years old who had pancreas problem. he does not have any bad habits. he is taking medicine as per doctors advise. mild home food is being given. but still now and then he reports mild stomach pain. kindly clarify the following: what is the root cause of this pancreatic problem? how long we should give mild food and when can we give him normal food? whether the mild stomach pain he reports is normal or any further investigation is needed? whether it is completely curable? what is the home remedy? we are very much worried since he is very young. when he gets mild stomach pain he gets disturbed. kindly advice. currently, he is taking bronac 1-0-1 and panlipase 0-1-1. || doctor: hi. i understand the anxiety you have regarding your son. he has pancreatitis. is this the first time he is getting this? does he take alcohol? did he have any injury to the abdomen? have you checked his serum triglycerides and calcium? is he on any long-term medications or recently started in any medicine before the attack of pancreatitis? the cause of the problem is not clear in your son's case. it may be a genetic predisposition for pancreatitis which is the common cause in this age group. please do the other tests which i have asked. also, he needs a scan called mrcp (magnetic resonance cholangiopancreatography). answers to your questions: for more information consult a general surgeon online --> |
9,501 | Q. What is the risk of Down's in my wife's double marker report? | Hi Doctor, This is the report of Double Marker test of my wife: Corrected MoM and calculated risks: fb-hCG 165 ng/ml 3.82 Corr. MoM PAPP-A 1.84 mlU/ml o.45 Corr. MoM Ultrasound data: Nuchal translucency 1.00 mm CRL 60 mm 0.64 MoM Gestational age by CRL 12+ 2 Nasal bone present Gestational age on the day of serum taking 12+ 2 Risk at term: Biochem. risk +NT 1:356 (below cut off). Double test >1:50 (above cut off). Age risk 1:1515. Trisomy 13/18 +NT. | Hello. To explain you the report in plain language, first of all, let me tell you that the dual marker test is just a screening test for Down's syndrome and other chromosomal anomalies like trisomy 13/18. So, the test involves calculation of the risk of carrying a Down's syndrome baby by the mother, which is then compared with the general population's risk. In your case, although the risk based on serum markers is high, the combined risk taking into account the age, NT, and the markers is still below the cut-off. So, it means it is a low risk. For more information consult an obstetrician and gynaecologist online --> | Patient: Hi Doctor, This is the report of Double Marker test of my wife: Corrected MoM and calculated risks: fb-hCG 165 ng/ml 3.82 Corr. MoM PAPP-A 1.84 mlU/ml o.45 Corr. MoM Ultrasound data: Nuchal translucency 1.00 mm CRL 60 mm 0.64 MoM Gestational age by CRL 12+ 2 Nasal bone present Gestational age on the day of serum taking 12+ 2 Risk at term: Biochem. risk +NT 1:356 (below cut off). Double test >1:50 (above cut off). Age risk 1:1515. Trisomy 13/18 +NT. || Doctor: Hello. To explain you the report in plain language, first of all, let me tell you that the dual marker test is just a screening test for Down's syndrome and other chromosomal anomalies like trisomy 13/18. So, the test involves calculation of the risk of carrying a Down's syndrome baby by the mother, which is then compared with the general population's risk. In your case, although the risk based on serum markers is high, the combined risk taking into account the age, NT, and the markers is still below the cut-off. So, it means it is a low risk. For more information consult an obstetrician and gynaecologist online --> | patient: hi doctor, this is the report of double marker test of my wife: corrected mom and calculated risks: fb-hcg 165 ng/ml 3.82 corr. mom papp-a 1.84 mlu/ml o.45 corr. mom ultrasound data: nuchal translucency 1.00 mm crl 60 mm 0.64 mom gestational age by crl 12+ 2 nasal bone present gestational age on the day of serum taking 12+ 2 risk at term: biochem. risk +nt 1:356 (below cut off). double test >1:50 (above cut off). age risk 1:1515. trisomy 13/18 +nt. || doctor: hello. to explain you the report in plain language, first of all, let me tell you that the dual marker test is just a screening test for down's syndrome and other chromosomal anomalies like trisomy 13/18. so, the test involves calculation of the risk of carrying a down's syndrome baby by the mother, which is then compared with the general population's risk. in your case, although the risk based on serum markers is high, the combined risk taking into account the age, nt, and the markers is still below the cut-off. so, it means it is a low risk. for more information consult an obstetrician and gynaecologist online --> |
9,502 | Q. Is it common to feel dizzy while switching from Phenytoin to Briviact? | Hello doctor, I recently tried switching medicines from Phenytoin to Briviact. Last night, was the first time I tried it. I am transitioning off the Phenytoin. I became dizzy, disoriented and felt very weird. I have not had a seizure in the last 9 years. But, I was not ready to go off the medicines, since I do a lot of traveling. My neurologist recommended to try a new medication with less side effects. Is this a common experience while switching Phenytoin to Briviact? I took it last night at 9.30 and I am still feeling out of it and irritable. I have never had this side effect from the Phenytoin. | Hi. For further information consult a neurologist online --> | Patient: Hello doctor, I recently tried switching medicines from Phenytoin to Briviact. Last night, was the first time I tried it. I am transitioning off the Phenytoin. I became dizzy, disoriented and felt very weird. I have not had a seizure in the last 9 years. But, I was not ready to go off the medicines, since I do a lot of traveling. My neurologist recommended to try a new medication with less side effects. Is this a common experience while switching Phenytoin to Briviact? I took it last night at 9.30 and I am still feeling out of it and irritable. I have never had this side effect from the Phenytoin. || Doctor: Hi. For further information consult a neurologist online --> | patient: hello doctor, i recently tried switching medicines from phenytoin to briviact. last night, was the first time i tried it. i am transitioning off the phenytoin. i became dizzy, disoriented and felt very weird. i have not had a seizure in the last 9 years. but, i was not ready to go off the medicines, since i do a lot of traveling. my neurologist recommended to try a new medication with less side effects. is this a common experience while switching phenytoin to briviact? i took it last night at 9.30 and i am still feeling out of it and irritable. i have never had this side effect from the phenytoin. || doctor: hi. for further information consult a neurologist online --> |
9,503 | Q. Is it safe to take Udiliv 300 mg five times a day for high SGPT and itching during pregnancy? | Hi doctor, I am 27 weeks pregnant and have been detected with high SGPT 117. I have full body itiching which is getting worse, and my doctor has prescribed me Udiliv 300 mg five times a day for one month. Is it safe to take Udiliv 300 mg five times? | Hello. Based on the description you mentioned, it appears that you have this condition called intrahepatic cholestasis of pregnancy (ICP), which can cause elevated liver enzymes or bilirubin along with itching. But however, it is important to rule out other causes of elevated liver enzymes (SGOT, SGPT, ALP) like hepatitis, HELLP syndrome (syndrome of hemolysis, elevated liver enzymes, and low platelet count). Each condition can have different implications in pregnancy. Please check for your blood pressure records, platelets count, coagulation profile, viral markers (HBsAg, Anti HCV, HEV IgG and IgM). It would have been good if you could share the reports of your liver function tests and ultrasound abdomen (for liver) and also given details about any other symptoms you have faced like any stool or urine color changes, skin or eyes color changes, any fever, any raised blood pressure records, or any skin rashes (excluding that caused due to scratching because of itching). And yes, Udiliv is totally safe in pregnancy and has shown to improve the symptoms and also the level of liver enzymes in ICP. Please take Vitamin k supplements to avoid any coagulation defects. | Patient: Hi doctor, I am 27 weeks pregnant and have been detected with high SGPT 117. I have full body itiching which is getting worse, and my doctor has prescribed me Udiliv 300 mg five times a day for one month. Is it safe to take Udiliv 300 mg five times? || Doctor: Hello. Based on the description you mentioned, it appears that you have this condition called intrahepatic cholestasis of pregnancy (ICP), which can cause elevated liver enzymes or bilirubin along with itching. But however, it is important to rule out other causes of elevated liver enzymes (SGOT, SGPT, ALP) like hepatitis, HELLP syndrome (syndrome of hemolysis, elevated liver enzymes, and low platelet count). Each condition can have different implications in pregnancy. Please check for your blood pressure records, platelets count, coagulation profile, viral markers (HBsAg, Anti HCV, HEV IgG and IgM). It would have been good if you could share the reports of your liver function tests and ultrasound abdomen (for liver) and also given details about any other symptoms you have faced like any stool or urine color changes, skin or eyes color changes, any fever, any raised blood pressure records, or any skin rashes (excluding that caused due to scratching because of itching). And yes, Udiliv is totally safe in pregnancy and has shown to improve the symptoms and also the level of liver enzymes in ICP. Please take Vitamin k supplements to avoid any coagulation defects. | patient: hi doctor, i am 27 weeks pregnant and have been detected with high sgpt 117. i have full body itiching which is getting worse, and my doctor has prescribed me udiliv 300 mg five times a day for one month. is it safe to take udiliv 300 mg five times? || doctor: hello. based on the description you mentioned, it appears that you have this condition called intrahepatic cholestasis of pregnancy (icp), which can cause elevated liver enzymes or bilirubin along with itching. but however, it is important to rule out other causes of elevated liver enzymes (sgot, sgpt, alp) like hepatitis, hellp syndrome (syndrome of hemolysis, elevated liver enzymes, and low platelet count). each condition can have different implications in pregnancy. please check for your blood pressure records, platelets count, coagulation profile, viral markers (hbsag, anti hcv, hev igg and igm). it would have been good if you could share the reports of your liver function tests and ultrasound abdomen (for liver) and also given details about any other symptoms you have faced like any stool or urine color changes, skin or eyes color changes, any fever, any raised blood pressure records, or any skin rashes (excluding that caused due to scratching because of itching). and yes, udiliv is totally safe in pregnancy and has shown to improve the symptoms and also the level of liver enzymes in icp. please take vitamin k supplements to avoid any coagulation defects. |
9,504 | Q. My wife is 8 weeks pregnant and taking Asmita. Can pregnancy be continued? | Hello doctor, My wife had irregular periods. We consulted a gynecologist and she suggested starting Asmita tablet for 21 days and Oosure tablet for a month. We started medication from mid of last month. Now, ultrasound says that she is 8 weeks pregnant. My question is can she continue the pregnancy? Or go for abortion? I do not want any complications for my child. She also has thyroid problem. | Hello. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My wife had irregular periods. We consulted a gynecologist and she suggested starting Asmita tablet for 21 days and Oosure tablet for a month. We started medication from mid of last month. Now, ultrasound says that she is 8 weeks pregnant. My question is can she continue the pregnancy? Or go for abortion? I do not want any complications for my child. She also has thyroid problem. || Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, my wife had irregular periods. we consulted a gynecologist and she suggested starting asmita tablet for 21 days and oosure tablet for a month. we started medication from mid of last month. now, ultrasound says that she is 8 weeks pregnant. my question is can she continue the pregnancy? or go for abortion? i do not want any complications for my child. she also has thyroid problem. || doctor: hello. for further information consult an obstetrician and gynaecologist online --> |
9,505 | Q. Why am I getting blood in stool? | Hello doctor, I am getting blood after my toilet and from last night I have to go to the toilet every 10 minutes. I am a 25-year-old female with a weight of 55 kg and height 5'2". | Hello. You are having blood in stool complaint as per history. Hereby, I am giving you my opinion on your case. It can be an acute infective condition like gastroenteritis or colitis. Your local rectal examination should be done and stool routine microscopic examination should be done for primary work up. You can be given an antibiotic course after stool report like Ofloxacin plus Ornidazole combination for five days. Drink more water. Avoid excess spicy foods. The probiotic tablet can be prescribed along with maintaining hydration with lots of water. Take Vital Z powder (Dextrose and Potassium chloride) with water to maintain electrolyte balance. Take care. Consult a physician for examination and discuss all these. For more information consult a family physician online --> | Patient: Hello doctor, I am getting blood after my toilet and from last night I have to go to the toilet every 10 minutes. I am a 25-year-old female with a weight of 55 kg and height 5'2". || Doctor: Hello. You are having blood in stool complaint as per history. Hereby, I am giving you my opinion on your case. It can be an acute infective condition like gastroenteritis or colitis. Your local rectal examination should be done and stool routine microscopic examination should be done for primary work up. You can be given an antibiotic course after stool report like Ofloxacin plus Ornidazole combination for five days. Drink more water. Avoid excess spicy foods. The probiotic tablet can be prescribed along with maintaining hydration with lots of water. Take Vital Z powder (Dextrose and Potassium chloride) with water to maintain electrolyte balance. Take care. Consult a physician for examination and discuss all these. For more information consult a family physician online --> | patient: hello doctor, i am getting blood after my toilet and from last night i have to go to the toilet every 10 minutes. i am a 25-year-old female with a weight of 55 kg and height 5'2". || doctor: hello. you are having blood in stool complaint as per history. hereby, i am giving you my opinion on your case. it can be an acute infective condition like gastroenteritis or colitis. your local rectal examination should be done and stool routine microscopic examination should be done for primary work up. you can be given an antibiotic course after stool report like ofloxacin plus ornidazole combination for five days. drink more water. avoid excess spicy foods. the probiotic tablet can be prescribed along with maintaining hydration with lots of water. take vital z powder (dextrose and potassium chloride) with water to maintain electrolyte balance. take care. consult a physician for examination and discuss all these. for more information consult a family physician online --> |
9,506 | Q. I will have to drive for 10 hours with a newborn. Can I use a car bed? | Dear doctor, I will have to drive with a newborn from a hospital home for 10 hours (delivery is in another state). Even though the car seat is fine for short distance drives, would not it be better if the baby can lie down flat? Assuming the baby is full term and absolutely healthy, would it be alright to use a car bed which is designed for preemies? For example, Cosco Dreamride SE Latch infant car bed. Is there any health danger if a preemie's car bed is used for a full-term healthy baby? | Hello. So, be careful and all the best. For more information consult a paediatrician online --> | Patient: Dear doctor, I will have to drive with a newborn from a hospital home for 10 hours (delivery is in another state). Even though the car seat is fine for short distance drives, would not it be better if the baby can lie down flat? Assuming the baby is full term and absolutely healthy, would it be alright to use a car bed which is designed for preemies? For example, Cosco Dreamride SE Latch infant car bed. Is there any health danger if a preemie's car bed is used for a full-term healthy baby? || Doctor: Hello. So, be careful and all the best. For more information consult a paediatrician online --> | patient: dear doctor, i will have to drive with a newborn from a hospital home for 10 hours (delivery is in another state). even though the car seat is fine for short distance drives, would not it be better if the baby can lie down flat? assuming the baby is full term and absolutely healthy, would it be alright to use a car bed which is designed for preemies? for example, cosco dreamride se latch infant car bed. is there any health danger if a preemie's car bed is used for a full-term healthy baby? || doctor: hello. so, be careful and all the best. for more information consult a paediatrician online --> |
9,507 | Q. What condition can cause chronic constipation and gas problem? | Hi doctor, I am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. I have consulted many doctors and they usually suggest digestion tonics and tablets. One of them suggested me to do regular exercise and morning walk but that also did not help much. I have strictly banned myself from eating junk or street food over 6-7 months. My weight has not much increased in this period instead I have gained fat in my belly part. Main problem which I face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. I always feel stomach bloating. Other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. Occasionally I feel sleepy and there is some joint and muscular pain. Seven months ago, I had stone in my kidney. It was removed by surgery using PCNL technique. Also four years back, I had appendicectomy. | Hi. You seem to be suffering from irritable bowel syndrome (IBS). Functional. Thyroid and blood sugar. Acid peptic disease. IBS. Revert back after 10 days of starting the medicines to a medical gastroenterologist online.---> | Patient: Hi doctor, I am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. I have consulted many doctors and they usually suggest digestion tonics and tablets. One of them suggested me to do regular exercise and morning walk but that also did not help much. I have strictly banned myself from eating junk or street food over 6-7 months. My weight has not much increased in this period instead I have gained fat in my belly part. Main problem which I face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. I always feel stomach bloating. Other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. Occasionally I feel sleepy and there is some joint and muscular pain. Seven months ago, I had stone in my kidney. It was removed by surgery using PCNL technique. Also four years back, I had appendicectomy. || Doctor: Hi. You seem to be suffering from irritable bowel syndrome (IBS). Functional. Thyroid and blood sugar. Acid peptic disease. IBS. Revert back after 10 days of starting the medicines to a medical gastroenterologist online.---> | patient: hi doctor, i am a 20 year old male suffering from long term constipation and gas problem for around 1.5 years. i have consulted many doctors and they usually suggest digestion tonics and tablets. one of them suggested me to do regular exercise and morning walk but that also did not help much. i have strictly banned myself from eating junk or street food over 6-7 months. my weight has not much increased in this period instead i have gained fat in my belly part. main problem which i face in day to day life is constipation which includes less regular motion and sometimes no motion for two to three days. i always feel stomach bloating. other problems are acidity or acid reflux, feeling of tiredness, less motivation to work, dry skin, dandruff in hair and hair fall. occasionally i feel sleepy and there is some joint and muscular pain. seven months ago, i had stone in my kidney. it was removed by surgery using pcnl technique. also four years back, i had appendicectomy. || doctor: hi. you seem to be suffering from irritable bowel syndrome (ibs). functional. thyroid and blood sugar. acid peptic disease. ibs. revert back after 10 days of starting the medicines to a medical gastroenterologist online.---> |
9,508 | Q. What are the tiny smooth painless bumps on the butt? | Hello doctor,I am 21 years old. About a month ago, I realized I had tiny smooth painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom so I knows it is not razor bumps. I do not remember ever seeing them before and they do seem to be spreading although some have disappeared. Any ideas what it could be? | Hi. I saw your clinical pictures (attachment removed to protect patient identity). I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules. For more information consult a dermatologist online --> | Patient: Hello doctor,I am 21 years old. About a month ago, I realized I had tiny smooth painless bumps on the inside of my butt cheek. They do not have pus, itch, or hurt. I have had unprotected sex, so I went to a clinic. That doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. She recommended I see a dermatologist. I do not shave my bottom so I knows it is not razor bumps. I do not remember ever seeing them before and they do seem to be spreading although some have disappeared. Any ideas what it could be? || Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity). I am very sorry the pictures are bit blurry, but it looks like molluscum. You will have to meet dermatologist because you are saying that they are spreading. Molluscum is also sexually transmitted viral infection. Molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. It can be confirmed by dermoscopic examination. Another possibility is folliculitis in that area, they are usually painful pustules. For more information consult a dermatologist online --> | patient: hello doctor,i am 21 years old. about a month ago, i realized i had tiny smooth painless bumps on the inside of my butt cheek. they do not have pus, itch, or hurt. i have had unprotected sex, so i went to a clinic. that doctor said it was not herpes and she did not think it was warts because there were too many of them and they were too smooth. she recommended i see a dermatologist. i do not shave my bottom so i knows it is not razor bumps. i do not remember ever seeing them before and they do seem to be spreading although some have disappeared. any ideas what it could be? || doctor: hi. i saw your clinical pictures (attachment removed to protect patient identity). i am very sorry the pictures are bit blurry, but it looks like molluscum. you will have to meet dermatologist because you are saying that they are spreading. molluscum is also sexually transmitted viral infection. molluscum is a highly contagious viral infection, presents with pearly white papules (bumps) with a central pit. it can be confirmed by dermoscopic examination. another possibility is folliculitis in that area, they are usually painful pustules. for more information consult a dermatologist online --> |
9,509 | 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 --> |
9,510 | 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 --> |
9,511 | 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.---> |
9,512 | 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 --> |
9,513 | 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 --> |
9,514 | Q. I have mild pain in the left side chest. Is it a cardiac problem? | Hi doctor, I have mild pain in the left side of the chest. I always have a feeling of having a heart attack and blockage. I am not taking any medications. Please suggest. | Hi. It can be a muscular spasm, or a heart problem or a gastrointestinal issue. Kindly send your laboratory reports soon to guide you further. | Patient: Hi doctor, I have mild pain in the left side of the chest. I always have a feeling of having a heart attack and blockage. I am not taking any medications. Please suggest. || Doctor: Hi. It can be a muscular spasm, or a heart problem or a gastrointestinal issue. Kindly send your laboratory reports soon to guide you further. | patient: hi doctor, i have mild pain in the left side of the chest. i always have a feeling of having a heart attack and blockage. i am not taking any medications. please suggest. || doctor: hi. it can be a muscular spasm, or a heart problem or a gastrointestinal issue. kindly send your laboratory reports soon to guide you further. |
9,515 | Q. My hearing is muffled after a noise-induced hearing loss incident. Will it ever get better? | Hello doctor, I experienced a noise-induced hearing loss incident three days ago by firing a couple of shots from a rifle without using ear plugs. I went to see a doctor. He confirmed that my eardrums were not ruptured and prescribed 20 mg of Prednisone. As of now, my hearing is still muffled, loud noises hurt my ears, and my ears are still ringing. Whenever I plug and unplug my ears, my hearing returns to normal for 5 to 10 seconds. Will this muffled hearing improve or did I ruin my ears permanently? | Hello. Do revert if you need any further support. I will be happy to help you. For more information consult an ENT otolaryngologist online --> | Patient: Hello doctor, I experienced a noise-induced hearing loss incident three days ago by firing a couple of shots from a rifle without using ear plugs. I went to see a doctor. He confirmed that my eardrums were not ruptured and prescribed 20 mg of Prednisone. As of now, my hearing is still muffled, loud noises hurt my ears, and my ears are still ringing. Whenever I plug and unplug my ears, my hearing returns to normal for 5 to 10 seconds. Will this muffled hearing improve or did I ruin my ears permanently? || Doctor: Hello. Do revert if you need any further support. I will be happy to help you. For more information consult an ENT otolaryngologist online --> | patient: hello doctor, i experienced a noise-induced hearing loss incident three days ago by firing a couple of shots from a rifle without using ear plugs. i went to see a doctor. he confirmed that my eardrums were not ruptured and prescribed 20 mg of prednisone. as of now, my hearing is still muffled, loud noises hurt my ears, and my ears are still ringing. whenever i plug and unplug my ears, my hearing returns to normal for 5 to 10 seconds. will this muffled hearing improve or did i ruin my ears permanently? || doctor: hello. do revert if you need any further support. i will be happy to help you. for more information consult an ent otolaryngologist online --> |
9,516 | Q. During sexual activity suddenly I am losing erection. What to do? | Hi doctor, During sexual activity with my wife, initially I am getting erection. But at the time of penetration, suddenly I am losing erection. I found sudden decrease in sexual interest too. What to do? | Hello. For further information consult a sexologist online --> | Patient: Hi doctor, During sexual activity with my wife, initially I am getting erection. But at the time of penetration, suddenly I am losing erection. I found sudden decrease in sexual interest too. What to do? || Doctor: Hello. For further information consult a sexologist online --> | patient: hi doctor, during sexual activity with my wife, initially i am getting erection. but at the time of penetration, suddenly i am losing erection. i found sudden decrease in sexual interest too. what to do? || doctor: hello. for further information consult a sexologist online --> |
9,517 | Q. My serum bicarbonate level is low. Is it due to respiratory alkalosis? | Hello doctor, I have been really sick from last two weeks. Two weeks ago, I had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. The chest symptoms were there straight away, and my asthma medicines (Symbicort and Ventolin) were not working from the start. I was taking 200 mg Symbicort twice daily, and Ventolin every three hours or so. After a weekend of being short of breath and tight-chested, I was on my way to my GP just to run my symptoms by him to see if I needed a GP or ER. He told me to take 12 puffs of Ventolin and go straight to the ER. The ER did ECG, chest x-ray, and blood tests. They gave me a nebulizer and Prednisone 50 mg and sent me on my way. I was still short of breath. My chest x-ray was clear, and my blood showed no infection. I did not have any improvement for the week, and I was taking Prednisone, Symbicort, and Ventolin every 2 to 3 hours. I was short of breath all week. I went to another GP, who sent me straight to the ER again. An intern took my history, after three hours of waiting with chest tightness, shortness of breath, mild intermittent sharp chest pain, and lifelong asthma, etc. I also explained that I am a non-wheezing asthmatic, and when I feel at my worst nothing can ever be heard on my chest. Interestingly, he only noted intermittent sharp chest pain not worse on deep inspiration. He did not note chest tightness when breathing. I also told them that for the 10 days, I had coughed more at night but the shortness of breath decreased overnight every night and was gone in the morning and then just gradually increased over the day until it was sober. Then the registrar came and told me that I was to be sent home, as I was taking too much medication and that was causing my heart to race, and that is why I had shortness of breath. I explained that I had shortness of breath before taking lots of medicines and that was why my physician sent me to the hospital the previous day. I did not even know that I could take it more than my usual two puffs every four hours. I was taking medicines as per my brand new asthma plan, which was given to me by my GP. I asked him "was my heart rate high when the intern tested me?" To this, he answered, "I do not know, and I have not looked." Then he took my pulse for about three seconds with no watch and said it was 100 per minutes, but my heart rate has been tested over and over all week and was normal every time, that is why I challenged him. He then said that he would keep me in overnight for observations and to await a blood test for a blood clot. The intern had told me they would be doing an ECG and lung function tests. They put me in a room with about eight recliner chairs and no blanket. The nurse attended to everyone else in that room all night and did not even look at me once. She just ignored me. She did not even come close to me. I was awake most of the night. I could hear everything she did with the other patients. My breathing settled a little, but it was still labored all night, and I was coughing all night. They would not let me have my asthma medication. I felt hot and then cold, and I had a migraine. I felt so unwell that I could not get up to reach the button and was just waiting for her to come and help me so that I could tell her. At handover in the morning, she told the next nurse all my information loudly until she came to the bit where she whispered to him that I had been fine all night. I could not believe it. I managed to get some Panadol out of the new nurse, as he did my observation at 7 AM. Then the morning doctor, a young boy, told me he was sending me home, as I was better. I said that my shortness of breath was slowly returning with movement, as I told the doctors at night would happen. He said with asthma; I would be better off being at home as if I caught one of the nasty bugs in there things would get way worse. He said "you do not look like you are dying, and that is my job to see if you look like you are dying. And if you do not, then you are sent home". They never gave me an ECG, and they never gave me lung function tests. My discharge report simply stated that I should go home and take my Ventolin if severely short of breath with wheezing. They made up their minds that I was just taking too many medicines or that I had a 10-day long panic attack. My GP asked me if I had been put on any antibiotics, and I told her how the ER said I had no infection. The GP said, but how did they know if they only took blood? She told me that the hospital tests would not show up a chest infection. So she put me on five days of Augmentin, and the headache is gone now and asthma slightly better, but I still feel tightness and short of breath. I have been sitting for an hour and a half and am breathing like I have been on a long walk. This has really scared me. The only message I got from the ER says that do not go there even if you have serious symptoms. I have been sent there by doctors. I have not been believed about my asthma all my life, as I never have a wheeze and since menopause, my asthma has gone from mild to sometimes really bad. Home GP was worried about respiratory alkalosis, as I had been hyperventilating for 10 days. I told the intern and registrar what the GP was concerned about, and they just shrugged like it was unimportant. When I read my discharge summary, I saw my bicarbonate level is low, which indicates the possibility of respiratory alkalosis, does not it? And my eGFR level was low also, which indicates the possibility of a problem with my kidneys. The doctors told me none of this. I am being treated for low vitamin B12 and tested for anemia at the moment by my GP. I would like a second opinion as none of this is making any sense to me, and I am still pretty much just as breathless and just as tight chested when I breath. Between ER doctors and GPs, I have nowhere else to turn. I am now taking Symbicort and Ventolin. | Hello. I am sorry for your trouble. For more information consult a pulmonologist online --> | Patient: Hello doctor, I have been really sick from last two weeks. Two weeks ago, I had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. The chest symptoms were there straight away, and my asthma medicines (Symbicort and Ventolin) were not working from the start. I was taking 200 mg Symbicort twice daily, and Ventolin every three hours or so. After a weekend of being short of breath and tight-chested, I was on my way to my GP just to run my symptoms by him to see if I needed a GP or ER. He told me to take 12 puffs of Ventolin and go straight to the ER. The ER did ECG, chest x-ray, and blood tests. They gave me a nebulizer and Prednisone 50 mg and sent me on my way. I was still short of breath. My chest x-ray was clear, and my blood showed no infection. I did not have any improvement for the week, and I was taking Prednisone, Symbicort, and Ventolin every 2 to 3 hours. I was short of breath all week. I went to another GP, who sent me straight to the ER again. An intern took my history, after three hours of waiting with chest tightness, shortness of breath, mild intermittent sharp chest pain, and lifelong asthma, etc. I also explained that I am a non-wheezing asthmatic, and when I feel at my worst nothing can ever be heard on my chest. Interestingly, he only noted intermittent sharp chest pain not worse on deep inspiration. He did not note chest tightness when breathing. I also told them that for the 10 days, I had coughed more at night but the shortness of breath decreased overnight every night and was gone in the morning and then just gradually increased over the day until it was sober. Then the registrar came and told me that I was to be sent home, as I was taking too much medication and that was causing my heart to race, and that is why I had shortness of breath. I explained that I had shortness of breath before taking lots of medicines and that was why my physician sent me to the hospital the previous day. I did not even know that I could take it more than my usual two puffs every four hours. I was taking medicines as per my brand new asthma plan, which was given to me by my GP. I asked him "was my heart rate high when the intern tested me?" To this, he answered, "I do not know, and I have not looked." Then he took my pulse for about three seconds with no watch and said it was 100 per minutes, but my heart rate has been tested over and over all week and was normal every time, that is why I challenged him. He then said that he would keep me in overnight for observations and to await a blood test for a blood clot. The intern had told me they would be doing an ECG and lung function tests. They put me in a room with about eight recliner chairs and no blanket. The nurse attended to everyone else in that room all night and did not even look at me once. She just ignored me. She did not even come close to me. I was awake most of the night. I could hear everything she did with the other patients. My breathing settled a little, but it was still labored all night, and I was coughing all night. They would not let me have my asthma medication. I felt hot and then cold, and I had a migraine. I felt so unwell that I could not get up to reach the button and was just waiting for her to come and help me so that I could tell her. At handover in the morning, she told the next nurse all my information loudly until she came to the bit where she whispered to him that I had been fine all night. I could not believe it. I managed to get some Panadol out of the new nurse, as he did my observation at 7 AM. Then the morning doctor, a young boy, told me he was sending me home, as I was better. I said that my shortness of breath was slowly returning with movement, as I told the doctors at night would happen. He said with asthma; I would be better off being at home as if I caught one of the nasty bugs in there things would get way worse. He said "you do not look like you are dying, and that is my job to see if you look like you are dying. And if you do not, then you are sent home". They never gave me an ECG, and they never gave me lung function tests. My discharge report simply stated that I should go home and take my Ventolin if severely short of breath with wheezing. They made up their minds that I was just taking too many medicines or that I had a 10-day long panic attack. My GP asked me if I had been put on any antibiotics, and I told her how the ER said I had no infection. The GP said, but how did they know if they only took blood? She told me that the hospital tests would not show up a chest infection. So she put me on five days of Augmentin, and the headache is gone now and asthma slightly better, but I still feel tightness and short of breath. I have been sitting for an hour and a half and am breathing like I have been on a long walk. This has really scared me. The only message I got from the ER says that do not go there even if you have serious symptoms. I have been sent there by doctors. I have not been believed about my asthma all my life, as I never have a wheeze and since menopause, my asthma has gone from mild to sometimes really bad. Home GP was worried about respiratory alkalosis, as I had been hyperventilating for 10 days. I told the intern and registrar what the GP was concerned about, and they just shrugged like it was unimportant. When I read my discharge summary, I saw my bicarbonate level is low, which indicates the possibility of respiratory alkalosis, does not it? And my eGFR level was low also, which indicates the possibility of a problem with my kidneys. The doctors told me none of this. I am being treated for low vitamin B12 and tested for anemia at the moment by my GP. I would like a second opinion as none of this is making any sense to me, and I am still pretty much just as breathless and just as tight chested when I breath. Between ER doctors and GPs, I have nowhere else to turn. I am now taking Symbicort and Ventolin. || Doctor: Hello. I am sorry for your trouble. For more information consult a pulmonologist online --> | patient: hello doctor, i have been really sick from last two weeks. two weeks ago, i had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. the chest symptoms were there straight away, and my asthma medicines (symbicort and ventolin) were not working from the start. i was taking 200 mg symbicort twice daily, and ventolin every three hours or so. after a weekend of being short of breath and tight-chested, i was on my way to my gp just to run my symptoms by him to see if i needed a gp or er. he told me to take 12 puffs of ventolin and go straight to the er. the er did ecg, chest x-ray, and blood tests. they gave me a nebulizer and prednisone 50 mg and sent me on my way. i was still short of breath. my chest x-ray was clear, and my blood showed no infection. i did not have any improvement for the week, and i was taking prednisone, symbicort, and ventolin every 2 to 3 hours. i was short of breath all week. i went to another gp, who sent me straight to the er again. an intern took my history, after three hours of waiting with chest tightness, shortness of breath, mild intermittent sharp chest pain, and lifelong asthma, etc. i also explained that i am a non-wheezing asthmatic, and when i feel at my worst nothing can ever be heard on my chest. interestingly, he only noted intermittent sharp chest pain not worse on deep inspiration. he did not note chest tightness when breathing. i also told them that for the 10 days, i had coughed more at night but the shortness of breath decreased overnight every night and was gone in the morning and then just gradually increased over the day until it was sober. then the registrar came and told me that i was to be sent home, as i was taking too much medication and that was causing my heart to race, and that is why i had shortness of breath. i explained that i had shortness of breath before taking lots of medicines and that was why my physician sent me to the hospital the previous day. i did not even know that i could take it more than my usual two puffs every four hours. i was taking medicines as per my brand new asthma plan, which was given to me by my gp. i asked him "was my heart rate high when the intern tested me?" to this, he answered, "i do not know, and i have not looked." then he took my pulse for about three seconds with no watch and said it was 100 per minutes, but my heart rate has been tested over and over all week and was normal every time, that is why i challenged him. he then said that he would keep me in overnight for observations and to await a blood test for a blood clot. the intern had told me they would be doing an ecg and lung function tests. they put me in a room with about eight recliner chairs and no blanket. the nurse attended to everyone else in that room all night and did not even look at me once. she just ignored me. she did not even come close to me. i was awake most of the night. i could hear everything she did with the other patients. my breathing settled a little, but it was still labored all night, and i was coughing all night. they would not let me have my asthma medication. i felt hot and then cold, and i had a migraine. i felt so unwell that i could not get up to reach the button and was just waiting for her to come and help me so that i could tell her. at handover in the morning, she told the next nurse all my information loudly until she came to the bit where she whispered to him that i had been fine all night. i could not believe it. i managed to get some panadol out of the new nurse, as he did my observation at 7 am. then the morning doctor, a young boy, told me he was sending me home, as i was better. i said that my shortness of breath was slowly returning with movement, as i told the doctors at night would happen. he said with asthma; i would be better off being at home as if i caught one of the nasty bugs in there things would get way worse. he said "you do not look like you are dying, and that is my job to see if you look like you are dying. and if you do not, then you are sent home". they never gave me an ecg, and they never gave me lung function tests. my discharge report simply stated that i should go home and take my ventolin if severely short of breath with wheezing. they made up their minds that i was just taking too many medicines or that i had a 10-day long panic attack. my gp asked me if i had been put on any antibiotics, and i told her how the er said i had no infection. the gp said, but how did they know if they only took blood? she told me that the hospital tests would not show up a chest infection. so she put me on five days of augmentin, and the headache is gone now and asthma slightly better, but i still feel tightness and short of breath. i have been sitting for an hour and a half and am breathing like i have been on a long walk. this has really scared me. the only message i got from the er says that do not go there even if you have serious symptoms. i have been sent there by doctors. i have not been believed about my asthma all my life, as i never have a wheeze and since menopause, my asthma has gone from mild to sometimes really bad. home gp was worried about respiratory alkalosis, as i had been hyperventilating for 10 days. i told the intern and registrar what the gp was concerned about, and they just shrugged like it was unimportant. when i read my discharge summary, i saw my bicarbonate level is low, which indicates the possibility of respiratory alkalosis, does not it? and my egfr level was low also, which indicates the possibility of a problem with my kidneys. the doctors told me none of this. i am being treated for low vitamin b12 and tested for anemia at the moment by my gp. i would like a second opinion as none of this is making any sense to me, and i am still pretty much just as breathless and just as tight chested when i breath. between er doctors and gps, i have nowhere else to turn. i am now taking symbicort and ventolin. || doctor: hello. i am sorry for your trouble. for more information consult a pulmonologist online --> |
9,518 | Q. How can a circumcision ring be lightened? | Hello doctor,I was wondering if there is anything that can be done to lighten a circumcision ring? Any prescription creams or lasers? | Hi. I would not advise you to use any creams over the penile area to lighten the pigmentation. Since it is a very sensitive area, applying depigmentation creams can lead to side effects if it contains steroids. Depigmentation creams containing kojic acid and others will not help either. It is normal skin tone (attachment removed to protect patient identity), and you should not consider any topical applications. And lasers to reduce pigmentation is not advised over the penile area. For more information consult a cosmetologist online --> | Patient: Hello doctor,I was wondering if there is anything that can be done to lighten a circumcision ring? Any prescription creams or lasers? || Doctor: Hi. I would not advise you to use any creams over the penile area to lighten the pigmentation. Since it is a very sensitive area, applying depigmentation creams can lead to side effects if it contains steroids. Depigmentation creams containing kojic acid and others will not help either. It is normal skin tone (attachment removed to protect patient identity), and you should not consider any topical applications. And lasers to reduce pigmentation is not advised over the penile area. For more information consult a cosmetologist online --> | patient: hello doctor,i was wondering if there is anything that can be done to lighten a circumcision ring? any prescription creams or lasers? || doctor: hi. i would not advise you to use any creams over the penile area to lighten the pigmentation. since it is a very sensitive area, applying depigmentation creams can lead to side effects if it contains steroids. depigmentation creams containing kojic acid and others will not help either. it is normal skin tone (attachment removed to protect patient identity), and you should not consider any topical applications. and lasers to reduce pigmentation is not advised over the penile area. for more information consult a cosmetologist online --> |
9,519 | Q. What is the treatment for ingrown hair that came after waxing? | Hello doctor, I have an uneven skin tone with dark forehead and dry skin. I want to brighten my complexion. Also, I have small bumps and ingrown hair after waxing. I have attached pictures of the same. Please suggest a treatment. | Hello. I have read your query and examined your picture (attachment removed to protect patient identity). Consult your specialist doctor, discuss with him/her and take the medicines after their consent. For more information consult a dermatologist online --> | Patient: Hello doctor, I have an uneven skin tone with dark forehead and dry skin. I want to brighten my complexion. Also, I have small bumps and ingrown hair after waxing. I have attached pictures of the same. Please suggest a treatment. || Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). Consult your specialist doctor, discuss with him/her and take the medicines after their consent. For more information consult a dermatologist online --> | patient: hello doctor, i have an uneven skin tone with dark forehead and dry skin. i want to brighten my complexion. also, i have small bumps and ingrown hair after waxing. i have attached pictures of the same. please suggest a treatment. || doctor: hello. i have read your query and examined your picture (attachment removed to protect patient identity). consult your specialist doctor, discuss with him/her and take the medicines after their consent. for more information consult a dermatologist online --> |
9,520 | Q. I have had a hoarse voice for over a month. Is it a symptom of esophageal cancer? | Hello doctor, I have had a scratchy/hoarse voice for over a month. For the last 7 days I have a feeling as if something is stuck in my throat directly in the center and as if someone is pushing on my throat. I have seen two different ENT doctors. The first one diagnosed me with rhinitis and globus. The second one said my esophagus is a little red and diagnosed me with GERD. I had chest x-ray, CT of chest and neck, all of which came back normal. I had a barium swallow test and the doctor said he saw some reflux. I have also started burping up a little food after I eat and feel a pain in my breast bone. When I searched the internet, it says esophageal cancer. Now I am freaking out and I am so scared. Wouldn't it show up on any of the tests I have had done? Do these sound like symptoms of esophageal cancer? I am a 34 year old mother of three children and I feel devastated. The only thing left to do is an endoscopy, but doctors do not feel I need it and I am scared to get one. Do you think I need an endoscopy and could this be esophageal cancer? Please help. | Hi. The complaints you are describing fit into the following conditions: 1. Chronic laryngitis. 2. GERD (Gastroesophageal Reflux Disease). If there would have been a cancer, CT scan and barium swallow must have given an idea or hint. Since they were clear it is very unlikely to be an esophageal cancer. Now to help you better I need a few details: Revert back with the asked details to a medical gastroenterologist online --> | Patient: Hello doctor, I have had a scratchy/hoarse voice for over a month. For the last 7 days I have a feeling as if something is stuck in my throat directly in the center and as if someone is pushing on my throat. I have seen two different ENT doctors. The first one diagnosed me with rhinitis and globus. The second one said my esophagus is a little red and diagnosed me with GERD. I had chest x-ray, CT of chest and neck, all of which came back normal. I had a barium swallow test and the doctor said he saw some reflux. I have also started burping up a little food after I eat and feel a pain in my breast bone. When I searched the internet, it says esophageal cancer. Now I am freaking out and I am so scared. Wouldn't it show up on any of the tests I have had done? Do these sound like symptoms of esophageal cancer? I am a 34 year old mother of three children and I feel devastated. The only thing left to do is an endoscopy, but doctors do not feel I need it and I am scared to get one. Do you think I need an endoscopy and could this be esophageal cancer? Please help. || Doctor: Hi. The complaints you are describing fit into the following conditions: 1. Chronic laryngitis. 2. GERD (Gastroesophageal Reflux Disease). If there would have been a cancer, CT scan and barium swallow must have given an idea or hint. Since they were clear it is very unlikely to be an esophageal cancer. Now to help you better I need a few details: Revert back with the asked details to a medical gastroenterologist online --> | patient: hello doctor, i have had a scratchy/hoarse voice for over a month. for the last 7 days i have a feeling as if something is stuck in my throat directly in the center and as if someone is pushing on my throat. i have seen two different ent doctors. the first one diagnosed me with rhinitis and globus. the second one said my esophagus is a little red and diagnosed me with gerd. i had chest x-ray, ct of chest and neck, all of which came back normal. i had a barium swallow test and the doctor said he saw some reflux. i have also started burping up a little food after i eat and feel a pain in my breast bone. when i searched the internet, it says esophageal cancer. now i am freaking out and i am so scared. wouldn't it show up on any of the tests i have had done? do these sound like symptoms of esophageal cancer? i am a 34 year old mother of three children and i feel devastated. the only thing left to do is an endoscopy, but doctors do not feel i need it and i am scared to get one. do you think i need an endoscopy and could this be esophageal cancer? please help. || doctor: hi. the complaints you are describing fit into the following conditions: 1. chronic laryngitis. 2. gerd (gastroesophageal reflux disease). if there would have been a cancer, ct scan and barium swallow must have given an idea or hint. since they were clear it is very unlikely to be an esophageal cancer. now to help you better i need a few details: revert back with the asked details to a medical gastroenterologist online --> |
9,521 | Q. I have low levels of vitamin B12. How to manage it? | Hi doctor, I have low levels of vitamin B12. I have to take vitamin B12. Every time, when I take them, I get a terrible spine pain, and I feel very tired. Please help. | Hi. Your symptoms are related to vitamin B12 adverse effects. I would like to know your vitamin B12 plasma levels. You can take it as an injection once a month. | Patient: Hi doctor, I have low levels of vitamin B12. I have to take vitamin B12. Every time, when I take them, I get a terrible spine pain, and I feel very tired. Please help. || Doctor: Hi. Your symptoms are related to vitamin B12 adverse effects. I would like to know your vitamin B12 plasma levels. You can take it as an injection once a month. | patient: hi doctor, i have low levels of vitamin b12. i have to take vitamin b12. every time, when i take them, i get a terrible spine pain, and i feel very tired. please help. || doctor: hi. your symptoms are related to vitamin b12 adverse effects. i would like to know your vitamin b12 plasma levels. you can take it as an injection once a month. |
9,522 | Q. Please suggest a diet plan to lose weight. | Hi doctor, I have gastric problem. Can you suggest me diet plan to lose weight with consideration of my gastric problem. Please specify any precautions to be taken and mention the source of food. I am attaching my medical reports which I have done before six months. Thank you. | Hi. For further information consult a dietician online --> | Patient: Hi doctor, I have gastric problem. Can you suggest me diet plan to lose weight with consideration of my gastric problem. Please specify any precautions to be taken and mention the source of food. I am attaching my medical reports which I have done before six months. Thank you. || Doctor: Hi. For further information consult a dietician online --> | patient: hi doctor, i have gastric problem. can you suggest me diet plan to lose weight with consideration of my gastric problem. please specify any precautions to be taken and mention the source of food. i am attaching my medical reports which i have done before six months. thank you. || doctor: hi. for further information consult a dietician online --> |
9,523 | Q. With elevated INR,is it safe to undergo surgery? | Hi doctor, My wife is 34 year old. Her INR is 3.34 and blood factor VII activity test showed less than 2%. Her CT and BT are normal. She has been advised to undergo gallbladder removal. With same condition, she had given birth to two babies through normal delivery (second one was 1 and 1/2 years back). Recently, she had a tooth extraction without any extra bleeding. Kindly suggest the safe way to undergo surgery. | Hi. Based on your query, my opinion is as follows: Repeat INR before surgery. For further queries consult a hematologist online.---> | Patient: Hi doctor, My wife is 34 year old. Her INR is 3.34 and blood factor VII activity test showed less than 2%. Her CT and BT are normal. She has been advised to undergo gallbladder removal. With same condition, she had given birth to two babies through normal delivery (second one was 1 and 1/2 years back). Recently, she had a tooth extraction without any extra bleeding. Kindly suggest the safe way to undergo surgery. || Doctor: Hi. Based on your query, my opinion is as follows: Repeat INR before surgery. For further queries consult a hematologist online.---> | patient: hi doctor, my wife is 34 year old. her inr is 3.34 and blood factor vii activity test showed less than 2%. her ct and bt are normal. she has been advised to undergo gallbladder removal. with same condition, she had given birth to two babies through normal delivery (second one was 1 and 1/2 years back). recently, she had a tooth extraction without any extra bleeding. kindly suggest the safe way to undergo surgery. || doctor: hi. based on your query, my opinion is as follows: repeat inr before surgery. for further queries consult a hematologist online.---> |
9,524 | Q. For infected tooth, is root canal a right solution? | Hi doctor, I had my lower right side first molar extraction about a month ago. My dentist prescribed a course of antibiotics. The pain persisted after I finished the course of antibiotics and so the dentist again prescribed a five day antibiotic course. A week went by with no pain and then the pain re-occurred. My medical doctor prescribed a third course of antibiotics now. I fear that there is an infection under the gum line that is not being addressed by the antibiotics. Since I started the latest course of antibiotics, the pain is on and off. When I have the pain, it bounces around even to the head. I feel there may be some nerve damage when the tooth was pulled. I am taking Clindamycin for this issue. Also, I am on Insulin for type 1 diabetes, Cyclobenzaprine, Levothyroxine and Lisinopril. My regular dentist wants me to see an endodontist, on the theory that one of the neighboring teeth is infected and their solution is to do a root canal. I hear that the root canals are a bad idea as a dead tooth is left in place to seep bacteria into the body. If possible, Can I get an antibiotic injection at the site of the infection? Please give me your thoughts. Thank you. | Hi. I can understand your concern regarding to dental health. For further information consult a dentist online --> | Patient: Hi doctor, I had my lower right side first molar extraction about a month ago. My dentist prescribed a course of antibiotics. The pain persisted after I finished the course of antibiotics and so the dentist again prescribed a five day antibiotic course. A week went by with no pain and then the pain re-occurred. My medical doctor prescribed a third course of antibiotics now. I fear that there is an infection under the gum line that is not being addressed by the antibiotics. Since I started the latest course of antibiotics, the pain is on and off. When I have the pain, it bounces around even to the head. I feel there may be some nerve damage when the tooth was pulled. I am taking Clindamycin for this issue. Also, I am on Insulin for type 1 diabetes, Cyclobenzaprine, Levothyroxine and Lisinopril. My regular dentist wants me to see an endodontist, on the theory that one of the neighboring teeth is infected and their solution is to do a root canal. I hear that the root canals are a bad idea as a dead tooth is left in place to seep bacteria into the body. If possible, Can I get an antibiotic injection at the site of the infection? Please give me your thoughts. Thank you. || Doctor: Hi. I can understand your concern regarding to dental health. For further information consult a dentist online --> | patient: hi doctor, i had my lower right side first molar extraction about a month ago. my dentist prescribed a course of antibiotics. the pain persisted after i finished the course of antibiotics and so the dentist again prescribed a five day antibiotic course. a week went by with no pain and then the pain re-occurred. my medical doctor prescribed a third course of antibiotics now. i fear that there is an infection under the gum line that is not being addressed by the antibiotics. since i started the latest course of antibiotics, the pain is on and off. when i have the pain, it bounces around even to the head. i feel there may be some nerve damage when the tooth was pulled. i am taking clindamycin for this issue. also, i am on insulin for type 1 diabetes, cyclobenzaprine, levothyroxine and lisinopril. my regular dentist wants me to see an endodontist, on the theory that one of the neighboring teeth is infected and their solution is to do a root canal. i hear that the root canals are a bad idea as a dead tooth is left in place to seep bacteria into the body. if possible, can i get an antibiotic injection at the site of the infection? please give me your thoughts. thank you. || doctor: hi. i can understand your concern regarding to dental health. for further information consult a dentist online --> |
9,525 | Q. I have a small palpable swelling under the right side of my jaw. Please help. | Ten days ago, I was eating some soup when some got under my tongue and I felt a sudden sour twang through the right side of my mouth and jaw. It gradually subsided in intensity and I examined the inside of my mouth for any tender areas or asymmetries under my tongue. There was a very slight swelling of my submandibular duct on the right side, but no tenderness or anything strange palpable. Later that night, I was eating some chips when I noticed rapidly increasing discomfort in my right jaw, earache, and pain when swallowing. I felt my throat and discovered a golfball-sized swelling under my right jaw. On the advice of my father (who said it sounded like a blocked salivary gland, and said he recently had one as well), I used warm salt rinses and external warm compresses. Within a short period of time, the swelling reduced by about half, and with repeated rinses, gradually reduced over the next day until it was minimal. Since then, I have still had a palpable asymmetry when feeling both sides of my jaw, and my submandibular gland has not returned to its ordinary size. Last night, I felt discomfort in that area and realized on examination that it was beginning to swell again. I quickly used more salt rinses and a compress, and the swelling stopped, but it remains a bit more enlarged than it has been over the past few days. This morning, it seems to be fluctuating slightly in size, but I hit it with more salt rinses and compresses and it appears to be stable for now, though with a slight referred earache. The submandibular duct has not seemed particularly swollen since shortly after the first day of symptoms, when I noticed a small white spot forming at the head of the duct, which disappeared shortly after using salt rinses. I infer that this may have been a very small salivary stone pushing its way out. I have been eating and drinking somewhat infrequently for the past few weeks due to a major housing disruption that has only recently been resolved, so it's my hope that, due to a combination of dehydration and infrequent stimulation of the salivary glands, I may simply have developed some small salivary stones that could resolve on their own if I am diligent with salt rinses and compresses. At no point have I had any sort of fever or foul taste in the mouth, nor any symptoms in any other salivary gland besides my right submandibular gland. I also recall eating some hard, sharp food 10-11 days ago that had cut my gums here and there through miscalculated bites, so it also seems possible that I traumatized the duct at that time, although it's strange to me that swelling would be recurring now after relative reduction of symptoms for over a week (though as I noted, the gland has never fully returned to a non-palpable size even at its best). I suppose it must sound like I've self-assessed the situation reasonably well, but due to the recent resurgence of symptoms (which I confess may be due to getting lax with salt rinses or proper hydration), I just wanted to seek some qualified medical advice as to whether I'm doing the right things so far, and at what point I should seek treatment if it doesn't completely subside. The only local ENT is not available by referral for 6-10 months, so my only alternative would be to go to the ER for assessment or attempt to find a general practitioner in the area (we just moved here, so we had to leave our old GP behind). Both options are bad for exposure, given the current pandemic, and my wife is a very high risk individual, so I'm doing my best to limit exposure unless I can't help it. Thank you for listening, and for any advice you can lend! | Hi! You have assessed the condition in the best manner any patient could do! So considering the problem out there, like you have rightly put it , looks like we are dealing with an infected gland/ sialolith or a traumatised duct. In all three cases, I suggest you to follow the advice mentioned below 1. Hydration is the key, keep drinking 5 to 6 litres of boiled warm water every day whether your thirsty or not. 2. Salt water gargles @8 to 10 times a day for 1 month will definetly go a long way 3. You can consider antibiotic clindamycin 300 MG three times a day for 5 days. This antibiotic has the property of getting excreted majorly through the salive and majorly reaches the salivary glands a shade more than other antibiotics. 4. Please eat on time, spicy, oily and junk food have to be avoided at all times for the next one month. 5. An ultrasound of the glands is definitely mandatory to see if there is any Impacted stone, parenchymal issue etc, but to be done only once the pandemic subsides. (Considering that you shouldn't be going to hospital for risk of acquiring an infection) 6. This will take a while for it to subside, but chiefly depends on how much you happen to follow the above advice! Hope this helps, get well soon! | Patient: Ten days ago, I was eating some soup when some got under my tongue and I felt a sudden sour twang through the right side of my mouth and jaw. It gradually subsided in intensity and I examined the inside of my mouth for any tender areas or asymmetries under my tongue. There was a very slight swelling of my submandibular duct on the right side, but no tenderness or anything strange palpable. Later that night, I was eating some chips when I noticed rapidly increasing discomfort in my right jaw, earache, and pain when swallowing. I felt my throat and discovered a golfball-sized swelling under my right jaw. On the advice of my father (who said it sounded like a blocked salivary gland, and said he recently had one as well), I used warm salt rinses and external warm compresses. Within a short period of time, the swelling reduced by about half, and with repeated rinses, gradually reduced over the next day until it was minimal. Since then, I have still had a palpable asymmetry when feeling both sides of my jaw, and my submandibular gland has not returned to its ordinary size. Last night, I felt discomfort in that area and realized on examination that it was beginning to swell again. I quickly used more salt rinses and a compress, and the swelling stopped, but it remains a bit more enlarged than it has been over the past few days. This morning, it seems to be fluctuating slightly in size, but I hit it with more salt rinses and compresses and it appears to be stable for now, though with a slight referred earache. The submandibular duct has not seemed particularly swollen since shortly after the first day of symptoms, when I noticed a small white spot forming at the head of the duct, which disappeared shortly after using salt rinses. I infer that this may have been a very small salivary stone pushing its way out. I have been eating and drinking somewhat infrequently for the past few weeks due to a major housing disruption that has only recently been resolved, so it's my hope that, due to a combination of dehydration and infrequent stimulation of the salivary glands, I may simply have developed some small salivary stones that could resolve on their own if I am diligent with salt rinses and compresses. At no point have I had any sort of fever or foul taste in the mouth, nor any symptoms in any other salivary gland besides my right submandibular gland. I also recall eating some hard, sharp food 10-11 days ago that had cut my gums here and there through miscalculated bites, so it also seems possible that I traumatized the duct at that time, although it's strange to me that swelling would be recurring now after relative reduction of symptoms for over a week (though as I noted, the gland has never fully returned to a non-palpable size even at its best). I suppose it must sound like I've self-assessed the situation reasonably well, but due to the recent resurgence of symptoms (which I confess may be due to getting lax with salt rinses or proper hydration), I just wanted to seek some qualified medical advice as to whether I'm doing the right things so far, and at what point I should seek treatment if it doesn't completely subside. The only local ENT is not available by referral for 6-10 months, so my only alternative would be to go to the ER for assessment or attempt to find a general practitioner in the area (we just moved here, so we had to leave our old GP behind). Both options are bad for exposure, given the current pandemic, and my wife is a very high risk individual, so I'm doing my best to limit exposure unless I can't help it. Thank you for listening, and for any advice you can lend! || Doctor: Hi! You have assessed the condition in the best manner any patient could do! So considering the problem out there, like you have rightly put it , looks like we are dealing with an infected gland/ sialolith or a traumatised duct. In all three cases, I suggest you to follow the advice mentioned below 1. Hydration is the key, keep drinking 5 to 6 litres of boiled warm water every day whether your thirsty or not. 2. Salt water gargles @8 to 10 times a day for 1 month will definetly go a long way 3. You can consider antibiotic clindamycin 300 MG three times a day for 5 days. This antibiotic has the property of getting excreted majorly through the salive and majorly reaches the salivary glands a shade more than other antibiotics. 4. Please eat on time, spicy, oily and junk food have to be avoided at all times for the next one month. 5. An ultrasound of the glands is definitely mandatory to see if there is any Impacted stone, parenchymal issue etc, but to be done only once the pandemic subsides. (Considering that you shouldn't be going to hospital for risk of acquiring an infection) 6. This will take a while for it to subside, but chiefly depends on how much you happen to follow the above advice! Hope this helps, get well soon! | patient: ten days ago, i was eating some soup when some got under my tongue and i felt a sudden sour twang through the right side of my mouth and jaw. it gradually subsided in intensity and i examined the inside of my mouth for any tender areas or asymmetries under my tongue. there was a very slight swelling of my submandibular duct on the right side, but no tenderness or anything strange palpable. later that night, i was eating some chips when i noticed rapidly increasing discomfort in my right jaw, earache, and pain when swallowing. i felt my throat and discovered a golfball-sized swelling under my right jaw. on the advice of my father (who said it sounded like a blocked salivary gland, and said he recently had one as well), i used warm salt rinses and external warm compresses. within a short period of time, the swelling reduced by about half, and with repeated rinses, gradually reduced over the next day until it was minimal. since then, i have still had a palpable asymmetry when feeling both sides of my jaw, and my submandibular gland has not returned to its ordinary size. last night, i felt discomfort in that area and realized on examination that it was beginning to swell again. i quickly used more salt rinses and a compress, and the swelling stopped, but it remains a bit more enlarged than it has been over the past few days. this morning, it seems to be fluctuating slightly in size, but i hit it with more salt rinses and compresses and it appears to be stable for now, though with a slight referred earache. the submandibular duct has not seemed particularly swollen since shortly after the first day of symptoms, when i noticed a small white spot forming at the head of the duct, which disappeared shortly after using salt rinses. i infer that this may have been a very small salivary stone pushing its way out. i have been eating and drinking somewhat infrequently for the past few weeks due to a major housing disruption that has only recently been resolved, so it's my hope that, due to a combination of dehydration and infrequent stimulation of the salivary glands, i may simply have developed some small salivary stones that could resolve on their own if i am diligent with salt rinses and compresses. at no point have i had any sort of fever or foul taste in the mouth, nor any symptoms in any other salivary gland besides my right submandibular gland. i also recall eating some hard, sharp food 10-11 days ago that had cut my gums here and there through miscalculated bites, so it also seems possible that i traumatized the duct at that time, although it's strange to me that swelling would be recurring now after relative reduction of symptoms for over a week (though as i noted, the gland has never fully returned to a non-palpable size even at its best). i suppose it must sound like i've self-assessed the situation reasonably well, but due to the recent resurgence of symptoms (which i confess may be due to getting lax with salt rinses or proper hydration), i just wanted to seek some qualified medical advice as to whether i'm doing the right things so far, and at what point i should seek treatment if it doesn't completely subside. the only local ent is not available by referral for 6-10 months, so my only alternative would be to go to the er for assessment or attempt to find a general practitioner in the area (we just moved here, so we had to leave our old gp behind). both options are bad for exposure, given the current pandemic, and my wife is a very high risk individual, so i'm doing my best to limit exposure unless i can't help it. thank you for listening, and for any advice you can lend! || doctor: hi! you have assessed the condition in the best manner any patient could do! so considering the problem out there, like you have rightly put it , looks like we are dealing with an infected gland/ sialolith or a traumatised duct. in all three cases, i suggest you to follow the advice mentioned below 1. hydration is the key, keep drinking 5 to 6 litres of boiled warm water every day whether your thirsty or not. 2. salt water gargles @8 to 10 times a day for 1 month will definetly go a long way 3. you can consider antibiotic clindamycin 300 mg three times a day for 5 days. this antibiotic has the property of getting excreted majorly through the salive and majorly reaches the salivary glands a shade more than other antibiotics. 4. please eat on time, spicy, oily and junk food have to be avoided at all times for the next one month. 5. an ultrasound of the glands is definitely mandatory to see if there is any impacted stone, parenchymal issue etc, but to be done only once the pandemic subsides. (considering that you shouldn't be going to hospital for risk of acquiring an infection) 6. this will take a while for it to subside, but chiefly depends on how much you happen to follow the above advice! hope this helps, get well soon! |
9,526 | 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 --> |
9,527 | 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 --> |
9,528 | 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.---> |
9,529 | 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 --> |
9,530 | 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 --> |
9,531 | Q. Is my nasal allergy pointing to rhinitis? | Hello doctor, I have nasal allergies which can trigger sneezing and a runny nose along with sneezing when I come in contact with dust. However, I constantly have thick post nasal drip mucus that covers my vocal chords and makes my voice very weak all the time. My nose has not felt 100 % open in years. Also, I have trouble hearing because of trapped fluid in my ears. Does this mean I could have rhinitis on top of my allergies? I am a singer and used to have a very loud resonant voice and now I struggle to even achieve even a portion of that resonance. Currently, I am doing saline cleanse. | Hi. Your symptoms point towards chronic rhinosinusitis superimposed or worsened by allergy. All symptoms can be explained by this. Singers are more troubled by this condition because they require clear sinonasal cavities for good voice and resonance. I suggest you get some investigations done and I will tell you why. Complete blood count to detect any infection. Total serum IgE to check for allergy (type 1 hypersensitivity or atopy). Non-contrast CT (computed tomography) scan of paranasal sinuses to check for sinus inflammation or fungus or any other condition inside sinuses causing constant secretion of mucus and post nasal drip. A laryngoscopy can also be done to throw some light into the vocal cord and understand if there is any local pathology in vocal cord secondary to the sinus disease or de novo. If you were to come to me, in addition to the above advice I would start you on the following medicines. An intranasal steroid spray to be taken twice daily in each nasal cavity. An antihistaminic with Montelukast combination taken once daily. A Mucolite medicine to help lighten the mucus and bring it out better. An antacid medicine like Protonix (Pantoprazole) to reduce acid secretion in the stomach and also reflux laryngitis due to it. Lastly, some dietary and lifestyle modifications will also be required. Desist from gargles and steam inhalation. For more information consult an allergy specialist online --> | Patient: Hello doctor, I have nasal allergies which can trigger sneezing and a runny nose along with sneezing when I come in contact with dust. However, I constantly have thick post nasal drip mucus that covers my vocal chords and makes my voice very weak all the time. My nose has not felt 100 % open in years. Also, I have trouble hearing because of trapped fluid in my ears. Does this mean I could have rhinitis on top of my allergies? I am a singer and used to have a very loud resonant voice and now I struggle to even achieve even a portion of that resonance. Currently, I am doing saline cleanse. || Doctor: Hi. Your symptoms point towards chronic rhinosinusitis superimposed or worsened by allergy. All symptoms can be explained by this. Singers are more troubled by this condition because they require clear sinonasal cavities for good voice and resonance. I suggest you get some investigations done and I will tell you why. Complete blood count to detect any infection. Total serum IgE to check for allergy (type 1 hypersensitivity or atopy). Non-contrast CT (computed tomography) scan of paranasal sinuses to check for sinus inflammation or fungus or any other condition inside sinuses causing constant secretion of mucus and post nasal drip. A laryngoscopy can also be done to throw some light into the vocal cord and understand if there is any local pathology in vocal cord secondary to the sinus disease or de novo. If you were to come to me, in addition to the above advice I would start you on the following medicines. An intranasal steroid spray to be taken twice daily in each nasal cavity. An antihistaminic with Montelukast combination taken once daily. A Mucolite medicine to help lighten the mucus and bring it out better. An antacid medicine like Protonix (Pantoprazole) to reduce acid secretion in the stomach and also reflux laryngitis due to it. Lastly, some dietary and lifestyle modifications will also be required. Desist from gargles and steam inhalation. For more information consult an allergy specialist online --> | patient: hello doctor, i have nasal allergies which can trigger sneezing and a runny nose along with sneezing when i come in contact with dust. however, i constantly have thick post nasal drip mucus that covers my vocal chords and makes my voice very weak all the time. my nose has not felt 100 % open in years. also, i have trouble hearing because of trapped fluid in my ears. does this mean i could have rhinitis on top of my allergies? i am a singer and used to have a very loud resonant voice and now i struggle to even achieve even a portion of that resonance. currently, i am doing saline cleanse. || doctor: hi. your symptoms point towards chronic rhinosinusitis superimposed or worsened by allergy. all symptoms can be explained by this. singers are more troubled by this condition because they require clear sinonasal cavities for good voice and resonance. i suggest you get some investigations done and i will tell you why. complete blood count to detect any infection. total serum ige to check for allergy (type 1 hypersensitivity or atopy). non-contrast ct (computed tomography) scan of paranasal sinuses to check for sinus inflammation or fungus or any other condition inside sinuses causing constant secretion of mucus and post nasal drip. a laryngoscopy can also be done to throw some light into the vocal cord and understand if there is any local pathology in vocal cord secondary to the sinus disease or de novo. if you were to come to me, in addition to the above advice i would start you on the following medicines. an intranasal steroid spray to be taken twice daily in each nasal cavity. an antihistaminic with montelukast combination taken once daily. a mucolite medicine to help lighten the mucus and bring it out better. an antacid medicine like protonix (pantoprazole) to reduce acid secretion in the stomach and also reflux laryngitis due to it. lastly, some dietary and lifestyle modifications will also be required. desist from gargles and steam inhalation. for more information consult an allergy specialist online --> |
9,532 | Q. I have abdominal discomfort and gurgling sensation after stopping Raciper. Why? | Hello doctor, I am a 54 year old female. I was taking Raciper plus for 15 days. After stopping, I have upper abdominal discomfort and hunger feeling. The abdomen is gurgling. Is this normal? | Hello. First of all, I need to know what symptoms were you prescribed Raciper plus for. Did you have the same symptoms before starting the medication? I am providing you a free follow up to answer these questions. Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor, I am a 54 year old female. I was taking Raciper plus for 15 days. After stopping, I have upper abdominal discomfort and hunger feeling. The abdomen is gurgling. Is this normal? || Doctor: Hello. First of all, I need to know what symptoms were you prescribed Raciper plus for. Did you have the same symptoms before starting the medication? I am providing you a free follow up to answer these questions. Revert with the asked details for a better help. For more information consult a medical gastroenterologist online --> | patient: hello doctor, i am a 54 year old female. i was taking raciper plus for 15 days. after stopping, i have upper abdominal discomfort and hunger feeling. the abdomen is gurgling. is this normal? || doctor: hello. first of all, i need to know what symptoms were you prescribed raciper plus for. did you have the same symptoms before starting the medication? i am providing you a free follow up to answer these questions. revert with the asked details for a better help. for more information consult a medical gastroenterologist online --> |
9,533 | Q. I have recurrent gas and acidity problem. Please help. | Hi doctor, I have recurring gas and acidity problem for last three months. At present, I am taking liquid Sucral and tablet Sompraz 40. I have already got an ultrasound of the stomach, endoscopy, LFT, and jaundice test. All the tests were normal, except a small ulcer patch was seen in the stomach during the endoscopy. | Hi. Revert with the test reports. Revert with more information to an internal medicine physician online --> | Patient: Hi doctor, I have recurring gas and acidity problem for last three months. At present, I am taking liquid Sucral and tablet Sompraz 40. I have already got an ultrasound of the stomach, endoscopy, LFT, and jaundice test. All the tests were normal, except a small ulcer patch was seen in the stomach during the endoscopy. || Doctor: Hi. Revert with the test reports. Revert with more information to an internal medicine physician online --> | patient: hi doctor, i have recurring gas and acidity problem for last three months. at present, i am taking liquid sucral and tablet sompraz 40. i have already got an ultrasound of the stomach, endoscopy, lft, and jaundice test. all the tests were normal, except a small ulcer patch was seen in the stomach during the endoscopy. || doctor: hi. revert with the test reports. revert with more information to an internal medicine physician online --> |
9,534 | Q. Despite ovulation induction, I did not get pregnant. What to do now? | Hello doctor, I am 24 years old. My height is 5'1" and my weight is 61 kg. I am a bit overweight. I have pcod problem. I got married 2 years back and I cannot get pregnant. I had Clomid and hCG injections twice. Both were failed. But, doctor said that my egg growth is good. I have attached my hormonal test report here. Kindly go through it. Currently I am taking Glycomet 500 mg, Livogen-Z and Folic Acid. Can I follow Paleo diet while planning a baby? Thank you and looking forward for your reply. | Hello. For further information consult an infertility specialist online --> | Patient: Hello doctor, I am 24 years old. My height is 5'1" and my weight is 61 kg. I am a bit overweight. I have pcod problem. I got married 2 years back and I cannot get pregnant. I had Clomid and hCG injections twice. Both were failed. But, doctor said that my egg growth is good. I have attached my hormonal test report here. Kindly go through it. Currently I am taking Glycomet 500 mg, Livogen-Z and Folic Acid. Can I follow Paleo diet while planning a baby? Thank you and looking forward for your reply. || Doctor: Hello. For further information consult an infertility specialist online --> | patient: hello doctor, i am 24 years old. my height is 5'1" and my weight is 61 kg. i am a bit overweight. i have pcod problem. i got married 2 years back and i cannot get pregnant. i had clomid and hcg injections twice. both were failed. but, doctor said that my egg growth is good. i have attached my hormonal test report here. kindly go through it. currently i am taking glycomet 500 mg, livogen-z and folic acid. can i follow paleo diet while planning a baby? thank you and looking forward for your reply. || doctor: hello. for further information consult an infertility specialist online --> |
9,535 | Q. How to confirm the reason for my tummy pain? | Hi doctor, I have pain in my tummy like cramps and I am suffering from constipation. I also have symptoms of pregnancy. Today morning my stools were with blood. They were light purple in color and strange. Please help. | Hi. For further information consult a general medicine physician online --> | Patient: Hi doctor, I have pain in my tummy like cramps and I am suffering from constipation. I also have symptoms of pregnancy. Today morning my stools were with blood. They were light purple in color and strange. Please help. || Doctor: Hi. For further information consult a general medicine physician online --> | patient: hi doctor, i have pain in my tummy like cramps and i am suffering from constipation. i also have symptoms of pregnancy. today morning my stools were with blood. they were light purple in color and strange. please help. || doctor: hi. for further information consult a general medicine physician online --> |
9,536 | Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? || Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | patient: hi doctor,i am just wondering what is abutting and abutment of the nerve root means in a back issue. please explain. what treatment is required for annular bulging and tear? || doctor: hi. i have gone through your query with diligence and would like you to know that i am here to help you. for further information consult a neurologist online --> |
9,537 | Q. After PPP removal, some dark lines appeared on my penis. What are they? | Hi doctor, I am 27 years old. Four months ago, I had the PPP removal along with CO2. Now, for the last 30 days, I have been noticing some dark lines on my penis head. Is that something to worry? | Hello. Please attach a picture to ascertain if it is something to worry. Thank you. Revert back with a photo to a dermatologist online --> | Patient: Hi doctor, I am 27 years old. Four months ago, I had the PPP removal along with CO2. Now, for the last 30 days, I have been noticing some dark lines on my penis head. Is that something to worry? || Doctor: Hello. Please attach a picture to ascertain if it is something to worry. Thank you. Revert back with a photo to a dermatologist online --> | patient: hi doctor, i am 27 years old. four months ago, i had the ppp removal along with co2. now, for the last 30 days, i have been noticing some dark lines on my penis head. is that something to worry? || doctor: hello. please attach a picture to ascertain if it is something to worry. thank you. revert back with a photo to a dermatologist online --> |
9,538 | Q. Can you go through my dengue test results and explain them to me? | Hi doctor, I have a fever (100 to 103 F) from the last two days with chills and aches on the knees and hands. I went to a general physician. She prescribed me Mefkind forte and said that if the fever stays for more than a day, I should go for CBC and dengue antigen. But, I have done my CBC and dengue along with the others. I have a doubt with the report. I am sharing with you. Please go through my report. | Hello. Hope you recover fast and completely from this infection. Regards. For more information consult a general medicine physician online --> | Patient: Hi doctor, I have a fever (100 to 103 F) from the last two days with chills and aches on the knees and hands. I went to a general physician. She prescribed me Mefkind forte and said that if the fever stays for more than a day, I should go for CBC and dengue antigen. But, I have done my CBC and dengue along with the others. I have a doubt with the report. I am sharing with you. Please go through my report. || Doctor: Hello. Hope you recover fast and completely from this infection. Regards. For more information consult a general medicine physician online --> | patient: hi doctor, i have a fever (100 to 103 f) from the last two days with chills and aches on the knees and hands. i went to a general physician. she prescribed me mefkind forte and said that if the fever stays for more than a day, i should go for cbc and dengue antigen. but, i have done my cbc and dengue along with the others. i have a doubt with the report. i am sharing with you. please go through my report. || doctor: hello. hope you recover fast and completely from this infection. regards. for more information consult a general medicine physician online --> |
9,539 | Q. Do I need vitamin D and iron supplement? | Hi doctor, My 25-OH vitamin D total CLIA test showed result of 13.36 ng/mL. What supplement should I start and for how long? Also my iron is 41.2. Do I need a supplement? | Hello. Revert back with the reports to an internal medicine physician online --> | Patient: Hi doctor, My 25-OH vitamin D total CLIA test showed result of 13.36 ng/mL. What supplement should I start and for how long? Also my iron is 41.2. Do I need a supplement? || Doctor: Hello. Revert back with the reports to an internal medicine physician online --> | patient: hi doctor, my 25-oh vitamin d total clia test showed result of 13.36 ng/ml. what supplement should i start and for how long? also my iron is 41.2. do i need a supplement? || doctor: hello. revert back with the reports to an internal medicine physician online --> |
9,540 | Q. I have throat pain, but there is no actual swelling. How to treat this? | Hi doctor, I am a 34 year old female. My symptoms are as follows: Intense throat pain while swallowing saliva. The pain radiates to the ear and sometimes, head and gives me a headache. Dry throat, especially in the area of pain. I also have a feeling of swelling in the throat, but the doctor said there is no swelling. It is fine in the morning and gets worse through the day. Talking seems to make it worse. It is not that bad while swallowing food or water, but the pain is mainly while swallowing saliva. There is no lump or anything visible, but I can see a small mouth sore kind of thing at the back of the throat. I am not sure, if it is related to this or not and the doctor seemed to think it is not. Drinking water helps me temporarily. Strepsils and Advil helps to a little extent. My doctor did a physical examination inside and outside the throat and said nothing seems to be wrong. One key thing is that when I turn my head to the right and swallow, it does not hurt. It hurts only when I look straight or left and swallow. I have started salt water gargle, turmeric water gargle, ginger tea with honey, Septran tablets, etc. When it did not help, I visited a doctor. He prescribed Amoxicillin for four days, but it did not help. Also, I am using Benzydamine oral rinse for the past two days. | Hi. For further information consult an ENT otolaryngologist online --> | Patient: Hi doctor, I am a 34 year old female. My symptoms are as follows: Intense throat pain while swallowing saliva. The pain radiates to the ear and sometimes, head and gives me a headache. Dry throat, especially in the area of pain. I also have a feeling of swelling in the throat, but the doctor said there is no swelling. It is fine in the morning and gets worse through the day. Talking seems to make it worse. It is not that bad while swallowing food or water, but the pain is mainly while swallowing saliva. There is no lump or anything visible, but I can see a small mouth sore kind of thing at the back of the throat. I am not sure, if it is related to this or not and the doctor seemed to think it is not. Drinking water helps me temporarily. Strepsils and Advil helps to a little extent. My doctor did a physical examination inside and outside the throat and said nothing seems to be wrong. One key thing is that when I turn my head to the right and swallow, it does not hurt. It hurts only when I look straight or left and swallow. I have started salt water gargle, turmeric water gargle, ginger tea with honey, Septran tablets, etc. When it did not help, I visited a doctor. He prescribed Amoxicillin for four days, but it did not help. Also, I am using Benzydamine oral rinse for the past two days. || Doctor: Hi. For further information consult an ENT otolaryngologist online --> | patient: hi doctor, i am a 34 year old female. my symptoms are as follows: intense throat pain while swallowing saliva. the pain radiates to the ear and sometimes, head and gives me a headache. dry throat, especially in the area of pain. i also have a feeling of swelling in the throat, but the doctor said there is no swelling. it is fine in the morning and gets worse through the day. talking seems to make it worse. it is not that bad while swallowing food or water, but the pain is mainly while swallowing saliva. there is no lump or anything visible, but i can see a small mouth sore kind of thing at the back of the throat. i am not sure, if it is related to this or not and the doctor seemed to think it is not. drinking water helps me temporarily. strepsils and advil helps to a little extent. my doctor did a physical examination inside and outside the throat and said nothing seems to be wrong. one key thing is that when i turn my head to the right and swallow, it does not hurt. it hurts only when i look straight or left and swallow. i have started salt water gargle, turmeric water gargle, ginger tea with honey, septran tablets, etc. when it did not help, i visited a doctor. he prescribed amoxicillin for four days, but it did not help. also, i am using benzydamine oral rinse for the past two days. || doctor: hi. for further information consult an ent otolaryngologist online --> |
9,541 | Q. I have a small vaginal opening. What can I do to stop it from being so painful during intercourse? | Hi doctor, I am a 20 year old girl and have a small vaginal opening. My husband and I hardly have sex because it hurts me so badly. What can I do to stop it from being so painful? | Hi. A small vaginal opening can lead to a painful sexual intercourse. I would suggest you use a good vaginal lubricant every time before the act. It would help in smoother penetration of the penis thereby reducing the pain. If this does not help you, dilators can be used to expand the vaginal orifice, which does help in many cases. | Patient: Hi doctor, I am a 20 year old girl and have a small vaginal opening. My husband and I hardly have sex because it hurts me so badly. What can I do to stop it from being so painful? || Doctor: Hi. A small vaginal opening can lead to a painful sexual intercourse. I would suggest you use a good vaginal lubricant every time before the act. It would help in smoother penetration of the penis thereby reducing the pain. If this does not help you, dilators can be used to expand the vaginal orifice, which does help in many cases. | patient: hi doctor, i am a 20 year old girl and have a small vaginal opening. my husband and i hardly have sex because it hurts me so badly. what can i do to stop it from being so painful? || doctor: hi. a small vaginal opening can lead to a painful sexual intercourse. i would suggest you use a good vaginal lubricant every time before the act. it would help in smoother penetration of the penis thereby reducing the pain. if this does not help you, dilators can be used to expand the vaginal orifice, which does help in many cases. |
9,542 | 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 --> |
9,543 | 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 --> |
9,544 | 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.---> |
9,545 | 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 --> |
9,546 | 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 --> |
9,547 | Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> | Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hello doctor, i am 48 years old. i am experiencing weak erection and difficulty in sustaining the same. this condition was observed 10 years back. also, there is premature ejaculation. other physical ailments that i have are, i am suffering from hypertension and taking amlopres-l (amlodipine and lisinopril) for the last 10 years, high cholesterol and triglycerides. my cholesterol level is 225 and triglyceride is 200 for the last 12 years. i used to do frequent masturbation in early age. i do have erection during morning hours many times, particularly after sound sleep or if i had long walk previous day. i am having sildenafil 25 mg or 5 mg cialis, which is effective enough. but, i wish to get rid of tablet support and live natural way. i consulted urologist today and he prescribed me nano-leo capsules and modula 5 mg for 10 days. i wish to have your second opinion on this. please guide. || doctor: hi. for further doubts consult a sexologist online --> |
9,548 | Q. What is wrong in my annual health checkup report? | Hi doctor, I am a 31 year old male. Recently, I have gone for an annual health checkup. Following are the areas which are highlighted as abnormal for which I seek consultation in evaluating it better. I would like to find the root cause for the same along with medication or lifestyle changes, if any, required in my case. I am attaching herewith all the report and highlighting the areas which are mentioned as abnormal in these reports. I request you to please go through all the reports in details and advice. The reports are CBC - RBC 5.59, PVC 50.1, absolute eosinophils 858.6 and overall comment on CBC is eosinophilia. Vitamin D total (25-OH) 15.6. Chemical examination of feces reaction (pH) – acidic (6.0). On microscopic examination, undigested particles present and concentration method for ova - no ova detected. Urine examination - blood and proteins traced in chemical examination and on microscopic examination leukocytes (pus cells) or hpf 2-3, red blood cells or hpf - occasional and epithelial cells or hpf 0-1. Lipid profile - total cholesterol serum 252.1, serum triglycerides 171.2, HDL cholesterol direct 50.2, non-HDL cholesterol 201.9, LDL cholesterol 181.8, total cholesterol and HDL cholesterol ratio 5, LDL and HDL ratio 3.6 and VLDL cholesterol 20.1. In USG liver, bright parenchymal echo pattern. In USG spleen, mildly enlarged in size 12.1 cm. In USG abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8mm. Overall impression Grade I fatty infiltration of liver, mild splenomegaly and small umbilical hernia. My BMI is 31.8 (self-calculated based on height and weight). Please evaluate and give detailed guidance. | Hello. Revert back with the answers to the above questions to an internal medicine physician online --> | Patient: Hi doctor, I am a 31 year old male. Recently, I have gone for an annual health checkup. Following are the areas which are highlighted as abnormal for which I seek consultation in evaluating it better. I would like to find the root cause for the same along with medication or lifestyle changes, if any, required in my case. I am attaching herewith all the report and highlighting the areas which are mentioned as abnormal in these reports. I request you to please go through all the reports in details and advice. The reports are CBC - RBC 5.59, PVC 50.1, absolute eosinophils 858.6 and overall comment on CBC is eosinophilia. Vitamin D total (25-OH) 15.6. Chemical examination of feces reaction (pH) – acidic (6.0). On microscopic examination, undigested particles present and concentration method for ova - no ova detected. Urine examination - blood and proteins traced in chemical examination and on microscopic examination leukocytes (pus cells) or hpf 2-3, red blood cells or hpf - occasional and epithelial cells or hpf 0-1. Lipid profile - total cholesterol serum 252.1, serum triglycerides 171.2, HDL cholesterol direct 50.2, non-HDL cholesterol 201.9, LDL cholesterol 181.8, total cholesterol and HDL cholesterol ratio 5, LDL and HDL ratio 3.6 and VLDL cholesterol 20.1. In USG liver, bright parenchymal echo pattern. In USG spleen, mildly enlarged in size 12.1 cm. In USG abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8mm. Overall impression Grade I fatty infiltration of liver, mild splenomegaly and small umbilical hernia. My BMI is 31.8 (self-calculated based on height and weight). Please evaluate and give detailed guidance. || Doctor: Hello. Revert back with the answers to the above questions to an internal medicine physician online --> | patient: hi doctor, i am a 31 year old male. recently, i have gone for an annual health checkup. following are the areas which are highlighted as abnormal for which i seek consultation in evaluating it better. i would like to find the root cause for the same along with medication or lifestyle changes, if any, required in my case. i am attaching herewith all the report and highlighting the areas which are mentioned as abnormal in these reports. i request you to please go through all the reports in details and advice. the reports are cbc - rbc 5.59, pvc 50.1, absolute eosinophils 858.6 and overall comment on cbc is eosinophilia. vitamin d total (25-oh) 15.6. chemical examination of feces reaction (ph) – acidic (6.0). on microscopic examination, undigested particles present and concentration method for ova - no ova detected. urine examination - blood and proteins traced in chemical examination and on microscopic examination leukocytes (pus cells) or hpf 2-3, red blood cells or hpf - occasional and epithelial cells or hpf 0-1. lipid profile - total cholesterol serum 252.1, serum triglycerides 171.2, hdl cholesterol direct 50.2, non-hdl cholesterol 201.9, ldl cholesterol 181.8, total cholesterol and hdl cholesterol ratio 5, ldl and hdl ratio 3.6 and vldl cholesterol 20.1. in usg liver, bright parenchymal echo pattern. in usg spleen, mildly enlarged in size 12.1 cm. in usg abdomen, there is evidence of a small umbilical hernia with omental herniation through an abdominal wall defect measuring 10.8mm. overall impression grade i fatty infiltration of liver, mild splenomegaly and small umbilical hernia. my bmi is 31.8 (self-calculated based on height and weight). please evaluate and give detailed guidance. || doctor: hello. revert back with the answers to the above questions to an internal medicine physician online --> |
9,549 | Q. Severe pain in the right shoulder which radiates to the whole arm. What could it be? | Hello Doctor, Severe pain in the right shoulder which radiates to the whole arm. Tingling sensation everywhere in the whole arm. The shoulder blade hurts, underarm pit also hurts. Part of chest and cervical bulges are seen. | Hi. Revert back to an orthopaedician online --> | Patient: Hello Doctor, Severe pain in the right shoulder which radiates to the whole arm. Tingling sensation everywhere in the whole arm. The shoulder blade hurts, underarm pit also hurts. Part of chest and cervical bulges are seen. || Doctor: Hi. Revert back to an orthopaedician online --> | patient: hello doctor, severe pain in the right shoulder which radiates to the whole arm. tingling sensation everywhere in the whole arm. the shoulder blade hurts, underarm pit also hurts. part of chest and cervical bulges are seen. || doctor: hi. revert back to an orthopaedician online --> |
9,550 | Q. My 3. 3 year old son has allergic rhinitis. Can I use Budecord inhaler? | Hello doctor, My son is 3.3 years old. Last year, he had three episodes of allergic rhinitis and one episode of allergic conjunctivitis. This year, our pediatrician asked us to get an allergy test done, and he put my son on Momeflo, Nukast 4, and Levolin inhaler. We found out that he is allergic to dust mites, oranges, and mutton. We are taking precautions and medicines as advised. Beginning this year, he got a cold which lasted for around 15 days. But, the doctor did not give any new medicine. Now, my son has a mild cough at night, but he is fine during the day. He got allergic conjunctivitis around the same time, and he we used Pataday and Mosi D for a week. Immediately after starting the eye drops, we saw him develop a cold and after few days a dry cough. Now he has started Budecort inhaler, which is to be continued for eight weeks. I am fine with the medicines, but as it is a steroid, I am worried about the prolonged use. Please advice. Please note that I have never seen him wheeze or have breathing difficulty. All the episodes of cold start with a runny nose and if left untreated for a week, he develops a cough. He has no episode which has started with a cough directly, so somehow I feel it is the rhinitis that is not controlled. And the doctor says that he has asthma, which I do not see symptoms of. Please guide. What is going on with my son? | Hi. For more information consult an internal medicine physician online --> | Patient: Hello doctor, My son is 3.3 years old. Last year, he had three episodes of allergic rhinitis and one episode of allergic conjunctivitis. This year, our pediatrician asked us to get an allergy test done, and he put my son on Momeflo, Nukast 4, and Levolin inhaler. We found out that he is allergic to dust mites, oranges, and mutton. We are taking precautions and medicines as advised. Beginning this year, he got a cold which lasted for around 15 days. But, the doctor did not give any new medicine. Now, my son has a mild cough at night, but he is fine during the day. He got allergic conjunctivitis around the same time, and he we used Pataday and Mosi D for a week. Immediately after starting the eye drops, we saw him develop a cold and after few days a dry cough. Now he has started Budecort inhaler, which is to be continued for eight weeks. I am fine with the medicines, but as it is a steroid, I am worried about the prolonged use. Please advice. Please note that I have never seen him wheeze or have breathing difficulty. All the episodes of cold start with a runny nose and if left untreated for a week, he develops a cough. He has no episode which has started with a cough directly, so somehow I feel it is the rhinitis that is not controlled. And the doctor says that he has asthma, which I do not see symptoms of. Please guide. What is going on with my son? || Doctor: Hi. For more information consult an internal medicine physician online --> | patient: hello doctor, my son is 3.3 years old. last year, he had three episodes of allergic rhinitis and one episode of allergic conjunctivitis. this year, our pediatrician asked us to get an allergy test done, and he put my son on momeflo, nukast 4, and levolin inhaler. we found out that he is allergic to dust mites, oranges, and mutton. we are taking precautions and medicines as advised. beginning this year, he got a cold which lasted for around 15 days. but, the doctor did not give any new medicine. now, my son has a mild cough at night, but he is fine during the day. he got allergic conjunctivitis around the same time, and he we used pataday and mosi d for a week. immediately after starting the eye drops, we saw him develop a cold and after few days a dry cough. now he has started budecort inhaler, which is to be continued for eight weeks. i am fine with the medicines, but as it is a steroid, i am worried about the prolonged use. please advice. please note that i have never seen him wheeze or have breathing difficulty. all the episodes of cold start with a runny nose and if left untreated for a week, he develops a cough. he has no episode which has started with a cough directly, so somehow i feel it is the rhinitis that is not controlled. and the doctor says that he has asthma, which i do not see symptoms of. please guide. what is going on with my son? || doctor: hi. for more information consult an internal medicine physician online --> |
9,551 | Q. What are the chances of acquiring a HIV infection from a used, hair-cutting blade? | Hello doctor, Yesterday, my son went to a local salon for a haircut. He received small scratches on the neck while getting his haircut. I noticed that it was done with a used blade, which was not cleaned properly. Is there a risk of an HIV or other viral infection due to this? Please guide me. | Hello. The likelihood of HIV (human immunodeficiency virus) transmission, in this case, is 1 in 300. Firstly, you are not sure that the person, on whom the blade was used previously, was HIV positive. More importantly, HIV rarely survives in dried blood. So, in the case the person's blood was on the blade, it would have dried in 15 minutes. Hence it is less likely that the HIV would survive. In spite of all this, I would say precaution is the best. Always ask the barber to use a new blade. Also, the chances of getting a Hepatitis B and C infection are higher than that of an HIV. To prevent this, I suggest getting a Hepatitis B vaccine. Please consult your local clinic in case you experience any unexplained and non-recovering fever. If you are still worried, consult your local clinic and get an HIV test done after one to three months. For more information consult an internal medicine physician online --> | Patient: Hello doctor, Yesterday, my son went to a local salon for a haircut. He received small scratches on the neck while getting his haircut. I noticed that it was done with a used blade, which was not cleaned properly. Is there a risk of an HIV or other viral infection due to this? Please guide me. || Doctor: Hello. The likelihood of HIV (human immunodeficiency virus) transmission, in this case, is 1 in 300. Firstly, you are not sure that the person, on whom the blade was used previously, was HIV positive. More importantly, HIV rarely survives in dried blood. So, in the case the person's blood was on the blade, it would have dried in 15 minutes. Hence it is less likely that the HIV would survive. In spite of all this, I would say precaution is the best. Always ask the barber to use a new blade. Also, the chances of getting a Hepatitis B and C infection are higher than that of an HIV. To prevent this, I suggest getting a Hepatitis B vaccine. Please consult your local clinic in case you experience any unexplained and non-recovering fever. If you are still worried, consult your local clinic and get an HIV test done after one to three months. For more information consult an internal medicine physician online --> | patient: hello doctor, yesterday, my son went to a local salon for a haircut. he received small scratches on the neck while getting his haircut. i noticed that it was done with a used blade, which was not cleaned properly. is there a risk of an hiv or other viral infection due to this? please guide me. || doctor: hello. the likelihood of hiv (human immunodeficiency virus) transmission, in this case, is 1 in 300. firstly, you are not sure that the person, on whom the blade was used previously, was hiv positive. more importantly, hiv rarely survives in dried blood. so, in the case the person's blood was on the blade, it would have dried in 15 minutes. hence it is less likely that the hiv would survive. in spite of all this, i would say precaution is the best. always ask the barber to use a new blade. also, the chances of getting a hepatitis b and c infection are higher than that of an hiv. to prevent this, i suggest getting a hepatitis b vaccine. please consult your local clinic in case you experience any unexplained and non-recovering fever. if you are still worried, consult your local clinic and get an hiv test done after one to three months. for more information consult an internal medicine physician online --> |
9,552 | Q. Does Triptorelin injection cause false positive pregnancy result? | Hi doctor,I have doubt regarding positive pregnancy after embryo transfer. My wife had an embryo transfer before 15 days. She took Ovidrel trigger shot before two days of embryo transfer. Then, she took Triptorelin injection one day after transfer and another injection seven days after transfer. On the seventh day, before taking Triptorelin injection, we went for a beta hCG test, and the value was 46. Does Triptorelin injection of 0.1 mg give the false positive result? Will Triptorelin produce hCG? | Hi. For further information consult a sexologist online --> | Patient: Hi doctor,I have doubt regarding positive pregnancy after embryo transfer. My wife had an embryo transfer before 15 days. She took Ovidrel trigger shot before two days of embryo transfer. Then, she took Triptorelin injection one day after transfer and another injection seven days after transfer. On the seventh day, before taking Triptorelin injection, we went for a beta hCG test, and the value was 46. Does Triptorelin injection of 0.1 mg give the false positive result? Will Triptorelin produce hCG? || Doctor: Hi. For further information consult a sexologist online --> | patient: hi doctor,i have doubt regarding positive pregnancy after embryo transfer. my wife had an embryo transfer before 15 days. she took ovidrel trigger shot before two days of embryo transfer. then, she took triptorelin injection one day after transfer and another injection seven days after transfer. on the seventh day, before taking triptorelin injection, we went for a beta hcg test, and the value was 46. does triptorelin injection of 0.1 mg give the false positive result? will triptorelin produce hcg? || doctor: hi. for further information consult a sexologist online --> |
9,553 | Q. My teenage sister does not have a period from almost a year. Why? | Hello doctor, My younger sister who is 15 years and 5 months had her first period last year and again had her second period a month later. But, after that, she did not have her periods at all. We consulted a gynecologist who suggested an ultrasound. The report reveals a small uterus 53.3 by 19.9 mm. We were then referred to an endocrinologist who ordered a series of tests. She has insulin resistance. Fasting insulin level is 77. Her LH is 2.6. Her FSH is 8.6. The prolactin level is 9.6. She has vitamin D deficiency. Her SGPT and SGOT levels are elevated to 92 and 96 respectively. He has prescribed Evion 400 twice daily for a month and Ovral G once in a day, for ten days and vitamin D once a week for eight weeks. I am very worried. Is the medicine correct? Will she get her periods again? Will she be able to get pregnant after she gets married? Please tell me. | Hello. Your sister could be having polycystic ovarian syndrome (PCOS). It is a metabolic problem which is quite common these days. This is not a disease per se related to the ovaries but, to the whole metabolism of the body. This usually manifests as irregular cycles, excess hair growth (male pattern), obesity, etc. and there is a future risk of developing diabetes and hypertension. I would advise your sister to consider regular exercises and weight reduction as her BMI (body mass index) is in the overweight range. The medications she has been prescribed are alright. Ladies with PCOS usually have difficulty in conception but, it is possible if they regulate their cycles and their body with regular exercise and diet modifications. Do not worry about future conception. She will definitely be able to concieve, provided she regularly follows up with the advice of her gynecologist. Assure her and all the best. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My younger sister who is 15 years and 5 months had her first period last year and again had her second period a month later. But, after that, she did not have her periods at all. We consulted a gynecologist who suggested an ultrasound. The report reveals a small uterus 53.3 by 19.9 mm. We were then referred to an endocrinologist who ordered a series of tests. She has insulin resistance. Fasting insulin level is 77. Her LH is 2.6. Her FSH is 8.6. The prolactin level is 9.6. She has vitamin D deficiency. Her SGPT and SGOT levels are elevated to 92 and 96 respectively. He has prescribed Evion 400 twice daily for a month and Ovral G once in a day, for ten days and vitamin D once a week for eight weeks. I am very worried. Is the medicine correct? Will she get her periods again? Will she be able to get pregnant after she gets married? Please tell me. || Doctor: Hello. Your sister could be having polycystic ovarian syndrome (PCOS). It is a metabolic problem which is quite common these days. This is not a disease per se related to the ovaries but, to the whole metabolism of the body. This usually manifests as irregular cycles, excess hair growth (male pattern), obesity, etc. and there is a future risk of developing diabetes and hypertension. I would advise your sister to consider regular exercises and weight reduction as her BMI (body mass index) is in the overweight range. The medications she has been prescribed are alright. Ladies with PCOS usually have difficulty in conception but, it is possible if they regulate their cycles and their body with regular exercise and diet modifications. Do not worry about future conception. She will definitely be able to concieve, provided she regularly follows up with the advice of her gynecologist. Assure her and all the best. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, my younger sister who is 15 years and 5 months had her first period last year and again had her second period a month later. but, after that, she did not have her periods at all. we consulted a gynecologist who suggested an ultrasound. the report reveals a small uterus 53.3 by 19.9 mm. we were then referred to an endocrinologist who ordered a series of tests. she has insulin resistance. fasting insulin level is 77. her lh is 2.6. her fsh is 8.6. the prolactin level is 9.6. she has vitamin d deficiency. her sgpt and sgot levels are elevated to 92 and 96 respectively. he has prescribed evion 400 twice daily for a month and ovral g once in a day, for ten days and vitamin d once a week for eight weeks. i am very worried. is the medicine correct? will she get her periods again? will she be able to get pregnant after she gets married? please tell me. || doctor: hello. your sister could be having polycystic ovarian syndrome (pcos). it is a metabolic problem which is quite common these days. this is not a disease per se related to the ovaries but, to the whole metabolism of the body. this usually manifests as irregular cycles, excess hair growth (male pattern), obesity, etc. and there is a future risk of developing diabetes and hypertension. i would advise your sister to consider regular exercises and weight reduction as her bmi (body mass index) is in the overweight range. the medications she has been prescribed are alright. ladies with pcos usually have difficulty in conception but, it is possible if they regulate their cycles and their body with regular exercise and diet modifications. do not worry about future conception. she will definitely be able to concieve, provided she regularly follows up with the advice of her gynecologist. assure her and all the best. for more information consult an obstetrician and gynaecologist online --> |
9,554 | Q. Is one tablet of Septra daily, enough for my dad who has AIDS? | Hello doctor, My father is 58 years old and weighs 49 kg and 5.8 feet tall. He is on ART medicine since the last 13 years. He has AIDS. He had seizures last year, so he is also taking Ecosprin 75 mg, Septran, and Eptoin daily. I have two questions. Many doctors are surprised that he is only having one Septran tablet a day. I wanted to know that, is one Septran tablet enough? His MRI scans show some infections. I also want to inform you that my father has high BP problem, and he is on Telma since last year. Should we increase his dosage of Septran considering he has high BP problem? My other question is that, whether blood clots can cause seizures because as far as I have researched, Eptoin is being given only for the epileptic seizures. Is there a possibility that blood clots can cause seizures? He had seizures on the left side of his body and since then, he has never had seizures or any those symptoms like slurred speech or confusion or lack of coordination. Please help me. I have not attached any medical reports. But still, if you can guide to whatever extent, that would be of great help. Regards. | Hi. Hope you are satisfied with the answer. Regards. For further queries consult an internal medicine physician online --> | Patient: Hello doctor, My father is 58 years old and weighs 49 kg and 5.8 feet tall. He is on ART medicine since the last 13 years. He has AIDS. He had seizures last year, so he is also taking Ecosprin 75 mg, Septran, and Eptoin daily. I have two questions. Many doctors are surprised that he is only having one Septran tablet a day. I wanted to know that, is one Septran tablet enough? His MRI scans show some infections. I also want to inform you that my father has high BP problem, and he is on Telma since last year. Should we increase his dosage of Septran considering he has high BP problem? My other question is that, whether blood clots can cause seizures because as far as I have researched, Eptoin is being given only for the epileptic seizures. Is there a possibility that blood clots can cause seizures? He had seizures on the left side of his body and since then, he has never had seizures or any those symptoms like slurred speech or confusion or lack of coordination. Please help me. I have not attached any medical reports. But still, if you can guide to whatever extent, that would be of great help. Regards. || Doctor: Hi. Hope you are satisfied with the answer. Regards. For further queries consult an internal medicine physician online --> | patient: hello doctor, my father is 58 years old and weighs 49 kg and 5.8 feet tall. he is on art medicine since the last 13 years. he has aids. he had seizures last year, so he is also taking ecosprin 75 mg, septran, and eptoin daily. i have two questions. many doctors are surprised that he is only having one septran tablet a day. i wanted to know that, is one septran tablet enough? his mri scans show some infections. i also want to inform you that my father has high bp problem, and he is on telma since last year. should we increase his dosage of septran considering he has high bp problem? my other question is that, whether blood clots can cause seizures because as far as i have researched, eptoin is being given only for the epileptic seizures. is there a possibility that blood clots can cause seizures? he had seizures on the left side of his body and since then, he has never had seizures or any those symptoms like slurred speech or confusion or lack of coordination. please help me. i have not attached any medical reports. but still, if you can guide to whatever extent, that would be of great help. regards. || doctor: hi. hope you are satisfied with the answer. regards. for further queries consult an internal medicine physician online --> |
9,555 | Q. I see some flying corpuscles in my vision. Is this a nerve issue? | Hi doctor, On certain surfaces like light or plain background and dark surface I see some flying corpuscles in my vision. My eye check-up is normal including retina check. Doctors said because of this isolated symptom one cannot suspect any nerve problem. When I wake up at night, these flying corpuscles or tiny stuff in my vision bothers me. I have this right from my childhood and I am 32 now. Should I be worried for this? | Hi. For further queries consult an eye care ophthalmologist online --> | Patient: Hi doctor, On certain surfaces like light or plain background and dark surface I see some flying corpuscles in my vision. My eye check-up is normal including retina check. Doctors said because of this isolated symptom one cannot suspect any nerve problem. When I wake up at night, these flying corpuscles or tiny stuff in my vision bothers me. I have this right from my childhood and I am 32 now. Should I be worried for this? || Doctor: Hi. For further queries consult an eye care ophthalmologist online --> | patient: hi doctor, on certain surfaces like light or plain background and dark surface i see some flying corpuscles in my vision. my eye check-up is normal including retina check. doctors said because of this isolated symptom one cannot suspect any nerve problem. when i wake up at night, these flying corpuscles or tiny stuff in my vision bothers me. i have this right from my childhood and i am 32 now. should i be worried for this? || doctor: hi. for further queries consult an eye care ophthalmologist online --> |
9,556 | Q. How to identify the reason for palpitations? | Hi doctor, I am suffering from heart palpitations. Also, I have occasional breathlessness. For a while, I used Propranolol. But, it did not work. So, the doctor asked me to do a thyroid test and the result was normal. I do not know what to do. Please help | Hi. Palpitations can be out of two types. Sinus arrhythmia (only fast heart rate, but rhythm is normal) and this is not to be worried. Arrhythmias - There are many types of arrhythmias, some are atrial in origin and some are ventricular in origin. Revert back with the reports to a cardiologist online --> | Patient: Hi doctor, I am suffering from heart palpitations. Also, I have occasional breathlessness. For a while, I used Propranolol. But, it did not work. So, the doctor asked me to do a thyroid test and the result was normal. I do not know what to do. Please help || Doctor: Hi. Palpitations can be out of two types. Sinus arrhythmia (only fast heart rate, but rhythm is normal) and this is not to be worried. Arrhythmias - There are many types of arrhythmias, some are atrial in origin and some are ventricular in origin. Revert back with the reports to a cardiologist online --> | patient: hi doctor, i am suffering from heart palpitations. also, i have occasional breathlessness. for a while, i used propranolol. but, it did not work. so, the doctor asked me to do a thyroid test and the result was normal. i do not know what to do. please help || doctor: hi. palpitations can be out of two types. sinus arrhythmia (only fast heart rate, but rhythm is normal) and this is not to be worried. arrhythmias - there are many types of arrhythmias, some are atrial in origin and some are ventricular in origin. revert back with the reports to a cardiologist online --> |
9,557 | Q. I am on Adderall for ADD and I am unable to sleep. Why? | Hi doctor, I have ADD and taking Adderall 20 mg twice daily. Usually, my sleep is good and rarely I may feel difficult to sleep. Also, I only take prescription when I am supposed to. But, for the past one week, I am unable to sleep. I took my sleeping pills and still just could not sleep. As till early morning I am not getting sleep, I started having the worst panic attacks. I kept thinking the worst thoughts and somehow ended up passing out. Then, I become normal after two hours and took my Adderall. If the same thing happens again, then what can I do to help myself? | Hello. Revert back with the answers to the above questions to an internal medicine physician online --> | Patient: Hi doctor, I have ADD and taking Adderall 20 mg twice daily. Usually, my sleep is good and rarely I may feel difficult to sleep. Also, I only take prescription when I am supposed to. But, for the past one week, I am unable to sleep. I took my sleeping pills and still just could not sleep. As till early morning I am not getting sleep, I started having the worst panic attacks. I kept thinking the worst thoughts and somehow ended up passing out. Then, I become normal after two hours and took my Adderall. If the same thing happens again, then what can I do to help myself? || Doctor: Hello. Revert back with the answers to the above questions to an internal medicine physician online --> | patient: hi doctor, i have add and taking adderall 20 mg twice daily. usually, my sleep is good and rarely i may feel difficult to sleep. also, i only take prescription when i am supposed to. but, for the past one week, i am unable to sleep. i took my sleeping pills and still just could not sleep. as till early morning i am not getting sleep, i started having the worst panic attacks. i kept thinking the worst thoughts and somehow ended up passing out. then, i become normal after two hours and took my adderall. if the same thing happens again, then what can i do to help myself? || doctor: hello. revert back with the answers to the above questions to an internal medicine physician online --> |
9,558 | Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. || Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | patient: hi doctor, i am a 26 year old male. i am 5 feet and 9 inches tall and weigh 255 pounds. when i eat spicy food, i poop blood. sometimes when i have constipation as well, i poop a little bit of blood. i am really scared that i have colon cancer. i do have diarrhea often. i do not have a family history of colon cancer. i got blood tests done last night. please find my reports attached. || doctor: hello. i have gone through your information and test reports (attachment removed to protect patient identity). so, in view of that, there are a couple of things that i can opine upon: hope that helps. for more information consult a general surgeon online --> |
9,559 | 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 --> |
9,560 | 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 --> |
9,561 | 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.---> |
9,562 | 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 --> |
9,563 | 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 --> |
9,564 | Q. Does Abhayarishta medicine cause stool color to be dark brown? | Hello doctor, Recently, I started taking Abhayarishta medicine. I was having pain in the anus. I consulted a doctor and they told that it is an infection. Now daily I take Abhayarishta medicine for better digestion. But the stool color is dark brown. Is it because of Abhayarishta or some other problem? Please suggest. | Hello. Abhayaristam is a laxative and appetizer. It is good for your concern. It might be causing dark brown stool. But there are other causes too. Some kind of foods, and internal bleeding are also responsible for that. You can check it very easily. Just stop Abhayaristam for two to three days and observe your stool. Also, give attention to your food. Spinach, beetroot, or other iron-rich foods also cause brown or blackish stool. You should avoid them and watch your stool. If stool color persists brown, you should consult an anorectal specialist. If you have any queries regarding this concern, feel free to revert back. For more information consult an ayurveda specialist online --> | Patient: Hello doctor, Recently, I started taking Abhayarishta medicine. I was having pain in the anus. I consulted a doctor and they told that it is an infection. Now daily I take Abhayarishta medicine for better digestion. But the stool color is dark brown. Is it because of Abhayarishta or some other problem? Please suggest. || Doctor: Hello. Abhayaristam is a laxative and appetizer. It is good for your concern. It might be causing dark brown stool. But there are other causes too. Some kind of foods, and internal bleeding are also responsible for that. You can check it very easily. Just stop Abhayaristam for two to three days and observe your stool. Also, give attention to your food. Spinach, beetroot, or other iron-rich foods also cause brown or blackish stool. You should avoid them and watch your stool. If stool color persists brown, you should consult an anorectal specialist. If you have any queries regarding this concern, feel free to revert back. For more information consult an ayurveda specialist online --> | patient: hello doctor, recently, i started taking abhayarishta medicine. i was having pain in the anus. i consulted a doctor and they told that it is an infection. now daily i take abhayarishta medicine for better digestion. but the stool color is dark brown. is it because of abhayarishta or some other problem? please suggest. || doctor: hello. abhayaristam is a laxative and appetizer. it is good for your concern. it might be causing dark brown stool. but there are other causes too. some kind of foods, and internal bleeding are also responsible for that. you can check it very easily. just stop abhayaristam for two to three days and observe your stool. also, give attention to your food. spinach, beetroot, or other iron-rich foods also cause brown or blackish stool. you should avoid them and watch your stool. if stool color persists brown, you should consult an anorectal specialist. if you have any queries regarding this concern, feel free to revert back. for more information consult an ayurveda specialist online --> |
9,565 | Q. After taking I-pill, how to confirm that I am not pregnant? | Hi doctor, I had unprotected sex with my fiance. However, I was close to my periods and he had not ejaculated inside me. But, to stay on the safer side, I had taken I-pill after 24 hours. Will I get pregnant? | Hello. If you have taken I-pill within 72 hours of unprotected intercourse, then you are likely to remain safe. The success rate of the I-pill is 99.5% if taken within 24 hours. So, you should expect a withdrawal bleed within the next five to seven days and once the bleeding starts that shall indirectly confirm that you are not pregnant. You are required to be patient now and wait for your menstrual withdrawal. As you are already in the last week of your cycle, the chances of pregnancy are low and to add you have further covered it up with an I-pill. So, your chances of conception are negligible. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had unprotected sex with my fiance. However, I was close to my periods and he had not ejaculated inside me. But, to stay on the safer side, I had taken I-pill after 24 hours. Will I get pregnant? || Doctor: Hello. If you have taken I-pill within 72 hours of unprotected intercourse, then you are likely to remain safe. The success rate of the I-pill is 99.5% if taken within 24 hours. So, you should expect a withdrawal bleed within the next five to seven days and once the bleeding starts that shall indirectly confirm that you are not pregnant. You are required to be patient now and wait for your menstrual withdrawal. As you are already in the last week of your cycle, the chances of pregnancy are low and to add you have further covered it up with an I-pill. So, your chances of conception are negligible. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had unprotected sex with my fiance. however, i was close to my periods and he had not ejaculated inside me. but, to stay on the safer side, i had taken i-pill after 24 hours. will i get pregnant? || doctor: hello. if you have taken i-pill within 72 hours of unprotected intercourse, then you are likely to remain safe. the success rate of the i-pill is 99.5% if taken within 24 hours. so, you should expect a withdrawal bleed within the next five to seven days and once the bleeding starts that shall indirectly confirm that you are not pregnant. you are required to be patient now and wait for your menstrual withdrawal. as you are already in the last week of your cycle, the chances of pregnancy are low and to add you have further covered it up with an i-pill. so, your chances of conception are negligible. for further information consult an obstetrician and gynaecologist online --> |
9,566 | Q. What are the reasons for back pain following C-section? | Hi doctor, I am a 31 year old female. I had a cesarean delivery before eight years. Since then, I have been having some light to medium pain in the lower back. In the last few months, the pain has increased and is regular every day now. It pains clearly when it is pressed. Also, in the last few weeks, the bone of neck pointed bone between both the shoulders also giving pain. Also, I have pain in both the knees and backside muscles, some itching or irritation type of pain happens throughout the day. It becomes worse at night before sleeping.These problems get worse during monthly periods. Currently, I am using copper-T and this also gives abdominal pain. I have attached all my blood tests and x-ray report for reference. Thank you. | Hi. I have gone through your query and can understand your health concern. After cesarean section every woman experiences back pain for a few months, which is related to the surgery and spinal anesthesia. During surgery some of the nerves get cut while giving incision and this can give pain. The other reason for pain is uterine contractions. But, eventually this pain gets subsided over a period of a few months. One more cause for post cesarean pain is a deficiency of calcium in the body. Most of the calcium gets dissolved and secreted in breast milk and it causes weakness of bones and back pain. When this deficiency increases patient develops generalized body pain. I would suggest you to check your serum calcium and vitamin D level. Also, you can do a bone mineral density test to know the condition of your bones. You can take calcium and vitamin D supplements. For copper-T, consult your gynecologist and get it checked. As you have mentioned that the pain increases during periods, this pain is due to uterine contractions which is exaggerated during periods. I suggest tablet Meftal spas (Mefenamic acid) during periods, if you get severe pain. Consult your doctor, discuss with him or her and take the medicine with consent. Calcium deficiency. Serum calcium, vitamin D and bone mineral density. Revert back with the report to an internal medicine physician online.---> | Patient: Hi doctor, I am a 31 year old female. I had a cesarean delivery before eight years. Since then, I have been having some light to medium pain in the lower back. In the last few months, the pain has increased and is regular every day now. It pains clearly when it is pressed. Also, in the last few weeks, the bone of neck pointed bone between both the shoulders also giving pain. Also, I have pain in both the knees and backside muscles, some itching or irritation type of pain happens throughout the day. It becomes worse at night before sleeping.These problems get worse during monthly periods. Currently, I am using copper-T and this also gives abdominal pain. I have attached all my blood tests and x-ray report for reference. Thank you. || Doctor: Hi. I have gone through your query and can understand your health concern. After cesarean section every woman experiences back pain for a few months, which is related to the surgery and spinal anesthesia. During surgery some of the nerves get cut while giving incision and this can give pain. The other reason for pain is uterine contractions. But, eventually this pain gets subsided over a period of a few months. One more cause for post cesarean pain is a deficiency of calcium in the body. Most of the calcium gets dissolved and secreted in breast milk and it causes weakness of bones and back pain. When this deficiency increases patient develops generalized body pain. I would suggest you to check your serum calcium and vitamin D level. Also, you can do a bone mineral density test to know the condition of your bones. You can take calcium and vitamin D supplements. For copper-T, consult your gynecologist and get it checked. As you have mentioned that the pain increases during periods, this pain is due to uterine contractions which is exaggerated during periods. I suggest tablet Meftal spas (Mefenamic acid) during periods, if you get severe pain. Consult your doctor, discuss with him or her and take the medicine with consent. Calcium deficiency. Serum calcium, vitamin D and bone mineral density. Revert back with the report to an internal medicine physician online.---> | patient: hi doctor, i am a 31 year old female. i had a cesarean delivery before eight years. since then, i have been having some light to medium pain in the lower back. in the last few months, the pain has increased and is regular every day now. it pains clearly when it is pressed. also, in the last few weeks, the bone of neck pointed bone between both the shoulders also giving pain. also, i have pain in both the knees and backside muscles, some itching or irritation type of pain happens throughout the day. it becomes worse at night before sleeping.these problems get worse during monthly periods. currently, i am using copper-t and this also gives abdominal pain. i have attached all my blood tests and x-ray report for reference. thank you. || doctor: hi. i have gone through your query and can understand your health concern. after cesarean section every woman experiences back pain for a few months, which is related to the surgery and spinal anesthesia. during surgery some of the nerves get cut while giving incision and this can give pain. the other reason for pain is uterine contractions. but, eventually this pain gets subsided over a period of a few months. one more cause for post cesarean pain is a deficiency of calcium in the body. most of the calcium gets dissolved and secreted in breast milk and it causes weakness of bones and back pain. when this deficiency increases patient develops generalized body pain. i would suggest you to check your serum calcium and vitamin d level. also, you can do a bone mineral density test to know the condition of your bones. you can take calcium and vitamin d supplements. for copper-t, consult your gynecologist and get it checked. as you have mentioned that the pain increases during periods, this pain is due to uterine contractions which is exaggerated during periods. i suggest tablet meftal spas (mefenamic acid) during periods, if you get severe pain. consult your doctor, discuss with him or her and take the medicine with consent. calcium deficiency. serum calcium, vitamin d and bone mineral density. revert back with the report to an internal medicine physician online.---> |
9,567 | Q. My problem is anxiety and fear. I have sexual problems as well. Please help. | Dear Doctor, I am 32 years old and I weigh 80kg. I am married and I am working with a telecom company. I got married six months back and my problem is anxiety and fear. I am not able to drive because of fear. Headache, blurred vision, shortness of breath are my problems. Among them, fear is the main problem and I am not able to face situations and people with confidence. This started 5 years back. I consulted a psychiatrist and he gave Nexito Forte and Mirtazapine tablets. But my problem remains the same. I can manage without medications now, but sometimes uncontrollable. I have sexual problems as well. I experience loss of erection within minutes. Please help. | Hi. From the available description it appears to be Generalized Anxiety Disorder (GAD) which is a kind of anxiety disorder that needs long term treatment. I would like to tell you that GAD is a kind of relapsing and remitting disorder and needs both medications as well as counselling. Before moving for counselling try the following methods of anxiety and fear management. I am noting down few of the strategies which are used to reduce stress and anxiety. I hope it will be very useful for you to reduce your symptoms. Diet - Ensure intake of adequate quantity of fibre. Two servings of vegetable salad and two servings of fruits (preferably with one citrus fruit). Proper diet does miracles and rejuvenates. Orange is a good source of antioxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets. Ensure adequate water intake - Follow "rule of 1" which I usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water. Recommended intake of water is 2 to 3 litres a day. Early morning exercise - Brisk walk for 30 minutes at a stretch preferably in garden will be very helpful. Avoid tea/coffee/nicotine and alcoholic beverages - If at all you want to drink something, drink fresh lime water. It is very much refreshing. Start your day with a glass of lemon water with 2 teaspoons of honey added to it. Have a good breakfast. Do not work stressfully - We all have the thought to excel in our respective fields and do not spend adequate time with our own self. So, try to understand your own needs and spend time for yourself and your family. When the work pressure is high, call it a day, take a short leave and hit out to some picnic spot which you always wanted to go. While working take frequent regular breaks - Taking regular breaks will not waste the time, but will definitely increase the productivity, concentration and reasoning. Meditation and yoga will help you a lot. Other than this, take the medications regularly. The medicines you are having take lots of time before they reach their maximum potential. In many cases it may take upto 12 weeks.Regarding sexual problems, they may be related to both anxiety or current medication. Revert back after a month to a psychiatrist online --> | Patient: Dear Doctor, I am 32 years old and I weigh 80kg. I am married and I am working with a telecom company. I got married six months back and my problem is anxiety and fear. I am not able to drive because of fear. Headache, blurred vision, shortness of breath are my problems. Among them, fear is the main problem and I am not able to face situations and people with confidence. This started 5 years back. I consulted a psychiatrist and he gave Nexito Forte and Mirtazapine tablets. But my problem remains the same. I can manage without medications now, but sometimes uncontrollable. I have sexual problems as well. I experience loss of erection within minutes. Please help. || Doctor: Hi. From the available description it appears to be Generalized Anxiety Disorder (GAD) which is a kind of anxiety disorder that needs long term treatment. I would like to tell you that GAD is a kind of relapsing and remitting disorder and needs both medications as well as counselling. Before moving for counselling try the following methods of anxiety and fear management. I am noting down few of the strategies which are used to reduce stress and anxiety. I hope it will be very useful for you to reduce your symptoms. Diet - Ensure intake of adequate quantity of fibre. Two servings of vegetable salad and two servings of fruits (preferably with one citrus fruit). Proper diet does miracles and rejuvenates. Orange is a good source of antioxidants. Avoid junk food and fast food especially pizza, burgers and excessive sweets. Ensure adequate water intake - Follow "rule of 1" which I usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water. Recommended intake of water is 2 to 3 litres a day. Early morning exercise - Brisk walk for 30 minutes at a stretch preferably in garden will be very helpful. Avoid tea/coffee/nicotine and alcoholic beverages - If at all you want to drink something, drink fresh lime water. It is very much refreshing. Start your day with a glass of lemon water with 2 teaspoons of honey added to it. Have a good breakfast. Do not work stressfully - We all have the thought to excel in our respective fields and do not spend adequate time with our own self. So, try to understand your own needs and spend time for yourself and your family. When the work pressure is high, call it a day, take a short leave and hit out to some picnic spot which you always wanted to go. While working take frequent regular breaks - Taking regular breaks will not waste the time, but will definitely increase the productivity, concentration and reasoning. Meditation and yoga will help you a lot. Other than this, take the medications regularly. The medicines you are having take lots of time before they reach their maximum potential. In many cases it may take upto 12 weeks.Regarding sexual problems, they may be related to both anxiety or current medication. Revert back after a month to a psychiatrist online --> | patient: dear doctor, i am 32 years old and i weigh 80kg. i am married and i am working with a telecom company. i got married six months back and my problem is anxiety and fear. i am not able to drive because of fear. headache, blurred vision, shortness of breath are my problems. among them, fear is the main problem and i am not able to face situations and people with confidence. this started 5 years back. i consulted a psychiatrist and he gave nexito forte and mirtazapine tablets. but my problem remains the same. i can manage without medications now, but sometimes uncontrollable. i have sexual problems as well. i experience loss of erection within minutes. please help. || doctor: hi. from the available description it appears to be generalized anxiety disorder (gad) which is a kind of anxiety disorder that needs long term treatment. i would like to tell you that gad is a kind of relapsing and remitting disorder and needs both medications as well as counselling. before moving for counselling try the following methods of anxiety and fear management. i am noting down few of the strategies which are used to reduce stress and anxiety. i hope it will be very useful for you to reduce your symptoms. diet - ensure intake of adequate quantity of fibre. two servings of vegetable salad and two servings of fruits (preferably with one citrus fruit). proper diet does miracles and rejuvenates. orange is a good source of antioxidants. avoid junk food and fast food especially pizza, burgers and excessive sweets. ensure adequate water intake - follow "rule of 1" which i usually advise. 1 glass of water 1 hour before and 1 glass of water 1 hour after every meals will ensure adequate consumption of water. recommended intake of water is 2 to 3 litres a day. early morning exercise - brisk walk for 30 minutes at a stretch preferably in garden will be very helpful. avoid tea/coffee/nicotine and alcoholic beverages - if at all you want to drink something, drink fresh lime water. it is very much refreshing. start your day with a glass of lemon water with 2 teaspoons of honey added to it. have a good breakfast. do not work stressfully - we all have the thought to excel in our respective fields and do not spend adequate time with our own self. so, try to understand your own needs and spend time for yourself and your family. when the work pressure is high, call it a day, take a short leave and hit out to some picnic spot which you always wanted to go. while working take frequent regular breaks - taking regular breaks will not waste the time, but will definitely increase the productivity, concentration and reasoning. meditation and yoga will help you a lot. other than this, take the medications regularly. the medicines you are having take lots of time before they reach their maximum potential. in many cases it may take upto 12 weeks.regarding sexual problems, they may be related to both anxiety or current medication. revert back after a month to a psychiatrist online --> |
9,568 | Q. Having a wound on my scrotum. Is that herpes? | Hi doctor, I have an open wound or ulcer on my scrotum. I afraid that this might be herpes. However, the day before this wound I played football for 2 hours. I took a shower, but put on the same underwear and sprayed body spray on my boxers entirely before putting them on. I wore those boxers for the remaining of the day and did not take a shower until the following day. It was the following day where I noticed a red spot on my testicles as if dry skin and the skin cracked and the wound appeared. | Hello. Revert back with the photo to an internal medicine physician online --> | Patient: Hi doctor, I have an open wound or ulcer on my scrotum. I afraid that this might be herpes. However, the day before this wound I played football for 2 hours. I took a shower, but put on the same underwear and sprayed body spray on my boxers entirely before putting them on. I wore those boxers for the remaining of the day and did not take a shower until the following day. It was the following day where I noticed a red spot on my testicles as if dry skin and the skin cracked and the wound appeared. || Doctor: Hello. Revert back with the photo to an internal medicine physician online --> | patient: hi doctor, i have an open wound or ulcer on my scrotum. i afraid that this might be herpes. however, the day before this wound i played football for 2 hours. i took a shower, but put on the same underwear and sprayed body spray on my boxers entirely before putting them on. i wore those boxers for the remaining of the day and did not take a shower until the following day. it was the following day where i noticed a red spot on my testicles as if dry skin and the skin cracked and the wound appeared. || doctor: hello. revert back with the photo to an internal medicine physician online --> |
9,569 | 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. |
9,570 | Q. Got a bump on my lips. Is it due to body heat? | Hello doctor, I got a bump on my lips before two weeks. It is not itching. Is it due to body heat? I have attached pictures. Also, I am having acne on face. Please review the pictures and guide me. | Hi. Revert back with the photos and details to a dermatologist online --> | Patient: Hello doctor, I got a bump on my lips before two weeks. It is not itching. Is it due to body heat? I have attached pictures. Also, I am having acne on face. Please review the pictures and guide me. || Doctor: Hi. Revert back with the photos and details to a dermatologist online --> | patient: hello doctor, i got a bump on my lips before two weeks. it is not itching. is it due to body heat? i have attached pictures. also, i am having acne on face. please review the pictures and guide me. || doctor: hi. revert back with the photos and details to a dermatologist online --> |
9,571 | Q. How to manage lung infection and paralysis after gallbladder surgery? | Hi doctor, My aunt had faced an operation of her gallbladder and the doctor said that she is good and the operation is successful. But after 3 days she faced lung infection, on which the current report says that the virus are reduced from 35000 to 16500 in 5 days. Also her right hand and right leg has no movement. So, last night CT scan was run on her and the report says that she had a blood clot on the right part of brain due to which she is paralyzed by her right wing. So, I need some good suggestion from you that what should I do in this situation? | Hi. I read your query and understand your concerns and also had a look at the reports (attachments removed to protect patient identity). For further information consult a neurologist online --> | Patient: Hi doctor, My aunt had faced an operation of her gallbladder and the doctor said that she is good and the operation is successful. But after 3 days she faced lung infection, on which the current report says that the virus are reduced from 35000 to 16500 in 5 days. Also her right hand and right leg has no movement. So, last night CT scan was run on her and the report says that she had a blood clot on the right part of brain due to which she is paralyzed by her right wing. So, I need some good suggestion from you that what should I do in this situation? || Doctor: Hi. I read your query and understand your concerns and also had a look at the reports (attachments removed to protect patient identity). For further information consult a neurologist online --> | patient: hi doctor, my aunt had faced an operation of her gallbladder and the doctor said that she is good and the operation is successful. but after 3 days she faced lung infection, on which the current report says that the virus are reduced from 35000 to 16500 in 5 days. also her right hand and right leg has no movement. so, last night ct scan was run on her and the report says that she had a blood clot on the right part of brain due to which she is paralyzed by her right wing. so, i need some good suggestion from you that what should i do in this situation? || doctor: hi. i read your query and understand your concerns and also had a look at the reports (attachments removed to protect patient identity). for further information consult a neurologist online --> |
9,572 | Q. Shall I opt flap surgery and bone graft for my loose tooth? | Hi doctor, I am having severe toothache and loose teeth. I used to chew tobacco for the past 10 years. I am getting severe tooth pain often and some blister in the gums. My upper sixth tooth got loose and was removed three years ago. I have been to a local dentist and they advised deep scaling, root canal therapy for two teeth and flap surgery followed by bone grafting. This treatment is being too expensive; kindly suggest if there is anything else that can be done. Are all these treatments required in my case? I have attached my prescription and x-rays for your reference. | Hi. For further doubts consult a dentist online --> | Patient: Hi doctor, I am having severe toothache and loose teeth. I used to chew tobacco for the past 10 years. I am getting severe tooth pain often and some blister in the gums. My upper sixth tooth got loose and was removed three years ago. I have been to a local dentist and they advised deep scaling, root canal therapy for two teeth and flap surgery followed by bone grafting. This treatment is being too expensive; kindly suggest if there is anything else that can be done. Are all these treatments required in my case? I have attached my prescription and x-rays for your reference. || Doctor: Hi. For further doubts consult a dentist online --> | patient: hi doctor, i am having severe toothache and loose teeth. i used to chew tobacco for the past 10 years. i am getting severe tooth pain often and some blister in the gums. my upper sixth tooth got loose and was removed three years ago. i have been to a local dentist and they advised deep scaling, root canal therapy for two teeth and flap surgery followed by bone grafting. this treatment is being too expensive; kindly suggest if there is anything else that can be done. are all these treatments required in my case? i have attached my prescription and x-rays for your reference. || doctor: hi. for further doubts consult a dentist online --> |
9,573 | Q. I got small bumps on the penis after oral sex. Can it be syphilis? | Hi doctor, I have five small bumps appeared on the head of my penis after I had oral sex. It has been two months now, but it is still there. I have attached the photo. Also about two weeks ago I got rash on my hands, around the feet, and legs. When I consulted a doctor he said it is probably syphilis and gave me 2,400,000 units of Penicillin G shots. However, the results of blood test came back negative for syphilis. The result is rapid plasma reagin non-reactive. I am really confused whether the rash is related to oral sex or not. Please help. | Hi. I need few more details to guide you. Revert back with the answers for the above questions to a venereologist online --> | Patient: Hi doctor, I have five small bumps appeared on the head of my penis after I had oral sex. It has been two months now, but it is still there. I have attached the photo. Also about two weeks ago I got rash on my hands, around the feet, and legs. When I consulted a doctor he said it is probably syphilis and gave me 2,400,000 units of Penicillin G shots. However, the results of blood test came back negative for syphilis. The result is rapid plasma reagin non-reactive. I am really confused whether the rash is related to oral sex or not. Please help. || Doctor: Hi. I need few more details to guide you. Revert back with the answers for the above questions to a venereologist online --> | patient: hi doctor, i have five small bumps appeared on the head of my penis after i had oral sex. it has been two months now, but it is still there. i have attached the photo. also about two weeks ago i got rash on my hands, around the feet, and legs. when i consulted a doctor he said it is probably syphilis and gave me 2,400,000 units of penicillin g shots. however, the results of blood test came back negative for syphilis. the result is rapid plasma reagin non-reactive. i am really confused whether the rash is related to oral sex or not. please help. || doctor: hi. i need few more details to guide you. revert back with the answers for the above questions to a venereologist online --> |
9,574 | Q. Why does my dad vomit every time he eats? | Hello doctor,I just want to ask the case of my father. He is 68 years old. Every time he eats, he vomits. It started yesterday. He has no fever. His weight is 64 kg. He does not want to eat because he is afraid he will vomit again. What medicine can I give him? He has cough. | Hello. According to the information you have provided, the vomiting he is experiencing presently could be either due to having food poisoning from anything unusual he had yesterday or since he is using Ellipta and Dilatair, they are medicines which would cause vomiting in case his mouth is not thoroughly washed. As of now: Firstly, you need to make sure if he has loose stools or bowel-related issues associated with vomiting. After taking the medications, he needs to gargle well with warm saline and make sure he has had a very thorough mouth cleanse. I suggest tablet Emeset (Ondansetron) 8 mg twice daily for five days, and Pantoprazole 40 mg twice daily for five days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Since he might get dehydrated due to fluid loss from the body and also electrolyte loss, he needs to have lots of fluids and start ORS in sips. You also need to make sure he eats well, as there is a high chance he would skip meals due to frequent vomiting. Try to provide him with more of soups, fresh juices, and yogurt. Cut down on hot beverages, spicy, or hot foods and food that is hard to digest. Do not worry. Follow the above and he will be fine. For more information consult a family physician online --> | Patient: Hello doctor,I just want to ask the case of my father. He is 68 years old. Every time he eats, he vomits. It started yesterday. He has no fever. His weight is 64 kg. He does not want to eat because he is afraid he will vomit again. What medicine can I give him? He has cough. || Doctor: Hello. According to the information you have provided, the vomiting he is experiencing presently could be either due to having food poisoning from anything unusual he had yesterday or since he is using Ellipta and Dilatair, they are medicines which would cause vomiting in case his mouth is not thoroughly washed. As of now: Firstly, you need to make sure if he has loose stools or bowel-related issues associated with vomiting. After taking the medications, he needs to gargle well with warm saline and make sure he has had a very thorough mouth cleanse. I suggest tablet Emeset (Ondansetron) 8 mg twice daily for five days, and Pantoprazole 40 mg twice daily for five days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Since he might get dehydrated due to fluid loss from the body and also electrolyte loss, he needs to have lots of fluids and start ORS in sips. You also need to make sure he eats well, as there is a high chance he would skip meals due to frequent vomiting. Try to provide him with more of soups, fresh juices, and yogurt. Cut down on hot beverages, spicy, or hot foods and food that is hard to digest. Do not worry. Follow the above and he will be fine. For more information consult a family physician online --> | patient: hello doctor,i just want to ask the case of my father. he is 68 years old. every time he eats, he vomits. it started yesterday. he has no fever. his weight is 64 kg. he does not want to eat because he is afraid he will vomit again. what medicine can i give him? he has cough. || doctor: hello. according to the information you have provided, the vomiting he is experiencing presently could be either due to having food poisoning from anything unusual he had yesterday or since he is using ellipta and dilatair, they are medicines which would cause vomiting in case his mouth is not thoroughly washed. as of now: firstly, you need to make sure if he has loose stools or bowel-related issues associated with vomiting. after taking the medications, he needs to gargle well with warm saline and make sure he has had a very thorough mouth cleanse. i suggest tablet emeset (ondansetron) 8 mg twice daily for five days, and pantoprazole 40 mg twice daily for five days. consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. since he might get dehydrated due to fluid loss from the body and also electrolyte loss, he needs to have lots of fluids and start ors in sips. you also need to make sure he eats well, as there is a high chance he would skip meals due to frequent vomiting. try to provide him with more of soups, fresh juices, and yogurt. cut down on hot beverages, spicy, or hot foods and food that is hard to digest. do not worry. follow the above and he will be fine. for more information consult a family physician online --> |
9,575 | 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 --> |
9,576 | 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 --> |
9,577 | 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.---> |
9,578 | 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 --> |
9,579 | 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 --> |
9,580 | 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 --> |
9,581 | Q. What happens to a person taking ATT medicines when not having tuberculosis? | Hi, What happens to a person taking ATT medicines, when not having tuberculosis? | Hi Consult a pulmonologist online for further queries regarding ATT medicines --> | Patient: Hi, What happens to a person taking ATT medicines, when not having tuberculosis? || Doctor: Hi Consult a pulmonologist online for further queries regarding ATT medicines --> | patient: hi, what happens to a person taking att medicines, when not having tuberculosis? || doctor: hi consult a pulmonologist online for further queries regarding att medicines --> |
9,582 | Q. Why do I have breathlessness while walking? | Hello doctor, I am a normal healthy individual with a sedentary lifestyle. I weigh 67 kg and my height is 165 cm. I am experiencing some breathlessness of late when I walk. Hence, I am trying to understand if there is something wrong in me. My annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. My vitamin D levels are also deficient over 3 years. I have a BP of 140/80 and my heart rate ranges between 65 and 78. Two years back, I had taken ayurveda medicine to reduce cholesterol levels. My concern is that it looks like I may have trouble with cardiovascular related issues later if I do not take notice of these higher values showing up in my cholesterol and hemogram levels and my vitamin D deficiency. I have attached my recent reports. I request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. Do I need to take any supplements for my vitamin D deficiency? For comparative purposes and for better diagnosis, I have also attached my test results of past three years that have a high value. Thank you. | Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Start with drugs and lifestyle modifications. 2. Have diet with low saturated and trans fats. 3. Begin with some physical activity daily. 4. Repeat lipid profile after 2 months. Revert back after two months to a cardiologist online.---> | Patient: Hello doctor, I am a normal healthy individual with a sedentary lifestyle. I weigh 67 kg and my height is 165 cm. I am experiencing some breathlessness of late when I walk. Hence, I am trying to understand if there is something wrong in me. My annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. My vitamin D levels are also deficient over 3 years. I have a BP of 140/80 and my heart rate ranges between 65 and 78. Two years back, I had taken ayurveda medicine to reduce cholesterol levels. My concern is that it looks like I may have trouble with cardiovascular related issues later if I do not take notice of these higher values showing up in my cholesterol and hemogram levels and my vitamin D deficiency. I have attached my recent reports. I request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. Do I need to take any supplements for my vitamin D deficiency? For comparative purposes and for better diagnosis, I have also attached my test results of past three years that have a high value. Thank you. || Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Start with drugs and lifestyle modifications. 2. Have diet with low saturated and trans fats. 3. Begin with some physical activity daily. 4. Repeat lipid profile after 2 months. Revert back after two months to a cardiologist online.---> | patient: hello doctor, i am a normal healthy individual with a sedentary lifestyle. i weigh 67 kg and my height is 165 cm. i am experiencing some breathlessness of late when i walk. hence, i am trying to understand if there is something wrong in me. my annual medical checkup (over the last 3 years) show my cholesterol levels above normal and also have higher values in the blood hemogram report. my vitamin d levels are also deficient over 3 years. i have a bp of 140/80 and my heart rate ranges between 65 and 78. two years back, i had taken ayurveda medicine to reduce cholesterol levels. my concern is that it looks like i may have trouble with cardiovascular related issues later if i do not take notice of these higher values showing up in my cholesterol and hemogram levels and my vitamin d deficiency. i have attached my recent reports. i request you to review my reports and suggest if there is a need to take any medication to control cholesterol and hemogram levels. do i need to take any supplements for my vitamin d deficiency? for comparative purposes and for better diagnosis, i have also attached my test results of past three years that have a high value. thank you. || doctor: hi. i have gone through your reports (attachment removed to protect patient identity). 1. start with drugs and lifestyle modifications. 2. have diet with low saturated and trans fats. 3. begin with some physical activity daily. 4. repeat lipid profile after 2 months. revert back after two months to a cardiologist online.---> |
9,583 | Q. What is the reason for having double vision and is it preventable? | Hi doctor, I experienced double vision in a 100-mile trail run around 18 hours into the race. The double vision cleared after 20 minutes of closing my eyes in the medical tent. After a week, I saw an ophthalmologist who did a few tests and concluded that it was eye fatigue. I experienced double vision in a triathlon just after the swimming portion (30 minutes into the race). What is the reason for having double vision and is it preventable? Is there any reason other than fatigue that causes double vision? It never happened in my regular day to day activities. | Hi. It seems that you have phoria (not strabismus) and the fatigue in eye muscle cause double vision. I advise you to decrease the effort. Take good time to rest and use vitamin B (1,6,12) and keep your vision good (always about 20/20) by glasses or without any problem in your vision. For more information consult an eye care ophthalmologist online --> | Patient: Hi doctor, I experienced double vision in a 100-mile trail run around 18 hours into the race. The double vision cleared after 20 minutes of closing my eyes in the medical tent. After a week, I saw an ophthalmologist who did a few tests and concluded that it was eye fatigue. I experienced double vision in a triathlon just after the swimming portion (30 minutes into the race). What is the reason for having double vision and is it preventable? Is there any reason other than fatigue that causes double vision? It never happened in my regular day to day activities. || Doctor: Hi. It seems that you have phoria (not strabismus) and the fatigue in eye muscle cause double vision. I advise you to decrease the effort. Take good time to rest and use vitamin B (1,6,12) and keep your vision good (always about 20/20) by glasses or without any problem in your vision. For more information consult an eye care ophthalmologist online --> | patient: hi doctor, i experienced double vision in a 100-mile trail run around 18 hours into the race. the double vision cleared after 20 minutes of closing my eyes in the medical tent. after a week, i saw an ophthalmologist who did a few tests and concluded that it was eye fatigue. i experienced double vision in a triathlon just after the swimming portion (30 minutes into the race). what is the reason for having double vision and is it preventable? is there any reason other than fatigue that causes double vision? it never happened in my regular day to day activities. || doctor: hi. it seems that you have phoria (not strabismus) and the fatigue in eye muscle cause double vision. i advise you to decrease the effort. take good time to rest and use vitamin b (1,6,12) and keep your vision good (always about 20/20) by glasses or without any problem in your vision. for more information consult an eye care ophthalmologist online --> |
9,584 | Q. I had light bleeding after 16 days of I-pill intake. What does this mean? | Hello doctor, I had sexual intercourse on the 14th day of my cycle but took I-pill after three hours of it. I had bleeding on date similar to my period date after 16 days but it was light bleeding which lasted for three to four days. What does this mean? | Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be withdrawal bleeding after taking the pill. So relax and do not worry. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynecologist online --> | Patient: Hello doctor, I had sexual intercourse on the 14th day of my cycle but took I-pill after three hours of it. I had bleeding on date similar to my period date after 16 days but it was light bleeding which lasted for three to four days. What does this mean? || Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be withdrawal bleeding after taking the pill. So relax and do not worry. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynecologist online --> | patient: hello doctor, i had sexual intercourse on the 14th day of my cycle but took i-pill after three hours of it. i had bleeding on date similar to my period date after 16 days but it was light bleeding which lasted for three to four days. what does this mean? || doctor: hi. since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. this could be withdrawal bleeding after taking the pill. so relax and do not worry. however, if you have a doubt then get back to me. take care. for more information consult an obstetrician and gynecologist online --> |
9,585 | Q. As I am going to get married, kindly guide me with your expertise advise. | Hi doctor, My age is 25. My height is 180 cm and weight 84 kg. I am going to get married in the next six months. What should be the frequency of sex after marriage? My penis is about 11 cm while erect. Is it normal? What is average intercourse time? I can only hold up to 3 minutes. Is it normal? I am confused with so many questions and think its better to get a guidance from experts. When I searched on the internet, there are different views. Please guide me. | Hi. For further doubts consult a sexologist online --> | Patient: Hi doctor, My age is 25. My height is 180 cm and weight 84 kg. I am going to get married in the next six months. What should be the frequency of sex after marriage? My penis is about 11 cm while erect. Is it normal? What is average intercourse time? I can only hold up to 3 minutes. Is it normal? I am confused with so many questions and think its better to get a guidance from experts. When I searched on the internet, there are different views. Please guide me. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hi doctor, my age is 25. my height is 180 cm and weight 84 kg. i am going to get married in the next six months. what should be the frequency of sex after marriage? my penis is about 11 cm while erect. is it normal? what is average intercourse time? i can only hold up to 3 minutes. is it normal? i am confused with so many questions and think its better to get a guidance from experts. when i searched on the internet, there are different views. please guide me. || doctor: hi. for further doubts consult a sexologist online --> |
9,586 | Q. My T3 and T4 levels are high. Can this mean I am pregnant, even though I never had sex before? | Hello doctor,I recently had my thyroid test done. I am attaching the reports of the same. The note reads that a physiological rise in total T3 and T4 levels are seen in pregnancy and patients on steroids. Does it mean that I am pregnant? I am worried, as I am unmarried and have never had sex before. | Hello. I have seen your reports (attachment removed to protect patient identity). Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | Patient: Hello doctor,I recently had my thyroid test done. I am attaching the reports of the same. The note reads that a physiological rise in total T3 and T4 levels are seen in pregnancy and patients on steroids. Does it mean that I am pregnant? I am worried, as I am unmarried and have never had sex before. || Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> | patient: hello doctor,i recently had my thyroid test done. i am attaching the reports of the same. the note reads that a physiological rise in total t3 and t4 levels are seen in pregnancy and patients on steroids. does it mean that i am pregnant? i am worried, as i am unmarried and have never had sex before. || doctor: hello. i have seen your reports (attachment removed to protect patient identity). hope this helps you and get back if you have any doubts. for more information consult an internal medicine physician online --> |
9,587 | Q. What to do next if one is tested positive for dengue? | Hello doctor, A relative of mine is admitted to a local hospital and tested positive for dengue. His platelet count was checked thrice. The first time they checked it was yesterday afternoon, and the count was 83,000. The second time they tested him yesterday evening and the count was 81,000. The third test was done today morning and the result was 79,000. The clinical assistants said they are not able to ensure an increase in the platelet count. We are too tensed. Meanwhile, the WBC has steadily increased from 3600 to 5400. Please tell me what we can expect? Is it serious? The patient is active, walking, talking, and eating fine. He only has joint pains and rashes. | Hello. Fever with body ache is one of the typical symptoms of dengue fever. Do not get worried about the present situation. For more information consult a hematologist online --> | Patient: Hello doctor, A relative of mine is admitted to a local hospital and tested positive for dengue. His platelet count was checked thrice. The first time they checked it was yesterday afternoon, and the count was 83,000. The second time they tested him yesterday evening and the count was 81,000. The third test was done today morning and the result was 79,000. The clinical assistants said they are not able to ensure an increase in the platelet count. We are too tensed. Meanwhile, the WBC has steadily increased from 3600 to 5400. Please tell me what we can expect? Is it serious? The patient is active, walking, talking, and eating fine. He only has joint pains and rashes. || Doctor: Hello. Fever with body ache is one of the typical symptoms of dengue fever. Do not get worried about the present situation. For more information consult a hematologist online --> | patient: hello doctor, a relative of mine is admitted to a local hospital and tested positive for dengue. his platelet count was checked thrice. the first time they checked it was yesterday afternoon, and the count was 83,000. the second time they tested him yesterday evening and the count was 81,000. the third test was done today morning and the result was 79,000. the clinical assistants said they are not able to ensure an increase in the platelet count. we are too tensed. meanwhile, the wbc has steadily increased from 3600 to 5400. please tell me what we can expect? is it serious? the patient is active, walking, talking, and eating fine. he only has joint pains and rashes. || doctor: hello. fever with body ache is one of the typical symptoms of dengue fever. do not get worried about the present situation. for more information consult a hematologist online --> |
9,588 | Q. I got fever, lots of blisters and hair fall. What can be used at the earliest? | Hi doctor, I am a 34 year old female. I had severe fever and body ache before a week. I had a rash before days. Then the next daI got a few more rashes and then a lot of blisters all over. I did not scratch them. I just applied Lactocalamine lotion on the dots. I was taking Azithromycin and Acyclovir 400 DT. I was also taking vitamin E and A. The scabs were formed and came off maybe when sleeping on the pillow. The pink layer of skin is reflected under the scab. I had flawless skin before this. Will the marks leave a scar or only spots will be formed with these? I have attached closeup pictures. What should be applied to the skin spots? Can I apply any collagen boosting cream or Mederma? How much time will it take to bring back the flawless skin naturally? What can be used to remove spots at the earliest? I had many on the scalp too. I have moderate hair fall. Follihair is not helping me. Kindly suggest. | Hi. Chickenpox rash may take a course between 5 to 15 days (attachment removed to protect patient identity). It is advisable not to pick the scabs. You can continue with Lactocalamine. Once the scabs fall off, you could start using sunscreen lotion during the day and a skin lightening cream like Demelan (Glycolic acid and Kojic acid) to the spots. Depressed scars are common after chickenpox, mostly if the blisters were big and deep or if you try to pick with nails. Scars can be treated with chemical peels or lasers later on. For further information consult a dermatologist online --> | Patient: Hi doctor, I am a 34 year old female. I had severe fever and body ache before a week. I had a rash before days. Then the next daI got a few more rashes and then a lot of blisters all over. I did not scratch them. I just applied Lactocalamine lotion on the dots. I was taking Azithromycin and Acyclovir 400 DT. I was also taking vitamin E and A. The scabs were formed and came off maybe when sleeping on the pillow. The pink layer of skin is reflected under the scab. I had flawless skin before this. Will the marks leave a scar or only spots will be formed with these? I have attached closeup pictures. What should be applied to the skin spots? Can I apply any collagen boosting cream or Mederma? How much time will it take to bring back the flawless skin naturally? What can be used to remove spots at the earliest? I had many on the scalp too. I have moderate hair fall. Follihair is not helping me. Kindly suggest. || Doctor: Hi. Chickenpox rash may take a course between 5 to 15 days (attachment removed to protect patient identity). It is advisable not to pick the scabs. You can continue with Lactocalamine. Once the scabs fall off, you could start using sunscreen lotion during the day and a skin lightening cream like Demelan (Glycolic acid and Kojic acid) to the spots. Depressed scars are common after chickenpox, mostly if the blisters were big and deep or if you try to pick with nails. Scars can be treated with chemical peels or lasers later on. For further information consult a dermatologist online --> | patient: hi doctor, i am a 34 year old female. i had severe fever and body ache before a week. i had a rash before days. then the next dai got a few more rashes and then a lot of blisters all over. i did not scratch them. i just applied lactocalamine lotion on the dots. i was taking azithromycin and acyclovir 400 dt. i was also taking vitamin e and a. the scabs were formed and came off maybe when sleeping on the pillow. the pink layer of skin is reflected under the scab. i had flawless skin before this. will the marks leave a scar or only spots will be formed with these? i have attached closeup pictures. what should be applied to the skin spots? can i apply any collagen boosting cream or mederma? how much time will it take to bring back the flawless skin naturally? what can be used to remove spots at the earliest? i had many on the scalp too. i have moderate hair fall. follihair is not helping me. kindly suggest. || doctor: hi. chickenpox rash may take a course between 5 to 15 days (attachment removed to protect patient identity). it is advisable not to pick the scabs. you can continue with lactocalamine. once the scabs fall off, you could start using sunscreen lotion during the day and a skin lightening cream like demelan (glycolic acid and kojic acid) to the spots. depressed scars are common after chickenpox, mostly if the blisters were big and deep or if you try to pick with nails. scars can be treated with chemical peels or lasers later on. for further information consult a dermatologist online --> |
9,589 | Q. How can high blood sugar be treated in someone who has chronic diabetes? | Hello doctor, My mother has an 18-year history of type 2 diabetes mainly due to stress. HbA1c is 11 and fasting blood sugar level is 247 with G.M.SR 2. Her ESR is 40. She is suffering from frequent body aches these days especially in shoulders. In the past, she has taken Glimestar. Please help. | Hello. A fasting blood sugar level of 247 is quite high and HbA1c (glycated hemoglobin) of 11 indicates uncontrolled blood sugar. The medication that your mother is taking is not sufficient to control her blood sugar. She definitely needs a revision of her prescription. Uncontrolled blood sugar levels can lead to inflammatory conditions that show up as body pains. People with diabetes are also predisposed to developing frozen shoulder, which might explain her shoulder pain. She might need medication and physiotherapy for this. Her ESR (erythrocyte sedimentation rate) is also high and it needs further evaluation. She also seems to be underweight which is characteristic of uncontrolled diabetes. Her medication needs to be changed, but only after a complete physical examination and evaluation of laboratory parameters by a diabetes specialist. She can probably be relieved of most of her issues once her blood sugar is controlled. I suggest you visit a diabetes specialist at the earliest to avoid any complications. For more information consult a diabetologist online --> | Patient: Hello doctor, My mother has an 18-year history of type 2 diabetes mainly due to stress. HbA1c is 11 and fasting blood sugar level is 247 with G.M.SR 2. Her ESR is 40. She is suffering from frequent body aches these days especially in shoulders. In the past, she has taken Glimestar. Please help. || Doctor: Hello. A fasting blood sugar level of 247 is quite high and HbA1c (glycated hemoglobin) of 11 indicates uncontrolled blood sugar. The medication that your mother is taking is not sufficient to control her blood sugar. She definitely needs a revision of her prescription. Uncontrolled blood sugar levels can lead to inflammatory conditions that show up as body pains. People with diabetes are also predisposed to developing frozen shoulder, which might explain her shoulder pain. She might need medication and physiotherapy for this. Her ESR (erythrocyte sedimentation rate) is also high and it needs further evaluation. She also seems to be underweight which is characteristic of uncontrolled diabetes. Her medication needs to be changed, but only after a complete physical examination and evaluation of laboratory parameters by a diabetes specialist. She can probably be relieved of most of her issues once her blood sugar is controlled. I suggest you visit a diabetes specialist at the earliest to avoid any complications. For more information consult a diabetologist online --> | patient: hello doctor, my mother has an 18-year history of type 2 diabetes mainly due to stress. hba1c is 11 and fasting blood sugar level is 247 with g.m.sr 2. her esr is 40. she is suffering from frequent body aches these days especially in shoulders. in the past, she has taken glimestar. please help. || doctor: hello. a fasting blood sugar level of 247 is quite high and hba1c (glycated hemoglobin) of 11 indicates uncontrolled blood sugar. the medication that your mother is taking is not sufficient to control her blood sugar. she definitely needs a revision of her prescription. uncontrolled blood sugar levels can lead to inflammatory conditions that show up as body pains. people with diabetes are also predisposed to developing frozen shoulder, which might explain her shoulder pain. she might need medication and physiotherapy for this. her esr (erythrocyte sedimentation rate) is also high and it needs further evaluation. she also seems to be underweight which is characteristic of uncontrolled diabetes. her medication needs to be changed, but only after a complete physical examination and evaluation of laboratory parameters by a diabetes specialist. she can probably be relieved of most of her issues once her blood sugar is controlled. i suggest you visit a diabetes specialist at the earliest to avoid any complications. for more information consult a diabetologist online --> |
9,590 | Q. Why do I have anxiety attacks soon after I wake up? | Hello doctor, I am 24 years old, and I weigh 80 kg. My height is 5 feet 7 inches. I have anxiety and depression from many days. Anxiety starts as soon as I wake up and it lasts for a few minutes. I calm down for a while and then again it starts. It occurs every day like a cycle without any reason. The anxiety and depression last for the entire day. I have migraines too. When these three occur together, it feels like hell. I lose concentration. I feel like freaking out, and my mind does not work. Whenever I sleep for too long or if I have lack of sleep these symptoms tend to increase. I have insomnia also. I am comfortable staying awake the entire night and sleep during the daytime. I am losing my social life because of these problems. The only thing I can do is just study for a while and prepare my food. That is it. Please suggest medications for these symptoms. | Hello. You are having multiple problems. So, along with the medicines, you need to do regular exercise and maintain a good sleep hygiene. Also, try identifying the triggers for your headaches and try avoiding them. Secondly, in such situations, SSRIs (selective serotonin reuptake inhibitors) such as Fluoxetine or Paroxetine can be helpful. Psychotherapy is also recommended. For migraine prophylaxis, I suggest Propranolol as it helps to lower the anxiety. Initially, for a few days, I suggest you try Benzodiazepine such as Clonazepam first to take care of your anxiety and insomnia and then the SSRIs. I suggest pain-relieving medication such as Naproxen to be used on an as-needed basis. These are prescription drugs. Consult your specialist doctor, discuss with him/her and take the above medications with their consent. Thanks and regards. For more information consult a psychiatrist online --> | Patient: Hello doctor, I am 24 years old, and I weigh 80 kg. My height is 5 feet 7 inches. I have anxiety and depression from many days. Anxiety starts as soon as I wake up and it lasts for a few minutes. I calm down for a while and then again it starts. It occurs every day like a cycle without any reason. The anxiety and depression last for the entire day. I have migraines too. When these three occur together, it feels like hell. I lose concentration. I feel like freaking out, and my mind does not work. Whenever I sleep for too long or if I have lack of sleep these symptoms tend to increase. I have insomnia also. I am comfortable staying awake the entire night and sleep during the daytime. I am losing my social life because of these problems. The only thing I can do is just study for a while and prepare my food. That is it. Please suggest medications for these symptoms. || Doctor: Hello. You are having multiple problems. So, along with the medicines, you need to do regular exercise and maintain a good sleep hygiene. Also, try identifying the triggers for your headaches and try avoiding them. Secondly, in such situations, SSRIs (selective serotonin reuptake inhibitors) such as Fluoxetine or Paroxetine can be helpful. Psychotherapy is also recommended. For migraine prophylaxis, I suggest Propranolol as it helps to lower the anxiety. Initially, for a few days, I suggest you try Benzodiazepine such as Clonazepam first to take care of your anxiety and insomnia and then the SSRIs. I suggest pain-relieving medication such as Naproxen to be used on an as-needed basis. These are prescription drugs. Consult your specialist doctor, discuss with him/her and take the above medications with their consent. Thanks and regards. For more information consult a psychiatrist online --> | patient: hello doctor, i am 24 years old, and i weigh 80 kg. my height is 5 feet 7 inches. i have anxiety and depression from many days. anxiety starts as soon as i wake up and it lasts for a few minutes. i calm down for a while and then again it starts. it occurs every day like a cycle without any reason. the anxiety and depression last for the entire day. i have migraines too. when these three occur together, it feels like hell. i lose concentration. i feel like freaking out, and my mind does not work. whenever i sleep for too long or if i have lack of sleep these symptoms tend to increase. i have insomnia also. i am comfortable staying awake the entire night and sleep during the daytime. i am losing my social life because of these problems. the only thing i can do is just study for a while and prepare my food. that is it. please suggest medications for these symptoms. || doctor: hello. you are having multiple problems. so, along with the medicines, you need to do regular exercise and maintain a good sleep hygiene. also, try identifying the triggers for your headaches and try avoiding them. secondly, in such situations, ssris (selective serotonin reuptake inhibitors) such as fluoxetine or paroxetine can be helpful. psychotherapy is also recommended. for migraine prophylaxis, i suggest propranolol as it helps to lower the anxiety. initially, for a few days, i suggest you try benzodiazepine such as clonazepam first to take care of your anxiety and insomnia and then the ssris. i suggest pain-relieving medication such as naproxen to be used on an as-needed basis. these are prescription drugs. consult your specialist doctor, discuss with him/her and take the above medications with their consent. thanks and regards. for more information consult a psychiatrist online --> |
9,591 | Q. I have two red spots at the site of pilonidal surgery. What are they? | Hello, I had a pilonidal surgery with the cleft lift procedure done an year ago. A week or two back I had a slight pain the same region on my lower back and it was a pimple, not a big one but just a small one, it looked the same! I felt like it was filled with pus. So i found some home remedies (a paste made of Baking Soda, Aloe vera, Turmeric and Apple Cider vinegar). I applied it for on the area and left it to sit for like 1-2 hrs everyday. It worked wonders and the pimple almost dissapeared. Today after like 5 days after it had healed i saw that the area was red and a bit too red on two spots! Im not sure what it is so im concerned. Im guessing it might be infected or something. Im not a Doctor so i dont know! Hope you can help me out here bcoz i dont want another surgery!!! | hello, don't worry I will help you regarding your problem. you underwent surgery for pilonidal sinus 1 year back now now you have 1 or 2 pimple at the same site. that may be due to infection of that local area. I will prescribe you some medicine. please maintain local hygiene shave your hair of that area. get back to me after two days. I will add some more medicine and local remedies pilonidal sinus Sitz bath in luke water with betadine 2 times in a day Tab augmentin 625mg TDS for 5 days tab Chymoral Forte TDS for 5 days tab serradic P BD for 3 days Cap A To Z OD for 10 days | Patient: Hello, I had a pilonidal surgery with the cleft lift procedure done an year ago. A week or two back I had a slight pain the same region on my lower back and it was a pimple, not a big one but just a small one, it looked the same! I felt like it was filled with pus. So i found some home remedies (a paste made of Baking Soda, Aloe vera, Turmeric and Apple Cider vinegar). I applied it for on the area and left it to sit for like 1-2 hrs everyday. It worked wonders and the pimple almost dissapeared. Today after like 5 days after it had healed i saw that the area was red and a bit too red on two spots! Im not sure what it is so im concerned. Im guessing it might be infected or something. Im not a Doctor so i dont know! Hope you can help me out here bcoz i dont want another surgery!!! || Doctor: hello, don't worry I will help you regarding your problem. you underwent surgery for pilonidal sinus 1 year back now now you have 1 or 2 pimple at the same site. that may be due to infection of that local area. I will prescribe you some medicine. please maintain local hygiene shave your hair of that area. get back to me after two days. I will add some more medicine and local remedies pilonidal sinus Sitz bath in luke water with betadine 2 times in a day Tab augmentin 625mg TDS for 5 days tab Chymoral Forte TDS for 5 days tab serradic P BD for 3 days Cap A To Z OD for 10 days | patient: hello, i had a pilonidal surgery with the cleft lift procedure done an year ago. a week or two back i had a slight pain the same region on my lower back and it was a pimple, not a big one but just a small one, it looked the same! i felt like it was filled with pus. so i found some home remedies (a paste made of baking soda, aloe vera, turmeric and apple cider vinegar). i applied it for on the area and left it to sit for like 1-2 hrs everyday. it worked wonders and the pimple almost dissapeared. today after like 5 days after it had healed i saw that the area was red and a bit too red on two spots! im not sure what it is so im concerned. im guessing it might be infected or something. im not a doctor so i dont know! hope you can help me out here bcoz i dont want another surgery!!! || doctor: hello, don't worry i will help you regarding your problem. you underwent surgery for pilonidal sinus 1 year back now now you have 1 or 2 pimple at the same site. that may be due to infection of that local area. i will prescribe you some medicine. please maintain local hygiene shave your hair of that area. get back to me after two days. i will add some more medicine and local remedies pilonidal sinus sitz bath in luke water with betadine 2 times in a day tab augmentin 625mg tds for 5 days tab chymoral forte tds for 5 days tab serradic p bd for 3 days cap a to z od for 10 days |
9,592 | 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 --> |
9,593 | 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 --> |
9,594 | 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.---> |
9,595 | 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 --> |
9,596 | 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 --> |
9,597 | Q. Can tactile hallucination occur due to alcohol abstinence? | Hi doctor, I have schizophrenia for more than 25 years. I had Clozapine for 15 years and now I am on Aripiprazole. I stayed away from alcohol for eight years. Before six months, I had alcohol once. Now, I am having some tactile hallucination. Is it due to alcohol abstinence? Will it disappear? | Hi. If you are abstinent for the last eight years, then tactile hallucinations are not due to alcohol intoxication or alcohol withdrawal. It means, it is due to your illness schizophrenia. Are you on any antipsychotic now? Revert back with the answer to the above question to a psychiatrist online --> | Patient: Hi doctor, I have schizophrenia for more than 25 years. I had Clozapine for 15 years and now I am on Aripiprazole. I stayed away from alcohol for eight years. Before six months, I had alcohol once. Now, I am having some tactile hallucination. Is it due to alcohol abstinence? Will it disappear? || Doctor: Hi. If you are abstinent for the last eight years, then tactile hallucinations are not due to alcohol intoxication or alcohol withdrawal. It means, it is due to your illness schizophrenia. Are you on any antipsychotic now? Revert back with the answer to the above question to a psychiatrist online --> | patient: hi doctor, i have schizophrenia for more than 25 years. i had clozapine for 15 years and now i am on aripiprazole. i stayed away from alcohol for eight years. before six months, i had alcohol once. now, i am having some tactile hallucination. is it due to alcohol abstinence? will it disappear? || doctor: hi. if you are abstinent for the last eight years, then tactile hallucinations are not due to alcohol intoxication or alcohol withdrawal. it means, it is due to your illness schizophrenia. are you on any antipsychotic now? revert back with the answer to the above question to a psychiatrist online --> |
9,598 | Q. Can Loteprednol Etabonate eye drop be used for subconjunctival hemorrhage? | Hi doctor, Can Loteprednol Etabonate eye drop be used for nine days old subconjunctival hemorrhage? I had a sudden onset of eye problem, when I consulted an eye specialist he diagnosed it as a subconjunctival hemorrhage. He advised Ofloxacin eye drop for five days and Teardrop. I am 27 years old, female and married. There is no history of direct, indirect or accidental trauma over right eye or the surrounding region and blood disorder. I am a healthy person works in IT sector. | Hi. For further information consult an eye care ophthalmologist online --> | Patient: Hi doctor, Can Loteprednol Etabonate eye drop be used for nine days old subconjunctival hemorrhage? I had a sudden onset of eye problem, when I consulted an eye specialist he diagnosed it as a subconjunctival hemorrhage. He advised Ofloxacin eye drop for five days and Teardrop. I am 27 years old, female and married. There is no history of direct, indirect or accidental trauma over right eye or the surrounding region and blood disorder. I am a healthy person works in IT sector. || Doctor: Hi. For further information consult an eye care ophthalmologist online --> | patient: hi doctor, can loteprednol etabonate eye drop be used for nine days old subconjunctival hemorrhage? i had a sudden onset of eye problem, when i consulted an eye specialist he diagnosed it as a subconjunctival hemorrhage. he advised ofloxacin eye drop for five days and teardrop. i am 27 years old, female and married. there is no history of direct, indirect or accidental trauma over right eye or the surrounding region and blood disorder. i am a healthy person works in it sector. || doctor: hi. for further information consult an eye care ophthalmologist online --> |
9,599 | Q. Is it normal to have high SGOT and SGPT levels, immediately after stopping Udiliv? | Hi doctor, I was diagnosed with high SGOT and SGPT levels and started medication (Udiliv) one year back. They levels dropped a month back, and the tests showed normal values. So, I stopped taking the medicines after the doctor's advice. Today when I did a blood test, SGOT and SGPT was 59 and 114. Is this natural to have high SGOT and SGPT values, immediately after stopping medicine? Will it take some three months or so to settle down to ideal values? | Hi. Revert with more information to a medical gastroenterologist online --> | Patient: Hi doctor, I was diagnosed with high SGOT and SGPT levels and started medication (Udiliv) one year back. They levels dropped a month back, and the tests showed normal values. So, I stopped taking the medicines after the doctor's advice. Today when I did a blood test, SGOT and SGPT was 59 and 114. Is this natural to have high SGOT and SGPT values, immediately after stopping medicine? Will it take some three months or so to settle down to ideal values? || Doctor: Hi. Revert with more information to a medical gastroenterologist online --> | patient: hi doctor, i was diagnosed with high sgot and sgpt levels and started medication (udiliv) one year back. they levels dropped a month back, and the tests showed normal values. so, i stopped taking the medicines after the doctor's advice. today when i did a blood test, sgot and sgpt was 59 and 114. is this natural to have high sgot and sgpt values, immediately after stopping medicine? will it take some three months or so to settle down to ideal values? || doctor: hi. revert with more information to a medical gastroenterologist online --> |
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