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9,600 | Q. Our newborn baby is being fed through external pipe. Will this cause any problem? | Hello doctor, Our newborn baby suffered in first inhalation and his heartbeat stopped one second and then his breath and heartbeat got restored. But x-ray shows some traces (please refer attachement). His heart is normal and he is in ICU for normal treatment of oxygen and normal feeding through external pipe. Kindly explain the x-ray. Will feeding with external pipe create any problem to the baby (he is just one day old)? | Hello. I have gone through the reports (attachment removed to protect patient identity). Consult a paediatrician online for further follow up --> | Patient: Hello doctor, Our newborn baby suffered in first inhalation and his heartbeat stopped one second and then his breath and heartbeat got restored. But x-ray shows some traces (please refer attachement). His heart is normal and he is in ICU for normal treatment of oxygen and normal feeding through external pipe. Kindly explain the x-ray. Will feeding with external pipe create any problem to the baby (he is just one day old)? || Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Consult a paediatrician online for further follow up --> | patient: hello doctor, our newborn baby suffered in first inhalation and his heartbeat stopped one second and then his breath and heartbeat got restored. but x-ray shows some traces (please refer attachement). his heart is normal and he is in icu for normal treatment of oxygen and normal feeding through external pipe. kindly explain the x-ray. will feeding with external pipe create any problem to the baby (he is just one day old)? || doctor: hello. i have gone through the reports (attachment removed to protect patient identity). consult a paediatrician online for further follow up --> |
9,601 | Q. Can Enteroquinol be taken for stomach TB? | Hello doctor, I am undergoing treatment for stomach TB for the last one year. I take Sompraz D 20 capsule on empty stomach and Libotryp at night. Due to overeating today, I am having diarrhea and indigestion. Can I take Enteroquinol and Eelectral powder? Or would you like to suggest me any other treatment? Also, now I do not feel like eating anything else. Please help. | Hello. Yes, you can take these medicines. There is no issue with these medications with your present treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The probable diagnosis is infectious diarrhea. In acute diarrhea cases, the most important is to take water in the form of ORS (oral rehydration solution). If you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. Otherwise not indicated because the most common diarrhea is caused by viruses. If you suspect food poisoning then we should take specific medication according to your food intake. For now, you take ORS 250 mL per loose stool and normal diet You may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. You need to maintain hygiene. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor, I am undergoing treatment for stomach TB for the last one year. I take Sompraz D 20 capsule on empty stomach and Libotryp at night. Due to overeating today, I am having diarrhea and indigestion. Can I take Enteroquinol and Eelectral powder? Or would you like to suggest me any other treatment? Also, now I do not feel like eating anything else. Please help. || Doctor: Hello. Yes, you can take these medicines. There is no issue with these medications with your present treatment. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. The probable diagnosis is infectious diarrhea. In acute diarrhea cases, the most important is to take water in the form of ORS (oral rehydration solution). If you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. Otherwise not indicated because the most common diarrhea is caused by viruses. If you suspect food poisoning then we should take specific medication according to your food intake. For now, you take ORS 250 mL per loose stool and normal diet You may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. You need to maintain hygiene. For more information consult a medical gastroenterologist online --> | patient: hello doctor, i am undergoing treatment for stomach tb for the last one year. i take sompraz d 20 capsule on empty stomach and libotryp at night. due to overeating today, i am having diarrhea and indigestion. can i take enteroquinol and eelectral powder? or would you like to suggest me any other treatment? also, now i do not feel like eating anything else. please help. || doctor: hello. yes, you can take these medicines. there is no issue with these medications with your present treatment. consult your specialist doctor, discuss with him or her and with their consent take the medicines. the probable diagnosis is infectious diarrhea. in acute diarrhea cases, the most important is to take water in the form of ors (oral rehydration solution). if you have mucus or blood in the stool or pain in the abdomen then only you should take antiparasitic medications. otherwise not indicated because the most common diarrhea is caused by viruses. if you suspect food poisoning then we should take specific medication according to your food intake. for now, you take ors 250 ml per loose stool and normal diet you may revert back more details with the type of food to be taken, consistency and quantity of stool, blood or mucus in stool, and presence of pain or not, fever etc. you need to maintain hygiene. for more information consult a medical gastroenterologist online --> |
9,602 | Q. Does high prolactin hamper conception? | Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37.34 of prolactin. I am experiencing breast pain. Which food should I avoid? What should I do to get this under control? | Hi. Revert back with the answer for the above question to an infertility specialist online --> | Patient: Hi doctor, I have been trying to conceive for last one year. Examination showed high thyroid and prolactin levels. My doctor put me on Thyronorm 25 and Cabergoline 0.5. My thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. Recent blood test showed 37.34 of prolactin. I am experiencing breast pain. Which food should I avoid? What should I do to get this under control? || Doctor: Hi. Revert back with the answer for the above question to an infertility specialist online --> | patient: hi doctor, i have been trying to conceive for last one year. examination showed high thyroid and prolactin levels. my doctor put me on thyronorm 25 and cabergoline 0.5. my thyroid levels became normal but my prolactin levels came down to 35.06 from 55 after three months. recent blood test showed 37.34 of prolactin. i am experiencing breast pain. which food should i avoid? what should i do to get this under control? || doctor: hi. revert back with the answer for the above question to an infertility specialist online --> |
9,603 | Q. My friend takes a drug to boost his energy while body building. Is it safe? | Hi doctor, My friend, who is a fitness freak is training to compete at a state level body building competition this year. He is training alongside some local bodybuilder. My concern is, I have seen recently that his physique is really good, but he has some dark spots on his veins on both the arms. His mother was concerned too as she found some injections in his bag. Upon forcing him, I got to know that he takes Termin for boosting his energy during workouts. I got some vague and random information on the web. Could you please let me know what exactly it does to one's body and how to remove this completely from his body? | Hello. For more information consult an internal medicine physician online --> | Patient: Hi doctor, My friend, who is a fitness freak is training to compete at a state level body building competition this year. He is training alongside some local bodybuilder. My concern is, I have seen recently that his physique is really good, but he has some dark spots on his veins on both the arms. His mother was concerned too as she found some injections in his bag. Upon forcing him, I got to know that he takes Termin for boosting his energy during workouts. I got some vague and random information on the web. Could you please let me know what exactly it does to one's body and how to remove this completely from his body? || Doctor: Hello. For more information consult an internal medicine physician online --> | patient: hi doctor, my friend, who is a fitness freak is training to compete at a state level body building competition this year. he is training alongside some local bodybuilder. my concern is, i have seen recently that his physique is really good, but he has some dark spots on his veins on both the arms. his mother was concerned too as she found some injections in his bag. upon forcing him, i got to know that he takes termin for boosting his energy during workouts. i got some vague and random information on the web. could you please let me know what exactly it does to one's body and how to remove this completely from his body? || doctor: hello. for more information consult an internal medicine physician online --> |
9,604 | Q. I am 25 and my partner is 72. Can I get pregnant? | Hello doctor, I am 25 years old female and my AMH level is 1.12 and my partner is 72 years old. Can I get pregnant? | Hello. You are young and your AMH (anti-Mullerian hormone) is borderline, not very low. So, you can become pregnant. Check if your thyroid and prolactin are normal. Check for tubal patency. If everything is normal, you can try IUI (intrauterine insemination). If your husband's semen analysis is normal, you can have IUI with it. If his semen analysis is abnormal, go for ICSI (intracytoplasmic sperm injection) or IVF (in-vitro fertilization) with donor sperm. Let me know the above reports so that I can treat you. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 25 years old female and my AMH level is 1.12 and my partner is 72 years old. Can I get pregnant? || Doctor: Hello. You are young and your AMH (anti-Mullerian hormone) is borderline, not very low. So, you can become pregnant. Check if your thyroid and prolactin are normal. Check for tubal patency. If everything is normal, you can try IUI (intrauterine insemination). If your husband's semen analysis is normal, you can have IUI with it. If his semen analysis is abnormal, go for ICSI (intracytoplasmic sperm injection) or IVF (in-vitro fertilization) with donor sperm. Let me know the above reports so that I can treat you. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 25 years old female and my amh level is 1.12 and my partner is 72 years old. can i get pregnant? || doctor: hello. you are young and your amh (anti-mullerian hormone) is borderline, not very low. so, you can become pregnant. check if your thyroid and prolactin are normal. check for tubal patency. if everything is normal, you can try iui (intrauterine insemination). if your husband's semen analysis is normal, you can have iui with it. if his semen analysis is abnormal, go for icsi (intracytoplasmic sperm injection) or ivf (in-vitro fertilization) with donor sperm. let me know the above reports so that i can treat you. for more information consult an obstetrician and gynaecologist online --> |
9,605 | Q. How long will it take for my father to recover from TB? | Hi doctor, My father aged 74 is suffering from TB and is under medication for the same since 15 days. There was a bronchoscopy done, which diagnosed the ailment. It has been two weeks since he has the medicines, but he is still feeling very weak. His appetite is very low. Also, he makes a sound while breathing and feels breathless when he is served food. He is unable to sit for more than 5 minutes and always lies down. He has chills and sweats too. I wish to know when he can get rid of these symptoms as his medication is already started. The improvement I see is only minimal. | Hi. For further information consult a pulmonologist online --> | Patient: Hi doctor, My father aged 74 is suffering from TB and is under medication for the same since 15 days. There was a bronchoscopy done, which diagnosed the ailment. It has been two weeks since he has the medicines, but he is still feeling very weak. His appetite is very low. Also, he makes a sound while breathing and feels breathless when he is served food. He is unable to sit for more than 5 minutes and always lies down. He has chills and sweats too. I wish to know when he can get rid of these symptoms as his medication is already started. The improvement I see is only minimal. || Doctor: Hi. For further information consult a pulmonologist online --> | patient: hi doctor, my father aged 74 is suffering from tb and is under medication for the same since 15 days. there was a bronchoscopy done, which diagnosed the ailment. it has been two weeks since he has the medicines, but he is still feeling very weak. his appetite is very low. also, he makes a sound while breathing and feels breathless when he is served food. he is unable to sit for more than 5 minutes and always lies down. he has chills and sweats too. i wish to know when he can get rid of these symptoms as his medication is already started. the improvement i see is only minimal. || doctor: hi. for further information consult a pulmonologist online --> |
9,606 | Q. Are malaria and typhoid vaccines safe for a 9 month old baby? | Dear Doctor, Is it safe for a 9 month baby to travel to the Dominican Republic? Also, is it safe for a 8-9 month old to take vaccines for malaria and typhoid? | Hi. It is safe to travel to Dominican Republic, but you need to care abut many issues. While traveling there are many issues related to health of your baby, example: he can get infection like malaria, typhoid, hepatitis A & E and varicella. So if you use prophylactic measures, example: mosquito bite prevention or drug prophylaxis for malaria can be started 1 week before and to be continued 1 month after the travel. For food related infections (typhoid and hepatitis), you need to maintain hygiene and use trusted and clean water source and food. Avoid contact to persons having fever/rash/jaundice/loose stool/abdominal pain/vomiting. Regarding your query about vaccination for malaria and typhoid. So conclusion is that you can safely visit there by taking some prophylaxis. Hope this will help you. You can ask any further query regarding health issues of your baby before and during the journey or there after to a paediatrician online --> | Patient: Dear Doctor, Is it safe for a 9 month baby to travel to the Dominican Republic? Also, is it safe for a 8-9 month old to take vaccines for malaria and typhoid? || Doctor: Hi. It is safe to travel to Dominican Republic, but you need to care abut many issues. While traveling there are many issues related to health of your baby, example: he can get infection like malaria, typhoid, hepatitis A & E and varicella. So if you use prophylactic measures, example: mosquito bite prevention or drug prophylaxis for malaria can be started 1 week before and to be continued 1 month after the travel. For food related infections (typhoid and hepatitis), you need to maintain hygiene and use trusted and clean water source and food. Avoid contact to persons having fever/rash/jaundice/loose stool/abdominal pain/vomiting. Regarding your query about vaccination for malaria and typhoid. So conclusion is that you can safely visit there by taking some prophylaxis. Hope this will help you. You can ask any further query regarding health issues of your baby before and during the journey or there after to a paediatrician online --> | patient: dear doctor, is it safe for a 9 month baby to travel to the dominican republic? also, is it safe for a 8-9 month old to take vaccines for malaria and typhoid? || doctor: hi. it is safe to travel to dominican republic, but you need to care abut many issues. while traveling there are many issues related to health of your baby, example: he can get infection like malaria, typhoid, hepatitis a & e and varicella. so if you use prophylactic measures, example: mosquito bite prevention or drug prophylaxis for malaria can be started 1 week before and to be continued 1 month after the travel. for food related infections (typhoid and hepatitis), you need to maintain hygiene and use trusted and clean water source and food. avoid contact to persons having fever/rash/jaundice/loose stool/abdominal pain/vomiting. regarding your query about vaccination for malaria and typhoid. so conclusion is that you can safely visit there by taking some prophylaxis. hope this will help you. you can ask any further query regarding health issues of your baby before and during the journey or there after to a paediatrician online --> |
9,607 | 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 --> |
9,608 | 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 --> |
9,609 | 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.---> |
9,610 | 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 --> |
9,611 | 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 --> |
9,612 | Q. Can Ginseng be taken along with Valparin? | Hi doctor, Can Ginseng be taken along with antiseizure medicine like Valparin? I have been asked by my fitness trainer to take Ginseng to increase stamina and immunity. Please suggest me. | Hello. Revert back with answers to the above question to an internal medicine physician online --> | Patient: Hi doctor, Can Ginseng be taken along with antiseizure medicine like Valparin? I have been asked by my fitness trainer to take Ginseng to increase stamina and immunity. Please suggest me. || Doctor: Hello. Revert back with answers to the above question to an internal medicine physician online --> | patient: hi doctor, can ginseng be taken along with antiseizure medicine like valparin? i have been asked by my fitness trainer to take ginseng to increase stamina and immunity. please suggest me. || doctor: hello. revert back with answers to the above question to an internal medicine physician online --> |
9,613 | Q. My HSV 1 and 2 IgG is 3. 5. What should I do? | Hi doctor, I am a 37 year old male. I am about to get married. I have got my STD and HIV tests done and the below mentioned has come as a result. The following are non reactive or negative: VDRL, HIV 1 and 2, antibodies screening test, chlamydia trachomatis IgG antibody and TPHA including HSV 1 and 2 IgM. But, HSV 1 and 2 IgG is 3.5. I do not have any symptoms. My family doctor has started me on Vivir D pills 500 mg thrice a week for 10 days. What should I do? I am tensed. | Hi. We are here to help you. For further doubts consult an internal medicine physician online --> | Patient: Hi doctor, I am a 37 year old male. I am about to get married. I have got my STD and HIV tests done and the below mentioned has come as a result. The following are non reactive or negative: VDRL, HIV 1 and 2, antibodies screening test, chlamydia trachomatis IgG antibody and TPHA including HSV 1 and 2 IgM. But, HSV 1 and 2 IgG is 3.5. I do not have any symptoms. My family doctor has started me on Vivir D pills 500 mg thrice a week for 10 days. What should I do? I am tensed. || Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> | patient: hi doctor, i am a 37 year old male. i am about to get married. i have got my std and hiv tests done and the below mentioned has come as a result. the following are non reactive or negative: vdrl, hiv 1 and 2, antibodies screening test, chlamydia trachomatis igg antibody and tpha including hsv 1 and 2 igm. but, hsv 1 and 2 igg is 3.5. i do not have any symptoms. my family doctor has started me on vivir d pills 500 mg thrice a week for 10 days. what should i do? i am tensed. || doctor: hi. we are here to help you. for further doubts consult an internal medicine physician online --> |
9,614 | Q. After pilonidal cyst surgery, how many days of rest do I need? | Hi doctor, I am a high school senior and about to graduate in two months. On the other side, I have a pilonidal cyst. I know that surgery is required to cure the infection on the inner side. My question is that after surgery, how many days of rest do I need? In short, how many days I have to miss? My symptoms include pain and a little blood sometimes. | Hi. For further information consult a general surgeon online --> | Patient: Hi doctor, I am a high school senior and about to graduate in two months. On the other side, I have a pilonidal cyst. I know that surgery is required to cure the infection on the inner side. My question is that after surgery, how many days of rest do I need? In short, how many days I have to miss? My symptoms include pain and a little blood sometimes. || Doctor: Hi. For further information consult a general surgeon online --> | patient: hi doctor, i am a high school senior and about to graduate in two months. on the other side, i have a pilonidal cyst. i know that surgery is required to cure the infection on the inner side. my question is that after surgery, how many days of rest do i need? in short, how many days i have to miss? my symptoms include pain and a little blood sometimes. || doctor: hi. for further information consult a general surgeon online --> |
9,615 | Q. The color of skin under my breast is weird. What might it be? | Hi doctor, I am 19 years old. About three days ago, I could see that the color of skin under my breast was weird. It does not hurt or itch. It is only on my left breast and on my right breast there is only like five small spots. I am very scared what it might be. | Hello. There is a possibility of pityriasis versicolor. Pityriasis versicolor is a superficial fungal infection caused by Malassezia furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. Clinically, it presents as light brown colored patches with fine, brawny scaling and resolves with post-inflammatory hypopigmentation. A single oral dose of an oral antifungal like Fluconazole 400 mg is curative. Itraconazole 200 mg once daily for a week is an alternative. Also, apply 2 % Ketoconazole lotion over the whole affected area while showering, lather it well and leave it on for five minutes daily for five days. Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for five to 10 minutes. Repeated recurrences are common and the patches may seem to persist forever, with new patches appearing while older one resolve. Revert back with pictures of the lesion to a dermatologist online --> | Patient: Hi doctor, I am 19 years old. About three days ago, I could see that the color of skin under my breast was weird. It does not hurt or itch. It is only on my left breast and on my right breast there is only like five small spots. I am very scared what it might be. || Doctor: Hello. There is a possibility of pityriasis versicolor. Pityriasis versicolor is a superficial fungal infection caused by Malassezia furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. Clinically, it presents as light brown colored patches with fine, brawny scaling and resolves with post-inflammatory hypopigmentation. A single oral dose of an oral antifungal like Fluconazole 400 mg is curative. Itraconazole 200 mg once daily for a week is an alternative. Also, apply 2 % Ketoconazole lotion over the whole affected area while showering, lather it well and leave it on for five minutes daily for five days. Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for five to 10 minutes. Repeated recurrences are common and the patches may seem to persist forever, with new patches appearing while older one resolve. Revert back with pictures of the lesion to a dermatologist online --> | patient: hi doctor, i am 19 years old. about three days ago, i could see that the color of skin under my breast was weird. it does not hurt or itch. it is only on my left breast and on my right breast there is only like five small spots. i am very scared what it might be. || doctor: hello. there is a possibility of pityriasis versicolor. pityriasis versicolor is a superficial fungal infection caused by malassezia furfur. the infection is more common in hot and humid weather conditions, which favor the growth of the fungus. clinically, it presents as light brown colored patches with fine, brawny scaling and resolves with post-inflammatory hypopigmentation. a single oral dose of an oral antifungal like fluconazole 400 mg is curative. itraconazole 200 mg once daily for a week is an alternative. also, apply 2 % ketoconazole lotion over the whole affected area while showering, lather it well and leave it on for five minutes daily for five days. post-inflammatory hypopigmentation takes some time to respond. repigmentation can be hastened by daily sun exposure for five to 10 minutes. repeated recurrences are common and the patches may seem to persist forever, with new patches appearing while older one resolve. revert back with pictures of the lesion to a dermatologist online --> |
9,616 | Q. Shall I continue my running with cervical kyphosis? | Hi doctor, I have recent x-rays that support my chiropractor's diagnosis of cervical kyphosis. I have been a runner for over 10 years. Is it safe for my condition to continue running? I do not want to give it up. | Hi. For further information consult a physiotherapist online --> | Patient: Hi doctor, I have recent x-rays that support my chiropractor's diagnosis of cervical kyphosis. I have been a runner for over 10 years. Is it safe for my condition to continue running? I do not want to give it up. || Doctor: Hi. For further information consult a physiotherapist online --> | patient: hi doctor, i have recent x-rays that support my chiropractor's diagnosis of cervical kyphosis. i have been a runner for over 10 years. is it safe for my condition to continue running? i do not want to give it up. || doctor: hi. for further information consult a physiotherapist online --> |
9,617 | Q. Do my lab values indicate iron deficiency anemia? | Hello doctor, I am a 58-year-old man and I had a CBC with differential 10 days ago. I donate blood about every two months. I have been taking daily Metamucil for about three months and testosterone shots. My level is 930. All other tests are quite normal except HDL cholesterol which is low. I stopped drinking alcohol three months ago and anion gap was 6. I am on 12.5 mg of Atenolol, Amlodipine 10 mg, Irbesartan 300 mg once per day for hypertension. My BP is 123/76. I had flu-like symptoms at first with no congestion two weeks ago. I have bad joint and muscle aches. That went away. Now, I have fatigue, slight shortness of breath with numb hands and feet at night in bed. I have experienced symptoms of fatigue, slight shortness of breath at rest, hands falling asleep when I wake up at night. Even though the RBC is normal, do you think that the lab test below indicates iron deficiency anemia? The results of the CBC are as follows: WBC 3.47 K/uL 4.00 - 12.00 K/uL L RBC 5.70 mil/uL 4.50 - 6.00 mil/uL Hgb 12.8 g/dL 14.0 - 18.0 g/dL L Hct 42.1 % 40 - 54 % MCV 73.9 fL 80 - 98 fL L MCH 22.5 pg 27 - 33 pg L MCHC 30.4 g/dL 32 - 37 g/dL L RDW 15.1 % 11.5 - 15.0 % H Plt 183 K/uL 150 - 450 K/uL Differential type Automated Abs neuts 1.86 K/uL 1.80 - 7.80 K/uL Abs immature grans 0.00 K/uL 0.00 - 0.05 K/uL Abs lymphs 1.12 K/uL 0.80 - 3.30 K/uL Abs monos 0.37 K/uL 0.10 - 1.00 K/uL Abs eos 0.09 K/uL 0.00 - 0.40 K/uL Abs basos 0.03 K/uL 0.00 - 0.20 K/uL Neuts 53.5 % Immature grans 0.0 % 0.0 - 0.6 % Lymphs 32.3 % Monos 10.7 % Eos 2.6 % Basos 0.9 % | Hello. From these test results, you appear to have microcytosis and hypochromia of the red blood cells. This is most commonly seen in iron deficiency anemia. I would suggest you take iron and folic acid tablets thrice daily after meals for at least a month. As for the numbness of hands and feet, this could be a sign of vitamin B12 deficiency. Are you a vegetarian? If so then this could be a reason for the numbness. The other symptoms that you have described are consistent with iron deficiency. I would also advise you to not donate blood until your blood iron levels and ferritin stores are normalized. For more information consult a hematologist online --> | Patient: Hello doctor, I am a 58-year-old man and I had a CBC with differential 10 days ago. I donate blood about every two months. I have been taking daily Metamucil for about three months and testosterone shots. My level is 930. All other tests are quite normal except HDL cholesterol which is low. I stopped drinking alcohol three months ago and anion gap was 6. I am on 12.5 mg of Atenolol, Amlodipine 10 mg, Irbesartan 300 mg once per day for hypertension. My BP is 123/76. I had flu-like symptoms at first with no congestion two weeks ago. I have bad joint and muscle aches. That went away. Now, I have fatigue, slight shortness of breath with numb hands and feet at night in bed. I have experienced symptoms of fatigue, slight shortness of breath at rest, hands falling asleep when I wake up at night. Even though the RBC is normal, do you think that the lab test below indicates iron deficiency anemia? The results of the CBC are as follows: WBC 3.47 K/uL 4.00 - 12.00 K/uL L RBC 5.70 mil/uL 4.50 - 6.00 mil/uL Hgb 12.8 g/dL 14.0 - 18.0 g/dL L Hct 42.1 % 40 - 54 % MCV 73.9 fL 80 - 98 fL L MCH 22.5 pg 27 - 33 pg L MCHC 30.4 g/dL 32 - 37 g/dL L RDW 15.1 % 11.5 - 15.0 % H Plt 183 K/uL 150 - 450 K/uL Differential type Automated Abs neuts 1.86 K/uL 1.80 - 7.80 K/uL Abs immature grans 0.00 K/uL 0.00 - 0.05 K/uL Abs lymphs 1.12 K/uL 0.80 - 3.30 K/uL Abs monos 0.37 K/uL 0.10 - 1.00 K/uL Abs eos 0.09 K/uL 0.00 - 0.40 K/uL Abs basos 0.03 K/uL 0.00 - 0.20 K/uL Neuts 53.5 % Immature grans 0.0 % 0.0 - 0.6 % Lymphs 32.3 % Monos 10.7 % Eos 2.6 % Basos 0.9 % || Doctor: Hello. From these test results, you appear to have microcytosis and hypochromia of the red blood cells. This is most commonly seen in iron deficiency anemia. I would suggest you take iron and folic acid tablets thrice daily after meals for at least a month. As for the numbness of hands and feet, this could be a sign of vitamin B12 deficiency. Are you a vegetarian? If so then this could be a reason for the numbness. The other symptoms that you have described are consistent with iron deficiency. I would also advise you to not donate blood until your blood iron levels and ferritin stores are normalized. For more information consult a hematologist online --> | patient: hello doctor, i am a 58-year-old man and i had a cbc with differential 10 days ago. i donate blood about every two months. i have been taking daily metamucil for about three months and testosterone shots. my level is 930. all other tests are quite normal except hdl cholesterol which is low. i stopped drinking alcohol three months ago and anion gap was 6. i am on 12.5 mg of atenolol, amlodipine 10 mg, irbesartan 300 mg once per day for hypertension. my bp is 123/76. i had flu-like symptoms at first with no congestion two weeks ago. i have bad joint and muscle aches. that went away. now, i have fatigue, slight shortness of breath with numb hands and feet at night in bed. i have experienced symptoms of fatigue, slight shortness of breath at rest, hands falling asleep when i wake up at night. even though the rbc is normal, do you think that the lab test below indicates iron deficiency anemia? the results of the cbc are as follows: wbc 3.47 k/ul 4.00 - 12.00 k/ul l rbc 5.70 mil/ul 4.50 - 6.00 mil/ul hgb 12.8 g/dl 14.0 - 18.0 g/dl l hct 42.1 % 40 - 54 % mcv 73.9 fl 80 - 98 fl l mch 22.5 pg 27 - 33 pg l mchc 30.4 g/dl 32 - 37 g/dl l rdw 15.1 % 11.5 - 15.0 % h plt 183 k/ul 150 - 450 k/ul differential type automated abs neuts 1.86 k/ul 1.80 - 7.80 k/ul abs immature grans 0.00 k/ul 0.00 - 0.05 k/ul abs lymphs 1.12 k/ul 0.80 - 3.30 k/ul abs monos 0.37 k/ul 0.10 - 1.00 k/ul abs eos 0.09 k/ul 0.00 - 0.40 k/ul abs basos 0.03 k/ul 0.00 - 0.20 k/ul neuts 53.5 % immature grans 0.0 % 0.0 - 0.6 % lymphs 32.3 % monos 10.7 % eos 2.6 % basos 0.9 % || doctor: hello. from these test results, you appear to have microcytosis and hypochromia of the red blood cells. this is most commonly seen in iron deficiency anemia. i would suggest you take iron and folic acid tablets thrice daily after meals for at least a month. as for the numbness of hands and feet, this could be a sign of vitamin b12 deficiency. are you a vegetarian? if so then this could be a reason for the numbness. the other symptoms that you have described are consistent with iron deficiency. i would also advise you to not donate blood until your blood iron levels and ferritin stores are normalized. for more information consult a hematologist online --> |
9,618 | Q. What causes vague middle back pain? | Hello doctor, I am 26 years old. I am working in bank for the last one year. I am having back pain on the right side thoracic region while sleeping on my back or sitting for the last six months. I have antral gastritis. I have done MRI of thorax which came normal. Ultrasonography of whole abdomen is also normal. X-ray of chest, blood test like LFT are also normal. My doctor said that it might be postural pain, but it is like a crawling pain just like an insect is crawling under skin sometimes. I have taken physiotherapy which has given some relief, but still there is pain in scapular region on the right side. Currently, I am taking Nucoxia MR, Caltrol and Pan 40. Is any other test required? I am attaching my scan reports for your reference. Please guide. | Hello. I have gone through your history. Kindly answer the following questions for better evaluation of your condition. | Patient: Hello doctor, I am 26 years old. I am working in bank for the last one year. I am having back pain on the right side thoracic region while sleeping on my back or sitting for the last six months. I have antral gastritis. I have done MRI of thorax which came normal. Ultrasonography of whole abdomen is also normal. X-ray of chest, blood test like LFT are also normal. My doctor said that it might be postural pain, but it is like a crawling pain just like an insect is crawling under skin sometimes. I have taken physiotherapy which has given some relief, but still there is pain in scapular region on the right side. Currently, I am taking Nucoxia MR, Caltrol and Pan 40. Is any other test required? I am attaching my scan reports for your reference. Please guide. || Doctor: Hello. I have gone through your history. Kindly answer the following questions for better evaluation of your condition. | patient: hello doctor, i am 26 years old. i am working in bank for the last one year. i am having back pain on the right side thoracic region while sleeping on my back or sitting for the last six months. i have antral gastritis. i have done mri of thorax which came normal. ultrasonography of whole abdomen is also normal. x-ray of chest, blood test like lft are also normal. my doctor said that it might be postural pain, but it is like a crawling pain just like an insect is crawling under skin sometimes. i have taken physiotherapy which has given some relief, but still there is pain in scapular region on the right side. currently, i am taking nucoxia mr, caltrol and pan 40. is any other test required? i am attaching my scan reports for your reference. please guide. || doctor: hello. i have gone through your history. kindly answer the following questions for better evaluation of your condition. |
9,619 | Q. Please explain the abnormal factors in my sister's health report. | Hi doctor, My sister is 35 years old. She feels tired and weak. So, she went through a preventive health checkup and the following parameters are shown as not normal in her report. Regarding her medication, she takes 100 mg thyroid tablet daily. I have attached her report. Please let me know if there is anything serious. | Hi. For further information consult a preventive medicine physician online --> | Patient: Hi doctor, My sister is 35 years old. She feels tired and weak. So, she went through a preventive health checkup and the following parameters are shown as not normal in her report. Regarding her medication, she takes 100 mg thyroid tablet daily. I have attached her report. Please let me know if there is anything serious. || Doctor: Hi. For further information consult a preventive medicine physician online --> | patient: hi doctor, my sister is 35 years old. she feels tired and weak. so, she went through a preventive health checkup and the following parameters are shown as not normal in her report. regarding her medication, she takes 100 mg thyroid tablet daily. i have attached her report. please let me know if there is anything serious. || doctor: hi. for further information consult a preventive medicine physician online --> |
9,620 | Q. What is the treatment for lower spine injury? | Hi doctor, I am a 29 year old male. My height is 176 cm and weight is 77 kg. I have pain in my right buttock for the past seven days. I tried to push the bed with leg and this caused some injury in the lower spine. Please refer to MRI report that I have attached. My MRI opinion is as follows. MRI lumbo-sacral spine reveals early spondylotic changes are seen in the form of osteophytes and disc desiccation at multiple levels with minimal posterior disc bulge at L2-L3 level indenting the thecal sac without any significant neural compression. Broad based posterior disc bulge with mild postero-central disc protrusion at L3-L4 level and L4-L5 level indenting the thecal sac and bilateral descending L4 and L5 levels. Minimal posterior disc bulge with mild postero-central disc protrusion at L5-S1 level indenting the thecal sac and the bilateral descending S1 nerve. I am currently taking Flupirtine maleate capsule, Aceclofenac, Paracetamol tablets along with Omega-3 capsules. I have no problem passing urine or stool and pain in last one week is relieved by 50% but not fully. I am on complete bed rest. I have a family trip for five days of next week. Shall I join that or should I avoid it? Thank you. | Hi. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I am a 29 year old male. My height is 176 cm and weight is 77 kg. I have pain in my right buttock for the past seven days. I tried to push the bed with leg and this caused some injury in the lower spine. Please refer to MRI report that I have attached. My MRI opinion is as follows. MRI lumbo-sacral spine reveals early spondylotic changes are seen in the form of osteophytes and disc desiccation at multiple levels with minimal posterior disc bulge at L2-L3 level indenting the thecal sac without any significant neural compression. Broad based posterior disc bulge with mild postero-central disc protrusion at L3-L4 level and L4-L5 level indenting the thecal sac and bilateral descending L4 and L5 levels. Minimal posterior disc bulge with mild postero-central disc protrusion at L5-S1 level indenting the thecal sac and the bilateral descending S1 nerve. I am currently taking Flupirtine maleate capsule, Aceclofenac, Paracetamol tablets along with Omega-3 capsules. I have no problem passing urine or stool and pain in last one week is relieved by 50% but not fully. I am on complete bed rest. I have a family trip for five days of next week. Shall I join that or should I avoid it? Thank you. || Doctor: Hi. For further information consult an internal medicine physician online --> | patient: hi doctor, i am a 29 year old male. my height is 176 cm and weight is 77 kg. i have pain in my right buttock for the past seven days. i tried to push the bed with leg and this caused some injury in the lower spine. please refer to mri report that i have attached. my mri opinion is as follows. mri lumbo-sacral spine reveals early spondylotic changes are seen in the form of osteophytes and disc desiccation at multiple levels with minimal posterior disc bulge at l2-l3 level indenting the thecal sac without any significant neural compression. broad based posterior disc bulge with mild postero-central disc protrusion at l3-l4 level and l4-l5 level indenting the thecal sac and bilateral descending l4 and l5 levels. minimal posterior disc bulge with mild postero-central disc protrusion at l5-s1 level indenting the thecal sac and the bilateral descending s1 nerve. i am currently taking flupirtine maleate capsule, aceclofenac, paracetamol tablets along with omega-3 capsules. i have no problem passing urine or stool and pain in last one week is relieved by 50% but not fully. i am on complete bed rest. i have a family trip for five days of next week. shall i join that or should i avoid it? thank you. || doctor: hi. for further information consult an internal medicine physician online --> |
9,621 | Q. I have a painful lump in my breast. Are my reports suggestive of a breast cancer? | Hi doctor, I have a lump on my breast that is painful. It is on the right breast, under the underarms. I was given vitamin E medicine, and I was told to get ultrasound and FNAC. I have attached both my reports. The reports say FNAC smear prepared from right breast reveal abundant neutrophils admixed with few lymphocytes and some foamy macrophages. Few groups and sheets of benign ductal epithelial cells with apocrine changes in some of them is noted. Nuclear crowding and nuclear overlapping are also seen in some of these ductal cells. No granuloma or atypical cells are noted. Acute suppurative lesion of the right breast. Could you please tell me if the reports are suggestive of a breast cancer? | Hi. As per your FNAC (fine needle aspiration cytology) reports (attachment removed to protect patient identity), the lesion looks suggestive of a breast abscess and not suggestive of a breast cancer. But FNAC is not confirmatory. Your ultrasound report was not attached. You need a mammogram and ultrasound. The lesion in the breast needs to be scored using BI-RADS (breast imaging reporting and data system). For now, I think you should be treated with a course of antibiotics and a mammogram and ultrasound should be done after two weeks. Please meet a surgeon to get an antibiotic prescription. He or she may also aspirate the lesion for culture. The suggested antibiotic are: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Please share the reports after two weeks. Are you breastfeeding? As that could explain why you have an abscess. A breast abscess can occur even without breastfeeding but it is a risk factor. Also please check your sugars if not checked recently. Revert with more information to a radiation oncologist online --> | Patient: Hi doctor, I have a lump on my breast that is painful. It is on the right breast, under the underarms. I was given vitamin E medicine, and I was told to get ultrasound and FNAC. I have attached both my reports. The reports say FNAC smear prepared from right breast reveal abundant neutrophils admixed with few lymphocytes and some foamy macrophages. Few groups and sheets of benign ductal epithelial cells with apocrine changes in some of them is noted. Nuclear crowding and nuclear overlapping are also seen in some of these ductal cells. No granuloma or atypical cells are noted. Acute suppurative lesion of the right breast. Could you please tell me if the reports are suggestive of a breast cancer? || Doctor: Hi. As per your FNAC (fine needle aspiration cytology) reports (attachment removed to protect patient identity), the lesion looks suggestive of a breast abscess and not suggestive of a breast cancer. But FNAC is not confirmatory. Your ultrasound report was not attached. You need a mammogram and ultrasound. The lesion in the breast needs to be scored using BI-RADS (breast imaging reporting and data system). For now, I think you should be treated with a course of antibiotics and a mammogram and ultrasound should be done after two weeks. Please meet a surgeon to get an antibiotic prescription. He or she may also aspirate the lesion for culture. The suggested antibiotic are: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Please share the reports after two weeks. Are you breastfeeding? As that could explain why you have an abscess. A breast abscess can occur even without breastfeeding but it is a risk factor. Also please check your sugars if not checked recently. Revert with more information to a radiation oncologist online --> | patient: hi doctor, i have a lump on my breast that is painful. it is on the right breast, under the underarms. i was given vitamin e medicine, and i was told to get ultrasound and fnac. i have attached both my reports. the reports say fnac smear prepared from right breast reveal abundant neutrophils admixed with few lymphocytes and some foamy macrophages. few groups and sheets of benign ductal epithelial cells with apocrine changes in some of them is noted. nuclear crowding and nuclear overlapping are also seen in some of these ductal cells. no granuloma or atypical cells are noted. acute suppurative lesion of the right breast. could you please tell me if the reports are suggestive of a breast cancer? || doctor: hi. as per your fnac (fine needle aspiration cytology) reports (attachment removed to protect patient identity), the lesion looks suggestive of a breast abscess and not suggestive of a breast cancer. but fnac is not confirmatory. your ultrasound report was not attached. you need a mammogram and ultrasound. the lesion in the breast needs to be scored using bi-rads (breast imaging reporting and data system). for now, i think you should be treated with a course of antibiotics and a mammogram and ultrasound should be done after two weeks. please meet a surgeon to get an antibiotic prescription. he or she may also aspirate the lesion for culture. the suggested antibiotic are: consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. please share the reports after two weeks. are you breastfeeding? as that could explain why you have an abscess. a breast abscess can occur even without breastfeeding but it is a risk factor. also please check your sugars if not checked recently. revert with more information to a radiation oncologist online --> |
9,622 | Q. How to get rid of itchy, small bumps in face? | Hi doctor, I am in my teenage now. I have these small bumps all over my face and I think it is an allergic reaction. What is the fastest way to treat and get rid of this? I believe that it is from the cleanser, which I used recently. The bumps are small, but I have a lot of them on my chin, cheeks and under my eyes. They are itchy and I do not like the way they look and it makes me self-conscious. I am currently using Claritin. Please help. | Hi. I have seen your concern in the given video (attachment removed to protect patient identity). For further information consult a dermatologist online --> | Patient: Hi doctor, I am in my teenage now. I have these small bumps all over my face and I think it is an allergic reaction. What is the fastest way to treat and get rid of this? I believe that it is from the cleanser, which I used recently. The bumps are small, but I have a lot of them on my chin, cheeks and under my eyes. They are itchy and I do not like the way they look and it makes me self-conscious. I am currently using Claritin. Please help. || Doctor: Hi. I have seen your concern in the given video (attachment removed to protect patient identity). For further information consult a dermatologist online --> | patient: hi doctor, i am in my teenage now. i have these small bumps all over my face and i think it is an allergic reaction. what is the fastest way to treat and get rid of this? i believe that it is from the cleanser, which i used recently. the bumps are small, but i have a lot of them on my chin, cheeks and under my eyes. they are itchy and i do not like the way they look and it makes me self-conscious. i am currently using claritin. please help. || doctor: hi. i have seen your concern in the given video (attachment removed to protect patient identity). for further information consult a dermatologist online --> |
9,623 | Q. In which conditions does one have low serum iron? | Hi doctor, I had my hemoglobin, CBC and iron test. The result indicates that I have low hemoglobin. However, my iron level is normal (122). I am confused to take the next step. I have been eating spinach, beans and red meat. Also, I am taking iron supplements. What to do further? Please suggest me. | Hello. Revert back with your blood report to a hematologist online --> | Patient: Hi doctor, I had my hemoglobin, CBC and iron test. The result indicates that I have low hemoglobin. However, my iron level is normal (122). I am confused to take the next step. I have been eating spinach, beans and red meat. Also, I am taking iron supplements. What to do further? Please suggest me. || Doctor: Hello. Revert back with your blood report to a hematologist online --> | patient: hi doctor, i had my hemoglobin, cbc and iron test. the result indicates that i have low hemoglobin. however, my iron level is normal (122). i am confused to take the next step. i have been eating spinach, beans and red meat. also, i am taking iron supplements. what to do further? please suggest me. || doctor: hello. revert back with your blood report to a hematologist online --> |
9,624 | 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 --> |
9,625 | 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 --> |
9,626 | 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.---> |
9,627 | 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 --> |
9,628 | 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 --> |
9,629 | Q. What could be the root cause for bloated stomach after having food? | Hi doctor, I am a 37 year old male. I am feeling bloated stomach and giddiness immediately after eating. The feel is more especially after lunch. What could be the root cause? Please explain. Thank you. | Hi. For further information consult a medical gastroenterologist online --> | Patient: Hi doctor, I am a 37 year old male. I am feeling bloated stomach and giddiness immediately after eating. The feel is more especially after lunch. What could be the root cause? Please explain. Thank you. || Doctor: Hi. For further information consult a medical gastroenterologist online --> | patient: hi doctor, i am a 37 year old male. i am feeling bloated stomach and giddiness immediately after eating. the feel is more especially after lunch. what could be the root cause? please explain. thank you. || doctor: hi. for further information consult a medical gastroenterologist online --> |
9,630 | Q. Is Zoloft used to reduce high blood pressure? | Hello doctor, My 28 years old boyfriend went to a doctor, and he was told that he had high blood pressure. His blood pressure was 160/90 mmHg. He has never had high blood pressure before this but has had general anxiety daily for a long time. He did not want to take blood pressure medicine because he was afraid of it, so the doctor prescribed Zoloft instead. I have heard a lot of scary things about antidepressants and feel like he should have gone with the blood pressure medicine, and I do not think that Zoloft was a good idea. He also suffers from sleep apnea. Can you give any advice on Zoloft versus blood pressure medicine? | Hello. I understand your concern towards your boyfriend. Best regards. For more information consult a cardiologist online --> | Patient: Hello doctor, My 28 years old boyfriend went to a doctor, and he was told that he had high blood pressure. His blood pressure was 160/90 mmHg. He has never had high blood pressure before this but has had general anxiety daily for a long time. He did not want to take blood pressure medicine because he was afraid of it, so the doctor prescribed Zoloft instead. I have heard a lot of scary things about antidepressants and feel like he should have gone with the blood pressure medicine, and I do not think that Zoloft was a good idea. He also suffers from sleep apnea. Can you give any advice on Zoloft versus blood pressure medicine? || Doctor: Hello. I understand your concern towards your boyfriend. Best regards. For more information consult a cardiologist online --> | patient: hello doctor, my 28 years old boyfriend went to a doctor, and he was told that he had high blood pressure. his blood pressure was 160/90 mmhg. he has never had high blood pressure before this but has had general anxiety daily for a long time. he did not want to take blood pressure medicine because he was afraid of it, so the doctor prescribed zoloft instead. i have heard a lot of scary things about antidepressants and feel like he should have gone with the blood pressure medicine, and i do not think that zoloft was a good idea. he also suffers from sleep apnea. can you give any advice on zoloft versus blood pressure medicine? || doctor: hello. i understand your concern towards your boyfriend. best regards. for more information consult a cardiologist online --> |
9,631 | Q. Please look into my NT and double marker test reports and assess my risks. | Hello doctor, I was recommended for NIPT, early TIFA scan and then amniocentesis if needed. Here are my NT and double marker reports. Kindly interpret the real risk level for me and what should be the next step ahead if there is any concern. My blood sample for the double marker was collected at eight weeks and two days and the NT scan was done at 12 weeks and two days. Both NIPT and amniocentesis are hard for me to afford. Moreover, amnio is said to be risky and I do not want to take risks. | Hello. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I was recommended for NIPT, early TIFA scan and then amniocentesis if needed. Here are my NT and double marker reports. Kindly interpret the real risk level for me and what should be the next step ahead if there is any concern. My blood sample for the double marker was collected at eight weeks and two days and the NT scan was done at 12 weeks and two days. Both NIPT and amniocentesis are hard for me to afford. Moreover, amnio is said to be risky and I do not want to take risks. || Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i was recommended for nipt, early tifa scan and then amniocentesis if needed. here are my nt and double marker reports. kindly interpret the real risk level for me and what should be the next step ahead if there is any concern. my blood sample for the double marker was collected at eight weeks and two days and the nt scan was done at 12 weeks and two days. both nipt and amniocentesis are hard for me to afford. moreover, amnio is said to be risky and i do not want to take risks. || doctor: hello. for more information consult an obstetrician and gynaecologist online --> |
9,632 | Q. I had fatty liver. Do I have chances of developing cirrhosis? | Hello doctor, I had fatty liver (due to being overweight: BMI - 28.1) 3 years ago. I do not consume alcohol. At that time the enzymes were 3-4 times elevated and had signs of fat in liver. Then I lost weight and my liver enzyme levels improved. In this last one year all my liver enzymes are normal. I did an ultrasound and an ultrasound with doppler 6 months ago and they were normal. However, today when I went to a specialist in osteopathy for leg pain, he by chance pressed on my liver area and told me that I have a rigid liver. Do I have cirrhosis? | Hi. I have read through your query and attachments in detail. (attachments removed to protect patient identity) Please find my observations below. Having gone through your reports in detail, cirrhosis is unlikely as your most recent ultrasound done on 1st December 2014 shows normal liver and doppler. Your liver function tests are also in normal range in the last one year. Cirrhosis is an advanced condition in which the liver undergoes irreversible fibrosis and this occurs over a time period. Your results do not indicate cirrhosis in any way. Kidney function is assessed by doing serum creatinine and blood urea levels. I suppose your kidneys were also visualized in December 2014 ultrasound and were found to be normal. To know more accurately about the kidneys I recommended doing serum creatinine test and blood urea. However it is most likely that your kidneys should be working normally. The kidneys are located deep inside and cannot be felt from the front side of abdomen, therefore it is not possible that your kidneys were felt. It is possible that when he by chance pressed the liver area, your muscles in the anterior abdomen were contracted and mistaken for stiffness. With normal liver function tests and recent ultrasound scan being normal it is extremely rare for you to have cirrhosis. There is a way to measure the stiffness of liver by ultrasound and it is called liver stiffness measurement by transient elastography. Medical literature says that liver stiffness measurement has proved to be an useful and specific procedure to screen for cirrhosis in the general population and to detect undiagnosed chronic liver disease in apparently healthy subjects. The above ultrasound technique is a special ultrasound method and you can get it done to for a more accurate evaluation of liver stiffness and clear your doubt. Revert back to an internal medicine physician online for further follow up --> | Patient: Hello doctor, I had fatty liver (due to being overweight: BMI - 28.1) 3 years ago. I do not consume alcohol. At that time the enzymes were 3-4 times elevated and had signs of fat in liver. Then I lost weight and my liver enzyme levels improved. In this last one year all my liver enzymes are normal. I did an ultrasound and an ultrasound with doppler 6 months ago and they were normal. However, today when I went to a specialist in osteopathy for leg pain, he by chance pressed on my liver area and told me that I have a rigid liver. Do I have cirrhosis? || Doctor: Hi. I have read through your query and attachments in detail. (attachments removed to protect patient identity) Please find my observations below. Having gone through your reports in detail, cirrhosis is unlikely as your most recent ultrasound done on 1st December 2014 shows normal liver and doppler. Your liver function tests are also in normal range in the last one year. Cirrhosis is an advanced condition in which the liver undergoes irreversible fibrosis and this occurs over a time period. Your results do not indicate cirrhosis in any way. Kidney function is assessed by doing serum creatinine and blood urea levels. I suppose your kidneys were also visualized in December 2014 ultrasound and were found to be normal. To know more accurately about the kidneys I recommended doing serum creatinine test and blood urea. However it is most likely that your kidneys should be working normally. The kidneys are located deep inside and cannot be felt from the front side of abdomen, therefore it is not possible that your kidneys were felt. It is possible that when he by chance pressed the liver area, your muscles in the anterior abdomen were contracted and mistaken for stiffness. With normal liver function tests and recent ultrasound scan being normal it is extremely rare for you to have cirrhosis. There is a way to measure the stiffness of liver by ultrasound and it is called liver stiffness measurement by transient elastography. Medical literature says that liver stiffness measurement has proved to be an useful and specific procedure to screen for cirrhosis in the general population and to detect undiagnosed chronic liver disease in apparently healthy subjects. The above ultrasound technique is a special ultrasound method and you can get it done to for a more accurate evaluation of liver stiffness and clear your doubt. Revert back to an internal medicine physician online for further follow up --> | patient: hello doctor, i had fatty liver (due to being overweight: bmi - 28.1) 3 years ago. i do not consume alcohol. at that time the enzymes were 3-4 times elevated and had signs of fat in liver. then i lost weight and my liver enzyme levels improved. in this last one year all my liver enzymes are normal. i did an ultrasound and an ultrasound with doppler 6 months ago and they were normal. however, today when i went to a specialist in osteopathy for leg pain, he by chance pressed on my liver area and told me that i have a rigid liver. do i have cirrhosis? || doctor: hi. i have read through your query and attachments in detail. (attachments removed to protect patient identity) please find my observations below. having gone through your reports in detail, cirrhosis is unlikely as your most recent ultrasound done on 1st december 2014 shows normal liver and doppler. your liver function tests are also in normal range in the last one year. cirrhosis is an advanced condition in which the liver undergoes irreversible fibrosis and this occurs over a time period. your results do not indicate cirrhosis in any way. kidney function is assessed by doing serum creatinine and blood urea levels. i suppose your kidneys were also visualized in december 2014 ultrasound and were found to be normal. to know more accurately about the kidneys i recommended doing serum creatinine test and blood urea. however it is most likely that your kidneys should be working normally. the kidneys are located deep inside and cannot be felt from the front side of abdomen, therefore it is not possible that your kidneys were felt. it is possible that when he by chance pressed the liver area, your muscles in the anterior abdomen were contracted and mistaken for stiffness. with normal liver function tests and recent ultrasound scan being normal it is extremely rare for you to have cirrhosis. there is a way to measure the stiffness of liver by ultrasound and it is called liver stiffness measurement by transient elastography. medical literature says that liver stiffness measurement has proved to be an useful and specific procedure to screen for cirrhosis in the general population and to detect undiagnosed chronic liver disease in apparently healthy subjects. the above ultrasound technique is a special ultrasound method and you can get it done to for a more accurate evaluation of liver stiffness and clear your doubt. revert back to an internal medicine physician online for further follow up --> |
9,633 | Q. Kindly advise regarding my chest pain as the test results are normal. | Hi doctor, I am a 29 year old female. I have been experiencing chest discomfort like an achiness for the past couple of months. It comes and goes. I cannot tell if it gets worse with certain foods or after I eat. Sometimes I think it does, but then I tell myself that I might just be making that up. It feels better when I get ready for bed. I do not feel it in my sleep, but it seems as soon as I start to think about it, I start to feel it. My EKG, chest x-ray, echo and blood work came back normal. I do have a heart murmur that is 3/6 and I also had a positive bubble study that suggests a PFO. However, I am getting a CT to rule out lung issues being the cause of the positive bubble study. I am also getting the CT to look at the vessels more closely. There are no associated symptoms. Also, this happened almost two years before. | Hi. Cardiac origin of chest pain is highly unlikely in a 29 year old female. Female has a cardioprotective hormone called estrogen, which usually delays the onset of coronary artery disease till 65 years. The pain you get is most likely because of high levels of your anxiety or overthinking. Once shunt reversal in PFO (patent foramen ovale) is ruled out, then you can ask your cardiologist to start you with a low dose of SSRI (selective serotonin reuptake inhibitor) like Paroxetine along with low doses of anti-anxiety medicine benzodiazepine like Clonazepam for two to three months. As echo and blood profile is normal, it is not cardiac. However, you have not mentioned if you are a smoker or alcoholic. A thorough history is a must before giving a cardiac clearance. Please answer the above. For further information consult a cardiologist online --> | Patient: Hi doctor, I am a 29 year old female. I have been experiencing chest discomfort like an achiness for the past couple of months. It comes and goes. I cannot tell if it gets worse with certain foods or after I eat. Sometimes I think it does, but then I tell myself that I might just be making that up. It feels better when I get ready for bed. I do not feel it in my sleep, but it seems as soon as I start to think about it, I start to feel it. My EKG, chest x-ray, echo and blood work came back normal. I do have a heart murmur that is 3/6 and I also had a positive bubble study that suggests a PFO. However, I am getting a CT to rule out lung issues being the cause of the positive bubble study. I am also getting the CT to look at the vessels more closely. There are no associated symptoms. Also, this happened almost two years before. || Doctor: Hi. Cardiac origin of chest pain is highly unlikely in a 29 year old female. Female has a cardioprotective hormone called estrogen, which usually delays the onset of coronary artery disease till 65 years. The pain you get is most likely because of high levels of your anxiety or overthinking. Once shunt reversal in PFO (patent foramen ovale) is ruled out, then you can ask your cardiologist to start you with a low dose of SSRI (selective serotonin reuptake inhibitor) like Paroxetine along with low doses of anti-anxiety medicine benzodiazepine like Clonazepam for two to three months. As echo and blood profile is normal, it is not cardiac. However, you have not mentioned if you are a smoker or alcoholic. A thorough history is a must before giving a cardiac clearance. Please answer the above. For further information consult a cardiologist online --> | patient: hi doctor, i am a 29 year old female. i have been experiencing chest discomfort like an achiness for the past couple of months. it comes and goes. i cannot tell if it gets worse with certain foods or after i eat. sometimes i think it does, but then i tell myself that i might just be making that up. it feels better when i get ready for bed. i do not feel it in my sleep, but it seems as soon as i start to think about it, i start to feel it. my ekg, chest x-ray, echo and blood work came back normal. i do have a heart murmur that is 3/6 and i also had a positive bubble study that suggests a pfo. however, i am getting a ct to rule out lung issues being the cause of the positive bubble study. i am also getting the ct to look at the vessels more closely. there are no associated symptoms. also, this happened almost two years before. || doctor: hi. cardiac origin of chest pain is highly unlikely in a 29 year old female. female has a cardioprotective hormone called estrogen, which usually delays the onset of coronary artery disease till 65 years. the pain you get is most likely because of high levels of your anxiety or overthinking. once shunt reversal in pfo (patent foramen ovale) is ruled out, then you can ask your cardiologist to start you with a low dose of ssri (selective serotonin reuptake inhibitor) like paroxetine along with low doses of anti-anxiety medicine benzodiazepine like clonazepam for two to three months. as echo and blood profile is normal, it is not cardiac. however, you have not mentioned if you are a smoker or alcoholic. a thorough history is a must before giving a cardiac clearance. please answer the above. for further information consult a cardiologist online --> |
9,634 | Q. Please help with my visual disturbance and tingling. | Hi doctor, I caught Lyme disease two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and lasts for about 20 minutes. It starts as a small circle or a line, like a cut diamond first and then it goes colored, which expands until it takes most of the vision. I cannot really see anything at this point. I feel as if the esophagus is blocked when I swallow food. I have never had migraines in my life. My mother has MS. What could cause these visual disturbances and tingling? I am on Sulfasalazine, Melperon, Leflunomide, Pantoprazole, Thyronajod, Vitamin D, B12 and Shilajit. I have Chiari malformation of about 12.78 mm at last measure, psoriatic arthritis, lupus, gluten sensitivity, herniated cervical disc, fibromyalgia, bone cysts and spurs, restless leg syndrome, wrist degeneration and cartilage too. | Hi. I understand your symptoms well. For further information consult a neurologist online --> | Patient: Hi doctor, I caught Lyme disease two months ago. I had a 7 hour long vomiting session with it. Since then, I have had tingling in my arms, legs, hands and feet. A month ago, I started having kaleidoscope vision, followed by a medium headache. This is now happening three or more times a week and lasts for about 20 minutes. It starts as a small circle or a line, like a cut diamond first and then it goes colored, which expands until it takes most of the vision. I cannot really see anything at this point. I feel as if the esophagus is blocked when I swallow food. I have never had migraines in my life. My mother has MS. What could cause these visual disturbances and tingling? I am on Sulfasalazine, Melperon, Leflunomide, Pantoprazole, Thyronajod, Vitamin D, B12 and Shilajit. I have Chiari malformation of about 12.78 mm at last measure, psoriatic arthritis, lupus, gluten sensitivity, herniated cervical disc, fibromyalgia, bone cysts and spurs, restless leg syndrome, wrist degeneration and cartilage too. || Doctor: Hi. I understand your symptoms well. For further information consult a neurologist online --> | patient: hi doctor, i caught lyme disease two months ago. i had a 7 hour long vomiting session with it. since then, i have had tingling in my arms, legs, hands and feet. a month ago, i started having kaleidoscope vision, followed by a medium headache. this is now happening three or more times a week and lasts for about 20 minutes. it starts as a small circle or a line, like a cut diamond first and then it goes colored, which expands until it takes most of the vision. i cannot really see anything at this point. i feel as if the esophagus is blocked when i swallow food. i have never had migraines in my life. my mother has ms. what could cause these visual disturbances and tingling? i am on sulfasalazine, melperon, leflunomide, pantoprazole, thyronajod, vitamin d, b12 and shilajit. i have chiari malformation of about 12.78 mm at last measure, psoriatic arthritis, lupus, gluten sensitivity, herniated cervical disc, fibromyalgia, bone cysts and spurs, restless leg syndrome, wrist degeneration and cartilage too. || doctor: hi. i understand your symptoms well. for further information consult a neurologist online --> |
9,635 | Q. What are the drugs of choice for social anxiety? | Hi doctor, I am a 33 year old male. I have been suffering from social anxiety for the past one year. Although I was extremely shy as a child and up to about 25 years of age. After that, I overcame my social anxiety and became confident. I managed somehow not to care about other peoples opinion about me. I could convince with almost anybody because I ignored what the people think or say. But, for the past one year I have lost my ability to ignore what other people think or say and I have started to value their opinions about me rather than my own opinion about me. I have become self conscious, shy and quiet. I am not feeling depressed or sad, but this feeling has made me extremely unproductive and I just think what others think about me. My past medication is Olanex for the social anxiety. Please recommend some other medications as this condition has been disturbing my social as well as professional life and my colleagues have started to make fun of me. | Hi. I have read your query and understand your concern. Social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy. Anxiety disorders occur in episodes and sometimes follow waxing and waning course. You had anxiety before 25 years of age and the anxiety relapsed since last one year. The feelings that people are judging you, ideas that what others will think or say, self-consciousness are typical symptoms of social anxiety. Feelings that you are good for nothing and unproductive are due to co-morbid depressive symptoms of social anxiety. Do you have anxiety during a presentation or in group discussions? Do you feel shy or stutter while talking to some person of big stature or any problems in talking to females? In severe social anxiety such type of anxiety situations is also seen. Medicines especially selective serotonin reuptake inhibitors (SSRIs) are drugs of choice for social anxiety. I suggest you to use Escitalopram drug. The drug is started with 5 mg dose for about 10 days and then can be increased to 10 mg. The drug should be taken in the morning after meals and should be used for about three to four months. After four to six weeks the dose can be reduced gradually. I suggest you to use Propranolol for anxiety provoking situations. The drug can be taken about half to one hour before some situations like presentations or group discussions. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. These medicines will definitely help in improvement. Breathing exercise and relaxation exercises will help you to control anxiety. Apart from this relaxation exercise, behavior therapy also helps in reducing the symptoms. Revert back with answers to the above questions to a psychologist counsellor online --> | Patient: Hi doctor, I am a 33 year old male. I have been suffering from social anxiety for the past one year. Although I was extremely shy as a child and up to about 25 years of age. After that, I overcame my social anxiety and became confident. I managed somehow not to care about other peoples opinion about me. I could convince with almost anybody because I ignored what the people think or say. But, for the past one year I have lost my ability to ignore what other people think or say and I have started to value their opinions about me rather than my own opinion about me. I have become self conscious, shy and quiet. I am not feeling depressed or sad, but this feeling has made me extremely unproductive and I just think what others think about me. My past medication is Olanex for the social anxiety. Please recommend some other medications as this condition has been disturbing my social as well as professional life and my colleagues have started to make fun of me. || Doctor: Hi. I have read your query and understand your concern. Social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy. Anxiety disorders occur in episodes and sometimes follow waxing and waning course. You had anxiety before 25 years of age and the anxiety relapsed since last one year. The feelings that people are judging you, ideas that what others will think or say, self-consciousness are typical symptoms of social anxiety. Feelings that you are good for nothing and unproductive are due to co-morbid depressive symptoms of social anxiety. Do you have anxiety during a presentation or in group discussions? Do you feel shy or stutter while talking to some person of big stature or any problems in talking to females? In severe social anxiety such type of anxiety situations is also seen. Medicines especially selective serotonin reuptake inhibitors (SSRIs) are drugs of choice for social anxiety. I suggest you to use Escitalopram drug. The drug is started with 5 mg dose for about 10 days and then can be increased to 10 mg. The drug should be taken in the morning after meals and should be used for about three to four months. After four to six weeks the dose can be reduced gradually. I suggest you to use Propranolol for anxiety provoking situations. The drug can be taken about half to one hour before some situations like presentations or group discussions. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. These medicines will definitely help in improvement. Breathing exercise and relaxation exercises will help you to control anxiety. Apart from this relaxation exercise, behavior therapy also helps in reducing the symptoms. Revert back with answers to the above questions to a psychologist counsellor online --> | patient: hi doctor, i am a 33 year old male. i have been suffering from social anxiety for the past one year. although i was extremely shy as a child and up to about 25 years of age. after that, i overcame my social anxiety and became confident. i managed somehow not to care about other peoples opinion about me. i could convince with almost anybody because i ignored what the people think or say. but, for the past one year i have lost my ability to ignore what other people think or say and i have started to value their opinions about me rather than my own opinion about me. i have become self conscious, shy and quiet. i am not feeling depressed or sad, but this feeling has made me extremely unproductive and i just think what others think about me. my past medication is olanex for the social anxiety. please recommend some other medications as this condition has been disturbing my social as well as professional life and my colleagues have started to make fun of me. || doctor: hi. i have read your query and understand your concern. social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy. anxiety disorders occur in episodes and sometimes follow waxing and waning course. you had anxiety before 25 years of age and the anxiety relapsed since last one year. the feelings that people are judging you, ideas that what others will think or say, self-consciousness are typical symptoms of social anxiety. feelings that you are good for nothing and unproductive are due to co-morbid depressive symptoms of social anxiety. do you have anxiety during a presentation or in group discussions? do you feel shy or stutter while talking to some person of big stature or any problems in talking to females? in severe social anxiety such type of anxiety situations is also seen. medicines especially selective serotonin reuptake inhibitors (ssris) are drugs of choice for social anxiety. i suggest you to use escitalopram drug. the drug is started with 5 mg dose for about 10 days and then can be increased to 10 mg. the drug should be taken in the morning after meals and should be used for about three to four months. after four to six weeks the dose can be reduced gradually. i suggest you to use propranolol for anxiety provoking situations. the drug can be taken about half to one hour before some situations like presentations or group discussions. consult your specialist doctor, discuss with him or her and take the medicine with their consent. these medicines will definitely help in improvement. breathing exercise and relaxation exercises will help you to control anxiety. apart from this relaxation exercise, behavior therapy also helps in reducing the symptoms. revert back with answers to the above questions to a psychologist counsellor online --> |
9,636 | Q. How to cure acne in the case of combination-type skin? | Hello doctor, I have combination skin on the face with acne. I am not really sure if it can be termed acne. There are these very minute skin bumps. Please see the attached photo. I do not usually get pimples though. What can I do to make my face clearer? | Hello. Your concern is acne vulgaris grade I. Your skin is of mixed type with the T-zone of the face oily and the remaining parts are dry. Start using Papulex (Nicotinamide) face wash twice daily. If your skin gets too dry after face wash, apply Aquasoft FC moisturizer after face wash. Apply Epiduo (Adapalene and Benzoyl Peroxide) gel once daily at bed time on the moisturized skin. If you notice any irritation, you can wash it off within 30 minutes or else leave it overnight. Avoid dairy products at bedtime. Take a diet rich in vitamin A like carrots, papaya, green leaves, watermelon, etc. Do not pick acne. They will subside with age. Do not experiment with any other over-the-counter medication. This will help you. For more information consult a dermatologist online --> | Patient: Hello doctor, I have combination skin on the face with acne. I am not really sure if it can be termed acne. There are these very minute skin bumps. Please see the attached photo. I do not usually get pimples though. What can I do to make my face clearer? || Doctor: Hello. Your concern is acne vulgaris grade I. Your skin is of mixed type with the T-zone of the face oily and the remaining parts are dry. Start using Papulex (Nicotinamide) face wash twice daily. If your skin gets too dry after face wash, apply Aquasoft FC moisturizer after face wash. Apply Epiduo (Adapalene and Benzoyl Peroxide) gel once daily at bed time on the moisturized skin. If you notice any irritation, you can wash it off within 30 minutes or else leave it overnight. Avoid dairy products at bedtime. Take a diet rich in vitamin A like carrots, papaya, green leaves, watermelon, etc. Do not pick acne. They will subside with age. Do not experiment with any other over-the-counter medication. This will help you. For more information consult a dermatologist online --> | patient: hello doctor, i have combination skin on the face with acne. i am not really sure if it can be termed acne. there are these very minute skin bumps. please see the attached photo. i do not usually get pimples though. what can i do to make my face clearer? || doctor: hello. your concern is acne vulgaris grade i. your skin is of mixed type with the t-zone of the face oily and the remaining parts are dry. start using papulex (nicotinamide) face wash twice daily. if your skin gets too dry after face wash, apply aquasoft fc moisturizer after face wash. apply epiduo (adapalene and benzoyl peroxide) gel once daily at bed time on the moisturized skin. if you notice any irritation, you can wash it off within 30 minutes or else leave it overnight. avoid dairy products at bedtime. take a diet rich in vitamin a like carrots, papaya, green leaves, watermelon, etc. do not pick acne. they will subside with age. do not experiment with any other over-the-counter medication. this will help you. for more information consult a dermatologist online --> |
9,637 | Q. How long should I continue Krimson 35 for acne problem? | Hi doctor, I am a 25 year old unmarried female. Three years ago, suddenly I had lots of acne and my periods was little irregular. After some failed attempts with a skin specialist, I went to a gynecologist. He suggested me to take Krimson-35. My ultrasonography report was normal and no polycystic ovarian disease was diagnosed. After one year, my acne was completely gone. When I stopped taking Krimson-35, they came again. So, my doctor advised me to continue Krimson-35 and I am still having the medicine regularly. My problem is that I have observed several times that if I masturbate (by clitoral stimulation) before a few days of periods and have an orgasm, then my period becomes very heavy and does not stop. When it happened for the first time, I told the doctor that my period is not stopping, but I did not tell him that I masturbated. He prescribed Trapic-500. Later it happened for a few more times also and I took Trapic-500 without asking the doctor. Sometimes, the next cycle also does not stop and I continue having Trapic-500. I used to masturbate at most three to four days a month and usually these are consecutive days. Please tell me whether this masturbation habit has done any harm to me. Are they harmful? And how long should I keep having Krimson-35 for my acne problem? | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am a 25 year old unmarried female. Three years ago, suddenly I had lots of acne and my periods was little irregular. After some failed attempts with a skin specialist, I went to a gynecologist. He suggested me to take Krimson-35. My ultrasonography report was normal and no polycystic ovarian disease was diagnosed. After one year, my acne was completely gone. When I stopped taking Krimson-35, they came again. So, my doctor advised me to continue Krimson-35 and I am still having the medicine regularly. My problem is that I have observed several times that if I masturbate (by clitoral stimulation) before a few days of periods and have an orgasm, then my period becomes very heavy and does not stop. When it happened for the first time, I told the doctor that my period is not stopping, but I did not tell him that I masturbated. He prescribed Trapic-500. Later it happened for a few more times also and I took Trapic-500 without asking the doctor. Sometimes, the next cycle also does not stop and I continue having Trapic-500. I used to masturbate at most three to four days a month and usually these are consecutive days. Please tell me whether this masturbation habit has done any harm to me. Are they harmful? And how long should I keep having Krimson-35 for my acne problem? || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am a 25 year old unmarried female. three years ago, suddenly i had lots of acne and my periods was little irregular. after some failed attempts with a skin specialist, i went to a gynecologist. he suggested me to take krimson-35. my ultrasonography report was normal and no polycystic ovarian disease was diagnosed. after one year, my acne was completely gone. when i stopped taking krimson-35, they came again. so, my doctor advised me to continue krimson-35 and i am still having the medicine regularly. my problem is that i have observed several times that if i masturbate (by clitoral stimulation) before a few days of periods and have an orgasm, then my period becomes very heavy and does not stop. when it happened for the first time, i told the doctor that my period is not stopping, but i did not tell him that i masturbated. he prescribed trapic-500. later it happened for a few more times also and i took trapic-500 without asking the doctor. sometimes, the next cycle also does not stop and i continue having trapic-500. i used to masturbate at most three to four days a month and usually these are consecutive days. please tell me whether this masturbation habit has done any harm to me. are they harmful? and how long should i keep having krimson-35 for my acne problem? || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
9,638 | Q. Took I-pill after one hour of unprotected sex. Will periods be regular? | Hi doctor, We had unprotected sex yesterday and scared about pregnancy. She took I-pill after one hour. Please suggest what else we need to do to avoid pregnancy. Her last period was 12 days back and her next period is after 20 days. So, will her periods be regular or not? If there is any possibility to occur some unwanted change then please convey us with treatment or checkup. | Hi. Your partner has taken the I-pill after one hour of sex. This rules out the chance of pregnancy in all respect. So, please relax. You have nothing to worry for now. But, you should ask her to start regular pills like Femilon (Ethinyl estradiol and Desogestrel) or Novelon from first day of her next cycle. This should be continued for 21 days and new pack to be restarted after a gap of seven days. This is an excellent form of contraception. Now, she may have some form of bleeding within two to three days. Do not panic. This is normal as a reaction of the I-pill. Her next cycle will be delayed also. This is also normal. Just ask her to start the pill from then. Meanwhile, you use condom for protection as you cannot repeat I-pill so often. Contraceptive guidelines. For further information consult an obstetrician and gynaecologist online.---> | Patient: Hi doctor, We had unprotected sex yesterday and scared about pregnancy. She took I-pill after one hour. Please suggest what else we need to do to avoid pregnancy. Her last period was 12 days back and her next period is after 20 days. So, will her periods be regular or not? If there is any possibility to occur some unwanted change then please convey us with treatment or checkup. || Doctor: Hi. Your partner has taken the I-pill after one hour of sex. This rules out the chance of pregnancy in all respect. So, please relax. You have nothing to worry for now. But, you should ask her to start regular pills like Femilon (Ethinyl estradiol and Desogestrel) or Novelon from first day of her next cycle. This should be continued for 21 days and new pack to be restarted after a gap of seven days. This is an excellent form of contraception. Now, she may have some form of bleeding within two to three days. Do not panic. This is normal as a reaction of the I-pill. Her next cycle will be delayed also. This is also normal. Just ask her to start the pill from then. Meanwhile, you use condom for protection as you cannot repeat I-pill so often. Contraceptive guidelines. For further information consult an obstetrician and gynaecologist online.---> | patient: hi doctor, we had unprotected sex yesterday and scared about pregnancy. she took i-pill after one hour. please suggest what else we need to do to avoid pregnancy. her last period was 12 days back and her next period is after 20 days. so, will her periods be regular or not? if there is any possibility to occur some unwanted change then please convey us with treatment or checkup. || doctor: hi. your partner has taken the i-pill after one hour of sex. this rules out the chance of pregnancy in all respect. so, please relax. you have nothing to worry for now. but, you should ask her to start regular pills like femilon (ethinyl estradiol and desogestrel) or novelon from first day of her next cycle. this should be continued for 21 days and new pack to be restarted after a gap of seven days. this is an excellent form of contraception. now, she may have some form of bleeding within two to three days. do not panic. this is normal as a reaction of the i-pill. her next cycle will be delayed also. this is also normal. just ask her to start the pill from then. meanwhile, you use condom for protection as you cannot repeat i-pill so often. contraceptive guidelines. for further information consult an obstetrician and gynaecologist online.---> |
9,639 | Q. I had sex after a week of taking abortion pills. Will it cause any infection? | Hello doctor, I was six weeks pregnant, and on the ninth and tenth of this month, I had severe cramps and heavy bleeding. So, I consulted my doctor on the 11th, and she said that it was a miscarriage, and she gave me the first dose of the abortion pill. She gave the second dose on the 13th, which was inserted vaginally. The bleeding with clots continued and stopped after four days. I am physically normal, and I had sex on the 19th. Is it safe? Is there any chance of pregnancy or any other complications? Kindly suggest. | Hello. There is very less chance of pregnancy, but it is tough to say. Mostly, ovulation takes approximately 15 to 20 days to resume after abortion. But sometimes, it can resume early. As it is just six days after the last tablet, there is very less chance. But yes, be careful next time and use protection. And it also depends on whether the abortion is complete or not. If you are bleeding now after tablets, it means that the abortion was incomplete. If you had sex today, then you can take emergency contraceptive pills also. There is no such complication from sex. I do not know if you are bleeding still or not. Drink more water. And if required, do consult your doctor if bleeding is still there. And if bleeding stopped or just spotting is there, then as I said, there is a minimal chance of pregnancy. Hopefully, you have got your answer. If you have any more doubts, then you can follow-up. Thanks. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I was six weeks pregnant, and on the ninth and tenth of this month, I had severe cramps and heavy bleeding. So, I consulted my doctor on the 11th, and she said that it was a miscarriage, and she gave me the first dose of the abortion pill. She gave the second dose on the 13th, which was inserted vaginally. The bleeding with clots continued and stopped after four days. I am physically normal, and I had sex on the 19th. Is it safe? Is there any chance of pregnancy or any other complications? Kindly suggest. || Doctor: Hello. There is very less chance of pregnancy, but it is tough to say. Mostly, ovulation takes approximately 15 to 20 days to resume after abortion. But sometimes, it can resume early. As it is just six days after the last tablet, there is very less chance. But yes, be careful next time and use protection. And it also depends on whether the abortion is complete or not. If you are bleeding now after tablets, it means that the abortion was incomplete. If you had sex today, then you can take emergency contraceptive pills also. There is no such complication from sex. I do not know if you are bleeding still or not. Drink more water. And if required, do consult your doctor if bleeding is still there. And if bleeding stopped or just spotting is there, then as I said, there is a minimal chance of pregnancy. Hopefully, you have got your answer. If you have any more doubts, then you can follow-up. Thanks. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, i was six weeks pregnant, and on the ninth and tenth of this month, i had severe cramps and heavy bleeding. so, i consulted my doctor on the 11th, and she said that it was a miscarriage, and she gave me the first dose of the abortion pill. she gave the second dose on the 13th, which was inserted vaginally. the bleeding with clots continued and stopped after four days. i am physically normal, and i had sex on the 19th. is it safe? is there any chance of pregnancy or any other complications? kindly suggest. || doctor: hello. there is very less chance of pregnancy, but it is tough to say. mostly, ovulation takes approximately 15 to 20 days to resume after abortion. but sometimes, it can resume early. as it is just six days after the last tablet, there is very less chance. but yes, be careful next time and use protection. and it also depends on whether the abortion is complete or not. if you are bleeding now after tablets, it means that the abortion was incomplete. if you had sex today, then you can take emergency contraceptive pills also. there is no such complication from sex. i do not know if you are bleeding still or not. drink more water. and if required, do consult your doctor if bleeding is still there. and if bleeding stopped or just spotting is there, then as i said, there is a minimal chance of pregnancy. hopefully, you have got your answer. if you have any more doubts, then you can follow-up. thanks. for further queries consult an obstetrician and gynaecologist online --> |
9,640 | Q. Can I get my acne scars permanently cured without any medication? | Hello doctor, I am a 20-year-old boy with a face full of acne scars. I have it for the last two years. I have tried many home remedies but did not consult a doctor. They got cured to some extent in the last two to three months or so but have now started reappearing. I want a permanent cure without any medication. Please help. | Hello. Nowadays, acne is considered physiological and a natural phenomenon rather pathological. Around 95% of the world population would have acne at some point in life. Getting into your case, you are 20 years old, it is the active age of acne. It starts at teenage around 13 and lasts until 30 years of age. No one can cure acne with medication. So it is very remote possibility that it gets cured without medication. Acne can be controlled, but cannot be cured. Acne is due to overactive oil-producing glands present in the skin called sebaceous glands. In order to cure it, all oil-producing glands need to be removed which is impossible. There are also hormonal and genetic factors involved in it. There are very few effective medications available for acne which can control the recurrence of acne. Medications depend on the grade of your acne. I cannot prescribe you medicine without seeing your clinical picture or in person. However, I would like to give you some skin care tips to keep your skin healthy. I would suggest you get back to me with your clinical picture so that I can prescribe you medicines or you can consult your dermatologist for treatment. For more information consult a dermatologist online --> | Patient: Hello doctor, I am a 20-year-old boy with a face full of acne scars. I have it for the last two years. I have tried many home remedies but did not consult a doctor. They got cured to some extent in the last two to three months or so but have now started reappearing. I want a permanent cure without any medication. Please help. || Doctor: Hello. Nowadays, acne is considered physiological and a natural phenomenon rather pathological. Around 95% of the world population would have acne at some point in life. Getting into your case, you are 20 years old, it is the active age of acne. It starts at teenage around 13 and lasts until 30 years of age. No one can cure acne with medication. So it is very remote possibility that it gets cured without medication. Acne can be controlled, but cannot be cured. Acne is due to overactive oil-producing glands present in the skin called sebaceous glands. In order to cure it, all oil-producing glands need to be removed which is impossible. There are also hormonal and genetic factors involved in it. There are very few effective medications available for acne which can control the recurrence of acne. Medications depend on the grade of your acne. I cannot prescribe you medicine without seeing your clinical picture or in person. However, I would like to give you some skin care tips to keep your skin healthy. I would suggest you get back to me with your clinical picture so that I can prescribe you medicines or you can consult your dermatologist for treatment. For more information consult a dermatologist online --> | patient: hello doctor, i am a 20-year-old boy with a face full of acne scars. i have it for the last two years. i have tried many home remedies but did not consult a doctor. they got cured to some extent in the last two to three months or so but have now started reappearing. i want a permanent cure without any medication. please help. || doctor: hello. nowadays, acne is considered physiological and a natural phenomenon rather pathological. around 95% of the world population would have acne at some point in life. getting into your case, you are 20 years old, it is the active age of acne. it starts at teenage around 13 and lasts until 30 years of age. no one can cure acne with medication. so it is very remote possibility that it gets cured without medication. acne can be controlled, but cannot be cured. acne is due to overactive oil-producing glands present in the skin called sebaceous glands. in order to cure it, all oil-producing glands need to be removed which is impossible. there are also hormonal and genetic factors involved in it. there are very few effective medications available for acne which can control the recurrence of acne. medications depend on the grade of your acne. i cannot prescribe you medicine without seeing your clinical picture or in person. however, i would like to give you some skin care tips to keep your skin healthy. i would suggest you get back to me with your clinical picture so that i can prescribe you medicines or you can consult your dermatologist for treatment. for more information consult a dermatologist online --> |
9,641 | 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 --> |
9,642 | 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 --> |
9,643 | 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.---> |
9,644 | 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 --> |
9,645 | 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 --> |
9,646 | Q. What is your suggestion on my blood report? | Hi doctor, I have attached my blood report here for your reference. Please have a look and give me your suggestion. | Hello. Revert back with answers to the above questions to an internal medicine physician online --> | Patient: Hi doctor, I have attached my blood report here for your reference. Please have a look and give me your suggestion. || Doctor: Hello. Revert back with answers to the above questions to an internal medicine physician online --> | patient: hi doctor, i have attached my blood report here for your reference. please have a look and give me your suggestion. || doctor: hello. revert back with answers to the above questions to an internal medicine physician online --> |
9,647 | Q. My TSH - 5. 96, free T3 - 2. 49, free T4 - 0. 76, Age 33. Do I need thyroid medicine? | Hello Doctor, Free TSH 5.96, freeT3 2.49, freeT4 0.76. Age 33 years. Symptoms - weight gain, depression, late periods since second delivery and 2 years back. Do I need thyroid medicine? | Hi. I would like to know when was this thyroid test done? This seems to be a very mild thyroid dysfunction. Does anyone in your family have thyroid problem? I would recommend you to consult an endocrinologist online to go for some more testing (like thyroid antibodies and repeat thyroid function test) and initiate thyroid medication if necessary --> | Patient: Hello Doctor, Free TSH 5.96, freeT3 2.49, freeT4 0.76. Age 33 years. Symptoms - weight gain, depression, late periods since second delivery and 2 years back. Do I need thyroid medicine? || Doctor: Hi. I would like to know when was this thyroid test done? This seems to be a very mild thyroid dysfunction. Does anyone in your family have thyroid problem? I would recommend you to consult an endocrinologist online to go for some more testing (like thyroid antibodies and repeat thyroid function test) and initiate thyroid medication if necessary --> | patient: hello doctor, free tsh 5.96, freet3 2.49, freet4 0.76. age 33 years. symptoms - weight gain, depression, late periods since second delivery and 2 years back. do i need thyroid medicine? || doctor: hi. i would like to know when was this thyroid test done? this seems to be a very mild thyroid dysfunction. does anyone in your family have thyroid problem? i would recommend you to consult an endocrinologist online to go for some more testing (like thyroid antibodies and repeat thyroid function test) and initiate thyroid medication if necessary --> |
9,648 | Q. Why do I get unwanted thoughts and headache? | Hi doctor, I am suffering from headache, especially in the right side. I have struggled more because of unwanted thoughts since long time. Please help me. | Hello. Revert back with a detailed history to a psychologist counsellor online --> | Patient: Hi doctor, I am suffering from headache, especially in the right side. I have struggled more because of unwanted thoughts since long time. Please help me. || Doctor: Hello. Revert back with a detailed history to a psychologist counsellor online --> | patient: hi doctor, i am suffering from headache, especially in the right side. i have struggled more because of unwanted thoughts since long time. please help me. || doctor: hello. revert back with a detailed history to a psychologist counsellor online --> |
9,649 | Q. After taking Geminor M1, I am losing weight. What shall I do now? | Hi doctor, I am 33 years old. Before 10 months, I came to know that I am a diabetic. My fasting sugar was 155 and PP was 215. My doctor prescribed Geminor M1. My HBA1C is 5.5 and ABG is 111 now. The issue is that I am more skinny now. I was 62 kg when I was diagnosed and now I am 58 kg. Please tell me what to do. | Hi. For further information consult a diabetologist online --> | Patient: Hi doctor, I am 33 years old. Before 10 months, I came to know that I am a diabetic. My fasting sugar was 155 and PP was 215. My doctor prescribed Geminor M1. My HBA1C is 5.5 and ABG is 111 now. The issue is that I am more skinny now. I was 62 kg when I was diagnosed and now I am 58 kg. Please tell me what to do. || Doctor: Hi. For further information consult a diabetologist online --> | patient: hi doctor, i am 33 years old. before 10 months, i came to know that i am a diabetic. my fasting sugar was 155 and pp was 215. my doctor prescribed geminor m1. my hba1c is 5.5 and abg is 111 now. the issue is that i am more skinny now. i was 62 kg when i was diagnosed and now i am 58 kg. please tell me what to do. || doctor: hi. for further information consult a diabetologist online --> |
9,650 | Q. Can I use Rejuglow Gel for skin whitening. I have very tanned skin. Give me suggestions. | Hello, I am a 22 year old, male. I have a very sensitive skin, even after using sunscreens, it is tanned. Suggest me any skin whitening pills. | Hi, Thanks for writing to us. As such there are no skin whitening pills. Glutathione pills are marketed as skin whitening pill, but its use is not recommended by doctors. It is essential to know how you use your sunscreen. Sunscreens with SPF 30 are good for regular use. Sunscreen should be applied at least half an hour prior to stepping out and should be repeated for every three hours. Sunscreen use is advised in between 10 am to 4 pm. (Know all about sunprotection and sunscreens) Also use a Kojic acid and Glycolic acid based cream daily like Kojivit plus gel or Rejuglow gel once in a day. And use Vitamin C Serum at night. Take a diet rich in fruits and nuts. You may also apply tomato pulp, turmeric mixed in yogurt to improve skin tone apart from the creams suggested above. Also you may take few sessions of chemical peels. Consult a dermatologist online for further help --> | Patient: Hello, I am a 22 year old, male. I have a very sensitive skin, even after using sunscreens, it is tanned. Suggest me any skin whitening pills. || Doctor: Hi, Thanks for writing to us. As such there are no skin whitening pills. Glutathione pills are marketed as skin whitening pill, but its use is not recommended by doctors. It is essential to know how you use your sunscreen. Sunscreens with SPF 30 are good for regular use. Sunscreen should be applied at least half an hour prior to stepping out and should be repeated for every three hours. Sunscreen use is advised in between 10 am to 4 pm. (Know all about sunprotection and sunscreens) Also use a Kojic acid and Glycolic acid based cream daily like Kojivit plus gel or Rejuglow gel once in a day. And use Vitamin C Serum at night. Take a diet rich in fruits and nuts. You may also apply tomato pulp, turmeric mixed in yogurt to improve skin tone apart from the creams suggested above. Also you may take few sessions of chemical peels. Consult a dermatologist online for further help --> | patient: hello, i am a 22 year old, male. i have a very sensitive skin, even after using sunscreens, it is tanned. suggest me any skin whitening pills. || doctor: hi, thanks for writing to us. as such there are no skin whitening pills. glutathione pills are marketed as skin whitening pill, but its use is not recommended by doctors. it is essential to know how you use your sunscreen. sunscreens with spf 30 are good for regular use. sunscreen should be applied at least half an hour prior to stepping out and should be repeated for every three hours. sunscreen use is advised in between 10 am to 4 pm. (know all about sunprotection and sunscreens) also use a kojic acid and glycolic acid based cream daily like kojivit plus gel or rejuglow gel once in a day. and use vitamin c serum at night. take a diet rich in fruits and nuts. you may also apply tomato pulp, turmeric mixed in yogurt to improve skin tone apart from the creams suggested above. also you may take few sessions of chemical peels. consult a dermatologist online for further help --> |
9,651 | Q. What are the different types of nevus spilus? | Hello doctor,I have a birthmark and I am pretty sure it is a nevus spilus. I read that there are two types of nevus spilus, papular and macular. Can you see my picture to see which type it is? Also, do I have to worry about cancer risk? I cannot see a dermatologist and I do not want to get it removed. | Hello. For more information consult a dermatologist online --> | Patient: Hello doctor,I have a birthmark and I am pretty sure it is a nevus spilus. I read that there are two types of nevus spilus, papular and macular. Can you see my picture to see which type it is? Also, do I have to worry about cancer risk? I cannot see a dermatologist and I do not want to get it removed. || Doctor: Hello. For more information consult a dermatologist online --> | patient: hello doctor,i have a birthmark and i am pretty sure it is a nevus spilus. i read that there are two types of nevus spilus, papular and macular. can you see my picture to see which type it is? also, do i have to worry about cancer risk? i cannot see a dermatologist and i do not want to get it removed. || doctor: hello. for more information consult a dermatologist online --> |
9,652 | Q. Can I use Nexret gel for anti-aging? | Hi doctor, I am a 35 year old female with borderline oily skin living in a very humid city. Only gel-based products work for my skin. I was wondering if I could start using Nexret gel, as a night treatment for anti-aging and general maintenance on a long-term basis. I have a few sun spots and pimple marks that need to go. My father and grandfather have vitiligo, and that is one reason I fear using products that tamper with the pigmentation process. Currently, I am using a face wash, Micellar water, and an anti-shine gel moisturizer in the morning and night. I also use vitamin C day gel and a sunscreen gel with SPF 50 in the day. Thank you so much in advance. | Hi. I have seen your query and concern. Please attach a picture if possible, for better evaluation. For further queries consult a dermatologist online --> | Patient: Hi doctor, I am a 35 year old female with borderline oily skin living in a very humid city. Only gel-based products work for my skin. I was wondering if I could start using Nexret gel, as a night treatment for anti-aging and general maintenance on a long-term basis. I have a few sun spots and pimple marks that need to go. My father and grandfather have vitiligo, and that is one reason I fear using products that tamper with the pigmentation process. Currently, I am using a face wash, Micellar water, and an anti-shine gel moisturizer in the morning and night. I also use vitamin C day gel and a sunscreen gel with SPF 50 in the day. Thank you so much in advance. || Doctor: Hi. I have seen your query and concern. Please attach a picture if possible, for better evaluation. For further queries consult a dermatologist online --> | patient: hi doctor, i am a 35 year old female with borderline oily skin living in a very humid city. only gel-based products work for my skin. i was wondering if i could start using nexret gel, as a night treatment for anti-aging and general maintenance on a long-term basis. i have a few sun spots and pimple marks that need to go. my father and grandfather have vitiligo, and that is one reason i fear using products that tamper with the pigmentation process. currently, i am using a face wash, micellar water, and an anti-shine gel moisturizer in the morning and night. i also use vitamin c day gel and a sunscreen gel with spf 50 in the day. thank you so much in advance. || doctor: hi. i have seen your query and concern. please attach a picture if possible, for better evaluation. for further queries consult a dermatologist online --> |
9,653 | Q. What can be the reason for back pain and stiffness? | Hi doctor, My middle back is slightly painful and stiff. I have taken some medicine and it decreased, but not completely. Also, I feel some heaviness in the forehead. Please suggest some treatment. | Hi. From the way you described, it seems that you have a locked back. So, you need a few medicines and physiotherapy.Instructions to reduce back pain and stiffness are as follows: 1. Locked back. 2. Ankylosing spondylitis. Revert back if stiffness persists even after seven days to a orthopaedician and traumatologist online.---> | Patient: Hi doctor, My middle back is slightly painful and stiff. I have taken some medicine and it decreased, but not completely. Also, I feel some heaviness in the forehead. Please suggest some treatment. || Doctor: Hi. From the way you described, it seems that you have a locked back. So, you need a few medicines and physiotherapy.Instructions to reduce back pain and stiffness are as follows: 1. Locked back. 2. Ankylosing spondylitis. Revert back if stiffness persists even after seven days to a orthopaedician and traumatologist online.---> | patient: hi doctor, my middle back is slightly painful and stiff. i have taken some medicine and it decreased, but not completely. also, i feel some heaviness in the forehead. please suggest some treatment. || doctor: hi. from the way you described, it seems that you have a locked back. so, you need a few medicines and physiotherapy.instructions to reduce back pain and stiffness are as follows: 1. locked back. 2. ankylosing spondylitis. revert back if stiffness persists even after seven days to a orthopaedician and traumatologist online.---> |
9,654 | Q. What is vaginismus? | Hi doctor,I got married before 18 months. But, I am still a virgin. I am not able to take it inside. I do not know whether it is due to fear or what. I badly need to be out of it. Please help. | Hello. Revert back with detailed history to an obstetrician and gynaecologist online --> | Patient: Hi doctor,I got married before 18 months. But, I am still a virgin. I am not able to take it inside. I do not know whether it is due to fear or what. I badly need to be out of it. Please help. || Doctor: Hello. Revert back with detailed history to an obstetrician and gynaecologist online --> | patient: hi doctor,i got married before 18 months. but, i am still a virgin. i am not able to take it inside. i do not know whether it is due to fear or what. i badly need to be out of it. please help. || doctor: hello. revert back with detailed history to an obstetrician and gynaecologist online --> |
9,655 | Q. Is it possible to stay sexually active with one testis? | Hi doctor, I am 31 years old. I can remember that since I was about 11, my left testicle has always been high up in my scrotum. When I look down at my genitals, I cannot see my right testicle. But, my left one is clearly visible and starts at the same position next to my penis. I understand that one testicle is normally higher than the other, but this is abnormal. It also feels stuck in position. Why? | Hello. I had gone through all the data you have posted (attachment removed to protect patient identity). For further information consult an andrologist online --> | Patient: Hi doctor, I am 31 years old. I can remember that since I was about 11, my left testicle has always been high up in my scrotum. When I look down at my genitals, I cannot see my right testicle. But, my left one is clearly visible and starts at the same position next to my penis. I understand that one testicle is normally higher than the other, but this is abnormal. It also feels stuck in position. Why? || Doctor: Hello. I had gone through all the data you have posted (attachment removed to protect patient identity). For further information consult an andrologist online --> | patient: hi doctor, i am 31 years old. i can remember that since i was about 11, my left testicle has always been high up in my scrotum. when i look down at my genitals, i cannot see my right testicle. but, my left one is clearly visible and starts at the same position next to my penis. i understand that one testicle is normally higher than the other, but this is abnormal. it also feels stuck in position. why? || doctor: hello. i had gone through all the data you have posted (attachment removed to protect patient identity). for further information consult an andrologist online --> |
9,656 | Q. I have mixed the order of birth control pills. Should I take Plan B to prevent pregnancy? | Hi doctor, I am 18 years old. Currently, I am taking Viorele 28 day birth control. I mixed up my third week's pills. I had the Saturday's pill on Friday and Friday's pill on Saturday. I had unprotected sex last night, and I was wondering if I should take Plan B today. The pill which I had earlier was white G pill, and the other one was white C1 pill. Please help. | Hello. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am 18 years old. Currently, I am taking Viorele 28 day birth control. I mixed up my third week's pills. I had the Saturday's pill on Friday and Friday's pill on Saturday. I had unprotected sex last night, and I was wondering if I should take Plan B today. The pill which I had earlier was white G pill, and the other one was white C1 pill. Please help. || Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am 18 years old. currently, i am taking viorele 28 day birth control. i mixed up my third week's pills. i had the saturday's pill on friday and friday's pill on saturday. i had unprotected sex last night, and i was wondering if i should take plan b today. the pill which i had earlier was white g pill, and the other one was white c1 pill. please help. || doctor: hello. for further information consult an obstetrician and gynaecologist online --> |
9,657 | Q. What is the treatment for moles under the nails? | Hello doctor, I have moles under the nails of each of my big toes. They appeared over the last months, but I do not remember exactly when. The one on my left toe is a round dot in addition to a diagonal line next to it and that goes to the right edge of my nail, while the one on my right toe is just a round dot. The nails themselves are also somewhat cracked and do not look good. I am wondering if there could be cause for concern. I am sending a photo of my toe. Please help me. | Hi. Revert back with answers to the above questions to a dermatologist online --> | Patient: Hello doctor, I have moles under the nails of each of my big toes. They appeared over the last months, but I do not remember exactly when. The one on my left toe is a round dot in addition to a diagonal line next to it and that goes to the right edge of my nail, while the one on my right toe is just a round dot. The nails themselves are also somewhat cracked and do not look good. I am wondering if there could be cause for concern. I am sending a photo of my toe. Please help me. || Doctor: Hi. Revert back with answers to the above questions to a dermatologist online --> | patient: hello doctor, i have moles under the nails of each of my big toes. they appeared over the last months, but i do not remember exactly when. the one on my left toe is a round dot in addition to a diagonal line next to it and that goes to the right edge of my nail, while the one on my right toe is just a round dot. the nails themselves are also somewhat cracked and do not look good. i am wondering if there could be cause for concern. i am sending a photo of my toe. please help me. || doctor: hi. revert back with answers to the above questions to a dermatologist online --> |
9,658 | 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 --> |
9,659 | 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 --> |
9,660 | 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.---> |
9,661 | 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 --> |
9,662 | 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 --> |
9,663 | Q. Following fracture, my finger appears to be tilted. How to correct it? | Hi doctor, I had a crack in my ring finger. But, after the plaster, the finger tilted towards the little finger. How to get it straight? It has been one week since the plaster is removed. Please help. | Hi. For further information consult an orthopaedician and traumatologist online --> | Patient: Hi doctor, I had a crack in my ring finger. But, after the plaster, the finger tilted towards the little finger. How to get it straight? It has been one week since the plaster is removed. Please help. || Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> | patient: hi doctor, i had a crack in my ring finger. but, after the plaster, the finger tilted towards the little finger. how to get it straight? it has been one week since the plaster is removed. please help. || doctor: hi. for further information consult an orthopaedician and traumatologist online --> |
9,664 | Q. I have a breast lump. Is there a possibility that it might be cancerous? | Hello doctor, I have a lump in between my breasts. I have had it for a couple of years. Yesterday, I noticed that it got slightly bigger. Also, it became painful and red. Is there a possibility that it might be cancerous? I do not have any family history of breast cancer. | Hi. We are here to help you. Revert back with the reports to an internal medicine physician online --> | Patient: Hello doctor, I have a lump in between my breasts. I have had it for a couple of years. Yesterday, I noticed that it got slightly bigger. Also, it became painful and red. Is there a possibility that it might be cancerous? I do not have any family history of breast cancer. || Doctor: Hi. We are here to help you. Revert back with the reports to an internal medicine physician online --> | patient: hello doctor, i have a lump in between my breasts. i have had it for a couple of years. yesterday, i noticed that it got slightly bigger. also, it became painful and red. is there a possibility that it might be cancerous? i do not have any family history of breast cancer. || doctor: hi. we are here to help you. revert back with the reports to an internal medicine physician online --> |
9,665 | Q. Is surgery required for a fibroid in the uterus? | Hello doctor, My cousin's report reads as follows. 'There is an evidence of a large posterior myoserosal fibroid measuring 7.6 cm by 6.1 cm in the upper body region.' Does this need surgical intervention? Can you give some advice? She is yet to conceive. | Hello. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My cousin's report reads as follows. 'There is an evidence of a large posterior myoserosal fibroid measuring 7.6 cm by 6.1 cm in the upper body region.' Does this need surgical intervention? Can you give some advice? She is yet to conceive. || Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, my cousin's report reads as follows. 'there is an evidence of a large posterior myoserosal fibroid measuring 7.6 cm by 6.1 cm in the upper body region.' does this need surgical intervention? can you give some advice? she is yet to conceive. || doctor: hello. for further queries consult an obstetrician and gynaecologist online --> |
9,666 | Q. Will I get pregnant as I had sex after taking I-pill? | Hi doctor, I had sex 15 days back and had an I-pill after that. But, within two hours we had sex again. But, I did not take any tablet after that. My last period was 31 days back. Till now my periods has not started. Is there any chance of pregnancy? | Hi. We are here to help you. For further doubts consult an internal medicine physician online --> | Patient: Hi doctor, I had sex 15 days back and had an I-pill after that. But, within two hours we had sex again. But, I did not take any tablet after that. My last period was 31 days back. Till now my periods has not started. Is there any chance of pregnancy? || Doctor: Hi. We are here to help you. For further doubts consult an internal medicine physician online --> | patient: hi doctor, i had sex 15 days back and had an i-pill after that. but, within two hours we had sex again. but, i did not take any tablet after that. my last period was 31 days back. till now my periods has not started. is there any chance of pregnancy? || doctor: hi. we are here to help you. for further doubts consult an internal medicine physician online --> |
9,667 | Q. Does my LFT report indicate fatty liver? | Hello doctor, I am a 50 year old male. I got my lipid profile, LFT and KFT done. I have attached the reports. Kindly check and suggest the following: Does LFT report indicate fatty liver? I consume 2-3 pegs of alcohol three times a week since last 14-15 years. If yes, then what precaution has to be taken? Can I take Liv 52? My triglycerides was 400 last year, but reduced this year. My cholesterol, HDL and LDL are the same as last year. I have some sleeping problem too. I am drinking amla and aloe vera juice daily. I am taking Isabgol in the evening and Revital capsule every alternate day. Please help. | Hi. We are here to help you. I have studied your case history and reports too (attachment removed to protect patient identity). Revert back after the repeat tests to a medical gastroenterologist online --> | Patient: Hello doctor, I am a 50 year old male. I got my lipid profile, LFT and KFT done. I have attached the reports. Kindly check and suggest the following: Does LFT report indicate fatty liver? I consume 2-3 pegs of alcohol three times a week since last 14-15 years. If yes, then what precaution has to be taken? Can I take Liv 52? My triglycerides was 400 last year, but reduced this year. My cholesterol, HDL and LDL are the same as last year. I have some sleeping problem too. I am drinking amla and aloe vera juice daily. I am taking Isabgol in the evening and Revital capsule every alternate day. Please help. || Doctor: Hi. We are here to help you. I have studied your case history and reports too (attachment removed to protect patient identity). Revert back after the repeat tests to a medical gastroenterologist online --> | patient: hello doctor, i am a 50 year old male. i got my lipid profile, lft and kft done. i have attached the reports. kindly check and suggest the following: does lft report indicate fatty liver? i consume 2-3 pegs of alcohol three times a week since last 14-15 years. if yes, then what precaution has to be taken? can i take liv 52? my triglycerides was 400 last year, but reduced this year. my cholesterol, hdl and ldl are the same as last year. i have some sleeping problem too. i am drinking amla and aloe vera juice daily. i am taking isabgol in the evening and revital capsule every alternate day. please help. || doctor: hi. we are here to help you. i have studied your case history and reports too (attachment removed to protect patient identity). revert back after the repeat tests to a medical gastroenterologist online --> |
9,668 | Q. Why do I have joint pain and low back pain? | Hi doctor, I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures. | Hi. Vitamin D deficiency and autoimmune cause. Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus). Seronegative spondyloarthropathy. 1. Rheumatoid arthritis. 2. Seronegative spondyloarthropathy. Calcirol sachets (vitamin D) 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain. 1. Avoid alcohol and excessive weight lifting. 2. Also, try to avoid painkillers as your liver functions are abnormal. For further information consult a rheumatologist online.---> | Patient: Hi doctor, I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures. || Doctor: Hi. Vitamin D deficiency and autoimmune cause. Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus). Seronegative spondyloarthropathy. 1. Rheumatoid arthritis. 2. Seronegative spondyloarthropathy. Calcirol sachets (vitamin D) 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain. 1. Avoid alcohol and excessive weight lifting. 2. Also, try to avoid painkillers as your liver functions are abnormal. For further information consult a rheumatologist online.---> | patient: hi doctor, i am a 45 year old male. i had an accident before 10 years. at that time, my knee x-ray was done and i was reported to have osteoarthritis. i have been suffering from pain for few years. i have lower back pain and pain in some of the joints. for the past few weeks, i have pain in my left palm, particularly in my finger joints and more on left middle finger joint. also, on my foot joints. i also feel very fatigued and tired. my blood pressure (bp) was 110/70 mmhg a week back. i am enclosing a comprehensive blood test report, which was done very recently and i have advised to take tablet nusam 400 for six months. i have been taking for the past two months. please suggest me the remedy and preventive measures. || doctor: hi. vitamin d deficiency and autoimmune cause. ultrasound abdomen and pelvis, rheumatoid factor, mri of spine with sacroiliac joint and mri of the whole spine, screening and ultrasound of hands to look for active arthritis, hbsag (hepatitis b surface antigen) and hcv (hepatitis c virus). seronegative spondyloarthropathy. 1. rheumatoid arthritis. 2. seronegative spondyloarthropathy. calcirol sachets (vitamin d) 60000 units once in a week with a glass of water for six weeks and tablet dolo 650 mg (acetaminophen) for pain. 1. avoid alcohol and excessive weight lifting. 2. also, try to avoid painkillers as your liver functions are abnormal. for further information consult a rheumatologist online.---> |
9,669 | Q. Which method of abortion is better for 5 weeks of pregnancy? | Hello doctor,I am pregnant. The ultrasound shows five weeks ± two weeks of pregnancy. My symptoms are fatigue, emotional, indigestion, and anger. I am on Pantocid for five days. I want to abort my pregnancy. Please tell me which method is better - surgical or medicine? | Hello. If your ultrasound scan shows five weeks of intrauterine pregnancy, then you can go for a medical abortion by taking tablet Mifepristone 200 mg orally stat and after 48 hours of taking this medication, you can take tablet Misoprostol 400 micrograms orally and repeat the same dose of tablet Misoprostol orally after six hours of taking the first dose of Misoprostol or you can use tablet Misoprostol 800 micrograms vaginally as high as possible before going to bed. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do not take the above medication in case: You may experience bleeding per vaginam which is little more than the usual periods. But, in case if it is heavy and not stopping after two to three days, kindly contact your nearest gynecologist immediately. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am pregnant. The ultrasound shows five weeks ± two weeks of pregnancy. My symptoms are fatigue, emotional, indigestion, and anger. I am on Pantocid for five days. I want to abort my pregnancy. Please tell me which method is better - surgical or medicine? || Doctor: Hello. If your ultrasound scan shows five weeks of intrauterine pregnancy, then you can go for a medical abortion by taking tablet Mifepristone 200 mg orally stat and after 48 hours of taking this medication, you can take tablet Misoprostol 400 micrograms orally and repeat the same dose of tablet Misoprostol orally after six hours of taking the first dose of Misoprostol or you can use tablet Misoprostol 800 micrograms vaginally as high as possible before going to bed. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do not take the above medication in case: You may experience bleeding per vaginam which is little more than the usual periods. But, in case if it is heavy and not stopping after two to three days, kindly contact your nearest gynecologist immediately. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am pregnant. the ultrasound shows five weeks ± two weeks of pregnancy. my symptoms are fatigue, emotional, indigestion, and anger. i am on pantocid for five days. i want to abort my pregnancy. please tell me which method is better - surgical or medicine? || doctor: hello. if your ultrasound scan shows five weeks of intrauterine pregnancy, then you can go for a medical abortion by taking tablet mifepristone 200 mg orally stat and after 48 hours of taking this medication, you can take tablet misoprostol 400 micrograms orally and repeat the same dose of tablet misoprostol orally after six hours of taking the first dose of misoprostol or you can use tablet misoprostol 800 micrograms vaginally as high as possible before going to bed. consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. do not take the above medication in case: you may experience bleeding per vaginam which is little more than the usual periods. but, in case if it is heavy and not stopping after two to three days, kindly contact your nearest gynecologist immediately. for more information consult an obstetrician and gynaecologist online --> |
9,670 | Q. My age is 26. I have crossed eyes/squint eyes. Suggest me any solution. | Hi, My age is 26 years. I have crossed eyes problem. Can it be brought back to normal by a surgery? | Hi, Thank you for posting your query at icliniq.com. Revert back to an eye care ophthalmologist online for further help --> | Patient: Hi, My age is 26 years. I have crossed eyes problem. Can it be brought back to normal by a surgery? || Doctor: Hi, Thank you for posting your query at icliniq.com. Revert back to an eye care ophthalmologist online for further help --> | patient: hi, my age is 26 years. i have crossed eyes problem. can it be brought back to normal by a surgery? || doctor: hi, thank you for posting your query at icliniq.com. revert back to an eye care ophthalmologist online for further help --> |
9,671 | Q. Following delivery and blood transfusion, developed blisters on face. Why? | Hi doctor, I delivered a baby through normal delivery 15 days before and I got one unit of blood transfusion. Yesterday, I got rashes and blisters only on my face and it keeps increasing. What to do? Please help. | Hello. Revert back with the photos to a dermatologist online --> | Patient: Hi doctor, I delivered a baby through normal delivery 15 days before and I got one unit of blood transfusion. Yesterday, I got rashes and blisters only on my face and it keeps increasing. What to do? Please help. || Doctor: Hello. Revert back with the photos to a dermatologist online --> | patient: hi doctor, i delivered a baby through normal delivery 15 days before and i got one unit of blood transfusion. yesterday, i got rashes and blisters only on my face and it keeps increasing. what to do? please help. || doctor: hello. revert back with the photos to a dermatologist online --> |
9,672 | Q. My one year old son has been coughing for 3 days. Bromhexine and kofarest did not work. Please help. | Hi, My one year old son has been coughing for 3 days now. I spoke to his paediatrician. She asked me to give him bromhexine and kofarest. I tried both but it did not work. Please help me. | Hi, Thank you for your query. Therefore I suggest you to consult a paediatrician online for prescription of appropriate medication --> | Patient: Hi, My one year old son has been coughing for 3 days now. I spoke to his paediatrician. She asked me to give him bromhexine and kofarest. I tried both but it did not work. Please help me. || Doctor: Hi, Thank you for your query. Therefore I suggest you to consult a paediatrician online for prescription of appropriate medication --> | patient: hi, my one year old son has been coughing for 3 days now. i spoke to his paediatrician. she asked me to give him bromhexine and kofarest. i tried both but it did not work. please help me. || doctor: hi, thank you for your query. therefore i suggest you to consult a paediatrician online for prescription of appropriate medication --> |
9,673 | Q. Can I get pregnant just with precum? | Hello doctor, I have to ask about my risk of pregnancy from precum. My husband just let his penis inside me three to four times without a condom and he did not have an orgasm. Could I be pregnant? This happened around two months back. I got my periods five days after the event which was my regular date. I also got periods after a month but periods lasted only two days and a little bleeding happened on the third and fourth day. Can I be pregnant? | Hello. Pre-ejaculate or precum usually does not contain sperms so the chances of pregnancy are very low. Moreover, you seem to have got your periods twice after the unprotected intercourse. So, it is unlikely that you may be pregnant. But still, for your confirmation, you can check your urine for pregnancy with an early morning urine sample. This is because the bleeding pattern had been different from prior cycles. If it is negative you can stay assured that you are not pregnant. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I have to ask about my risk of pregnancy from precum. My husband just let his penis inside me three to four times without a condom and he did not have an orgasm. Could I be pregnant? This happened around two months back. I got my periods five days after the event which was my regular date. I also got periods after a month but periods lasted only two days and a little bleeding happened on the third and fourth day. Can I be pregnant? || Doctor: Hello. Pre-ejaculate or precum usually does not contain sperms so the chances of pregnancy are very low. Moreover, you seem to have got your periods twice after the unprotected intercourse. So, it is unlikely that you may be pregnant. But still, for your confirmation, you can check your urine for pregnancy with an early morning urine sample. This is because the bleeding pattern had been different from prior cycles. If it is negative you can stay assured that you are not pregnant. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i have to ask about my risk of pregnancy from precum. my husband just let his penis inside me three to four times without a condom and he did not have an orgasm. could i be pregnant? this happened around two months back. i got my periods five days after the event which was my regular date. i also got periods after a month but periods lasted only two days and a little bleeding happened on the third and fourth day. can i be pregnant? || doctor: hello. pre-ejaculate or precum usually does not contain sperms so the chances of pregnancy are very low. moreover, you seem to have got your periods twice after the unprotected intercourse. so, it is unlikely that you may be pregnant. but still, for your confirmation, you can check your urine for pregnancy with an early morning urine sample. this is because the bleeding pattern had been different from prior cycles. if it is negative you can stay assured that you are not pregnant. for more information consult an obstetrician and gynaecologist online --> |
9,674 | 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 --> |
9,675 | 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 --> |
9,676 | 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.---> |
9,677 | 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 --> |
9,678 | 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 --> |
9,679 | Q. Why am I getting body pain? | Hi doctor, My vitamin D level is good and all my blood reports are fine. But, why am I getting body pain? Even I sleep for seven to eight hours and still I do not feel fresh. I always get the feel to sleep more. I took Ibuprofen, but it does not work. It disturbs me in sleeping. Most of the time, pain in lower legs, hands and shoulder does not go away. Do I have cancer in my body and it spread to my bone marrow and result in body pain? Do I have any cancer in my stomach or pancreas? Do I have any blood disorder or autoimmune disease or any cancer like leukemia, lymphoma or non-Hodgkin's lymphoma in my body? Also, I do not have a fever or cough. I do not experience any weight loss; I feel tired all the time and feel vomiting after eating. Please explain my problem and the treatment. | Hi. Based on your query, my opinion is as follows: Thyroid function tests and serum calcium. If they are normal, then lifestyle modifications. Lifestyle modifications. For further information consult a hematologist online.---> | Patient: Hi doctor, My vitamin D level is good and all my blood reports are fine. But, why am I getting body pain? Even I sleep for seven to eight hours and still I do not feel fresh. I always get the feel to sleep more. I took Ibuprofen, but it does not work. It disturbs me in sleeping. Most of the time, pain in lower legs, hands and shoulder does not go away. Do I have cancer in my body and it spread to my bone marrow and result in body pain? Do I have any cancer in my stomach or pancreas? Do I have any blood disorder or autoimmune disease or any cancer like leukemia, lymphoma or non-Hodgkin's lymphoma in my body? Also, I do not have a fever or cough. I do not experience any weight loss; I feel tired all the time and feel vomiting after eating. Please explain my problem and the treatment. || Doctor: Hi. Based on your query, my opinion is as follows: Thyroid function tests and serum calcium. If they are normal, then lifestyle modifications. Lifestyle modifications. For further information consult a hematologist online.---> | patient: hi doctor, my vitamin d level is good and all my blood reports are fine. but, why am i getting body pain? even i sleep for seven to eight hours and still i do not feel fresh. i always get the feel to sleep more. i took ibuprofen, but it does not work. it disturbs me in sleeping. most of the time, pain in lower legs, hands and shoulder does not go away. do i have cancer in my body and it spread to my bone marrow and result in body pain? do i have any cancer in my stomach or pancreas? do i have any blood disorder or autoimmune disease or any cancer like leukemia, lymphoma or non-hodgkin's lymphoma in my body? also, i do not have a fever or cough. i do not experience any weight loss; i feel tired all the time and feel vomiting after eating. please explain my problem and the treatment. || doctor: hi. based on your query, my opinion is as follows: thyroid function tests and serum calcium. if they are normal, then lifestyle modifications. lifestyle modifications. for further information consult a hematologist online.---> |
9,680 | Q. Are zirconia braces good? | Hello doctor, My orthodontist just recently offered the option of zirconia braces. I am getting braces in a week, but I cannot figure out for the life of me, what in the world zirconia braces are. I cannot seem to find any information on these. Are they new? Where can I learn more about them to decide if I am willing to pay the extra money? Thanks. | Hello. For more information consult an orthodontist online --> | Patient: Hello doctor, My orthodontist just recently offered the option of zirconia braces. I am getting braces in a week, but I cannot figure out for the life of me, what in the world zirconia braces are. I cannot seem to find any information on these. Are they new? Where can I learn more about them to decide if I am willing to pay the extra money? Thanks. || Doctor: Hello. For more information consult an orthodontist online --> | patient: hello doctor, my orthodontist just recently offered the option of zirconia braces. i am getting braces in a week, but i cannot figure out for the life of me, what in the world zirconia braces are. i cannot seem to find any information on these. are they new? where can i learn more about them to decide if i am willing to pay the extra money? thanks. || doctor: hello. for more information consult an orthodontist online --> |
9,681 | Q. Is hemoglobin level of 17. 1 normal? | Hi doctor, I am a 27 year old male. My hemoglobin level is 17.1. Last month when I donated blood I came to know that this. Again this month, when I checked, the level remains the same. I would like to know whether it is normal. If it is abnormal what should I follow to bring back that to normal? | Hi. Based on your query, my opinion is as follows: Hemoglobin level of 17.1 is near normal. Increased hemoglobin can be seen in conditions, where oxygenation is less, like hilly areas, lung disorders and the air you breathe is low in oxygen. To compensate red blood cells increases and hence the hemoglobin. In these conditions, hemoglobin can be more than 18 g% and we call this condition as polycythemia. At present, for you it is not polycythemia. Unless it is more than 18 g%, there is nothing to worry. No need to return it to normal. Few books do say that the range between 13.5 and 17.5 is normal in male. At present, there is nothing to worry. Blood donation is good and do continue it. For further information consult a hematologist online --> | Patient: Hi doctor, I am a 27 year old male. My hemoglobin level is 17.1. Last month when I donated blood I came to know that this. Again this month, when I checked, the level remains the same. I would like to know whether it is normal. If it is abnormal what should I follow to bring back that to normal? || Doctor: Hi. Based on your query, my opinion is as follows: Hemoglobin level of 17.1 is near normal. Increased hemoglobin can be seen in conditions, where oxygenation is less, like hilly areas, lung disorders and the air you breathe is low in oxygen. To compensate red blood cells increases and hence the hemoglobin. In these conditions, hemoglobin can be more than 18 g% and we call this condition as polycythemia. At present, for you it is not polycythemia. Unless it is more than 18 g%, there is nothing to worry. No need to return it to normal. Few books do say that the range between 13.5 and 17.5 is normal in male. At present, there is nothing to worry. Blood donation is good and do continue it. For further information consult a hematologist online --> | patient: hi doctor, i am a 27 year old male. my hemoglobin level is 17.1. last month when i donated blood i came to know that this. again this month, when i checked, the level remains the same. i would like to know whether it is normal. if it is abnormal what should i follow to bring back that to normal? || doctor: hi. based on your query, my opinion is as follows: hemoglobin level of 17.1 is near normal. increased hemoglobin can be seen in conditions, where oxygenation is less, like hilly areas, lung disorders and the air you breathe is low in oxygen. to compensate red blood cells increases and hence the hemoglobin. in these conditions, hemoglobin can be more than 18 g% and we call this condition as polycythemia. at present, for you it is not polycythemia. unless it is more than 18 g%, there is nothing to worry. no need to return it to normal. few books do say that the range between 13.5 and 17.5 is normal in male. at present, there is nothing to worry. blood donation is good and do continue it. for further information consult a hematologist online --> |
9,682 | Q. Can I get squint correction at the age of 26? | Hi doctor,I have a squint in my right eye and it has moved outwards. I do not have a proper vision in my right. I cannot see clearly through my right eye; even I recognize thing pretty hard. I want to know whether it can be corrected, so that both my eyes work together. I am confused as I am now 26 years old. Is the correction going to be difficult at this age? I am looking up for a second opinion from you. Thank you. | Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert with reports to an eye care ophthalmologist online --> | Patient: Hi doctor,I have a squint in my right eye and it has moved outwards. I do not have a proper vision in my right. I cannot see clearly through my right eye; even I recognize thing pretty hard. I want to know whether it can be corrected, so that both my eyes work together. I am confused as I am now 26 years old. Is the correction going to be difficult at this age? I am looking up for a second opinion from you. Thank you. || Doctor: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert with reports to an eye care ophthalmologist online --> | patient: hi doctor,i have a squint in my right eye and it has moved outwards. i do not have a proper vision in my right. i cannot see clearly through my right eye; even i recognize thing pretty hard. i want to know whether it can be corrected, so that both my eyes work together. i am confused as i am now 26 years old. is the correction going to be difficult at this age? i am looking up for a second opinion from you. thank you. || doctor: hi. i have gone through the pictures of your eyes (attachment removed to protect patient identity). revert with reports to an eye care ophthalmologist online --> |
9,683 | Q. There is a drastic decrease in my platelet count in the last five months. Why? | Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. | Hi. For further information consult a hematologist online --> | Patient: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. || Doctor: Hi. For further information consult a hematologist online --> | patient: hi doctor, my hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. the only symptom i have is occasional skin itching. || doctor: hi. for further information consult a hematologist online --> |
9,684 | Q. Which crown is better for endodontically treated molar - zirconia or emax? | Hello doctor, I am 24 years old. What type of crown is recommended for an endodontically treated upper molar (tooth #26), solid zirconia or eMax? I am worried about the abrasive effects Zirconia might have on the opposing dentition. Will a zirconia crown cause secondary caries under the crown as a result of abrasion against opposing teeth? I also understand it may be difficult to detect decay or treat decay under zirconia crowns, is that so? If so, would eMax or any other all-ceramic crown be a better choice for my endodontically treated molar? I am not a grinder or clencher, and this would be my first crown. I would greatly appreciate all insights and recommendations. | Hi. Zirconium crown will be a better choice because you are young. If the tooth is properly adjusted, that is, if the crown placement is done properly, there will not be abrasive effects. Yes, it costs a little more than ceramic or porcelain-fused metal crown, but they will chip off with time. For more information consult a dentist online --> | Patient: Hello doctor, I am 24 years old. What type of crown is recommended for an endodontically treated upper molar (tooth #26), solid zirconia or eMax? I am worried about the abrasive effects Zirconia might have on the opposing dentition. Will a zirconia crown cause secondary caries under the crown as a result of abrasion against opposing teeth? I also understand it may be difficult to detect decay or treat decay under zirconia crowns, is that so? If so, would eMax or any other all-ceramic crown be a better choice for my endodontically treated molar? I am not a grinder or clencher, and this would be my first crown. I would greatly appreciate all insights and recommendations. || Doctor: Hi. Zirconium crown will be a better choice because you are young. If the tooth is properly adjusted, that is, if the crown placement is done properly, there will not be abrasive effects. Yes, it costs a little more than ceramic or porcelain-fused metal crown, but they will chip off with time. For more information consult a dentist online --> | patient: hello doctor, i am 24 years old. what type of crown is recommended for an endodontically treated upper molar (tooth #26), solid zirconia or emax? i am worried about the abrasive effects zirconia might have on the opposing dentition. will a zirconia crown cause secondary caries under the crown as a result of abrasion against opposing teeth? i also understand it may be difficult to detect decay or treat decay under zirconia crowns, is that so? if so, would emax or any other all-ceramic crown be a better choice for my endodontically treated molar? i am not a grinder or clencher, and this would be my first crown. i would greatly appreciate all insights and recommendations. || doctor: hi. zirconium crown will be a better choice because you are young. if the tooth is properly adjusted, that is, if the crown placement is done properly, there will not be abrasive effects. yes, it costs a little more than ceramic or porcelain-fused metal crown, but they will chip off with time. for more information consult a dentist online --> |
9,685 | Q. I am using IUD. Is it normal to get thicker vaginal fluid during intercourse? | Hi doctor, I have had the Mirena IUD for about a year now. Recently I found my vaginal opening is getting rather tight and small. There is no pain or odor. Because of this, my partner feels difficult to have sex. This went on for almost two months now. When we did finally, my fluids were clear with lots of tissue-like substances. It looks like pieces of wet tissue paper. It appeared only during sex. Should I be concerned? Is this normal? | Hi. I do not see any reason for you to worry. For further doubts consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I have had the Mirena IUD for about a year now. Recently I found my vaginal opening is getting rather tight and small. There is no pain or odor. Because of this, my partner feels difficult to have sex. This went on for almost two months now. When we did finally, my fluids were clear with lots of tissue-like substances. It looks like pieces of wet tissue paper. It appeared only during sex. Should I be concerned? Is this normal? || Doctor: Hi. I do not see any reason for you to worry. For further doubts consult an obstetrician and gynaecologist online --> | patient: hi doctor, i have had the mirena iud for about a year now. recently i found my vaginal opening is getting rather tight and small. there is no pain or odor. because of this, my partner feels difficult to have sex. this went on for almost two months now. when we did finally, my fluids were clear with lots of tissue-like substances. it looks like pieces of wet tissue paper. it appeared only during sex. should i be concerned? is this normal? || doctor: hi. i do not see any reason for you to worry. for further doubts consult an obstetrician and gynaecologist online --> |
9,686 | Q. What are the causes of foot drop with slight numbness? | Hello doctor, I am a 27 year old male, I have got foot drop perhaps from crossing legs frequently. I first noticed the foot drop when I was walking three weeks back, the dorsum and the end of the foot were slightly numb. The numbness has subsided a week back, but I still do not have any power to dorsiflex the foot. I can only flex it up to 1 to 2 cm when I stand up. Is it a good sign that the numbness has subsided? The doctor told me to wait and watch, but I have numbness in my left hand as well at nights, which goes away when I pump my hand. I have had a problem of hard stool previously, and now it has returned. I still have not got my reports of vitamin B12 and CRP. Should I be worried? | Hi. Revert with more information to a neurologist online --> | Patient: Hello doctor, I am a 27 year old male, I have got foot drop perhaps from crossing legs frequently. I first noticed the foot drop when I was walking three weeks back, the dorsum and the end of the foot were slightly numb. The numbness has subsided a week back, but I still do not have any power to dorsiflex the foot. I can only flex it up to 1 to 2 cm when I stand up. Is it a good sign that the numbness has subsided? The doctor told me to wait and watch, but I have numbness in my left hand as well at nights, which goes away when I pump my hand. I have had a problem of hard stool previously, and now it has returned. I still have not got my reports of vitamin B12 and CRP. Should I be worried? || Doctor: Hi. Revert with more information to a neurologist online --> | patient: hello doctor, i am a 27 year old male, i have got foot drop perhaps from crossing legs frequently. i first noticed the foot drop when i was walking three weeks back, the dorsum and the end of the foot were slightly numb. the numbness has subsided a week back, but i still do not have any power to dorsiflex the foot. i can only flex it up to 1 to 2 cm when i stand up. is it a good sign that the numbness has subsided? the doctor told me to wait and watch, but i have numbness in my left hand as well at nights, which goes away when i pump my hand. i have had a problem of hard stool previously, and now it has returned. i still have not got my reports of vitamin b12 and crp. should i be worried? || doctor: hi. revert with more information to a neurologist online --> |
9,687 | Q. Will antibiotics reduce the effect of Oral Contraceptive Pills? | Hello doctor, I am using OCP Crisanta 21 for the last six months. Two weeks back, I went for a tooth extraction. So, I took antibiotic Magniclav 625 mg for five days. I had two tablets a day from 15th to 20th of last month. I started my current Crisanta pack on the 16th of last month. My question is can the antibiotic reduce the efficacy of oral contraceptive? If yes, then what is the solution? After how many days of last antibiotic should I need to take birth control pill? Can I solely rely on the contraceptive pill? Or is backup method required? Please explain. | Hi. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am using OCP Crisanta 21 for the last six months. Two weeks back, I went for a tooth extraction. So, I took antibiotic Magniclav 625 mg for five days. I had two tablets a day from 15th to 20th of last month. I started my current Crisanta pack on the 16th of last month. My question is can the antibiotic reduce the efficacy of oral contraceptive? If yes, then what is the solution? After how many days of last antibiotic should I need to take birth control pill? Can I solely rely on the contraceptive pill? Or is backup method required? Please explain. || Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am using ocp crisanta 21 for the last six months. two weeks back, i went for a tooth extraction. so, i took antibiotic magniclav 625 mg for five days. i had two tablets a day from 15th to 20th of last month. i started my current crisanta pack on the 16th of last month. my question is can the antibiotic reduce the efficacy of oral contraceptive? if yes, then what is the solution? after how many days of last antibiotic should i need to take birth control pill? can i solely rely on the contraceptive pill? or is backup method required? please explain. || doctor: hi. for further information consult an obstetrician and gynaecologist online --> |
9,688 | Q. I had unprotected oral sex and a few days later I am having itching. Could it be an STD? | Hello doctor, Two weeks ago, I had oral sex with a man, without using a condom. A few days later, my labia was swollen and itchy. Now, I have a sore throat. My discharge is normal. Is there a possibility that I might have contracted an STD? And, I am only going to a clinic two days from now. Is it too late? | Hello,Welcome to icliniq.com. Hope your query is answered. Feel free to ask more questions. Best wishes. For more information consult a venereologist online --> | Patient: Hello doctor, Two weeks ago, I had oral sex with a man, without using a condom. A few days later, my labia was swollen and itchy. Now, I have a sore throat. My discharge is normal. Is there a possibility that I might have contracted an STD? And, I am only going to a clinic two days from now. Is it too late? || Doctor: Hello,Welcome to icliniq.com. Hope your query is answered. Feel free to ask more questions. Best wishes. For more information consult a venereologist online --> | patient: hello doctor, two weeks ago, i had oral sex with a man, without using a condom. a few days later, my labia was swollen and itchy. now, i have a sore throat. my discharge is normal. is there a possibility that i might have contracted an std? and, i am only going to a clinic two days from now. is it too late? || doctor: hello,welcome to icliniq.com. hope your query is answered. feel free to ask more questions. best wishes. for more information consult a venereologist online --> |
9,689 | Q. From the reports, please let me know the disease I am suffering from. | Hi doctor, I am a 25 year old male. My height is 5'5" and weight is 55 kg. I am a software engineer. For the last four months, I am having pain in my both hips. To be more precise, the pain is in the front side of the joint between hip and thigh. Around four months back, I had a fall on my right side and then, the pain started. I consulted the doctor and went for two weeks of physiotherapy along with some painkillers. The pain got reduced to 5%, but, again around two weeks back, I started feeling jam on my right side joint with severe pain and then in left joint also. Two weeks ago, I was unable to even walk. Right now, I am feeling pain only when I sit on the floor by folding the legs and when I stretch the legs. I went for various tests such as x-ray, MRI, HLA-B27, Mantoux and rheumatoid profile test. I have attached the reports of all these tests. My doctor has asked me to repeat HLA-B27 test along with Quantiferon of TB test before starting the treatment. I am looking for a second opinion now. Exactly, what disease I have based on these reports? Is there any genetic disorder I may have, that cannot be treated permanently? What could be the root cause of such pain? | Hello. 1. Genetic. 2. Infection. TB infection. Revert back with the reports to an orthopaedician and traumatologist online.---> | Patient: Hi doctor, I am a 25 year old male. My height is 5'5" and weight is 55 kg. I am a software engineer. For the last four months, I am having pain in my both hips. To be more precise, the pain is in the front side of the joint between hip and thigh. Around four months back, I had a fall on my right side and then, the pain started. I consulted the doctor and went for two weeks of physiotherapy along with some painkillers. The pain got reduced to 5%, but, again around two weeks back, I started feeling jam on my right side joint with severe pain and then in left joint also. Two weeks ago, I was unable to even walk. Right now, I am feeling pain only when I sit on the floor by folding the legs and when I stretch the legs. I went for various tests such as x-ray, MRI, HLA-B27, Mantoux and rheumatoid profile test. I have attached the reports of all these tests. My doctor has asked me to repeat HLA-B27 test along with Quantiferon of TB test before starting the treatment. I am looking for a second opinion now. Exactly, what disease I have based on these reports? Is there any genetic disorder I may have, that cannot be treated permanently? What could be the root cause of such pain? || Doctor: Hello. 1. Genetic. 2. Infection. TB infection. Revert back with the reports to an orthopaedician and traumatologist online.---> | patient: hi doctor, i am a 25 year old male. my height is 5'5" and weight is 55 kg. i am a software engineer. for the last four months, i am having pain in my both hips. to be more precise, the pain is in the front side of the joint between hip and thigh. around four months back, i had a fall on my right side and then, the pain started. i consulted the doctor and went for two weeks of physiotherapy along with some painkillers. the pain got reduced to 5%, but, again around two weeks back, i started feeling jam on my right side joint with severe pain and then in left joint also. two weeks ago, i was unable to even walk. right now, i am feeling pain only when i sit on the floor by folding the legs and when i stretch the legs. i went for various tests such as x-ray, mri, hla-b27, mantoux and rheumatoid profile test. i have attached the reports of all these tests. my doctor has asked me to repeat hla-b27 test along with quantiferon of tb test before starting the treatment. i am looking for a second opinion now. exactly, what disease i have based on these reports? is there any genetic disorder i may have, that cannot be treated permanently? what could be the root cause of such pain? || doctor: hello. 1. genetic. 2. infection. tb infection. revert back with the reports to an orthopaedician and traumatologist online.---> |
9,690 | Q. I have chronic ear infection with pain and blockage. Please help. | Hello doctor, I have an ear infection for about two years, but now my ears hurt very badly and feel like they are closing up. Please help. | Hi, Welcome to iciniq.com. The reason for a chronic ear infection can be due to two reasons. 1. There is an abnormal permanent defect in your eardrum (such a hole which has not closed up due to the normal healing process) leading to recurrent ear infection and discharge. In some cases, superadded fungal infection might also be present causing itching and pain. 2. A dysfunction in your eustachian tubes which basically equalize pressure between your nose and your ear. In both scenarios, you will feel blocked ears, ringing sensations, heaviness, and decreased hearing would certainly be there. Follow these steps: 1. You have to maintain adequate ear hygiene not allowing any foreign substances such as outside air or water to enter into the ear and thereby creating a recurrent infection. 2. Do not use q tips as they worsen the existing problem by introducing more disease since the q tips are often not sterilized. 3. Get your self examined by an ent specialist to see what exactly is happening in your ear and the probable cause of the problem. I hope this helps. | Patient: Hello doctor, I have an ear infection for about two years, but now my ears hurt very badly and feel like they are closing up. Please help. || Doctor: Hi, Welcome to iciniq.com. The reason for a chronic ear infection can be due to two reasons. 1. There is an abnormal permanent defect in your eardrum (such a hole which has not closed up due to the normal healing process) leading to recurrent ear infection and discharge. In some cases, superadded fungal infection might also be present causing itching and pain. 2. A dysfunction in your eustachian tubes which basically equalize pressure between your nose and your ear. In both scenarios, you will feel blocked ears, ringing sensations, heaviness, and decreased hearing would certainly be there. Follow these steps: 1. You have to maintain adequate ear hygiene not allowing any foreign substances such as outside air or water to enter into the ear and thereby creating a recurrent infection. 2. Do not use q tips as they worsen the existing problem by introducing more disease since the q tips are often not sterilized. 3. Get your self examined by an ent specialist to see what exactly is happening in your ear and the probable cause of the problem. I hope this helps. | patient: hello doctor, i have an ear infection for about two years, but now my ears hurt very badly and feel like they are closing up. please help. || doctor: hi, welcome to iciniq.com. the reason for a chronic ear infection can be due to two reasons. 1. there is an abnormal permanent defect in your eardrum (such a hole which has not closed up due to the normal healing process) leading to recurrent ear infection and discharge. in some cases, superadded fungal infection might also be present causing itching and pain. 2. a dysfunction in your eustachian tubes which basically equalize pressure between your nose and your ear. in both scenarios, you will feel blocked ears, ringing sensations, heaviness, and decreased hearing would certainly be there. follow these steps: 1. you have to maintain adequate ear hygiene not allowing any foreign substances such as outside air or water to enter into the ear and thereby creating a recurrent infection. 2. do not use q tips as they worsen the existing problem by introducing more disease since the q tips are often not sterilized. 3. get your self examined by an ent specialist to see what exactly is happening in your ear and the probable cause of the problem. i hope this helps. |
9,691 | 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 --> |
9,692 | 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 --> |
9,693 | 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.---> |
9,694 | 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 --> |
9,695 | 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 --> |
9,696 | Q. My premature baby has failed his hearing test. What to do next? | Hello doctor,I am writing regarding the newborn screening of my baby. He was prematurely born at 29 weeks and spent 40 days in NICU. During his stay, we tested his hearing via OAE method. At first, both the ears did not respond and in the second screening, the left ear was perfect. But, there was no response from the right ear. After three consecutive failure of OAE in the right side, we went for BERA. However, BERA test showed no response in the right ear even at 90 dB. Hence, the audiologist recommended a review after one month. Now, I am a bit worried. What could be the cause for BERA failure? Kindly assist us to rule out the issue. And, what should be done to overcome this? | Hello. I have gone through the files (attachment removed to protect patient identity). Do revert back with all the details. Hoping to see your son healthy and good soon. For more information consult an allergy specialist --> | Patient: Hello doctor,I am writing regarding the newborn screening of my baby. He was prematurely born at 29 weeks and spent 40 days in NICU. During his stay, we tested his hearing via OAE method. At first, both the ears did not respond and in the second screening, the left ear was perfect. But, there was no response from the right ear. After three consecutive failure of OAE in the right side, we went for BERA. However, BERA test showed no response in the right ear even at 90 dB. Hence, the audiologist recommended a review after one month. Now, I am a bit worried. What could be the cause for BERA failure? Kindly assist us to rule out the issue. And, what should be done to overcome this? || Doctor: Hello. I have gone through the files (attachment removed to protect patient identity). Do revert back with all the details. Hoping to see your son healthy and good soon. For more information consult an allergy specialist --> | patient: hello doctor,i am writing regarding the newborn screening of my baby. he was prematurely born at 29 weeks and spent 40 days in nicu. during his stay, we tested his hearing via oae method. at first, both the ears did not respond and in the second screening, the left ear was perfect. but, there was no response from the right ear. after three consecutive failure of oae in the right side, we went for bera. however, bera test showed no response in the right ear even at 90 db. hence, the audiologist recommended a review after one month. now, i am a bit worried. what could be the cause for bera failure? kindly assist us to rule out the issue. and, what should be done to overcome this? || doctor: hello. i have gone through the files (attachment removed to protect patient identity). do revert back with all the details. hoping to see your son healthy and good soon. for more information consult an allergy specialist --> |
9,697 | Q. My hand and knuckles are paining without any trauma. Why? | Hi doctor, I had an outer ear infection about three to four weeks ago. I scratched the inside of my ear with a Q-tip, and within two days it had swollen completely and shut. I went to Urgent Care and was prescribed with a 10-day course of Augmentin and ear drops. Three days after starting these medicines my other ear too was swollen and blocked. The next, my doctor prescribed steroids and Levofloxacin. Then it got better after eight days. On a ninth day, when I wake up, my right hand is swollen significantly without any trauma, and the pain in my knuckles was pretty severe. It woke me up at about 4 AM. About three days after that, I start getting on and off fever between 99.1 and 102.1 degrees Fahrenheit. The pain moves up into forearm, shoulder, neck, and migraines occurring on the right side. I am feeling fatigue, extremely dizzy and vision going black and almost falling over just from standing up. I have been extremely thirsty but not urinating a lot. Also, I have hep C since three years. | Hello. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I had an outer ear infection about three to four weeks ago. I scratched the inside of my ear with a Q-tip, and within two days it had swollen completely and shut. I went to Urgent Care and was prescribed with a 10-day course of Augmentin and ear drops. Three days after starting these medicines my other ear too was swollen and blocked. The next, my doctor prescribed steroids and Levofloxacin. Then it got better after eight days. On a ninth day, when I wake up, my right hand is swollen significantly without any trauma, and the pain in my knuckles was pretty severe. It woke me up at about 4 AM. About three days after that, I start getting on and off fever between 99.1 and 102.1 degrees Fahrenheit. The pain moves up into forearm, shoulder, neck, and migraines occurring on the right side. I am feeling fatigue, extremely dizzy and vision going black and almost falling over just from standing up. I have been extremely thirsty but not urinating a lot. Also, I have hep C since three years. || Doctor: Hello. For further information consult an internal medicine physician online --> | patient: hi doctor, i had an outer ear infection about three to four weeks ago. i scratched the inside of my ear with a q-tip, and within two days it had swollen completely and shut. i went to urgent care and was prescribed with a 10-day course of augmentin and ear drops. three days after starting these medicines my other ear too was swollen and blocked. the next, my doctor prescribed steroids and levofloxacin. then it got better after eight days. on a ninth day, when i wake up, my right hand is swollen significantly without any trauma, and the pain in my knuckles was pretty severe. it woke me up at about 4 am. about three days after that, i start getting on and off fever between 99.1 and 102.1 degrees fahrenheit. the pain moves up into forearm, shoulder, neck, and migraines occurring on the right side. i am feeling fatigue, extremely dizzy and vision going black and almost falling over just from standing up. i have been extremely thirsty but not urinating a lot. also, i have hep c since three years. || doctor: hello. for further information consult an internal medicine physician online --> |
9,698 | Q. Which is the confirmatory test for HIV? | Hi doctor, I am a 29 year old male. I had a very brief unprotected encounter with an escort. I do not know her HIV status. I did ask her afterward and she told me she was clean of STDs. I offered to pay her well just to get an HIV status and she has not responded. I do not know if this is because I annoyed her or because she is hiding something. I am not someone who participates in high risk sexual activities. I understand that this situation is low risk. I have spoken to an HIV specialist. I am on PEP because of nervousness. I cannot sleep or relax. I am in a constant state of panic. I would like to know your personal experience on this subject. How would it be possible to get HIV from a positive person performing oral sex for a man? Do you think I will be fine based on what I have told you? Will fourth generation Ag or Ab test immediately post PEP a good indicator of my status? In the past I did have anxiety and may be considered a hypochondriac. Please help. Thank you. | Hello. For further clarifications consult a HIV AIDS specialist online --> | Patient: Hi doctor, I am a 29 year old male. I had a very brief unprotected encounter with an escort. I do not know her HIV status. I did ask her afterward and she told me she was clean of STDs. I offered to pay her well just to get an HIV status and she has not responded. I do not know if this is because I annoyed her or because she is hiding something. I am not someone who participates in high risk sexual activities. I understand that this situation is low risk. I have spoken to an HIV specialist. I am on PEP because of nervousness. I cannot sleep or relax. I am in a constant state of panic. I would like to know your personal experience on this subject. How would it be possible to get HIV from a positive person performing oral sex for a man? Do you think I will be fine based on what I have told you? Will fourth generation Ag or Ab test immediately post PEP a good indicator of my status? In the past I did have anxiety and may be considered a hypochondriac. Please help. Thank you. || Doctor: Hello. For further clarifications consult a HIV AIDS specialist online --> | patient: hi doctor, i am a 29 year old male. i had a very brief unprotected encounter with an escort. i do not know her hiv status. i did ask her afterward and she told me she was clean of stds. i offered to pay her well just to get an hiv status and she has not responded. i do not know if this is because i annoyed her or because she is hiding something. i am not someone who participates in high risk sexual activities. i understand that this situation is low risk. i have spoken to an hiv specialist. i am on pep because of nervousness. i cannot sleep or relax. i am in a constant state of panic. i would like to know your personal experience on this subject. how would it be possible to get hiv from a positive person performing oral sex for a man? do you think i will be fine based on what i have told you? will fourth generation ag or ab test immediately post pep a good indicator of my status? in the past i did have anxiety and may be considered a hypochondriac. please help. thank you. || doctor: hello. for further clarifications consult a hiv aids specialist online --> |
9,699 | Q. What foods can help cure gestational thrombocytopenia? | Hello doctor, I am suffering from gestational thrombocytopenia. I have been trying to eat foods to help raise my count. However, there is so much conflicting information about what foods actually raise or decrease counts that I am really confused. I am wondering if food can help. If yes, I would like to know what foods to eat and what to avoid. I have been eating a lot of strawberries, oranges, kiwis, kale, spinach, broccoli, cauliflower, carrots, and yogurt. I am currently on iron pills and prenatal vitamins. I have had CBC and liver function tests earlier. Please help. | Hello. Hope this helps you. For more information consult a hematologist online --> | Patient: Hello doctor, I am suffering from gestational thrombocytopenia. I have been trying to eat foods to help raise my count. However, there is so much conflicting information about what foods actually raise or decrease counts that I am really confused. I am wondering if food can help. If yes, I would like to know what foods to eat and what to avoid. I have been eating a lot of strawberries, oranges, kiwis, kale, spinach, broccoli, cauliflower, carrots, and yogurt. I am currently on iron pills and prenatal vitamins. I have had CBC and liver function tests earlier. Please help. || Doctor: Hello. Hope this helps you. For more information consult a hematologist online --> | patient: hello doctor, i am suffering from gestational thrombocytopenia. i have been trying to eat foods to help raise my count. however, there is so much conflicting information about what foods actually raise or decrease counts that i am really confused. i am wondering if food can help. if yes, i would like to know what foods to eat and what to avoid. i have been eating a lot of strawberries, oranges, kiwis, kale, spinach, broccoli, cauliflower, carrots, and yogurt. i am currently on iron pills and prenatal vitamins. i have had cbc and liver function tests earlier. please help. || doctor: hello. hope this helps you. for more information consult a hematologist online --> |
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