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9,700 | Q. Why do I feel dizzy and light-headed when I stand up? | Dear doctor, I am a 54 year old male. I do not smoke or drink. I do regular exercises. For the last seven years, I was suffering from sudden sleep disturbance with following symptoms: Breathlessness. Palpitation. Chest congestion. I underwent the following tests: ECG, chest X-ray, echocardiography, exercise stress test, pulmonary function test, VIDAS PL, MRI scan of brain and sleep apnea test. All the above tests were normal. At last, I was diagnosed as having acid reflux symptoms and accordingly on doctor's advise I took proton pump inhibitors for about four months (Topacid 40 mg, Nexapro 40 mg, and Perinorm CD). The medication is discontinued and with the change of lifestyle (like light dinner, breathing exercise, etc.) I was able to control the symptoms effectively. But, occasionally I was experiencing irregular heart rhythms and on a medical Specialist's advise I took Prolol TR 40 mg for two months and after a satisfactory result, the specialist advised me to discontinue the medicine. Now, the present episodes (as described below) compelled me to seek opinion and advice. Occasionally, I am feeling dizziness, breathing difficulty on a lighter side, blurriness on the eyes, chest congestion, etc.These symptoms are quite evident when I bent my head while doing exercise (not always). Last week, while doing a breathing exercise on a sitting posture and when suddenly changed the posture by getting up, I almost fainted, but recovered instantaneously. But afterward, I felt weakness in the legs and arms, cold, breathlessness, etc. I play badminton for one to two hours daily without any problem. My B-12 and hemoglobin levels are satisfactory and BP is normal in the range 85 to 130 Hg for the last five years without medication. There is no history of diabetes or cholesterol. | Hello. I have gone through your details and I have the following inputs: First of all, you have gone through a lot of tests which were not needed in your case, but since everything is normal, that is reassuring. Your symptoms can be related to a few problems as I understand. The first one is, of course, GERD (gastroesophageal reflux disease) for which you have taken treatment. The problem with your treatment was - Perinorm is a medicine which is not used these days due to its side effects called as extrapyramidal symptoms. It causes dizziness and imbalance in some people. So, your present symptoms might be an after effect of that medicine. You should continue PPI (proton pump inhibitors) because once you have GERD, it would never get normal and the medicine should be continued for very long. You have mentioned that you have irregular heartbeats. This is a serious and complicated issue if this really is seen. You might be "feeling" this but if we can see this in our tests then this should be immediately treated. How to catch this? A normal ECG will not tell irregularities if it is sub-clinical or if it is occasional like in your case. We have to study the ECG (electrocardiogram) patterns of one full day continuously to find this out. So, go for a test called as Holter study to find if you have dysrhythmias of any kind and once treated, your symptoms will vanish. You have mentioned that you feel dizzy and faint when you stand up and then recover. This is a typical symptom of orthostatic hypotension which means, your BP falls as soon as you stand up and then the heart recovers it in seconds. This is a common problem and we need to find the cause for this. It can be age-related or organ related, or it can be due to a blockage in carotid arteries, etc. It is difficult to pinpoint the cause till we examine you and then the tests are done according to what we find. I would suggest that you take a print of these points to a cardiologist in your area and tell him to look for all this. You will surely hit the correct diagnosis and get treated easily. None of the above problems are tough to treat. Hope that was helpful. For more information consult a cardiologist online --> | Patient: Dear doctor, I am a 54 year old male. I do not smoke or drink. I do regular exercises. For the last seven years, I was suffering from sudden sleep disturbance with following symptoms: Breathlessness. Palpitation. Chest congestion. I underwent the following tests: ECG, chest X-ray, echocardiography, exercise stress test, pulmonary function test, VIDAS PL, MRI scan of brain and sleep apnea test. All the above tests were normal. At last, I was diagnosed as having acid reflux symptoms and accordingly on doctor's advise I took proton pump inhibitors for about four months (Topacid 40 mg, Nexapro 40 mg, and Perinorm CD). The medication is discontinued and with the change of lifestyle (like light dinner, breathing exercise, etc.) I was able to control the symptoms effectively. But, occasionally I was experiencing irregular heart rhythms and on a medical Specialist's advise I took Prolol TR 40 mg for two months and after a satisfactory result, the specialist advised me to discontinue the medicine. Now, the present episodes (as described below) compelled me to seek opinion and advice. Occasionally, I am feeling dizziness, breathing difficulty on a lighter side, blurriness on the eyes, chest congestion, etc.These symptoms are quite evident when I bent my head while doing exercise (not always). Last week, while doing a breathing exercise on a sitting posture and when suddenly changed the posture by getting up, I almost fainted, but recovered instantaneously. But afterward, I felt weakness in the legs and arms, cold, breathlessness, etc. I play badminton for one to two hours daily without any problem. My B-12 and hemoglobin levels are satisfactory and BP is normal in the range 85 to 130 Hg for the last five years without medication. There is no history of diabetes or cholesterol. || Doctor: Hello. I have gone through your details and I have the following inputs: First of all, you have gone through a lot of tests which were not needed in your case, but since everything is normal, that is reassuring. Your symptoms can be related to a few problems as I understand. The first one is, of course, GERD (gastroesophageal reflux disease) for which you have taken treatment. The problem with your treatment was - Perinorm is a medicine which is not used these days due to its side effects called as extrapyramidal symptoms. It causes dizziness and imbalance in some people. So, your present symptoms might be an after effect of that medicine. You should continue PPI (proton pump inhibitors) because once you have GERD, it would never get normal and the medicine should be continued for very long. You have mentioned that you have irregular heartbeats. This is a serious and complicated issue if this really is seen. You might be "feeling" this but if we can see this in our tests then this should be immediately treated. How to catch this? A normal ECG will not tell irregularities if it is sub-clinical or if it is occasional like in your case. We have to study the ECG (electrocardiogram) patterns of one full day continuously to find this out. So, go for a test called as Holter study to find if you have dysrhythmias of any kind and once treated, your symptoms will vanish. You have mentioned that you feel dizzy and faint when you stand up and then recover. This is a typical symptom of orthostatic hypotension which means, your BP falls as soon as you stand up and then the heart recovers it in seconds. This is a common problem and we need to find the cause for this. It can be age-related or organ related, or it can be due to a blockage in carotid arteries, etc. It is difficult to pinpoint the cause till we examine you and then the tests are done according to what we find. I would suggest that you take a print of these points to a cardiologist in your area and tell him to look for all this. You will surely hit the correct diagnosis and get treated easily. None of the above problems are tough to treat. Hope that was helpful. For more information consult a cardiologist online --> | patient: dear doctor, i am a 54 year old male. i do not smoke or drink. i do regular exercises. for the last seven years, i was suffering from sudden sleep disturbance with following symptoms: breathlessness. palpitation. chest congestion. i underwent the following tests: ecg, chest x-ray, echocardiography, exercise stress test, pulmonary function test, vidas pl, mri scan of brain and sleep apnea test. all the above tests were normal. at last, i was diagnosed as having acid reflux symptoms and accordingly on doctor's advise i took proton pump inhibitors for about four months (topacid 40 mg, nexapro 40 mg, and perinorm cd). the medication is discontinued and with the change of lifestyle (like light dinner, breathing exercise, etc.) i was able to control the symptoms effectively. but, occasionally i was experiencing irregular heart rhythms and on a medical specialist's advise i took prolol tr 40 mg for two months and after a satisfactory result, the specialist advised me to discontinue the medicine. now, the present episodes (as described below) compelled me to seek opinion and advice. occasionally, i am feeling dizziness, breathing difficulty on a lighter side, blurriness on the eyes, chest congestion, etc.these symptoms are quite evident when i bent my head while doing exercise (not always). last week, while doing a breathing exercise on a sitting posture and when suddenly changed the posture by getting up, i almost fainted, but recovered instantaneously. but afterward, i felt weakness in the legs and arms, cold, breathlessness, etc. i play badminton for one to two hours daily without any problem. my b-12 and hemoglobin levels are satisfactory and bp is normal in the range 85 to 130 hg for the last five years without medication. there is no history of diabetes or cholesterol. || doctor: hello. i have gone through your details and i have the following inputs: first of all, you have gone through a lot of tests which were not needed in your case, but since everything is normal, that is reassuring. your symptoms can be related to a few problems as i understand. the first one is, of course, gerd (gastroesophageal reflux disease) for which you have taken treatment. the problem with your treatment was - perinorm is a medicine which is not used these days due to its side effects called as extrapyramidal symptoms. it causes dizziness and imbalance in some people. so, your present symptoms might be an after effect of that medicine. you should continue ppi (proton pump inhibitors) because once you have gerd, it would never get normal and the medicine should be continued for very long. you have mentioned that you have irregular heartbeats. this is a serious and complicated issue if this really is seen. you might be "feeling" this but if we can see this in our tests then this should be immediately treated. how to catch this? a normal ecg will not tell irregularities if it is sub-clinical or if it is occasional like in your case. we have to study the ecg (electrocardiogram) patterns of one full day continuously to find this out. so, go for a test called as holter study to find if you have dysrhythmias of any kind and once treated, your symptoms will vanish. you have mentioned that you feel dizzy and faint when you stand up and then recover. this is a typical symptom of orthostatic hypotension which means, your bp falls as soon as you stand up and then the heart recovers it in seconds. this is a common problem and we need to find the cause for this. it can be age-related or organ related, or it can be due to a blockage in carotid arteries, etc. it is difficult to pinpoint the cause till we examine you and then the tests are done according to what we find. i would suggest that you take a print of these points to a cardiologist in your area and tell him to look for all this. you will surely hit the correct diagnosis and get treated easily. none of the above problems are tough to treat. hope that was helpful. for more information consult a cardiologist online --> |
9,701 | Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? || Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> | patient: hi doctor,i am just wondering what is abutting and abutment of the nerve root means in a back issue. please explain. what treatment is required for annular bulging and tear? || doctor: hi. i have gone through your query with diligence and would like you to know that i am here to help you. for further information consult a neurologist online --> |
9,702 | Q. How to rectify my husband's high GGT levels? | Hello doctor,My husband is 45 years old. His GGT level is high at 87. How to rectify this? | Hello. For more information consult a homeopathic physician online --> | Patient: Hello doctor,My husband is 45 years old. His GGT level is high at 87. How to rectify this? || Doctor: Hello. For more information consult a homeopathic physician online --> | patient: hello doctor,my husband is 45 years old. his ggt level is high at 87. how to rectify this? || doctor: hello. for more information consult a homeopathic physician online --> |
9,703 | Q. Fetus revealed with mild hydrocephalus. Is it a serious condition? | Hi doctor, Mild hydrocephalus shown with breech presentation in 36 weeks ultrasound scan. None of the previous report showed any abnormality. Genetic test done earlier in 2nd trimester was also normal. I want to understand what should be the next step for a healthy and sound mother and baby. I had already consulted a pediatric surgeon who suggested me to take a fetal medicine specialist opinion. Hence, I am posting this query here. Thank you. | Hello. Kindly revert back with the reports to a fetal medicine specialist online --> | Patient: Hi doctor, Mild hydrocephalus shown with breech presentation in 36 weeks ultrasound scan. None of the previous report showed any abnormality. Genetic test done earlier in 2nd trimester was also normal. I want to understand what should be the next step for a healthy and sound mother and baby. I had already consulted a pediatric surgeon who suggested me to take a fetal medicine specialist opinion. Hence, I am posting this query here. Thank you. || Doctor: Hello. Kindly revert back with the reports to a fetal medicine specialist online --> | patient: hi doctor, mild hydrocephalus shown with breech presentation in 36 weeks ultrasound scan. none of the previous report showed any abnormality. genetic test done earlier in 2nd trimester was also normal. i want to understand what should be the next step for a healthy and sound mother and baby. i had already consulted a pediatric surgeon who suggested me to take a fetal medicine specialist opinion. hence, i am posting this query here. thank you. || doctor: hello. kindly revert back with the reports to a fetal medicine specialist online --> |
9,704 | Q. I had vaginal bleeding after unprotected sex. Is this menstrual or miscarriage bleeding? | Hello doctor, I had unprotected sex three months back and got brown discharge followed by bleeding, ten days later. I again had unprotected sex two months back and again had bleeding four days later. Is this menstrual or miscarriage bleeding? I did not take emergency contraceptive pills after the sexual intercourse on both the occasions. And there was also little blood clots in the bleeding. | Hello. For further queries consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I had unprotected sex three months back and got brown discharge followed by bleeding, ten days later. I again had unprotected sex two months back and again had bleeding four days later. Is this menstrual or miscarriage bleeding? I did not take emergency contraceptive pills after the sexual intercourse on both the occasions. And there was also little blood clots in the bleeding. || Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> | patient: hello doctor, i had unprotected sex three months back and got brown discharge followed by bleeding, ten days later. i again had unprotected sex two months back and again had bleeding four days later. is this menstrual or miscarriage bleeding? i did not take emergency contraceptive pills after the sexual intercourse on both the occasions. and there was also little blood clots in the bleeding. || doctor: hello. for further queries consult an obstetrician and gynaecologist online --> |
9,705 | Q. What could a strange deep line on the right side of my head be? | Hello doctor, For the last three months, I have noticed a strange deep line on the right side of my head just above my temple to the upper side of my head. I have no pain at all but it bothers me so much. I have also seen my GP and he recommended to see a neurologist but I am not able to afford the consultation fees. Hope someone helps me out. I have uploaded pictures for your reference. | Hello. I carefully saw your uploaded photo (attachment removed to protect patient identity) and would explain that this indentation could be related to differential possible causes like calcium or vitamin D deficiency and bone reformation, chronic inflammation, or a hormonal disorder or etching. For this reason, I would recommend performing some tests if this phenomenon persists: All the above tests can be performed by your GP (general physician). Hope you will find this answer helpful. For more information consult a neurologist online --> | Patient: Hello doctor, For the last three months, I have noticed a strange deep line on the right side of my head just above my temple to the upper side of my head. I have no pain at all but it bothers me so much. I have also seen my GP and he recommended to see a neurologist but I am not able to afford the consultation fees. Hope someone helps me out. I have uploaded pictures for your reference. || Doctor: Hello. I carefully saw your uploaded photo (attachment removed to protect patient identity) and would explain that this indentation could be related to differential possible causes like calcium or vitamin D deficiency and bone reformation, chronic inflammation, or a hormonal disorder or etching. For this reason, I would recommend performing some tests if this phenomenon persists: All the above tests can be performed by your GP (general physician). Hope you will find this answer helpful. For more information consult a neurologist online --> | patient: hello doctor, for the last three months, i have noticed a strange deep line on the right side of my head just above my temple to the upper side of my head. i have no pain at all but it bothers me so much. i have also seen my gp and he recommended to see a neurologist but i am not able to afford the consultation fees. hope someone helps me out. i have uploaded pictures for your reference. || doctor: hello. i carefully saw your uploaded photo (attachment removed to protect patient identity) and would explain that this indentation could be related to differential possible causes like calcium or vitamin d deficiency and bone reformation, chronic inflammation, or a hormonal disorder or etching. for this reason, i would recommend performing some tests if this phenomenon persists: all the above tests can be performed by your gp (general physician). hope you will find this answer helpful. for more information consult a neurologist online --> |
9,706 | Q. Can meningitis spread through sharing food and drinks? | Hello doctor, I am a first year engineering student. I share my food with my friends at college every day. I had a stiff neck today. So I researched online and my search leads me to read about bacterial meningitis. I freaked out because I had never heard about meningitis. About its prevention, the article said to avoid sharing foods. Now, what are my odds of getting meningitis? I was severely dehydrated today because in college I forgot to drink water all day and my urine was bright yellow which is a sign of dehydration. Is this causing my stiff neck? And, what are my chances of getting meningitis? | Hello. I went through your post. Regards. For more information consult a general medicine physician online --> | Patient: Hello doctor, I am a first year engineering student. I share my food with my friends at college every day. I had a stiff neck today. So I researched online and my search leads me to read about bacterial meningitis. I freaked out because I had never heard about meningitis. About its prevention, the article said to avoid sharing foods. Now, what are my odds of getting meningitis? I was severely dehydrated today because in college I forgot to drink water all day and my urine was bright yellow which is a sign of dehydration. Is this causing my stiff neck? And, what are my chances of getting meningitis? || Doctor: Hello. I went through your post. Regards. For more information consult a general medicine physician online --> | patient: hello doctor, i am a first year engineering student. i share my food with my friends at college every day. i had a stiff neck today. so i researched online and my search leads me to read about bacterial meningitis. i freaked out because i had never heard about meningitis. about its prevention, the article said to avoid sharing foods. now, what are my odds of getting meningitis? i was severely dehydrated today because in college i forgot to drink water all day and my urine was bright yellow which is a sign of dehydration. is this causing my stiff neck? and, what are my chances of getting meningitis? || doctor: hello. i went through your post. regards. for more information consult a general medicine physician online --> |
9,707 | 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 --> |
9,708 | 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 --> |
9,709 | 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.---> |
9,710 | 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 --> |
9,711 | 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 --> |
9,712 | Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> | Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hello doctor, i am 48 years old. i am experiencing weak erection and difficulty in sustaining the same. this condition was observed 10 years back. also, there is premature ejaculation. other physical ailments that i have are, i am suffering from hypertension and taking amlopres-l (amlodipine and lisinopril) for the last 10 years, high cholesterol and triglycerides. my cholesterol level is 225 and triglyceride is 200 for the last 12 years. i used to do frequent masturbation in early age. i do have erection during morning hours many times, particularly after sound sleep or if i had long walk previous day. i am having sildenafil 25 mg or 5 mg cialis, which is effective enough. but, i wish to get rid of tablet support and live natural way. i consulted urologist today and he prescribed me nano-leo capsules and modula 5 mg for 10 days. i wish to have your second opinion on this. please guide. || doctor: hi. for further doubts consult a sexologist online --> |
9,713 | Q. Are hiatal hernias related to autism? | Hi doctor, I have a son who was diagnosed with autism at 2.5 years. He is now 7 years old. He is verbal now and has improved a lot with the help of therapies. How close is a hiatal hernia associated with autism? We have a history of hiatal hernias in my family. I also read that hiatal hernia can irritate or damage vagus nerve, which may result in autistic symptoms. My son gets frequent hiccups and has a slight swelling in his upper abdomen. Kindly confirm if there is really a link between autism, vagus nerve, and hiatal hernia. Is there any treatment in ayurveda or siddha for this? Thanks in advance for the replies and your valuable time. | Hi. Thanks for this query. I can understand your concern regarding your son's autism. First of all, I would like to tell you, there is a relation between autism and gastrointestinal symptoms like burping, constipation, and loose bowel movements. A hiatal hernia has a genetic preponderance, but no association with autism. Your son will improve with age. Can you tell me about his ultrasound report? Because grading is related with prognosis and chances of vagus nerve injury. Abdominal swelling may be because of bloating and slight hernia. A high-fiber diet and breathing exercises will help in early recovery from a hiatal hernia. Yoga and light exercises will help to strengthen the diaphragm. Hope my answer helped you. Regards. For more information consult a psychiatrist online --> | Patient: Hi doctor, I have a son who was diagnosed with autism at 2.5 years. He is now 7 years old. He is verbal now and has improved a lot with the help of therapies. How close is a hiatal hernia associated with autism? We have a history of hiatal hernias in my family. I also read that hiatal hernia can irritate or damage vagus nerve, which may result in autistic symptoms. My son gets frequent hiccups and has a slight swelling in his upper abdomen. Kindly confirm if there is really a link between autism, vagus nerve, and hiatal hernia. Is there any treatment in ayurveda or siddha for this? Thanks in advance for the replies and your valuable time. || Doctor: Hi. Thanks for this query. I can understand your concern regarding your son's autism. First of all, I would like to tell you, there is a relation between autism and gastrointestinal symptoms like burping, constipation, and loose bowel movements. A hiatal hernia has a genetic preponderance, but no association with autism. Your son will improve with age. Can you tell me about his ultrasound report? Because grading is related with prognosis and chances of vagus nerve injury. Abdominal swelling may be because of bloating and slight hernia. A high-fiber diet and breathing exercises will help in early recovery from a hiatal hernia. Yoga and light exercises will help to strengthen the diaphragm. Hope my answer helped you. Regards. For more information consult a psychiatrist online --> | patient: hi doctor, i have a son who was diagnosed with autism at 2.5 years. he is now 7 years old. he is verbal now and has improved a lot with the help of therapies. how close is a hiatal hernia associated with autism? we have a history of hiatal hernias in my family. i also read that hiatal hernia can irritate or damage vagus nerve, which may result in autistic symptoms. my son gets frequent hiccups and has a slight swelling in his upper abdomen. kindly confirm if there is really a link between autism, vagus nerve, and hiatal hernia. is there any treatment in ayurveda or siddha for this? thanks in advance for the replies and your valuable time. || doctor: hi. thanks for this query. i can understand your concern regarding your son's autism. first of all, i would like to tell you, there is a relation between autism and gastrointestinal symptoms like burping, constipation, and loose bowel movements. a hiatal hernia has a genetic preponderance, but no association with autism. your son will improve with age. can you tell me about his ultrasound report? because grading is related with prognosis and chances of vagus nerve injury. abdominal swelling may be because of bloating and slight hernia. a high-fiber diet and breathing exercises will help in early recovery from a hiatal hernia. yoga and light exercises will help to strengthen the diaphragm. hope my answer helped you. regards. for more information consult a psychiatrist online --> |
9,714 | Q. I think I have a liver damage. Should I get tested for hepatitis A and B? | Hello doctor, I just got my blood results, which I have uploaded. There are two files. One is about three months old and the other one is from today. I am afraid that I have a liver damage. Should I get tested for hepatitis A, B and C? I had donated blood four months ago and that time there was no problem. I got an ultrasound scan done five months ago along with other every other checkups. I drink two to three beers every day and sometimes, I drink wine. My weight is 83 kg with a waist size of 94 cm and my height is 183 cm. I would appreciate any advice you can give me. | Hi. I have gone through all the data posted (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online --> | Patient: Hello doctor, I just got my blood results, which I have uploaded. There are two files. One is about three months old and the other one is from today. I am afraid that I have a liver damage. Should I get tested for hepatitis A, B and C? I had donated blood four months ago and that time there was no problem. I got an ultrasound scan done five months ago along with other every other checkups. I drink two to three beers every day and sometimes, I drink wine. My weight is 83 kg with a waist size of 94 cm and my height is 183 cm. I would appreciate any advice you can give me. || Doctor: Hi. I have gone through all the data posted (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online --> | patient: hello doctor, i just got my blood results, which i have uploaded. there are two files. one is about three months old and the other one is from today. i am afraid that i have a liver damage. should i get tested for hepatitis a, b and c? i had donated blood four months ago and that time there was no problem. i got an ultrasound scan done five months ago along with other every other checkups. i drink two to three beers every day and sometimes, i drink wine. my weight is 83 kg with a waist size of 94 cm and my height is 183 cm. i would appreciate any advice you can give me. || doctor: hi. i have gone through all the data posted (attachment removed to protect patient identity). revert back with the details to an internal medicine physician online --> |
9,715 | Q. Why am I feeling lazy with low energy and daytime sleepiness? | Hi doctor, I am a 27 year old male. From last six months, I am suffering from poor quality of sleep. I am not able to wake up early in the morning whether I go to bed early or late. My body feels heavy and lazy. I also have muscle aches, especially the muscle of palm and feet. Low energy, fatigue, daytime sleepiness and laziness are the symptoms that are present every day. I am here to understand this and get treated for the same. Please help. | Hi. For further information consult an ayurveda specialist online --> | Patient: Hi doctor, I am a 27 year old male. From last six months, I am suffering from poor quality of sleep. I am not able to wake up early in the morning whether I go to bed early or late. My body feels heavy and lazy. I also have muscle aches, especially the muscle of palm and feet. Low energy, fatigue, daytime sleepiness and laziness are the symptoms that are present every day. I am here to understand this and get treated for the same. Please help. || Doctor: Hi. For further information consult an ayurveda specialist online --> | patient: hi doctor, i am a 27 year old male. from last six months, i am suffering from poor quality of sleep. i am not able to wake up early in the morning whether i go to bed early or late. my body feels heavy and lazy. i also have muscle aches, especially the muscle of palm and feet. low energy, fatigue, daytime sleepiness and laziness are the symptoms that are present every day. i am here to understand this and get treated for the same. please help. || doctor: hi. for further information consult an ayurveda specialist online --> |
9,716 | Q. Would I be pregnant if I had sex one day after my menstrual cycle ended? | Hello doctor,My boyfriend and I had sex for the second time two days back which is one day after my cycle ends. We used a condom for protection. I have some pain in my vaginal area. I am currently using Lox jelly for pain relief. Will I be pregnant? Also, my boyfriend ejaculated on time. Please help. | Hello. For more information consult an infertility specialist online --> | Patient: Hello doctor,My boyfriend and I had sex for the second time two days back which is one day after my cycle ends. We used a condom for protection. I have some pain in my vaginal area. I am currently using Lox jelly for pain relief. Will I be pregnant? Also, my boyfriend ejaculated on time. Please help. || Doctor: Hello. For more information consult an infertility specialist online --> | patient: hello doctor,my boyfriend and i had sex for the second time two days back which is one day after my cycle ends. we used a condom for protection. i have some pain in my vaginal area. i am currently using lox jelly for pain relief. will i be pregnant? also, my boyfriend ejaculated on time. please help. || doctor: hello. for more information consult an infertility specialist online --> |
9,717 | Q. Why is there pain in my ear even after using ear drops? | Hello doctor, I had a mild ear infection. I went to see a doctor as the ear started draining clear fluid. The doctor said the draining was only on the outside of the ear. She prescribed Ciprodex ear drops. I am on the second day of taking them and I just woke up in the middle of the night with severe pain probably worse than before starting treatment. Should I continue with the drops? I feel the pain is a side effect and I do not want the bacteria to become resistant to antibiotics. I honestly feel now that the pain would have gotten better on its own. | Hello. No, it is not so, as you have an infection in the outer part of the ear. It is called as otitis externa. In this condition, there will be a severe aching pain in the outer ear. The cause of otitis externa may be due to a humid environment, any micro-injuries, or any fungal infections. In this situation, you need to take care. Continue the drops for at least two weeks so that the infection clears speedily. Now you are on Ciprofloxacin ear drops which is a broad-spectrum antibiotic. It is useful in most of the situations, but if you are having a fungal infection, it will not help you. I suggest you give a sample of the ear swab for culture and sensitivity testing so that a specific eardrop is given for the infection. I suggest you provide me with the details of the investigation once it is completed so that I can help you with the medication and treatment. Regards. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I had a mild ear infection. I went to see a doctor as the ear started draining clear fluid. The doctor said the draining was only on the outside of the ear. She prescribed Ciprodex ear drops. I am on the second day of taking them and I just woke up in the middle of the night with severe pain probably worse than before starting treatment. Should I continue with the drops? I feel the pain is a side effect and I do not want the bacteria to become resistant to antibiotics. I honestly feel now that the pain would have gotten better on its own. || Doctor: Hello. No, it is not so, as you have an infection in the outer part of the ear. It is called as otitis externa. In this condition, there will be a severe aching pain in the outer ear. The cause of otitis externa may be due to a humid environment, any micro-injuries, or any fungal infections. In this situation, you need to take care. Continue the drops for at least two weeks so that the infection clears speedily. Now you are on Ciprofloxacin ear drops which is a broad-spectrum antibiotic. It is useful in most of the situations, but if you are having a fungal infection, it will not help you. I suggest you give a sample of the ear swab for culture and sensitivity testing so that a specific eardrop is given for the infection. I suggest you provide me with the details of the investigation once it is completed so that I can help you with the medication and treatment. Regards. For more information consult an internal medicine physician online --> | patient: hello doctor, i had a mild ear infection. i went to see a doctor as the ear started draining clear fluid. the doctor said the draining was only on the outside of the ear. she prescribed ciprodex ear drops. i am on the second day of taking them and i just woke up in the middle of the night with severe pain probably worse than before starting treatment. should i continue with the drops? i feel the pain is a side effect and i do not want the bacteria to become resistant to antibiotics. i honestly feel now that the pain would have gotten better on its own. || doctor: hello. no, it is not so, as you have an infection in the outer part of the ear. it is called as otitis externa. in this condition, there will be a severe aching pain in the outer ear. the cause of otitis externa may be due to a humid environment, any micro-injuries, or any fungal infections. in this situation, you need to take care. continue the drops for at least two weeks so that the infection clears speedily. now you are on ciprofloxacin ear drops which is a broad-spectrum antibiotic. it is useful in most of the situations, but if you are having a fungal infection, it will not help you. i suggest you give a sample of the ear swab for culture and sensitivity testing so that a specific eardrop is given for the infection. i suggest you provide me with the details of the investigation once it is completed so that i can help you with the medication and treatment. regards. for more information consult an internal medicine physician online --> |
9,718 | Q. Can masturbation affect the complete blood result? | Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? | Hi. For further information consult a family physician online --> | Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? || Doctor: Hi. For further information consult a family physician online --> | patient: hi doctor, i was about to get a complete blood test done to check certain parameters. i have attached herein the screen shot of the parameters. i wanted to know if i have masturbated before 36 hours of these tests then would the results be adversely affected? if so, how many hours should lapse after i last masturbate to get these tests done? || doctor: hi. for further information consult a family physician online --> |
9,719 | Q. How can stomach problems be treated after having had a gallbladder surgery? | Hello doctor, I am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. For the past four months, I have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. It did turn out that my gallbladder was functioning at 18% and just last week I had a laparoscopic surgery and had it removed. I have never had stomach problems in my life and they do not run in my family either. The only family medical history is heart disease. Anyways, I am a bit paranoid. I have never had issues with my stomach and it has been a week since the surgery and I still do not have a great appetite. I have problems with my stools too. In the morning they are horrible then later I have semi-solid stools. I would probably have to go two more times and I find yellowy diarrhea. In the harder stools, I have noticed little red spots that make me nervous. What can these red spots be? The surgeon told me that everything looks good. But, can there be cancer or Crohn's? I have not been eating any items red in color. I actually still have quite a healthy and a low-fat diet. Please help. | Hello. I went through your detailed summary. Hope your queries are cleared. For more information consult a medical gastroenterologist online --> | Patient: Hello doctor, I am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. For the past four months, I have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. It did turn out that my gallbladder was functioning at 18% and just last week I had a laparoscopic surgery and had it removed. I have never had stomach problems in my life and they do not run in my family either. The only family medical history is heart disease. Anyways, I am a bit paranoid. I have never had issues with my stomach and it has been a week since the surgery and I still do not have a great appetite. I have problems with my stools too. In the morning they are horrible then later I have semi-solid stools. I would probably have to go two more times and I find yellowy diarrhea. In the harder stools, I have noticed little red spots that make me nervous. What can these red spots be? The surgeon told me that everything looks good. But, can there be cancer or Crohn's? I have not been eating any items red in color. I actually still have quite a healthy and a low-fat diet. Please help. || Doctor: Hello. I went through your detailed summary. Hope your queries are cleared. For more information consult a medical gastroenterologist online --> | patient: hello doctor, i am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. for the past four months, i have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. it did turn out that my gallbladder was functioning at 18% and just last week i had a laparoscopic surgery and had it removed. i have never had stomach problems in my life and they do not run in my family either. the only family medical history is heart disease. anyways, i am a bit paranoid. i have never had issues with my stomach and it has been a week since the surgery and i still do not have a great appetite. i have problems with my stools too. in the morning they are horrible then later i have semi-solid stools. i would probably have to go two more times and i find yellowy diarrhea. in the harder stools, i have noticed little red spots that make me nervous. what can these red spots be? the surgeon told me that everything looks good. but, can there be cancer or crohn's? i have not been eating any items red in color. i actually still have quite a healthy and a low-fat diet. please help. || doctor: hello. i went through your detailed summary. hope your queries are cleared. for more information consult a medical gastroenterologist online --> |
9,720 | Q. I feel that my erectile dysfunction is due to excessive masturbation. Is it so? | Hi doctor, I am very sad that my penis is not properly erecting, and my penis is getting small when not erect. I feel shy in front of my girlfriend. I think I have erectile dysfunction. I masturbate a lot, and my penis is large when erect, but small when not. From 6 to 7 months, I am ejaculating earlier, and my penis is not erecting fully. It is erect for a few second. Please help me with the cure and precautions. I am only 18 years old, and I weight 51 kg. Please suggest some natural ways to solve my problem. I am facing this problem since six months. The problem started slowly and is increasing slowly. According to me, masturbation is the cause. Because of this problem, I had many failed sexual intercourses. I feel that masturbation increases the problem. I get a good erection if I do not masturbate for two to three days. I get early morning erection only when not masturbated last night. I have not consulted with anyone about this, and I do not have any psychiatric illness. I am a regular smoker, and I have a habit of masturbating 4 to 5 times a day. | Hi. For more information consult a sexologist online --> | Patient: Hi doctor, I am very sad that my penis is not properly erecting, and my penis is getting small when not erect. I feel shy in front of my girlfriend. I think I have erectile dysfunction. I masturbate a lot, and my penis is large when erect, but small when not. From 6 to 7 months, I am ejaculating earlier, and my penis is not erecting fully. It is erect for a few second. Please help me with the cure and precautions. I am only 18 years old, and I weight 51 kg. Please suggest some natural ways to solve my problem. I am facing this problem since six months. The problem started slowly and is increasing slowly. According to me, masturbation is the cause. Because of this problem, I had many failed sexual intercourses. I feel that masturbation increases the problem. I get a good erection if I do not masturbate for two to three days. I get early morning erection only when not masturbated last night. I have not consulted with anyone about this, and I do not have any psychiatric illness. I am a regular smoker, and I have a habit of masturbating 4 to 5 times a day. || Doctor: Hi. For more information consult a sexologist online --> | patient: hi doctor, i am very sad that my penis is not properly erecting, and my penis is getting small when not erect. i feel shy in front of my girlfriend. i think i have erectile dysfunction. i masturbate a lot, and my penis is large when erect, but small when not. from 6 to 7 months, i am ejaculating earlier, and my penis is not erecting fully. it is erect for a few second. please help me with the cure and precautions. i am only 18 years old, and i weight 51 kg. please suggest some natural ways to solve my problem. i am facing this problem since six months. the problem started slowly and is increasing slowly. according to me, masturbation is the cause. because of this problem, i had many failed sexual intercourses. i feel that masturbation increases the problem. i get a good erection if i do not masturbate for two to three days. i get early morning erection only when not masturbated last night. i have not consulted with anyone about this, and i do not have any psychiatric illness. i am a regular smoker, and i have a habit of masturbating 4 to 5 times a day. || doctor: hi. for more information consult a sexologist online --> |
9,721 | Q. How long will it take to recover from liver abscess surgery? | Hi doctor, I got a minor surgery for liver abscess and a drain was installed. Pus in the color of chocolate and little thick is coming out. Is it normal? How much time it will take to recover? For how many days the drain has to be installed? | Hello. I had gone through all the data you have posted. We need to know some more details about your problem. Liver abscess is mainly of two types: Bacterial and amebic. From your description as chocolate like pus, it goes more in favor of amebic etiology. So, we need to keep you on tissue agents like Metronidazole, luminal agents like Diloxanide furoate and Paromomycin for elimination of ameba from the intestine. If pus culture grows bacteria or if abscesses are multiple, then we need to provide specific coverage against the organism. Depending upon the amount of pus inside, it is normal for draining of pus like that. Time to recovery depends upon the cause of amebic versus bacterial, size of the abscess and white blood cell count. Drain needs to be continued until full drainage of the collection is done. Repeat ultrasound scan has to be performed to look for residual collection. Manipulation of the position of the drain may be needed for drainage of residual collection. Once the collection becomes dry, then the drain can be removed. Revert back with the answers to the above questions to an internal medicine physician online --> | Patient: Hi doctor, I got a minor surgery for liver abscess and a drain was installed. Pus in the color of chocolate and little thick is coming out. Is it normal? How much time it will take to recover? For how many days the drain has to be installed? || Doctor: Hello. I had gone through all the data you have posted. We need to know some more details about your problem. Liver abscess is mainly of two types: Bacterial and amebic. From your description as chocolate like pus, it goes more in favor of amebic etiology. So, we need to keep you on tissue agents like Metronidazole, luminal agents like Diloxanide furoate and Paromomycin for elimination of ameba from the intestine. If pus culture grows bacteria or if abscesses are multiple, then we need to provide specific coverage against the organism. Depending upon the amount of pus inside, it is normal for draining of pus like that. Time to recovery depends upon the cause of amebic versus bacterial, size of the abscess and white blood cell count. Drain needs to be continued until full drainage of the collection is done. Repeat ultrasound scan has to be performed to look for residual collection. Manipulation of the position of the drain may be needed for drainage of residual collection. Once the collection becomes dry, then the drain can be removed. Revert back with the answers to the above questions to an internal medicine physician online --> | patient: hi doctor, i got a minor surgery for liver abscess and a drain was installed. pus in the color of chocolate and little thick is coming out. is it normal? how much time it will take to recover? for how many days the drain has to be installed? || doctor: hello. i had gone through all the data you have posted. we need to know some more details about your problem. liver abscess is mainly of two types: bacterial and amebic. from your description as chocolate like pus, it goes more in favor of amebic etiology. so, we need to keep you on tissue agents like metronidazole, luminal agents like diloxanide furoate and paromomycin for elimination of ameba from the intestine. if pus culture grows bacteria or if abscesses are multiple, then we need to provide specific coverage against the organism. depending upon the amount of pus inside, it is normal for draining of pus like that. time to recovery depends upon the cause of amebic versus bacterial, size of the abscess and white blood cell count. drain needs to be continued until full drainage of the collection is done. repeat ultrasound scan has to be performed to look for residual collection. manipulation of the position of the drain may be needed for drainage of residual collection. once the collection becomes dry, then the drain can be removed. revert back with the answers to the above questions to an internal medicine physician online --> |
9,722 | Q. I have cervicitis after having Nuvaring for seven years. Is this normal? | Hello doctor,I am a 25 year old female who took Nuvaring continuously for seven years. After my yearly appointment last year, I had excessive bleeding and irritation of my cervix upon examination. I was told I had chronic cervicitis and an overgrowth of tissue on my cervix which would need to be removed by surgery. Since then, I have not been the same. My period is not regular and sex not as enjoyable as it used to be. Is this normal? | Hello. Nuvaring is a hormone-releasing contraceptive ring placed in the vagina. As it is hormone based, it causes side effects like menstrual irregularities, decrease in libido, vaginal itching, infection, headache, bloating, weight and appetite changes, abnormal hair growth, skin darkening, bloating, changes in appetite and weight, etc. So, all the symptoms you described are side effects of your long-term use of the same method of hormonal contraceptive. My advice would be to try to avoid using the same mode and same hormonal contraceptive for years. Try to have one that suits your body and would have the least side effects. For cervical growth, undergo colposcopy. Repeat Pap smear if it has been more than three years. For more information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor,I am a 25 year old female who took Nuvaring continuously for seven years. After my yearly appointment last year, I had excessive bleeding and irritation of my cervix upon examination. I was told I had chronic cervicitis and an overgrowth of tissue on my cervix which would need to be removed by surgery. Since then, I have not been the same. My period is not regular and sex not as enjoyable as it used to be. Is this normal? || Doctor: Hello. Nuvaring is a hormone-releasing contraceptive ring placed in the vagina. As it is hormone based, it causes side effects like menstrual irregularities, decrease in libido, vaginal itching, infection, headache, bloating, weight and appetite changes, abnormal hair growth, skin darkening, bloating, changes in appetite and weight, etc. So, all the symptoms you described are side effects of your long-term use of the same method of hormonal contraceptive. My advice would be to try to avoid using the same mode and same hormonal contraceptive for years. Try to have one that suits your body and would have the least side effects. For cervical growth, undergo colposcopy. Repeat Pap smear if it has been more than three years. For more information consult an obstetrician and gynaecologist online --> | patient: hello doctor,i am a 25 year old female who took nuvaring continuously for seven years. after my yearly appointment last year, i had excessive bleeding and irritation of my cervix upon examination. i was told i had chronic cervicitis and an overgrowth of tissue on my cervix which would need to be removed by surgery. since then, i have not been the same. my period is not regular and sex not as enjoyable as it used to be. is this normal? || doctor: hello. nuvaring is a hormone-releasing contraceptive ring placed in the vagina. as it is hormone based, it causes side effects like menstrual irregularities, decrease in libido, vaginal itching, infection, headache, bloating, weight and appetite changes, abnormal hair growth, skin darkening, bloating, changes in appetite and weight, etc. so, all the symptoms you described are side effects of your long-term use of the same method of hormonal contraceptive. my advice would be to try to avoid using the same mode and same hormonal contraceptive for years. try to have one that suits your body and would have the least side effects. for cervical growth, undergo colposcopy. repeat pap smear if it has been more than three years. for more information consult an obstetrician and gynaecologist online --> |
9,723 | Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. || Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | patient: hi doctor, i am a 26 year old male. i am 5 feet and 9 inches tall and weigh 255 pounds. when i eat spicy food, i poop blood. sometimes when i have constipation as well, i poop a little bit of blood. i am really scared that i have colon cancer. i do have diarrhea often. i do not have a family history of colon cancer. i got blood tests done last night. please find my reports attached. || doctor: hello. i have gone through your information and test reports (attachment removed to protect patient identity). so, in view of that, there are a couple of things that i can opine upon: hope that helps. for more information consult a general surgeon online --> |
9,724 | 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 --> |
9,725 | 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 --> |
9,726 | 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.---> |
9,727 | 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 --> |
9,728 | 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 --> |
9,729 | Q. Had an i-pill before sex. Is it necessary to take one more now? | Hi doctor, Is it necessary to take second i-pill within the time span of 24 hours after having sexual intercourse? I have already taken one and had sexual intercourse. Kindly reply. | Hi. I have read and understood your problem. For further information consult a sexologist online --> | Patient: Hi doctor, Is it necessary to take second i-pill within the time span of 24 hours after having sexual intercourse? I have already taken one and had sexual intercourse. Kindly reply. || Doctor: Hi. I have read and understood your problem. For further information consult a sexologist online --> | patient: hi doctor, is it necessary to take second i-pill within the time span of 24 hours after having sexual intercourse? i have already taken one and had sexual intercourse. kindly reply. || doctor: hi. i have read and understood your problem. for further information consult a sexologist online --> |
9,730 | Q. I suffer from premature ejaculation and poor erection. I have tried herbal/ayurveda products with no results at all. Please help. | Hello doctor, I am a 54 year old male, married and have good general health and good sexual appetite. But I suffer from premature ejaculation and poor erection since 10 years. I have tried herbal/ayurveda products with no results at all. I worked in heavy public schedule over 8 years and took 1 year off last year and stress became part of my life. Can I improve this condition with medications such as viagra? A doctor prescribed tablet Parocen-CR 12.5mg and capsule Nano Leo for one month which I have not yet tried. Please advice. | Hi. I read your query and understand the concern expressed by you. In regard to the current medication, I would like to inform you that Parocen CR is one option for premature ejaculation but does not have any effect on weak erection. It can be said that in last three years a new molecule is approved for the treatment of premature ejaculation which is equally effective and do not have common side effects encountered with Parocen CR or other drugs which were in use three years back. I am not sure why your doctor prescribed you Nano leo as it has minimal effect on erection. It is used for increasing testosterone level which has more effect on desire rather than erection. As you informed that you do not have any problem with desire, the possibility of using Nano leo is ruled out. Regarding the viagra, it has definite effect on erection and there is no doubt that it can be effective in your case. Having said this I would like to know what was your initial problem, premature ejaculation or weak erection? I commonly observed that people with erection problem try to rush the sexual intercourse because of fear that they will not able to maintain the erection for sufficient time. This kind of rushing develops artificial premature ejaculation. I need to inform you that if you developed your premature ejaculation in response to erection problem then there is need to treat only erection problem. As the cause suggests, with treatment of erection problem the premature ejaculation will be treated automatically. In case you feel that both the problems are independent then there is need to address both issues simultaneously for correction of the problem. Before we move to treatment part of the problem we need to identify the possible cause of the problem. I request you to post following details in the follow up query so that the cause of problem can be determined and so the treatment. 1.What do you mean by weak erections and premature ejaculation? Describe what you think in detail. 2. How did the problem start, whether it was of acute onset or was it on and off initially? 3. Progress of the problem in the last six months. 4. Duration of sexual activity - both maximum and minimum duration in last one year. 3. Frequency of the problem in a week or in a month. 4. What are the factors that increase the problem in bedroom. 5. Factors that relieve the problem - thoughts, situations, partner, place etc. 6. Do you get early morning or night erections? 7. If yes, how frequent? 8. Your marital status and partner details. 9. Effect on your marriage or relationship so far. 10. Details of any other medical illnesses. 11. Medications you are receiving currently. 12. Medications which you tried till date and their results. 13. Any investigations done so far and if yes, details of the same.As you know erectile dysfunction is a complex disorder, it needs thorough evaluation for treatment. Revert back to a sexologist online for further follow up --> | Patient: Hello doctor, I am a 54 year old male, married and have good general health and good sexual appetite. But I suffer from premature ejaculation and poor erection since 10 years. I have tried herbal/ayurveda products with no results at all. I worked in heavy public schedule over 8 years and took 1 year off last year and stress became part of my life. Can I improve this condition with medications such as viagra? A doctor prescribed tablet Parocen-CR 12.5mg and capsule Nano Leo for one month which I have not yet tried. Please advice. || Doctor: Hi. I read your query and understand the concern expressed by you. In regard to the current medication, I would like to inform you that Parocen CR is one option for premature ejaculation but does not have any effect on weak erection. It can be said that in last three years a new molecule is approved for the treatment of premature ejaculation which is equally effective and do not have common side effects encountered with Parocen CR or other drugs which were in use three years back. I am not sure why your doctor prescribed you Nano leo as it has minimal effect on erection. It is used for increasing testosterone level which has more effect on desire rather than erection. As you informed that you do not have any problem with desire, the possibility of using Nano leo is ruled out. Regarding the viagra, it has definite effect on erection and there is no doubt that it can be effective in your case. Having said this I would like to know what was your initial problem, premature ejaculation or weak erection? I commonly observed that people with erection problem try to rush the sexual intercourse because of fear that they will not able to maintain the erection for sufficient time. This kind of rushing develops artificial premature ejaculation. I need to inform you that if you developed your premature ejaculation in response to erection problem then there is need to treat only erection problem. As the cause suggests, with treatment of erection problem the premature ejaculation will be treated automatically. In case you feel that both the problems are independent then there is need to address both issues simultaneously for correction of the problem. Before we move to treatment part of the problem we need to identify the possible cause of the problem. I request you to post following details in the follow up query so that the cause of problem can be determined and so the treatment. 1.What do you mean by weak erections and premature ejaculation? Describe what you think in detail. 2. How did the problem start, whether it was of acute onset or was it on and off initially? 3. Progress of the problem in the last six months. 4. Duration of sexual activity - both maximum and minimum duration in last one year. 3. Frequency of the problem in a week or in a month. 4. What are the factors that increase the problem in bedroom. 5. Factors that relieve the problem - thoughts, situations, partner, place etc. 6. Do you get early morning or night erections? 7. If yes, how frequent? 8. Your marital status and partner details. 9. Effect on your marriage or relationship so far. 10. Details of any other medical illnesses. 11. Medications you are receiving currently. 12. Medications which you tried till date and their results. 13. Any investigations done so far and if yes, details of the same.As you know erectile dysfunction is a complex disorder, it needs thorough evaluation for treatment. Revert back to a sexologist online for further follow up --> | patient: hello doctor, i am a 54 year old male, married and have good general health and good sexual appetite. but i suffer from premature ejaculation and poor erection since 10 years. i have tried herbal/ayurveda products with no results at all. i worked in heavy public schedule over 8 years and took 1 year off last year and stress became part of my life. can i improve this condition with medications such as viagra? a doctor prescribed tablet parocen-cr 12.5mg and capsule nano leo for one month which i have not yet tried. please advice. || doctor: hi. i read your query and understand the concern expressed by you. in regard to the current medication, i would like to inform you that parocen cr is one option for premature ejaculation but does not have any effect on weak erection. it can be said that in last three years a new molecule is approved for the treatment of premature ejaculation which is equally effective and do not have common side effects encountered with parocen cr or other drugs which were in use three years back. i am not sure why your doctor prescribed you nano leo as it has minimal effect on erection. it is used for increasing testosterone level which has more effect on desire rather than erection. as you informed that you do not have any problem with desire, the possibility of using nano leo is ruled out. regarding the viagra, it has definite effect on erection and there is no doubt that it can be effective in your case. having said this i would like to know what was your initial problem, premature ejaculation or weak erection? i commonly observed that people with erection problem try to rush the sexual intercourse because of fear that they will not able to maintain the erection for sufficient time. this kind of rushing develops artificial premature ejaculation. i need to inform you that if you developed your premature ejaculation in response to erection problem then there is need to treat only erection problem. as the cause suggests, with treatment of erection problem the premature ejaculation will be treated automatically. in case you feel that both the problems are independent then there is need to address both issues simultaneously for correction of the problem. before we move to treatment part of the problem we need to identify the possible cause of the problem. i request you to post following details in the follow up query so that the cause of problem can be determined and so the treatment. 1.what do you mean by weak erections and premature ejaculation? describe what you think in detail. 2. how did the problem start, whether it was of acute onset or was it on and off initially? 3. progress of the problem in the last six months. 4. duration of sexual activity - both maximum and minimum duration in last one year. 3. frequency of the problem in a week or in a month. 4. what are the factors that increase the problem in bedroom. 5. factors that relieve the problem - thoughts, situations, partner, place etc. 6. do you get early morning or night erections? 7. if yes, how frequent? 8. your marital status and partner details. 9. effect on your marriage or relationship so far. 10. details of any other medical illnesses. 11. medications you are receiving currently. 12. medications which you tried till date and their results. 13. any investigations done so far and if yes, details of the same.as you know erectile dysfunction is a complex disorder, it needs thorough evaluation for treatment. revert back to a sexologist online for further follow up --> |
9,731 | Q. How can I get this inflamed vein along my penis shaft treated? | Hello doctor, I have had a large inflamed vein along the shaft of my penis for about 10 years now. It causes no pain at all and no symptoms. I just really dislike the look of this and I need to get rid of it now as it is becoming more of a problem as I get older. I have looked up for symptoms and treatment online and it sounds like it could be an inflamed lymph instead of a vein. The pain starts at the base and goes to under the head of penis and curls into a circle then stops. It has been there since I was about 12 and I think it has got worse but cannot really remember. The only treatment advice I have read is to stop masturbating and it will resolve itself but I also have people saying they have stopped for months and it does not help. I know people say it is normal but I never used to have it and I do not want it anymore so just want to know if no masturbation is the answer. What is the timeline for healing? Also is there anything for speed recovery? | Hello. If possible, kindly send me the images so that I can see and suggest you properly. For more information consult a urologist online --> | Patient: Hello doctor, I have had a large inflamed vein along the shaft of my penis for about 10 years now. It causes no pain at all and no symptoms. I just really dislike the look of this and I need to get rid of it now as it is becoming more of a problem as I get older. I have looked up for symptoms and treatment online and it sounds like it could be an inflamed lymph instead of a vein. The pain starts at the base and goes to under the head of penis and curls into a circle then stops. It has been there since I was about 12 and I think it has got worse but cannot really remember. The only treatment advice I have read is to stop masturbating and it will resolve itself but I also have people saying they have stopped for months and it does not help. I know people say it is normal but I never used to have it and I do not want it anymore so just want to know if no masturbation is the answer. What is the timeline for healing? Also is there anything for speed recovery? || Doctor: Hello. If possible, kindly send me the images so that I can see and suggest you properly. For more information consult a urologist online --> | patient: hello doctor, i have had a large inflamed vein along the shaft of my penis for about 10 years now. it causes no pain at all and no symptoms. i just really dislike the look of this and i need to get rid of it now as it is becoming more of a problem as i get older. i have looked up for symptoms and treatment online and it sounds like it could be an inflamed lymph instead of a vein. the pain starts at the base and goes to under the head of penis and curls into a circle then stops. it has been there since i was about 12 and i think it has got worse but cannot really remember. the only treatment advice i have read is to stop masturbating and it will resolve itself but i also have people saying they have stopped for months and it does not help. i know people say it is normal but i never used to have it and i do not want it anymore so just want to know if no masturbation is the answer. what is the timeline for healing? also is there anything for speed recovery? || doctor: hello. if possible, kindly send me the images so that i can see and suggest you properly. for more information consult a urologist online --> |
9,732 | Q. My report shows retroplacental haemorrhage. I have a prior history of miscarriage. Please help. | Hello doctor, I am 24 weeks and 2 days pregnant. Black colour bleeding started at 16th week. Since then black bleeding occurs occasionally. On the USG report done on 27th November it showed a mild retroplacental haemorrhage. The growth and movement of the fetus is normal. Today some bright red blood has come out. But the baby is moving. Often I have abdominal pain (mild to severe). I have a prior history of miscarriage. I am much worried and tensed. My doctor prescribed Tidilan retard 40, calcium and iron tablet. I am on bed rest too. Please help. | Hello. Considering your history and bleeding on and off from the 16th week, and now at 24th week of gestation, you are presented with an old and mild retroplacental hemorrhage over the anteriorly placed placenta grade 1 maturity. (as per attached reports). One needs to understand that retroplacental clot means that there is a part of placenta which got detached from uterus and got filled with blood at the 16th week. Luckily the bleeding did not continue and got stopped and hence the size did not increase, thereby causing complete separation and fetal loss called abruptio placentae (placental abruption). Now what happens is, as the fetus grows, the uterine wall is stretched and the placental attachment tends to get stretched as well and definitely there would be some bleeding occurring, as it has been in your case. Initially the bleed was concealed, then now it has started to reveal. The main fear is abruptio placentae which is an emergency where due to bleeding, the whole placenta separates from uterus and there is heavy bleeding. It is accompanied with severe pain and uterus is board like hard in consistency. It is dangerous for the fetus and causes death in minutes. Hence you have been given Tidilan retard 40 which is a uterine relaxant and would prevent any form of undue contraction or stretch to affect the already hemorrhaged site. However, the present aim would be to carry the pregnancy till 34 weeks till the lungs of the baby matures and you have to be on complete bed rest and if possible in the hospital only. The reason is, what you have been experiencing has been the warning bleed. It may so happen that suddenly you may have an accidental antepartum severe hemorrhage where immediate attention or probably cesarean may be required to save the child, hence hospital stay where you would be better observed is preferable till delivery. In our practice, this is a high risk pregnancy and abruptio placentae is one of the dreaded diagnosis which often leaves very less time for the doctor and the fetus, hence complete rest, uterine relaxation and hospital stay is warranted. I do not intend to scare you, but it is indeed necessary to be vigilant and careful for a safe future. For further queries, consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, I am 24 weeks and 2 days pregnant. Black colour bleeding started at 16th week. Since then black bleeding occurs occasionally. On the USG report done on 27th November it showed a mild retroplacental haemorrhage. The growth and movement of the fetus is normal. Today some bright red blood has come out. But the baby is moving. Often I have abdominal pain (mild to severe). I have a prior history of miscarriage. I am much worried and tensed. My doctor prescribed Tidilan retard 40, calcium and iron tablet. I am on bed rest too. Please help. || Doctor: Hello. Considering your history and bleeding on and off from the 16th week, and now at 24th week of gestation, you are presented with an old and mild retroplacental hemorrhage over the anteriorly placed placenta grade 1 maturity. (as per attached reports). One needs to understand that retroplacental clot means that there is a part of placenta which got detached from uterus and got filled with blood at the 16th week. Luckily the bleeding did not continue and got stopped and hence the size did not increase, thereby causing complete separation and fetal loss called abruptio placentae (placental abruption). Now what happens is, as the fetus grows, the uterine wall is stretched and the placental attachment tends to get stretched as well and definitely there would be some bleeding occurring, as it has been in your case. Initially the bleed was concealed, then now it has started to reveal. The main fear is abruptio placentae which is an emergency where due to bleeding, the whole placenta separates from uterus and there is heavy bleeding. It is accompanied with severe pain and uterus is board like hard in consistency. It is dangerous for the fetus and causes death in minutes. Hence you have been given Tidilan retard 40 which is a uterine relaxant and would prevent any form of undue contraction or stretch to affect the already hemorrhaged site. However, the present aim would be to carry the pregnancy till 34 weeks till the lungs of the baby matures and you have to be on complete bed rest and if possible in the hospital only. The reason is, what you have been experiencing has been the warning bleed. It may so happen that suddenly you may have an accidental antepartum severe hemorrhage where immediate attention or probably cesarean may be required to save the child, hence hospital stay where you would be better observed is preferable till delivery. In our practice, this is a high risk pregnancy and abruptio placentae is one of the dreaded diagnosis which often leaves very less time for the doctor and the fetus, hence complete rest, uterine relaxation and hospital stay is warranted. I do not intend to scare you, but it is indeed necessary to be vigilant and careful for a safe future. For further queries, consult an obstetrician and gynaecologist online --> | patient: hello doctor, i am 24 weeks and 2 days pregnant. black colour bleeding started at 16th week. since then black bleeding occurs occasionally. on the usg report done on 27th november it showed a mild retroplacental haemorrhage. the growth and movement of the fetus is normal. today some bright red blood has come out. but the baby is moving. often i have abdominal pain (mild to severe). i have a prior history of miscarriage. i am much worried and tensed. my doctor prescribed tidilan retard 40, calcium and iron tablet. i am on bed rest too. please help. || doctor: hello. considering your history and bleeding on and off from the 16th week, and now at 24th week of gestation, you are presented with an old and mild retroplacental hemorrhage over the anteriorly placed placenta grade 1 maturity. (as per attached reports). one needs to understand that retroplacental clot means that there is a part of placenta which got detached from uterus and got filled with blood at the 16th week. luckily the bleeding did not continue and got stopped and hence the size did not increase, thereby causing complete separation and fetal loss called abruptio placentae (placental abruption). now what happens is, as the fetus grows, the uterine wall is stretched and the placental attachment tends to get stretched as well and definitely there would be some bleeding occurring, as it has been in your case. initially the bleed was concealed, then now it has started to reveal. the main fear is abruptio placentae which is an emergency where due to bleeding, the whole placenta separates from uterus and there is heavy bleeding. it is accompanied with severe pain and uterus is board like hard in consistency. it is dangerous for the fetus and causes death in minutes. hence you have been given tidilan retard 40 which is a uterine relaxant and would prevent any form of undue contraction or stretch to affect the already hemorrhaged site. however, the present aim would be to carry the pregnancy till 34 weeks till the lungs of the baby matures and you have to be on complete bed rest and if possible in the hospital only. the reason is, what you have been experiencing has been the warning bleed. it may so happen that suddenly you may have an accidental antepartum severe hemorrhage where immediate attention or probably cesarean may be required to save the child, hence hospital stay where you would be better observed is preferable till delivery. in our practice, this is a high risk pregnancy and abruptio placentae is one of the dreaded diagnosis which often leaves very less time for the doctor and the fetus, hence complete rest, uterine relaxation and hospital stay is warranted. i do not intend to scare you, but it is indeed necessary to be vigilant and careful for a safe future. for further queries, consult an obstetrician and gynaecologist online --> |
9,733 | Q. Please suggest some ayurvedic remedy for dandruff and hair fall. | Hello doctor, I am 20 years old and I have dandruff on the scalp. I also suffer from too much hair fall. Please suggest some ayurvedic remedy. | Hi. Consult an ayurveda specialist online for further follow up --> | Patient: Hello doctor, I am 20 years old and I have dandruff on the scalp. I also suffer from too much hair fall. Please suggest some ayurvedic remedy. || Doctor: Hi. Consult an ayurveda specialist online for further follow up --> | patient: hello doctor, i am 20 years old and i have dandruff on the scalp. i also suffer from too much hair fall. please suggest some ayurvedic remedy. || doctor: hi. consult an ayurveda specialist online for further follow up --> |
9,734 | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. || Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | patient: hello doctor, i have multiple small cysts in both ovaries (pcos). our family friend suggested me to consume kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). i have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks i got my periods. then i had checked whether the cysts were dissolved by having an abdomen scan. but still, small multiple follicules have been seen in it with both ovaries enlarged. kindly suggest me what i can do further. i got married before one and a half years and i am much worried about my pregnancy. i have gallstones as well. || doctor: hello. i just read your query. see kalarachi kai choornam is helpful in amenorrhea. as far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. now, you have got your periods you can start trying for conception. but i advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. ovulation study is performed under the supervision of a gynecologist. for gall stones, surgical intervention is required generally. medicine is not of much help. |
9,735 | Q. Is BUN to creatinine ratio normal in my reports? | Hello doctor, Can you please have a look at my reports. Is my BUN to creatinine ratio normal? I am diabetic and I have been taking Glykind-M, half a tablet every day. | Hello. Hope this helps you. For more information consult an internal medicine physician online --> | Patient: Hello doctor, Can you please have a look at my reports. Is my BUN to creatinine ratio normal? I am diabetic and I have been taking Glykind-M, half a tablet every day. || Doctor: Hello. Hope this helps you. For more information consult an internal medicine physician online --> | patient: hello doctor, can you please have a look at my reports. is my bun to creatinine ratio normal? i am diabetic and i have been taking glykind-m, half a tablet every day. || doctor: hello. hope this helps you. for more information consult an internal medicine physician online --> |
9,736 | Q. I have been prescribed Farxiga. Should I stop this drug? | Hello Doctor, My doctor set me up with an FNP (Family nurse practitioner) who advised me to start taking Farxiga. I am not sure if I should take this medication.I am curious about other professional opinions on this newly FDA approved drug. Should I stop this drug? | Hi, Welcome to icliniq.com. For further follow up consult an endocrinologist online --> | Patient: Hello Doctor, My doctor set me up with an FNP (Family nurse practitioner) who advised me to start taking Farxiga. I am not sure if I should take this medication.I am curious about other professional opinions on this newly FDA approved drug. Should I stop this drug? || Doctor: Hi, Welcome to icliniq.com. For further follow up consult an endocrinologist online --> | patient: hello doctor, my doctor set me up with an fnp (family nurse practitioner) who advised me to start taking farxiga. i am not sure if i should take this medication.i am curious about other professional opinions on this newly fda approved drug. should i stop this drug? || doctor: hi, welcome to icliniq.com. for further follow up consult an endocrinologist online --> |
9,737 | Q. My heart rate increases with exertion. Should I be worried? | Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health. I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massively severe pain in both breasts. That was so bad and could not even let my arms brush against them. It lasted a couple of hours and then I fell asleep. I was concerned at that time that it may have been a heart attack, but I am afraid to go for a check up. I am a 45 year old female. I am overweight 270 lbs and have not been active for a while. I have started having my heart rate spike to 120 or 140 when I stand up and move. If I move much or fast, it goes to 150 or 160. I know my overall health is not good and I am trying to change that. I am trying to fix this with improving my lifestyle. Is it something serious to be worried about? My resting heart rate has been in the 80s if sitting calmly but can get into the low 70s, if I am resting or sleeping. Even moving in bed, increases my heart rate to 100s or 110s. I began using an oximeter to monitor the pulse rate and try to get data to understand and try to fix it. But, I realized that it keeps saying my oxygen is dropping. I have a picture of the readings from the oximeter information. I am drinking vegetable juices and taking supplements to thin the blood and help the heart to try to help. But, it has been several weeks, and it is not improving. I have been taking Hawthorn, Omega 3, turmeric, cayenne, magnesium or potassium aspartate and Aspirin for the last week. | Hi. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepiness, etc.? If yes, then it further supports the diagnosis. Obstructive sleep apnea is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity. Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. The investigation I suggest includes ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction, thyroid function test, lipid profile, sugar, HbA1c and vitamin D. I also suggest polysomnography, which is sleep study to confirm the diagnosis and extent of disease and pressure of CPAP (continuous positive airway pressure) needed. Revert with the reports to a cardiologist online --> | Patient: Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health. I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massively severe pain in both breasts. That was so bad and could not even let my arms brush against them. It lasted a couple of hours and then I fell asleep. I was concerned at that time that it may have been a heart attack, but I am afraid to go for a check up. I am a 45 year old female. I am overweight 270 lbs and have not been active for a while. I have started having my heart rate spike to 120 or 140 when I stand up and move. If I move much or fast, it goes to 150 or 160. I know my overall health is not good and I am trying to change that. I am trying to fix this with improving my lifestyle. Is it something serious to be worried about? My resting heart rate has been in the 80s if sitting calmly but can get into the low 70s, if I am resting or sleeping. Even moving in bed, increases my heart rate to 100s or 110s. I began using an oximeter to monitor the pulse rate and try to get data to understand and try to fix it. But, I realized that it keeps saying my oxygen is dropping. I have a picture of the readings from the oximeter information. I am drinking vegetable juices and taking supplements to thin the blood and help the heart to try to help. But, it has been several weeks, and it is not improving. I have been taking Hawthorn, Omega 3, turmeric, cayenne, magnesium or potassium aspartate and Aspirin for the last week. || Doctor: Hi. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepiness, etc.? If yes, then it further supports the diagnosis. Obstructive sleep apnea is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity. Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. The investigation I suggest includes ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction, thyroid function test, lipid profile, sugar, HbA1c and vitamin D. I also suggest polysomnography, which is sleep study to confirm the diagnosis and extent of disease and pressure of CPAP (continuous positive airway pressure) needed. Revert with the reports to a cardiologist online --> | patient: hi doctor, i have a severe doctor phobia. i am unable to go in for care, but i need to understand something happening better and if it is normal for my health. i had an episode of something a couple of months ago. i got extremely sick, started vomiting and sweating horribly, has chills and massively severe pain in both breasts. that was so bad and could not even let my arms brush against them. it lasted a couple of hours and then i fell asleep. i was concerned at that time that it may have been a heart attack, but i am afraid to go for a check up. i am a 45 year old female. i am overweight 270 lbs and have not been active for a while. i have started having my heart rate spike to 120 or 140 when i stand up and move. if i move much or fast, it goes to 150 or 160. i know my overall health is not good and i am trying to change that. i am trying to fix this with improving my lifestyle. is it something serious to be worried about? my resting heart rate has been in the 80s if sitting calmly but can get into the low 70s, if i am resting or sleeping. even moving in bed, increases my heart rate to 100s or 110s. i began using an oximeter to monitor the pulse rate and try to get data to understand and try to fix it. but, i realized that it keeps saying my oxygen is dropping. i have a picture of the readings from the oximeter information. i am drinking vegetable juices and taking supplements to thin the blood and help the heart to try to help. but, it has been several weeks, and it is not improving. i have been taking hawthorn, omega 3, turmeric, cayenne, magnesium or potassium aspartate and aspirin for the last week. || doctor: hi. first of all, there is no need to worry and relieve your anxiety. in all probabilities, you are having obstructive sleep apnea as all your data fits into it. do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepiness, etc.? if yes, then it further supports the diagnosis. obstructive sleep apnea is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity. obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. the investigation i suggest includes ent examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction, thyroid function test, lipid profile, sugar, hba1c and vitamin d. i also suggest polysomnography, which is sleep study to confirm the diagnosis and extent of disease and pressure of cpap (continuous positive airway pressure) needed. revert with the reports to a cardiologist online --> |
9,738 | Q. There is no improvement in my father's cough. What to do? | Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to severe chest pain. His EKG was apparently unconcerned, chest x-ray was clear, CT scan of the chest was normal and all the laboratory tests were normal. He was given Morphine and Nitro and the chest pain got resolved. He was sent home the same night with Nitro prescription and an appointment to see a cardiologist. He saw cardiologist one and a half weeks ago. His cardiologist said that his EKG reveals AFib and not happy with a CT scan of the chest due to poor timing of filming versus contrast injection. He placed him on Diltiazem, Eliquis and Nitro prn. Also, he placed him on a cardiac monitor at home and given a follow up in two weeks.After the cardiologist appointment, my dad started getting a horrible dry, hacking cough, which gets worse every day. He is unable to sleep. He can only sleep on the chair here and there. Strangely, when he lies down, the cough subsides. It resumes immediately on sitting up and walking around. I finally convinced him to call the cardiologist about severe unrelenting cough since being put on new medicines. Then, we met the cardiologist and had a heart monitor read. As the cough still persists, chest x-ray was ordered and no pneumonia, but fluid was found around his heart. So, the cardiologist has placed him additionally on Digoxin, Lasix and Potassium along with Cardizem, Eliquis and Nitro prn. He is asked to wear monitor longer and given next appointment after three weeks.Now, he is on the third day of medication and no change was observed in cough or inability to sleep. It even got worse now. He has never had heart issues before. I need your help on my father's cardiac illness and diagnosis. | Hi. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typical when lying down, since the position of the heart changes then. My advice is to consult your cardiologist to revise the dosage of Lasix (Furosemide). Furosemide is the only medicine that will help the water to clear out, it also might cause a bit of the cough, which was the reason for changing of the medicines by the cardiologist initially, due to the side effects of cough. I understand your concern, but according to me, the treatment is fine, except maybe he might now need a higher dose of Lasix or admission to get the Lasix IV administration. For further doubts consult a cardiologist online --> | Patient: Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to severe chest pain. His EKG was apparently unconcerned, chest x-ray was clear, CT scan of the chest was normal and all the laboratory tests were normal. He was given Morphine and Nitro and the chest pain got resolved. He was sent home the same night with Nitro prescription and an appointment to see a cardiologist. He saw cardiologist one and a half weeks ago. His cardiologist said that his EKG reveals AFib and not happy with a CT scan of the chest due to poor timing of filming versus contrast injection. He placed him on Diltiazem, Eliquis and Nitro prn. Also, he placed him on a cardiac monitor at home and given a follow up in two weeks.After the cardiologist appointment, my dad started getting a horrible dry, hacking cough, which gets worse every day. He is unable to sleep. He can only sleep on the chair here and there. Strangely, when he lies down, the cough subsides. It resumes immediately on sitting up and walking around. I finally convinced him to call the cardiologist about severe unrelenting cough since being put on new medicines. Then, we met the cardiologist and had a heart monitor read. As the cough still persists, chest x-ray was ordered and no pneumonia, but fluid was found around his heart. So, the cardiologist has placed him additionally on Digoxin, Lasix and Potassium along with Cardizem, Eliquis and Nitro prn. He is asked to wear monitor longer and given next appointment after three weeks.Now, he is on the third day of medication and no change was observed in cough or inability to sleep. It even got worse now. He has never had heart issues before. I need your help on my father's cardiac illness and diagnosis. || Doctor: Hi. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typical when lying down, since the position of the heart changes then. My advice is to consult your cardiologist to revise the dosage of Lasix (Furosemide). Furosemide is the only medicine that will help the water to clear out, it also might cause a bit of the cough, which was the reason for changing of the medicines by the cardiologist initially, due to the side effects of cough. I understand your concern, but according to me, the treatment is fine, except maybe he might now need a higher dose of Lasix or admission to get the Lasix IV administration. For further doubts consult a cardiologist online --> | patient: hi doctor, my father is 67 years old. his past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin b helps with it and minor daily coughing of unsure cause. he never smoked and does not drink alcohol. three and a half weeks ago, he went to the er due to severe chest pain. his ekg was apparently unconcerned, chest x-ray was clear, ct scan of the chest was normal and all the laboratory tests were normal. he was given morphine and nitro and the chest pain got resolved. he was sent home the same night with nitro prescription and an appointment to see a cardiologist. he saw cardiologist one and a half weeks ago. his cardiologist said that his ekg reveals afib and not happy with a ct scan of the chest due to poor timing of filming versus contrast injection. he placed him on diltiazem, eliquis and nitro prn. also, he placed him on a cardiac monitor at home and given a follow up in two weeks.after the cardiologist appointment, my dad started getting a horrible dry, hacking cough, which gets worse every day. he is unable to sleep. he can only sleep on the chair here and there. strangely, when he lies down, the cough subsides. it resumes immediately on sitting up and walking around. i finally convinced him to call the cardiologist about severe unrelenting cough since being put on new medicines. then, we met the cardiologist and had a heart monitor read. as the cough still persists, chest x-ray was ordered and no pneumonia, but fluid was found around his heart. so, the cardiologist has placed him additionally on digoxin, lasix and potassium along with cardizem, eliquis and nitro prn. he is asked to wear monitor longer and given next appointment after three weeks.now, he is on the third day of medication and no change was observed in cough or inability to sleep. it even got worse now. he has never had heart issues before. i need your help on my father's cardiac illness and diagnosis. || doctor: hi. it is good to hear that you are concerned and participating in treating your father's health issues. from your description, it looks like he has congestive heart failure. it means the fluid around his heart is causing the atrial fibrillation and the cough. this is typical when lying down, since the position of the heart changes then. my advice is to consult your cardiologist to revise the dosage of lasix (furosemide). furosemide is the only medicine that will help the water to clear out, it also might cause a bit of the cough, which was the reason for changing of the medicines by the cardiologist initially, due to the side effects of cough. i understand your concern, but according to me, the treatment is fine, except maybe he might now need a higher dose of lasix or admission to get the lasix iv administration. for further doubts consult a cardiologist online --> |
9,739 | Q. I have a runny stomach and black stools after the flu. Why? | Hello doctor, I had the flu for two days. That included a fever, sore throat, and runny nose with a dry cough. The flu went away and now I just have a cough, but I have developed a rash behind my ears and a runny stomach in which my stool is black. | Hello. Feel free to follow up any time with a blood investigation. For more information consult an internal medicine physician online --> | Patient: Hello doctor, I had the flu for two days. That included a fever, sore throat, and runny nose with a dry cough. The flu went away and now I just have a cough, but I have developed a rash behind my ears and a runny stomach in which my stool is black. || Doctor: Hello. Feel free to follow up any time with a blood investigation. For more information consult an internal medicine physician online --> | patient: hello doctor, i had the flu for two days. that included a fever, sore throat, and runny nose with a dry cough. the flu went away and now i just have a cough, but i have developed a rash behind my ears and a runny stomach in which my stool is black. || doctor: hello. feel free to follow up any time with a blood investigation. for more information consult an internal medicine physician online --> |
9,740 | 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 --> |
9,741 | 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 --> |
9,742 | 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.---> |
9,743 | 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 --> |
9,744 | 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 --> |
9,745 | Q. Kindly comment on my nausea, dizziness and headache. | Hi doctor, I am a 25 year old married female. My weight is 66 kg and height is 161 cm. I am suffering from nausea, dizziness and light headache mainly around the eyes for nearly three weeks. I am a dentist. For the last one month, I am preparing for other exams. As I have a son of 2.5 years old, I used to study in dim light at night to avoid disturbance. I am on a diet for the past one month to reduce weight. Sometimes, I am on stress and depression to manage time at workplace, home and study. I doubt whether I have developed any eyesight issue. I feel more dizzy and nauseous in the evening and when I see a computer, laptop or mobile. I am not trying for pregnancy. I need your guidance. Thanks in advance. | Hi. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I am a 25 year old married female. My weight is 66 kg and height is 161 cm. I am suffering from nausea, dizziness and light headache mainly around the eyes for nearly three weeks. I am a dentist. For the last one month, I am preparing for other exams. As I have a son of 2.5 years old, I used to study in dim light at night to avoid disturbance. I am on a diet for the past one month to reduce weight. Sometimes, I am on stress and depression to manage time at workplace, home and study. I doubt whether I have developed any eyesight issue. I feel more dizzy and nauseous in the evening and when I see a computer, laptop or mobile. I am not trying for pregnancy. I need your guidance. Thanks in advance. || Doctor: Hi. For further information consult an internal medicine physician online --> | patient: hi doctor, i am a 25 year old married female. my weight is 66 kg and height is 161 cm. i am suffering from nausea, dizziness and light headache mainly around the eyes for nearly three weeks. i am a dentist. for the last one month, i am preparing for other exams. as i have a son of 2.5 years old, i used to study in dim light at night to avoid disturbance. i am on a diet for the past one month to reduce weight. sometimes, i am on stress and depression to manage time at workplace, home and study. i doubt whether i have developed any eyesight issue. i feel more dizzy and nauseous in the evening and when i see a computer, laptop or mobile. i am not trying for pregnancy. i need your guidance. thanks in advance. || doctor: hi. for further information consult an internal medicine physician online --> |
9,746 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> | Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. || Doctor: Hi. For further doubts consult a sexologist online --> | patient: hi doctor, during masturbation i just rub the tip of the penis and not the entire penis. is it a wrong way of doing? i do not get excited during sex and unable to ejaculate. only, rubbing the tip of the penis gives me excitement. also, two weeks ago, i have undergone circumcision as my foreskin did not retract. before circumcision too, i have the same problem. please help. || doctor: hi. for further doubts consult a sexologist online --> |
9,747 | Q. I was on Nexplanon and I did not get last three months period. What to do? | Hi doctor, I had Nexplanon in for six months and had a period on it for three months straight. But, I did not get period for the last three months. I had it removed before 20 days and no period still. While on it, I would throw up and even after having it removed, I puked. Since being removed, my nipples have been super hard and sore all the time. I just feel off. Could I be pregnant? Or is it just the left over birth control? Before three months, I had a pregnancy test while on birth control and it was negative. The period I had while on it was light pink, then brown and then red. It only showed when I wiped. | Hi. Nexplanon is a progesterone having implant (Etonogestrel). After insertion, the menses can be irregular or even stopped for 6 months to almost 1 year. But, if you had not gotten your period since last three months and you had regular intercourse, then you should do a urine pregnancy test first. If it is negative, then it is delayed menses due to Nexplanon. Periods become irregular because your normal hormonal cycle of your body gets disturbed due to Nexplanon (outside hormones) like drugs. And, your body takes time for recovering from this disturbance to a normal cycle. It takes time according to your body type, levels of hormone secretion in your body, tissue responses of your body and many other things. Some are known and some are not. Nipple hardness is also due to this disturbance. Because, breast tissue and your uterus are the two major organs, which gets maximum effect due to hormones according to their levels. Other than this, the total body has effects of hormones, but not every single are appreciated or being experienced. Mood swing is also related to one of these. The bleeding for three months after Nexplanon may be because it does either more or less than what is required for your body. In both cases, you may have bleeding. But, it is more likely due to very low doses. You can take oral contraceptive pills for 1 or 2 months and then stop it to see whether periods get started regularly or not. Also, drink more water. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had Nexplanon in for six months and had a period on it for three months straight. But, I did not get period for the last three months. I had it removed before 20 days and no period still. While on it, I would throw up and even after having it removed, I puked. Since being removed, my nipples have been super hard and sore all the time. I just feel off. Could I be pregnant? Or is it just the left over birth control? Before three months, I had a pregnancy test while on birth control and it was negative. The period I had while on it was light pink, then brown and then red. It only showed when I wiped. || Doctor: Hi. Nexplanon is a progesterone having implant (Etonogestrel). After insertion, the menses can be irregular or even stopped for 6 months to almost 1 year. But, if you had not gotten your period since last three months and you had regular intercourse, then you should do a urine pregnancy test first. If it is negative, then it is delayed menses due to Nexplanon. Periods become irregular because your normal hormonal cycle of your body gets disturbed due to Nexplanon (outside hormones) like drugs. And, your body takes time for recovering from this disturbance to a normal cycle. It takes time according to your body type, levels of hormone secretion in your body, tissue responses of your body and many other things. Some are known and some are not. Nipple hardness is also due to this disturbance. Because, breast tissue and your uterus are the two major organs, which gets maximum effect due to hormones according to their levels. Other than this, the total body has effects of hormones, but not every single are appreciated or being experienced. Mood swing is also related to one of these. The bleeding for three months after Nexplanon may be because it does either more or less than what is required for your body. In both cases, you may have bleeding. But, it is more likely due to very low doses. You can take oral contraceptive pills for 1 or 2 months and then stop it to see whether periods get started regularly or not. Also, drink more water. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had nexplanon in for six months and had a period on it for three months straight. but, i did not get period for the last three months. i had it removed before 20 days and no period still. while on it, i would throw up and even after having it removed, i puked. since being removed, my nipples have been super hard and sore all the time. i just feel off. could i be pregnant? or is it just the left over birth control? before three months, i had a pregnancy test while on birth control and it was negative. the period i had while on it was light pink, then brown and then red. it only showed when i wiped. || doctor: hi. nexplanon is a progesterone having implant (etonogestrel). after insertion, the menses can be irregular or even stopped for 6 months to almost 1 year. but, if you had not gotten your period since last three months and you had regular intercourse, then you should do a urine pregnancy test first. if it is negative, then it is delayed menses due to nexplanon. periods become irregular because your normal hormonal cycle of your body gets disturbed due to nexplanon (outside hormones) like drugs. and, your body takes time for recovering from this disturbance to a normal cycle. it takes time according to your body type, levels of hormone secretion in your body, tissue responses of your body and many other things. some are known and some are not. nipple hardness is also due to this disturbance. because, breast tissue and your uterus are the two major organs, which gets maximum effect due to hormones according to their levels. other than this, the total body has effects of hormones, but not every single are appreciated or being experienced. mood swing is also related to one of these. the bleeding for three months after nexplanon may be because it does either more or less than what is required for your body. in both cases, you may have bleeding. but, it is more likely due to very low doses. you can take oral contraceptive pills for 1 or 2 months and then stop it to see whether periods get started regularly or not. also, drink more water. for further information consult an obstetrician and gynaecologist online --> |
9,748 | Q. Post plateletpheresis,my hand is turning bluish black. Please help me. | Hello doctor, Post plateletpheresis, my hand is turning bluish black day by day. It is spreading wider and a slight pain occurs in such areas. I have attached pictures of the same. Is this a safe sign? Please help me. | Hi. Based on your query and image (attachment removed to protect patient identity), my opinion is as follows: Revert back to a hematologist online for further follow up --> | Patient: Hello doctor, Post plateletpheresis, my hand is turning bluish black day by day. It is spreading wider and a slight pain occurs in such areas. I have attached pictures of the same. Is this a safe sign? Please help me. || Doctor: Hi. Based on your query and image (attachment removed to protect patient identity), my opinion is as follows: Revert back to a hematologist online for further follow up --> | patient: hello doctor, post plateletpheresis, my hand is turning bluish black day by day. it is spreading wider and a slight pain occurs in such areas. i have attached pictures of the same. is this a safe sign? please help me. || doctor: hi. based on your query and image (attachment removed to protect patient identity), my opinion is as follows: revert back to a hematologist online for further follow up --> |
9,749 | Q. What causes bowel movement immediately after drinking whiskey? | Hi doctor, I always get bowl movements in the evening immediately after I drink one or two pegs of whiskey. It has been happening daily for the past 2 or 3 years. The stool floats and dark brown in color. Last night, I got stomach pain and stools are very loose. I have mild fever too and I am now on liquid diet. I am on Telma 80 and Acitrom as I have a clot in my right popliteal artery. | Hello. I had gone through all the data posted. For further information consult an internal medicine physician online --> | Patient: Hi doctor, I always get bowl movements in the evening immediately after I drink one or two pegs of whiskey. It has been happening daily for the past 2 or 3 years. The stool floats and dark brown in color. Last night, I got stomach pain and stools are very loose. I have mild fever too and I am now on liquid diet. I am on Telma 80 and Acitrom as I have a clot in my right popliteal artery. || Doctor: Hello. I had gone through all the data posted. For further information consult an internal medicine physician online --> | patient: hi doctor, i always get bowl movements in the evening immediately after i drink one or two pegs of whiskey. it has been happening daily for the past 2 or 3 years. the stool floats and dark brown in color. last night, i got stomach pain and stools are very loose. i have mild fever too and i am now on liquid diet. i am on telma 80 and acitrom as i have a clot in my right popliteal artery. || doctor: hello. i had gone through all the data posted. for further information consult an internal medicine physician online --> |
9,750 | Q. I had a penile injury that resulted in temporary erectile dysfunction. Please help. | Hi doctor, I had a penile injury that resulted in temporary erectile dysfunction. My penis seems to be working somewhat normally now, after about two weeks. It is still painful. There is a small indent on the underside of my penis that was not there before. I went to a doctor, and he said it was not Peyronie's disease. However, he did not look thoroughly. Additionally, the small indent is only visible when the penis is erect. I am attaching a picture for better understanding. I am young, so the doctor Peyronie's disease was probably not likely. I would like to know if this is just simple soft tissue damage that will correct itself, or if it is Peyronie's disease. What sorts of treatments should I be seeking? | Hi. Revert with more information to a urologist online --> | Patient: Hi doctor, I had a penile injury that resulted in temporary erectile dysfunction. My penis seems to be working somewhat normally now, after about two weeks. It is still painful. There is a small indent on the underside of my penis that was not there before. I went to a doctor, and he said it was not Peyronie's disease. However, he did not look thoroughly. Additionally, the small indent is only visible when the penis is erect. I am attaching a picture for better understanding. I am young, so the doctor Peyronie's disease was probably not likely. I would like to know if this is just simple soft tissue damage that will correct itself, or if it is Peyronie's disease. What sorts of treatments should I be seeking? || Doctor: Hi. Revert with more information to a urologist online --> | patient: hi doctor, i had a penile injury that resulted in temporary erectile dysfunction. my penis seems to be working somewhat normally now, after about two weeks. it is still painful. there is a small indent on the underside of my penis that was not there before. i went to a doctor, and he said it was not peyronie's disease. however, he did not look thoroughly. additionally, the small indent is only visible when the penis is erect. i am attaching a picture for better understanding. i am young, so the doctor peyronie's disease was probably not likely. i would like to know if this is just simple soft tissue damage that will correct itself, or if it is peyronie's disease. what sorts of treatments should i be seeking? || doctor: hi. revert with more information to a urologist online --> |
9,751 | Q. How long do I have for angioplasty after a heart attack due to blocks? | Hello doctor, My mom had a heart attack three days ago and she is having treatment and my doctor said after angiogram she had three heart blocks: one is (90-95 %), second (90 to 98 %), and third (60 to 70 %). So, how much time do I have to do the angioplasty? I mean he said she needed two rings and I am looking for the best treatment. Here the doctor is saying that she does not have time. It has to be done within two days. Some extra information: she had diabetes for a long duration and before this heart attack she had several symptoms like she could not sleep properly for two days and had problems with breathing and yes on treatment, here on the first day, the doctor said there is some water in lungs which has been cleaned now and some injuries in kidney which has been stabled with medicines. So, I am now confused about what should I do now. Do I have to fix ring on heart according to this doctor or do I have time for waiting for the best treatment? And yeah she is having now some saline and some medicines but I do not know this names now. Her physical condition is better. She is breathing and talking fluently. | Hi. Your mother suffered a heart attack and angiograph shows triple vessels disease of which two are having a critical block with diabetes (attachment removed to protect patient identity). In diabetic patients, coronary artery disease is very common. At the present moment, it is not wise to shift the patient. However, wherever you go you will have to trust the attending doctor. It is better you follow the advice and go for it. Do not make any delay. Have faith in God. He will take care. Treat diabetes adequately simultaneously. For more information consult a cardiologist online --> | Patient: Hello doctor, My mom had a heart attack three days ago and she is having treatment and my doctor said after angiogram she had three heart blocks: one is (90-95 %), second (90 to 98 %), and third (60 to 70 %). So, how much time do I have to do the angioplasty? I mean he said she needed two rings and I am looking for the best treatment. Here the doctor is saying that she does not have time. It has to be done within two days. Some extra information: she had diabetes for a long duration and before this heart attack she had several symptoms like she could not sleep properly for two days and had problems with breathing and yes on treatment, here on the first day, the doctor said there is some water in lungs which has been cleaned now and some injuries in kidney which has been stabled with medicines. So, I am now confused about what should I do now. Do I have to fix ring on heart according to this doctor or do I have time for waiting for the best treatment? And yeah she is having now some saline and some medicines but I do not know this names now. Her physical condition is better. She is breathing and talking fluently. || Doctor: Hi. Your mother suffered a heart attack and angiograph shows triple vessels disease of which two are having a critical block with diabetes (attachment removed to protect patient identity). In diabetic patients, coronary artery disease is very common. At the present moment, it is not wise to shift the patient. However, wherever you go you will have to trust the attending doctor. It is better you follow the advice and go for it. Do not make any delay. Have faith in God. He will take care. Treat diabetes adequately simultaneously. For more information consult a cardiologist online --> | patient: hello doctor, my mom had a heart attack three days ago and she is having treatment and my doctor said after angiogram she had three heart blocks: one is (90-95 %), second (90 to 98 %), and third (60 to 70 %). so, how much time do i have to do the angioplasty? i mean he said she needed two rings and i am looking for the best treatment. here the doctor is saying that she does not have time. it has to be done within two days. some extra information: she had diabetes for a long duration and before this heart attack she had several symptoms like she could not sleep properly for two days and had problems with breathing and yes on treatment, here on the first day, the doctor said there is some water in lungs which has been cleaned now and some injuries in kidney which has been stabled with medicines. so, i am now confused about what should i do now. do i have to fix ring on heart according to this doctor or do i have time for waiting for the best treatment? and yeah she is having now some saline and some medicines but i do not know this names now. her physical condition is better. she is breathing and talking fluently. || doctor: hi. your mother suffered a heart attack and angiograph shows triple vessels disease of which two are having a critical block with diabetes (attachment removed to protect patient identity). in diabetic patients, coronary artery disease is very common. at the present moment, it is not wise to shift the patient. however, wherever you go you will have to trust the attending doctor. it is better you follow the advice and go for it. do not make any delay. have faith in god. he will take care. treat diabetes adequately simultaneously. for more information consult a cardiologist online --> |
9,752 | Q. Why is my wife getting recurrent typhoid and UTI infection? | Hello doctor, I am asking questions on behalf of my wife. She is breastfeeding and we have a baby aged 3 months. Every 2-4 months she keeps getting typhoid and UTI infection. Recently, she had fever, pain in hands and legs. For the third time she has been diagnosed with typhoid and widal test reports came weakly positive. Current symptoms are light headache, sudden feeling of cold more than normal, weakness, feels exhausted and also she has UTI. There is only one symptom that she feels burning sensation 2-3 minutes after urination. Currently, she is on antibiotics and taking Zithrox plus, Zentax, Ubinext LC and Paracetamol. Before pregnancy, she had taken Baptisia tinctoria, a homeopathic medicine and was well within 5 days. Can she take the same homeopathic medicine while breastfeeding? Please suggest homeopathic medicine for typhoid and UTI. I have attached her widal test reports for your reference. Her CBC tests are as follows: Hemoglobin 12.1 g/dL and TLC 7400 cells/cubicmm. Polymorphs 51%, lymphocyte count 43%, monocyte 1%, eosinophil count 5%, basophil count 0%, platelet count is 2.3 lakhs per cubic mm and total RBC count 4.90. | Hello. Thanks for the detailed symptoms you have told about your wife. I have checked her reports (attachment removed to protect patient identity). For further information consult a homeopathic physician online --> | Patient: Hello doctor, I am asking questions on behalf of my wife. She is breastfeeding and we have a baby aged 3 months. Every 2-4 months she keeps getting typhoid and UTI infection. Recently, she had fever, pain in hands and legs. For the third time she has been diagnosed with typhoid and widal test reports came weakly positive. Current symptoms are light headache, sudden feeling of cold more than normal, weakness, feels exhausted and also she has UTI. There is only one symptom that she feels burning sensation 2-3 minutes after urination. Currently, she is on antibiotics and taking Zithrox plus, Zentax, Ubinext LC and Paracetamol. Before pregnancy, she had taken Baptisia tinctoria, a homeopathic medicine and was well within 5 days. Can she take the same homeopathic medicine while breastfeeding? Please suggest homeopathic medicine for typhoid and UTI. I have attached her widal test reports for your reference. Her CBC tests are as follows: Hemoglobin 12.1 g/dL and TLC 7400 cells/cubicmm. Polymorphs 51%, lymphocyte count 43%, monocyte 1%, eosinophil count 5%, basophil count 0%, platelet count is 2.3 lakhs per cubic mm and total RBC count 4.90. || Doctor: Hello. Thanks for the detailed symptoms you have told about your wife. I have checked her reports (attachment removed to protect patient identity). For further information consult a homeopathic physician online --> | patient: hello doctor, i am asking questions on behalf of my wife. she is breastfeeding and we have a baby aged 3 months. every 2-4 months she keeps getting typhoid and uti infection. recently, she had fever, pain in hands and legs. for the third time she has been diagnosed with typhoid and widal test reports came weakly positive. current symptoms are light headache, sudden feeling of cold more than normal, weakness, feels exhausted and also she has uti. there is only one symptom that she feels burning sensation 2-3 minutes after urination. currently, she is on antibiotics and taking zithrox plus, zentax, ubinext lc and paracetamol. before pregnancy, she had taken baptisia tinctoria, a homeopathic medicine and was well within 5 days. can she take the same homeopathic medicine while breastfeeding? please suggest homeopathic medicine for typhoid and uti. i have attached her widal test reports for your reference. her cbc tests are as follows: hemoglobin 12.1 g/dl and tlc 7400 cells/cubicmm. polymorphs 51%, lymphocyte count 43%, monocyte 1%, eosinophil count 5%, basophil count 0%, platelet count is 2.3 lakhs per cubic mm and total rbc count 4.90. || doctor: hello. thanks for the detailed symptoms you have told about your wife. i have checked her reports (attachment removed to protect patient identity). for further information consult a homeopathic physician online --> |
9,753 | Q. My 3 year old son has fever and cough for more than a week. Please help. | Hi doctor, My 3 year old son has a very bad cough with fever of 102 degrees Fahrenheit and above. Since one week, the doctor here has given medication Levolin, Ibugesic and Cetzine along with antibiotics. But, there is no improvement. He still has a fever and a bad cough. Please help. | Hello. LRTI - lower respiratory tract infection. 1. CBC (complete blood count). 2. CRP (C-reactive protein). 3. Chest x-ray. Pneumonia, either viral or bacterial. I suggest the following medicines. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Ibugesic 5 mL (Ibuprofen) thrice daily for 3 days. 2. Syrup Asthakind DX 5 mL (Dextromethorphan, Chlorpheniramine maleate and Phenylephrine) thrice daily for 7 days. 3. Syrup Cetirizine 5 mL thrice daily for 7 days. 4. Continue the antibiotic as advised by your doctor. 5. Nebulization with Duolin - Ipratropium bromide and Levosalbutamol (1 respule) every 6 hourly, and Budecort - Budesonide (1 respule) every 12 hourly for 5 days. If you find any of the warning signs I have told above, then please take the child to the nearest hospital and admit the child. Please follow up with the reports for any further change in the treatment plan. Revert back with the reports to a paediatrician online.---> | Patient: Hi doctor, My 3 year old son has a very bad cough with fever of 102 degrees Fahrenheit and above. Since one week, the doctor here has given medication Levolin, Ibugesic and Cetzine along with antibiotics. But, there is no improvement. He still has a fever and a bad cough. Please help. || Doctor: Hello. LRTI - lower respiratory tract infection. 1. CBC (complete blood count). 2. CRP (C-reactive protein). 3. Chest x-ray. Pneumonia, either viral or bacterial. I suggest the following medicines. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Ibugesic 5 mL (Ibuprofen) thrice daily for 3 days. 2. Syrup Asthakind DX 5 mL (Dextromethorphan, Chlorpheniramine maleate and Phenylephrine) thrice daily for 7 days. 3. Syrup Cetirizine 5 mL thrice daily for 7 days. 4. Continue the antibiotic as advised by your doctor. 5. Nebulization with Duolin - Ipratropium bromide and Levosalbutamol (1 respule) every 6 hourly, and Budecort - Budesonide (1 respule) every 12 hourly for 5 days. If you find any of the warning signs I have told above, then please take the child to the nearest hospital and admit the child. Please follow up with the reports for any further change in the treatment plan. Revert back with the reports to a paediatrician online.---> | patient: hi doctor, my 3 year old son has a very bad cough with fever of 102 degrees fahrenheit and above. since one week, the doctor here has given medication levolin, ibugesic and cetzine along with antibiotics. but, there is no improvement. he still has a fever and a bad cough. please help. || doctor: hello. lrti - lower respiratory tract infection. 1. cbc (complete blood count). 2. crp (c-reactive protein). 3. chest x-ray. pneumonia, either viral or bacterial. i suggest the following medicines. please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. syrup ibugesic 5 ml (ibuprofen) thrice daily for 3 days. 2. syrup asthakind dx 5 ml (dextromethorphan, chlorpheniramine maleate and phenylephrine) thrice daily for 7 days. 3. syrup cetirizine 5 ml thrice daily for 7 days. 4. continue the antibiotic as advised by your doctor. 5. nebulization with duolin - ipratropium bromide and levosalbutamol (1 respule) every 6 hourly, and budecort - budesonide (1 respule) every 12 hourly for 5 days. if you find any of the warning signs i have told above, then please take the child to the nearest hospital and admit the child. please follow up with the reports for any further change in the treatment plan. revert back with the reports to a paediatrician online.---> |
9,754 | Q. Is delaying angioplasty a risk? | Hello doctor, My father, who is 62 years, had a heart attack before two months. He was admitted to the hospital and the first aid was given. His angiography was done after four days and the diagnosis was single vessel disease with Mid LAD 90% stenosis. Doctor has advised him 20 days of medicine and post that they will decide for further course of action either putting a stent (angioplasty) or continue medicine for some more time. Currently, he is on rest at home and feeling better without any pain or any visible or noticeable complaints. I am attaching here the angiography report along with the diagnosis report and prescribed medicines. How do you analyze the situation? Is the course of treatment right? Can medicine cure or improve the things? Is delaying angioplasty a risk? Does angioplasty (stenting) have self-life or side effects? If angioplasty is required, how soon we should do it? Also, please suggest any specific stent for long term benefits. Thank you. | Hi. I have reviewed your health query regarding your father and can well establish the sensitivity of the issue. For further information consult a cardiologist online --> | Patient: Hello doctor, My father, who is 62 years, had a heart attack before two months. He was admitted to the hospital and the first aid was given. His angiography was done after four days and the diagnosis was single vessel disease with Mid LAD 90% stenosis. Doctor has advised him 20 days of medicine and post that they will decide for further course of action either putting a stent (angioplasty) or continue medicine for some more time. Currently, he is on rest at home and feeling better without any pain or any visible or noticeable complaints. I am attaching here the angiography report along with the diagnosis report and prescribed medicines. How do you analyze the situation? Is the course of treatment right? Can medicine cure or improve the things? Is delaying angioplasty a risk? Does angioplasty (stenting) have self-life or side effects? If angioplasty is required, how soon we should do it? Also, please suggest any specific stent for long term benefits. Thank you. || Doctor: Hi. I have reviewed your health query regarding your father and can well establish the sensitivity of the issue. For further information consult a cardiologist online --> | patient: hello doctor, my father, who is 62 years, had a heart attack before two months. he was admitted to the hospital and the first aid was given. his angiography was done after four days and the diagnosis was single vessel disease with mid lad 90% stenosis. doctor has advised him 20 days of medicine and post that they will decide for further course of action either putting a stent (angioplasty) or continue medicine for some more time. currently, he is on rest at home and feeling better without any pain or any visible or noticeable complaints. i am attaching here the angiography report along with the diagnosis report and prescribed medicines. how do you analyze the situation? is the course of treatment right? can medicine cure or improve the things? is delaying angioplasty a risk? does angioplasty (stenting) have self-life or side effects? if angioplasty is required, how soon we should do it? also, please suggest any specific stent for long term benefits. thank you. || doctor: hi. i have reviewed your health query regarding your father and can well establish the sensitivity of the issue. for further information consult a cardiologist online --> |
9,755 | Q. Will my PCOD get cured with homeopathy treatment? | Hello doctor, I have PCOD for about 15 years. I have all symptoms of pcod and irregular periods problem. I had one miscarriage 5 years ago due to cervical incompetence. I just started taking Kalarchi choornam for 48 days and facing some side effects. My body is developing heat and I have got some pimples on my face which are painful. Please suggest remedy. Can I continue taking that choornam? Will my pcod get cured? | Hi. Kalarchi choornam can be continued for a minimum of 3 months and to a maximum of 6 months. The heat and pimples might be due to PCOD itself. Some people develop flatulence (gas trouble) due to Kalarchi choornam. This can be prevented by consuming the drug along with (or after) food and by taking more curd or buttermilk. I would advise the following drugs in addition for treatment of PCOD (Polycystic Ovarian Disease): I hope this will be helpful to you and my wishes for better health. Revert back to a homeopathic physician online for further queries --> | Patient: Hello doctor, I have PCOD for about 15 years. I have all symptoms of pcod and irregular periods problem. I had one miscarriage 5 years ago due to cervical incompetence. I just started taking Kalarchi choornam for 48 days and facing some side effects. My body is developing heat and I have got some pimples on my face which are painful. Please suggest remedy. Can I continue taking that choornam? Will my pcod get cured? || Doctor: Hi. Kalarchi choornam can be continued for a minimum of 3 months and to a maximum of 6 months. The heat and pimples might be due to PCOD itself. Some people develop flatulence (gas trouble) due to Kalarchi choornam. This can be prevented by consuming the drug along with (or after) food and by taking more curd or buttermilk. I would advise the following drugs in addition for treatment of PCOD (Polycystic Ovarian Disease): I hope this will be helpful to you and my wishes for better health. Revert back to a homeopathic physician online for further queries --> | patient: hello doctor, i have pcod for about 15 years. i have all symptoms of pcod and irregular periods problem. i had one miscarriage 5 years ago due to cervical incompetence. i just started taking kalarchi choornam for 48 days and facing some side effects. my body is developing heat and i have got some pimples on my face which are painful. please suggest remedy. can i continue taking that choornam? will my pcod get cured? || doctor: hi. kalarchi choornam can be continued for a minimum of 3 months and to a maximum of 6 months. the heat and pimples might be due to pcod itself. some people develop flatulence (gas trouble) due to kalarchi choornam. this can be prevented by consuming the drug along with (or after) food and by taking more curd or buttermilk. i would advise the following drugs in addition for treatment of pcod (polycystic ovarian disease): i hope this will be helpful to you and my wishes for better health. revert back to a homeopathic physician online for further queries --> |
9,756 | Q. Can loss of balance occur due to high blood pressure? | Hi doctor,Since four years, I am having high BP. I am taking Met XL 50 now and my BP is around 112/82. Sometimes, I have episode of headache and sweating. I feel like I am going to fall. When I check BP during that time with digital machine it shows it around only 112. Does this happen because of BP? Some people say digital machine does not show accurate reading. What should I do now? | Hi. I can understand your concern. Yes, there are some variations seen in BP (blood pressure) readings while using digital device. So, to eliminate your doubt do one thing. After checking BP at home from your digital device try to verify it with manual machine. If both reading are same then it concludes that your BP is normal or I would rather say little bit low for your age. Now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). It is fall in BP during upright position. I want you to measure your BP first in sleeping position. Then stand erect for 10-15 minutes and measure BP again. If there is fall of more than 20 in systolic then it confirmed it. My advice for your condition are, Revert back with answers for the above questions to a general practitioner online --> | Patient: Hi doctor,Since four years, I am having high BP. I am taking Met XL 50 now and my BP is around 112/82. Sometimes, I have episode of headache and sweating. I feel like I am going to fall. When I check BP during that time with digital machine it shows it around only 112. Does this happen because of BP? Some people say digital machine does not show accurate reading. What should I do now? || Doctor: Hi. I can understand your concern. Yes, there are some variations seen in BP (blood pressure) readings while using digital device. So, to eliminate your doubt do one thing. After checking BP at home from your digital device try to verify it with manual machine. If both reading are same then it concludes that your BP is normal or I would rather say little bit low for your age. Now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). It is fall in BP during upright position. I want you to measure your BP first in sleeping position. Then stand erect for 10-15 minutes and measure BP again. If there is fall of more than 20 in systolic then it confirmed it. My advice for your condition are, Revert back with answers for the above questions to a general practitioner online --> | patient: hi doctor,since four years, i am having high bp. i am taking met xl 50 now and my bp is around 112/82. sometimes, i have episode of headache and sweating. i feel like i am going to fall. when i check bp during that time with digital machine it shows it around only 112. does this happen because of bp? some people say digital machine does not show accurate reading. what should i do now? || doctor: hi. i can understand your concern. yes, there are some variations seen in bp (blood pressure) readings while using digital device. so, to eliminate your doubt do one thing. after checking bp at home from your digital device try to verify it with manual machine. if both reading are same then it concludes that your bp is normal or i would rather say little bit low for your age. now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). it is fall in bp during upright position. i want you to measure your bp first in sleeping position. then stand erect for 10-15 minutes and measure bp again. if there is fall of more than 20 in systolic then it confirmed it. my advice for your condition are, revert back with answers for the above questions to a general practitioner online --> |
9,757 | 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 --> |
9,758 | 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 --> |
9,759 | 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.---> |
9,760 | 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 --> |
9,761 | 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 --> |
9,762 | Q. Taking Modalert. Now feeling weakness in my hands and getting thoughts like suicide. Please help. | Hi, I am taking tablets Prodep 60mg, Modalert 200mg, Oleanz 5mg. I know you would not recommend me Modalert 200mg, but I have tried it as I am much concerned about concentration and cognitive enhancement. By god's grace now Modalert 200mg suits me and there are no side effects as such. Moreover, I feel improvement in my doubts and nonsense thoughts. There are two major problems for me: Once in a week there is an attack of thoughts that life is very bad. Thoughts like suicide come to my mind. By god's grace I have not tried suicide. These thoughts leave my mind after two days. I am taking Modalert 200mg since 10 days, but I feel no improvement in cognitive enhancement and concentration. There is weakness in my hands since 5 days. Is this symptom of any medicine which I am taking or is there any other reason for this? Please give your valuable suggestion regarding when will Modalert 200mg give me improvement in concentration and cognitive enhancement. | Hi. Revert back to a psychiatrist online for further follow up --> | Patient: Hi, I am taking tablets Prodep 60mg, Modalert 200mg, Oleanz 5mg. I know you would not recommend me Modalert 200mg, but I have tried it as I am much concerned about concentration and cognitive enhancement. By god's grace now Modalert 200mg suits me and there are no side effects as such. Moreover, I feel improvement in my doubts and nonsense thoughts. There are two major problems for me: Once in a week there is an attack of thoughts that life is very bad. Thoughts like suicide come to my mind. By god's grace I have not tried suicide. These thoughts leave my mind after two days. I am taking Modalert 200mg since 10 days, but I feel no improvement in cognitive enhancement and concentration. There is weakness in my hands since 5 days. Is this symptom of any medicine which I am taking or is there any other reason for this? Please give your valuable suggestion regarding when will Modalert 200mg give me improvement in concentration and cognitive enhancement. || Doctor: Hi. Revert back to a psychiatrist online for further follow up --> | patient: hi, i am taking tablets prodep 60mg, modalert 200mg, oleanz 5mg. i know you would not recommend me modalert 200mg, but i have tried it as i am much concerned about concentration and cognitive enhancement. by god's grace now modalert 200mg suits me and there are no side effects as such. moreover, i feel improvement in my doubts and nonsense thoughts. there are two major problems for me: once in a week there is an attack of thoughts that life is very bad. thoughts like suicide come to my mind. by god's grace i have not tried suicide. these thoughts leave my mind after two days. i am taking modalert 200mg since 10 days, but i feel no improvement in cognitive enhancement and concentration. there is weakness in my hands since 5 days. is this symptom of any medicine which i am taking or is there any other reason for this? please give your valuable suggestion regarding when will modalert 200mg give me improvement in concentration and cognitive enhancement. || doctor: hi. revert back to a psychiatrist online for further follow up --> |
9,763 | Q. What is the use of Loponin injection? | Hi doctor, I had PCOS. We have been trying to conceive for the past two years. I have had one biochemical pregnancy before 10 months and one missed miscarriage before six months. After this we tried on our own for the next four months, but no success. We again went to see the doctor and she asked us to try naturally. We have been trying naturally, since then. She gave us the following medicines: Duphaston twice daily, All 9D (vitamin B), Fertiplus (Myoinositol and vitamin D) and Ecosprin 75 mg once daily. She also gave me an injection Fertigyn on day 10 of my cycle. My question is why has not she prescribed me Estradiol valerate? I hope it will support pregnancy? Can I take it with the above medicines? Along with all medicines prescribed by her, I also take Vitex 200 mg daily as my friend suggested me to take it. Please help me as I do not want to let this chance go. Today is day 13 of my cycle. Is there anything else you would want to suggest? Because next month she has asked us to go for IUI. My husband's report is absolutely fine and even I have overcome the PCOS problems and ovulate properly. | Hi. PCOS - polycystic ovarian syndrome women are inherently at higher risk of abortion (due to reasons at molecular levels). The risk can be reduced by healthy lifestyle, proper weight and regular exercise and not by medicines. Please remember, more medicines do not equate to increased chance of achieving or continuing pregnancy. For further information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I had PCOS. We have been trying to conceive for the past two years. I have had one biochemical pregnancy before 10 months and one missed miscarriage before six months. After this we tried on our own for the next four months, but no success. We again went to see the doctor and she asked us to try naturally. We have been trying naturally, since then. She gave us the following medicines: Duphaston twice daily, All 9D (vitamin B), Fertiplus (Myoinositol and vitamin D) and Ecosprin 75 mg once daily. She also gave me an injection Fertigyn on day 10 of my cycle. My question is why has not she prescribed me Estradiol valerate? I hope it will support pregnancy? Can I take it with the above medicines? Along with all medicines prescribed by her, I also take Vitex 200 mg daily as my friend suggested me to take it. Please help me as I do not want to let this chance go. Today is day 13 of my cycle. Is there anything else you would want to suggest? Because next month she has asked us to go for IUI. My husband's report is absolutely fine and even I have overcome the PCOS problems and ovulate properly. || Doctor: Hi. PCOS - polycystic ovarian syndrome women are inherently at higher risk of abortion (due to reasons at molecular levels). The risk can be reduced by healthy lifestyle, proper weight and regular exercise and not by medicines. Please remember, more medicines do not equate to increased chance of achieving or continuing pregnancy. For further information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i had pcos. we have been trying to conceive for the past two years. i have had one biochemical pregnancy before 10 months and one missed miscarriage before six months. after this we tried on our own for the next four months, but no success. we again went to see the doctor and she asked us to try naturally. we have been trying naturally, since then. she gave us the following medicines: duphaston twice daily, all 9d (vitamin b), fertiplus (myoinositol and vitamin d) and ecosprin 75 mg once daily. she also gave me an injection fertigyn on day 10 of my cycle. my question is why has not she prescribed me estradiol valerate? i hope it will support pregnancy? can i take it with the above medicines? along with all medicines prescribed by her, i also take vitex 200 mg daily as my friend suggested me to take it. please help me as i do not want to let this chance go. today is day 13 of my cycle. is there anything else you would want to suggest? because next month she has asked us to go for iui. my husband's report is absolutely fine and even i have overcome the pcos problems and ovulate properly. || doctor: hi. pcos - polycystic ovarian syndrome women are inherently at higher risk of abortion (due to reasons at molecular levels). the risk can be reduced by healthy lifestyle, proper weight and regular exercise and not by medicines. please remember, more medicines do not equate to increased chance of achieving or continuing pregnancy. for further information consult an obstetrician and gynaecologist online --> |
9,764 | Q. Would LAD lesion cause tachycardia? | Hi doctor, I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiologist? I am currently on Amitriptyline. My CSK level is slightly raised and normal FBC. | Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. For further information consult a cardiologist online --> | Patient: Hi doctor, I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiologist? I am currently on Amitriptyline. My CSK level is slightly raised and normal FBC. || Doctor: Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. For further information consult a cardiologist online --> | patient: hi doctor, i have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. my heart rate was about 160 bpm. i do get chest pains and tightness. i also have a 70% lad lesion. my question is would the lesion be causing my tachycardia? should i consult my cardiologist? i am currently on amitriptyline. my csk level is slightly raised and normal fbc. || doctor: hi. blockage of 70% is referred to as noncritical blockage. i suggest tablet ecosprin 75 mg (aspirin) every night, so that the blockage will not progress in the future. tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. tachycardia can be of two types. sinus tachycardia and arrhythmias. in sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. this can be corrected easily with the help of beta blocker. arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. they can even be fatal. i would suggest you to go for an ecg, 2d echo and holter test for getting evaluated. if you have an ecg, then attach a copy so that i can see the basic rhythms of your heart. smoking and alcohol can also cause palpitations. but, you have not mentioned them. for further information consult a cardiologist online --> |
9,765 | Q. My 3 year old daughter has fever. Can I give her Meftal and Novamox? | Hi doctor, My daughter has a fever since last night. It has been 24 hours, and her fever is between 102 and 103.5 degrees Fahrenheit. She has no other symptom till now. She is 3 years old. We are giving Pharmadol tablets. Can I give Meftal P and Novamox 125? | Hello. For more information consult a paediatrician online --> | Patient: Hi doctor, My daughter has a fever since last night. It has been 24 hours, and her fever is between 102 and 103.5 degrees Fahrenheit. She has no other symptom till now. She is 3 years old. We are giving Pharmadol tablets. Can I give Meftal P and Novamox 125? || Doctor: Hello. For more information consult a paediatrician online --> | patient: hi doctor, my daughter has a fever since last night. it has been 24 hours, and her fever is between 102 and 103.5 degrees fahrenheit. she has no other symptom till now. she is 3 years old. we are giving pharmadol tablets. can i give meftal p and novamox 125? || doctor: hello. for more information consult a paediatrician online --> |
9,766 | Q. My skin is lifeless after using Retinol cream for a year. Will it ever become normal? | Hello doctor, I am a 26 year old female. My skin is in a terrible condition, and I do not understand what is going on. I am extremely scared. When I was 24, I took Accutane to clear up cystic acne. This was my second round of Accutane. I had also taken it when I was 16, but the acne came back. This left my skin very dry. But, this is what I regret more than anything: I started using Retinol (OTC) and exfoliating my skin with microbeads because it was dry and flaky. Because I liked the effect of Retinol, I switched to Retin-A Micro (0.1 %) while exfoliating every single day. I did this for about a year. But, I started to become concerned I was using such powerful medicine on my face. So, I stopped using Retin-A and stopped exfoliating. It has now been three months since I stopped using Retin-A or any type of exfoliant. My skin has rapidly deteriorated since, becoming gray and my pores opening up. My skin is losing any glow and becoming dull and bone-dry. My skin is so sensitive to the sun that if I expose it to any sunlight, I get awful sunspots. So, I am bone-pale and look awful. My skin looks dehydrated, crepey, spotted yet pale, and is tough and dehydrated, porous and saggy. I could not regret what I did more. I do not look like I have real skin anymore. Please tell me, is there any possibility that my skin will return to normal if I leave it alone for a year or so? Will I ever be normal again? Will my skin ever be able to tolerate the sun again without sun-spotting like crazy? I used a broad-spectrum sunscreen every single day for the last three years or so. | Hello. You are right. You should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. It will take time for the skin to heal. Along with the broad-spectrum sunscreen which you are using, consider applying a moisturizer such as Epitheliale AH cream. It will help hydrate the skin. Also, it will not cause acne. Stop all other applications and scrubs. Use Cetaphil cleansing lotion to wash the face. There is a procedure called as Oxypeel where a jet of water is sprayed on the face followed by a mask. It helps hydrate the skin. You can consider visiting a dermatologist for the same. Clinical photographs would have helped to know the present situation better. For more information consult a dermatologist online --> | Patient: Hello doctor, I am a 26 year old female. My skin is in a terrible condition, and I do not understand what is going on. I am extremely scared. When I was 24, I took Accutane to clear up cystic acne. This was my second round of Accutane. I had also taken it when I was 16, but the acne came back. This left my skin very dry. But, this is what I regret more than anything: I started using Retinol (OTC) and exfoliating my skin with microbeads because it was dry and flaky. Because I liked the effect of Retinol, I switched to Retin-A Micro (0.1 %) while exfoliating every single day. I did this for about a year. But, I started to become concerned I was using such powerful medicine on my face. So, I stopped using Retin-A and stopped exfoliating. It has now been three months since I stopped using Retin-A or any type of exfoliant. My skin has rapidly deteriorated since, becoming gray and my pores opening up. My skin is losing any glow and becoming dull and bone-dry. My skin is so sensitive to the sun that if I expose it to any sunlight, I get awful sunspots. So, I am bone-pale and look awful. My skin looks dehydrated, crepey, spotted yet pale, and is tough and dehydrated, porous and saggy. I could not regret what I did more. I do not look like I have real skin anymore. Please tell me, is there any possibility that my skin will return to normal if I leave it alone for a year or so? Will I ever be normal again? Will my skin ever be able to tolerate the sun again without sun-spotting like crazy? I used a broad-spectrum sunscreen every single day for the last three years or so. || Doctor: Hello. You are right. You should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. It will take time for the skin to heal. Along with the broad-spectrum sunscreen which you are using, consider applying a moisturizer such as Epitheliale AH cream. It will help hydrate the skin. Also, it will not cause acne. Stop all other applications and scrubs. Use Cetaphil cleansing lotion to wash the face. There is a procedure called as Oxypeel where a jet of water is sprayed on the face followed by a mask. It helps hydrate the skin. You can consider visiting a dermatologist for the same. Clinical photographs would have helped to know the present situation better. For more information consult a dermatologist online --> | patient: hello doctor, i am a 26 year old female. my skin is in a terrible condition, and i do not understand what is going on. i am extremely scared. when i was 24, i took accutane to clear up cystic acne. this was my second round of accutane. i had also taken it when i was 16, but the acne came back. this left my skin very dry. but, this is what i regret more than anything: i started using retinol (otc) and exfoliating my skin with microbeads because it was dry and flaky. because i liked the effect of retinol, i switched to retin-a micro (0.1 %) while exfoliating every single day. i did this for about a year. but, i started to become concerned i was using such powerful medicine on my face. so, i stopped using retin-a and stopped exfoliating. it has now been three months since i stopped using retin-a or any type of exfoliant. my skin has rapidly deteriorated since, becoming gray and my pores opening up. my skin is losing any glow and becoming dull and bone-dry. my skin is so sensitive to the sun that if i expose it to any sunlight, i get awful sunspots. so, i am bone-pale and look awful. my skin looks dehydrated, crepey, spotted yet pale, and is tough and dehydrated, porous and saggy. i could not regret what i did more. i do not look like i have real skin anymore. please tell me, is there any possibility that my skin will return to normal if i leave it alone for a year or so? will i ever be normal again? will my skin ever be able to tolerate the sun again without sun-spotting like crazy? i used a broad-spectrum sunscreen every single day for the last three years or so. || doctor: hello. you are right. you should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. it will take time for the skin to heal. along with the broad-spectrum sunscreen which you are using, consider applying a moisturizer such as epitheliale ah cream. it will help hydrate the skin. also, it will not cause acne. stop all other applications and scrubs. use cetaphil cleansing lotion to wash the face. there is a procedure called as oxypeel where a jet of water is sprayed on the face followed by a mask. it helps hydrate the skin. you can consider visiting a dermatologist for the same. clinical photographs would have helped to know the present situation better. for more information consult a dermatologist online --> |
9,767 | Q. Will leprosy spread within a family? | Hi doctor, Our close family member has leprosy. Should we need to take MDT? Please explain. | Hi. I want to share few facts about leprosy. For further information consult a dermatologist online --> | Patient: Hi doctor, Our close family member has leprosy. Should we need to take MDT? Please explain. || Doctor: Hi. I want to share few facts about leprosy. For further information consult a dermatologist online --> | patient: hi doctor, our close family member has leprosy. should we need to take mdt? please explain. || doctor: hi. i want to share few facts about leprosy. for further information consult a dermatologist online --> |
9,768 | Q. What is the reason for my weight loss? | Hi doctor, I am spending more time in toilet daily as the stools keep on coming for every 10-15 minutes. Stools are semi-liquid and it feels like diarrhea. I have lost around 10-12 kg of weight in the last two years and four to five kg during the last six months alone. I have got the following tests done and found everything to be normal. Colonoscopy, biopsy for TB and Crohn's disease and also blood tests that including CBC, CRP, Mantoux, ESR, thyroid, HIV, LFT and KFT. I have been treated with the following medicines over the time. Namely Colospa (Mebeverine hydrochloride), Rixmin (Rifaximin), Librax, VSL3, Velgut capsules, Bifilac (Pre-probiotics), Nexpro 40 and also different fiber supplements, both soluble and insoluble. In addition to all these I have taken Oflomac and Metrogyl course several times. I am attaching the reports of my colonoscopy, biopsy and blood tests for your reference. Please guide. Thank you. | Hi. We are here to help you. I have gone through your reports (attachments removed to protect patient identity). Revert back with the asked details to a medical gastroenterologist online --> | Patient: Hi doctor, I am spending more time in toilet daily as the stools keep on coming for every 10-15 minutes. Stools are semi-liquid and it feels like diarrhea. I have lost around 10-12 kg of weight in the last two years and four to five kg during the last six months alone. I have got the following tests done and found everything to be normal. Colonoscopy, biopsy for TB and Crohn's disease and also blood tests that including CBC, CRP, Mantoux, ESR, thyroid, HIV, LFT and KFT. I have been treated with the following medicines over the time. Namely Colospa (Mebeverine hydrochloride), Rixmin (Rifaximin), Librax, VSL3, Velgut capsules, Bifilac (Pre-probiotics), Nexpro 40 and also different fiber supplements, both soluble and insoluble. In addition to all these I have taken Oflomac and Metrogyl course several times. I am attaching the reports of my colonoscopy, biopsy and blood tests for your reference. Please guide. Thank you. || Doctor: Hi. We are here to help you. I have gone through your reports (attachments removed to protect patient identity). Revert back with the asked details to a medical gastroenterologist online --> | patient: hi doctor, i am spending more time in toilet daily as the stools keep on coming for every 10-15 minutes. stools are semi-liquid and it feels like diarrhea. i have lost around 10-12 kg of weight in the last two years and four to five kg during the last six months alone. i have got the following tests done and found everything to be normal. colonoscopy, biopsy for tb and crohn's disease and also blood tests that including cbc, crp, mantoux, esr, thyroid, hiv, lft and kft. i have been treated with the following medicines over the time. namely colospa (mebeverine hydrochloride), rixmin (rifaximin), librax, vsl3, velgut capsules, bifilac (pre-probiotics), nexpro 40 and also different fiber supplements, both soluble and insoluble. in addition to all these i have taken oflomac and metrogyl course several times. i am attaching the reports of my colonoscopy, biopsy and blood tests for your reference. please guide. thank you. || doctor: hi. we are here to help you. i have gone through your reports (attachments removed to protect patient identity). revert back with the asked details to a medical gastroenterologist online --> |
9,769 | Q. Please comment on the abnormal values in my blood test report. | Hello doctor,I am a 56 year old male. I got my blood tests done recently. Kindly advice on what is required like medicines or tonics. I am an engineering manager in a corporate field. I am not taking any medicines as of now. I am generally healthy and follow a normal office routine of 10 AM to 7 PM daily. Kindly let me know if any other details are required. I am enclosing my reports for reference. | Hello. I saw your reports (attachment removed to protect patient identity). All these points towards a kidney disease. For more information consult a general medicine physician online --> | Patient: Hello doctor,I am a 56 year old male. I got my blood tests done recently. Kindly advice on what is required like medicines or tonics. I am an engineering manager in a corporate field. I am not taking any medicines as of now. I am generally healthy and follow a normal office routine of 10 AM to 7 PM daily. Kindly let me know if any other details are required. I am enclosing my reports for reference. || Doctor: Hello. I saw your reports (attachment removed to protect patient identity). All these points towards a kidney disease. For more information consult a general medicine physician online --> | patient: hello doctor,i am a 56 year old male. i got my blood tests done recently. kindly advice on what is required like medicines or tonics. i am an engineering manager in a corporate field. i am not taking any medicines as of now. i am generally healthy and follow a normal office routine of 10 am to 7 pm daily. kindly let me know if any other details are required. i am enclosing my reports for reference. || doctor: hello. i saw your reports (attachment removed to protect patient identity). all these points towards a kidney disease. for more information consult a general medicine physician online --> |
9,770 | Q. My wife is suffering from belly bloating. Please help. | Hello doctor, My wife is suffering from belly bloating. As soon as she eats her lunch or dinner, her stomach will enlarge and she feels full. She does not feel like eating every day. She tried gelusil and other tablets, but no improvement. Also her urination is very low. Sometimes she feels intense urge for urination, but she urinates a few drops only. We have taken scans and scan reports are normal, but the problem continues. Please help. | Hi. I need answers for the following questions so that I can help you better. Revert back with the answers to a medical gastroenterologist online --> | Patient: Hello doctor, My wife is suffering from belly bloating. As soon as she eats her lunch or dinner, her stomach will enlarge and she feels full. She does not feel like eating every day. She tried gelusil and other tablets, but no improvement. Also her urination is very low. Sometimes she feels intense urge for urination, but she urinates a few drops only. We have taken scans and scan reports are normal, but the problem continues. Please help. || Doctor: Hi. I need answers for the following questions so that I can help you better. Revert back with the answers to a medical gastroenterologist online --> | patient: hello doctor, my wife is suffering from belly bloating. as soon as she eats her lunch or dinner, her stomach will enlarge and she feels full. she does not feel like eating every day. she tried gelusil and other tablets, but no improvement. also her urination is very low. sometimes she feels intense urge for urination, but she urinates a few drops only. we have taken scans and scan reports are normal, but the problem continues. please help. || doctor: hi. i need answers for the following questions so that i can help you better. revert back with the answers to a medical gastroenterologist online --> |
9,771 | Q. Could you suggest me a supplement for low vitamin D? | Hi doctor, I am a 33 year old male. I was diagnosed to have low vitamin D thrice over a span of 5 years. My current level is 17 ng/mL, which I understand is below normal. My lifestyle does not permit me to have enough sun exposure. Hence, I think that the supplements are the only option. Could you please suggest me the supplements? One gentleman from the medical fraternity suggested Calciferol sachet once a month for six months. Is it safe? I would not prefer the one with serious side effects. Please review the attached report and let me know your comments. | Hello. I have gone through your investigations (attachment removed to protect patient identity) and you definitely have a low vitamin D levels, which is very common. Lack of exposure to sunlight and sedentary lifestyle. Revert back after three months to an orthopaedician and traumatologist.---> | Patient: Hi doctor, I am a 33 year old male. I was diagnosed to have low vitamin D thrice over a span of 5 years. My current level is 17 ng/mL, which I understand is below normal. My lifestyle does not permit me to have enough sun exposure. Hence, I think that the supplements are the only option. Could you please suggest me the supplements? One gentleman from the medical fraternity suggested Calciferol sachet once a month for six months. Is it safe? I would not prefer the one with serious side effects. Please review the attached report and let me know your comments. || Doctor: Hello. I have gone through your investigations (attachment removed to protect patient identity) and you definitely have a low vitamin D levels, which is very common. Lack of exposure to sunlight and sedentary lifestyle. Revert back after three months to an orthopaedician and traumatologist.---> | patient: hi doctor, i am a 33 year old male. i was diagnosed to have low vitamin d thrice over a span of 5 years. my current level is 17 ng/ml, which i understand is below normal. my lifestyle does not permit me to have enough sun exposure. hence, i think that the supplements are the only option. could you please suggest me the supplements? one gentleman from the medical fraternity suggested calciferol sachet once a month for six months. is it safe? i would not prefer the one with serious side effects. please review the attached report and let me know your comments. || doctor: hello. i have gone through your investigations (attachment removed to protect patient identity) and you definitely have a low vitamin d levels, which is very common. lack of exposure to sunlight and sedentary lifestyle. revert back after three months to an orthopaedician and traumatologist.---> |
9,772 | Q. I had unprotected sex 10 years back. Do I need to be worried about STDs now? | Hello doctor, I had unprotected sex 10 years back. I am just curious if I need to be worried about any STDs, which I might have contacted 10 years back? I am fairly healthy, and I am only a little overweight. The person I had the encounter with has since had two kids. So, I am pretty sure I have nothing to worry about. But, I just wanted to be sure. | Hi. Testing can only prove your surety of having nothing in the context to Sexually transmitted disease (STD). If you had unprotected exposure 10 years back and no further exposure during subsequent years and you are asymptomatic also, it is unlikely that you will have STD. However, since asymptomatic STDs are also known, I usually recommend my sexually active patients get tested for HIV (human immunodeficiency virus), HCV (Hepatitis C virus), HBV (Hepatitis B virus), chlamydia, syphilis, and gonorrhea. There is no harm to know the baseline status of these. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. For further queries consult an HIV AIDS specialist online --> | Patient: Hello doctor, I had unprotected sex 10 years back. I am just curious if I need to be worried about any STDs, which I might have contacted 10 years back? I am fairly healthy, and I am only a little overweight. The person I had the encounter with has since had two kids. So, I am pretty sure I have nothing to worry about. But, I just wanted to be sure. || Doctor: Hi. Testing can only prove your surety of having nothing in the context to Sexually transmitted disease (STD). If you had unprotected exposure 10 years back and no further exposure during subsequent years and you are asymptomatic also, it is unlikely that you will have STD. However, since asymptomatic STDs are also known, I usually recommend my sexually active patients get tested for HIV (human immunodeficiency virus), HCV (Hepatitis C virus), HBV (Hepatitis B virus), chlamydia, syphilis, and gonorrhea. There is no harm to know the baseline status of these. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. For further queries consult an HIV AIDS specialist online --> | patient: hello doctor, i had unprotected sex 10 years back. i am just curious if i need to be worried about any stds, which i might have contacted 10 years back? i am fairly healthy, and i am only a little overweight. the person i had the encounter with has since had two kids. so, i am pretty sure i have nothing to worry about. but, i just wanted to be sure. || doctor: hi. testing can only prove your surety of having nothing in the context to sexually transmitted disease (std). if you had unprotected exposure 10 years back and no further exposure during subsequent years and you are asymptomatic also, it is unlikely that you will have std. however, since asymptomatic stds are also known, i usually recommend my sexually active patients get tested for hiv (human immunodeficiency virus), hcv (hepatitis c virus), hbv (hepatitis b virus), chlamydia, syphilis, and gonorrhea. there is no harm to know the baseline status of these. hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. for further queries consult an hiv aids specialist online --> |
9,773 | 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 --> |
9,774 | 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 --> |
9,775 | 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.---> |
9,776 | 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 --> |
9,777 | 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 --> |
9,778 | Q. How will high blood pressure affect the kidney? | Hi doctor, My mom is 65 years old. Her blood pressure is 180/90 mmHg. She is suffering from urine infection and her serum uric acid is 7.6 mg/dL. I have attached her other reports for your reference. She is currently on Norflox 400 twice daily, Ciploric 300 one tablet daily at night, Telma AM one tablet, Met-XL 50 and Alkasol liquid two teaspoon thrice daily. Please help. | Hi. For further information consult a criticalcare physician online --> | Patient: Hi doctor, My mom is 65 years old. Her blood pressure is 180/90 mmHg. She is suffering from urine infection and her serum uric acid is 7.6 mg/dL. I have attached her other reports for your reference. She is currently on Norflox 400 twice daily, Ciploric 300 one tablet daily at night, Telma AM one tablet, Met-XL 50 and Alkasol liquid two teaspoon thrice daily. Please help. || Doctor: Hi. For further information consult a criticalcare physician online --> | patient: hi doctor, my mom is 65 years old. her blood pressure is 180/90 mmhg. she is suffering from urine infection and her serum uric acid is 7.6 mg/dl. i have attached her other reports for your reference. she is currently on norflox 400 twice daily, ciploric 300 one tablet daily at night, telma am one tablet, met-xl 50 and alkasol liquid two teaspoon thrice daily. please help. || doctor: hi. for further information consult a criticalcare physician online --> |
9,779 | Q. Suffering from floating stool and stomach pain. How can I help myself to get better? | Hi doctor,I am a diabetic patient (type 1) for the past 12 years. I have never suffered from floating stool for such a prolonged time. I am suffering from this problem for the past six months. I am suffering from excessive gas and frequently get stomach aches. Can you please let me know the problem? How can I help myself to get better? I am just trying natural remedies at home like garlic, ginger, honey, apple cider vinegar, etc. | Hello. I can understand your concern for your symptoms. Autoimmune pancreatitis. CT scan abdomen with contrast, lipase, amylase and upper GI endoscopy (to rule out gastritis). Severe gastritis. Autoimmune pancreatitis. Continue treatment for diabetes, pancreatic digestive enzyme supplementation, and treatment for acidity. Avoid oily and spicy food. Take fat-free and high protein diet. For further information consult a medical gastroenterologist online.---> | Patient: Hi doctor,I am a diabetic patient (type 1) for the past 12 years. I have never suffered from floating stool for such a prolonged time. I am suffering from this problem for the past six months. I am suffering from excessive gas and frequently get stomach aches. Can you please let me know the problem? How can I help myself to get better? I am just trying natural remedies at home like garlic, ginger, honey, apple cider vinegar, etc. || Doctor: Hello. I can understand your concern for your symptoms. Autoimmune pancreatitis. CT scan abdomen with contrast, lipase, amylase and upper GI endoscopy (to rule out gastritis). Severe gastritis. Autoimmune pancreatitis. Continue treatment for diabetes, pancreatic digestive enzyme supplementation, and treatment for acidity. Avoid oily and spicy food. Take fat-free and high protein diet. For further information consult a medical gastroenterologist online.---> | patient: hi doctor,i am a diabetic patient (type 1) for the past 12 years. i have never suffered from floating stool for such a prolonged time. i am suffering from this problem for the past six months. i am suffering from excessive gas and frequently get stomach aches. can you please let me know the problem? how can i help myself to get better? i am just trying natural remedies at home like garlic, ginger, honey, apple cider vinegar, etc. || doctor: hello. i can understand your concern for your symptoms. autoimmune pancreatitis. ct scan abdomen with contrast, lipase, amylase and upper gi endoscopy (to rule out gastritis). severe gastritis. autoimmune pancreatitis. continue treatment for diabetes, pancreatic digestive enzyme supplementation, and treatment for acidity. avoid oily and spicy food. take fat-free and high protein diet. for further information consult a medical gastroenterologist online.---> |
9,780 | Q. After urinating, I feel some amount of urine is retained in my penis. Can I take Gokharu Kadha? | Hello doctor, I am an 18 year old male, and I am having frequent urination. Every time I urinate, there is some amount of urine retained in my penis, and it does not come out. It is causing discomfort, and when I sit down on the toilet, then 1 to 2 drops of urine comes out, but it still does not come out fully. I have done a urine culture, analysis, and ultrasound of my abdomen, which showed no obstruction and stones and no prostate problems. I am confused as to what is causing the problem. My doctor told me to go to an ayurvedic shop and ask for medication. So, my father brought Gokharu Kadha three days ago, and I am taking two teaspoons of the medicine with little water. Still, my problem is not that improved, and I still feel little urine is stuck in my penis. It hurts when I laugh or cough after urinating. Can it be a pelvic floor issue? From the last two days, I also have incomplete bowel moments. Is Gokharu Kadha good? Should I stop taking it? | Hello. I just read your query. For further queries consult an ayurveda specialist online --> | Patient: Hello doctor, I am an 18 year old male, and I am having frequent urination. Every time I urinate, there is some amount of urine retained in my penis, and it does not come out. It is causing discomfort, and when I sit down on the toilet, then 1 to 2 drops of urine comes out, but it still does not come out fully. I have done a urine culture, analysis, and ultrasound of my abdomen, which showed no obstruction and stones and no prostate problems. I am confused as to what is causing the problem. My doctor told me to go to an ayurvedic shop and ask for medication. So, my father brought Gokharu Kadha three days ago, and I am taking two teaspoons of the medicine with little water. Still, my problem is not that improved, and I still feel little urine is stuck in my penis. It hurts when I laugh or cough after urinating. Can it be a pelvic floor issue? From the last two days, I also have incomplete bowel moments. Is Gokharu Kadha good? Should I stop taking it? || Doctor: Hello. I just read your query. For further queries consult an ayurveda specialist online --> | patient: hello doctor, i am an 18 year old male, and i am having frequent urination. every time i urinate, there is some amount of urine retained in my penis, and it does not come out. it is causing discomfort, and when i sit down on the toilet, then 1 to 2 drops of urine comes out, but it still does not come out fully. i have done a urine culture, analysis, and ultrasound of my abdomen, which showed no obstruction and stones and no prostate problems. i am confused as to what is causing the problem. my doctor told me to go to an ayurvedic shop and ask for medication. so, my father brought gokharu kadha three days ago, and i am taking two teaspoons of the medicine with little water. still, my problem is not that improved, and i still feel little urine is stuck in my penis. it hurts when i laugh or cough after urinating. can it be a pelvic floor issue? from the last two days, i also have incomplete bowel moments. is gokharu kadha good? should i stop taking it? || doctor: hello. i just read your query. for further queries consult an ayurveda specialist online --> |
9,781 | Q. As me and my fiance are carrier of Hb E beta thalassemia, we need your valuable advise. | Hello doctor, Recently, I found out that I am a carrier of Hb E beta thalassemia. The problem is that my fiance is also a carrier and he is carrying Hb E trait. We do not want to separate. If you can give us your valuable advice, then it will be a great pleasure for us. | Hi. For further doubts consult a hematologist online --> | Patient: Hello doctor, Recently, I found out that I am a carrier of Hb E beta thalassemia. The problem is that my fiance is also a carrier and he is carrying Hb E trait. We do not want to separate. If you can give us your valuable advice, then it will be a great pleasure for us. || Doctor: Hi. For further doubts consult a hematologist online --> | patient: hello doctor, recently, i found out that i am a carrier of hb e beta thalassemia. the problem is that my fiance is also a carrier and he is carrying hb e trait. we do not want to separate. if you can give us your valuable advice, then it will be a great pleasure for us. || doctor: hi. for further doubts consult a hematologist online --> |
9,782 | Q. Am I under correct medication for my symptoms? Is it GERD? | Hi doctor, I am a 50 year old male. My weight is 72 kg and height is 168 cm. I am a vegetarian. I do not drink alcohol and I do not smoke too. I have recently stopped taking tea and coffee. I do exercise regularly. I am suffering from the following symptoms for the last five years but not on a daily basis. There is sudden awakening from sleep due to feeling of suffocation, sometime feeling of breathlessness even if I am awake. Sometimes, flu like experience passing throughout the body. This is quite evident immediately after a sexual ejaculation. My ECG, 2D echo, treadmill test, pulmonary function test, chest x-ray, MRI brain scan were normal. I do not feel any heartburn or acid entering the throat. For the last three months I am under medication for suspected gerd. My current medications are Topcid 40 mg, Nexpro 40 mg and Perinorm CD. Especially with the last medicine I am a little bit apprehensive as I feel uncomfortable after having it. I would like to have a second opinion on my symptoms, the probable causes and about the medicines prescribed. Thank you. | Hi. Welcome to icliniq.com. From going through the information you have provided, it is clear that currently you are on treatment for suspected GERD - gastroesophageal reflux disease (acid reflux disease). You have been having intermittent problems over five years. Acid reflux can cause breathlessness and waking up from sleep at night. Some might feel and describe heartburns, but others may not actually feel the burning sensation. The symptoms can be worsened by stress, anxiety and panic attacks. My recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. Following the above test, you may require a 24 hour pH monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. I agree with you that I would not continue on Perinorm CD (Metoclopramide). I tend to give it only for nausea or vomiting. Some people with GERD may find that eliminating certain food helps to improve their symptoms. For example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods. 1. Gastroscopy. 2. 24 hour esophageal pH monitoring and esophageal manometry. 1. GERD. 2. Functional dyspepsia. For further information consult a medical gastroenterologist online.---> | Patient: Hi doctor, I am a 50 year old male. My weight is 72 kg and height is 168 cm. I am a vegetarian. I do not drink alcohol and I do not smoke too. I have recently stopped taking tea and coffee. I do exercise regularly. I am suffering from the following symptoms for the last five years but not on a daily basis. There is sudden awakening from sleep due to feeling of suffocation, sometime feeling of breathlessness even if I am awake. Sometimes, flu like experience passing throughout the body. This is quite evident immediately after a sexual ejaculation. My ECG, 2D echo, treadmill test, pulmonary function test, chest x-ray, MRI brain scan were normal. I do not feel any heartburn or acid entering the throat. For the last three months I am under medication for suspected gerd. My current medications are Topcid 40 mg, Nexpro 40 mg and Perinorm CD. Especially with the last medicine I am a little bit apprehensive as I feel uncomfortable after having it. I would like to have a second opinion on my symptoms, the probable causes and about the medicines prescribed. Thank you. || Doctor: Hi. Welcome to icliniq.com. From going through the information you have provided, it is clear that currently you are on treatment for suspected GERD - gastroesophageal reflux disease (acid reflux disease). You have been having intermittent problems over five years. Acid reflux can cause breathlessness and waking up from sleep at night. Some might feel and describe heartburns, but others may not actually feel the burning sensation. The symptoms can be worsened by stress, anxiety and panic attacks. My recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. Following the above test, you may require a 24 hour pH monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. I agree with you that I would not continue on Perinorm CD (Metoclopramide). I tend to give it only for nausea or vomiting. Some people with GERD may find that eliminating certain food helps to improve their symptoms. For example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods. 1. Gastroscopy. 2. 24 hour esophageal pH monitoring and esophageal manometry. 1. GERD. 2. Functional dyspepsia. For further information consult a medical gastroenterologist online.---> | patient: hi doctor, i am a 50 year old male. my weight is 72 kg and height is 168 cm. i am a vegetarian. i do not drink alcohol and i do not smoke too. i have recently stopped taking tea and coffee. i do exercise regularly. i am suffering from the following symptoms for the last five years but not on a daily basis. there is sudden awakening from sleep due to feeling of suffocation, sometime feeling of breathlessness even if i am awake. sometimes, flu like experience passing throughout the body. this is quite evident immediately after a sexual ejaculation. my ecg, 2d echo, treadmill test, pulmonary function test, chest x-ray, mri brain scan were normal. i do not feel any heartburn or acid entering the throat. for the last three months i am under medication for suspected gerd. my current medications are topcid 40 mg, nexpro 40 mg and perinorm cd. especially with the last medicine i am a little bit apprehensive as i feel uncomfortable after having it. i would like to have a second opinion on my symptoms, the probable causes and about the medicines prescribed. thank you. || doctor: hi. welcome to icliniq.com. from going through the information you have provided, it is clear that currently you are on treatment for suspected gerd - gastroesophageal reflux disease (acid reflux disease). you have been having intermittent problems over five years. acid reflux can cause breathlessness and waking up from sleep at night. some might feel and describe heartburns, but others may not actually feel the burning sensation. the symptoms can be worsened by stress, anxiety and panic attacks. my recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. following the above test, you may require a 24 hour ph monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. i agree with you that i would not continue on perinorm cd (metoclopramide). i tend to give it only for nausea or vomiting. some people with gerd may find that eliminating certain food helps to improve their symptoms. for example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods. 1. gastroscopy. 2. 24 hour esophageal ph monitoring and esophageal manometry. 1. gerd. 2. functional dyspepsia. for further information consult a medical gastroenterologist online.---> |
9,783 | Q. Why is there a red line on my anal area? | Hello doctor, I just have a question. I was looking at my anal and I was just curious why is there a red line on my anal and I took the pictures after I pooped. Does it look normal or like any STD? | Hi. I have gone through your case. Most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. No, it does not look like to be part of STD. However, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. For your current diagnosis: For more information consult a dermatologist online --> | Patient: Hello doctor, I just have a question. I was looking at my anal and I was just curious why is there a red line on my anal and I took the pictures after I pooped. Does it look normal or like any STD? || Doctor: Hi. I have gone through your case. Most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. No, it does not look like to be part of STD. However, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. For your current diagnosis: For more information consult a dermatologist online --> | patient: hello doctor, i just have a question. i was looking at my anal and i was just curious why is there a red line on my anal and i took the pictures after i pooped. does it look normal or like any std? || doctor: hi. i have gone through your case. most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. no, it does not look like to be part of std. however, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. for your current diagnosis: for more information consult a dermatologist online --> |
9,784 | Q. Why are palpitations occurring even after pacemaker implantation? | Hello doctor,My 71-year-old father was admitted to the hospital for palpitation occurrence and fast heart beating at 143 beats per minute. He was feeling dizziness in the morning. He was given injections to reduce the heart rate and has taken Holter monitoring for one day. He had previously undergone two stent placements for blocks. According to his Holter reading, the doctor said his heart pauses for two seconds sometime in 24 hours. He has both bradycardia and tachycardia. They suggested him a biventricular pacemaker implantation that is a St. Jude medical pacemaker. He is allergic to Penicillin. During his discharge, he was prescribed the following medicines: Prolomet XL 25 mg two times a day, Xarelto once a day, Glycomet-GP 1 one and a half tablets a day, Ecosprin AV 150/10 capsules one a day, and Pantocid one a day. He takes his medicines regularly but once in 10 days, the palpitation occurs for about 10 to 15 minutes ranging 20 and sometimes 105 and then it stops. Palpitation does not come every day. The doctor says there is no need to worry. My concern is why does the palpitation occur even after the pacemaker implantation. Is there any way to stop the palpitation? Is it a serious issue. Please help me. | Hello, Welcome back to icliniq.com. I have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug controls it perfectly and sometimes it does not. You have to adjust the drug doses to control his tachycardia episodes. Consult your doctor for dose adjustment. In addition to the Prolomet (Metoprolol), I suggest Digoxin can also be added. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a cardiologist online --> | Patient: Hello doctor,My 71-year-old father was admitted to the hospital for palpitation occurrence and fast heart beating at 143 beats per minute. He was feeling dizziness in the morning. He was given injections to reduce the heart rate and has taken Holter monitoring for one day. He had previously undergone two stent placements for blocks. According to his Holter reading, the doctor said his heart pauses for two seconds sometime in 24 hours. He has both bradycardia and tachycardia. They suggested him a biventricular pacemaker implantation that is a St. Jude medical pacemaker. He is allergic to Penicillin. During his discharge, he was prescribed the following medicines: Prolomet XL 25 mg two times a day, Xarelto once a day, Glycomet-GP 1 one and a half tablets a day, Ecosprin AV 150/10 capsules one a day, and Pantocid one a day. He takes his medicines regularly but once in 10 days, the palpitation occurs for about 10 to 15 minutes ranging 20 and sometimes 105 and then it stops. Palpitation does not come every day. The doctor says there is no need to worry. My concern is why does the palpitation occur even after the pacemaker implantation. Is there any way to stop the palpitation? Is it a serious issue. Please help me. || Doctor: Hello, Welcome back to icliniq.com. I have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug controls it perfectly and sometimes it does not. You have to adjust the drug doses to control his tachycardia episodes. Consult your doctor for dose adjustment. In addition to the Prolomet (Metoprolol), I suggest Digoxin can also be added. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a cardiologist online --> | patient: hello doctor,my 71-year-old father was admitted to the hospital for palpitation occurrence and fast heart beating at 143 beats per minute. he was feeling dizziness in the morning. he was given injections to reduce the heart rate and has taken holter monitoring for one day. he had previously undergone two stent placements for blocks. according to his holter reading, the doctor said his heart pauses for two seconds sometime in 24 hours. he has both bradycardia and tachycardia. they suggested him a biventricular pacemaker implantation that is a st. jude medical pacemaker. he is allergic to penicillin. during his discharge, he was prescribed the following medicines: prolomet xl 25 mg two times a day, xarelto once a day, glycomet-gp 1 one and a half tablets a day, ecosprin av 150/10 capsules one a day, and pantocid one a day. he takes his medicines regularly but once in 10 days, the palpitation occurs for about 10 to 15 minutes ranging 20 and sometimes 105 and then it stops. palpitation does not come every day. the doctor says there is no need to worry. my concern is why does the palpitation occur even after the pacemaker implantation. is there any way to stop the palpitation? is it a serious issue. please help me. || doctor: hello, welcome back to icliniq.com. i have gone through the report that you have provided. he is having the tachycardia-bradycardia syndrome. in this case, the pacemaker avoids his bradycardia episodes only. for his tachycardia episodes, drugs can be given. sometimes the drug controls it perfectly and sometimes it does not. you have to adjust the drug doses to control his tachycardia episodes. consult your doctor for dose adjustment. in addition to the prolomet (metoprolol), i suggest digoxin can also be added. consult your specialist doctor, discuss with him or her and with their consent take the medicines. regards. for more information consult a cardiologist online --> |
9,785 | Q. Does sesame seed help in getting periods? | Hi doctor, My last period was two months back. Then I postponed my period by taking lemon seeds and till now I have not got my period. I am taking sesame seeds daily for the past four days but I did not get my period. Can you please help me by giving medical prescription to get period? | Hi. I do not think period can be postponed or withdrawal bleeding can come with these seeds. If you are not sexually active then you may take progesterone tablets like Gynaset 5 mg (Norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. Consult your specialist doctor, discuss with him/her and take the medicine with consent. However, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. You are quite underweight with BMI 14. Try to improve your weight through good diet and exercise. Also get your thyroid profile done. You can share your reports when available. Revert back with the reports to an obstetrician and gynaecologist online --> | Patient: Hi doctor, My last period was two months back. Then I postponed my period by taking lemon seeds and till now I have not got my period. I am taking sesame seeds daily for the past four days but I did not get my period. Can you please help me by giving medical prescription to get period? || Doctor: Hi. I do not think period can be postponed or withdrawal bleeding can come with these seeds. If you are not sexually active then you may take progesterone tablets like Gynaset 5 mg (Norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. Consult your specialist doctor, discuss with him/her and take the medicine with consent. However, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. You are quite underweight with BMI 14. Try to improve your weight through good diet and exercise. Also get your thyroid profile done. You can share your reports when available. Revert back with the reports to an obstetrician and gynaecologist online --> | patient: hi doctor, my last period was two months back. then i postponed my period by taking lemon seeds and till now i have not got my period. i am taking sesame seeds daily for the past four days but i did not get my period. can you please help me by giving medical prescription to get period? || doctor: hi. i do not think period can be postponed or withdrawal bleeding can come with these seeds. if you are not sexually active then you may take progesterone tablets like gynaset 5 mg (norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. consult your specialist doctor, discuss with him/her and take the medicine with consent. however, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. you are quite underweight with bmi 14. try to improve your weight through good diet and exercise. also get your thyroid profile done. you can share your reports when available. revert back with the reports to an obstetrician and gynaecologist online --> |
9,786 | Q. Are my symptoms a side effect of Epanutin? | Hello doctor, I feel I can see everything around me at the same time, although I am focusing on some other thing. When someone sitting next to me or across me makes any movement like scratching their nose, shoulder, knee or even twitch an arm, then I quickly look in that direction and back. I feel people think that I am watching them and now, I am trying to avoid people, but it is difficult at work. I had the same issue about nine years ago. I am using Epanutin for 20 years with Rivotril for about two years for epilepsy. Previously, I was using Epanutin, Topamax and Lamictin. My Epanutin level is 100%. I wanted to know whether the symptoms are any side effect of the medications that I am consuming. | Hi. For further information consult a neurologist online --> | Patient: Hello doctor, I feel I can see everything around me at the same time, although I am focusing on some other thing. When someone sitting next to me or across me makes any movement like scratching their nose, shoulder, knee or even twitch an arm, then I quickly look in that direction and back. I feel people think that I am watching them and now, I am trying to avoid people, but it is difficult at work. I had the same issue about nine years ago. I am using Epanutin for 20 years with Rivotril for about two years for epilepsy. Previously, I was using Epanutin, Topamax and Lamictin. My Epanutin level is 100%. I wanted to know whether the symptoms are any side effect of the medications that I am consuming. || Doctor: Hi. For further information consult a neurologist online --> | patient: hello doctor, i feel i can see everything around me at the same time, although i am focusing on some other thing. when someone sitting next to me or across me makes any movement like scratching their nose, shoulder, knee or even twitch an arm, then i quickly look in that direction and back. i feel people think that i am watching them and now, i am trying to avoid people, but it is difficult at work. i had the same issue about nine years ago. i am using epanutin for 20 years with rivotril for about two years for epilepsy. previously, i was using epanutin, topamax and lamictin. my epanutin level is 100%. i wanted to know whether the symptoms are any side effect of the medications that i am consuming. || doctor: hi. for further information consult a neurologist online --> |
9,787 | Q. Please suggest a medicine, which can cure erection problems and low libido. | Hi doctor, I am a 33 year old male, who has schizophrenia and depression from the last 12 years. My current problem is low libido and erection-related issues. I do not wish to take any medicine like Viagra or other similar medicines. Please suggest a medicine which can cure my problem. I also need help in doing physical exercises, as I feel low in energy. My current medicines are Qutipin 200 mg, Oxetol 600 mg, Bupron 300 mg, Arip 30 mg, and tablet Qtencare. My testosterone levels are 150, and my current weight is 135 kg. I am also on medications for diabetes and high blood pressure. | Hi. I read your query and understand your concerns. I hope this helps you. Feel free to contact me if you have more questions. Thanks and regards. For more information consult an andrologist online --> | Patient: Hi doctor, I am a 33 year old male, who has schizophrenia and depression from the last 12 years. My current problem is low libido and erection-related issues. I do not wish to take any medicine like Viagra or other similar medicines. Please suggest a medicine which can cure my problem. I also need help in doing physical exercises, as I feel low in energy. My current medicines are Qutipin 200 mg, Oxetol 600 mg, Bupron 300 mg, Arip 30 mg, and tablet Qtencare. My testosterone levels are 150, and my current weight is 135 kg. I am also on medications for diabetes and high blood pressure. || Doctor: Hi. I read your query and understand your concerns. I hope this helps you. Feel free to contact me if you have more questions. Thanks and regards. For more information consult an andrologist online --> | patient: hi doctor, i am a 33 year old male, who has schizophrenia and depression from the last 12 years. my current problem is low libido and erection-related issues. i do not wish to take any medicine like viagra or other similar medicines. please suggest a medicine which can cure my problem. i also need help in doing physical exercises, as i feel low in energy. my current medicines are qutipin 200 mg, oxetol 600 mg, bupron 300 mg, arip 30 mg, and tablet qtencare. my testosterone levels are 150, and my current weight is 135 kg. i am also on medications for diabetes and high blood pressure. || doctor: hi. i read your query and understand your concerns. i hope this helps you. feel free to contact me if you have more questions. thanks and regards. for more information consult an andrologist online --> |
9,788 | Q. Kindly help us with an ayurveda remedy for severe menstrual pain. | Hi doctor, My wife is 24 years old. Six months back, we got married. Over last two months she is suffering with severe menstrual pain. Even painkiller is not giving any relief to her. She is taking Evecare syrup from himalaya over a month. Kindly help her get rid of this pain. | Hi. Revert back with the answers for the above questions to an ayurveda specialist online --> | Patient: Hi doctor, My wife is 24 years old. Six months back, we got married. Over last two months she is suffering with severe menstrual pain. Even painkiller is not giving any relief to her. She is taking Evecare syrup from himalaya over a month. Kindly help her get rid of this pain. || Doctor: Hi. Revert back with the answers for the above questions to an ayurveda specialist online --> | patient: hi doctor, my wife is 24 years old. six months back, we got married. over last two months she is suffering with severe menstrual pain. even painkiller is not giving any relief to her. she is taking evecare syrup from himalaya over a month. kindly help her get rid of this pain. || doctor: hi. revert back with the answers for the above questions to an ayurveda specialist online --> |
9,789 | Q. Why does the color of semen differ? | Hi doctor, I am a 25 year old male. I have been dealing with erectile dysfunction for nearly three years now. My sex drives do come and go, but it is based on the quality of my semen comes out. Sometimes, I have a good sex drive along with a good hard and my semen will come out rich white and a normal amount of it. But, those days when I have trouble in getting hard on along with low sex drive semen comes out with a little tint of yellow. Also, my penis is not fully hard, not as sensitive and aroused. I have dealt with anxiety, but later I have been fine. But, this problem is not getting much better nor getting worse. This problem started three years ago. In the past one year, I am also getting some throbbing pains in the vas deferens. I am not too sure of the area, because it is hard to pinpoint. I feel a pain from the bottom near my testicles to my abdomen and sometimes slight pain in the prostate area. It is a pain that I can feel enough to dismiss it and move on. I know I should get checked. But, first, I would like to get an opinion from a doctor. Thank you. | Hi. Your descriptions are absolutely right. For further doubts consult an andrologist online --> | Patient: Hi doctor, I am a 25 year old male. I have been dealing with erectile dysfunction for nearly three years now. My sex drives do come and go, but it is based on the quality of my semen comes out. Sometimes, I have a good sex drive along with a good hard and my semen will come out rich white and a normal amount of it. But, those days when I have trouble in getting hard on along with low sex drive semen comes out with a little tint of yellow. Also, my penis is not fully hard, not as sensitive and aroused. I have dealt with anxiety, but later I have been fine. But, this problem is not getting much better nor getting worse. This problem started three years ago. In the past one year, I am also getting some throbbing pains in the vas deferens. I am not too sure of the area, because it is hard to pinpoint. I feel a pain from the bottom near my testicles to my abdomen and sometimes slight pain in the prostate area. It is a pain that I can feel enough to dismiss it and move on. I know I should get checked. But, first, I would like to get an opinion from a doctor. Thank you. || Doctor: Hi. Your descriptions are absolutely right. For further doubts consult an andrologist online --> | patient: hi doctor, i am a 25 year old male. i have been dealing with erectile dysfunction for nearly three years now. my sex drives do come and go, but it is based on the quality of my semen comes out. sometimes, i have a good sex drive along with a good hard and my semen will come out rich white and a normal amount of it. but, those days when i have trouble in getting hard on along with low sex drive semen comes out with a little tint of yellow. also, my penis is not fully hard, not as sensitive and aroused. i have dealt with anxiety, but later i have been fine. but, this problem is not getting much better nor getting worse. this problem started three years ago. in the past one year, i am also getting some throbbing pains in the vas deferens. i am not too sure of the area, because it is hard to pinpoint. i feel a pain from the bottom near my testicles to my abdomen and sometimes slight pain in the prostate area. it is a pain that i can feel enough to dismiss it and move on. i know i should get checked. but, first, i would like to get an opinion from a doctor. thank you. || doctor: hi. your descriptions are absolutely right. for further doubts consult an andrologist online --> |
9,790 | 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 --> |
9,791 | 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 --> |
9,792 | 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.---> |
9,793 | 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 --> |
9,794 | 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 --> |
9,795 | Q. I contacted asbestos at work. Would it pose any health risk? | Hello doctor, I had some concerns regarding asbestosis. Approximately 10-11 years ago, I worked on a building site. I was asked to remove some insulation off a water pipe in an attic. At that time, I asked the site manager if the insulation was asbestos and he said it was not. I also took a sample of it back to the office and asked the health and safety manager and he also said it was not. As time has gone on I have always wondered if it was asbestos that I removed from the pipe. This was not a task I carried out frequently in my work so cannot think of any other times I may have come into contact with the asbestos. I worked as a plumber for approximately 2 years but I did not really get involved with older buildings. My main problem is that I am a hypochondriac and I recently saw a show on television where it said if you think you may have come across asbestos, speak to your general practitioner. So, I went to my GP and he advised that it would be considered a low risk encounter and people who suffer from mesothelioma are people who work with it day in and day out over many years. He said there was not any concern and that asbestos is in the air in small doses. I said I did not want to end up with mesothelioma and he advised that it was very rare and in his 30 years as a GP only one patient he knew had mesothelioma who worked in a ship building industry day in and day out. He said that even in a worst case situation it would not show up until I was in my 70s (I am just 30 years old now). The average latency period is around 40 years for mesothelioma. My visit did put my mind at rest but I still went for a second opinion and the private doctor advised me the same. As I had paid for a 25 minutes consultation she did give me a physical examination and said everything was normal. After checking my peak flow test in which I scored 660 and my blood oxygen saturation which was 98%, she said it was really good. She said everything was normal and not to worry. But again I find myself still worrying. Please advice. | Hi Welcome to icliniq.com. I want to assure you not to worry as everything is looking normal to me. I have thoroughly gone through your case and can well understand your genuine concerns regarding asbestosis, mesothelioma and other risks you may be having being exposed to insulation a decade ago. You are 30 years old and there is no latent period for mesothelioma to come up like this. A person at very high continuous exposure of asbestos, may develop asbestosis after more than 20 years. Every asbestosis patient never gets malignant mesothelioma or lung carcinoma (it is same as not every hepatitis B patient gets hepatocellular carcinoma). Mesothelioma never comes as a first sign of disease. It first appears as many lung issues that go on for many years and with chronic asbestosis it may sometimes affect the patient. You are all safe and negative for any kind of lung issues. In my view, you are never a candidate of asbestosis or mesothelioma as the pipe insulations you had removed has been confirmed having no asbestos by your safety manager. Right now your lungs are all very fine and you did really great with the peak flow testing. Your blood oxygen saturation is very good being 98%.You were at a risk of less than 1% of developing asbestosis. If you were working in an industry like ship making or painting and you inhaled years and years of large amounts of asbestos on a continuous basis, you may develop asbestosis. Same is the case with other pneumoconiosis (occupational lung diseases) categories.If there had been any risks or damages done to the delicate parts of your lungs, you would have most probably been presented as: | Patient: Hello doctor, I had some concerns regarding asbestosis. Approximately 10-11 years ago, I worked on a building site. I was asked to remove some insulation off a water pipe in an attic. At that time, I asked the site manager if the insulation was asbestos and he said it was not. I also took a sample of it back to the office and asked the health and safety manager and he also said it was not. As time has gone on I have always wondered if it was asbestos that I removed from the pipe. This was not a task I carried out frequently in my work so cannot think of any other times I may have come into contact with the asbestos. I worked as a plumber for approximately 2 years but I did not really get involved with older buildings. My main problem is that I am a hypochondriac and I recently saw a show on television where it said if you think you may have come across asbestos, speak to your general practitioner. So, I went to my GP and he advised that it would be considered a low risk encounter and people who suffer from mesothelioma are people who work with it day in and day out over many years. He said there was not any concern and that asbestos is in the air in small doses. I said I did not want to end up with mesothelioma and he advised that it was very rare and in his 30 years as a GP only one patient he knew had mesothelioma who worked in a ship building industry day in and day out. He said that even in a worst case situation it would not show up until I was in my 70s (I am just 30 years old now). The average latency period is around 40 years for mesothelioma. My visit did put my mind at rest but I still went for a second opinion and the private doctor advised me the same. As I had paid for a 25 minutes consultation she did give me a physical examination and said everything was normal. After checking my peak flow test in which I scored 660 and my blood oxygen saturation which was 98%, she said it was really good. She said everything was normal and not to worry. But again I find myself still worrying. Please advice. || Doctor: Hi Welcome to icliniq.com. I want to assure you not to worry as everything is looking normal to me. I have thoroughly gone through your case and can well understand your genuine concerns regarding asbestosis, mesothelioma and other risks you may be having being exposed to insulation a decade ago. You are 30 years old and there is no latent period for mesothelioma to come up like this. A person at very high continuous exposure of asbestos, may develop asbestosis after more than 20 years. Every asbestosis patient never gets malignant mesothelioma or lung carcinoma (it is same as not every hepatitis B patient gets hepatocellular carcinoma). Mesothelioma never comes as a first sign of disease. It first appears as many lung issues that go on for many years and with chronic asbestosis it may sometimes affect the patient. You are all safe and negative for any kind of lung issues. In my view, you are never a candidate of asbestosis or mesothelioma as the pipe insulations you had removed has been confirmed having no asbestos by your safety manager. Right now your lungs are all very fine and you did really great with the peak flow testing. Your blood oxygen saturation is very good being 98%.You were at a risk of less than 1% of developing asbestosis. If you were working in an industry like ship making or painting and you inhaled years and years of large amounts of asbestos on a continuous basis, you may develop asbestosis. Same is the case with other pneumoconiosis (occupational lung diseases) categories.If there had been any risks or damages done to the delicate parts of your lungs, you would have most probably been presented as: | patient: hello doctor, i had some concerns regarding asbestosis. approximately 10-11 years ago, i worked on a building site. i was asked to remove some insulation off a water pipe in an attic. at that time, i asked the site manager if the insulation was asbestos and he said it was not. i also took a sample of it back to the office and asked the health and safety manager and he also said it was not. as time has gone on i have always wondered if it was asbestos that i removed from the pipe. this was not a task i carried out frequently in my work so cannot think of any other times i may have come into contact with the asbestos. i worked as a plumber for approximately 2 years but i did not really get involved with older buildings. my main problem is that i am a hypochondriac and i recently saw a show on television where it said if you think you may have come across asbestos, speak to your general practitioner. so, i went to my gp and he advised that it would be considered a low risk encounter and people who suffer from mesothelioma are people who work with it day in and day out over many years. he said there was not any concern and that asbestos is in the air in small doses. i said i did not want to end up with mesothelioma and he advised that it was very rare and in his 30 years as a gp only one patient he knew had mesothelioma who worked in a ship building industry day in and day out. he said that even in a worst case situation it would not show up until i was in my 70s (i am just 30 years old now). the average latency period is around 40 years for mesothelioma. my visit did put my mind at rest but i still went for a second opinion and the private doctor advised me the same. as i had paid for a 25 minutes consultation she did give me a physical examination and said everything was normal. after checking my peak flow test in which i scored 660 and my blood oxygen saturation which was 98%, she said it was really good. she said everything was normal and not to worry. but again i find myself still worrying. please advice. || doctor: hi welcome to icliniq.com. i want to assure you not to worry as everything is looking normal to me. i have thoroughly gone through your case and can well understand your genuine concerns regarding asbestosis, mesothelioma and other risks you may be having being exposed to insulation a decade ago. you are 30 years old and there is no latent period for mesothelioma to come up like this. a person at very high continuous exposure of asbestos, may develop asbestosis after more than 20 years. every asbestosis patient never gets malignant mesothelioma or lung carcinoma (it is same as not every hepatitis b patient gets hepatocellular carcinoma). mesothelioma never comes as a first sign of disease. it first appears as many lung issues that go on for many years and with chronic asbestosis it may sometimes affect the patient. you are all safe and negative for any kind of lung issues. in my view, you are never a candidate of asbestosis or mesothelioma as the pipe insulations you had removed has been confirmed having no asbestos by your safety manager. right now your lungs are all very fine and you did really great with the peak flow testing. your blood oxygen saturation is very good being 98%.you were at a risk of less than 1% of developing asbestosis. if you were working in an industry like ship making or painting and you inhaled years and years of large amounts of asbestos on a continuous basis, you may develop asbestosis. same is the case with other pneumoconiosis (occupational lung diseases) categories.if there had been any risks or damages done to the delicate parts of your lungs, you would have most probably been presented as: |
9,796 | Q. How to lower my uric acid level? | Hi doctor, I am suffering from gout - podagra for the past 16 years. I cannot maintain a constant diet because every local doctor prescribes different. Have many wens around the body. My uric acid level is higher than normal (till 800). I am taking medicines named Colchicine and Diclofenac. From the last three months I cannot lower my uric acid level and even after every meal I am getting inflammation of the joints. Please help. | Hi. Revert back with the investigation reports to a rheumatologist online --> | Patient: Hi doctor, I am suffering from gout - podagra for the past 16 years. I cannot maintain a constant diet because every local doctor prescribes different. Have many wens around the body. My uric acid level is higher than normal (till 800). I am taking medicines named Colchicine and Diclofenac. From the last three months I cannot lower my uric acid level and even after every meal I am getting inflammation of the joints. Please help. || Doctor: Hi. Revert back with the investigation reports to a rheumatologist online --> | patient: hi doctor, i am suffering from gout - podagra for the past 16 years. i cannot maintain a constant diet because every local doctor prescribes different. have many wens around the body. my uric acid level is higher than normal (till 800). i am taking medicines named colchicine and diclofenac. from the last three months i cannot lower my uric acid level and even after every meal i am getting inflammation of the joints. please help. || doctor: hi. revert back with the investigation reports to a rheumatologist online --> |
9,797 | Q. Are night sweats and chills symptoms of PMS? | Hello doctor, My period typically lasts for 6-7 days and comes on time according to my period calculation for the past two years. It starts out with two to three days of somewhat heavy period then the rest of it is light spotting with no pain throughout the entire period. Maybe the first day might have minimal pain, but that rarely happens. I have never had irregular period or any odd menstruation issues. Three months back I got night sweat or chills for the first two nights of my period and it went away. Last month, during my periods again I had night sweats and chills for the first two nights. Before three months, I felt like my PMS body heat was increasingly hot. Three months ago my period was two days late and last month it was two days early. About myself: I am a single 27 year old, goes to the gym two to three times per week. I eat relatively healthy with minimal sugar intake and no soda or fast food. I get 6-7 hours of sleep per night. The only issue I have is mild lactose intolerance and acne where I have been using topical acne treatment (Aczone and Onexton gel). I used to take sleep aids over-the-counter for nights where I went to gym late. I normally have warm temperature. I was wondering if there is any concern for my night sweats and chills at night for the first two nights of my period for the past three months and increased PMS body heat. Please help. | Hello. Chills and night sweats are actually unusual symptoms of PMS (premenstrual syndrome). They have been seen in some women who experience a sudden Progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. Some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. So, the best treatment shall be to keep yourself well hydrated during these days. For further information consult an obstetrician and gynaecologist online --> | Patient: Hello doctor, My period typically lasts for 6-7 days and comes on time according to my period calculation for the past two years. It starts out with two to three days of somewhat heavy period then the rest of it is light spotting with no pain throughout the entire period. Maybe the first day might have minimal pain, but that rarely happens. I have never had irregular period or any odd menstruation issues. Three months back I got night sweat or chills for the first two nights of my period and it went away. Last month, during my periods again I had night sweats and chills for the first two nights. Before three months, I felt like my PMS body heat was increasingly hot. Three months ago my period was two days late and last month it was two days early. About myself: I am a single 27 year old, goes to the gym two to three times per week. I eat relatively healthy with minimal sugar intake and no soda or fast food. I get 6-7 hours of sleep per night. The only issue I have is mild lactose intolerance and acne where I have been using topical acne treatment (Aczone and Onexton gel). I used to take sleep aids over-the-counter for nights where I went to gym late. I normally have warm temperature. I was wondering if there is any concern for my night sweats and chills at night for the first two nights of my period for the past three months and increased PMS body heat. Please help. || Doctor: Hello. Chills and night sweats are actually unusual symptoms of PMS (premenstrual syndrome). They have been seen in some women who experience a sudden Progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. Some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. So, the best treatment shall be to keep yourself well hydrated during these days. For further information consult an obstetrician and gynaecologist online --> | patient: hello doctor, my period typically lasts for 6-7 days and comes on time according to my period calculation for the past two years. it starts out with two to three days of somewhat heavy period then the rest of it is light spotting with no pain throughout the entire period. maybe the first day might have minimal pain, but that rarely happens. i have never had irregular period or any odd menstruation issues. three months back i got night sweat or chills for the first two nights of my period and it went away. last month, during my periods again i had night sweats and chills for the first two nights. before three months, i felt like my pms body heat was increasingly hot. three months ago my period was two days late and last month it was two days early. about myself: i am a single 27 year old, goes to the gym two to three times per week. i eat relatively healthy with minimal sugar intake and no soda or fast food. i get 6-7 hours of sleep per night. the only issue i have is mild lactose intolerance and acne where i have been using topical acne treatment (aczone and onexton gel). i used to take sleep aids over-the-counter for nights where i went to gym late. i normally have warm temperature. i was wondering if there is any concern for my night sweats and chills at night for the first two nights of my period for the past three months and increased pms body heat. please help. || doctor: hello. chills and night sweats are actually unusual symptoms of pms (premenstrual syndrome). they have been seen in some women who experience a sudden progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. so, the best treatment shall be to keep yourself well hydrated during these days. for further information consult an obstetrician and gynaecologist online --> |
9,798 | Q. Is whole body PET scan required to check the spread of tongue cancer? | Hi doctor, My father is 65 years old and in excellent health. He is a diabetic and also has BP. But, his sugar levels and BP are very much in control. He is taking oral medication for both diabetes and BP. He is taking Telvas 20 mg for BP, Gluconorm for diabetes and taking thyroid medication for hypothyroidism (25 mg). He has been diagnosed with initial stage squamous cell carcinoma of the tongue. We first noticed symptoms around two months back, because of a blister on my father's tongue which did not heal despite of vitamin B complex medication and antibiotics. The medical oncologist we were referred to examined my father and said that it is in the very initial stage and it is highly unlikely to spread. Even if it has, at the maximum it would be in the lymph nodes near the tongue. We opted for a PET CT scan to be sure and the doctor prescribed only a head and neck scan. The scan results mentioned an SUV level of 5.3, suggesting malignancy on the tongue and an SUV level of 3.1 in level I, II and III lymph nodes, which the radiologist mentioned were non-specific. I would like to add that my father had a minor cold when the scan was done. Based on the scan results our doctor has suggested surgery to remove the cancerous portion of the tongue and the lymph nodes, though it is not clear whether they are affected or not. He also mentioned that after removal again the lymph nodes would be tested for malignancy. He underwent PET CT scan, serum creatinine, CBC and blood tests. My question is should we have to go for a full body scan instead of just the head and neck? With respect to the lymph nodes, is the SUV number suggestive of cancer? Or could it be higher because of the cold my father had? Thank you very much for your response in advance. | Hello. Tobacco use in the form of smoking or chewing tobacco and alcohol consumption are the most important risk factors. 1. Complete head and neck examination (mirror examination or fiberoptic examination if required after clinical examination). 2. Dental evaluation. 3. Biopsy of lesion. 4. Routine blood investigation, complete blood count, renal function test, blood sugar, liver function test and electrolyte study (Na+, K+, Cl-) should be performed. 5. Imaging chest x-ray posteroanterior view (PA view), ultrasonogram - USG abdomen and pelvis as routine investigation need to be carried out. 1. Cancer tongue. 2. Chronic inflammation condition (infection). Cancer of the tongue with secondary neck. If the disease involves anterior two-third of the tongue then it can be considered for surgery. Later treatment plan will be decided according to histopathology report. If the disease involves posterior one-third or base of the tongue then directly plan for concurrent chemoradiotherapy. 1. Stop smoking and avoid alcohol intake. 2. Maintaining oral hygiene is very important. 3. Proper diet and nutrition has to be taken. Revert back after all the investigations to a radiation oncologist online.---> | Patient: Hi doctor, My father is 65 years old and in excellent health. He is a diabetic and also has BP. But, his sugar levels and BP are very much in control. He is taking oral medication for both diabetes and BP. He is taking Telvas 20 mg for BP, Gluconorm for diabetes and taking thyroid medication for hypothyroidism (25 mg). He has been diagnosed with initial stage squamous cell carcinoma of the tongue. We first noticed symptoms around two months back, because of a blister on my father's tongue which did not heal despite of vitamin B complex medication and antibiotics. The medical oncologist we were referred to examined my father and said that it is in the very initial stage and it is highly unlikely to spread. Even if it has, at the maximum it would be in the lymph nodes near the tongue. We opted for a PET CT scan to be sure and the doctor prescribed only a head and neck scan. The scan results mentioned an SUV level of 5.3, suggesting malignancy on the tongue and an SUV level of 3.1 in level I, II and III lymph nodes, which the radiologist mentioned were non-specific. I would like to add that my father had a minor cold when the scan was done. Based on the scan results our doctor has suggested surgery to remove the cancerous portion of the tongue and the lymph nodes, though it is not clear whether they are affected or not. He also mentioned that after removal again the lymph nodes would be tested for malignancy. He underwent PET CT scan, serum creatinine, CBC and blood tests. My question is should we have to go for a full body scan instead of just the head and neck? With respect to the lymph nodes, is the SUV number suggestive of cancer? Or could it be higher because of the cold my father had? Thank you very much for your response in advance. || Doctor: Hello. Tobacco use in the form of smoking or chewing tobacco and alcohol consumption are the most important risk factors. 1. Complete head and neck examination (mirror examination or fiberoptic examination if required after clinical examination). 2. Dental evaluation. 3. Biopsy of lesion. 4. Routine blood investigation, complete blood count, renal function test, blood sugar, liver function test and electrolyte study (Na+, K+, Cl-) should be performed. 5. Imaging chest x-ray posteroanterior view (PA view), ultrasonogram - USG abdomen and pelvis as routine investigation need to be carried out. 1. Cancer tongue. 2. Chronic inflammation condition (infection). Cancer of the tongue with secondary neck. If the disease involves anterior two-third of the tongue then it can be considered for surgery. Later treatment plan will be decided according to histopathology report. If the disease involves posterior one-third or base of the tongue then directly plan for concurrent chemoradiotherapy. 1. Stop smoking and avoid alcohol intake. 2. Maintaining oral hygiene is very important. 3. Proper diet and nutrition has to be taken. Revert back after all the investigations to a radiation oncologist online.---> | patient: hi doctor, my father is 65 years old and in excellent health. he is a diabetic and also has bp. but, his sugar levels and bp are very much in control. he is taking oral medication for both diabetes and bp. he is taking telvas 20 mg for bp, gluconorm for diabetes and taking thyroid medication for hypothyroidism (25 mg). he has been diagnosed with initial stage squamous cell carcinoma of the tongue. we first noticed symptoms around two months back, because of a blister on my father's tongue which did not heal despite of vitamin b complex medication and antibiotics. the medical oncologist we were referred to examined my father and said that it is in the very initial stage and it is highly unlikely to spread. even if it has, at the maximum it would be in the lymph nodes near the tongue. we opted for a pet ct scan to be sure and the doctor prescribed only a head and neck scan. the scan results mentioned an suv level of 5.3, suggesting malignancy on the tongue and an suv level of 3.1 in level i, ii and iii lymph nodes, which the radiologist mentioned were non-specific. i would like to add that my father had a minor cold when the scan was done. based on the scan results our doctor has suggested surgery to remove the cancerous portion of the tongue and the lymph nodes, though it is not clear whether they are affected or not. he also mentioned that after removal again the lymph nodes would be tested for malignancy. he underwent pet ct scan, serum creatinine, cbc and blood tests. my question is should we have to go for a full body scan instead of just the head and neck? with respect to the lymph nodes, is the suv number suggestive of cancer? or could it be higher because of the cold my father had? thank you very much for your response in advance. || doctor: hello. tobacco use in the form of smoking or chewing tobacco and alcohol consumption are the most important risk factors. 1. complete head and neck examination (mirror examination or fiberoptic examination if required after clinical examination). 2. dental evaluation. 3. biopsy of lesion. 4. routine blood investigation, complete blood count, renal function test, blood sugar, liver function test and electrolyte study (na+, k+, cl-) should be performed. 5. imaging chest x-ray posteroanterior view (pa view), ultrasonogram - usg abdomen and pelvis as routine investigation need to be carried out. 1. cancer tongue. 2. chronic inflammation condition (infection). cancer of the tongue with secondary neck. if the disease involves anterior two-third of the tongue then it can be considered for surgery. later treatment plan will be decided according to histopathology report. if the disease involves posterior one-third or base of the tongue then directly plan for concurrent chemoradiotherapy. 1. stop smoking and avoid alcohol intake. 2. maintaining oral hygiene is very important. 3. proper diet and nutrition has to be taken. revert back after all the investigations to a radiation oncologist online.---> |
9,799 | Q. Why do I have severe breast pain after every ovulation? | Hi doctor, I am a 34 year old female, and my LMP was on 21st of last month. My periods usually last for five days, and I take Triolmezest 40 for hypertension. After every ovulation (10th day), I have severe breast pain till the periods start. I just have sore breasts and no other problems. I took Pyricontin, but no relief. | Hello. For more information consult an obstetrician and gynaecologist online --> | Patient: Hi doctor, I am a 34 year old female, and my LMP was on 21st of last month. My periods usually last for five days, and I take Triolmezest 40 for hypertension. After every ovulation (10th day), I have severe breast pain till the periods start. I just have sore breasts and no other problems. I took Pyricontin, but no relief. || Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> | patient: hi doctor, i am a 34 year old female, and my lmp was on 21st of last month. my periods usually last for five days, and i take triolmezest 40 for hypertension. after every ovulation (10th day), i have severe breast pain till the periods start. i just have sore breasts and no other problems. i took pyricontin, but no relief. || doctor: hello. for more information consult an obstetrician and gynaecologist online --> |
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