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Q. Though I take regular diet, I look very thin. Why? | Hello doctor, I am a 26-year-old male. My height is 5'9" and weight is 54 kg. I do not look healthy. I take a regular diet and meals thrice a day. I do not have any health problems like cough, fever, and pain. Actually, I want to put on my weight and develop my muscles because I look very thin. Could you suggest me any medicines or supplements for my better body growth? | Hi. Good to know that you are eating well. What about family history? Are your both parents or anyone parent is underweight? If it is familial, it is difficult to gain weight. You can try with any protein powders, Ensure is good for a supplement. Take it as mentioned in the bottle. Try to include some evening snacks. You can eat milk based sweets like rasagollas, milkshake, etc., prepared at home. Exercise every day to increase your metabolic rate. Simplest is brisk walking. Gradually increase your intake of food. Do the above-said things and get back to me after 10 days. Ensure two teaspoons daily with milk. Follow up after 10 days. |
Q. I am suffering from nausea, headache, and chest pain after having cold foods. Why? | Hello doctor, I am 28 years old. My weight is 55 kg. Whenever I am taking cold foods, I am suffering from nausea, headache, and chest pain. Kindly advice. | Hello. You feel those symptoms when you take cold foods, and so you may likely be having symptoms of common cold and malaria. The chest pain could be a symptom of an ulcer. There may also be fever, I presume. You can run a test for malaria (blood film) if it is positive then treat it. Tablet Artemether Lumefantrine 80/480 mg b.d (twice a day) for three days, tablet loratadine 10 mg b.d for five days, tablet vitamin C 2 t.d.s (thrice a day) for five days. Add tablet Rabeprazole 20 mg b.d in case of ulcer. |
Q. How to differentiate symptoms of testicular cancer from varicocele? | Hello doctor, What are the difference in symptoms in testicular cancer and a varicocele? | Hello. Testicular cancer will have painless testicular lump, swelling of scrotum, swollen lymph nodes, or weight loss. Varicocele will have infertility dragging testicular pain, lump or swelling above testis in spermatic cord. Best to differentiate between two is ultrasound scrotum. |
Q. My partner came all over me on top of my vagina without protection. What are the chances of conceiving? | Hello doctor,My baby is 3 months old. Last night my husband and I did not have intercourse, but he came all over me on top of my vagina without any protection. Any chances that it will make me pregnant? I am very scared. Please advice. | Hello, Welcome to the icliniq.com. Full penetrative intercourse has a high chance of pregnancy, but nonpenetrative contact of genital with vagina also has some risk of pregnancy because of contact of precum fluid from the penis to vagina. So you have less chance of pregnancy but wait for the next period. If the next period delayed for a week than rule out pregnancy by urine hCG (human chorionic gonadotropin) card test. If you want to exclude early than after three weeks of last menstrual period (LMP) investigate with blood hCG test. Get back with more query if you still have doubt. I hope this will help you. |
Q. Chemotherapy sessions for breast cancer has been increased to 12. Why? | Hello doctor,My mother is suffering from breast cancer, and her treatment is going on. We have already done four chemotherapy with a gap of 21 days, but now instead the surgery doctor advised us to take 12 chemotherapy weekly. Please let me know the treatment that is going on is right or wrong? | Hello. It is called neoadjuvant chemotherapy. So with chemotherapy, the size of the tumor is reduced significantly to make breast tumor operable. She has completed four cycles every 21 days, and now they will start the second phase of weekly chemotherapy (a new drug) for 12 weeks as per international recommendations. After completion of the second phase, chemotherapy she will be restaged before surgery. It would be better if you would have attached CT scan, pathology (biopsy) reports also. |
Q. I have a bump on my jaws and my teeth seem to be shifting. Do I require a surgery? | Hello doctor,Back of my jaw has a bump, and my teeth seem to be shifting. Do I need jaw surgery to fix my open bite? Kindly advice. | Hello doctor, The bump developed seems to be on your cheeks from the photo you shared (attachment removed to protect patient identity). Also, your lower second molars are erupting now, so the pain can be due to the eruption of that tooth. Even due to new tooth eruption, you may bite your cheek while talking or chewing. Please be cautious not to bite your cheeks and automatically the bump will vanish. From your BMI (body mass index) and weight, I suggest the bump may be your buccal pad of fat gets like bump due to some trauma. Once your tooth erupts, your problem will be fine. Follow rinsing your mouth with salt water twice daily. Your inflammation will subside. Let us wait and watch for 10 days. If the problem continues after 10 days, write to us again or consult your nearest dentist. |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. Ramipril is causing dry cough and my doctor replaced it with Amlovas. Is it safe drug? | Hello doctor, I am a 54-year-old hypertension patient and in control with medicines Ramipril 10 mg, Natrilix 2.5 suspense release and Rosuvastatin 10 mg. Ramipril was causing dry cough and was nanaging until recently. But now cough becomes very sensitive due to current COVID 19 situation and so visited another clinic for an opinion and the doctor changed to Concor 5mg and Amaasc 5 mg at least for three months until the current situation improves as constant cough due to Ramipril concerns me and others as well. | Hi. I read and understand that your concern is about the side effects of the newly prescribed drugs. Reduction of sexual drive is one of the side effects of beta-blocker group of drugs. Concor contains Bisoprolol which is a cardioselective beta-blocker. The systemic side effects of cardioselective beta-blockers are less compared to the general beta-blockers. So the effect of Concor on the sexual drive would not be that significant to affect your usual life. And the combination prescribed is safe to take. There are no significant drug-drug interactions between these group of drugs. |
Q. Velocity E is 84. 2 cm/s, and the MVA max velocity is 133. 5 cm/s. What does it indicate? | Hello doctor, I was diagnosed with diastolic dysfunction. The report says velocity E is 84.2 cm/s, and the MVA max velocity is 133.5 cm/s. What does this mean? | Hello. Diastolic dysfunction means there is dysfunction in cardiac relaxation. This is not a worrisome thing and quite common in elders, overweight and patients with hypertension, and other diseases which must have been ruled out on echo and ECG. However, this may cause symptoms like shortness of breath, pedal edema, etc. Needs to have a low salt diet and low dose diuretics like Torsemide for shortness of breath. I Hope this helps you and get back if you have any doubts. |
Q. Please provide some information about factor V Leiden. | Hello doctor,My daughter is 17 years old, and she is on Xarelto for four months. Her liver enzymes have gone up. Although it is normal but has increased from the level before drug. Her AST is 43, and the range is up to 31. She is on bcp and has factor V Leiden. This is why her doctor put her on Xarelto. | Hello, Welcome to the icliniq.com. At this moment I am giving you further information regarding your daughter condition. She has factor V Leiden mutation, which is a congenital cause of thrombosis. So Xarelto (Rivaroxaban) like good anticoagulant drug prescribed to her should be continued. AST (aspartate aminotransferase ) normal range is usually up to 40 in most of the laboratory. Her AST levels are not alarmingly raised. Sometimes the mild viral temporary infection can lead to high AST. If it is raised much than further workup needed otherwise not. Repeat AST after few days. I hope the provided information will help you. Get back with more query whenever required. |
Q. I am suffering from pain in lower abdomen, penis and testicles. Kindly advice. | Hello doctor, I have pain in lower abdomen, penis, and testicles. Please advice. | Hello. Pain in lower abdomen and testes can be due to multiple causes ranging from urinary tract infection, infection of testes, varicocele, or some stone problem in ureter and kidney. You will need a few investigations to see for the cause then only treatment can be advised. You will require sonography of abdomen and testes, microscopic urine test, and renal function test. Depending on the report of this test, we can determine the cause and advice further. If pain is too severe, you can visit a urologist for physical examination. Sonography of abdomen, pelvis and scrotum,with colour Doppler testes, urine microscopic test, and renal function test. Epididymo Orchitis, urinary tract infection, varicocele, and intermittent torsion. Follow-up with reports. |
Q. Will removal of kidney stone improve GFR? | Hi doctor, I am a 26 year old female. I have had a kidney stone in my right kidney for around eight months and now it is relatively large 22 mm. I have attached my report for your reference. I am suffering from recurrent kidney infections in the past couple years and had a stone in my left kidney when I was 15. I have attached my latest blood, urine and CT reports. I am concerned that I have CKD stage 1 from the GFR I calculated using the parameters in these reports. Could you please advise me on this? In general, does GFR improve after a stone is removed through lithotripsy or PCNL? I am scheduled for a lithotripsy in a week. Any information regarding if you think I have CKD and what prognosis will be very helpful? | Hi. I saw all your reports and your clinical details (attachment removed to protect patient identity). Your tendency for recurrent stone formation which needs to be evaluated. You need not to worry about eGFR (estimated glomerular filtration rate) currently as creatinine is normal. Removal of stone will mostly increase GFR. Most importantly after your lithotripsy please send the stone fragments which comes in urine for stone analysis. From that we will have a clear idea how to prevent their recurrence. Secondly, some general measures which include drink at least 3-4 liters of water and restrict salt in your diet up to 2 g in total. Do not take any calcium supplements and restrict or possibly avoid animal protein that is non-vegetarian food for some years. Take lots of water particularly in evening so that you at least wake up twice in night to pass urine. These all are general measures which really worked for many of my patients for future stone prevention. Do some blood tests like serum calcium, phosphorus, uric acid, bicarbonate and magnesium from any reliable laboratory and send for review. Revert back with the laboratory reports to a nephrologist online --> |
Q. How can I distinguish that I was bitten by a bat or not? | Hello doctor, I think I was bitten by a bat, so I wanted to know how to know that if I was really bitten by a bat. I did not felt anything at that time but some itching after that. I am not sure that I was bitten by a bat, so I wanted to know how do we feel when bitten by a bat. Also I saw that the thing which landed on my neck was small but had small wings that looked like a bat. I was asking ways to distinguish that I was bitten by a bat or not. | Hello. If a bat bite there will be bite marks, usually superficial. 1)Early symptoms are fever, headache, and general malaise. 2) If the disease progresses, there will be neurological symptoms such as insomnia, anxiety, confusion, agitation, difficulty in swallowing, hallucinations, excessive salivation, paralysis, hydrophobia (fear of water), or agitated behavior. If you still have doubt better go for vaccination ARV (anti-rabies vaccine). |
Q. How accurate is CMIA test? | Hi doctor,I had one sexual incidence. After 175 and 180 days, I got tested with CMIA technique. Please check my reports and suggest whether these are conclusively negative. How accurate is CMIA test? | Hello. For further information consult a pathologist online --> |
Q. Can PCOS cause vaginal dryness? | Hello doctor, I am a 30 year old female. I have history of PCOS and hypothyroid from last year. I also have a history of swollen pituitary gland, but it is normal now. I am only taking a 100 mcg pill for thyroid. My problem is that whenever I indulge in sex with my boyfriend, we are able to have intercourse very rarely as I am unable to produce sufficient lubrication in my vagina for intercourse. I get excited when we spend a lot of time on foreplay and I am not scared of intercourse. I actually love to have intercourse with him, but mostly I do not feel myself sufficiently wet to have intercourse and feel pain while having intercourse. What should I do? | Hi. Although there are multiple reasons for vaginal dryness, the most common among them is deficiency of estrogen, a female hormone. This is possible in your case due to presence of polycystic ovary syndrome (PCOS) which alters the hormonal profile. I will recommend two things which may help you. Firstly, use the topical Estrogen. It is available in the form of gel, ring or cream. As per your convenience you can use either cream or gel and the use of ring requires assistance of doctor. The second thing is stress management. Stress is one of the common reasons for causing decreased vaginal lubrication. Although, there is long list of do's and donot's; principally speaking healthy diet, regular exercise, avoidance of substance abuse, plenty of fluid intake helps most individuals. For further clarifications consult a sexologist online --> |
Q. Kindly suggest the management of acne breakouts on my cheeks, neck and ear. | Hello doctor,I am 40 years old. I have major adult acne breakouts mainly on my cheeks, neck, and under my ear. I am dark complexioned, so when it does clear, it leaves scarring and dark spots. The last dermatologist I consulted suggested birth control. Could please give some suggestions? | Hello. I saw your pictures (attachment removed to protect patient identity). I can see pus-filled acne along with post acne pigmentation. Start using Azithromycin 500mg of any brand for six consecutive days after breakfast. Apply Epiduo gel once daily bedtime for a short contact period of 30 minutes then rinses off with cool water. Start biluma cream once daily in the morning on the spots. Avoid all sorts of dairy products bedtime and prefer carrots and spinach along with few soaked almonds. Have reviews about salicylic acid peeling and plan for three sessions accordingly. I hope this will help you. |
Q. Is it advisable to get RCT done in a child? | Hello doctor, My 2.5 years old daughter had a fall around 6 to 7 months back and one of her front teeth was chipped. At that time, it looked fine and till now, she had no pain or any sensitivity issues in eating. But off late, the color of the chipped tooth has turned green. We consulted two dentists, first one was a specialist in child dentistry and recommended an RCT treatment wherein a chemical will be placed to cure the infection. He said that the discoloration will increase with time and this baby tooth might fall off much earlier (in 4 to 5 years) than the expected time (6 to 8 years). The other dentist recommended to observe for six months and see if any rash or boil is developed above the gums and any kind of pain is experienced. He also said that such a tooth might fall off before time. We are confused as to what we should do? If RCT is the way out then we would prefer to get it done before she starts with her formal schooling at 3. But we are mainly concerned if she could endure such a treatment as she is very small. Please provide suggestion. I have attached a photo of the X-ray. | Hi. I got your chief complaint and opinions of two dentists. As far age is concerned, your daughter still is in need of these teeth as permanent teeth take time to erupt, by 6 to 7 years they will erupt. Till then, healthy front teeth are important otherwise she will develop irregular teeth later. As tooth has changed color so it is better to act on the suggestions of pedodontist and go for pulpectomy or RCT. It will keep the tooth intact and prevent formation of any cyst later. There is nothing wrong with it and there are modern gadgets to do the procedure, she will not feel any kind of pain during the procedure. If you leave it as such, it will weaken with time and may later contribute to huge financial burden to treat irregular teeth. |
Q. My urine and blood tests are negative after taking Nucynta. Why? | Hello doctor, I am a 28-year-old female. I have been on Nucynta for over a year. I take Nucynta ER 50 mg BID and Nucynta IR 50 mg once a day. For the last two months, my urine tests (immunoassay and lab testing) have come back negative. Two weeks ago a blood test was done and it was also negative. I religiously take these medicines as prescribed by my pain management doctor. Due to these negatives he is now refusing to prescribe any oral medications (including my Flexeril, Gabapentin, and oral Ketamine). I understand his need to be able to prove to Nucynta in my system but he is also refusing to try anything else. I am a walking genetic defect. I also have known pharmacogenetic and pharmacokinetic issues. I also have EDS, CRPS, POTS, MCAS, gastroparesis (severe enough that EGD showed food in my stomach 18 hours after last eating), endometriosis. Could any of this be causing the problem? Could any of the medicines I take be causing the problem? My medicines are Lopressor, Trazadone, Fetzima, Zyrtec, Ketamine, Magnesium Citrate pills, Melatonin, Gabapentin, Flexeril, Nucynta, Junel Fe. What suggestions do you have? Is there any research to help me? | Hi. Nucynta is an opioid analgesic, that has high first-pass metabolism when administered orally. It means only 32 % of orally administered dose reaches blood. After it produces its effect, 97 % gets metabolized in gastrointestine and liver and gets excreted out from body through urine. In your case, you have delayed (slow) intestinal movements, hence the drug may get faster metabolism and faster excretion than a normal individual. Hence, I think it is not detectable in blood or urine. Another possibility is very less amount of drug reaches your blood (less than 32 %) due to intestinal absorption issues. The half-life of this drug is four hours in healthy individual. It means, after oral administration, 32 % drug reaches the blood within 3 to 4 hours. If I draw the blood after four hours of oral administration, the amount showing in blood is expected to be 16 % (50 % of drug gets excreted by four hours). It is in a normal person. In your case, when to draw blood is the question. So, individualistic reasearch could be done for you with special care. |
Q. After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm? | Hi doctor, I was lying on my stomach for about 20 minutes. When I moved to a seated position, I get the most intense painful headache of my life. It was in both my temples and lasted about a minute. Should I worry it is a brain aneurysm? | Hi. This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them. Is this first ever headache of this kind? Was there nausea, vomiting, and dizziness? Was there any blurring of vision? Are the temples painful on touching? Is there any weakness in limbs or double vision? |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. Why is there a discomfort in my gums where the wisdom tooth is piercing them? | Hi doctor, My wisdom tooth is coming in. I have discomfort in my gums where the tooth is piercing them. I am having pain when I open my jaw and swallow. My throat is a bit red. I have swollen glands under my neck on the side where the tooth is coming in. Do I need medical attention? | Hi. It is a case of pericoronitis and due to that, you have all those symptoms. Yes, you need medical attention. Right now take these medicines: Amoxycillin Clavulanic acid 625 mg three times daily for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg and Serratidopeptidase 15 mg or Zerodol SP twice daily for five days but in case you relieve from pain you can stop its use after third day. Capsule Pantoprazole 40 mg once daily for five days. You also try salt gargles thrice in a day and maintain good oral hygiene. In a few days, you will relieve, however in case there is no relief then let me know, you may require radiograph and other surgical procedures. |
Q. I am unable to cure my migraine. Please help with the treatment. | Hello doctor, I am a 20-year-old female. My height is 163 cm and weight 63 kg. I have a migraine, and I have consulted many doctors, but I am unable to cure it. Please help. | Hello. Migraine is a chronic illness and can not be cured completely but changing the lifestyle do help a lot to alleviate the problem to a great extent. You can use pain aborting medication like Ponstan 1 gram (Mefenamic acid) at times of severe pain, and if you have nausea preceding it, you can also take Domperidone 10 mg. You can maintain a pain diary and reduce stress as well as a good sleep pattern and avoid excessive usage of electronic gadgets. Long term prophylaxis depends upon the recurrence of symptoms despite the above measures. |
Q. Are Decdan and Practin good drugs for weight gain? | Hello doctor, Can I take tablet Decdan and Practin for weight gain? | Hello. Decdan (Dexamethasone) is a steroid and has a lot of negative side effect as such. It may cause you a disproportionate and inappropriate fat deposition in the abdomen, face, on the upper back, and you would not like your shape. And besides the bad shape, you may start having high blood pressure, a heart condition, can predispose you to diabetes later. It can also lead to adrenal gland suppression by which the corticosteroid hormones will impair the natural hormone produced by your body, leading to adrenal failures. If you want to gain weight, you can increase your meal to mostly carbohydrate and fatty meals, increase the frequency of your meal. You can take Cyproheptadine tablet 4 mg in morning and night. It will increase your appetite and cause you to eat more, sleep more, and you gradually gain weight more proportionately. |
Q. I got scratched by a nail of the dog. What should I do? | Hello doctor,I was scratched by a nail of the dog a week back. Do I need to do anything for that? The dog died today, probably due to some other reason, and the dog was not vaccinated. | Hello. Are you sure the dog scratched by nail or teeth? Is any open wound or bleeding present at the time? Did the dog die due to rabies or any other cause? So many questions there. Better get ARV vaccination (anti-rabies vaccine). Since dog died, the reason not known take human rabies immune globulin (HRIG) administered only once first, if you are previously unvaccinated. Then take ARV prophylaxis. |
Q. My penis is paining on retraction with some red dots on the tip. What to do? | Hello doctor, I had been suffering from this problem from last one week, as I retract my penis outer wall, it is paining and slightly swollen, also the tip of the penis has red small colour dots on it and it is scratchy and painful. So please recommend for necessary action. | Hi. It is looking like candidal balanitis. Please take the following medications and revert back to me in seven days. Tablet Intawin 200 mg daily for 10 days, Canestan lotion, apply twice daily, tablet Teczin M once daily. |
Q. I have pimples on my penis for the past several years with no pain. Please help. | Hi doctor, I have pimples on my penis, I do not feel any pain when I touch. I just want them to dissappear. I am having this for the past many months, I was feeling shame to consult, but now I do not want to take risk. Please help. | Hi. I can understand your concern. According to your statement you have been suffering from pimples on your penis for the past few months. Pimples can develop on the penis as they are common elsewhere on the body. Pimples are resulted from blockage of the sebaceous gland of the skin due to excess sebum or debris or dead skin. Sebaceous glands excess secretion of oil (sebum) can develop pimples. For the prevention of pimples, you should avoid excess sweat-producing activities, wear loose clothes for preventing them from frictions, take bath regularly, and do not rub your affected area. You can use topical retiniods, salicylic acid, benzoyl peroxide, etc. Without any medications they are also disappeared with passing of time by keeping personal hygiene strictly. |
Q. I have itching and a pimple-like stuff that is bleeding a little in my scrotum. What could it be? | Hello doctor,I am a 29-year-old male. I recently realized that my scrotum is itching and there is pimple-like stuff that is bleeding a little. There are reddish black spots on my scrotum, but it is not the area that bleeds. The area that bleeds looks like a ring-cut. | Hello. I understand your concern. The black, reddish papules may be angiokeratoma which bleeds when you scratch that, but that is not the cause of itching as such. I am prescribing you medications for itching and ring-shaped erosions. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Tablet Fexofenadine 180 mg twice a day. 2. Tablet Ivermectin 12 mg today and after a week. 3. Cream Flutibact (Fluticasone Propionate, Mupirocin) cream twice a day for a week. |
Q. I am having pain after inguinal hernia and hydocele operation. Please help. | Hi doctor, After suffering with groin pain, I had a double operation 12 weeks ago. During the operation, I had a repair of left side inguinal hernia and right hand hydrocele. I am now in more pain than I was before the operation. My testicle thorns with pain constantly and I have stabbing pain on hernia side. It feels like someone is sticking a bottle in me. I am struggling to walk very far, climb stairs and drive. I am unable to have a sex life. Is it normal to do both operations at the same time? Can you explain any possible cause for pain? | Hi. Well, ideally if you have bilateral inguinal hernia, or inguinaĺ hernia on one side and hydrocele on the other, the surgery should be done for one first before the other, not simultaneously so that when you are fully recovered of one, then the other can be planned and done. Pain can be due to entrapment of a nerve like ileoinguinal or ileohypogastric nerves which run with the spermatic cords or it could be also present if there is improper repair with subsequent breakdown of the repair and subsequent herniation of the bowel content into the inguinal ring or it can be from infection of the operation site. 12 weeks is quite a long time for surgical pains to have disappeared. You will need to do an abdominal pelvic ultrasound scan to see if there is any reccurence or failure of the surgery or if there is entrapment of visceral content. |
Q. Can my cholesterol increase again if I miss Lipitor? | Hi doctor, I have lost my prescription for Lipitor and have been taking it for four days. I will get it tomorrow. I am on 10 mg a day. I am worried, will my cholesterol go up in that time since I am not taking it? | Hi. The half life of Lipitor (Atorvastatin) is 14 hours in humans (meaning drug is eliminated in about 14 hours). The main effect of Lipitor is to block the buildup and making of cholesterol in body. It does the job together with the help of other active ingredients and its effect on cholesterol synthesis is maintained in the body for about 20 to 30 hours. In this situation, it does not seem an issue if you just missed a dose or so. Do not worry about it. But start taking medication as soon as you get it back. |
Q. My anal yeast infection disappears away with cream but comes back when I run out. Kindly advice. | Hello doctor,I am looking to get a prescription for Clotrimazole-Betamethasone. I currently have one, but I am almost out. I have been dealing with anal yeast for around 10 years. Now it goes away with the cream but comes back when I run out. I do not wish to see any more doctors. | Hello. I presume that this recurrent anal yeast infection is candidiasis, and you have been using a topical mixture of antifungal and corticosteroid cream over it. Have you checked for immune statuses like HIV, and blood sugar level to rule out diabetes? Then if you have been using a steroid medicine for a very long time, that can also depress your immunity. If all these tests have been done and are negative, and you are not on prolonged use of the steroid, then I will prescribe an enteral antifungal together with the topical cream. Get Fluconazole tablet 200 mg daily for two weeks that will kill the candida from inside. You may also continue your Clotrimazole-Betamethasone cream till the yeast disappears. I want you to run a test for HIV and blood sugar. |
Q. Kindly suggest medications for massive stress and pain in the neck and shoulder area. | Hello doctor,I have been suffering from massive stress for the past 34 months. I have severe pain in neck and shoulder area. My head is tight, and stress levels fluctuate, racing my thoughts and giving me sleepless nights. Please suggest me medication that will help me flush all my stress and pain. I was earlier diagnosed with a generalized anxiety disorder. | Hello. I can understand your problem. Anxiety might be one of the main contributory factors for the symptoms you have. Racing thoughts, heaviness in the head, pain in neck and shoulder, excessive stress along with sleeplessness, etc., could be because of anxiety. If you have impairment in functioning, then please visit a psychiatrist for evaluation. Drugs like SSRIs (selective serotonin reuptake inhibitor) can help you in coming out of stress. Escitalopram or Sertraline or Paroxetine can be used. These drugs if used, regularly contributes in reducing the symptoms of anxiety, depression, and even the pain. The thoughts will be under control when you start taking the medicines. Kindly visit a psychiatrist for the prescription. Remain relaxed, and you will be alright. The blood test report you have attached shows nothing abnormal (attachment removed to protect patient identity). |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. I have dark spots on my cheeks close to eyes on both sides. What could it be? | Hello doctor, I am a 59-year-old male. I have dark spots on my cheeks close to eyes on both sides identical. I would like to have medical advice on this problem which I am having for more than three years. I am currently taking Obimet SR 500, Glimisave M1, Pivasta 2 mg, Pinom 40 mg, and Clopilet 75 mg. | Hello. Please send two to three clear pictures of the affected area for better evaluation and guidance. Do you have any symptoms (itching / burning) over this area? |
Q. Can someone get ADHD in their teenage years? | Hello doctor, I am a 16-year-old male. I am concerned about my mental health. I have symptoms of ADHD like fidgeting, restlessness, being very talkative, losing focus or attention, but I am very extroverted, and my academic ratings are good. Does someone get ADHD in their teenage years? And am I one of those people? | Hello. ADHD (attention-deficit hyperactivity disorder) is a developmental condition which is noticeable since early childhood. Symptoms like hyperactivity, impulsivity, inattention will be present before the age of 12 years. Parents and teacher would have commented about it even in nursery and early primary school years. It is unlikely for someone to develop to ADHD in teenage years without having any symptoms before. Other causes like anxiety, too much stress and pressure, family, and social problems need to be ruled out. Also, important criteria for diagnosis is functional impairment like you may not be able to do well in academics and not able to achieve your potential. But you report doing well. So ADHD looks less likely. If you have any other concerns, discuss with your parents and family and consult your doctor. |
Q. I am obese and my period flow is not proper. How to reduce my weight? | Hello doctor,I am 17 years old, and my weight is 98 kg. I am obese, and I need to lose weight. I feel lazy, sluggish, and sleepy all the time. I am on the second day of my period, and the flow is not proper. Kindly advice. | Hello. Your history prompts me to go through further questions. Do you have a regular menstrual cycle? Any hair growth on the face, arms which is unusual than before? Scanty periods can mean oligomenorrhea (the medical term for decreased blood flow). Weight gain, hair growth, and oligomenorrhea are typical symptoms of a condition called PCOD (polycystic ovarian syndrome) which happens in girls, and multiple cysts are present in ovaries, and this leads to these symptoms. Sugar level also gets high due to this. So I would suggest getting blood glucose level fasting done, and ultrasound abdominal to see ovaries as it is confirmed whether you have it or not as it leads to treatment strategy. Cysts in ovaries, and oily food consumption. Blood glucose, abdominal ultrasound. Metabolic syndrome. Polycystic ovarian syndrome. After getting the reports. Avoid oily food. |
Q. Are hand trembling, chest pain,choking feeling and light-headedness symptoms of panic attack? | Hello doctor,I think I have a panic attack or panic disorder because I experience hand trembling, chest pain, feeling choking, light-headed, difficult to breathe, numbness, nausea, a sudden fear of death, sometimes fainted, and tightness in my throat but my parents do not believe me. I am sick, and they do not want to bring me to the psychiatrist because they do not believe me. | Hello. You are right, these are panic symptoms. You can get yourself checked for a thyroid function test and a clinical examination from a doctor nearby to find out if there is some other reason for these episodes, which can happen in thyroid problems. If your doctor finds your tests and examinations are normal, then you can show this as proof to your parents and seek help from a psychiatrist for these anxiety symptoms. It may take some time but let us hope they listen to you. If not, you have a right to get yourself treated for your discomfort. |
Q. A 5-year-old child has stomach ache around the navel area from time to time? | Hello doctor, My 5 year old daughter has stomach aches around the navel area that happens from time to time. It lasts a few minutes each time and goes away. Abdominal X-ray and ultrasound were done and has not found any abnormalities or umbilical hernia. Stomach pain starts while eating or drinking and also at random times. Other symptoms including the passing of stools about four to five times a day, including while having a meal. A most recent development within the last week has had several accidents and says she did not feel it coming. This is not normal for her. No other emotional distress could be a reason. | Hello. I suspect three things, it is just assumption based on history. 1. Stomach ulcer, as she had pain after food and water. 2. Worm infection, need to have a look after food. 3. If non of the above, must be ruled out by investigations. Then it is called functional abdominal pain. I advise you to visit a specialist. She might require one-week antibiotics and if symptoms not settled, then endoscopy also. But the best part is to visit the pediatrician. So he can evaluate her in detail and examine her. Meanwhile, you can give symptomatic treatment. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. |
Q. I am suffering from severe stomach pain after having medications for headache. Kindly advice. | Hello doctor, I had a constant headache for two days then I visited a close-by pharmacy and I was asked to treat malaria. I was given Metherine Forte tablets (Artemether 80 mg and Lumefantrine 480 mg tablets) and two cards of Paucofenacmol Caplets. Two days after taking the drugs as prescribed by the pharmacist, I started having some stomach bites, serious ones which tended to go down after I eat. It made me eat often. I went back to the pharmacy and was given worm drugs Tindex 500 (Tinidazole Tablets 500 mg) and Wormplan (Albendazole tablets 400 mg). I took those worm drugs in the morning today, yet my stomach pains are still severe. | Hello. You have a persistent headache in the frontal part of your head. Was there fever, chills, and rigor, were you feeling like vomiting, after taking those drugs prescribed for you? Did your headache subside? The medicines given at the pharmacy are fine for malaria, but it may not have been malaria, but it could be Salmonella typhi infection, which causes typhoid fever. Worm medicine is fine in the case. I will advise you to go to a lab and do blood film for malaria parasite, do Widal test and stool microscopy culture and sensitivity. If there is salmonella infection E coli or any enterobacteria infection, the stool MCS will detect it. If there is worm infestation such as hookworm or tapeworm, it will also pick it in microscopy. You can take tablet Buscopan (hyoscine butylbromide) 10 mg thrice daily. Then get tablet Ciprofloxacin 500 mg bd (twice daily) take them for five days. You can add tablet Rabeprazole 20 mg bd in case if there is any peptic ulcer since the description of the pain and the location in your abdomen was not very precise. Enteric fever. Malaria. Intestinal spasm. PUD(peptic ulcer disease) |
Q. My sciatica is heavy after a minor herniated disc L4 or L5. Why? | Hello, I had a minor herniated disc L4 or L5 last year. (MRI confirmed nerve pinch, but no broken disc or liquid leaks) With heavy pain, I was hospitalized, but recovered within two weeks. With Ibuprofen and muscle relaxants, I was able to walk and function pretty normally. Sciatica (leg nerve pain) came and go during the time now and when I was in the hospital last year. Right now, I am experiencing almost no back pain, but the sciatica is heavy. Mostly on the back of my left upper leg, down till the end of the knee. I am doing stretching exercises, belly position, upper body up, or on the back, leg stretches towards the torso, plank training, etc. But I still have to sit a lot due to my job. I tried a standing desk, which resulted in feet pain and also more sciatia. Though I am sitting straight, the fascinating thing is that heat and cold are influencing sciatica. As long as I apply heat to the leg (not the lower back), the pain disappears instantly to an almost level of no pain. A bit of cold and the pain becomes very heavy immediately as well. Can there be an underlining other issue causing it? | Hello. As it is a year old injury now I will suggest doing some physical test like McKenzie maneuver to see if the radiating symptoms stops and the pain gets centralize to the lower back. The McKenzie maneuver is simple, and you can read about it and practice it. Now I think there is still a muscle weakness which is leading to nerve root entrapment like the lateral spinal muscles, paraspinal muscles, hip muscles, etc. I advice to not use cold therapy as it is aggravating the pain symptoms. Do proper exercise which will regain the strength in the muscles and avoid nerve root entrapment. In most cases, the pain is caused due to more of the muscle weakness, and it is common in most cases to have received the symptoms back. Doing proper exercise with proper guidance can resolve the matter. |
Q. Which fruits are safe to have to protect self from Nipah virus? | Hello doctor, Just for precaution which fruits are safe to have to protect self from Nipah virus? Coconut water and citrus limetta, are safe to take? What to eat to detect Nipah virus? I heard there is a homeopathy medicine already invented to combat that virus? Is that true? Gelsemium 200 is the name? I have no symptoms and fit and fine. Just asking for precaution | Hello. To prevent Nipah virus, maintain good hygiene procedures like frequent hand washing and cooking food properly before using is the best procedure. It is a brain damaging virus spreading through vertebrate animals to humans and also human to human. Prevention: This virus also shows meningitis symptoms. Homeopathic medicines for prevention: To detect the virus ELISA and PCR tests are useful. Symptoms of a headache, fever, nausea, fainting. In severe cases drowsiness and disorientation, and coma. In some cases blurred vision, vomiting, choking, fatigue and abdominal pain. According to symptoms, we can give Gelsemium and Eup per also can be given. For more information consult a homeopathy physician online --> |
Q. How to know whether I am going to ovulate in this cycle or not? | Hello doctor, I am 28 years old. I had my last period before two weeks. I have PCOS, and the doctor asked me to take Letrozole (3 to 7) 2.5 mg, Clomid (5 to 9) 50 mg, Estradiol 6mg per day (8 to 12) and Metformin 1000 mg daily. I got a positive ovulation test on the 14th day of my cycle, and I went for an ultrasound, and my doctor said I am not ovulating now, so I wanted to know if I am going to ovulate in this cycle or not. | Hello. It would be helpful if you can share the pictures of the ultrasound you have undergone and also the report which mentions the endometrial thickness on day 14 of your scan. |
Q. Is it fine to take Coenzyme Q10 and Ashwagandha on the same day? | Hello doctor, Can I take Coenzyme Q10 and Ashwagandha on the same day? | Hello. Coenzyme Q10 had a specific benefit. Ashwagandha is a herbal supplement with multiple actions on various biochemical and metabolic pathways. From pharmacology, Naturopathy, and Integrative Medicine perspective, I can suggest taking both the medicine together. But I suggest you have a gap of one hour between these two supplements. While consuming Ashwagandha, please drink a cup of milk or honey and water, which gives more benefit according to Ayurveda. |
Q. I can see white substance globbed together on my stools after having greasy foods. Please advice. | Hello doctor,After eating greasy food, the following day, I pass stool and floating on the top is a transparent white substance globbed together, my stool is not formed usually and is mostly short segments. I often go about four to five times a day, and sometimes less. I am not on any medication. | Hello. It does not look like an infection to me. Could be due to some undigested food material. However, you have mentioned that a few tests have been performed. I would like to see the report before I comment further. |
Q. Painful boil occurred at the site of pilonidal surgery. Is this recurrence of the same? | Hello doctor, I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well. | Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days. |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. What do to when eye was swollen following a hit? | Hello doctor,I got a ball hitted on my eye so my eye got swelling, redness and pain and also my vision is lightly blur. So kindly tell what I should do? | Hello. This is a widespread scenario among children. The pain and swelling around your eyes will disappear. I recommend that you use ice packs to help faster recovery. The vision will likely improve in case you have any watering. This will happen spontaneously. I recommend that you see an ophthalmologist in case of no improvement in symptoms in a day or two. Redness, swelling, and pain can also occur due to a fracture of the orbital and facial bones. These will need repair to heal. Blurred vision can be due to various causes after injury. The most important and dangerous of these is retinal detachment and cataracts. I hope this helps you. |
Q. What can be done for dryness, redness and red lines in both eyes? | Hello doctor, I have dryness, redness and red lines in both eyes. No liquid discharge. Right eye hurts sometime. I have 5 to 6 hours work on laptops. | Hi. People spending longer time on computer, laptop screens have greater chances of developing dry eyes. Because while using computer, blink rate is decreased to 1 to 2 time per minute. Normal blinking is necessary to keep eye surface wet and eyelids function as wipers and spread tear film on corneal surface. If you do not blink, eye surface gets dry and you will feel irritation of grittiness or mild redness. Longer time you spend on screen, more chances of developing dry eyes. So you need to slightly modify blinking habbits while working on laptop, screen. You should blink every 15 to 20 seconds to keep eyes wet. Secondly, you can use artifical tears, lubricants to minimize dryness. You can use Systane eye drop or Tears Naturale eye drop or any other tears available to you. You can use 3 to 4 times but you can also use more frequently if you feel so. There is no side effect of these drops, these are only artificial tears. I hope your problem will be solved. |
Q. Can I take Agathiyar Kuzhambu for kapha vata imbalance? | Hello doctor, I have been told that I have a kapha vata imbalance and I have taken vasthi (Panchakarma) procedure. But I still have white coating on tongue and my digestion is weak and. And if I do not eat, I feel weak and nervous. If I eat, I get indigestion. Will Agathiyar Kuzhambu help me? | Hi. Vasthi reduces vatha imbalance. But, this is not the final treatment. After the purification (detoxifying) therapy, further, follow up with herbal drugs needs to be taken based on your current clinical feature and naadi. Agasthiyar Kuzambu is given once in four months for a normal individual to detoxify body. For any specific disease conditions, it is given more frequently with suitable Anupanam. It can be given to you after careful examination. Can you consult nearby Siddha doctor? After Agasthiyar Kuzhambu, further herbal medicines need to be continued for 2 to 3 months for better benefit. We need to see directly whether it is a fungal infection. In your case, I feel, you may take Nannaari Manappaagu (syrup) one spoon mixed with water (morning, afternoon, evening) before each meal. This will remove your tongue coating. |
Q. What are the ways to avoid sugar in Formula milk for a baby? | Hello doctor, I have 3.5 months old baby. I do not have sufficient breastmilk, hence, was giving fomula milk. Baby was not satisfied with the taste of formula milk and was never having it properly, so one day my mother added sugar to formula milk and since that day my baby is having formula milk as per his requirement. Now, if we do not put sugar to formula milk, he will not have it. I am giving him Abbott semilac iq+ stage 1. Please let me know what can I do. | Hello. You can keep reducing the sugar content of the milk slowly slowly until you reach a stage where there is no sugar in the milk. Also, you can check for your current milk output to see if even little is there. If even a little is there, please give the child breast for sometime and if the child suckles, let him suckle. After removing from the breast you can give the child some top feeds. That way the child will not stay hungry and your milk output will also increase. Slowly slowly a stage will come wherein your milk output will be enough to satisfy the hunger of the child and you will not need top feeds. |
Q. Can Trintellix cause lump in throat? | Hello doctor, I started Trintellix yesterday for panic, anxiety attacks and today I felt like a lump in my throat, almost like someone is choking me. I am not sure if this is due to the drug and if this is something to worry about? Should I take my next dose today? | Hi. Trintellix is a type of selective Serotonin reuptake inhibitor which work by increasing serotonin levels in blood. The serotonin further treats the anxiety and panic attacks but sometimes SSRI may cause activation like rapid increase of serotonin in blood, which may lead to temporary increase in anxiety. To solve the issue, you can start with half tablet, a dose of 2.5 mg for initial five days, then make it 5 mg and continue it further. If it also does not help you, then contact your psychiatrist. |
Q. I get white discharge in both nipples with small blisters and they are sore to touch? | Hello doctor, I am 17 years old. and have a littl bit of white nipple disharge in both breasts but one has it a little worse and the skin on my nipple appears to be white and has little blisters on it. It does not really itch or anything but it is sore to the touch. | Hi. I see that you are worried about discharge from both your breasts and you are telling it has blister-like appearance. White discharge with blister-like appearance and sore to touch generally points towards an infection, but an infection occurring simultaneously in both breasts at the same time is very rare. Another possibility, is that milk secretion from both breasts which you might think as white discharge. Do not doubt, there are certain conditions where there can be milk secretion even without pregnancy and birth, which occurs due to hormone disturbances. Need some more information too, Do you have a fever? How are your menstrual cycles? Is it regular? Is the flow high? Do you feel any small lump behind the nipples? Do you take medicines for any other problem? Do not mistake me, but your problem needs a direct clinical examination to visualize the breast, discharge and to see if there are any lumps behind the nipples. You would not be comfortable to post pictures of your discharge and blisters, so I would recommend you to visit a doctor in person and have yourself examined. Meanwhile, do the investigations I have advised and try the medicines given below. Hypothyroidism. Hyperprolactinemia. ? Breast infection. Galactorrhea. Tablet Amoxicillin + Clavulanic acid 625 mg twice daily after food for five days, tablet Aceclofenac + Serratiopeptidase two tablets twice daily after food for three days. Avoid wearing tight vests and too much sweating. |
Q. Why is there itching with pain while retracting foreskin? | Hello doctor, My husband is 44 years old and taking no medication but only anti-fungal cream. He has a lot of itching and his foreskin does not go back without pain. Please help. | Hello. From your history, it seems the skin is inflamed and cannot be retracted, this is called balanitis. There is a possibility of phimosis (tightness making it difficult to retract and painful. I am not sure of his personal hygiene because if he is not cleaning it properly, it can cause some pus like particles smegma which can provide medium for infection in it. What you can do is use Augmentin 625 mg bd for 10 days, use enteral antifungal Fluconazole 200 mg daily for 10 days, tablet Ibuprofen 400 mg BD for six days. You can get triple action cream (contains combination of Corticosteroid, Antifungal and Antibiotics) that will help too. Permanent treatment for this problem is to see a doctor and get circumsicion that will solve the problem once and for all. Fungal and bacteria infection, poor personal hygiene. Swab for microscopy culture and sensitivity. Paraphimosis. Balanitis. |
Q. I have a painless pimple like swelling above penis area. Why? | Hello doctor, Yesterday onwards I could see one small swelling, seems to be a pimple like one appearing above my penis area. Could you please explain this? I do not have any pain but feeling afraid. | Hi. The pimple like small swelling you say is not painful and no other similar swelling anywhere else. Was there a history of sexual contact with an unknown woman unprotected prior to the appearance of the lesion, any swellings around your groin, the swelling, is it ulcerated? Is the color same as your normal penis colour or is it darker? Is there any pain on urination? Based on your presenting symptom, if there was a history of unprotected sex, it may be primary syphilis or penile wart because these do not come with pain. Do laboratory test such as VDRL, then you can get medications IM Procaine Penicillin 1.2 g daily for 10 days, tablet Doxycycline 100 mg BD for five days. |
Q. Is it necessary to reschedule colonoscopy after taking Ayurvedic medicines? | Hello doctor, I have been taking Ashwagandha, Turmeric, Amal powder and Brahma supplements. I am scheduled for a colonoscopy in three days. It is a preventive screen. I last took them a few days back. Should I reschedule my colonoscopy? | Hello. I just read your query. You can go for your colonoscopy because these are all herbal supplements and as you have stopped all these, they will be flushed out of the body in a week. After colonoscopy, if you are re-scheduled for other investigations, then do not start these till then. Even if you are not, then you can take after two to three weeks. |
Q. Does Seroquel extend the time of my derealization last longer? | Hello doctor,I have been using an antidepressant for the last two to three years. About two months ago, I received very exciting news that I had been waiting for a long time. After a short while, I had panic attacks one after another. I asked a doctor and learned that the things I was experiencing were depersonalization and derealization.For the past two months, I have been, living in fear and anxiety, hoping it passes, but nothing significant has happened. Now the doctor prescribed me 25 mg of Seroquel an antipsychotic drug. My antidepressant prescribed has also doubled in amount. I have read that Seroquel can have negative consequences when taken unnecessarily, or it can lead to schizophrenia.I am moving abroad within the next three months, and need to have healed by then. Do you think that there will be adverse effects of Seroquel on me, such as worsening my situation, intensifying the feelings of fear or making the time of my derealization last longer? What should I do? | Hello. Seroquel is Quetiapine and is an antipsychotic drug, but the drug is also used in mood disorders like bipolar disorder or resistant depression. The drug does not make a person schizophrenic. A lot of psychiatrists use this drug as augmentation therapy for depression or insomnia. If they have prescribed this drug, then remain relaxed. This will not cause any harm to your mental health but will help you. The drug is safe to use and has no severe side effects. |
Q. I have irregular periods and waiting for pap smear. Should I worry about uterine or cervical cancer? | Hello doctor,I am 24 years old. For the past two years, I have been having an irregular period cycle. My doctor recently suggested me to get my exam Pap smear. I have gained 60 pounds in the last three years. When I was younger, I had the HPV shots. I am nervous about the pap smear and having an irregular period cycle. Should I be worried about uterine cervical cancer? I have not lost weight. I do not have pain. I recently had a yeast infection, and I am still healing from that.So when I had intercourse last time I felt a little discomfort in a certain position. I started spoofing today, and I am having normal PMS symptoms sensitive boobs, and I do not bleed in between things. I read that cervical cancer takes 15 years to be invasive, and I am scared. | Hello. You should not be afraid of pap smear, having pap smear test does not mean cancer it is only a routine check-up. Your irregular cycles may be due to the hormonal problem, and there is no relation with cancer. You should do an ultrasound test of the pelvis and blood tests for sugar PP (postprandial), TSH (thyroid-stimulating), prolactin, and testosterone. Depending on the report, treatment is available. |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. My 1-year-old kid has -3. 5 and -2. 5 refractive error. Do he needs glasses? | Hello doctor, My child is one year old. On routine examination his eye has a power of minus 3.5 and minus 2.5 refractive error. What is the normal refractive error at this age as refraction continues to change? Doctor said to follow up after six months as glasses may be needed if power increases. Please help. | Hello. First of all, let me tell you that visual development takes until the age of puberty. As your child grows, his vision parameters will change because his eyeball grows with him as he ages. So visual stability will continue to change until the age of 18-20 years old. Normally the child is born with a plus refractive error unlike the case here. Your child has a condition called myopia which is a refractive error with a minus as you said. But that is completely fixable as the child grows whether by glasses, contact lenses, or LASIK surgery if it continues and he needs to take glasses off later. The most important examination in his age is something called a red reflex. You should ask your doctor if he has done it to him. Also, I would ask about the fundus examination too. If both were normal, I would not have any concerns. I want to reassure you that your child's eyes are in good health. He just needs to be examined precisely every follow up every six months as your doctor suggested, just to make sure everything is going right and to treat anything if something happens early. The glasses will not be tolerated by a child as his age is too small, as soon as he can tolerate glasses, put them on. That could happen in two years. If you need further assistance do not hesitate to contact me. |
Q. I have body pain and not interested in any work after having Uvox CR. Why? | Hello doctor, I am a 44-year-old female. My height is 161 cm and weight 87 kg. Clarify one doubt about an antidepressant. My new psychiatrist started Uvox CR 10 days back. I was on Stalopam for three to four years before that. For the past some days, I am feeling body pains and disinterested to do any work at all. But I somehow manage to complete the work also but with a lot of effort. Will the medicine take time to set? Why do I have these symptoms? | Hello. Antidepressant take around two weeks to show their effect as this much time is required to make changes in chemicals present in the brain. The symptoms you mentioned are typical of depression. Stalopam (Escitalopram) and Uvox CR (Fluvoxamine) both are antidepressant from SSRI (selective serotonin reuptake inhibitor) group but somewhat different profile. In the next few days, you will see some relief as 10 days already passed since starting on Uvox CR. Also, check your thyroid status as you are already on Thyroxine75 mcg and check that this dose is sufficient or not. Meanwhile, do regular exercise and go for a walk for at least 45 minutes, five times a week. Maintain good sleep hygiene and spend time on your hobbies. I hope it clarifies your concern and feel free to ask if anything unanswered. |
Q. I become nervous and faint when I try to masturbate. Why does this happens? | Hello doctor, When I try to masturbate or when I am thinking of it, I became very nervous, and a little fainted. I do not know why. | Hello. Well, in this case, the jerk you had in your first experience is called ejaculation. I am sure you did not take any libido-enhancing drug cause that may also amplify the symptoms. And usually, there is adrenalin surge during ejaculation, which can cause a sudden increase in your heart rate, nervousness and eventually tiredness during ejaculation. After the entire process is over, then eventually you will become calm. I guess your fear may be stemmed from your first experience. Those symptoms you felt are normal for every man who has sex when it is time to ejaculate. It is not a problem. It is a normal physiological respond during ejaculation. So relax, nothing to worry about you are fine. I believe your subsequent experience will make you understand that it is normal. Erotophobia, sexual anxiety. |
Q. What causes numbness of foot? | Hello doctor, Part of my foot has been numb for several days but I feel fine. No pain or anything. Is this any reason for concern? | Hi. I see that you need to perform the following tests to see if you have acquired diabetes and/or anemia related to vitamin B12 deficiency. In case the test results are negative and the symptoms resolve in the coming days then there is no need to worry. If the condition continues despite negative result in the tests, then I suggest taking Vitamin B complex supplement, like the one I will mention in the treatment part. FBS (fasting 8 to 10 hours), HbA1c, CBC. Neurobion tablets one tablet a day after food for two months. |
Q. Can I take Carisoprodol as I am allergic to Ibuprofen? | Hi doctor, I am allergic to Ibuprofen. Can I take Carisoprodol? | Hello. For further information consult an allergy specialist online --> |
Q. I have a harsh pain in the left side of lower abdomen. What is the cause? | Hello doctor, I am a female aged 50. I have awful pain in the lower abdomen for four days. I have a pain in the right arm and the left side of lower abdomen. My abdomen is bloated and sore. My bowels are moving. I gave up Seroquel a few weeks ago. I have IBS and diverticulitis. | Hello. Regards. For more information consult an internal medicine physician online --> |
Q. Why do I have a decreased libido, improper erection, and ejaculation? | Hello doctor, I am 50 years old. I have decreased libido, lack of proper erection, and early ejaculation. Please advice. | Hello. You are 50 years old, and you should get yourself checked by a physician to rule out hypertension and diabetes. These are important causes of erectile dysfunction. Reduced libido could be age-related. But if you have weak erection and early ejaculation, then drugs like Tadalafil can help. The drug will help in making strong erection and will improve the time too. Consult a psychiatrist for the prescription. |
Q. How can pain on the left side of stomach be alleviated? | Hello doctor, There is a pain on the left side of stomach and lower back and the skin feels sore. There is also burping a lot these days now. Please help. | Hello. From your symptoms, it seems you are suffering from diverticulitis. The differential diagnosis is urinary tract infection. This can occur in elderly frequently in people who do not eat enough fibers in their diet. Also with age, our digestive system tends to get slow. You need prescription antibiotics to treat this condition. Also, if you develop other symptoms like rectal bleeding or fever or unexplained weight loss, burning pain during urination, you need to see your healthcare provider immediately to rule out other conditions. Normally, diverticulitis subsides within a few days with medication. For more information consult a family physician online --> |
Q. Kindly help me get rid of my stomach problem. | Hi doctor, I am a 28 year old female. Before 10 months, I got left side abdominal pain with mild fever. I went to the ER. After blood tests and CT scan, they said it as diverticulitis. After using antibiotics, it got cleared. Every couple of months I feel pain when I press my abdomen but no fever. When I take liquid diet for two days, the pain will go away. Even though my bowel movements are regular, sometimes the stool is hard and I can see blood. I am drinking lots of water at least 2 liters a day and stopped junk food. But, still I am suffering with pain. Sometimes, I feel a sharp pain inside the rectum. Recently, I went for an annual checkup. After checking the reports, my GP said that it may or may not be diverticulitis. He said it might be colitis and nothing to worry. My last blood in stool was two months ago. Sometimes, my stool is mushy and fluffy. I am very much worried about this. Please help me out. | Hello. For further doubts consult a medical gastroenterologist online --> |
Q. I am feeling muscle and joint pain after playing rugby. Is this normal? | Hi doctor, I am a 22 year old female. I was playing touch rugby two days ago. It just so happens, and I have not exercised in a while now. I am having severe lower back pain, muscular and joint pains around my thighs. Today is the second day, and I am still feeling the pain. Is this normal? Do I need to seek medical attention? | Hello. For further information consult an internal medicine physician online --> |
Q. I have fever and body pains. Please suggest some medicines. | Hello doctor, I have a constant fever from the last week, and severe body pains as well. I have undergone some tests for the same. | Hello. Please send the test results. Revert with more information to a general practitioner online --> |
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 --> |
Q. My wife is 50 years old and is it safe for her to take OCP to prevent pregnacy? | Hello doctor, My wife is 50 years and I am 54 years old. Last night we had sex with a condom, but I have doubt it may be unsafe. Her period occurs once in one and a half months. Other than this she does not have any gynecological problem. Can she take any contraceptive pill like Unwanted 72? | Hello, Welcome to icliniq.com. Though your wife is in the late part of her reproductive age and might be approaching her menopause, yet if she continues to have her menstrual cycles regularly there is a chance that she might be still ovulating and if intercourse happens in her fertile period she might conceive. It is better she takes Unwanted 72 this time. Unwanted 72 is safe for her from a medical point of view but it is not 100 percent effective in avoiding pregnancy and cannot substitute a routine contraceptive. So please do a pregnancy test also if she does not have her periods at the scheduled time. After her next periods follow up for an effective contraceptive with additional benefits for hormone replacement appropriate for her age. |
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 --> |
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 --> |
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 --> |
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. |
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 --> |
Q. How long can I take Ibuprofen for pain from broken ribs? | Hi doctor, I am a 65 year old female, and I fell 10 days back and broke one or two ribs. The only thing that brings any relief is Ibuprofen 800 mg. I need to know how often and for how long can I take Ibuprofen? I tried Oxycodone 10 mg, but it does not work that well. Thank you. | Hi. I hope it helps you. If you have any further query, please ask me. For further queries consult an internal medicine physician online --> |
Q. I am a nursing mother and my nipples are cracked. Please advice. | Hello doctor, I have cracked nipples that have failed to heal for the past five weeks. I am a nursing mother, and I am not able to feed. | Hello. Please apply Purelan 100 (Lanolin) to the cracked nipples and express the milk to prevent engorgement and feed the baby that milk (store in hygienic conditions) along with some top feeds if required. Reduce the latching of the baby to enhance healing. Till you have healed completely feed the baby expressed milk and top feeds. I hope this should help. |
Q. What should I do to manage nocturnal seizures? | Hello doctor, For the last seven years, I have been having about one to three nocturnal seizures (tonic-clonic) a year. There was one year in the previous seven years, where I did not have any nocturnal seizures, but I had two to three a year for the last couple of years. I am not on medication, and I have tried to improve my sleeping habits. What do you recommend? | Hello. I understand your concern and would first recommend performing an EEG (electroencephalography) and a brain MRI to exclude any possible brain lesions that may lead to seizures. As seizures are persistent, I would recommend starting antiepileptic drugs. In this regard, considering your age, and the fact that you are overweight, I would suggest starting low dose Levetiracetam or Carbamazepine. You should discuss with your doctor on the above tests and treatment options. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. MRI brain, and EEG. |
Q. I have erectile dysfunction inspite of having L-Arginine. Kindly advice. | Hello doctor, I am suffering from erectile dysfunction. Early morning sex power is also very low. There is a quick immature erection. The genital part does not stand properly. Right now, I am taking 1000 mg L-Arginine once daily. Can you please solve my problem? | Hello, Welcome to the icliniq.com. For your erectile dysfunction problem, you have to rule out organic cause like thickening of an artery supplying penis due to fat deposition. It is called atherosclerosis thickening of the artery. For that color Doppler ultrasound, penile angiography can be done. USG (ultrasound) testes and serum testosterone estimation also need to be done. I suggest you avoid stress if you are having anxiety or stressful event history (psychological cause like stress is also associated with erectile dysfunction). You have to check your blood pressure and serum cholesterol values as well. Obesity also can be responsible for erectile dysfunction. So lose your weight. Take more fruit juices, especially pomegranates juice once daily at night. Regular exercise, yoga, meditation can be beneficial. If there is no improvement in one to two months, then we will discuss further. I hope I have answered your question. Let me know if I can assist you further. |
Q. What are the measures to be followed to stop nightfall? | Hello doctor, I am suffering from nightfall for past three months. Please give solution to stop nightfall. | Hello. What is your age? You need not worry for the nightfall or wet dreams. This is normal for young individual who thinks more about sexual things. Practice the following to control the nightfall. 1) Take Fenugreek (methi) with honey daily. 2) Take curd daily as it helps to sleep better without interference. 3) Gourd juice also induces better sleep. 4) Eating onions helps to reduce wet dreams. 5) Bath with oils mixed in the water can be relaxing. 6) You should relax your wandering mind. Enjoy entertainment, listen to soothing music, and read good books. 7) Avoid tea, coffee, and alcohol. 8) Eat healthy foods and drink plenty of water to help the body release toxins from the body. 9) Exercise regularly and practice yoga to keep the mind and body calm and relaxed. |