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[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My 26 year old son has a very volatile open relationship with a girl and they are basically friends with benefits. Her family does not like my son and forbids his access to their home. Due to some situations we got to know that she is seeing someone else too. As a result of which, the girl is asking our son to contact the other man to tell him to back off, my son has been threatened. Now we are concerned about his safety. My son has become obsessed over this girl and due to this there has been distance between us. He is not ready to listen to anyone and sometimes acts like a child. We do not know how to handle him now. We are worried because he gets depressed and we are concerned that there are chances he might hurt himself. Because of this problem, our relationship has got affected. We did take him to a doctor, but not of much help. Please help us with some solution. Thank you." }, { "from": "assistant", "value": "Hello. It is better that you are concerned about your son and you want to keep your family together. It is a good sign for a healthy family support. For further information consult a psychiatrist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 44-year-old man with undiagnosed chronic body pain associated with movement. Sed rate and CRP in normal range, uric acid level tested after a bout of kidney stones last year, but that was also in normal range. Is there any tests you could suggest to my attending? Please advise." }, { "from": "assistant", "value": "Hello. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have issues like obstructive sleep apnea, impaired glucose tolerance and high blood pressure. Obstructive sleep apnea can present with manifestations like chronic fatigue and chronic body pains among others. If you are known to snore, have apneic spells (spells during sleep where your breathing stops for several seconds intermittently), feel fatigued and sleepy during the daytime, have frequent headaches and irritability, ask your doctor to screen you for obstructive sleep apnea. If present, that may explain your chronic body pains. Even if you do not have symptoms of OSA, losing weight can improve your overall health and prevent development of metabolic diseases like diabetes. If you want to lose weight, I suggest cutting down on carbohydrates and consuming healthy fats. This is a low carbohydrate, high and healthy fat diet (otherwise called ketogenic diet)." } ]
[ { "from": "human", "value": "Hello doctor, I am 26 years old. I am working in software field. I do have problems of ptosis and strabismus in my left eye since birth. I am not able to see with this eye until I forcefully close my right (dedicated) eye. I got operated for ptosis when I was 11, and it got recovered a lot. But, strabismus remains the same, and it affects my life a lot due to the cosmetic reason. I could not get socialized and try to avoid society. I had a lot of consultations with local doctors. Let me share my last meeting and my conclusion. According to my local doctor, my upper lift muscle is dead by birth, and it cannot be restored ever. I have to stop thinking about fixing it. If surgery fixes it, then it will never appear as parallel as the right (dominant eye). Also, now my brain is receiving (single) right eye's image, and after surgery, my brain will receive two images. But, it will be difficult to focus on any of them. He also said that superior rectus muscle or inferior oblique muscle of left eye has stopped working or affected after my eyelid operation or those are dead by birth cause, and there is nothing to pull the eyeball upwards. The eyeball does not move and focus towards upwards and outwards. Also, he mentioned about Brown syndrome. If this is a Brown syndrome, then the left lower eye that is affected, tethered or held down by the tight superior oblique tendon muscle. If this is true, then, in this case, the eye neither moves upward nor inwards towards the nose. But, my left eye moves inwards, but difficulty with moving outwards. Please clarify my doubts" }, { "from": "assistant", "value": "Hi. For further information consult an eye care ophthalmologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor." }, { "from": "assistant", "value": "Hello. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, Recently, my mother is diagnosed with multiple myeloma. She had a fast progression. Within a year, the plasmacytoma has progressed to MGUS which resulted in multiple myeloma with severe bone involvement. She got a heart attack at the onset of multiple myeloma. I know that deletion of 17p and mutations of TP53 are associated with worse prognosis. My mother has not undergone cytogenetic testing. My two sons carry a germline (not somatic) deletion of seven genes on 17p13.2. This deletion does not include TP53, but it includes MYBBP1A which is known to regulate TP53 and deletion. It is implicated in some cancers. If my mother has this deletion, what will be her treatment? She is getting ideal treatment for 17p deletion. She takes Velcade, Revlimid, and Dex with Zometa. Germline mutation makes an autologous transplant less likely to help. Can allogeneic transplantation help her? What does a germline mutation mean?" }, { "from": "assistant", "value": "Hi. The advantage of allogeneic stem cell transplant is that the donor stem cells make their own immune cells. They help to destroy the cancer cells that remain after high-dose treatment. It is called as a graft-versus-cancer effect. Autologous stem cell transplant does not offer the benefits of graft versus tumor (GVL) effect when healthy donor cells attack cancer cells, and they do not carry the risk of transplantation rejection due to graft versus host reaction. They are relatively safe procedures, with low rates of complications and infections compared with allogeneic transplants. Deaths due to the transplant are approximately 2 % to 3 % in patients with newly diagnosed myeloma. In theory, one disadvantage of autologous stem cell transplant is that the transplant can potentially get contaminated with tumor cells when patient stem cells are used. However, recent studies indicate that this is not a significant problem and it is not a significant cause of myeloma relapse." } ]
[ { "from": "human", "value": "Hello doctor, My wife has a history of two earlier miscarriages which occurred during the first trimester in the first month. We consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was IgG 82. She received Rovamycin Forte for three months along with other supplements like Folinext and Ecospirin for six months. Now my wife is pregnant. Again we visited the doctor and she advised to perform toxoplasma IgG which again came back positive with IgG 78. Her first day of the last menses was 27th feburary. She has been receiving Rovamycin Forte once again and Duphaston, Folxt, Ecospirin and Doxinate. But now the problem is, she is unwell and been vomiting nearly every day during evening hours. There is a little brown discharge seen. In this situation, I am very much concerned about what will happen next? Will it be a miscarriage for the third time? Please help." }, { "from": "assistant", "value": "Hello. We consider toxoplasmosis when IgM are positive, it meas the person has an active infection. When IgG are positive, it means you are protected from future infection. Your wife is in her first week of pregnancy, so spotting is a common finding due to implantation. Vomiting is also common until 12 weeks. She does not have to worry about it. She can try small frequent meals, baked bread, etc. I recommend an ultrasound at five or six weeks to evaluate the well-being of pregnancy. The symptoms that you prescribe does not mean that it will be a future miscarriage. It is common in every pregnancy. If this pregnancy terminate spontaneously, then after that you have to perform several examinations. But I recommend you to be positive. Ultrasound scan." } ]
[ { "from": "human", "value": "Hello doctor, I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall? I am taking Cita-S 10 mg and Pantosec." }, { "from": "assistant", "value": "Hello. Your pain at your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer which can lead to acid reflux esophagitis. Are you on any form of stress lately? If so please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test. Stress. Echocardiogram. 1. Reflux esophagitis. 2. Hypertensive heart disease. Reflux esophagitis. Adequate rest and antacids. Reduce stress event. Revert back with the echo report to a vascular surgeon online.--->" } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "I am looking for my husband doxtor becuase he is a diabetic, asking for you what is the better medicine to lower his blood sugar at the same same time he has UTI ." }, { "from": "assistant", "value": "Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history." } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "assistant", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer." }, { "from": "assistant", "value": "Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am 31 years old and I am regular with exercise. My height is 5'8\" and weight is 73 kg. My body fat percentage is 17. I used to do weight lifting. Over the last two months, I am having problem with my erection and sex drive. I am not getting that urge as I used to get before and I am not getting erections too. Occasionally when I get erection, I lose them very soon. I do not know the cause for it. I was on Omnacortil 20 for lichen planus, but stopped taking it. I am taking whey protein along with high protein diet. I have started multivitamins and Seacod tablets a month back and still having the issues. I did blood tests sometime back and everything came back normal including blood sugar. My testosterone level is around 300. Please suggest some medication." }, { "from": "assistant", "value": "Hi. For further information consult a general practitioner online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am having marital issues. I have a lot of anger and do not react well to my wife with very little patience. She is high conflict. I struggle because many things become bigger issues than they should be and emotional abuse occurs followed by verbal abuse. She will deny things she does or says later on. She yells very quickly and goes from 0 to 100. I am direct. I can be critical. I am grumpy for some days. If something bothers me she cannot take it. We argue, we can go back and forth whoever initiates but she turns it up to yelling and aggressiveness too quickly so I push back.I have become verbally abusive as I told her not to curse long ago. She yells and curses so I immaturely followed suit. Now I am off the handle. I name call and curse because she loses it quickly and tries to take control and I cannot handle it well at all. Is this mutual abuse? She can get physical at times. Then I do something to make her stop and scare her. I do not ever hit her but I am forced to get aggressive. I am very reactive. I start in or can criticize but I do not start screaming and yelling as soon as she does. I need a break down here for clarity. Fights go off the handle. Very bad. We love each other but we fight way too often and with harsh name calling especially now on my end. She starts with bad words and I can lose it. It is bizarre that we have so much love, no deceit, but we cannot get it together.Together two years. Married 4.5 months. I am 40 she is 28. She has a history of being verbally abused. I have anger that once triggered is fiery. We spend an awful lot of time together. She is not working, just taking online classes. So she is home a lot. I am working part-time hours for now. What do you think? We have to fix this. The cursing and yelling and battling and jealousy is a lot. Both ends there. Please let me know what this looks like as far as abuse." }, { "from": "assistant", "value": "Hi. Marriage is a relationship which demands most of our compromise, understanding each other, handling each other's fault and try to maintain an equilibrium but at times the equilibrium disturbs and it results into a series of conflicts. One thing leads to other and even small things starts irritating as the dissatisfaction from relationship occurs. Our thoughts start imagining things in extreme. So there remains always a state of unrest at both the sides. The best way to go with it are: Sit together, go to a dinner or a park, make rules of conversation like each one will speak one by one, no interruptions while first one is speaking. Set some rules at home like no shouting or yelling or using bad words. Try to control the response, the biggest problem always remain is we respond too quickly and stop listening and start blaming another one. If you people can, then try to get some marital therapy sessions, they will help you a lot. Plan some holidays, give her small gifts and surprises, give evidence of your love to her." } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor, All my reports are normal except one. They told me that I have a grade-1 fatty liver. What does this mean?" }, { "from": "assistant", "value": "Hello. For further queries consult a medical gastroenterologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "assistant", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "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." } ]
[ { "from": "human", "value": "Hello doctor, I have erection problems and dry orgasms sometimes due to neuropathy. I have diabetes for 15 years and on insulin. Recently, I have blood pressure and started taking medication for the same. Cholesterol is also high, but now under control. Do I have a problem with conceiving children?" }, { "from": "assistant", "value": "Hello. I understand your concern. I saw your examination report (attachment removed to protect patient identity), and there are some factors that affect your fertility and some abnormalities. First, varicocele may affect your fertility, a dilated vein can be the cause of your oligoozospermia (dry orgasm). Second, semenogram at least 40% of spermatozoids must be motile (in your only 1%) and there are abnormalities in your mophology too, 30% must be normal, in your case, there are 0% with normal morphology. Diabetes may cause abnormalities in your morphology and motility of the semen. Because the characteristic of semen may vary over time and undergone normal biological variability, it is best to repeat the test at least once. If abnormalities persist you should have a urologic exam. I would recommend a urologic exam and consult a fertility specialist." } ]
[ { "from": "human", "value": "Hello doctor, The query is regarding my 6.5 months old baby girl. She has been seen by two pediatric ophthalmologists. The first one examined her eyes using a Plusoptix vision screener and assured us that everything was normal based on the testing results. He assured us that there was no strabismus. He said that she has +2 hyperopia in both eyes, but said that is normal considering her age and it will go away on its own. The second ophthalmologist diagnosed her with accommodative esotropia after a retinoscopy exam. After dilating her pupils, he said that she has hyperopia of +5 in both eyes. I am so lost as to why she got two completely different results within two weeks apart. I need a third opinion in regard to this matter." }, { "from": "assistant", "value": "Hi, Welcome back to icliniq.com. Hyperopia. Revert back with the details to an eye care ophthalmologist online.--->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, My daughter is pregnant. She is O negative, and she has a Jka antigen. They want to give her a Rhogam shot this weekend. I know it is a blood product. Is it safe?" }, { "from": "assistant", "value": "Hi. Rh incompatibility is a mismatch that occurs between the blood of the mother and the blood of the fetus. It happens when the mother is Rh-negative, and the fetus is Rh-positive. When Rh-negative blood is exposed to Rh-positive blood, the Rh-negative blood responds by producing antibodies. It attacks and destroys the Rh-positive blood cells. It leads to problems such as fetal anemia, which can cause a life-threatening condition known as hydrops fetalis, causing internal bleeding, heart and kidney failure, and shock. Rh immunoglobulin prevents the mother's immune system from attacking the baby’s blood. It is entirely safe, and it should be administered for the well being of the baby." } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor, I have a right side hip labral tear and a probable sports hernia on the same side. Can both these issues be addressed in the same surgery, or do they have to be addressed in separate surgeries?" }, { "from": "assistant", "value": "Hi. It can be tackled in the same anesthesia and surgery. Hip labral repairs or excision is done arthroscopically and after that, the surgery for sports hernia can be done either open or endoscopically. So, it can be done in the same sitting of anesthesia. Before the surgery, the clinician should confirm the diagnosis of sports hernia. Has the MRI scan been done? This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My partner, who is 36 years old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together. He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinders bone healing and have advised him to stop, even if short term to assist with the healing of the broken bone. He had cast for three weeks and then was transferred to a walking boot with vague instructions on how to deal with it. He is being told that he should be walking more on the ankle which is broken. But, he is worried as he will cause more damage as it is not yet aligned. Also, should he be wearing his walking boot at all times? He wears while sleeping and he removes it while bathing daily. Please explain to him that how the bone will heal and whether he should be wearing his boot all the time." }, { "from": "assistant", "value": "Hi. Revert back with the x-ray report to an orthopaedician and traumatologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one capsule per day for 15 days and Folvite 5 mg one tablet per day for 15 days. After a week, I found some brown discharge. Then, My doctor did a scan and said that the baby growth is not well for the one month of pregnancy. She said that there is a 50% chance of miscarriage. So, she prescribed Aspirin gastro-resistant tablet IP 50 mg one tablet per day for 15 days and Tranlok-E two tablets per day for three days. As my brown discharge did not stop, again, I went to the doctor. She has done an ultrasonic scan and told me that the baby has started to grow. Now, she prescribed IM HUCOG 5000 one injection, IM Susten 200 one injection, Tranlok-E three tablets per day for 5 days, Duphastone 10 mg three tablets per day for 10 days, Susten 200 one tablet per day for 10 days, Folvite 5 mg one tablet per day for 10 days and Aspirin gastro-resistant IP 50 mg one tablet per day for 10 days. As of now my brown discharge has stopped. I tried to approach you this time, because on the internet I found that Tranlok-E is prescribed to stop uncontrolled bleeding in menstrual periods and it is not mentioned for pregnant women. Since, I am pregnant, I just want to confirm whether there is any side effect in the above mentioned tablets. Shall I continue those medicines?. Please help me." }, { "from": "assistant", "value": "Hello. I understand your query completely here. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, My mother is 88 years old. She had undergone a surgery for the fractured femur thigh bone. Now, she is experiencing high involuntary urination for the past two days. She is on bed rest now, and any movement in the body or legs results in urine discharge. Currently, she is taking Thyronorm 75 mcg, Glycomet SR 500, Atorfit 10 mg, Ecospirin, and Calcirol. Her sugar levels are normal, and her BP is 140 by 70 mmHg. Please suggest." }, { "from": "assistant", "value": "Hi. I have gone through your query and reports (attachment removed to protect patient identity). She has temporary urinary problems which are reasonably common at her age following any major surgery with immobilization. I would like to know whether she passes urine usually and whether she has any burning sensation during urination. It is essential to make sure that whether she has a urinary tract infection or any retention of urine in the bladder. If these are absent, then she will get better soon with time, when she starts to ambulate and when she gets back to her routine activities. In the meantime, she can be managed with diapers or a urinary catheter if the problem is very severe." } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have two children with a different father but my eldest seems to experience trauma or stress. I saw her crying at night whenever she saw her step-father lying beside me or beside her brother. Please help me. I want to know if it is a sign of depression. She feels happy when she gets my full attention and her step-dad's attention but suddenly fades when she sees us playing with each other." }, { "from": "assistant", "value": "Hi. You have a very beautiful and cheerful daughter. I just saw her picture and she looks great (attachment removed to protect patient identity). Depression is a very major disorder to tag her with, so definitely, she is not having depression. With the amount of data, you have given me it does not seem like she is having depression. She is not being able to accept the change in her life. As an adult, it is easy for us to accept and move on with the change in our life but for her, it is not easy to replace her father with someone else and she is having lots of insecurity. That is the reason she becomes sad when she sees you with them because she still cannot accept two other people in her life. She is having dysthymia and identity crisis. She needs some social support and venting about her feeling. I think a few psychotherapy sessions will help her a lot. Medications will not be of any help to her. It is not a very uncommon thing in children of these age group so do not panic, be calm." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I want to ask you about the problem of the decline of the gums. Is there an effective treatment?" }, { "from": "assistant", "value": "Hello. Yes, there are following treatment options for your case. Scaling of all teeth and then follow medications. You should get mild scaling treatment for teeth and then start using Chlorhexadine gluconate mouthwash for two weeks twice a day. Do saline water mouthrinses (take a cup of lukewarm water and add 1/4th teaspoon of salt in it) once a day before you sleep for two weeks or start using mouthwash and doing mouthrinses without scaling but it will delay the healing of gums. I would recommend you first option as in your case I can see in anterior teeth gums are receding (attachment removed to protect patient identity). After scaling, the dead tissue of gums get shredded away and new healthy gums come over after 14 days and receding is stopped right there. Do give me followup after two weeks. Stay happy and blessed." } ]
[ { "from": "human", "value": "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?" }, { "from": "assistant", "value": "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." } ]
[ { "from": "human", "value": "Hi doctor, I have piles for the past two months. Please suggest some medicines." }, { "from": "assistant", "value": "Hi. Sedentary lifestyle, eating oily and spicy junk foods, smoking and drinking habits are the common causes to have piles. It can be managed naturally through ayurvedic medicines and lifestyle changes. Avoid eating spicy and fried junk foods. Do regular kapalbhati Mandhukashana and Ardhamatsyendrasana. Drink plenty of water. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after fifteen days." } ]
[ { "from": "human", "value": "Hi doctor, Please read my query and give me your best opinion. I am currently under a cardiologist due to fears that I have had a heart attack in the past and chronic chest discomfort. My cardiologist asked me to take a Holter monitor for 24-hours and the reports he gave me last week were normal. He said that everything was normal. He stated that my maximum pulse was 134 (while working hard), minimum 55 (while sleeping) and average 87. He did capture palpitations but said these were normal increases in pulse associated with activity. He stated that my ECG shows Q wave. Though he said, that is not a pathological and I do not have right BBB, (last week) he did, however, referred me for an echocardiogram to reassure me. He also said that it would be very unlikely for it to be abnormal considering everything else normal. I have had lots of ECGs for the last few months and all normal aside from the Q waves. I have also had my troponin levels monitored, and these too were normal. All doctors say that it is due to anxiety. Before four days, I was taken to A and E due to a sudden increase in pulse from 81 to 135. It then settled within 2 minutes, however as it had panicked me I attended A and E. In A and E, they checked my oxygen (99%), BP (153/92 mmHg) and my pulse (118). The ECG showed normal, sinus tachycardia; however, I was concerned over what looked like ST elevation in AVR. When I asked for the second opinion, I was told that it is fine as it was only in one lead in AVR and not an acute heart attack. I then requested a second ECG as my pulse had gone down to 90s. It again showed normal sinus rhythm and no issues and was sent home from A and E. I have since been in a state of worry over my ECG, which I have attached here. I would like to ask you if the ECG show any issues aside from my usual Q waves. Also, my QRS is long on the new ECG and on this day I started a new course of medication called Omeprazole, which can allegedly cause changes to heart rhythm. Could this have caused my long QRS and heart rate spike? I am a non-smoker, do not drink and have no family history of heart disease." }, { "from": "assistant", "value": "Hi. Anxiety and panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be present, are indicative of heart damage in case of heart attack. But, your echo is normal and so no need to worry at all. There is also T-wave insertion in lead 3 and non-significant elevation in AVR. So, given these changes, I would advise for some stress test like treadmill test or stress thallium, which you did not mention anything about. If you have not undergone it, then you can have it to rule out the possibility of inducible ischemia. The QRS prolonging of such mild degree is not significant, and this much variation may normally occur with different ECG. It is not very common with Omeprazole. For further information consult a cardiologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have keratitis and after the treatment, I still have a tiny grey spot on my cornea. Here is the treatment which I had followed: Visit 1 - (October 2014) Fucithalmic eye drops 1 % - three times daily for two weeks. Visit 2 - (October 2014) Exocine 0.3 % - four times daily for a month. Visit 2 - Artelac eye drops - four times daily for a month. Visit 3 - (December 2014) Artelac eye drops - two times daily for a month. Visit 4 - (24th February 2015) - Zylet Etabonate and Prednol, Tobramycine 0.3 % for two weeks. Visit 4 - Artelac eye drops - two times daily. I have been using till now. I am really worried about my eye. Please help me." }, { "from": "assistant", "value": "Hello.I reviewed your history. It seems from the history that you had keratitis and following the treatment, you have a small corneal opacity. Artelac is an artificial tear eye drops and it can be used for a long time without causing side effects. Hence no need to be worried about the use of Artelac eye drops. The next treatment depends on the site and size of the opacity. If the opacity is superficial and peripheral, then no need to be worried becauseit will be replaced by clear corneal layers slowly as the epithelium of the cornea sheds and regrows. However, if the opacity is deeper and bigger then you may need further surgical intervention like keratoplasty. Since you have mentioned that the opacity is tiny, this may resolve and you need not be worried about it. Hope this information is helpful to you. Revert back to an eye care ophthalmologist online for further follow up -->" } ]
[ { "from": "human", "value": "Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum?" }, { "from": "assistant", "value": "Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time." } ]
[ { "from": "human", "value": "Hi doctor, I am a girl 20 years old. I am the eldest in my family, and I have a 7 year old brother. I am always fighting with my family. My parents nowadays do not care about me, and they were only thinking about my brother. I believe that my brother is the main reason for everything. I want my parents to understand their children and be a friend to them. I do feel at times that I am not their real daughter. They never understand my feelings. I am shy, not good in social and have difficulty to open up my problems and feelings. I always think negatively about myself. I have no self-confidence and have stage fear. I get angry easily. Please help me." }, { "from": "assistant", "value": "Hello. I understand your concern. For further information consult a psychiatrist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I got married a few months back. I have yellowish-white, odorless discharge. It leaves stain and itches quite a bit. I noticed something weird, and after intercourse, my husband could see something similar around his genitals. And that is itchy too. I tried using Abzorb antifungal powder, but no help from that. We are not in our country right now and so cannot get access to most medicines. How to cure my discharge? Before marriage too, I have experienced something similar. I had treatment for that, but do not have that prescription now. Please help." }, { "from": "assistant", "value": "Hi. From your history, this is a genital infection. This is not the same that occurs before sexual exposure, as that is not yellow or itchy. These two feature makes infection as the source. It is usually seen as a genital or urinary infection in males, which is not always very evident. When there is a trigger like sex, it appears. As you do not have access to medications, I can only suggest you both to have a lot of water to wash away the infections in the bladder as usually both genitals and bladder get infected together. Use Vaginal washes (V Wash or Intiwash) twice a day and after every penetration into the vagina. Your husband also can use the same. These are not chemicals, and so there is no side effect. Both of you should pass urine after sex, as this will wash out infection in the bladder. If you can get some vaginal suppository of antibiotic plus antifungal, then use it for five to seven days vaginal at night. It is cruel to say to a newlywed couple, but if you can postpone penetrative sex for a few days, the problem will be solved or at least use a condom. It will prevent infection transmission. Vaginal infection is transmitted during sex, so partner is the source. Both have to be treated at a time, or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the innermost vagina (due to inflammation of the structures around the uterus) and pain radiating to the back or thighs. Associated to infection, the bowel movement is affected, and also features of gastritis will be present. Bleeding of periods will be thicker, darker, may smell bad and more days with spotting after the periods too. Pain is throbbing even before periods and last after periods over also. Before treatment confirm that you are not pregnant. Consult your doctor, discuss with him or her and you both take the treatment mentioned below with consent. All these should be taken on the same day by both of you. Later you have capsule Doxycycline 100 mg twice a day for one week, Vaginal wash with V-wash or similar cleanser twice a day and vaginal pessary Clingen forte or Candid-CL or Cansoft CL once at night for five nights. Your partner can have a local application of antibiotic and antifungal cream (Candid B or Candiderma or Lobate GM) on the penis twice a day after wash for seven days. Do not have sex till the infection is entirely gone. Do treat it as delay may send the infection inwards and may affect both you and your partner's future fertility. Hope I have clarified your query, do write back if any more questions. All the best." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 22 year old male. I do not have an eyebrow. It has been like this since birth and I am ashamed about it. But, my siblings have good eyebrows and mine is different. I do apply castor oil sometimes, but it is not growing at all. Please help me." }, { "from": "assistant", "value": "Hello. For further information consult a dermatologist online -->" } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "assistant", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 36 year old female. I have a cluster head ache for the past five years. I feel severe pain behind my eye, which normally ends with vomiting. This happens for three to four days at a stretch. I do not want to undergo any surgery immediately. Hence, kindly advise me medications to reduce the pain. I am a nursing mother." }, { "from": "assistant", "value": "Hello. I read your query and understand your concerns. In case you feel it is something else, as you can infer from the above description, or feel that Naxdom 250 is not helping enough, feel free to ask me. I hope this helps you. For more information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I had a cold sore arising on the border of my top lip and tried to stop it with alcohol and tea tree oil. The sore did not form, but I was left with a burn from the oil, and I pulled off the burned skin, leaving a small circular open wound. After healing, it started pink, but now it is whitish and sunken. It is hard to cover with makeup. This happened about three weeks ago. Will this heal back to normal skin color? If so, what can I use on it to even it out and speed up the process? The hole is tiny, like the size of a pimple." }, { "from": "assistant", "value": "Hello. I have gone through your case. First, you need to understand that it is normal skin response to heal with either hyperpigmentation or hypopigmentation (white color as in your case) whenever it gets trauma (burn or insect bite). Most of the time, lesion heals within four to six weeks. But if the wound is depressed as you have described then it means the scar is formed and unfortunately such injuries are sometimes permanent, but still, some do show response to the laser treatments. Please always try to send a picture for opinion. My advice is according to your description." } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium levels. It has been a week now since I have been following the regime and currently the PVC is nearly gone. I do not have the option of reducing the Methadone due to my injury. The doctor said he wanted me to get an opinion from a cardiologist if I may need a beta blocker or not. He wants to wait to see how the supplementation works out first. Is there any advice you can give me? I get an EKG done twice a year." }, { "from": "assistant", "value": "Hello. I have gone through your explanation in detail, and I understand your worries. Best regards. For further queries consult a cardiologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am married it has been one and a half year of my marriage. It was an arranged marriage, so we took the time to understand each other before making love we took five months, and we did not do it. But after five months period, he tried for one year and could not make it. He can only ejaculate for some seconds. Is this because after marriage we took five months and so he is not able to make it now?" }, { "from": "assistant", "value": "Hello. It is not because of the five-month gap. He might be suffering from premature ejaculation disorder. Why did you wait for five months? Does your husband have any bad previous sexual experience? If he had a failed sexual intercourse, he will try to avoid it, because he thinks it is going to be a failure again. And he woulod be afraid of getting humiliated infront of you. So he thinks it is better not to have sex. On management part, first try to relax him, and make him understand that you love him even without sex. Now start working on a treatment. 1. SSRI (selective serotonin reuptake inhibitor) antidepressants and Clomipramine. 2. Anesthetic spray on glans penis before sex (only a few studies support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Wear a condom as it may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse." } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "assistant", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, Few days back, I felt little dizzy and when checked my BP was quite high around 149/89. My recent lipid profile is also worrisome. What should I do now? I prefer eating junk food most of the time and dairy products like cheese and paneer more. I gained some weight now. I feel some slight vibration in the left side of my chest when I shout loudly. Apart from this, I have few kidney stones of about 3-5 mm. Now I am taking approximately 2.5 liters of water a day. Otherwise, I am healthy. I do not take any medicines except for kidney stones and injection Voveran for the same." }, { "from": "assistant", "value": "Hi. My advice to you as per your complaints and reports (attachment removed to protect patient identity), Avoid stress and follow the instructions and repeat your lipid profile after 6 months. Blood pressure (BP) also will improve with jogging and exercise but weekly once BP should be checked. If it is high like this, then we have to think of medicine." } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have periods for more than ten days. For a few days, I usually have light bleeding. It will be dark brown with a little hint of blood. I will have like this for eight to ten days. Then, I will have a heavy period until it stops. I usually have periods for 10 to 17 days. I will not have periods for two and a half weeks. I always have irregular periods nowadays. I had a miscarriage last year and after this, my periods have become irregular. What can I do now?" }, { "from": "assistant", "value": "Hi. Ongoing through your history, you can have PCOD (polycystic ovaries). It is a congenital condition. It is genetical. You can get it from your parents. When you have a sudden gain in weight, the cholesterol is converted into estrogen hormone. When there is fat in the body more than average, it is converted to hormones. FSH (follicle stimulating hormone) stimulates follicle from the ovary. When the follicle is ready to ovulate, the FSH is suppressed by the estrogen hormone from the ovary. When the estrogen hormone comes from fat, the brain becomes confused, and the follicle growth stops at a smaller follicular size, and it will not rupture. On the next scan, you will see these follicles as polycystic ovaries. It is usually associated with obesity, irregular menstrual cycles, absence of periods for a few months and later there can be a heavy period with clots and fleshy masses or spotting on off and off. There can be a thyroid abnormality and prolactin problem indirectly. You will develop an extra pad of fat around the mid-segment of the body, especially in waist, thighs, and breast. There will be an absence of fat below elbows and knees. There will be an excessive hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face, black skin over the back of the neck, inner thighs and undersurface of the breast. You may have a family history of diabetes. Regular ovulation will not occur during this problem, and you cannot get pregnant until it is treated. It increases the chance of early pregnancy abortions. But there is a solution. Your weight has to be weight (kilograms) = height (in centimeters) - 100. When you have a reduction of weight to normal range, then there is no requirement of medicines to get periods or to get pregnant, and pregnancy will be healthy. Avoid eating junk foods, fast foods, and red meat. Reduce taking snacks in between meals. Have a low-calorie diet with high proteins. Do regular exercise (especially for waist and hip area), aerobics, yoga, and brisk walking. Try to reduce two to four kilograms per month. When there is a loss of weight of five kilograms, you can see changes. You will not require medications and the problems during periods will resolve soon without medications. If you want to have regular periods till you reduce weight, you can have birth control pills cyclically from the first day of the periods for three to six cycles. It will regularize your hormones and periods." } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "assistant", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am 33 years old and I want to ask what and why we need to stop taking Ranitidine before endoscopy? Is it because it hides anything or make a false negative result? I have undergone endoscopy (first time) and still taking Ranitidine to control my acid. The doctor told me that my esophagus is not fine because I took Ranitidine." }, { "from": "assistant", "value": "Hi. According to me, it is not compulsory to stop Ranitidine before endoscopy. Sometimes, it may hide the findings of gastritis or an ulcer if taken for a longer time before endoscopy." } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "assistant", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "assistant", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "assistant", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Dear doctor,My mother has been experiencing little back pain for more than three years. So, she has been consulting some neurosurgeons for some time but no major problem has been detected by them. Recently, the pain has increased a lot. She had consulted a nearby orthopedic surgeon. He has taken an MRI. Now, he has detected a mild diffuse disc bulge in L4-L5 disc causing mild central canal stenosis and abutting bilateral traversing nerve roots with adequate foramina. He has suggested my mother take physical rest for more than two months and he has given some medication. He has been saying that the current issue with L4-L5 disc bulge is not very serious and can be treated with medication and physical rest. If the disc bulge does not get treated with medication even after some time like six months, then he said he would suggest a neurosurgeon who would operate on my mother for L4-L5 disc bulge. As I am not very familiar with medical terms, I wanted to take your help online to get better suggestions for my mother's treatment. Please suggest me the right treatment for the current condition. All the medical reports and MRI reports have been attached to this email. I hope for the best treatment for her in the current scenario." }, { "from": "assistant", "value": "Hello. I agree with her doctor that surgery should be postponed as much as possible considering the mild bulging. I suggest using painkillers and Amitriptyline (if no contraindications) for the pain. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Holding a lumbar brace and performing physiotherapy can help improve her situation. If the pain persists, surgery should be discussed again. Kind regards. For more information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 21 years old and five months postpartum. I have an embarrassing problem that my vagina is gaping open and very loose. I cannot move without air getting inside. My husband called me an empty pringles can and left me. It is that bad. It actually was that way already before I gave birth and I was always queefing it seems to progress over the years, it started when I was about 12 years old (was not sexually active until 19). Should I get a vaginoplasty and would it last or would it just go back to loose anyway after some time?" }, { "from": "assistant", "value": "Hello. I have seen the pictures which have been uploaded and there is indeed gaping of the vaginal orifice with perineal laxity and also decreased mons pubis and labia mayoral fat pad (attachment removed to protect patient identity). Ideally, after postpartum, one is advised Kegel's exercises to tone the perineal muscles for 3 to 4 months if surgical correction is to be avoided. In your case, where air is seeping in and it is affecting your personal relationship as well, it is suggested that you should opt for a cosmetic gynecology procedure under aesthetic medicine called laser vaginal rejuvenation by thermiva (instrument name- you may search literature if need be), which can help correct the looseness of the vaginal walls circumferentially. Also, after re-evaluation of the results of the procedure after a month, then you can be considered for corrective vaginoplasty with perineoplasty with bilateral vulvoplasty, which would help you regain the aesthetics of the genital area and also your concerns could be addressed. Post-procedure you would be asked to avoid pregnancy for at least two years which would help the wall to repair and strengthen and results can be followed up in subsequent visits. So please meet a cosmetic gynecologist, get assessed and discuss your options in detail. Do not worry, this is correctable." } ]
[ { "from": "human", "value": "Hello doctor, A relative of mine is admitted to a local hospital and tested positive for dengue. His platelet count was checked thrice. The first time they checked it was yesterday afternoon, and the count was 83,000. The second time they tested him yesterday evening and the count was 81,000. The third test was done today morning and the result was 79,000. The clinical assistants said they are not able to ensure an increase in the platelet count. We are too tensed. Meanwhile, the WBC has steadily increased from 3600 to 5400. Please tell me what we can expect? Is it serious? The patient is active, walking, talking, and eating fine. He only has joint pains and rashes." }, { "from": "assistant", "value": "Hello. Fever with body ache is one of the typical symptoms of dengue fever. Do not get worried about the present situation. For more information consult a hematologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hi doctor, My father suffered from high fever over last week and he was alright. But today again he is feeling a mild rise in his temperature. Is this anything serious?" }, { "from": "assistant", "value": "Hi. I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. Fever is just a symptom of other illnesses like infection, inflammation etc. So, we have to rule out some basic infections possible in him. Also some background of your father's overall health is needed. Please answer the following questions to assist him in the best possible way:- 1. Does he have or had any of the following symptoms in the last week, the symptoms include sore throat, neck glands enlargement or enlarged lymph nodes? 2. Did he experience any painful urination, frequent urination or urge to urinate even after coming from restroom, all time feeling of bladder fullness as if he needs to urinate? 3. Are there any symptoms of constipation, vomiting, nausea, diarrhea, abdominal pains, cough with/without sputum, nasal discharge, flu, eye redness, etc? 4. Does he have any skin condition/disease? 5. Is he diabetic or hypertensive? Whether he takes any regular medication? If yes, then please mention it. 6. Is there any allergic history for food or medication? 7. Is he a known hepatitis patient? 8. Does he have any gallbladder issues or history of kidney stones? Treatment will be decided with follow-up details." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from nightfall and weakness." }, { "from": "assistant", "value": "Hi. Night falls are called a nocturnal emission. It is a normal stance. If you had a high sexual urge and failed to ejaculate sperm or have sex, you can expect nocturnal emission. A person who masturbates or has sex at regular intervals and suddenly stops can have a nocturnal emission. These are the simple reason for NE. If you still have an issue, we can do blood and urine investigation to rule out infections." } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "assistant", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi, My one year old son has been coughing for 3 days now. I spoke to his paediatrician. She asked me to give him bromhexine and kofarest. I tried both but it did not work. Please help me." }, { "from": "assistant", "value": "Hi, Thank you for your query. Therefore I suggest you to consult a paediatrician online for prescription of appropriate medication -->" } ]
[ { "from": "human", "value": "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." }, { "from": "assistant", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I had a sore throat but has gone away now. I feel like something is blocking my throat. I look in the mirror and nothing is there. I feel it deep in my throat like it is clear when I breathe with my mouth open but when it is closed, it is blocked." }, { "from": "assistant", "value": "Hi. I would like to know if there is actual swelling outside or inside the throat. If not, there could be following reasons for feeling like a blocked throat. This is called globus pharyngeus which is little inflammation of the throat. The medications you have taken during infection might have caused dry throat and muscles and membranes are affected due to strain. Anxiety can also cause this feeling as we are swallowing more when we get anxious. I would also suggest seeing for any ulcers in the throat. GERD (gastroesophageal reflux disease), gastritis can also cause this feeling. Treatment is to try to destress yourself and relax and take antacids like Gaviscon or Maalox after meals for a few days, if not better, please let us know. If the symptoms increase like you have pain or difficulty in swallowing please see a doctor for a physical examination." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from an awkward spot on my lower lip. It is like a basic symptom of lip cancer. Please give your valuable suggestion." }, { "from": "assistant", "value": "Hi. I have gone through your case. There are many causes and clinical presentation of lip cancer. You should provide a complete history of the lesion for how long it has been there and also send picture as well. Or please see dermatologist personally." } ]
[ { "from": "human", "value": "Hello doctor, I am male, 43 years old, 6 feet height, and 115 kg weight. Pain in the penis for the past three months now. Have visited two urologists. Have taken a course Zocef 500 mg for five days and applied Candid B cream for one week and taken Forcan 150 mg one tablet and again visited the same doctor and was advised Levoflox 500 mg for two weeks about two months back. I have completed the course. The second urologist advised Azithral 500 mg for three days and Doxy for seven days. I have also completed the course about 1.5 months back. Have done self-medication of Candid B cream 10 days back for seven days along with Forcan two tablets. Some few days I have relief and some days it gets bad. There is no relief as now the pain keeps coming back. Presently, I am having pain again." }, { "from": "assistant", "value": "Hi. There is a possibility of non-gonococcal urethritis because the antibiotics you have taken should have cleared it if it was a routine infection. I would suggest Doxycycline 100 mg morning evening along with Veltam 0.4 bedtime for two weeks. You should start feeling better in 48 hours after starting medicine." } ]
[ { "from": "human", "value": "Hello doctor, I am writing this query for my father. He is 62 years old. He has BP and sugar but both are very much in control. He gets a slight pinching like pain on left chest and rarely on right chest. It stays only for few seconds. In a day, it comes like five to six times for every three to four weeks. We took ECG and I am attaching the file. Our general physician says that it is normal but in the ECG it is mentioned as undefined abnormal ECG. It says flat T and left axis deviation (please refer the file). Our physician says it is nothing to worry about. He says the pain is because of gastric problem. My dad goes for walking every day. He walks for 45 mins and covers four km. Our doctor says if the heart has any problem, then one cannot walk that much. Kindly refer the attached ECG and please explain if there is any problem. Kindly explain the reason for flat T and if it is something to worry about." }, { "from": "assistant", "value": "Hi. I have studied the attached reports (attachments removed to protect patient identity). For further information consult a cardiologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have hypertension. Please suggest some natural ways to treat it." }, { "from": "assistant", "value": "Hello. I understand that you are not interested in taking medications for hypertension for a long time. So I am suggesting you a natural way of dealing with hypertension. Take raisins. Soak it in rose water overnight. Chew and eat it in the morning. You have to follow this for 21 days with 1 raisin on the first day, 2 raisins on the second day, 3 raisins on the third day and so on till you have 21 raisins on the 21 st day. Then stop this and after a gap of 2 weeks, repeat this. Follow 4 to 5 cycles like this. Meanwhile, keep taking your allopathic medication during this period. Afterward, you can taper off the medication. Keep checking your blood pressure after every 21 days. This might work for you depending on your body condition. Also, try to do meditation and yoga." } ]
[ { "from": "human", "value": "Hi doctor, My query is regarding the incompatibility of Quetiapine and Lamotrigine with other groups of drugs. Now I have to get treatment for an anaerobic infection. I was prescribed Azithromycin, Clindamycin, Metronidazole and Mycomax. However, I will be extremely grateful if you list me all groups of drugs incompatible with Quetiapine and Lamotrigine or just list the most important ones. Thank you." }, { "from": "assistant", "value": "Hello. As such for Lamotrigine following drug interactions need to be considered as important. For Quetiapine, Cytochrome P450 (CYP450) enzyme inhibitors reduces clearance of Quetiapine hence raises Quetiapine levels, therefore dosage needs to be reduced. May increase effect of antihypertensive agents. Besides these interactions no other major interactions with any other group of drugs." } ]
[ { "from": "human", "value": "Hi doctor, My mother is 80 years old. She has been having myasthenia gravis for the last 10 years and it has been under good control. She took only Distinon tablet three times a day till last month. One month ago, she had a viral fever. She was admitted in hospital for 10 days and the doctors treated her for precrisis MG and chikungunya. She was discharged after treatment. Since last three weeks, she has been in bed with continuing physiotherapy, but the recovery is taking time. At the time of discharge, she was advised with the following medicines, which we have continued till date. Distinon increased to four times a day, Azoran once daily and Tilstigmin (Neostigmine) thrice daily. Do we need to continue with the medicine? Or should we reduce the dosage? Till when she needs to continue it? Would she come back to her old dosage soon? Lastly, how much is the recovery time for a chikungunya along with MG in an old patient?" }, { "from": "assistant", "value": "Hi. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am 36 years old, and my partner is 55 years old. We have been in an exclusive relationship for over three years. Throughout the entire relationship, I never had sexual contact with anyone other than him. He got a rash before two months. The GP diagnosed it as shingles. But after seeing the blood reports, he was diagnosed with syphilis. After reading about this condition, I have understood that the stage two symptoms appear after 10 to 90 days of contracting. My partner is persistent that he has not slept with anyone except me. I also understand that syphilis can remain dominant for some time. If he has stage two symptoms, does it mean that he would have contracted it before three months of diagnosis? Is it possible for him to have it before we were together?" }, { "from": "assistant", "value": "Hi. The median incubation period (interval between contracting infection and clinical manifestations) of primary syphilis is 21 days (ranges from 10 to 90 days), and it rarely exceeds six weeks. Once the primary sore appears, it persists for four to six weeks, and then it heals. Usually, six to eight weeks after healing of primary sore, secondary syphilis becomes clinically apparent. Patient experiences skin rash at this stage. The timeline for the development of rash follows this way. When contracting an infection from a sexual partner, it takes 10 to 90 days for development. In median 21 days, primary sores appear on the genital parts. It persists for four to six weeks, and then it heals. After having healing of primary sore after six to eight weeks, a rash of secondary syphilis appears. Usually, it takes two to eight weeks to heal. So generally, it is unlikely to have the rash appearing after many years of contracting the disease from a sexual partner." } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I believe this is syphilis. I have taken Loratadine for seven days, as prescribed by a doctor here. However, nothing happened. I cannot have it checked due to the quarantine in my area. Does my condition need immediate medical care? Or can I take medicine to treat this while waiting for the ECQ to be lifted? I did not have a fever or flu when this started. I would also like to add that I have been having dandruff on my beard and mustache, and an itchy scalp. There are also dry patches on the area near my chin and they are flakey. They do not flake sometimes, though. I have been applying moisturizer on my face since they started to appear. Another thing, the folded skin on my underarm and area behind my knee can sometimes have a burning sensation. I did not know what is happening. I hope you can help me with this." }, { "from": "assistant", "value": "Hello. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscuity? What do you do? Any other diseases? Is this the first time this has happened? Besides Loratadine have you tried taking any other medications? Any allergies? Based on the given health data, it is likely you may have secondary syphilis. Can you send photos of the rashes on your trunk or arms? Where did it start and how did it spread? Any throat pain or gun lesions? If you're having difficulty of breathing, fever, changes in sensorium, numbness or weakness please proceed to the ER. Otherwise, we could start treatment for now but will require laboratory results to confirm the diagnosis. Please do VDRL or RPR (whichever is available) and FTA-ABS or TPPA (whichever is available). I suggest to start Doxycycline 100 mg twice daily for 14 days (Please do lab works before starting your medication. The results may turn out negative if you have taken your dose and if it is negative we will have to stop the treatment). Regarding dandruff, I suggest to shave your beard. Use anti-dandruff shampoos. May continue the application of moisturizer on the affected area. Regarding the burning sensation, it maybe related to syphilis. Are there any rashes present? Is it often damp? Is the area reddish? Continue to take baths and maintain good proper hygiene. Please send your CBC (complete blood count) results. VDRL (venereal disease research laboratory) or RPR (rapid plasma reagin) and FTA-ABS (fluorescent treponemal antibody absorption) or TPPA (treponema palladium particle agglutination assay). Abstain from sex for now. Proper hygiene." } ]
[ { "from": "human", "value": "Hello doctor, I am an 18 year old boy. I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur? I also have stains on my teeth. I do not smoke or drink alcohol, but my teeth do not look white. How can I improve the colour of my teeth? Also, why do I get the smell of whatever I eat in my breath?" }, { "from": "assistant", "value": "Hello. You are suffering from halitosis. You must be having sensitive teeth, hence having pain or cold or hot sensation. I suggest using Sensodyne toothpaste. Try using Orahex (Chlorhexidine) gargles twice daily for bad breath. Slight staining is normal, it has to be noted only when you get more stains in your teeth." } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "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?" }, { "from": "assistant", "value": "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 -->" } ]
[ { "from": "human", "value": "Hi doctor, I have a cracked tooth. It hurts me a lot for a week. Now, I can eat only on one side of the mouth. What can I do to get relief?" }, { "from": "assistant", "value": "Hi. Please say about the location of the cracked tooth. Please mention whether it is present in the front tooth or back tooth. If there is a pain, you can take Amoxycillin two tablets one at morning and night. You can also take Aceclopara (Aceclofenac with Paracetamol) for the pain along with it. You can take tablet Rantac before breakfast and dinner. If the crack is present in a front tooth or back tooth, consider going to the dentist to examine the condition. If it is present in a front tooth, you can treat it by bonding and root canal treatment can also be done. A crown can be placed over it for esthetic purpose. You can go for an implant also. If it is present in a back tooth, you can do a root canal treatment, and it can be managed by placing a crown over it. If the crack is too difficult to be handled by root canal treatment, then it can be extracted." } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "assistant", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor, 20 years ago, when I was an young adult, my foreskin was mostly removed in circumcision. Some loose skin remains, although not enough to cover the head at all. Is it possible to regrow the skin or parts of it? And is there any medication or cream that could be used to stimulate skin growth?" }, { "from": "assistant", "value": "Hello. I can understand your concern for your symptoms. There are medicines to grow cells, but using in penis region is not an option. If your excess skin is giving difficulty during masturbation or sex, the only option is to see a surgeon and remove the excess skin and lead a happy life. If there is any other reason you want to remove the skin, do explain. We can work it out. Kindly elaborate your complaints and all the doubts or question you have in one message so I will do my best to explain all in an understandable scientific way." } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "assistant", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I had a seven-day monitor, and I have attached my reports. Nothing has been added about whether I need medication, etc. This sounds dangerous. should I be worried?" }, { "from": "assistant", "value": "Hello. Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), caffeine, alcohol, thyroid problems may aggravate these. But, considering your age, we should rule out ischemia in you. You should also get a thyroid test done. So should get a stress test like stress thallium or TMT (treadmill test) done. You will need beta blockers like Metoprolol to keep these under control. If there is any evidence of ischemia, then you can opt for antiplatelets and Statin. I hope this helps you and get back if you have any questions." } ]
[ { "from": "human", "value": "Hello doctor, I want straight teeth. I do not want braces or accelerated orthodontics or veneers. And I do not want a retainer. Is there any hope?" }, { "from": "assistant", "value": "Hi. The various methods to obtain properly aligned teeth include braces, accelerated orthodontics, veneers, retainers and few others. The suitable method for you can be decided by knowing your age, teeth alignment, gum and jaw bone condition, any parafunctional habits like mouth breathing, lip or nail-biting etc., and your general health. In case you are more than 50 years old and have loose teeth, your malaligned teeth can be extracted and replaced with artificial teeth. Kindly provide a detailed history of yours and attach pictures for further follow up with a dentist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am in a subtropical state. As I was washing my face a few days ago, I accidentally got some tap water up my nose. Vaguely aware that there might be concerns about the Naegleria fowleri ameba down here, I panicked and then took some bottled mineral water and tried to rinse my nose with it, thinking that that might be more thoroughly purified and wash away anything from the tap water. However, the bottled water ended up going much further up my nose, and it felt the way it used to feel when getting water up my nose in a swimming pool as a kid. That happened a few days ago. I am worried whether either of these water sources (tap and/or bottled water) could have contained the ameba. I have been having some issues with mucus dripping from the back of my nose into my throat, occasionally mild pressure when I swallow, and for the past couple of days I have had a vague headache all day, but nothing intensely painful (it seems to have diminished somewhat today, though perhaps not fully gone away). I am not sure if I should go to an ER for evaluation, or if I should just wait and see if any more characteristic symptoms develop. I have not observed any changes in smelling ability, nor any neck pain; just a mild, vague headache. I know that if one gets the Naegleria fowleri infection time is of the essence, but I do not want to go spend a lot of money and time at the ER just to have them say that they do not see anything yet and to come back if anything changes. Is there a test they could do at this point to determine if an ameba is present, or is that only practicable if an infection reaches a more serious stage? Should I go to an emergency room now or just wait and see what happens?" }, { "from": "assistant", "value": "Hello. Firstly, do not worry at all. Please let me know exactly how many days have passed after the exposure. Also, know these facts: Revert to me when you feel like. Thanks. Have a great day. For further doubts kindly consult an ENT otolaryngologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am an 18 year old male, and I am having frequent urination. Every time I urinate, there is some amount of urine retained in my penis, and it does not come out. It is causing discomfort, and when I sit down on the toilet, then 1 to 2 drops of urine comes out, but it still does not come out fully. I have done a urine culture, analysis, and ultrasound of my abdomen, which showed no obstruction and stones and no prostate problems. I am confused as to what is causing the problem. My doctor told me to go to an ayurvedic shop and ask for medication. So, my father brought Gokharu Kadha three days ago, and I am taking two teaspoons of the medicine with little water. Still, my problem is not that improved, and I still feel little urine is stuck in my penis. It hurts when I laugh or cough after urinating. Can it be a pelvic floor issue? From the last two days, I also have incomplete bowel moments. Is Gokharu Kadha good? Should I stop taking it?" }, { "from": "assistant", "value": "Hello. I just read your query. For further queries consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "assistant", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor,First time, when I was in the hostel I acted like fainting. So, they took me to the hospital and after checking BP, the doctor said it was low. The next day, I got very high fever and came home. Then after some days, I went hostel as I had kidney pain. I was brought here and had a scan. The report said that I have hydronephrosis. So, I joined as a day boarder. While studying I do not understand anything. I got zero in mathematics and I informed my mom that I cannot understand anything. My mom asked me to practice, but I am not getting interest. My exams are getting near and I do not know anything. Whenever there is an exam, I am not going college on that day. Sometimes, when I am alone, I feel something different in my body and I feel as if I am missing the past. When I see a situational scene or a song, I feel bad. I want to make my parents happy by seeing my marks. Please suggest me some ways to interest in studies." }, { "from": "assistant", "value": "Hi, Welcome to the icliniq.com. I completely understand that you are feeling a lack of interest in studies and unable to focus on your studies. According to research, there can be various reasons behind the lack of interest in studies and low concentration. 1. It can be due to learning difficulties in children. 2. It can be due to negative past experiences such as having failures, something negative related to study environment or teachers or fellows or due to any other academics related factors. 3. There might be psychological causes behind your lack of interest, avoiding exams and getting affected by past memories. You need to specify your age, level of study and for how long you are experiencing these problems, both academic and emotional issues. You also need psychological assessment of the symptoms you mentioned as feeling something different in body, missing past experiences, getting emotional by watching particular scenes or listening songs. First of all you need a complete psychological assessment by a clinical psychologist. It will include testing related to your academic problems and psychological issues like lack of interest, avoid studying, negative past experiences and unusual sensations in the body. You will get a feedback of your assessment and then you will be better able to understand the reasons of your problem. On the basis of assessment results, your psychologist will recommend an appropriate treatment plan for your academic and emotional problems. Here, I am advising you a relaxation exercise. You can do it before starting your study. Relaxation exercise helps to improve concentration. It also relaxes your mind and body out of stress and problems. Do a relaxation exercise or deep breathing to calm yourself and focus. Sit in a comfortable position and close your eyes. Take a deep breath and focus on the air going in and out. Focus on your muscles from head to toe of your feet and relax every muscle. As your body gets completely relaxed, imagine something positive, watch yourself studying and enjoying the material you are reading or writing. After your necessary adjustments open your eyes. Do this exercise every day. I appreciate you consulted for your problems at initial stage. Do get your assessment done as soon as possible. Delay in the treatment or ignoring your symptoms may increase your problems. Revert back with answers to the above questions to a psychologist counsellor online.--->" } ]
[ { "from": "human", "value": "Hi doctor, I am currently 26 weeks pregnant. I have developed severe itching all over my body, particularly in palms and soles of feet. I initially did not take it serious and kept applying coconut oil, Lacto calamine, etc., to get some relief. However, I did not get any relief from any of these. Then I got my liver function as well as total bile acid test done and result is as follows. AST 199 (normal range up to 32), ALT 234 (normal range up to 55) and total bile acid 52 (normal up to 10). I showed this to my current doctor as well and she said this is common and does not seem to be concerned too much. She prescribed me Atarax 25 mg once in night for 10 days and Lacto calamine for external use. Could you please guide me whether this is a concern and need to be taken care urgently? Or should I continue with what my doctor has prescribed me?" }, { "from": "assistant", "value": "Hi. You have raised liver enzymes. This indicates that you have a condition called obstetric cholestasis (bile acid accumulation in blood resulting in constant ithcing during third trimester of pregnancy). It needs proper treatment and you need to get LFT - liver function tests repeatedly for every two to three weeks till it gets controlled. If left untreated, then it can even harm the baby. It can result in many complications like early labor, fetal distress, etc. Please visit your doctor immediately for prescription of Ursodeoxycholic acid. For further doubts consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 14 weeks pregnant, and I suffer from continuous severe acid reflux, from the past 7 to 8 weeks. I consulted my gynecologist, but she did not give any medicine. Antacids are not effective at all, and I have a feeling of food stuck in my throat and chest. It is very unpleasant and uncomfortable. I have even lost 6 kg within the last month, due to acid reflux and severe food aversion. Should I consult a gastroenterologist? I have tried taking Pentab and Gelusil." }, { "from": "assistant", "value": "Hello. I am sorry that you have severe discomfort. I wish you get better soon. For more information consult a medical gastroenterologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am getting facial warts again and again at the same place. I go for swimming every day. Is it because of that? I have undergone laser treatment twice and it went away with it. Now, again I have the same problem. What should I do? Is there anything that I can apply as I do not want to get laser treatment again and again? I have enclosed my picture. Please help me." }, { "from": "assistant", "value": "Hi. Facial warts occur due to HPV (human papilloma virus) and some people are more susceptible to it due to some complex immunological parameters. They are too notorious to recur and avoid shaving for some time. Also, the probable treatment is electrocautery. Going to the swimming pool will not affect their behavior as you are already infected. But, you should use separate towels to prevent other susceptible person getting infected. For further information consult a dermatologist online -->" } ]