conversations
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[
{
"from": "human",
"value": "Hello doctor,I am a jaundice (hepatitis A) patient. My earlier SGOT and SGPT was 81 and 117 now it became 117 and 395 respectively and bilirubin total is 1.19. When the bilirubin count decreased, I started to eat food more to make my body look normal. Will it be dangerous?"
},
{
"from": "assistant",
"value": "Hello. I understand your concerns, but you should not worry. Hepatitis A is self-limiting in the great majority of patients. Hepatitis A is diagnosed clinically and laboratory (HAV IgM and G) is required for the diagnosis. If you have them, please send a copy of the results in the follow up message. Please answer the following questions: My suggestions: For more information consult a general medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am observing obsession since last two to three years. I discussed my symptoms with a doctor at icliniq and he told me it is due to OCD (obsessive-compulsive disorder). Firstly, I have this problem if a topic or matter emotionally bothers me. I keep calling my mother frequently on phone and start talking for long duration. I cannot be without calling as we both stay in different state. If I do not get a chance to call my mother then I call to any of my friend and talk about the same topic. When a topic or thought rotates in my head my focus tends to go there only so current work gets disturbed. I do will start cooking and then forget and go to other room to start another work. Even though in office I always works good, recently observing that my focus is diverting from my work to other work where my mind tends to stay. Because of this, my current task is getting affected. Secondly, I am very absent minded at home. In office also I sometimes forget to attend daily meetings where all project teams come and give updates regarding their progress of tasks. I also forget sometimes to check fingerprint in office which is for security purpose. I have stopped taking care of myself. My life is not routine oriented at all. I am poor in time management also. When I am at home, I generally walk and keep eating something. In office whenever I call mother from my mobile I cannot relax or stay at same area and I keep walking and talking over phone. Please guide me. What should I do to reduce my OCD, absent mindedness, anxiety and restless nature? These are immensely bothering me. Do you offer psychotherapy online for these? What is the procedure to attend psychotherapy sessions online? Please guide. Thanks."
},
{
"from": "assistant",
"value": "Hi. I read your query with keen interest and agree with your doctor who suggested OCD (Obsessive-Compulsive Disorder) for current symptoms. In addition, it appears to me that there is secondary depression. So, your diagnosis for current condition can be called OCD with secondary depression. Regarding treatment part, both psychotherapy and medications are effective for control of symptoms. I do offer psychotherapy for OCD and depression on weekly basis lasting for 10-12 weeks. Majority of the patients get benefited with psychotherapy of such duration. In addition, few patients who have moderate to severe symptoms need medications in addition to therapy. Revert back with the detailed information to a psychotherapist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 20 years old. I have an obesity problem. I have a weight of 88 kilograms and a height of 168 cm. Please give me suggestions for reducing weight."
},
{
"from": "assistant",
"value": "Hi. Do regular exercise for five to six times a week. Do aerobic exercise along with weight training. Stop eating junk foods. Have a good sleep for seven to eight hours. Stop the habit of smoking and drinking alcohol, if you have this habit. If you have stress, then find ways to reduce stress. Do meditation. Take plenty of water. Calorie intake should be less than 2200 calories and burn excess calories by doing exercise. Your ADL (activities of daily living) should be more than this amount. You will start seeing results after six weeks."
}
] |
[
{
"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,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 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 do not know what disease I am suffering from but it is killing me deep down. I do not want to get married, my parents are forcing me. Please help. It is going on from past 3 to 4 months. At times, I feel like going away from the house or to kill myself but then I see towards my family and the idea of dying gets ruled out. I was suffering from mild depression but my parents do not know about it."
},
{
"from": "assistant",
"value": "Hello. Let us summarize your complaints, thoughts of running away from the current situation, occasional suicidal ideas, avoidance of marriage. Marriage is a cause of joy but it is a stress in itself. So, maybe you are trying to avoid further stress because you are overwhelmed with the stress of your current life. Besides, medical education is tremendously stressful and enough to cause depression in the vulnerable. Besides, you give a history of mild depression in the past. If you are having suicidal thoughts, even occasionally, it is a marker of severe depression and needs treatment by a psychiatrist. Other symptoms of depression include sadness, loss of interest in previously pleasurable activities, change in sleep, appetite, weight. Anxiety, guilt feelings, pessimistic thoughts, if you feel that you also have these symptoms, then it is likely to be a major depressive disorder. It can be treated with antidepressant medicines like Escitalopram or with counseling, psychotherapy with a psychologist. If you do not have these symptoms, then we will have to search for other causes of your current complaints. Send follow up to this query if you have any other symptoms. Take care. Consult a psychiatrist privately for more help, information, and guidance about depression and its treatment."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My mum has angiosarcoma in the leg. Amputation would be the only option. But she is not a suitable candidate for surgery. Will radiotherapy help in this condition? Please suggest."
},
{
"from": "assistant",
"value": "Hi. The usual treatment for angiosarcoma is the removal of the cancerous tumor by surgery. However, in those patients who are unfit for surgery, radiotherapy and chemotherapy are alternatives. Radiotherapy involves the use of radiations to dissolve the tumor and chemotherapy involves medicines for the same. Both these nuclear medicine treatment modalities are palliative. They may help control the spread of the tumor and also to a certain extent shrink it. However, the prognosis of these treatments depends on the stage of the disease."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have read your previous enquiry on a patient that had itchy-cracks on his scrotum and I am experiencing the same. I also have some white spots on my penis, also in the head. I did some tests before to see if it was a fungus, but the results were negative. I have been having this issue for the past year and it is scattering around more and more. Please help. Thank you."
},
{
"from": "assistant",
"value": "Hello. Please answer the following: Revert with more information to a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, Please help me get rid of the following issues. I got married before two months. I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant? While masturbating, I am able to erect up to 5 inches and also produce sperm. But during intercourse, I could not ejaculate. Recently (for past two days), I am a bit worried of these issues. As a result of my worries, my penis is not getting stiffer. Now we are planning for a baby. I am a bit confused because of fear, anxiety and worries. I am not able to have sex even though I feel that I am normal. Please help me get a baby."
},
{
"from": "assistant",
"value": "Hi. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed. Your problem is delayed ejaculation, probably due to your anxiety. So I am prescribing you some medications for erectile dysfunction, delayed ejaculation and anxiety. Anxiety. Delayed ejaculation. Tablet Bupron XL (Bupropion Hydrochloride) 150 mg in the morning for 7 days and then twice a day. Tablet Buspin (Buspirone Hydrochloride) 10 mg twice a day. You should do deep breathing exercise such as 15 deep breath 4 times a day. You should start yoga/meditation. Revert back after 15 days to adjust the dose of medication, to a sexologist online.--->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had intercourse with my girlfriend on the fourth day of her cycle. The next morning she took Unwanted 72 (emergency birth control pill) since it was unprotected. After one week around she had light periods, which continued for three to four days. The next month she got a delayed period. Now, on the first day of her cycle we had intercourse again. This time too without any protection. But this time she did not take any pill and did not get periods yet. She took home pregnancy test twice, but it came as negative. First one was three days after intercourse and the second one three days after her due date of periods. Both of us are tensed now. Please suggest. She is 25 years now. Is there any chance for pregnancy? Or any other complication is waiting?"
},
{
"from": "assistant",
"value": "Hi. I have gone through your history and understand your concerns. For further 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": "Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help."
},
{
"from": "assistant",
"value": "Hi. Based on your query, my opinion is as follows: Hope it helps."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My daughter is 13 months old. I just noticed big yellowish sag at the place of her first molar gum. I am much worried. Please help me."
},
{
"from": "assistant",
"value": "Hello. Revert back with the photos to a dentist online -->"
}
] |
[
{
"from": "human",
"value": "Hi Doctor, Kid age 9 months. weight not sure. Since Yesterday, she is having loose motion problem. Today also she is having frequent loose motion. ORS solution and paracetamol syrup given, but got little bit control again started."
},
{
"from": "assistant",
"value": "Hello Welcome to icliniq - Loose motion ( diarrhoea) is common problem in young kids. It is very important to make sure that your daughter is well hydrated till she gets better . - It is very good that you are already giving ORS solution which needs to be given frequently. Loose stools can last for some days before getting better. It will help to clear the body of germs & toxins. I need to ask you a few more questions to guide you in the right direction - How many times /day does she have loose stools ? - is there any blood in stool ? - is she is any pain ? does she cry while having stools ? - is there any vomiting ? - is there any fever ? if there is no fever , there is no need to give paracetamol. - any signs of dehydration ( lips & tongue dry, not passing urine as usual) - Is her weight gain good and within normal range ? - is she otherwise her usual self or is she ill looking, crying & confused ? Treatment plan: - Provide your daughter with frequent sips of ORS throughout the day. For every loose stool she needs to be given 10 mls/kg of ORS. Assuming her weight to be 7-8 kgs, you should give 80 mls ORS for every loose stool. ORS needs to be continued till loose stools stop -You can also give tender coconut water if available. - Give bland non-spicy food like plain idli, rice for some days. -If she is still breast feeding, it is good to continue. - If available you can give Enterogermina oral suspension 2 mini ampoules a day for 3 days. You can mix with water and give her. - Zinsy syrup 5 mls once a day for a week - Most common reason for loose stools at this age is viral , so antibiotics are not needed. But if she has fever or bloody mucusy stools she will need to be examined . Otherwise, loose motion will settle in 4-5 days IMPORTANT Due to the Coronavirus lock down, visiting hospital/clinic may be difficult. But if your daughter shows any of the following signs she needs to be taken to the nearest hospital/clinic to be examined by a paediatrician. - looks sick - not drinking ORS - lips and tongue getting dry - not passing urine even once in 6 hrs - looks dull and crying excessively - blood in stoll If you have any further concerns, you can contact us again for further advice Take care"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Recently, I got conceived. My latest thyroid profile report showed the T3 and T4 to be normal and the TSH levels were abnormal at 22.96. We have heard that this TSH value affects the brain development of the newborn and also the newborn will not be mentally good. This is bothering us a lot and now we are in dilemma of going ahead or getting it terminated. Please share us your valuable thoughts on this. Currently, I am taking Thyroxine 50 mg."
},
{
"from": "assistant",
"value": "Hi. Yes, you are right. Hypothyroidism can affect the fetal brain development, especially in early pregnancy. Thyroid hormone is normally very important for many functions of the body. It helps in the early development of the fetus. The brain is one of the parts of early organ development. In early pregnancy, fetus mainly depends on mother's thyroid level because fetus itself cannot produce up to around 11 to 12 weeks (three months). There is no data available whether you have taken treatment early and adequately. But yes, there is data that hypothyroidism can affect brain development and function in baby permanently and whatever damage occurs is irreversible. If you are taking Thyroxine (Levothyroxine) 50 mg and the level is this high, then you need to increase the dose. And, if you have started treatment just now, then continue and repeat according to the doctor. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Acute chronic constipation for the last 20 years. I have been taking in the past multiple medications but could not be cured of constipation. Recently, I started taking capsule Pantocid L in the morning and I found relief to the extent of 40 % from my constipation but still, I am struggling with my constipation and even laxatives are not suiting to my body. Kindly advise. It takes more than two and a half hour to evacuate my bowels. I take a lot of water, papaya and do yoga exercises but constipation is unabated."
},
{
"from": "assistant",
"value": "Hi. Chronic constipation needs laxatives and life style modification. Some of the people may not be able to tolerate lactulose. Do not worry. We have another kind of laxatives that will not produce gases. Take Peglec one packet (big one) in two liters of water over 3 to 4 hours. It will help to clear your intestine in one go. If you did not clear your stool, repeat on the same day. By the second day, take Laxopeg sachets two sachets at night time. High fiber diet, include more salads in your meals. Adequate amount of water 4 to 5 liters in a day. No junk food. Regular excercise."
}
] |
[
{
"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 have a two-year-old daughter. She suffers from a cough for the past 17 days. It is nonproductive, and it gets worse when lying down. During night time, it comes as a dry hacking cough. The illness started with nasal congestion, and quickly, it became a cough. There is no rash, no changes in bowel movements or urination, or energy level. She has undergone tonsillectomy and adenoidectomy before ten months for sleep apnea, and it was successful. She gets this problem for the past six months. She does not have a fever. We used steroids before these events. Now, her cough got worsened for the past two days. We consulted a pediatrician, and she was given with Prednisone 15 mg two times a day and Augmentin. I gave steroids to her. She woke up in the night and had vomiting two times. She had a fever of 104 degrees. She also had congestion. I consulted the pediatrician. Currently, she takes Zofran 4 mg, Ibuprofen 10 mg, and Augmentin. Does she have a new viral infection? Why does her cough got worsened? Is it due to a progressive lower respiratory bacterial infection? Is it due to a drug reaction to the steroid?"
},
{
"from": "assistant",
"value": "Hi. It is less likely to be a viral infection as the temperature is quite high. It may be a viral bug, and it can be worsened after the administration of the steroid. Do not give steroid without a prescription to the child. Do a respiratory PCR, and it helps to find the exact cause of the same. A cough may have worsened following the steroid probably, because, it can be an infectious disease to be treated by antibiotics. It may not be a drug reaction to the steroid, but possibly an overdose. Children do vomit multiple times with a high oral dose of steroids."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 19-year-old male. Currently, I have a dust allergy. Sometimes, I have a sinus problem. Can I develop latex allergy if I use yoga mat made up of natural rubber material?"
},
{
"from": "assistant",
"value": "Hi. Allergy is genetically determined, and it can be identified by doing allergy testing. We cannot say whether you can develop an allergy or not. Even a skin prick test or a blood allergy profile can tell you whether you are sensitized to that particular allergen, or not and it is not confirmatory. Regarding the current allergies you have, dust allergy is a misconception. Anybody will sneeze when they inhale dust or polluted air. That is not an allergy. Sinus problem occurs due to allergy. Most common allergies occur due to pollens, house dust mites, and molds. Molds play an important role in allergy and chronic sinusitis patients."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My husband was given Zuclopenthixol injections during his stay at a psychiatric hospital and now he feels he has been done lobotomy and a part of his brain is missing. Like his intelligence, sharpness, cleverness, energy levels, etc. he feels the doctor should have diagnosed his mental state before concluding that he needs such level of treatment. His problems were stress-related. And now he feels he cannot get his brain back like before and feels like there is no point living. Kindly suggest what measures can be taken to help him?"
},
{
"from": "assistant",
"value": "Hello. Zuclopenthixol is an antipsychotic medication prescribed to a psychotic patient or patient of severe depression with psychotic features. It is commonly used to control aggressive behavior of the patient. A decline in cognitive features, slowly are possible with Zuclopenthixol. One thing I want to clarify whether he is sure that lobotomy was done on him or not? You have also mentioned that previously he was prescribed Risperidone. So I think he might have psychosis. A patient of psychosis can have a depressive episode. If currently, he can tolerate Zuclopenthixol depot you can ask about Olanzapine depot which is second-generation antipsychotics and has a less side effect."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Which drug works better for throat infection, Augmentin or Azithromycin?"
},
{
"from": "assistant",
"value": "Hi. We usually do not care about throat infection when it is mild and then it gets worsened and causes undue discomfort. Regarding choice of appropriate antibiotic, it is very important to know your history. It includes previous use of recent antibiotic, presence of fever, purulence of sptum, systemic symptoms etc. So. if it is just mild sore throat with mild fever and no excessive cough or other body symptoms, tablet Azithromycin will do good. But for severe infection, systemic symptoms, high grade fever and difficulty in swallowing, we need to give something which is broad spectrum like tablet Augmentin 625mg thrice daily for 7 days. So, it is the clinical judgement to select appropriate antibiotic according to the presenting clinical symptoms. Get back to a general practitioner online for further follow up -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help."
},
{
"from": "assistant",
"value": "Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion."
}
] |
[
{
"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 4 years old son fell in the play area and got his left arm fractured (ulna and radius). We went to ER and doctors did alignment and put him on cast and sling. I am attaching the X-rays before and after alignment. In the X-ray after alignment, one of the bones was not aligned properly. The doctor said that it is fine if it is aligned more than 20 % in kids. I am attaching both the X-rays. Can you please check and confirm if it is fine? Also, since he is 4 years old, he is not keeping the sling all time and while playing (with toys inside the home), the sling is getting loosened. My worry is that will it delay the healing process. Does the kid always need to be in a sling while in the cast. Please advise."
},
{
"from": "assistant",
"value": "Hello. The reduction is not appropriate in this case, the bone might join in a 4-year-old child but this is certainly taking a risk. The child requires removal of the cast, reattempt at the closed reduction, application of slab for one week followed by checking of X-ray elbow with the forearm with wrist-anteroposterior and lateral view to confirm reduction is maintained or not. If the reduction is maintained, then to undergo cast immobilization. Children do not require sling at all times. Role of the sling is to prevent edema of the limb by keeping it elevated and gives support. The child can play with well-fitted cast provided there is no fall on the limb, the cast is not soft and broken. If there is anything else, feel free to discuss further."
}
] |
[
{
"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 a 33 year old unmarried girl. I am having high sex desire, which makes me uncomfortable. I have transparent fluid discharge all the time. What to do?"
},
{
"from": "assistant",
"value": "Hi. For further information consult a sexologist 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, My mother's age is 60 years, and six months back her WBC count was 26000. She got admitted for two days and was discharged, at that time her WBC count came to 9000. Now from the last month, she was feeling tired, so we checked the WBC count, and it was 14,000. We went to the general physician, who gave her antibiotics for a week, but again after a week, her WBC was same. The doctor told us not to take any medicines, and to wait for ten days. But, after ten days, her WBC count is up to 15,000. So, the doctor has suggested seeing a hematologist. I am worried about this situation. What can be the reasons for this? I am also attaching her latest reports. Is it necessary to do bone marrow test? Is there any side effects?"
},
{
"from": "assistant",
"value": "Hi. I have seen your attached reports (attachment removed to protect patient identity). Consult a nearby hematologist for examination with keeping all this in mind. For further queries consult a hematologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,My son is 5 months old. He can hold his head during tummy time and turn his head in both directions. But when we make him sit, he usually looks in one direction. He has a flat head on one side. Does this mean he has torticollis?"
},
{
"from": "assistant",
"value": "Hello. A child with torticollis will not be able to make much neck movements at all, in any direction or position. The very fact that the child can look in both directions during tummy time is suggestive of the child not having torticollis. As regards to the flat head, some kids have it but do not worry. Also, with regards to the child looking in one direction only while sitting means that the child requires a little bit more strength to turn his neck (which should develop with time)."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 29 years old male, 5'7\", 235 lbs. I am suffering from SVT, degenerative disc L4 to S1, ulcerative colitis. Have undergone appendectomy (more than 10 years ago), tonsillectomy (more than 10 years ago), cholecystectomy (three years back). Medicines I am taking are Lopressor 50 mg twice daily, Norco 10 mg (as needed), Bentyl 20 mg. For the last three days, I have been having severe abdominal pain. Similar pain as when I had gallbladder attacks. Started out as come and go thing. But all day has been constant. I had also been vomiting. At least six times today. Not able to keep any medicines down or food or liquids. For the last few hours now I have been having episodes of SVT. Not lasting longer than 20 minutes and the maximum rate was 210. However, I have been able to vagal down each time. I am currently at the normal rate but my BP is high (176/110). Can my abdominal pain throw me into SVT? I have not had an episode like this in quite a while. Usually well controlled. Mostly my concern is with the abdominal pain as this is very painful and becoming intolerable."
},
{
"from": "assistant",
"value": "Hi. Your symptoms are most likely a classic case of post cholesystectomy syndrome which occurs roughly after two years post cholecystectomy, like your case. This can be dealt with by dietary modification like fat-restricted diet and oral ursodeoxycholic acid if there are persisting stones. An abdominal ultrasound can identify it. Hepatitis could also be a possibility so do not take Aspirin or any NSAIDs. Antispasmodics can help with the pain. As for SVT (supraventricular tachycardia), anything can set off an attack like stress, exertion. So, in your case, the severity of the pain could be causing it. You need to get both your heart rate and blood pressure down as soon as possible. You might need injection Adenosine. Take an antispasmodic for the right quadrant pain. I understand all these medications require a prescription. Upper abdominal ultrasound. Acute hepatitis. Postcholecystectomy syndrome with supraventricular tachycardia. Prescription drugs like a beta blocker or Adenosine, antispasmodic for pain relief, Ursodeoxycholic acid if microlithiasis. Avoid fatty food."
}
] |
[
{
"from": "human",
"value": "Dear doctor, Is there a homeopathic cure available for lipomas? What are the treatment options available in homeopathy for lipomas?"
},
{
"from": "assistant",
"value": "Hi. Lipomas are essentially non-malignant and non-dangerouscollection of soft fatty tissues. Homeopathy has no medicines to cure lipoma. However, homeopathic scope in lipoma aims at reducing the size, pain if any, and can control new growths. Also,homeopathic medicines can soften the consistency of lipoma making you feel comfortable and confident. Surgery is the only option to remove it, but it is also a temporary one. If you have any further questions, feel free to ask a homeopathy specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My wife has been having itching on her body for the past one year. Itching subsides with Allegra 120. She is taking this medicine for the last one year. Mostly, she gets itching on the area which is not covered by clothes. Skin becomes red when she scratches it. I am attaching the picture."
},
{
"from": "assistant",
"value": "Hello. She is allergic. The allergy can be due to food, sunlight, pollens, soap, moisturizer, or powder. So she can be allergic to anything. As you mentioned that only areas that are not covered by clothes are affected, which points to photosensitivity which is an allergy to sunlight. It can be an allergy to something else as well. It is very difficult to say only on the basis of history. I would suggest to look for any particular food if she develops itching after eating something. Change soap, moisturizer, and powder. Cover the whole body while going out which will protect if she is allergic to sunlight. You can also go for skin allergy testing which will confirm the diagnosis. Take tablet Montair LC (Montelukast and Levocetirizine) whenever she has itching. Stop Allegra. It is basically prevention from allergens she is allergic to. You can find it by yourself by closely watching or go for skin allergy testing."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been suffering from rosacea. So went under proper treatment but now around my lips area, there is dryness. Though I used all the creams on my face, I did not apply creams on the lips area. So is it because of that?"
},
{
"from": "assistant",
"value": "Hello. This is perioral dermatitis (attachment removed to protect patient identity). A type of eczema that occurs around the oral cavity. The most common reason is the steroid that causes it whether they are present in products we use on face or from the treatment we do. Yes, it can be part of rosacea, in fact, perioral dermatitis come under the umbrella of rosacea. The most important thing is hydration of skin for which you have to apply emollient. Apply simple Vaseline (Petroleum Jelly) 4 to 5 times a day. Wash your face with mild soap and water. Apply good sunblock of SPF 60. Follow at two weeks. Perioral dermatitis."
}
] |
[
{
"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": "Hello doctor, My 21 months old daughter has scratched herself near her clitoris and I was wondering what is the best action to take or remedy is. Please advice."
},
{
"from": "assistant",
"value": "Hello. The best thing to do would be to clean the scratch with lukewarm water, dry it and then apply ointment Soframycin locally over the scratch. This application to be repeated thrice a day and it should heal in next 48 hours. Also, it is important that she does not scratch again over it and hence a befitting diaper or small lower can be worn."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 14 years old. I have pain in my canine tooth due to a cavity. I have a sensitivity problem when I brush my teeth and when I eat ice cream. Is it normal?"
},
{
"from": "assistant",
"value": "Hi. If you have not filled the tooth and if there is sensitivity in the tooth, then it will not have a long term. It takes a month to have a formation of secondary dentine. So for one month, you must not eat too hot or too cold foods. Please mention about the treatment taken for the tooth. If you have filled the tooth, then there is no need to worry. It subsides with time. Kindly fill your teeth soon. If it is not filled, then you can have continuous pain in the tooth. You can also try using a desensitizing toothpaste."
}
] |
[
{
"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 suffering from typhoid from the last 10 days. Now, I have completed my seven days course. I want to ask when to report again that I am typhoid free. And I eat banana, wheat bread, milk, peanut butter, and do 30 minutes workout. Is it fine for after cardio and will this diet cause my liver to swell?"
},
{
"from": "assistant",
"value": "Hi. You finished typhoid fever medicine course, but you see typhoid fever otherwise called enteric fever, so the main infection pathology is in our intestine wall gland. So intestine will be inflamed and weak so better take easily digestible food. Do not strain too much with your work-outs for some more days. Otherwise, typhoid will relapse."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My last period was two months back. Then I postponed my period by taking lemon seeds and till now I have not got my period. I am taking sesame seeds daily for the past four days but I did not get my period. Can you please help me by giving medical prescription to get period?"
},
{
"from": "assistant",
"value": "Hi. I do not think period can be postponed or withdrawal bleeding can come with these seeds. If you are not sexually active then you may take progesterone tablets like Gynaset 5 mg (Norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. Consult your specialist doctor, discuss with him/her and take the medicine with consent. However, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. You are quite underweight with BMI 14. Try to improve your weight through good diet and exercise. Also get your thyroid profile done. You can share your reports when available. Revert back with the reports to an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a concerned individual with a history of poor oral hygiene. It got significantly improved during these few years. I have a broken tooth in the back left bottom. My front tooth appears green, and they are deeply separated. Is there any way available to save my tooth?"
},
{
"from": "assistant",
"value": "Hi. The permanent solution for you is to put braces to correct the malocclusion of the teeth. So that proper cleaning can be done to have less plaque and calculus. If you cannot start braces presently, at least get your teeth cleaned by a dentist to remove all the calculus that is sticking to your front and back teeth. The decayed teeth present at the back has to be removed or appropriately filled to save it from further decay. Use warm salt water gargle to have healthy gums."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 20 years old, type 2 diabetes patient. Please give me information about diabetes. Every morning, I do running around 2 to 3 km."
},
{
"from": "assistant",
"value": "Hello. I have seen your attached details (attachment removed to protect patient identity), which show you are on multiple drugs to control blood glucose and your blood glucose levels seem to be in very good control. However, if levels drop too low that is less than 70 mg or so, there is a possibility of developing hypoglycemia. So please take care not to have too low levels. Regarding what is diabetes and details about it, it is very difficult to explain here. However, some points are being given: 1. Diabetes is a hormone (insulin) deficiency disease, plus there may be resistance to its action, mainly in fat or overweight person. In some persons both these situations are responsible. Excess weight and physical inactivity are major culprits. 2. Once diabetes develops, there is a derangement of metabolism of carbohydrates, fats, and proteins. But the major visible problem is high glucose levels and HbA1c. 3. This leads to an effect on microvasculature (small blood vessels) supplying retina, kidney, and nerves. Secondly, damage to macrovasculature (large vessels) like coronary arteries supplying the heart and large vessels supplying lower limbs. These actions lead to retinal damage (retinopathy, kidney damage and neuropathy and sexual problems in male). Large vessel damage causes heart-related issues, damage to the blood supply to lower limbs and ulceration at times leading to loss of limbs. Type 2 diabetes was earlier seen in persons above 40 years. However, nowadays it is seen more often in much younger age group, even in teen age. Strict blood glucose control with fasting less than 100 mg, PP (postprandial) 150 to 160 mg and HbA1c less than 6.8 should be maintained. Apart from taking specific medications, it is essential to take properly planned restricted diet, no sweets, no deep fried foods, no bakery items, no foods made of maida and avoid colas. Increase the intake of green leafy vegetables and salads. Plus regular exercise of over one hour and maintaining a near normal weight are important aspects of the treatment."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I want to delay menstruation. Please advice."
},
{
"from": "assistant",
"value": "Hi. You can have hormonal medications to delay the periods. For better results, start 5 to 7 days in advance of a particular date. Have tablet Primolute N (10 mg twice daily) and continue till three days before you want to have periods. After stopping medications, you can have withdrawal bleed within latest two weeks and earliest 3 to 4 days. You can have heavy prolonged bleeding after stopping medications, it depends on your body how it reacts. Later, for some time periods will be disturbed and then gradually will be regular. Have a balanced diet, weight, and BMI. A complete treatment of any health issue you have will be helpful. Tablet Primolute N to start 5 to 7 days in advance 5 to 10 mg twice daily till 3 to 4 days before you want to have periods. Can have COCP afterward to regulate periods."
}
] |
[
{
"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, My baby, who is 1 year old, is suffering from fever. It is 104 Fahrenheit from last one hour. Please help me."
},
{
"from": "assistant",
"value": "Hello. Revert back with answers to the above questions to an internal medicine physician 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 19 year old male. I have been having pain near the right groin, where the leg joins the hip, for the last two months. It used to be very painful mostly during the end of the day. It was not always present, only twice or thrice a week. But now, it has become worse. So, I went to the doctor. He gave me some medicines but, it did not work out. So, he asked me to get an X-ray of the right hip and pelvis. The X-ray was normal and there was nothing wrong. However, I do get some internal sound when I put my leg down or if I lift it high. Now, I get pain at my back on the right side. A year ago, I had a blood test showing zero myocytes. The doctor said that the sound is a muscle sound. It pains mostly at night. I cannot even sit properly."
},
{
"from": "assistant",
"value": "Hello. I went through your post. For more information consult an internal medicine physician 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": "Hello doctor, My wife took Primolut N when we were about to get married (for 17 days) and then on the 15th, 16th and the 17th day we had unprotected intercourse. In order to avoid pregnancy, she stopped her Primolut N dosage on the 17th day and tool an I-pill. In spite of doing so, she has not got her periods. Can she be pregnant?"
},
{
"from": "assistant",
"value": "Hi. Although history is not complete, she got an overdose of hormones which might effect withdrawal bleed as well as periods. Stress, overwork, illness, medications, hormonal imbalance all can delay periods. Have serum beta hCG to check pregnancy. If no pregnancy, then wait for weeks at least before menstrual induction (tablet Primolute N 10 mg twice daily for five days and wait for bleeding for 1 to 2 weeks). Next periods could be irregular after withdrawal bleed but gradually periods will get back to normal as soon as the body gets rid of externally induced hormones (I-pill, Primolut N). Missed periods post pill. Beta hCG. Beta hCG if negative have menstrual induction. Cocp (oral contraceptive pills) for regulating cycles."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath?"
},
{
"from": "assistant",
"value": "Hello. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking, then controlled oxygen should be delivered by monitoring oxygen saturation through pulse oximetry. The reason behind it is that carbon dioxide is the only source of stimulation for respiration. When a patient is on oxygen and if he gets ready made oxygen from outside the drive of respiration is depressed. Also, uncontrolled oxygen delivery has its own complications. To monitor response to oxygen given, the only method is to check saturation non-invasively. So, for this type of use, it is not advised to check saturation regularly. But if you require oxygen continuously, then it should be monitored through pulse oximetry."
}
] |
[
{
"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 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": "Hello doctor,I need to know what I should do. I have been sick for four days now. I have two swollen tonsils (left side I noticed white spots on it). I have had fevers, body aches, body chills, runny or stuffy nose, vomiting and difficulty breathing."
},
{
"from": "assistant",
"value": "Hello. With the details, you have provided you seem to be suffering from acute tonsillitis. It is an infection of the tonsils and the pharynx, mostly bacterial looking at the associated symptoms you have. You must take an appropriate antibiotic for the same and in my office, I usually empirically start my patients on Amoxicillin 500 mg thrice a day for five days. Also, I give them symptomatic treatment, Paracetamol 650 mg taken SOS for fever and pain, Levocetirizine 5 mg taken once a day for a runny nose, Phenylephrine 10 mg taken once or twice a day for the stuffy nose (Note: There are combinations of Paracetamol, Phenylephrine, and Levocetirizine). Good supportive treatment comprising hot water gargles, plenty of warm water to drink, avoidance of smoke, dust and cold foods, avoidance of oily-spicy foods during the course of treatment and a healthy nutritious diet will help remove the infection faster. The white or yellow spots on the tonsil are due to obstruction of small crypts due to the infection. It is a common finding in follicular variety of tonsillitis. You may also gargle the throat with dilute Chlorhexidine mouthwash if there is any bad smell emanating from the mouth. Do revert back to me for any further query or clarification. I will be happy to help you. Hope to find you in good health soon."
}
] |
[
{
"from": "human",
"value": "Hello doctor, For the past three weeks, I have had my normal right eye floaters seem strange. I noticed peripheral flashes when blinking and walking and quick black narrow lines. I saw an ophthalmologist. He found the retina to be fine. I now have some flashes around peripheral in the right eye and a new large annoying floater, no curtain or loss of vision. Talked to an ophthalmologist last night. Said not to move eyes much. Should I go to ER? No vision loss. Just flashes and fast moving stringy floaters and flashes when moving eyes and walking."
},
{
"from": "assistant",
"value": "Hi. The hollow of the eye is filled with vitreous jelly. With aging, the jelly starts to liquify and separates from its attachments to the retina. This results in a little tug on the retina, resulting in flashes. This phenomenon is known as posterior vitreous detachment or PVD in short. The large floater appears when the PVD is complete, that is, it detaches from its final strong attachment on the optic nerve head in the retina. What you are experiencing is normal aging of the vitreous jelly. Now in this process, sometimes breaks may form in the retina leading to floaters. Floaters may be due to the cells from the back of the retina gaining access to the vitreous cavity through the breaks in the retina. Sometimes floaters may result when the break involves a retinal blood vessel. It is extremely important to get a dilated fundus examination done on an urgent basis to rule out any of the breaks. If found, they can be lasered to prevent further progression to complete retinal detachment. So kindly do see a retina specialist. Let me know how it went. Take care."
}
] |
[
{
"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 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 am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and then changed to Zapiz. But, my headache has not reduced. My scan report is normal. I am in a trouble with this continuous headache. Is it a side effect of my cardiac problem medication? How to get rid of this condition? I also suffer from mild chest pain. Recently, I had a blood test and all are fine except lipid profile, HDL cholesterol 36 and SGPT 91. Also, my red cell distribution width is 16.2 and the normal range is 11.6 to 14. So, is my value dangerous? I had Deanxit for 5 years, according to the prescription and stopped before 2 years. Is my heart disease dangerous? Please help me."
},
{
"from": "assistant",
"value": "Hi. I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery disease). The possible reason for the headache is your medicine Monit SR (Isosorbide mononitrate) can be a cause of headache. Nitrate headaches are well known and we would need to see if this is the reason in your case. Also, since you have CAD at such a young age, there can be a possibility of carotid artery blockage which might be giving you a headache. Get that evaluated. Revert back with the reports to a cardiologist 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 have my wife's blood test report. We fear that she might have blood cancer. For the last four months, she is having joint pain, sudden breath difficulty, hand pain, and chest pain. Kindly help."
},
{
"from": "assistant",
"value": "Hello. As per the report, only apparent problem is that she has mild anemia, microcytic hypochromic (attachment removed to protect patient identity). Usually common in young females. Otherwise, platelets and WBC are normal. Does she have any other symptoms like fever or bleeding? Also, why are you thinking of cancer? To be sure you can repeat CBC with a peripheral smear. If needed, serum iron studies can be done to confirm iron deficiency anemia."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have these small painless bubbles on my arm for a long time now (almost two years). First, there were not much but now they are spreading all over my arm slowly. It makes me uncomfortable in wearing short sleeve clothes. Please help me."
},
{
"from": "assistant",
"value": "Hello. These are comedo or blackheads (attachment removed to protect patient identity), are small bumps that appear on your skin due to clogged hair follicles. These bumps are due to the production of too much body oil, the buildup of the acne bacteria, irritation of the hair follicles when dead skins cells do not shed on a regular basis, undergoing hormonal changes that cause an increase in oil production, taking certain drugs, such as Corticosteroids, Lithium, or Androgens. Choose oil-free lotions, and sunscreens to avoid making your problem worse if you are using some. You should once visit the dermatologist for examination. These are treated with Benzoyl Peroxide lotion 2.5 % applied two times a day. You need a wash and keep your skin clean and oil free. Exfoliating scrubs dead skin cells and can help reduce blackheads."
}
] |
[
{
"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 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 recently started having tooth pain and it has not gone away. I do have a white lump on my upper gum but I have had it for a while. Sometimes, it goes away and then comes back. My tooth pain almost feels like a cavity but I am not sure."
},
{
"from": "assistant",
"value": "Hello. It seems your tooth is having a chronic abscess due to infection reaching the pulp and beyond the roots of the tooth and the white swelling is an abscess. I suggest you consult your dentist who will take an X-ray of the tooth and will confirm the diagnosis and explain the treatment and prescribe the medication. Mostly, if the case is of abscess and if there is enough tooth structure, you will have to go for a root canal treatment followed by a crown. So, do not worry. Another possibility can be a gingival abscess, but in this, pain on chewing is rare. For more information consult a dentist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 49 years old now. I had a cataract surgery in both eyes three years ago. I was told that the formation of cataract was due to side effects of a steroid medicine. When the surgery was done, I did not opt for a progressive lens with cataract lens and power in both the eyes was the same. But, now there is a difference of 0.5 between both the eyes. I am wearing progressive lens with a cylindrical provision. I would like to know whether it is possible to replace my cataract lens with the new one and continue wearing the progressive lens. I have attached my doctor's prescription herewith."
},
{
"from": "assistant",
"value": "Hello. I have gone through the attachments (attachment removed to protect patient identity). Well, the difference of 0.5 spheres is acceptable in cataract surgery but the problem is the left eye being a plus. Usually, we aim for a postop minus 0.5 in an eye because it will provide some near vision postop. But even with best biometric assessments errors of 0.5 magnitudes occur. It may not be an error because sometimes the lens itself can give rise to a 0.4 error even if your biometry is perfect. Secondly, the right eye cylinder is not due to the power of the lens. Mostly, it is due to the shape of your cornea. Sometimes it may be due to the incision that is necessary for the surgery. Thirdly, the plus lens you need to wear is for the near vision because unlike the natural lens, the artificial one cannot alter its power. The prescription progressive means your specs will be designed to see different distances at different places of specs. Well, there is nothing called a progressive intraocular lens. It is called a multiracial lens. Usually, it is used for young patients because after the age of 40 anyway people lose their ability to see near unless they are myopic. This lens can be used in elderly but for your information, the visual quality is not as good as the normal lenses. Even the best multifocal can accompany patient dissatisfaction and it is very costly. In your case, you can replace the lens for sure. But it is altogether a new surgery. A new cost with an unpredictable outcome. An add-on lens is another option but visual quality with multifocal will be poorer by and large your cataract outcome is favorable and acceptable worldwide. You are sure to have good vision nearly 6/9 without glasses. You will have to use glasses for near. If you wish, you can replace your IOL (intraocular lens). Further, LASIK (laser-assisted in-situ keratomileusis) is also another option for good vision For more information consult an eye care ophthalmologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have a metal crown, and the metal has become pointy and cuts my tongue. What can I do?"
},
{
"from": "assistant",
"value": "Hello. I have been through your query and I can understand your concern. The metallic restoration or crown when placed needs to be in harmony with the occlusion or the bite of the mouth. However, sometimes with due course of time what happens is that the crown gets disharmonious due to the continued masticatory forces of teeth and jaw. Sometimes, even the fractured part of the metal crown makes it sharp. This might lead to discomfort or even sometimes impinging to the soft tissues. You do not need to worry as it can be treated by trimming the sharply pointed surface. I would advise you to have a visit to your nearest dentist and get the occlusion checked. He would either go for trimming of sharp point in order to relieve you or if there might be any other problem underlying the cause, he would rectify that so it might not happen in the near future again. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Also, make a routine dental check-up six months in order to maintain your good condition of teeth and be evaluated of any problem in the earliest."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I always have dry, sensitive, and irritated skin. My entire life, I have been severely allergic to all nuts and tree nuts. I also have a small allergy to coconut. I notice that all of the skincare products and shampoos I have contains Cocamidopropyl betaine or coco-glucoside in them, which are derived from coconut. Should I discontinue using these products?"
},
{
"from": "assistant",
"value": "Hello. Allergies are the condition in which your immune system becomes hypersensitive to foreign particles or substances like pollens, dust particles, mites, pet dander, some foods, and medicines, etc. Your immune system is a protective barrier to allergens, which causes harmful effects to your body. So you should be aware of this and try to know elaborately about those factors or allergens which causes itching, trouble, irritation, and red patches, etc. In this situation, you should avoid or protect yourself from those allergens which aggravate the symptoms mentioned above. As well as there is a need to improve your immunity. To do this, you should take Haridrakhand 3 gm with warm milk before the meal and do regular pranayamas like Anuloma Viloma, Nadi Shodhana, and Bhramari."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had forced gay sex before 17 days. I had an HIV rapid test after six days of having sex, and the result was negative. Am I prone to HIV and STD's? How long it takes to detect HIV and STD in urine test after exposure?"
},
{
"from": "assistant",
"value": "Hello. Good, you have done a rapid HIV test, and it is negative. But normal results are negative. This means that no antibodies were found and that you may not be infected with HIV. Most people who become infected with HIV will develop antibodies to the virus within two months. During this time, you may have an HIV test, but this test cannot detect it. You will have to repeat the test more than three months after your possible exposure if your results are negative. Better do ELISA (enzyme-linked immunosorbent assay) for HIV, and VDRL (venereal disease research laboratory), TPHA (Treponema pallidum hemagglutination assay), and HBsAg (surface antigen of hepatitis B virus) for STD. If possible, investigate your sex partner also."
}
] |
[
{
"from": "human",
"value": "Hello doctor, There is a pain on the left side of stomach and lower back and the skin feels sore. There is also burping a lot these days now. Please help."
},
{
"from": "assistant",
"value": "Hello. From your symptoms, it seems you are suffering from diverticulitis. The differential diagnosis is urinary tract infection. This can occur in elderly frequently in people who do not eat enough fibers in their diet. Also with age, our digestive system tends to get slow. You need prescription antibiotics to treat this condition. Also, if you develop other symptoms like rectal bleeding or fever or unexplained weight loss, burning pain during urination, you need to see your healthcare provider immediately to rule out other conditions. Normally, diverticulitis subsides within a few days with medication. For more information consult a family physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had unprotected sex about four months ago. Recently, I discovered some bumps on my labia minora that are somewhat itchy. I believe it might be herpes or warts. It does not burn when I pee, just feel slight discomfort. I hope the picture helps."
},
{
"from": "assistant",
"value": "Hi. The bumps do not typically look like warts or herpes. Vagina has a lot of glands to keep it moist, it is likely that some gland ducts got blocked and are giving you bumps. Do not worry, they will go off gradually. Just wash the area with warm water and non perfumed gentle soap. Do not use douches, sprays, or harsh detergents to clean the area. Wash your underwears with soft detergent."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls. My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere. I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide. Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me."
},
{
"from": "assistant",
"value": "Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syndrome, there would be an extra X chromosome which would have happened randomly during the formation of the egg or sperm, or after the baby boy had conceived. The extra chromosome is not inherited. So, this condition does not run in families. The adult male body may not be able to produce enough testosterone, the hormone responsible for the development of male characteristics. There may be low energy and sex drive, lack of muscle and too much body fat around the waist. Most men with this condition lead normal lives and also have normal relationships. A few boys with condition may feel shy and may have low levels of self confidence. They may grow quickly than usual and may become taller than other family members. The testicles may be smaller than normal and may not produce enough of the sex hormone testosterone. This may lead to features such as: This condition can be diagnosed by: It is advisable to get treat early in order to avoid further fertility issues. Treatment options available are: A definitive diagnosis can be made only after a complete physical examination and after performing laboratory tests. Visiting an endocrinologist at the earliest would be advisable. Consult an endocrinologist online for further follow up -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a root canal done two years ago. They had to drill into a new crown. The crown was filled afterward. Today I noticed a hole where the filling was. I am scared now that the root canal is going to get reinfected. Is there a good chance that the crown can just be refilled? Or is there an equally good chance that bacteria has already gotten in? I do not think it has been longer than two weeks based on my last dental visit."
},
{
"from": "assistant",
"value": "Hi. I have gone through your question and I can understand your concern. In case there is no pain and swelling, the tooth is not infected. The root canal is always filled with gutta percha material and sealed. The filling is done after the root canal procedure is properly done. Even if there is an infection that would be treated with antibiotics and refilled after that. My advice is that visit your dentist as soon as possible and get it refilled. There will be only restoration and not new root canal treatment. Fallen restoration. IOPAR X-ray. Prosthetic crown fracture. Rerestoration."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest."
},
{
"from": "assistant",
"value": "Hello. For further information consult a neurologist 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, 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, 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 have a sever cold and cough since couple of days. Please suggest me some good medicine, There is itching in the throat as well."
},
{
"from": "assistant",
"value": "Hi. According to the history provided, it could be pharyngitis associated with upper respiratory tract infection. Your work up should be done as follows. According to the report, the further management plan can be decided. Until then you can follow the suggestions given below with the consent of your treating doctor. If eosinophilia present in CBC or AEC is high, then Fexofenadine should be considered. If needed, throat swab culture can be done to choose the medication according to the culture report. Consult a physician for examination with keeping all this in mind. For further information consult a general practitioner 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 have two abscesses, which looks like an insect bite with a dark spot at the center. Both the abscesses are hot to touch with acute pain. One of them is filled with pus and has started to drain slowly. I have attached the photos. Please suggest some medicine."
},
{
"from": "assistant",
"value": "Hi. It would not be an insect bite unless it appeared overnight. After reviewing the picture (attachment removed to protect patient identity), it looks like an infection of the hair follicle. For such a skin infection, overweight and diabetes are the risk factors. I would suggest you the following medications. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Follow the above medicines only if you do not have any other diseases, and not on any other medications. As some people are allergic to Amoxicillin, in such a case stop the use of the medicine and consult a doctor. Applying ice and washing the area with ordinary soap and water will help with the pain. For the pus discharging site, cover it with a disposable dressing like Primapore adhesive dressing. Also, get your fasting blood sugar level checked. For further information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have joint eczema for the past seven to eight years in both knee, the lower portion of leg and back of hand joints. My doctor says that it is psoriasis. Please clarify."
},
{
"from": "assistant",
"value": "Hello. I just read your query. For further information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am 24 years old and having extreme hair fall. My center of the scalp has already started showing up. Please help."
},
{
"from": "assistant",
"value": "Hello. Use Trichospire hair kit and Qilib men lotion twice daily. I hope it helps. If you have any other question, please do not hesitate to contact us."
}
] |
[
{
"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 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 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need to do as it is the first time I have faced such a symptom. Previously, I had once felt once the same pain (before 30 days), but it was very mild. I read on the internet that, it is due to the gas problem, but I am not sure. Please advise on the same."
},
{
"from": "assistant",
"value": "Hello. I understand your concern. Most common causes of such chest pain are: 1. Muscular pain Costochondritis. 2. Chest pain due to heart issues. 3. Acid peptic disease. We cannot afford to miss cardiac reason for chest pain, so we always advise to get an ECG and chest x-ray done. This will give an idea if the pain is cardiac in nature or not. If you have recurrent episodes of acidity, get upper GI endoscopy and ultrasound abdomen done. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. For muscular chest pain , do hot fomentation of the affected area and apply Diclofenac ointment locally. Avoid smoking and alcohol. Avoid hot and spicy food."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 31 year old female. Height is 5'3\" and weight 71 kg. I have normal skin. I have started developing fine lines on my face. Just recently I have developed a slight depression in the form of a line starting from under the inner side of the eye running down the cheek (photo attached). I think this is the beginning of cheek sagging. Is this premature aging? Can this be reverted with non-invasive techniques like topical anti-aging serums, facials, massages or exercises? Someone suggested me to use Retinol-A, which I have started using and is suiting me well. I have read a lot about the benefits of topical retinoid, vitamin E and C serum. Please suggest the best ones as I have heard that most of the available vitamin C serums in the market are useless as they oxidize easily and do not penetrate the skin. I have seen some videos of facial exercises online. Do you think they are effective? Also let me know how often should I get facials and which one is for anti-aging? I am also trying to put down weight. In this process I will naturally lose some fat from my face as well, but I do not want my facial skin to become loose. What should I do for this?"
},
{
"from": "assistant",
"value": "Hi,Welcome to icliniq.com.I have read your details and examined your picture (attachment removed to protect patient identity) carefully. I have the following suggestions for you which I am sure will specifically help you significantly in the long run."
}
] |
[
{
"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, 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 have twin babies with one boy and one girl. They are four months old now. Breast milk is very low for them. So we are using formula. During the first two months, we used Simyl LBW and Lactodex LBW. Then the doctor told us to use Dexolac 1 powder. Now, my babies motion is in dark green for the past ten days and sometimes it is yellowish green. The doctor told us to have Simyl MCT powder. Does this powder clear the problem? My babies motion is sometimes watery, and sometimes it is normal. But it is always in green color. They are going motion once or thrice a day. Please give me a solution."
},
{
"from": "assistant",
"value": "Hi. The color of the stools that you have mentioned is normal. Any color of the stool is normal, except when the color is red or white. All the children up to the age of six months pass stools either 10 to 12 times a day or once in two to three days. It is normal. So as per your history, the children are healthy. You can take Dexolac 1 (Zinc with Sodium) now as the age is four months now. You can stop Simyl and Lactodex. There might be a mild change in the stool habits once you change the feeds and it is normal. If there are lethargy and refusal of feeds in the child, then there can be something wrong. These are the main signs that indicate that there is something wrong."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Since last one year, I am having loose stools with a lot of gas released from the anus. Motion is not cleared fully. There is a burning sensation in stomach and somewhere in the intestines. There is a huge rambling in the stomach, especially in the evening hours. The doctor has advised taking Normaxin RT, Enbios, Rabicip D SR for two weeks. The condition improves but recurs as the course is over. Eight years ago, I was diagnosed via a colonoscopy to have terminal ileum erosion with chronic non-specific inflammatory substances. I was suspected to have IBD, IBS, Crohn's. I had the course of Mesacol, Budez CR intermittently for nearly three years. The condition significantly improved and I consumed Bifilac capsule for some time. Is my current problem connected to the old problem?. Please suggest a suitable course of treatment."
},
{
"from": "assistant",
"value": "Hello. The present symptoms look more likely due to constipation. I suggest you follow these measures: Regarding the previous issue, it is always better to get an imaging of the abdomen. An ultrasound or a CECT (high-dose contrast-enhanced computed tomography) to be done. Moreover, considering your age and previous issue, a follow-up colonoscopy is warranted. Follow up as needed. For more information consult a medical gastroenterologist online -->"
}
] |
[
{
"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": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "assistant",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"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 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 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": "Hi doctor, I am a 47 year old male weighing 90 kg with a height of 5'9\", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets. Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me."
},
{
"from": "assistant",
"value": "Hello. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehydration. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports."
}
] |
[
{
"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 have fungal infection in groins and underarms. My doctor suggested me to use Hh Zole and Clocip. After using Hh Zole cream alone I got better result. But, my doctor suggested me to continue with Clocip cream. Why should not I continue with Hh Zole? Please explain."
},
{
"from": "assistant",
"value": "Hi. For further information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a root canal done five months back. I started to experience pain yesterday where the crown is, and overnight the pain got severe. The crown feels sensitive when I touch it. So I am afraid there is an infection underneath it. My dentist is closed for the weekend. Nothing I do stops the pain. My regular doctor said she would need an X-ray to confirm an infection."
},
{
"from": "assistant",
"value": "Hi. I understand this would be a very painful condition. If it has started with pain so hard inside the crown then infection has definitely occurred. In such cases, re-treatment is done with a very poor prognosis or tooth extraction is done that rules out the cause of infection with 100 % prognosis rate. Things to do right now include taking Ibuprofen 600 mg TDS (thrice a day, that is, eight hourly for three days). Start saline water mouthrinses 4 to 5 times a day. (Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its rinses). Do not lay down straight. It will trigger up a toothache. Keep pillows a bit high or some more cushions under your neck while trying to sleep. If only painkiller Ibuprofen does not help much with pain in a day, then you must start with this antibiotic regime as soon as possible. Tablet Augmentin 625 mg BD (twice a day), tablet Gramex (generic: Metronidazole) 400 mg (twice a day), tablet Ibuprofen 600 mg (thrice a day). That is the best regime to be followed in tooth infections provided that you are not allergic to any of such medicines. Hopefully, it will help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happens after big meals and while exercising also. When I exercise, my heart feels like it is going to explode. I also have fatigue and mental fogginess, my concentration is low, and I feel like I am just overall slow or have low energy. I have anxiety, and I have been diagnosed with anxiety in the past. I was in a dark place for awhile, but things seem to be getting better. The doctor wanted to put me on Zoloft, but I declined and had thankfully found peace with daily meditation. I have a low libido, and I am just not that interested anymore. My testosterone levels are low for my age. My last readings were 302 ng/dL, 290 ng/dL, and 270 ng/dL, which were all taken in the morning. As a person who exercises a good amount, I find it hard to gain strength or any muscle. I want to fix this, and I have consulted many doctors, but none are willing to help me. I honestly believe that my testosterone level is the main cause with all this. I have thought about taking matters into my hands and starting a treatment regimen but, I would rather do so under the supervision of a doctor."
},
{
"from": "assistant",
"value": "Hello. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free testosterone levels. If free is also low, then we need to find the cause, for that, we need FSH (follicle-stimulating hormone) and LH (luteinizing hormone) level. So, you first get free testosterone levels done. Also, any anxiety, depression, or any psychological issues can cause loss of libido. You can visit an endocrinologist for the same. Secondly, regarding your heart rate, it is certainly not related to testosterone. But it can be related to anxiety, alcohol, and heart. There are two possibilities, one is anxiety related and secondly due to heart arrhythmia. Many individuals who drink, tend to have a weakening of the heart and atrial fibrillation, in which heart beats irregularly and fast, especially after drinks. Hope this helps you. Get back if you have any further doubts. For more information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been taking Zoloft 25 mg and Ativan 5 mg one or two tablets to one tablet prn which I rarely take for anxiety. I take Tapazol 2.5 mg for hyperthyroid, TUMS two or three a day, Pepcid AC, vitamin D, B12, and Ventolin inhaler. I have been taking Zoloft and Ativan for 24 years. Four Psychiatrists and three medical doctors approved Ativan when I was diagnosed with anxiety. I worked for a psychiatrist for years, and he said I was merely cyclothymic if anything and stress. What is bipolar affective?"
},
{
"from": "assistant",
"value": "Hello. Tell me one thing, since how long you have these thyroid nodules? Because some times symptoms of anxiety and restlessness might be due to hyperthyroid state. Is there any family history of any such kind of illness? Is there any change in functioning, sleep or appetite habit? In cyclothymia, there is an alternative period of depression and mania, but none of them is in full symptomatology, which means your functioning is not affected, but you can have distinctive period of euphoria and depression. Take a healthy diet, avoid junk foods, have proper sleep, do moderate exercise, follow relaxation technique, yoga and meditation may help you."
}
] |