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[
{
"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, There is a sort of pink-colored oval, slightly raised, flat patch on my bikini line, and it is very painful. I do not know what it is, and I am terrified. I get cysts on my bikini line quite often, but they always go away. It does not look like a cyst, and it just appeared like one or two days ago. Sometimes, it hurts to walk. I was on my period last week, so I wear different type of underwear and maybe that was too tighten on my bikini area. Also, I have been lying down on my side for an extended period of time due to social distancing. The lump is not really feeling over the area, just raised and flat. I have not had this issue before. The cyst only started to hurt when the side of my underwear pressed against it hard. Please help me."
},
{
"from": "assistant",
"value": "Hello. I have read through your problem thoroughly and seen the pictures too (attachment removed to protect patient identity). To me, it looks like an inflammatory boil with some induration (thickening of the underlying skin) due to some skin infections. It is mostly a folliculitis, hair follicle infection in the skin. It will mostly go away in two to three days. You can take some analgesics for pain relief and use some antibiotic cream for local application to prevent it from getting infected. Just keep the area aerated and change your undergarments frequently. Avoid shaving the bikini like till it heals, or else it may get infected. 1) Tablet Combiflam (Paracetamol + Ibuprofen) SOS after food for pain relief (if too painful). 2) Sitz bath (a small tub of lukewarm water with some Betadine solution or a spoon of salt) three to four times a day for pain relief. 3) Clean the genital area gently after using the restroom and apply the antibiotic cream to the affected area only (Clindamycin gel or Soframycin cream-Framycetin). Change undergarments frequently. If the lesion becomes like a collection of pus, as of now does not seem to have formed pus, you can take oral antibiotics."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I hope you can help me with my anxiety. I am a 35-year-old female who has severe health anxiety and panic disorder with agoraphobia. I have been doing good until this past month. Then, I got sick and had a fever. My heart rate was high during the time of fever. I became extremely anxious about it and went out to buy pulse oxygen to keep an eye on it. WelI I think that was a bad idea. For example, when I am up around the house cleaning, it can hit 130. When I am walking into someplace I have anxiety it can get up to 140. And I feel it. Then I get more scared. I want to start walking with my mom. But I feel scared because it may increase my heart rate. I need some reassurance as I have stuck in this heart fear. Blood pressure generally runs 107/75 and resting heart rate is around 70. I weight 134 lbs (60 kg), and my height is 5'3. Seven years ago I had an echocardiogram when my anxiety first started, and I wore a 30 days Holter monitor. All was good except some PVCs. I also had a stress test without contrast during that time that was also fine. I have always been scared to exercise because of the fear of my heart rate and thinking it will make me have a heart attack or go into cardiac arrest. Please, can you give me some reassurance? I came to know that I can duplicate any chest pain by pressing on the spot then snap out of thinking I have a heart attack."
},
{
"from": "assistant",
"value": "Hello. I passed carefully through your medical history. Considering your clinical symptoms and performed medical test I would explain as follows: Your heart rate increase recently is defined by your condition of high body temperature and systemic inflammation response. Usually, there is some degree of dehydration that may also further contribute to the matter. But the primary cause of the racing heart rate is your excessive anxiety. You need to fix and avoid it. The first step is to get rid of the oximeter. You should relax and go outside in nature. Yoga and aerobics are helpful in this regard. Hope to have been of some help to you."
}
] |
[
{
"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": "Hi doctor, My mother has a swelling inside her lips. It is not painful, and it is not getting healed. She consulted a doctor. The doctor told that the swelling had occurred due to an allergic reaction. Is it cancer? Please suggest."
},
{
"from": "assistant",
"value": "Hi. Every swelling is not cancer. It can be a fibroma. It occurs due to trauma or biting lips. The second one is a mucocele. It is a swelling of sebaceous glands. It also occurs due to injury or biting. Both are non-cancerous. Please send a picture of it. So that, I can guide you further. Please say whether your mother has a habit of nail-biting. The management depends on the size and nature of the swelling. It may need some drugs or excision. You can consult a dentist and an oral medicine specialist soon for treating it. Please mention about her habits, drug history, and the presence of any sharp tooth in her mouth."
}
] |
[
{
"from": "human",
"value": "Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do. When I run, I feel normal. The sensation has persisted and is difficult to describe. Sometimes it feels like weakness, but sometimes like an ache down my leg, particularly when I sit down for a longer period of time and then I feel sore on my lower left back, just above by buttocks. Overall, if I had to describe the sensation in my left leg, I will describe it as a sense of weakness. Apart from the persisting feeling of weakness, I have also noticed muscle twitches all over my body, including my left foot and primarily in both my legs. I know I have been aware of these for years, but I have been more aware of them lately. Every morning for the past three to four weeks, my left foot feels tight, a slight pain when I am walking. But, it does not persist all day and if I do not think about it, then it feels normal. If I do think about it, then it feels as if I am going to have foot drop, although it does not actually happen. On top of this, I frequently feel a sense of vibration at the bottom of my left foot particularly when lying or sitting down. It is hard to tell whether this is a spasm or numbness or tingling. In the past two weeks, I have had two periods of probably two to three days where I have felt cramped and tightness in my left leg particularly at the top of my left calf. I have had a brain MRI, which came back as normal. I have had a left knee ultrasound performed which shows a varicose small saphenous vein and my family doctor does not believe this explains my symptoms. Furthermore, I have had a lumbar CT which returned the following results. At L5-S1 moderate broad left paracentral disc protrusion mildly distorting the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. Minor disc extension into the foramen at this level without exiting L5 nerve root impingement. Minor changes in the other levels also as described. However, again, my family doctor does not believe this is the cause of my symptoms. He maintains it is most likely from anxiety. I am a 21 year old medical student and to be completely honest, I made the mistake of initially looking up my symptoms online. I have been very anxious since I started experiencing the sense of weakness, as I am worried about the possibility of having ALS. I have constantly been stretching my legs and trying to test my left leg as a result. What is your recommendation? Also, could you please include what you think of the possibility of ALS, as this is my biggest concern at the moment. Thank you so much for your time."
},
{
"from": "assistant",
"value": "Hi. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal cord in cervical and thoracic levels, we get myelopathy. When it compresses the root, we get radiculopathy. But, please note that even when a prolapsed disc does not directly compress the spinal cord or nerve root, it can still produce symptoms if it compresses the blood vessels and interferes with blood flow. As a rule, veins are more easily compressed than arteries and the epidural plexus of veins are compressed by the prolapsed disc. This leads to venous stasis and the metabolites are not washed away from the nerve roots. However, this compression is dependant on the posture. When you move a bit, the pressure gets released and the blood flow resumes and the metabolites are washed and the nerve becomes functionally normal. So, even though you may be having symptoms at one time or another, the moment you walk to your doctor's room and climb the examination couch, all metabolites are washed away and your examination does not find any abnormality. However, the good news is that this condition can be treated by very simple postural adjustments as follows. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I have a pinched nerve in the neck. The neck spasm and pain. I have two sides cervical ribs taking ultrasound therapy and IFT for neck and cervical ribs but not of much help. Tell best drugs to release a pinched nerve in the neck. One salon guy twisted my neck in childhood and in a bus, the back side of chair hit me on the neck. Ever since then, I have neck spasm. Tell best drugs, please. I am 43 years old. I have BP and diabetes but normal. Tell the best drugs to increase size and nerves in the penis also, please. Tell also the best drugs to decrease aging."
},
{
"from": "assistant",
"value": "Hi. You seem to be having an acute muscular spasm. So to reduce pain and inflammation, I would recommend tablet Flexura D twice daily for five days. Another drug helps a lot in cases of pinched nerves is a combination of Pregabalin and Methylcobalamine (tablet Mahagaba M OD) that to be taken at night. Physiotherapy is the ultimate solution. Please share my opinion with your doctor."
}
] |
[
{
"from": "human",
"value": "Hello doctor, How long will it take to recover from a hymen surgery? Would I be able to walk when I am done with the surgery? Can I bleed normally?"
},
{
"from": "assistant",
"value": "Hi. Revert back with the asked detail to an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 27 years old. I have a problem in clearing my tummy for two days. I have a gas problem in my stomach. Please help me."
},
{
"from": "assistant",
"value": "Hi. You are having a functional bowel problem. You can practice these steps to have a proper digestion and gas relief. Avoid intake of turnip, onion, cabbage, and cauliflower. These are gas-forming foods. Drink more water. Avoid having a sedentary lifestyle. You should stop the habit of smoking and try to avoid having stress. Take more green leafy vegetables and fruits. Avoid taking excess fatty foods. If there is no improvement, then a fiber supplement like Aristozyme (Pepsin and Diastase) can be taken. Moreover, Gelusil syrup (Aluminium hydroxide with Dimethicone) can also be taken for a short duration."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I went for five root canals on front teeth. Which type of caps are advisable single or joined?"
},
{
"from": "assistant",
"value": "Hello. Yes, caps are advisable but single is best. Joined or bridge has a drawback. If any side of the joined cap is loose or any damage comes, then the whole bridge is removed. In single if one particular tooth or cap has any problem or any damage, then the single cap will be repaired and removed."
}
] |
[
{
"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 just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "assistant",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I 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 26 year old female. I am suffering from the following symptoms: Cough, blocked itchy throat, which is slightly red, burps, farts, little gassy and acidity. This has increased in the past 24 hours. Because of sore throat, I cannot have cold substances to resolve acidity. Also, I cannot have hot water due to heartburn. I have taken Azithromycin and cough syrup. What should I do for relief?"
},
{
"from": "assistant",
"value": "Hi. Revert back with the answers to the above questions to a general medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My brother is worried about his marriage because of the same blood group. Both are having a B+ blood group. Is there any problem after marriage for getting a healthy baby? Please explain it to me so that I can talk to him."
},
{
"from": "assistant",
"value": "Hello. Same blood group people can marry and can produce a normal child. There is two common universal blood group system that is ABO and Rh. If they both are relative then genetic counselling is needed. As far as same blood group is concerned, do not worry about that. If you want to investigate, then I personally advise you that they both should get tested for thalassemia minor by electrophoresis by HPLC method. You can inform me your electrophoresis report for giving further comment. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am 28 years old. I have a habit of watching porn. To me, I see it as real. I feel low and regret for my activity."
},
{
"from": "assistant",
"value": "Hi. For further information consult a psychiatrist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,My father is recently diagnosed with papillary renal cell carcinoma type 1, and he has no BP or sugar. However, he had undergone bypass surgery ten years ago. Our doctor has suggested targeted therapy is better for him as there is another mass found in the lungs too. Our doctor has prescribed Sutent 37.5 mg, to begin with, and slowly increase it to 50 mg.However, due to our financial conditions, we cannot afford Sutent as it is pretty expensive for us. As we do not have any insurance. Is this the only drug available for this type of cancer, or do we have any other affordable and similar drugs with minimal side effects? We want to get your suggestion on this. Kindly help."
},
{
"from": "assistant",
"value": "Hello. As per history given above. Your father as metastatic renal cell carcinoma. I would have liked to have few additional markers like his general condition, report of CBC (complete blood count) and LFT (liver function test), RFT (renal function test) to look at his risk score. In metastatic RCC, in first-line settings we have three TKI (Tyrosine kinase inhibitor) that are approved and commonly used. Namely, Sunitinib, Pazopanib, and Cabozantinib. Sunitinib and pazopanib have almost the same progression-free and survival benefit. Cabozantinib has benefit in progression, but final overall survival was the same as sunitinib. Toxicities are bit different for Pazopanib with more chances of hepatitis, weight loss, and diarrhea. If you are not affording for Sunitinib, then I would say Pazopanib would be better as it is cheaper with similar benefits and slightly different toxicities. Cabozantinib is costlier and not yet available. I hope it helps. I would be happy to help you further if you have any more queries or questions regarding toxicities of these drugs. TKI."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up?"
},
{
"from": "assistant",
"value": "Hello. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am here to get help for rebound nasal congestion. Two years ago, I started using Oxymetazoline nasal spray for mild allergy. I continued using it because I thought my allergy is persistent. Recently, I realized that my problem is not an allergy but addiction to nasal spray. My symptoms are severe nasal congestion which requires using nasal spray four to five times. I have no typical symptoms of an allergy, like a runny nose, watery eyes, or irritation. Above all, I become very upset and anxious if I do not use the nasal spray. I tried to stop the usage of nasal spray, and somewhat successful. But at times my congestion is severe and it seriously affects my activities including sleeping. It would be great if you can suggest some alternative for nasal decongestants. I am a 29 year old male, who is under treatment for mild hyperuricemia."
},
{
"from": "assistant",
"value": "Hello. You suffer from a condition called as rhinitis medicamentosa. As you have rightly understood, it is due to the prolonged uninhibited use of nasal decongestants. Repeated use of the same causes decongestion temporarily followed by rebound congestion inside the nose. The action of these decongestants is by vasodilation, which lasts for a short duration, followed by reflex constriction of vessels which causes congestion again. This problem causes nose block. It is totally different from an allergy, which has specific symptoms as rightly pointed out by you. You should avoid all decongestants like Xylometazoline, Oxymetazoline, and Ephedrine drops. Do not worry about steroid side effects as the intranasal preparation does not get absorbed into the blood stream. It acts locally on the nasal mucosa which is exhibiting the rebound congestion and rhinitis medicamentosa problem. Do read the leaflet of the spray very carefully and then start using it. Do not inhale deeply after spraying as the spray then gets deposited in the throat, remember it has to act on the nasal mucosa and not anywhere other than that. These medicines will not affect the hyperuricemia problem or interact with the medicines you are taking for that. You may avoid decongestant tablets like Phenylephrine during these medicines. However, if you feel the need for those, you may let me know, and I can assess. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. I would also suggest you avoid exposing yourself to dust, spicy foods, cold foods, and smoke. You may wear a mask while traveling or walking outside. You are advised to take plenty of green leafy vegetables and healthy nutritious diet to help with the healing process. Do revert if you need any further support. For further queries consult an ENT otolaryngologist 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": "Hello doctor, I have been really sick from last two weeks. Two weeks ago, I had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. The chest symptoms were there straight away, and my asthma medicines (Symbicort and Ventolin) were not working from the start. I was taking 200 mg Symbicort twice daily, and Ventolin every three hours or so. After a weekend of being short of breath and tight-chested, I was on my way to my GP just to run my symptoms by him to see if I needed a GP or ER. He told me to take 12 puffs of Ventolin and go straight to the ER. The ER did ECG, chest x-ray, and blood tests. They gave me a nebulizer and Prednisone 50 mg and sent me on my way. I was still short of breath. My chest x-ray was clear, and my blood showed no infection. I did not have any improvement for the week, and I was taking Prednisone, Symbicort, and Ventolin every 2 to 3 hours. I was short of breath all week. I went to another GP, who sent me straight to the ER again. An intern took my history, after three hours of waiting with chest tightness, shortness of breath, mild intermittent sharp chest pain, and lifelong asthma, etc. I also explained that I am a non-wheezing asthmatic, and when I feel at my worst nothing can ever be heard on my chest. Interestingly, he only noted intermittent sharp chest pain not worse on deep inspiration. He did not note chest tightness when breathing. I also told them that for the 10 days, I had coughed more at night but the shortness of breath decreased overnight every night and was gone in the morning and then just gradually increased over the day until it was sober. Then the registrar came and told me that I was to be sent home, as I was taking too much medication and that was causing my heart to race, and that is why I had shortness of breath. I explained that I had shortness of breath before taking lots of medicines and that was why my physician sent me to the hospital the previous day. I did not even know that I could take it more than my usual two puffs every four hours. I was taking medicines as per my brand new asthma plan, which was given to me by my GP. I asked him \"was my heart rate high when the intern tested me?\" To this, he answered, \"I do not know, and I have not looked.\" Then he took my pulse for about three seconds with no watch and said it was 100 per minutes, but my heart rate has been tested over and over all week and was normal every time, that is why I challenged him. He then said that he would keep me in overnight for observations and to await a blood test for a blood clot. The intern had told me they would be doing an ECG and lung function tests. They put me in a room with about eight recliner chairs and no blanket. The nurse attended to everyone else in that room all night and did not even look at me once. She just ignored me. She did not even come close to me. I was awake most of the night. I could hear everything she did with the other patients. My breathing settled a little, but it was still labored all night, and I was coughing all night. They would not let me have my asthma medication. I felt hot and then cold, and I had a migraine. I felt so unwell that I could not get up to reach the button and was just waiting for her to come and help me so that I could tell her. At handover in the morning, she told the next nurse all my information loudly until she came to the bit where she whispered to him that I had been fine all night. I could not believe it. I managed to get some Panadol out of the new nurse, as he did my observation at 7 AM. Then the morning doctor, a young boy, told me he was sending me home, as I was better. I said that my shortness of breath was slowly returning with movement, as I told the doctors at night would happen. He said with asthma; I would be better off being at home as if I caught one of the nasty bugs in there things would get way worse. He said \"you do not look like you are dying, and that is my job to see if you look like you are dying. And if you do not, then you are sent home\". They never gave me an ECG, and they never gave me lung function tests. My discharge report simply stated that I should go home and take my Ventolin if severely short of breath with wheezing. They made up their minds that I was just taking too many medicines or that I had a 10-day long panic attack. My GP asked me if I had been put on any antibiotics, and I told her how the ER said I had no infection. The GP said, but how did they know if they only took blood? She told me that the hospital tests would not show up a chest infection. So she put me on five days of Augmentin, and the headache is gone now and asthma slightly better, but I still feel tightness and short of breath. I have been sitting for an hour and a half and am breathing like I have been on a long walk. This has really scared me. The only message I got from the ER says that do not go there even if you have serious symptoms. I have been sent there by doctors. I have not been believed about my asthma all my life, as I never have a wheeze and since menopause, my asthma has gone from mild to sometimes really bad. Home GP was worried about respiratory alkalosis, as I had been hyperventilating for 10 days. I told the intern and registrar what the GP was concerned about, and they just shrugged like it was unimportant. When I read my discharge summary, I saw my bicarbonate level is low, which indicates the possibility of respiratory alkalosis, does not it? And my eGFR level was low also, which indicates the possibility of a problem with my kidneys. The doctors told me none of this. I am being treated for low vitamin B12 and tested for anemia at the moment by my GP. I would like a second opinion as none of this is making any sense to me, and I am still pretty much just as breathless and just as tight chested when I breath. Between ER doctors and GPs, I have nowhere else to turn. I am now taking Symbicort and Ventolin."
},
{
"from": "assistant",
"value": "Hello. I am sorry for your trouble. For more information consult a pulmonologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 22 year old female. My height is 5 feet and 6 inches, and I weigh 60 kg. A few days back, after dinner, I passed stools and while flushing, I found the stool to have mucous and blood. When I attempted to clean the anal region after defecating, I found all three tips of my fingers covered with blood. I cleaned it and checked again, and at that time, there was no blood. A few years back, I had the same complaints, but then it subsided without any treatment. I usually pass stools immediately after eating. Is this normal? What should I do? Please help."
},
{
"from": "assistant",
"value": "Hi. Following are the possibilities according to your complaints: You need to consult a doctor for physical examination. You will need proctoscopy (medical examination of the anal cavity with a thin tube). If the doctor finds any piles, we will have to treat them. If he feels that there are any chance of Inflammatory Bowel Disease, he will plan a colonoscopy (examination of the inside of the colon)."
}
] |
[
{
"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 26 year old male. I was addicted to cold drinks which had been getting me sick (catching a cold) over the past nine years."
},
{
"from": "assistant",
"value": "Hi. You can try the following ayurvedic medicines: Continue this for two weeks and review after two weeks with an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been very sick with a cold for the past five days and just yesterday I got an ear infection. It did not hurt that much but my ear was so blocked that it was highly uncomfortable. Today I noticed some drainage, which I immediately looked up and saw that it meant a broken eardrum and I should contact a doctor immediately, but after about an hour or two of drainage, my ear is unblocked and hurts less than it did before. What is happening and what should I do?"
},
{
"from": "assistant",
"value": "Hi. Because of cold, you must be having some ear infection as well. Due to recurrent cold, your eustachian tube is blocked and caused reduce ventilation of ear and hence there was pus formation in the ear. This continues pus formation has broken the tympanic membrane and came outside yesterday. You may consult an ENT specialist who can examine your ear and you need a course of antibiotics and anti-inflammatories for seven days. Also you should take decongestants for five days."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have worms in my stomach. How to take Albendazole tablet? What is the dosage?"
},
{
"from": "assistant",
"value": "Hello. So considering you have worm infestation, I suggest you try the following: Hope this helps you and get back if you have any doubts. For more information consult a general medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. Presence of diverticulum and ulcer near the pyloric ring. I have constant nausea, bloating, and throat tightness."
},
{
"from": "assistant",
"value": "Hello. Gastritis is an inflammation of stomach mucosa. It happens due to Helicobacter pylori a bacterial infection, smoking, alcohol and also certain medicines like Aspirin. Presence of diverticulum also causes gastritis. You are taking good medicines to your concern, continue them. You can add Panchsakar Churna 3 gm twice a day with warm water after meals and Arogyavardhini Vati 1tab twice a day after meals. Avoid spicy and fried junk foods, quit smoking and drinking if you have these habits. There may be need of surgical removal of diverticulum."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a tetanus shot last year around June. I had another minor mishap on the road with a small injury (cleaned with antiseptic). Do I need another tetanus shot now?"
},
{
"from": "assistant",
"value": "Hello. The last year's dose is not going to give you any protection now. If any one of the following has happened during the injury, you will need tetanus followup: I advise you to take the tetanus injection (tetanus toxoid vaccine) as soon as possible. Even though the application of antiseptic negates the chances of acquiring an infection to a large extent, it is better to have the shot for safety purpose. You should ideally take tetanus injection within 24 hours, as it will not have any protective effect when taken beyond that period."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "assistant",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "assistant",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had a bad cavity, and I filled it. After doing it, I started to have pain on my jaws and the areas around the tooth. My dentist is not available for a few days. What can I do now?"
},
{
"from": "assistant",
"value": "Hi. I have gone through the query (attachment removed to protect patient identity). I can see high points. The uneven pressure on the tooth causes tenderness in your jaw. You have to reduce the high points present in the filling soon and make it as even. You can take Paracetamol 500 mg for the pain until you visit your dentist."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I did my blood test yesterday and the cholesterol levels were high. The results are as below. Complete lipid profile test. S. cholesterol - 244 mg. Triglycerides - 252 mg. LDL direct - 174 (direct). HDL cholesterol - 34 mg/dL. In the cholesterol tests conducted earlier, the triglyceride value only was high. No medicines were taken, started exercises after that. Again a test was done about a month ago, the result was 233 for cholesterol. No medicines were taken. Kindly suggest me if I have to start medication as the value is only going high."
},
{
"from": "assistant",
"value": "Hello, Welcome to icliniq.com. It is definitely deranged. I assume that the test was done after fasting of 8 hours, if not then worthwhile to repeat. Now since you are young, it is important to determine whether you will need long term medications or not. So, you may give a try of healthy lifestyle for 6-8 weeks. If you think, you already having a good lifestyle and there is no scope for further improvement or due to unavoidable factors you would not be able to modify lifestyle more, then better to be on medications. So you should have tablet Rosuvastatin 10 mg once daily bedtime for 8 weeks and repeat the lipid profile after that. Let me know the values after 8 weeks. If you want to try a healthy lifestyle which is also an option then you may try for eight weeks. Have low oily fatty and fried foods. Have less of fast food, low-calorie foods, low butter/ghee, and low-fat milk. Avoid meat and egg yellow. Avoid sweets as much as possible. Try to achieve some weight loss. Have regular exercises like brisk walking or running according to the capacity. Repeat the lipid profile after eight weeks of healthy lifestyle to see the response, and if there is no response then you need to be on medications. If there is a good response then medications are not necessary. I hope this helps."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My mother is suffering from anemia. She was hospitalized with hemoglobin 4.6. After two units of blood transfusion, it came up to 6.8 and gone back to 6.3 after 10 days, then another unit was transfused. Endoscopy, colonoscopy, CT-scan have been done but no concrete reason was found. Then serum iron and ferritin test showed ferrozine, cobas / 6000 at 396 micro-gm/dl and ELFA, mini vidas 10.6 ng/ml. She is currently taking Astier XT one tablet per day."
},
{
"from": "assistant",
"value": "Hello. Her RBC count is very low with low serum ferritin and high serum iron (attachment removed to protect patient identity). Also, her anemia is normocytic normochromic which is generally seen in bleeding due to chronic blood loss or in chronic disease. Other causes can be chronic kidney disease or liver disease, both of which are unlike since the renal and liver function tests are normal. Since occult blood is present in stool, a gastrointestinal bleed is the most likely cause. But that has been ruled out by endoscopic tests. However, occult blood in the stool may be falsely positive in the following instances if it is a chemical occult blood test, like Iron medication (which is the most likely cause in your mother's), certain fruits and vegetables, Vitamin C, meat. It is better to get the stool tested for occult blood by the immunologic test as it is not affected by these things. A bone marrow biopsy can be done to rule out aplastic anemia. Other causes of anemia of chronic disease should be ruled out like an autoimmune disease. Blood transfusions will not cure the anemia unless the underlying cause is treated."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people."
},
{
"from": "assistant",
"value": "Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist."
}
] |
[
{
"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 have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the medications had little to no effect. Recently, I was referred to an endocrinologist and it was discovered that I have a missing 21 hydroxylase enzyme. Other tests were done but were normal. My cortisol was fine. However, my testosterone levels were high and it was found that I was indeed Insulin resistant. The endocrinologist has put me back on Metformin 500 mg, three times daily and has requested that I return and see them in six months. I suffer from severe hirsutism, thinning of hair on the scalp, and obesity. Despite me being active and having a fairly good diet, it has been extremely difficult to lose weight. I cannot help but think that they have missed something. Can you have adrenal hyperplasia with insulin resistance? They have said no more to me with regards to the missing enzyme. None of the doctors seem to be able to treat my condition."
},
{
"from": "assistant",
"value": "Hello. I just read your query and from what you have mentioned, it appears that you have a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resistance as well. The treatment of Metformin is alright, but you also need oral contraceptives to combat these excess androgens produced. The missing enzyme cannot be replaced. Only the resultant issues arising from its deficiency can be dealt with. Since your cortisol was fine, the doctors are not worried about the missing enzyme anymore. Yes, you can have adrenal hyperplasia and insulin resistance together. Please try to exercise as well as to lose some weight as it helps with your symptoms. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a-32-years old male. Two days ago my wife and I had diabetes tests, and as of now, we do not have diabetes. Three to four months ago when we tested my result was 120, and my wife result was 140. But two days ago when we had tested, I have 122 before breakfast and 240 after two hours of breakfast. My wife had 142 at fasting and 242 after two hours of breakfast. We were shocked and worried. My mom and dad do not have diabetes and wife side her mom had diabetes, but her father does not have. My weight is 81 kg, and I am 5'5\" height. My wife is about 87 kg weight and 5'5\" height. Again we did a test at another place using glucometer after four hours after lunch, and surprisingly I got 102, and my wife had 170. The lady who did our test in front of us and confirmed that we do not have diabetes. Please help us. We do not know how to proceed. Awaiting for your response."
},
{
"from": "assistant",
"value": "Hello. A glucometer is not the standard gold method it has a variability of 30 Plus or minus for conforming. Do HbA1c (glycated hemoglobin), FBS (fasting blood sugar), PPBS (postprandial blood sugar level) and urine complete. If these all reports turn to be normal, then there is nothing to worry. Maybe from tomorrow do regular exercise and take the test after seven days."
}
] |
[
{
"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 right eye appears blurry but only in sunlight and I see my eyelashes blurring my vision. I can read clearly with both my eyes and can also watch TV and normal activity while indoors. But during day time in bright light, I cannot see clearly with my right eye. I am 43, male. My eyesight has been myopic with both eyes at -1.5."
},
{
"from": "assistant",
"value": "Hello. The symptom that you are suffering from is referred to as hemeralopia, this symptom can be caused due to a number of different conditions. The most common mechanism of such a blurring involves a central corneal opacity or cataract obstructing central light rays when the pupils are constricted in bright light. I can tell you that most of such causes are treatable and can be picked up quite easily on a simple eye exam. So, I suggest that you visit an ophthalmologist. In case you need any further information, please send me a scanned copy of your doctors reports. I will do my best to help."
}
] |
[
{
"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 had a sudden weight gain. Are there any foods that should be avoided either at certain times of the day or all together while taking Levothyroxine to treat an underactive thyroid?"
},
{
"from": "assistant",
"value": "Hello. Avoid raw cabbage, cauliflower, brocolli, soy and soy products like soy sauce, soy milk, tofu, strawberry, walnut, spinach, and brussel sprouts. Do not take any meals or drink except plain water for atleast 45 minutes after taking medication. Avoid taking acidity-causing foods, calcium and iron supplements with the medicine."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "assistant",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have the first upper molar root canal treated 15 years ago. It has undergone two root canals treatment but does it seem incomplete? I did a CBCT and it shows a cyst and sinusitis although I have not that much pain. I am 41 and the dentist told me that I have bone resorption at the upper left maxillary region and I also have been recently diagnosed with Hashimoto thyroiditis. Should I get the tooth extracted? Should I try again for a new third root canal? What about periodontitis which is at the beginning?"
},
{
"from": "assistant",
"value": "Hello. At first, I appreciate you because you have so much awareness of your oral health. The life span of normal root canal treated tooth is 5 to 6 years. If you have 15-year-old treated tooth, it means you are so health conscious and take care of your oral hygiene. My opinion is you should go for extraction along with cyst removal because third-time root canal of the same tooth is not a good idea. Periodontitis is nothing but an infection of gum tissue which is totally curable and depends upon your oral hygiene. Bone resorption is a kind of bone loss due to demineralization. There are many things which are responsible for that like age factor, some diseases, calcium level, gingivitis with periodontitis is also a cause of bone loss."
}
] |
[
{
"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, 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 son is 17 years old. He is doing odd things, such as calling the police for ear pain. He is under a lot of stress from national exams and high expectations. He does not sleep much, but his appetite is well. After calling the police and talking to them, he was back to his room studying. Late evening he told me that he is doing well and not to worry about him. Overall, he is distracted, and his grades are dropping. I am desperate as I am in the health field and I know that can mean severe pathology or simply a reaction to stress."
},
{
"from": "assistant",
"value": "Hello. It seems he is not in touch with reality, like calling the police for ear pain. Can you tell since when he has ear pain and how it started? Since how long has has such odd behavior and sleep problem? Does he express any other odd behavior? Is there any history of substance abuse or truancy? He might be suffering from adult ADHD (attention-deficit hyperactive disorder), depression, anxiety and ATPD (acute and transient psychotic disorder). The management depends upon the disorder he is suffering from."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "assistant",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I 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 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, 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 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, I have been taking Ashwagandha, Turmeric, Amal powder and Brahma supplements. I am scheduled for a colonoscopy in three days. It is a preventive screen. I last took them a few days back. Should I reschedule my colonoscopy?"
},
{
"from": "assistant",
"value": "Hello. I just read your query. You can go for your colonoscopy because these are all herbal supplements and as you have stopped all these, they will be flushed out of the body in a week. After colonoscopy, if you are re-scheduled for other investigations, then do not start these till then. Even if you are not, then you can take after two to three weeks."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Suddenly, I have hair loss with a small circle at the upper side of the right ear. What can I do? Please help."
},
{
"from": "assistant",
"value": "Hi. There is sudden hair loss in patches, and it is known as alopecia or spot baldness. It can occur due to autoimmune issues, psychological stress or fungal infection. It can revert. According to Ayurveda, leech therapy may help you to have regrowth of hair. Also, after rubbing, some irritant like Danti seeds or its preparations helps to reopen the hair pores, and it stimulates the hair follicles to have regrowth of hair. Take Ichhabhedi tablet. It contains Danti as an ingredient. Apply this powder, and it helps you to have regrowth of hair again."
}
] |
[
{
"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 friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "assistant",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 28 year old male. For the past month, I have been having some symptoms of asthmatic bronchitis such as wheezing, cough, etc. The symptoms have reduced now as I have been taking some medications. Right now, I have some itching sensation in my throat below my Adam's apple, causing occasional cough and also post nasal drip, which is irritating a lot. Please let me know some medication for this problem."
},
{
"from": "assistant",
"value": "Hi. Welcome to icliniq.com. We are here to help you. Revert back after 10 days to a pulmonologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What does this mean? Could this be transient due to an infection? The IgM remains positive, the PCR undetectable, but I am still sick. Could it be chronic fatigue? I have had a similar experience recently with positive IgM for Cytomegalovirus, but undetectable PCR. And even one positive for Lymes and another negative. Could it be cross-reacting antibodies or something more sinister? I am currently taking Cipralex and Risperdal."
},
{
"from": "assistant",
"value": "Hello. I have gone through your query, and I can understand your concerns. Hope I have answered your query. Please feel free to contact if you have any further queries. For further queries consult a family physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "assistant",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have left supraclavicular lymph node enlargement of around 1 cm in size over four months. I have body pain and occasional low back pain. I have pain in areas such as shoulder, right groin, hand under the elbow and sometimes feel difficulties in chest. Only one lymph node got enlarged. My blood work is reported four times and is normal. I had an antibiotic course twice for two weeks. In these four months, though I was in stress I gained 12 pounds of weight.I need your opinion on the following. Do all lymph nodes seen around or in left supraclavicular areas are more prone to cancer such as lymphoma, NHL or gastric cancer? What is the probability for that? How much is the size of the lymph node to be cancerous or worry about? Do you think I have lymphoma or Non-Hodgkin lymphoma? I am having pale skin, black stool, blood in stool and stomach swelling, is this due to the stomach or gastric cancer? Why my node is not growing in size? Everybody says the node related with lymphoma and NHL is persistent and one. Is that right?"
},
{
"from": "assistant",
"value": "Hi. Based on your queries, my opinion is as follows: Node is partially fibrotic, so it is not able to go back to its original size. There is no reason for it to grow, as there is no infection or cancer. Yes, nodes are persistent and usually multiple and increasing in size. But here it is not. At your age, very low chance for cancer. If doubtful, get an FNAC or biopsy of lymph node done. It will confirm. Blood work is useless, unless it is blood cancer. Do get back with the biopsy of the lymph node and stool examination report for further opinion. At present, no cancer based on clinical details. 1. Lymph node biopsy. 2. Ultrasound abdomen. 3. Stool examination."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am seeking insight from a psychological professional on how awards affect us. Why we give them? Why we deny them to others? And what impact it causes to the one who is receiving them or not has on one's career? Please explain both from the recipient or non-recipient perspective and from an employer mindset."
},
{
"from": "assistant",
"value": "Hello. The topic of effects of awards is complex. The awards act as positive reinforcement to any individual and thus the probability of repetition of behavior increases. If we consider it from a psychological point, then if an individual is given award then it acts as an operant conditioner and the individual tends to seek another award. All this increase the probability of repetition of desired behavior. If an individual is showing desired behavior but is not given reward then with time the occurrence of desired behavior decreases. So, reward acts as a method to get positive results, if we consider it in a company or in an organization. If we consider it on the basis of a physiological point of view, then reward stimulates corticolimbic pathways. This cause release of Dopamine which helps in the feeling of pleasure. This pleasure results in repetition of behavior and increased work efficiency."
}
] |
[
{
"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, Recently, I did a series of blood tests to check my pre-existing G6PD deficiency. The results showed low G6PD levels of 0.4 units/gram of hemoglobin. I have read that anything below 10 % of the normal range can cause hemolytic anemia. Please suggest."
},
{
"from": "assistant",
"value": "Hi. I have gone through the attachment (attachment removed to protect patient identity). Your G6PD (glucose-6-phosphate dehydrogenase) level is low. But clinical correlation is needed in your case. I suggest you investigate with CBC, reticulocyte count estimation, and peripheral smear examination to check whether there is a presence of hemolysis or not. If there is no hemolytic episode, then there is no need to worry. In G6PD deficiency, you have to be alert when you have typhoid and pneumonia. It can lead to oxidative damage and can result in hemolysis. Drugs like Primaquine, Sulpha drugs, Aspirin, and Vitamin K analog should be avoided. Fava beans should be restricted in your diet."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "assistant",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "assistant",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have a bent penis that causes pain and dissatisfaction. Please suggest me a solution."
},
{
"from": "assistant",
"value": "Hi. A downward bent of the penis is an absolutely normal variation and is present in 15% - 30% of men. It will be a problem only when it is extremely bent and difficult to penetrate. Pain in the penis can be because of anxiety. If it has been since a long time, then there are chances of it being a cause of urethritis or some scarring in the musculature of penis known as Peyronie's disease. You do not have to worry unless erection is normal. I would suggest you consult a urologist for physical evaluation to check whether the bent in the penis is a normal physiological variation or not. Stay calm and do not get tensed."
}
] |
[
{
"from": "human",
"value": "Hello doctor,My date of the period was 10th of this month but I got it on 6th. Next month on 2nd, we have a religious function in the temple, so I want to delay my periods. Which medicine is better to use? Some say Primolut N or Ovral G or Ovral l. Please suggest me any medicine with proper dosage thanks."
},
{
"from": "assistant",
"value": "Hi. Generally, to delay periods, Progesterone hormones have better performance. So take the following medications in given dosage, two days prior to expected next date of your periods, till the date you wish to delay. Delaying periods in once a blue moon is fine, but doing it frequently might cause irregularity in periods, or transient cysts in ovaries. Tablet Primolut N 5 mg twice a day after food. Start from two days prior to expected next date and take till the date your purpose is served."
}
] |
[
{
"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, Everyone gets those little paranoid thoughts but mine have gotten a lot worse and a lot more frequent over the past four months. I constantly feel like people I know are talking about me or someone is trying to kill me/hurt me. I also get other weird thoughts like, what if the bus tips up, what if there is a bomb in here? This stops me from going out, and I cry a lot over it. Nobody I know has ever experienced it and they do not know about it, so I do not like talking about it because they may think I am just weird. When I am home alone or not, doors and windows have to be locked and shut so nobody can see inside the house. If I want to go out, I have to be with an older person (parent) or a group of friends. I went out for the first time past 8 o' clock at night the other day and it really frightened me. I have woken up in the middle of a panic attack twice. Please help."
},
{
"from": "assistant",
"value": "Hi. The symptoms you have described are indicative of obsessional nature and the behavior is compulsive because of fearfulness. From the brief description, it is not possible for me to decide the category of disorder. But I can tell you that it is not normal and unlikely to go away without the help of a mental health specialist. You are right in saying that you are suffering fromparanoia but to me, it seems it is secondary to this fearfulness. Having said this, I can assure you that this condition can be treated with the help of antidepressants and antipsychotics or psychotherapy or both. Most of the individuals respond slowly to the prescribed treatment. At the same time, I would like to inform you that you are not responsible for these symptoms. They just can happen to anybody. You need to talk and discuss your issue in detail to a psychiatrist online after which we can decide the exact diagnosis and a plan of treatment."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again."
},
{
"from": "assistant",
"value": "Hi. This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper evaluation and testing to rule out the real cause. In differential diagnosis, lichen sclerosis can be on top. In this disease, we see patchy white lesions on male genitalia. Skin diseases like lichen planus and psoriasis can be other differentials. The best next step is to consult a dermatologist in-person to get yourself tested thoroughly. The dermatologist would rule out all possible causes including fungal infections and aforementioned possibilities. Once diagnosed properly, it can be managed accordingly. For more information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 30 year old male. My weight is 84 kg and height is 177 cm. My blood test results are leukocyte 10.94000, lymphocyte 14%, neutrophils 75000, MCHC 31.2% and RDW-SD and PDW are high. My SGOT and SGPT levels are high too. Please guide."
},
{
"from": "assistant",
"value": "Hi. I want to assure you need not 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. You have low iron, but the deficiency can be covered by diet. 2. There is an increased white blood cell count which indicates an infection. 3. Deranged liver enzymes may be due to the hepatic disease, viral hepatitis or alcohol intake. Body weakness and fever along with raised hepatic enzymes gives suspicion for liver disease. 1. HBsAg (hepatitis B surface antigen). 2. Anti-HCV (anti-hepatitis C virus). 3. Vitamin B12 and D levels. 5. CBC (complete blood count) with ESR (erythrocyte sedimentation rate). 6. Complete urinalysis. 7. Complete abdominal ultrasound. 1. Take green leafy vegetables such as spinach, broccoli and cabbage. 2. Take the diet which includes carrot, cucumber, kiwi, avocado, fresh pineapple and fish. 3. Take plenty of coconut water, which is good for your condition. 4. Take almonds, walnuts, cashews, nuts and beans. 5. Add Citrucel (methylcellulose) dietary fiber supplement. Take plenty of fluids and keep away from spicy, fast and fried foods."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have found this spot on my tongue for the past seven months and for the most part, has not really changed. No symptoms, but can sometimes feel the bumps when I run my finger over it. Does this look like it is a frictional problem or something worse? I am guessing friction based on what I have been told before but want to confirm with another opinion."
},
{
"from": "assistant",
"value": "Hi. I had gone through your question and understand your concern. As per your photographs (attachment removed to protect patient identity), it does not look like any severe problem. This could be the friction or irritational in nature due to a sharp tooth edge. This lesion only looks like hyperkeratotic and nothing else. So, there is no need to worry about it. Please let me know if there is any sharp tooth edge, also if there is any swelling under your mandible (chin). You can also take high Vitamin A diet like carrot or Vitamin A supplements for at least a month, it will be helpful and the lesion will disappear soon. Sharp tooth edge or faulty brushing technique. Traumatic ulcer. Frictional hyperkeratosis. Enameloplasty, if there is a sharp tooth edge. Brushing (modified Bass technique). Use ultrasoft toothbrush."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 60-year-old male and I am not sexually active. After masturbation, I use a moisturizing lotion. I developed a sore on the shaft of my penis. It is not painful and does not itch, but there is a slight awareness of sensation. This could be due to the bump catching friction as opposed to the smoother areas. In my lifetime, I had an occasional clogged pore or pimple when I was a virgin. I had examinations and never been diagnosed with an STD or genital warts."
},
{
"from": "assistant",
"value": "Hello. I understand your concern. Please send the photographs not as collage, but as separate files. It is difficult to appreciate the morphology like this in a collage (attachment removed to protect patient identity). You can send one photo of each of these days separately."
}
] |
[
{
"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,Is LASER treatment for piles safe or not? Any side effects? Please let me know which one is better - laser surgery or normal surgery? Waiting for your reply."
},
{
"from": "assistant",
"value": "Hello. For piles (hemorrhoids) the treatment depends on its grade which is assessed well by the surgeon on clinical examination. For grade one - those which bleed without coming out (prolapse) you need only medicines. For grade two or above you need surgery. The standard surgery nowadays is stapler hemorrhoidectomy. This is painless and gives best results. Earlier days open surgery was done but is painful. LASER treatment is almost not done nowadays as it can cause local complications including narrowing of the anal canal. It is highly unsafe and not a good option. Hope your query is cleared. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done but could not retrieve any eggs. IVF cycle got canceled due to empty egg syndrome. Now, what should I do?"
},
{
"from": "assistant",
"value": "Hello. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertilization) could not yield any eggs with agonist cycle, it is suggested that you can be placed on DHEAS (Dehydroepiandrosterone) 75 mg tablet daily for 48 days along with low dose oral contraceptive pill for two cycles and then should repeat your AMH to see if it improves and ovarian reserve is improved and then you can opt for another IVF cycle post that. Discuss with your IVF specialist and take an informed decision."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "assistant",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I've slept and it's relaxed, but it's still bothering me and the crackling/pushing is still there."
},
{
"from": "assistant",
"value": "Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards!"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I slipped, fell and landed on my side four days ago and have been in a lot of pain since around my ribs on the left side. The pain has not lessened, sometimes feels worse. It hurts when I breathe so I have to take shallow breaths. I know that X-rays will not do much and I realize that not much can really be done at all. So my question is what can I do to help the healing process or if there is anything I should not be doing. I have been going to work and avoiding heavy lifting. I cannot really afford to take more than a few days off. Would it slow the process of healing if I continue to go to work but avoid heavy lifting and any strenuous activity?"
},
{
"from": "assistant",
"value": "Hi. I have thoroughly gone through your case and can well understand your genuine health concern. Severe pain on the ribs and breathing difficulty after a fall indicates some injury to the ribs. Even a minor fracture of the ribs can cause severe pain and breathing difficulty. Sometimes, severe muscular spasm following a fall can also cause such symptoms. So you need a proper physical examination. As you mentioned that you fell on the left side and having severe pain and breathing difficulty also, I suggest you get an X-ray done and consult an orthopedician. It is true that X-ray will not help much but you can get it done to make sure that there is no rib fracture. For minor rib fracture, only conservative management should be done. You need to take rest, avoid excessive spine movements, avoid sleeping on left side, avoid lifting heavy weights. In my opinion, you should take rest and avoid working for a few days. I would suggest you take some oral anti-inflammatory drug in combination with muscle relaxant drug twice daily for about five days. You can also apply some analgesic cream or ointment twice daily. Also, hot water bag over the painful area for 20 minutes thrice daily for pain relief. Rib fracture or muscular spasm. X-ray thoracic spine- AP and lateral."
}
] |
[
{
"from": "human",
"value": "Dear Doctor, Is it safe for a 9 month baby to travel to the Dominican Republic? Also, is it safe for a 8-9 month old to take vaccines for malaria and typhoid?"
},
{
"from": "assistant",
"value": "Hi. It is safe to travel to Dominican Republic, but you need to care abut many issues. While traveling there are many issues related to health of your baby, example: he can get infection like malaria, typhoid, hepatitis A & E and varicella. So if you use prophylactic measures, example: mosquito bite prevention or drug prophylaxis for malaria can be started 1 week before and to be continued 1 month after the travel. For food related infections (typhoid and hepatitis), you need to maintain hygiene and use trusted and clean water source and food. Avoid contact to persons having fever/rash/jaundice/loose stool/abdominal pain/vomiting. Regarding your query about vaccination for malaria and typhoid. So conclusion is that you can safely visit there by taking some prophylaxis. Hope this will help you. You can ask any further query regarding health issues of your baby before and during the journey or there after to a paediatrician online -->"
}
] |
[
{
"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 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,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 am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "assistant",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 33-year-old male with no significant medical history aside from essential tremors treated with Inderal 120 mg, and anxiety treated with Venlafaxine 75 mg. Three months before, I consulted an ENT doctor because of an unilateral (right) tonsil enlargement. I am attaching a photo of what it looked like at that moment. Upon clinical examination, my doctor was not worried and suggested to monitor the volume of the tonsil in the upcoming year. I had underwent adenoidectomy during childhood. In the last few months, I have noticed that the same tonsil has gained in volume and now appears round, red and more swollen than before. It is not painful when I swallow, but I have the sensation that something is stuck in my throat (most probably a collateral effect of edema). I am attaching another photo of what it looks like today. I do not feel any lumps in my neck. I have an appointment to see my ENT again, but it is only in one month from now. Being a big fan of catching things early I am a bit worried about waiting another month. Could you please give me your opinion?"
},
{
"from": "assistant",
"value": "Hello. The two tonsils are unevenly enlarged. Whereas it is usually not any abnormal growth, we can say conclusively only after biopsy. I suggest you discuss with the doctor about the option of tonsillectomy and histopathological examination of the sample. Meanwhile you should get some Benzydamine gargles and check if the symptoms resolve."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been coughing and having running nose, sputum is light green with a distinctive taste while spitting. All this started with a headache and bad binge. Kindly help me with the next course of action."
},
{
"from": "assistant",
"value": "Hi. I have read your query. Regarding a cough and cold, it looks like you have acute pharyngitis. Take tablet Levocetirizine 5 mg once a day for a runny nose. It causes sleepiness in some people so you can take it before bedtime. But if a runny nose is troublesome you can take it soon. Take syrup Ambroxol 1 tablespoon thrice a day for cough. Take tablet Azithromycin 500 mg once a day for five days. This is an antibiotic. So, please complete the course. Please do saline water gargles several times a day. Keep yourself hydrated. Drink plenty of fluids to keep yourself hydrated. For headache, take tablet Ibuprofen 400 mg as needed. Do not take more than four tablets in a day and make sure there is at least six hours gap between consecutive dose. For the vomiting, take tablet Pantop-D (Pantoprazole with Domperidone) twice a day. Eat light."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Last night during intercourse, I started having a burning feeling at the base of my shaft, almost like a paper cut. I finished the fun like normal and pain subsided. Later that night, a few hours later, we did it again. It hurt a little but not bad. This morning when I woke up I had a bruise at the base, where the pain was. As the day had progressed, it has gotten more purple and a little more swollen. I have a picture if needed."
},
{
"from": "assistant",
"value": "Hi. This could be a fractured penis (tear in the hard lining of penis rods below the skin). It has to be confirmed by penile doppler and if present, has to be repaired by small surgery. If not repaired, it may lead to poor erections in the future. Avoid intercourse for a few days. Also, avoid vigorous intercourse in the future. Take care. Till then you may take some anti-inflammatory medication."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 31-year-old. I have AVN stage 3 in right hip and stage 2 in the left hip. This is due to the use of steroids. I have done this MRI before two months. Many doctors told me to go for total hip replacement. Today I had an X-ray, and the doctor told me no collapse is done yet and suggest me to go for core decompression and Osteofos 70 mg daily. 1. I want to know, is it possible to treat it without hip replacement? 2. Will core decompression help in my case? 3. Is Pamidronate injection helpful in my case? 4. Any medicine which can stop or delay the progression?"
},
{
"from": "assistant",
"value": "Hello. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perform your activities of daily living comfortably? What do you do?"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had an episode of BPPV this morning. I had a couple earlier this year and I am confused as to which is the bad ear so I can do the proper procedure. It happens in this scenario: I lay on my left side and switch to my right. Vertigo starts up when I lay on my right side but only after I have been laying on my left. In fact, I could not get it to do it by turning my head and laying back on either side independently. By what I described, can you determine which is the bad ear? I did the Eppley starting on the left side but got nothing. When I shifted to the right it started for 20 seconds. I aborted not wanting to go the wrong direction."
},
{
"from": "assistant",
"value": "Hi. With details of your history, it is difficult to say which side it is on but since with Epley, you get vertigo when you do on the right side, it seems to be more on the right side. It does not matter which ear it is in or if it is bilateral. The treatment is the same. The side matters if we try to cure by the maneuver. Are you taking any medicine for vertigo like Betahistine, etc? Precautions: You should restrict salt in the diet. Also, there is some balancing exercise which helps in the long term. The neck exercise should be avoided if you have a cervical problem. Also, let me know if you have other complaints like nausea and fullness in ears."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I want to ask about the kidney transplant that if it is safe to do for my mother. My mother is 60 years old and has diabetic nephropathy, chronic kidney disease, GFR is 6. Creatinine is 543. Potassium is 5. She had congestive heart failure, severe mitral regurgitation. The ejection fraction is 35 %. She had hypertension, hyperthyroidism, dyslipidemia, DM controlled."
},
{
"from": "assistant",
"value": "Hello. I passed carefully through your question and would explain that kidney transplant would be a perfect solution for her low kidney function, but it could be at high risk because of her heart function. You should know that heart failure has a reserved life-expectancy. You should know that only half of the heart failure patients survive after five years from diagnosis. Anyway, this depends on many factors: lifestyle, genetics, treatment, comorbidities, etc. Besides, you should know that a kidney transplant can increase the risk for cardiac complications post-surgery, like myocardial infarction, etc. Being diabetic may indicate being also at an increased cardiovascular risk. That is why it would be necessary performing a Dobutamine stress echo or nuclear cardiac stress test before undergoing the kidney transplant, in order to investigate for the presence of coronary artery disease and undergo coronary catheterization if necessary, in order to avoid complications. So, you can see that benefits should be evaluated comparing them with the risks of surgery and heart complications. You should discuss with your doctor on the above issues."
}
] |
[
{
"from": "human",
"value": "Hello doctor, If I try to have unprotected sex every weekend, would this increase the chances of me getting pregnant? I am taking my prenatal Vitamins. I am trying my best to get pregnant. What should I do? My period goes 28 to 40 days."
},
{
"from": "assistant",
"value": "Hi. If your periods are regular, then there is more chance of pregnancy when you have sex in the middle of the cycle. But when your periods are irregular then it is very difficult to predict ovulation time. But it is in the middle of the cycle only if ovulation is happening. Because you may have menses without ovulation, so you may have to take treatment for conceiving if you have irregular periods. But as your age is just 19 years, so try for at least a year. And if no pregnancy, then go for treatment. Every weekend is not the proper plan if you are planning for pregnancy. There is less chance of pregnancy than a normal couple. Keep that in mind and do not panic early that pregnancy is not happening."
}
] |
[
{
"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,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": "Dear doctor, My husband recently watched a strip show. It affected him a lot. After asking a lot of questions, he revealed that he could not come out of it. He is always straying on other women, and he is thinking of going back and booking a prostitute. Also, he is worried that he could not come out of it. He is fantasizing them while having sex with me. He is feeling guilty and wants to stop thinking like this. Please kindly advise what should I do to get it out of him."
},
{
"from": "assistant",
"value": "Hello. For further information consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been stressing for six months about the oral sex that I received from a CSW. About a month later, I got a lump sensation in my throat, and then a white coated tongue. I had a full STD panel at 10 weeks, and then again last week. Both were negative. And no STI's. My tongue is still coated and I have dry mouth. I was worried that maybe the HIV tests missed a strain. Can this dry mouth be from constant anxiety? Can I take my two tests as conclusive and move on? Scared to infect my wife and newborn."
},
{
"from": "assistant",
"value": "Hello. I have no reason to suspect the accuracy of these tests. Yes, dry mouth can be due to anxiety. Your tests (attachment removed to protect patient identity) are conclusively negative and you can definitely move on. For more information consult an HIV AIDS 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": "My age is 20, one of our relative informed us to contact you as we needed it badly I have eczema and I have been taking medications from 5 years with multiple doctors with no end results... some worked some didn't main problem is I have running nose( from 3 years), skin gets round around mouth with black scars, full black rough skin on the neck and past 6 months I have got allergy in eye's with watery eyes, sometimes redness, itching and full dark circles around the eyes.. I have been consulting with one a doctor from 6 months... I'll Share the prescription which she gave thrice in 2 months and was informed to use only for 15 days not more than that but after 15 days now again I have got severe eye pain in and surrounding on dark circles I have also checked with eye doctor and they gave multiple ointments and drops which didn't worked out requesting you please help with prescribing similar medicines which will help me with issue."
},
{
"from": "assistant",
"value": "Hi I went through all pictures and prescription s The problem what you have is ATOPIC DERMATITIS It's a disease that is not infection but your immunity will be working abruptly and uncontrollably Triggers are food, dust, any bite or cosmetic s It's a lifelong problem presenting with different issues at different ages You have PERIORAL DERMATITIS, OCULAR DERMATITIS, ALLERGIC RHINITIS AND CONJUNCTIVITIS... ITs all because of your Atopy Please start on Tab Defcort 6mg twice a day for 1 week 1_0_1 After one week tab Defcort once a day for 1 week 1_0_0 Tab Taxim O 200 twice a day for 5 days (few areas infected) Tab Xyzal M (Levocetrizine +Monteleukast) = 1/2_0_1(half morning night 1 tablet) 3 weeks (for itching) Zensoft Max or Cetaphil lotion .. Morning on spots Momate F cream mix with Calosoft AF lotion.. Night.. On the spots Drink lot of water Review after 3 weeks Stop all triggers Take care"
}
] |