conversations
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[
{
"from": "human",
"value": "Hi doctor, I am a 29 year old female. I am trying to conceive for almost a year. In this time, I have had three miscarriages at 4 weeks, 6 weeks and 5 weeks respectively. With my last pregnancy, I was also on Baby Aspirin 75 mg and Progesterone 400 mg. But, it did not make any difference. I have been recently diagnosed with Grave's disease. During the last pregnancy, I had overt hyperthyroidism. Thyroid antibodies were ATPO 115 (elevated), anti-Tg 33 (mildly elevated) and TRAb 5.8 (elevated). I had a thrombophilia panel done which was clear, with only being heterozygous for MTHFR A1298C which I was told is not an issue. I was advised to have an APS panel and ANA. Shall I take Prednisone 10-15 mg to help with immune issues? In the meantime, I discovered that I have an arcuate uterus from an older MRI. I have read online that an arcuate uterus can be a cause of recurrent miscarriages, as it is a variant of a subseptate uterus. I will attach a photo of that MRI. My question is, if the APS panel is clear and I continue to lose pregnancies two to three times despite having my thyroid under control, is it reasonable to look into the arcuate uterus issue? If so, shall I go for hysteroscopic metroplasty to repair it? Is it a safe procedure? Will it help with my fertility?"
},
{
"from": "assistant",
"value": "Hi. For further information consult an infertility specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello Doctor, I am a 27 year old male. I have been masturbating since childhood. My problem is that whenever I indulge in sex, sperm comes out very soon like within a minute. Please suggest me any medicines that can increase the time of ejaculation upto half an hour."
},
{
"from": "assistant",
"value": "Hi. This is not a major problem. It can be easily corrected. You have to follow the following instructions: Consult a sexologist online if the problem persists even after following these instructions -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have pain in the right knee for two months. While using a staircase, it used to pain initially whenever I starting walking or running. The pain is exactly on the front side of the knee and just below the left side of the kneecap. I started jogging a year back and continued for six months, during jogging or walking I was feeling a cracking sound but I thought it was normal. Recently, my weight started increasing so again I started jogging and gym workouts. In the gym, I was doing leg workouts like squats, leg extension, leg press, and deadlift. Knee pain started and I realized I was doing squats and deadlift in the wrong form. Later, I corrected and started doing workouts in proper form and pain is slightly reduced. I have consulted a doctor regarding this and he gave me some medicine and said it as early osteoarthritis. Kindly advise me whether I can continue my workouts, is this issue curable, how to manage this. Medicines which I am taking now is Fixit 300 (Nizatidine 300 mg), Loflam (Aceclofenac 100 mg), Joint free triple action (Glucosamine, Chondroitin, and MSM)."
},
{
"from": "assistant",
"value": "Hello. Your X-rays are normal for age (attachment removed to protect patient identity). What you describe is patellofemoral compression syndrome and weight gain, wrong exercises, jogging on an incline, poor shoe wear, open chain exercise like squats, knee rolls have a role to play. Physiotherapy to do like closed chain exercises, leg presses with knee not bending more than 30 degrees, patellar taping, core strengthening exercises, gluteal clam shells, hamstring stretches, VMO (vastus medialis) exercise, etc. Take NSAID like Aceclofenac but I see no role of Glucosamine combination tablets. The process of relief takes a long time so do not get frustrated and believe me this is a curable condition but effort has to be yours."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am on a post-exposure prophylaxis. Today is the eighth day. Today I was diagnosed with tonsillitis. The doctor told me to take Nimesulide. Does it make HIV treatment fail? Please, help me."
},
{
"from": "assistant",
"value": "Hi. It depends upon what drugs you have been given as post-exposure prophylaxis. Nimesulide does have a few drug interactions although not to the extent of causing drug failure. Kindly mention the drugs you are using for PEP."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Lack of sex with my husband. He ejaculates prematurely. We avoid sex to reduce disappointment. Since from married years, it has never been better even after numerous counselings. No communications, we are like just best friends. I need a lover to help me get well again. I am taking Yelate antidepressants, Stresam, Ivedol sleeping tablets six in number."
},
{
"from": "assistant",
"value": "Hello. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment. 1. SSRI (antidepressants) and Clomipramine. 2. Anesthetic sprays on glance before sex (only study support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom, and It may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse. Have proper counseling by a psychiatrist"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am suffering from jaundice for last one month. My current bilirubin is 3.1, SGPT 72.4, SGOT 45.8. Can I join the office after four days of bed rest?"
},
{
"from": "assistant",
"value": "Hello. To answer your question specifically, it is not advisable to go back to work. I have seen your LFT blood reports which are not elevated too high (attachment removed to protect patient identity). I would like to know if you had done any other blood test, urine test or ultrasound abdomen because in jaundice, it is important to treat the underlying cause for it. It might be due to alcohol consumption, smoking habits, liver disorders such as acute or chronic hepatitis, etc. Some complications of jaundice you have to be aware are anemia, bleeding, chronic hepatitis, etc. If you are not vaccinated for hepatitis B or C, please take those vaccines also. If you are taking any tablets for this jaundice, please continue it. If you have not seen any doctor so far, I would highly recommend you to see a doctor first. Try to avoid alcohol or smoking habits, if you are used to it at once. I would recommend you to undergo a further investigation to know the root cause for your abnormal LFT blood test. Alcohol, smoking, acute hepatitis. CBC, urine analysis routine, urine ketones, serum electrolytes, ultrasound abdomen, X-ray chest, and abdomen. Acute hepatitis, fatty liver. Acute hepatitis. I would suggest treatment after seeing the further blood tests advised. Avoid alcohol and smoking strictly. Try to follow up after doing the above investigation advised and list any complaints if you have."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I shall be thankful to you if you please answer few of my queries. How CMIA combo for HIV testing is done? How much it is reliable at 175 and 180 post incidence. INDEX was .14 and .08, respectively. What are the chances of error in the result? (Done at two different labs). Even after three years, I have no medical issue. Please give me awareness on procedure reliability."
},
{
"from": "assistant",
"value": "Hi. Below are the specific answers for your questions. CMIA is based on chemiluminescence principle and it is performed on an automated analyzer. It is the most effective technique nowadays to rule out HIV. CMIA can almost 100 % rule out HIV after 90 days of exposure. Usually, in most of the patients, CMIA can be effective after six weeks of exposure. So after 175 days of exposure, you need not to worry about HIV. The index value is cut off value based on which the result is given. The chance of error is very less. After testing for two times the chance of error is almost nil. After three years of exposure there is no medical issue, so the chances of HIV is very less."
}
] |
[
{
"from": "human",
"value": "Hello doctor, When I try to masturbate or when I am thinking of it, I became very nervous, and a little fainted. I do not know why."
},
{
"from": "assistant",
"value": "Hello. Well, in this case, the jerk you had in your first experience is called ejaculation. I am sure you did not take any libido-enhancing drug cause that may also amplify the symptoms. And usually, there is adrenalin surge during ejaculation, which can cause a sudden increase in your heart rate, nervousness and eventually tiredness during ejaculation. After the entire process is over, then eventually you will become calm. I guess your fear may be stemmed from your first experience. Those symptoms you felt are normal for every man who has sex when it is time to ejaculate. It is not a problem. It is a normal physiological respond during ejaculation. So relax, nothing to worry about you are fine. I believe your subsequent experience will make you understand that it is normal. Erotophobia, sexual anxiety."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "assistant",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I had a physical test, and blood works done about six weeks ago. I told my doctor, I had a lump, or mass, under my right armpit. He checked it out, and then sent me for an ultrascan, and a needle biopsy. A week later the doctor, called and said it was follicular lymphoma which is a type of non-Hodgkin's lymphoma and is treatable. I am going, to have a PET, and CT scan in two more days. The oncologist examined me and said there is no swelling, in the neck, and spleen. Please tell whether this kind of lymphoma is treatable because I am scared of death."
},
{
"from": "assistant",
"value": "Hello. Do you have lymph nodes only in axilla? If it is only in the axilla, it is treatable. This is stage one. In this stage, either chemotherapy or radiation therapy will be given. Need not worry too much. Did they say what type of Hodgkin's B-cell or T-cell? If possible send the needle biopsy report. They will do all blood test like a blood smear test, and CBC (complete blood count). Usually, a team of doctors like a medical oncologist, hematologist, a doctor who treats lymphoma with chemotherapy, immunotherapist, etc., handle this. Targeted therapy from this one of the treatment method they do. I gave full details reading this and so do not get panic."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm. Her food includes apple, rice, green gram, vegetables along with breast milk. But, I am not adding sugar or salt. I am giving her Ostocalcium, vitamin D and multivitamins as suggested by her pediatrician. She has got her four upper teeth and two lower teeth. Last week, I noticed that half portion of the upper teeth not covered with white and looks like enamel loss. I have attached her teeth photos for your reference. Does it need any treatment or is it common? Is it because of the vitamin supplements? Could you please suggest me the treatment and what needs to be taken care of further? Thank you."
},
{
"from": "assistant",
"value": "Hi. For further information consult a pedodontist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "assistant",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I want to ask you that, can I have braces because five years back I had teeth whitening due to which I have many cracks in my teeth. So can I put braces or will it worsen it?"
},
{
"from": "assistant",
"value": "Hi. I want to answer your question in two parts. Firstly, I would like to give an honest opinion about your question that is will the braces further create more cracks in your original teeth? So answer is yes if you will go for conventional orthodontic treatment (in which manually metal brackets are put on teeth) and I would say no if you will go for invisible aligner type orthodontic treatment (in it only invisible tray is given to wear, no bracketing is involved). Secondly, I would like to give my suggestion regarding your case. I would suggest going for ortho treatment inspite of the fact your tooth enamel is weaken. If your teeth are severly malaligned, crowded or you have any difficulty in eating, air passage, etc., like there is a genuine cause that needs to be corrected through ortho braces because you are 20 and it is an ideal age for treatment. More you delay, more it will become difficult for teeth to move. Treatment will take more time as age grows older like one year treatment at 20 might take two and a half year time at age 30. If there is no severe ortho issue and you want braces just for a cosmetic reason then I would suggest you to avoid ortho treatment. If you opt for doing ortho braces treatment then your enamel might get weakened due to bracketing but later you can get it fixed by veneering procedure. It will look fine later. Hopefully, you will be able to decide well now about what treatment you should go for. I might give a better opinion after seeing picture of your teeth."
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I 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, Since last few days my wife (she is pregnant) is suffering from pain in the lower abdomen and back. We have visited our gynaecologist to watch whether the pain is due to labour or not. After checking, he said the pain is not for labour. He prescribed pain killer Duvadilan retard (Isoxsuprine capsules) twice a day for five weeks, giving an opinion that he does not want any labour before the end of 37th week of pregnancy. Last week she had pain again and my doctor advised her to observe one night with Drotin injection. She was fine with that and the doctor adviced for steroid injection (attachment) the next day and discharged her by advising that if pain arises again, she has to go for C-section or otherwise he will go for the same after 2 weeks. Today, from morning our baby suddenly stopped its movement for quite a long time. So, we got afraid and asked for an appointment with our doctor. He has given appointment in the evening only. We have done a USG now and have sent you the report. Kindly interpret the same. Do you think there is any deficiency in the treatment process? What is the actual reason for those injections? Will they harm our baby? How is our baby ? And finally I want to tell you that my wife has lost 1 Kg in the last 2 weeks. What may be its cause and will it harm my baby? She still is suffering with pain in the back and lower abdomen, as well as vagina. What to do?"
},
{
"from": "assistant",
"value": "Hello. I have gone through the reports (attachment removed to protect patient identity). The ultrasound report is perfectly fine and the baby is average 36 weeks of gestation and head down position, placenta is normal and so is the AFI (Amniotic Fluid Index) and weight of the baby. As the baby is 36 weeks sonologically there was actually no requirement for an antenatal corticosteroid injection for promoting fetal lung maturity, which is being given only before 34 weeks gestation in cases of threatened preterm labour when it is suspected that the lady may go in labour and the baby may not be able to breathe once out in external environment. Hence steroids are given, but by now lungs have matured and baby can survive easily after birth. But that injection given prophylactically has no harm at all. The pain in lower back and lower abdomen is normal to have. Now, in the late third trimester, she would have frequent urination feeling very often. She would experience Braxton Hicks contractions which are mimicking labour contractions but are not labour as they are not intense, increasing in frequency and not continuous. So, they just come and go. It can be mistaken as false labour. If the pain subsides with any pain relief given or uterine relaxant given, then it is not labour. The plan to deliver after 37 weeks is acceptable but with an elective c-section is not justified. If the baby is fine, head is down, baby movements are normal ,then a vaginal delivery should always be opted for unless there is an indication to do elective c-section earlier like hypertension, breech, genital infection, gestational diabetes. That is my concern here. Keep a watch on the daily fetal movements of the baby, 1 hour after each meal, and the daily count should be more than 10 movements. Go for weekly antenatal visits religiously for examination till delivery. Consult an obstetrician and gynaecologist online for further follow up -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I took Invega for one week. It changed my nervous system and caused erectile dysfunction. My question is, will my body return to their previous state? My movement is not as fluid, and I still have mild erectile dysfunction. Has Paliperidone caused permanent damage to my nervous system?"
},
{
"from": "assistant",
"value": "Hello. I agree with you on the fact that this drug can lead to erectile dysfunction as a known adverse effect. On the other hand, this adverse effect is not permanent, and it is reversible after stopping the drug. So, I do not think that it has lead to any permanent damage. It is just a matter of time, and your situation will improve spontaneously. In the meantime, I would recommend trying Cialis (Tadalafil) or Viagra (Sildenafil) to improve your situation. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need."
}
] |
[
{
"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 have vaginal tightening during sex. It is very painful. Please help."
},
{
"from": "assistant",
"value": "Hi. Pain and tightening of the vagina during sex are common during the first few times of coitus (sexual intercourse). Make sure that you have sufficient foreplay to stimulate the vaginal secretions which will act as a natural lubricant. This helps in reducing the vaginal contractions and thereby bringing down the pain. I would suggest you use a good lubricant just before the contact which helps in easy penetration."
}
] |
[
{
"from": "human",
"value": "Hello doctor, There is pain near the lower back portion above the tailbone in the right side, little swelling too. There is no problem in walking but sometimes it pains too much on some jerk or stretch."
},
{
"from": "assistant",
"value": "Hi. This seems like coccydynia, pain of coccyx bone or near to it. Did you have a fall on your tailbone a week back? Also, if you had lifted something heavy, this kind of pain may come to lower back and may get radiated to buttocks or lower. Do hot pack for 3 to 4 minutes and ice pack 1 to 2 minutes, at least two sessions in a day. If you have any local pain relief cream, please apply it locally. Those painkillers will not work for this pain. Let me know in five days."
}
] |
[
{
"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 am experiencing gum pain on a back molar. I am trying to catch it before it becomes an abscess. Please help. I am currently on Levothyroxine."
},
{
"from": "assistant",
"value": "Hi. I am sorry for the pain you are bearing. Though I needed more details and a photograph, what type of pain is it? Is it only around the gums or in the tooth also? If it is only in the gums means there is some periodontal problem maybe some food has got stuck up there. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides? Under the prevailing situation you cannot go for a scaling even but kindly go for it as soon as possible. For now, I would suggest you to do a salt warm water rinse four to five times a day and gentle finger massage. You can also apply clove oil if you have. If pain is not bearable you can go for a pain killer Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not I cannot prescribe you antibiotics. Do revert back for more queries."
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,My brother has thalassemia intermedia. His Hb is between 7.8 to 9. Please suggest how soon he can recover from this."
},
{
"from": "assistant",
"value": "Hello, Welcome to the icliniq.com. Thalassemia intermedia is severe as compare to thalassemia minor. In this condition, episodic blood transfusion is needed, especially during childhood. Your brother can be prescribed iron tablets if there is no improvement then blood transfusion might be required. I hope I have answered your question. Let me know if I can assist you further."
}
] |
[
{
"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, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "assistant",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My 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 trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "assistant",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room?"
},
{
"from": "assistant",
"value": "Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clinical signs would suggest performing MRI scan and would you order it with every patient? What clinical signs would suggest performing thyroid hormone tests? Would you do the thyroid hormone test with every patient admitted to the ward? Would it be a standard psychiatric procedure? What neurological and physical examinations would you conduct to rule out any other medical or neurological disorders? Schizophrenia is a dysfunction of brain’s physiology; the functioning through neurotransmitters and through hormones but actually genetic problem is always there; means there is a dysfunction at cellular level. Which neurotransmitters and hormones would be responsible for this dysfunction? What kind of dysfunction of cellular level is that? What does an elevated level of homocysteine found in schizophrenic patients tell the psychiatrist?"
},
{
"from": "assistant",
"value": "Hi. I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions: All the best for your research. For further clarifications, consult a psychiatrist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC with spread to bone metastasis? What should I be worried about most? I have been on Femara (Letrozole), but had severe reactions such as stumbling, aches, pains and I am going to switch to Tamoxifen from next week. Should I be concerned about this?"
},
{
"from": "assistant",
"value": "Hi. I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report. Bone metastasis cannot completely disappear after treatment. They become less prominent. As I have mentioned, it is a very satisfying result for the treating doctor. Regarding reaction to Femara (Letrozole), normally it is very safe drug, but reactions can occur in rare cases. Tamoxifen (Nolvadex) is also a very effective drug. Your oncologist might try again Femara after one to two years or even earlier. I think your treatment is on right track. Follow the instructions of your oncologist. All the best. For further information consult a medical oncologist 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, My father aged 74 is suffering from TB and is under medication for the same since 15 days. There was a bronchoscopy done, which diagnosed the ailment. It has been two weeks since he has the medicines, but he is still feeling very weak. His appetite is very low. Also, he makes a sound while breathing and feels breathless when he is served food. He is unable to sit for more than 5 minutes and always lies down. He has chills and sweats too. I wish to know when he can get rid of these symptoms as his medication is already started. The improvement I see is only minimal."
},
{
"from": "assistant",
"value": "Hi. For further information consult a pulmonologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "assistant",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years which were not typical of gallbladder pain because the pain was more located in the center and lower abdomen. But the intensity of the pain was severe and was associated with nausea, and vomiting which relieved only after taking intramuscular painkillers."
},
{
"from": "assistant",
"value": "Hello. I have gone through your case and reports (attachment removed to protect patient identity). This looks like a symptomatic uncomplicated gallbladder stones. Even though you say that the symptoms have not been typical of biliary colic but the repeated episodes of pain, need for parenteral analgesics, and no other attributable cause leads to consider gallbladder stones as the cause for your pain. Without surgery, there is 50 % chance of recurrent pain episodes per year, 2 % chance of biliary complications per year, and 30 % will have no further pain if there was only one episode of biliary pain previously. The best option in this situation is laparoscopic cholecystectomy especially if you are planning a pregnancy. Since during pregnancy, the risk of recurrent pain and complications are higher. The other issue is that risk of surgery in the first and third trimester is significantly higher with the preferable period for surgery in pregnancy being the second trimester. You can consider medical dissolution therapy of gallstones but the efficacy is 30 to 49 %. And this is mainly based on the unimpaired motor activity of gallbladder, which has to be assessed before therapy (only with good motor activity of gallbladder the efficacy of 30 to 49 % can be predicted). The best option in your case is laparoscopic cholecystectomy."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 38-year old male. 6’0\" 230 pounds. I have had chronic belching for about a month. This is from the time I wake up until the time I go to bed. Symptoms decrease when lying flat or sitting still. I belch every time I stand up or sit down. It is almost like a hiccup burp. No other symptoms at all. I have been diagnosed with general anxiety but no other medical issues. I have also been taking Nexium for a few weeks."
},
{
"from": "assistant",
"value": "Hello. I have gone through your query in detail. I would like a few more details about your belching. Do you have reflux symptoms (sour after taste, recently consumed food coming back to the throat on belching, or heartburn) or any vomiting? How are you opening your bowels? Have had an endoscopy (EGD)? Is it usually that you have a feeling that you need to belch to ease the discomfort in your tummy? Belching is usually a behavioral issue, and can be controlled by behavioral training. The above-mentioned details would help in guiding you about managing your symptoms."
}
] |
[
{
"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 suspect I may have tapeworms. How can I be sure and what can I do to get rid of them?"
},
{
"from": "assistant",
"value": "Hello. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the drug that is used to treat tapeworm infestations."
}
] |
[
{
"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 been on Ava 20 (hormonal contraceptive pill) for about three years. I recently just stopped taking it. I had sex about 3 to 4 time in my fertile period. I have missed my period by a few days. So, I took a pregnancy test and it came back negative. I have been having a few symptoms too like sore nipples and breasts, weeing a bit more than usual, acne, fatigue."
},
{
"from": "assistant",
"value": "Hi. Since you have been actively trying to conceive and having unprotected sexual intercourse on fertile days does put the possibility of pregnancy high up on the list especially coupled with a missed period. A home pregnancy test can be negative in the first few days after the missed period even in case of successful fertilization owing to insufficient beta hCG hormones. I suggest you take another urine strip test after a week if you still do not get your periods. Or could get a blood test for serum beta hCG in a few days which is more sensitive. In any case, you should treat it as a possible pregnancy unless proven otherwise and take your vitamins."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "assistant",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "assistant",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, 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": "Dear doctor, How to manage OCD without any medications? I got a word in my mind and it repeats every time in my mind. What is the practical way to rectify it?"
},
{
"from": "assistant",
"value": "Hi. In my experience, it is close to impossible to control OCD behaviors without medications. It is due to a biochemical imbalance in your brain that needs to be corrected and that requires a course of psychiatric medications, which are safe and easily tolerated. Consult a psychiatrist online for further help -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Today I received my blood report online. And in that, it is mentioned that my IgE serum level is increased by 4 %. And also there is an increase in the level of atopic/non-atopic allergy, hyper IgE syndrome, parasitic infections, IgE myeloma, pulmonary aspergillosis, immunodeficiency states, and autoimmune diseases. So please tell me what the report says."
},
{
"from": "assistant",
"value": "Hello. You have not mentioned that reason for which you got this test done. Anyways most of the doctors send for this investigation considering allergy (to dust particles) in the blood. Hence, the test was done and the report suggested mild elevation of serum IgE which indicates you have a little affinity for dust allergy but this is not a very significant rise hence take precautions by avoiding dust, regular usage of masks or handkerchiefs, keeping your pillow covers and bed sheets clean. Allergy. Vitamin D levels."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 36 year old male. For mild chest pain, I have got my chest x-ray PA view done as suggested by my rheumatologist. My doctor said that x-ray report shows changes of chronic bronchitis in both lungs more in lower zones and old fibrotic scarring is seen in left apex. I am suffering from arthritis for which I am on medication. I have glaucoma. My medication at present for arthritis is Cobix 200 twice daily, HCQS 200 once daily, Pan D before breakfast, Rosuvas once at night, Tryptomer 10 in night, Espidase DP, Folvite 5 mg and Imutrex 15 mg once in a week. Kindly suggest me medication according to the reports attached. Please do not suggest me any other doctor or any hospital as I want to get treated through your medication."
},
{
"from": "assistant",
"value": "Hi. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I would like to know what does my lab tells you about my current liver function. I began to struggle with daily gout pain a few months ago and finally gave in to taking the traditional drugs about one and a half months ago. Both allopurinol and probenecid caused worrisome impacts on my body. I began to experience flank pain, confused thinking, and fatigue. Around this time, I was also compelled to have my A1C checked because I was struggling with headaches, insomnia, and various degrees of itching after eating. My A1C turned out to be 5.7. I stopped taking the drugs, and did a lot of research, and was fortunate to find some supplements that seem to be effective at the intersection of both metabolic syndrome and gout. Presently, I have found that Berberine (approximately 1000mg/day) works. Gout pain is essentially gone, and blood sugar seems to be coming under control with each day, though my caloric intake in unsustainably low. Admittedly, I have taken some hesperidin, ALA, chromium, NAC, ECGC, nigella sativa oil, or triple strength turmeric occasioanally if I was having a momentary concern (not all at once), or even all in a day, but occasionally. My concern is for my ongoing liver function. Though things seem to be getting better, as the day goes on and I have taken some supplements, I will start to feel pressure in the middle of my back, kidney area, and left flank discomfort. It tends to have gone away by the time I wake up in the morning. On looking at my labs, the markers for liver function have fluctuated, but my primary care doctor never made mention of them. Is there anything you can tell me about what the changes in these ratios say?"
},
{
"from": "assistant",
"value": "Hi. I have seen your blood works. (attachment removed to protect patient identity). It is all normal. Usually, during the acute attack of gout, we do not start Allopurinol or uric acid decreasing medications as it can exaggerate the situation. We usually start after the acute situation is treated with drugs like NSAIDs (non-steroidal anti-inflammatory drugs). Allopurinol is started with caution if there is liver disease, kidney disease, diabetes, congestive heart failure, and high blood pressure. Are you pregnant or breastfeeding? Are you receiving chemotherapy drugs? Allopurinol can decrease the number of blood cells in your body that causes blood clot and that help you fight infections, which can make it easier for you to bleed from an injury or get sick when exposed to others who are ill. It can increase liver enzymes to decrease the blood elements. But I have seen your blood works and it is fine. If someone has kidney stones due to increased uric acid, or recurrent gout episodes, or uric acid deposition on soft tissues that is the time usually Allopurinol is started and continued I think you do not have these problems. You need to decrease your protein intake like less meats, fish, lentils, eggs, and avoid diuretics which are used to treat high blood pressure. Alcohol intake to be reduced as well. You told your HBA1c (glycated hemoglobin) is 5.7 that is pre-diabetes or borderline diabetes, so better check your fasting sugar and sugar after two hours of eating. You need to do exercise even if it is just walking for one hour daily. Stop or reduce carbohydrates especially sugar in tea and sugary juices, bread, rice, pasta, and potatoes. Intermittent fasting can also help in decreasing weight and controlling sugar. Lifestyle modifications can help a lot in your case. Have you done any ultrasound abdomen?"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am experiencing diarrhea, weakness, fever, and headaches. Whenever I drink or eat anything, I have loose motions. I feel this is a heat stroke. Can you please help?"
},
{
"from": "assistant",
"value": "Hi. Thank you. For more information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My baby is six months old female. Recently, we did a 2D echo test, and the result came as acyanotic congenital heart disease. The report shows a small sized ostium secundum ASD with left to right shunt across the defect, approximately with a size of 8 mm. Why does it occur? What can I do now? Can medicine cure it? Does it require surgery? Please suggest."
},
{
"from": "assistant",
"value": "Hi. I have gone through your child's report (attachment removed to protect patient identity). It is an atrial septal defect. Have a follow up till the age of one and a half to two years. There is 80 to 90 % chance for the defect to get closed by itself. If not, when the child attains a weight of 11 kilograms, a decision can be made to close it either by a device or by open surgery (rarely required). There is no specific cause for this to occur and in some cases, it may be genetic."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My partner has very tight tendons on the sides of his penis that cause pain with erection. He has attempted to stretch out the tendons, but they go right back, and he is concerned about damaging them. He gets relief from the pain when he presses down on the penis. He has also heard a popping noise. He saw a Urologist today and was told there was nothing wrong. Any suggestions?"
},
{
"from": "assistant",
"value": "Hi. During vigorous sexual activity sometimes there is a partial tear of the superficial layer of tunica of corpora cavernosa leading to such description. If he is able to achieve the erection with no ecchymosis, redness or blackening, it is fine. Ask him to share a picture of an erect penis in two directions."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I noticed that for the past three months, I have had vaginal infection. But, all the tests were negative including vaginal swab and urine, which was done last month. I would like to know whether the vagina closes due to psychological reason. For example, when one do not want to have sex with someone. Please explain."
},
{
"from": "assistant",
"value": "Hello. It is called as vaginismus. It is muscle spasm causing contraction of vagina. It happens due to various psychological issues. It could be due to guilt of sexual activity and some unconscious unresolved issues. It could also be due to dislike of partner. It needs counseling and medicines."
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "assistant",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am unable to lose weight even though I exercise a lot. Also, my penis size is small. Could this be a hormonal problem?"
},
{
"from": "assistant",
"value": "Hello. Fat is stubborn and it takes a lot of effort to get rid of it. If you are doing regular exercises, please consult a physical trainer to know whether the workout is scientifically efficient for weight reduction or not. If you are working out under the supervision of a professional and still unable to shed flab, I suggest you get your thyroid profile done along with lipid profile. The penis appears small when there is abdominal fat. I suggest you focus on the reduction of belly fat. Your organ size may be just right. For more information consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My son is 5 years old. He has a wheezing problem from one and a half years. Recently, a pediatric pulmonologist diagnosed his condition as reactive airway disease. Currently, my son is taking Foracort 200 one puff in the morning and one puff at night. My husband and his brother both had a wheezing problem when they were children. However, wheezing disappeared after they reached eight years. The allergy test was done and the doctor said my son does not have an allergy. Primary complex test (Mantoux test) proved positive but the doctor also looked at the chest X-ray and enquired about family history (no smokers, vegetarians, non-alcoholic). So she asked us to wait. No medicines were given. Did my son inherit this from his dad side? Will his wheezing also subside after a particular age? He gets wheezing problem once a month or once in two months which settles only after nebulization even when he is on Foracort. As of now, I successfully identified one trigger that causes wheezing which is acid reflux that happens when he skips breakfast or eats late breakfast. Also, he does not pant for breath during wheeze but coughs a lot. Is this condition curable? He also gets wheezing whenever he has a throat infection. Why does he get frequent wheezing even when he has no allergy? Does he have asthma?"
},
{
"from": "assistant",
"value": "Hi. Yes, your son may have inherited it from the father. Considering that the wheezing may have been inherited from the father, it should follow the same course and should go away by the age of 8 years. Even if it has not been inherited, usually this issue disappears by the age of 8 years to a maximum of 10 to 12 years. The issue and its frequency of occurrence goes on reducing with age and it eventually disappears. In a very few cases (1 % cases) the issue may persist into adulthood. The condition is not curable but it is controllable with medications till the time it goes away with age. I would advise you to use an Asthalin inhaler during such severe episodes along with the Foracort inhaler. Asthalin inhaler is to be used as Asthalin 100 mcg one puff four times a day for 3 to 5 days following a severe attack. After that you can continue the Foracort and stop the Asthalin. You can obviously use a nebulizer along with it on an SOS basis. As far as the reflux is concerned I would advise you to get it diagnosed by imaging and as per the grade, we can start medications like Lanzol 30 mg once a day before food to reduce such episodes. Please do not be depressed about this condition. It happens to 20 to 30 percent kids out there out of which most of them get rid of the condition by 5 to 6 years. So do not worry. Be happy."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 54 years old and I have never taken good care of my teeth until a couple of months when I started noticing a very rapid erosion of enamel on my front teeth near the gum line. This area was becoming very thin on a couple of teeth and turning brown and no amount of brushing, cleaning, etc., was making the brown go away. So I went to a dentist for the first time in about 46 years and had a deep cleaning done and a brief consultation. The cleaning got rid of the brown stains but then the brown stains returned within a week on the same thinning areas next to the gum line. I keep brushing and trying different things (a whitener, baking soda, peroxide, a mineralizing toothpaste, avoiding food and drink that causes staining, brushing right after eating) but the staining just continues to get worse and is now happening on all of my front teeth (near the gum line). It has been about three weeks since the deep cleaning and in a couple more weeks I have an appointment with a different dentist who is going to clean them again and hopefully give me some advice on what I can do about this including dental bonding perhaps. My question is, what can I do to get rid of these brown stains and keep them away. Are they just going to keep coming back and getting worse no matter what? Did the deep cleaning somehow cause this to be worse? It seems like it did. Can dental bonding cover these stains and stop them from getting bigger? I have changed my diet also in order to promote healthier teeth. Eating more nutrient foods with more Vitamin D, Magnesium, Vitamin K2, making sure I get enough calcium, using Celtic sea salt instead of regular salt, anything that is known to help promote better teeth and gums. Please, any advice you can give me would be very appreciated."
},
{
"from": "assistant",
"value": "Hi. Just checked your given picture and thanks for detailed history (attachment removed to protect patient identity). These brown marks are because of smoking. You have not left me with anything to suggest you as you have already done with home remedies, peroxides, care, etc. Now, if you do not want these brown lines to come back you have to quit smoking for it. Correct your brushing technique. You have to brush your teeth with light hand pressure because I can see at some points you do brushing vigorously that caused enamel to wear off. I would say it is erosion and abrasion at gumlines, where you put a slightly more pressure to get rid of brown lines. You immediately need to stop this. Stop getting angry. Do not be surprised, as your teeth say so. I guess either you are introvert, do not express your feelings or pour out your anger on others and keep grinding your teeth instead or you are a person who takes stress too much. Is it so? Do let me know about it. I can say you are suffering from a condition called bruxism, that is, clenching of jaws or habit of grinding your teeth consciously or unconsciously at night. For it, you definitely need a night guard so your teeth might not get minor fractures or uneven occlusal surfaces can be arrested right away. This is just an additional finding I diagnosed by seeing your ground teeth. Regarding your presenting complaint, yes bonding will definitely work in arresting these gumline abrasions you made yourself by brushing harshly and smoking brown stains will also be limited by it. Rest, for getting permanently rid of it you need to leave your beer and smoke which are definitely injurious to your health. Do give me followup after next visit and after breaking down your habits."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help."
},
{
"from": "assistant",
"value": "Hi. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My father is suffering from intestinal cancer. It is a tumor and the tumor blocked his intestine. D2 is completely blocked and then today he had a surgery in which all the spreadings is removed. Stomach bypass is now done but the main tumor is not removed and they said it will be after chemotherapy but chemotherapy is very late and cancer cells will spread. Please tell us what all would be the consequences."
},
{
"from": "assistant",
"value": "Hi. Welcome to icliniq.com. It was emergency surgery done to relieve the blockage, complete surgery will be done after chemotherapy because chemotherapy will further shrink the tumor and will make the surgery more feasible. Since surgery is done now, chemotherapy can be started only after healing of surgical wounds which takes 3 to 4 weeks. So, this is the only option. So we need to hope for best and tumor should not spread to distant sites."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "assistant",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "assistant",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 79 years old. I am having spinal surgery on L4 and L3 next month. I have been on 90 mg of Nardil,an MAOI, for the last 32 years. Is there any general anesthesia that can be used so that I do not have to come off this medication, or do I have to be off it two weeks before surgery?"
},
{
"from": "assistant",
"value": "Hello. The anesthetic drugs and their dose are carefully chosen after considering patients age, general health, condition of vital organs, previous history of diseases, concomitant medications, and duration of surgical procedure, etc. Hence, before any elective surgery, the anesthesia specialist will do a thorough examination and necessary investigations to fix the anesthetic drugs. Rarely in some case, it becomes very difficult to fix safe anesthetic drugs. Only in such cases, the anesthetist may deny the surgery. In your case, many good safe anesthetic drugs will not interact with your MAOI (monoamine oxidase inhibitor) drugs so that you can continue the current medication. If your anesthetist feels that those safe anesthetic drugs are not suitable for you (based on your body condition and duration of surgery), then he may use anesthetic drugs that may interact with MAOI. In such a case, alternative to MAOI will be started with the help of a psychiatrist. The anesthesiologist will coordinate all these. Hence, you do not worry about this part. With the current details given by you and without doing a personal examination, I am not in a position to discuss further drug details. But, I can assure you that your concern will be solved when an anesthetist examines you."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I feel terrible before periods and I cannot sleep. My tummy comes out, also my breast become heavy, and I feel no hunger at all. My periods are regular but I am just tired of this thing happening to me even though my lifestyle is good. I am a vegan. Please help me. I want to cure it naturally."
},
{
"from": "assistant",
"value": "Hello. I have gone through your history and understand your concerns. You are suffering from premenstrual syndrome. You have to change your lifestyle and diet. You can take M2 tone syrup for the same. Regards. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 36-year-old woman with family history of heart disease. For a couple of days, I have been feeling discomfort in my chest, like my heart gets squeezed and I have chest discomfort on the left top part of my chest, like six fingers down my clavicle. I also have a lot of fatigue, specially from 10 AM to 1 PM. The discomfort gets worse when I am laying on my back and I can feel my heart moving in my chest in an unusual way and the squeezing feeling coming and going. I have had anxiety disorder for almost 20 years but this does not feel like my usual anxiety. I am worried and not knowing exactly what to do."
},
{
"from": "assistant",
"value": "Hello. Classical cardiac chest pain is a sensation as if an elephant is sitting on your chest. It lasts from a few seconds to minutes and could be provoked by exertion. What you are feeling is classified as atypical chest pain but you also have palpitations. Do you have a way to check your blood pressure and heart rate? Please let me know."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am an 18 year old female, and I am not on any medications. I am 5 feet 4 inches tall, and I weigh 133 pounds. About 3 to 4 days ago after having a bowel movement, I noticed a little bit of bright red blood on the toilet paper, and my anus was bleeding a little bit for the next minute or so and then it stopped. The next day, I had another bowel movement, and there was a lot less blood on the toilet paper than the day before. The next day it was completely gone. For the next two days, I did not have any bleeding. But yesterday, the bleeding was back except there was a lot more of it had dripped into the toilet. It went away shortly. The same thing happened today. I do not have any pain, constipation, diarrhea, weight loss, fatigue, or nausea. The only other symptom besides the bleeding is that the outer part of my anus feels irritated after I pass stools."
},
{
"from": "assistant",
"value": "Hello. You need to get your stool examined for the possibility of parasites which can cause such local irritation. Also, malabsorption of certain compounds in food can lead to local irritation after passing stools. Fresh bleeding is possible if the stools are hard, but there is no such history in your case. I will advise you the following medicines for a week, and if it still does not resolve, please get yourself examined by your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Drink plenty of water and avoid spicy foods for a week. If the bleeding is persistent, please get yourself examined."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My husband and I have been trying to conceive for five months now. The past few months I have been noticing severe breast pain throughout my entire breast and fullness of both breasts from ovulation until the time I get my period. I read that this could be indicative of a hormone imbalance? My periods are regular and I typically have 30 days cycles."
},
{
"from": "assistant",
"value": "Hi. Symptoms you have described are effects given by hormones produced before menses and after ovulation. As you are trying to conceive as well and active sexually, the body tries to respond to that too. Attempts for trying to conceive stimulates and activates hormones more efficiently. So those hormonal presence gives effects as well, like breast tenderness. If the pain or tenderness is there all over the cycle and on a specific side only then you need to worry and consult breast specialist. Hot fomentation, warm baths and then oil massage could be helpful. Have folic acid daily. Try to have a complete treatment of any health issue you have. A daily walk and exercise to have normal BMI. Have recreational activities and quit recreational drugs. Hormonal changes of the cycle. Massage, hot fomentation, warm bath. Can have tablet Postan 500 mg for severe pain. Folic acid, sex in the fertile period."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am getting anxiety and panic attacks when I am worried or overthink. I had pounding and palpitation at that time. But, I am not feeling anything in specific. I am going 20 minutes walk daily about 6.5 km per hour and burning 200 calories. I lost around 5 kg in the past three months. I have stopped taking chocolates, coke, red bull, etc., as well to help with weight loss. I have attached my CBC report here for your reference."
},
{
"from": "assistant",
"value": "Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: 1. Iron deficiency. 2. Eosinophilia. Iron supplements and iron-rich diet,. Also Albendazole, if worm infection is suspected. For further doubts consult a hematologist online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been using Lutera but recently, I started having some problems. I have been bloated and my period began on the 14th (it usually lasts for four to six days), so the assumption was that it would conclude on the 19th. It is 23rd and I am still lightly bleeding, but my breast are tender again. I wanted to ask if this could possibly be side effects of the birth control or if there was possibly some other reason for this. I did do some research and I found that Lutera had been recalled a couple of times. I did stop taking it for a while to see if it only happened with the birth control and upon getting back on it the symptoms have persisted. I feel like I am gaining weight as well as breaking out with acne a lot more. Please suggest an opinion."
},
{
"from": "assistant",
"value": "Hello. Lutera has multiple side effects and is not really good contraception. In fact, all oral contraceptives are not a very good option as contraceptives. Bloating, weight gain, irregular spotting, are a few side effects. Larger and other bad side effects are marked suppression of ovulation leading to suppression of the biological clock of females. It changes the vaginal environment and therefore causes the growth of multiple bacteria. It is also known to cause obesity, diabetes, HT (hypertension), and breast lumps. The best is condoms by the partner and vaginal tablet to be inserted at the time of contact. Kindly stop taking that tablet. Take capsule Primosa 1000 mg once daily. Also, take supplement of antioxidants like grape seed extract and multivitamins. Stop taking pills."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "assistant",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "assistant",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My 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 would like to get a feedback on the semen analysis report."
},
{
"from": "assistant",
"value": "Hello. I have gone through your reports (attachment removed to protect patient identity). For more information 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": "Hi doctor, I am having red rashes on the glands of the penis. I used Candid Total and it disappeared completely. Again after seven days it again appeared and it seems red patches on right and left side of the penis. I continued using it and then got an advise form one of my friend for using Surfaz SN along with Doxt SL 100 which I am using it since last 15 days. It was improving slowly. I was using very hot water for cleaning the penis but suddenly day before yesterday, the color of the penis became red and the patches have also become red. I am having pain on the glands of the penis and seeing some white discharge. I do not know why it has happened suddenly, due to usage of hot water or for some other causes. I consulted local doctor and he advised to take LNZ 600 one tablet twice daily for five days and T-Bact ointment twice daily for 10 days. Please advise."
},
{
"from": "assistant",
"value": "Hi. You have erosions on the glans penis that is more consistent with candidal balanitis, other possibilities are chancroid, herpes. Please stop using Surfaz SN, it has steroid in it. Steroid helps to bring down the inflammation, itching will get better but it will not cure the fungal infection further makes the fungal infection worse. I believe that is what happened for you now. Can you please answer these questions so that I can rule out other possible conditions and suggest you appropriate medications. When did it start? Do you have similar red rash on foreskin as well? Any history of unprotected sexual intercourse? Any history of white discharge in the female partner? Did you have fluid filled blisters when it started? Is this the first time you are experiencing this kind of lesion? Do you have any allergies to medications? Do you have any other medical conditions? Diabetes? Do not use hot water for genitals. Always use lukewarm water."
}
] |
[
{
"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, A 6-year-old gets itchy rashes on her face and stomach after taking Paracetamol syrup, may be a probable allergy to Paracetamol. We have been giving her Calpol for the past three years. And it is showing these symptoms now. 1. How to make sure that this is Paracetamol allergy or not? Is there any test? 2. Why were there no adverse symptoms earlier when I gave her Calpol for the past three years? 3. Do children outgrow these allergies after a few years or months? Can she be able to take Paracetamol later in her life? 4. Is it true that any future exposure to Paracetamol will delay the ability to outgrow the allergy? I mean if she is exposed to Paracetamol will she take more time to become normal? 5. I tried Ibugesic instead, and it was tolerated well. Should we give her Ibuprofen instead of Paracetamol during fever?"
},
{
"from": "assistant",
"value": "Hello. For allergy, you can give Cetirizine syrup. Paracetamol is one of the safest drugs. It is very rare that Paracetamol causes allergy. And you are also giving Paracetamol for the last three years, and there was no allergy. Generally, allergies increase by repeated exposures. So I think it may be due to some food allergy or infection. At present do not give Paracetamol if you feel that it is causing allergy, continue with Ibuprofen. If she is developing so much rash, itching or breathing problem then go to a pediatrician as soon as possible. Food allergy. Syrup Cetirizine 5 ml BD (twice a day) for five days."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had unprotected sex with my wife and got the infection on my penis two weeks back. The head of the penis became red. I used Quadriderm but it is not helping."
},
{
"from": "assistant",
"value": "Hi. It may be due to fungal infection. Clean the area with warm water twice daily. Apply Candid cream instead. Check whether your wife is having a fungal infection or white discharge. You can get back with clear photos of lesions and details for clarification."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have a cyst for the past one week and it is painful. Doctor gave me the tablets and now I do not have any pain. What should I do? Please suggest me."
},
{
"from": "assistant",
"value": "Hello. I have gone through the pictures (attachment removed to protect patient identity) For further information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "assistant",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My daughter is 11 months old. By mistake, I gave expired Vitazyme drops to her. After giving the dose she vomited immediately. Will this act of mine harm her?"
},
{
"from": "assistant",
"value": "Hi. As she vomited immediately, nothing would have gone inside. So, it is unlikely that it will cause any effect on her health. Advice: Review as per your requirements with a paediatrician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I started gym a few days ago. Can I take protein shake (whey protein) after my workout? Is it safe? I do not have any known food allergies. I have attached my anthropometry chart with BMI. I heard that protein will make the person unhealthy after stopping it. Is it true? Please suggest."
},
{
"from": "assistant",
"value": "Hi. First of all, I must say that as per your height and weight your BMI (body mass index) is fine. Now you should start taking good quality foods enriched with protein. Once you are taking whey protein, it is like one-sided food. As you need more energy to do a workout, it is better to go for a balanced diet."
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "assistant",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I 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, My husband is suffering from anal burning and bleeding while going for motion. Whenever he goes motion, he starts having anal burning from morning to evening. If he does not goes motion in the morning, there is no anal burning. The doctor has suggested Smuth cream for anal area. Can you please suggest treatment and home remedies?"
},
{
"from": "assistant",
"value": "Hi. You did not mention about the diagnosis that your doctor made whether it is piles or fissure or something else. But avoid constipation. Give him high fiber diet like whole grains, salads and plenty of water daily. Also, tell him for sitz bath. Take sitz bath two times daily. In sitz bath take some lukewarm water in a tub and sit in it for 10-15 minutes. Add a pinch of turmeric powder in water. This will help him. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have nerve pain between my left bum and left leg for the past two months. It is so painful that I cannot even walk, sit or lay down."
},
{
"from": "assistant",
"value": "Hello. Are you obese? Are you diabetic? Any pain in the lower back? The possible causes are lumbar spondylosis with radiculopathy or compressive neuropathy or peripheral neuropathy or restless leg syndrome or arthritis if knee with bursitis or peripheral vascular disease, etc. You have to get it done, nerve conduction study and MRI of the lumbar spine. If necessary, you need a color Doppler of the lower limb. Use tablet Naprosyn 250 twice a day for five days. If your symptoms do not improve or develop an allergy to the above drug, please consult your physician or neurophysician. He will examine and treat you accordingly. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a root canal over a year ago, had a cap put on and no problems. A month ago it was pulled off when I ate candy. It was glued back on. Yesterday, the tooth suddenly felt different. It feels sensitive when pressure is applied and sometimes it feels to be throbbing under the cap."
},
{
"from": "assistant",
"value": "Hi. Throbbing pain or sensitivity in a root canal treated tooth is an indication of re-infection in it. Sometimes the nerves regenerate from the apical end and start causing infection, it may happen due to food stuck around margins of gums for a long time, etc. There are two lines of treatment to it. 1. Medications- Take Augmentin 625 mg, tablet Metronidazole 400 mg and Brufen 400 mg for five days, twice a day. It will heal the infection and there will be no need for further treatment, your tooth will be back to normal. 2. If infection recurs after medicine regime like in 2 or 6 months with severe pain then cap will be removed for a while, re-endo or root canal treatment will be done, that is, deep cleaning of roots will be done and then it will be sealed again once infection is gone and tooth cap will be put again. There is also a third option that is a severe one, if root canal treated tooth is stuck with it then sometimes we have no option left except for extraction. Provide me with clinical picture and radiograph of your tooth so that I can exactly recommend you what should you opt for after medications."
}
] |
[
{
"from": "human",
"value": "Hello doctor, About 16 days ago I started getting dryness in my left nostril only. Mucus felt like super glue. I chalked it up to season change but it did not go away. So I went to my primary care doctor, they chalked it up to seasonal and could not see anything with the limited view of the tools they had other than irritation on the left side. I scheduled another appointment about a week later when the symptoms still had not gone away. I realized when I used a Q-Tip to clean my nose in that nostril that I would get blood (not a nosebleed). It was on the inside of the Q-Tip only so it was a specific area in the back of my nose. I was getting an aching pain on that side of my face. The doctor gave me Amox and Flonase, I took the Amoxicillin for five days and am still using the Flonase. The congestion has definitely improved, but I am still getting inconsistent blood when I touch that area, light aching that is inconsistent or when I cough that I can feel in the left sinus. Left nostril still feels sticky. I am 35 years old, I smoked off an on for about 6 to 7 years (have not touched a cigarette in about four years). I used oral tobacco for about 3 to 4 years (have not used in two years now) and I vaped for about two years (stopped about 14 days ago). There is no history of sinus or head cancer in my family other than my grandmother who had skin cancer on the flap of her right nostril. She was a lifetime smoker, it was removed. I am not experiencing any weight loss (the opposite actually), I am not fatigued, I am not getting headaches, my sense of smell and appetite is intact. I just want to know why I am having these symptoms. It does not really get cold here. Even when it has I have never had reactions to season change."
},
{
"from": "assistant",
"value": "Hi. Do not worry at all. It does not look like cancer at all. All the symptoms you have seem to be for chronic sinusitis. The antibiotic you had is not bad but according to my opinion it is not enough to treat sinus infections in adults, so I recommend Medofloxine 750 mg once daily for 10 days. Medofloxine is a Fluoroquinolone. In case you cannot find it in your country you can use Moxifloxacin 400 mg for ten days which is a Fluoroquinolone too. Also, you need to add a mucolytic to liquify the mucus inside your sinus. Continue the Flonase. After 10 days of treatment if no improvement, you have to perform a CT scan for your nose and sinuses to see what is the shape of the pathology inside your sinus. As the infection can be fungal, not bacterial but fungal infection is rare although it is a far possibility."
}
] |
[
{
"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 son is 12 years old. Today in school another student threw a gift card (credit card size) which got stuck in his eye. He immediately experienced some internal eye bleeding and diplopia. He saw the urgent care MD who put dye in his eye and diagnosed a corneal abrasion and prescribed Erythromycin ointment four times daily. Should he consult an Ophthalmologist as well and what other treatment may be needed?"
},
{
"from": "assistant",
"value": "Hello. I am very sorry to hear that your son is injured. But, rest assured that such things are quite common and corneal abrasions usually heal in about five to seven days without any further harm. I suggest that you continue with the Erythromycin ointment and make sure that your son does not go out in sunny, windy or dusty environments. If necessary dark goggles can be worn temporarily for extra protection. I recommend that you see an Ophthalmologist in case of the following: 1. If there are pain and watering that does not improve with the Erythromycin Ointment. 2. If the redness is not reducing. 3. If there is a drop in vision. I hope this helps you."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My brother is suffering from back pain. His doctor recommended some painkiller for one month. Now, he also got pain on the right side of his back. His doctor recommended laboratory test for kidney and liver along with MRI of back. The result showed some kidney related problem. I want to know whether it is a sign of something serious. Can it get cured easily?"
},
{
"from": "assistant",
"value": "Hi. We are here to help you. For further information consult a nephrologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi, Please let me know the dose and duration for ofloxacin in infants with authentic studies."
},
{
"from": "assistant",
"value": "Hi, Thank you for your query on icliniq. Hope I have answered your query. Consult a paediatrician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 50 year old male, who until recently was in relatively good health, other than idiopathic severe osteoporosis and depression. Over the past six months, I have become lethargic, out of breath after very simple tasks, and loss of memory. My primary doctor noticed that my hemoglobin had been dropping over the past year. After more testing, I was diagnosed with iron-deficiency anemia. I underwent eight weekly infusions, which finally got my hemoglobin close to the normal range. However, while my iron is low, my unsaturated iron binding capacity is high at 421, total TIBC is high at 471, and my transferrin saturation is low at 11. Prior to starting the infusions, my platelets had been high and climbing. After the eight infusions, my platelets were only normal for a week. They have begun rising again and are a little high at 502. My RDW has always been out of range and is now high at 17.9. Also, a month ago, my CRP was 1.29, it is now 2.2. I have had an ANA screening for autoimmune, and it came back negative. My stool has been tested twice and it has no blood. My homocysteine and PSA are normal. I am still lethargic and getting worse, and I am constantly short of breath. My short-term memory is not good. I now have a constant pain in my lower back in the kidney area, but all tests for kidney function have been normal. My current hematologist has ordered a CT scan of my abdomen with barium contrast, but my insurance has not approved it yet. I understand that anemia is a symptom of something else, then what is the CT with contrast going to look for? Should I be concerned about the pain in my lower right side of my back? If you were in my shoes, would you see your doctor again or wait a couple of weeks until the CT is complete? What does your gut tell you is the most likely cause based on the limited information listed above. I have attached all my test reports."
},
{
"from": "assistant",
"value": "Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Hope it helps. Any further queries are welcome. For further queries consult a hematologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal range 3.7-6). The insurance company now wants me to see a hematologist for polycythemia. What are the odds that my result is actually related to that? I was also just diagnosed with moderate sleep apnea."
},
{
"from": "assistant",
"value": "Hello. All the best and do well in your new job. For further queries consult a hematologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My father is 48 years old. He is suffering from pleural effusion and TB for the last two months. DOTS treatment is going on. I want to know what foods should he take and what should he avoid?"
},
{
"from": "assistant",
"value": "Hello. Good your father is under treatment, continue without any break, that is the most important thing. Diet also plays a vital role in TB treatment. Consume fruits, and vegetables like orange, mango, sweet pumpkin, carrots, guava, amla, tomato, nuts, and seeds are an excellent source of Vitamin A, C and E. Protein-rich foods, and foods rich in B complex Vitamins should be taken. Ask him to have a boiled egg daily. He needs more protein because they aspirate effusion fluid from the chest, that is rich in protein. So there will be protein loss. To compensate add more protein-rich food."
}
] |
[
{
"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 got gallstone and prostate enlargement and the PSA is 8. Abnormalities are noted in the lung parenchyma or pleura, but no pulmonary nodules seen. Also abnormalities are seen in neck and mediastinum. When I have cold, cough does not stop itself. I drink some water and I think while working. I joined the art of living ayurveda course and the doctor give me Haritaki, Yashtimadhu, Deva vati, Hingvastak, Triphala, and Maha triphala ghrita when I had colonitis 8-10 years back and it was cured. Presently, I am having Harnalidge for prostate enlargement. So, could you also give me an advise on ayurveda medicine for the gallstone and prostate enlargement problems this time. Thank you in advance."
},
{
"from": "assistant",
"value": "Hi. If you take these medicines regularly both your problems will be taken care of definitely. Revert back after a month to an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 41, female, and sedentary. I am 100 lbs or more overweight 248 lbs at 5'4\". I started the gym today and I walked slowly for 15 minutes. My heart rate stayed around 120 bpm. Then I stopped moving to see how fast my heart rate would go down. It went up 10 beats to 130. I checked again a minute later, it had started going down again. Why did it jump up 10 beats after I stopped moving? I have had a phisicap less than a year ago. I was told I had a good pulse, great blood pressure. I also have panic attacks so once I thought I was having a heart attack and went to the ER. They did that tripolin test two times, EKG or ECG. They took an X-ray too. I had not had a heart attack and they said my heart did not look enlarged and no signs of a blockage. So I am still paranoid though. I just have never noticed heart rate going up briskly after stopping the activity."
},
{
"from": "assistant",
"value": "Hi. Heart rate rises because of the unconditioning due to long term sedentary lifestyle. Do regular exercise, heart rate will slowly come down. The more one is fit, more heart rate will come down immediately after stopping exercise. A decrease of 20 or more in the first minute is normal, less than 12 is abnormal due to less fit heart. You need to lose weight, eat healthily, avoid addiction to be fit. Other causes are anxiety and dehydration. Do regular exercise to be fit and to lower heart rate after exercise. If you need more information, or guidance regarding weight loss, exercise, healthy food, etc., you can always ask anytime."
}
] |