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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hello doctor, After every erection without orgasm, my testicles start hurting along with abdominal pain. Kindly advice. | Hello. Testicular pain after erection may be a signal that you are having epidydymo orchitis because the epididymis and testicles are the organs where your sperms are stored and produced respectively. So if the pain comes when there is a history of trying to ejaculate that may suggest inflammation somewhere in these organs was there a previous history of STI (sexually transmitted disease) before this incident, pain from the testes is usually referred to the lower abdomen. We also need to be mindful of testicular torsion.I advise you to do urine MCS (microscopy, culture, and sensitivity), semen analysis MCS then scrotal scan to see the testicles anatomically for any scarification. |
Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blocking. We find 17 more injections are too much and will be highly stressful for my mother. Could you please suggest an alternative treatment.I have attached a few essential reports for your reference. Please let me know if you need any more details. | Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic drug. |
Hello doctor, Last month I had I-pill (within 48hours of intercourse) after 18 days of onset of my periods. I did not have any side effects like withdrawal bleeding, nausea, etc., after taking the I-pill. I got my periods on the 1st of this month. I am unsure if this is my normal period or bleeding due to the side effect of I-pill? Please help me to clarify this. If it is my regular periods, then there is no delay in it (a week before or week after than expected date). Is it normal? Is there a need to take a test or any chances of pregnancy? If yes, when to take the test? | Hello. Let me start by assuring you that you are not pregnant and need not worry. If you have had your periods 18 days before taking I-pill, your ovulation would have been around 13 to 15 days after that. Life of egg is only one day. So there is no chance of an egg being alive on that day of sex. I-pill or emergency contraception pill is a high dose of progesterone hormone. After ovulation, your ovary also will be producing the same hormone. As you have taken it after the ovulation date, the thickness of the inner uterine lining would have increased further. But would not have shed. Usually, if you take it before ovulation, your bleeding will start within a few days. So you should have had your regular periods, slightly thicker or more than usual. If you had bleeding almost like regular periods, then the inner lining of the uterus has been shed. There is no chance of pregnancy if at all, to catch inside the uterus. So do not worry, your next period will be one month from this period. I hope I have clarified your query, do write back if any more questions and for your feedback. |
Hi doctor, I have a milk tooth in the bottom row middle, which is moving and needs to be removed. And I got irregular teeth in the top and bottom which needs correction. Is it possible to close the gap after removing the bottom milk teeth, the gap would be about the width of a 5 rupee coin. | Hi. Yes, could be done in clinic after removal of mobile tooth assessment of available space and space management criterion and space maintainance methods implemented such as Maryland bridge. As your age is 30, I suggest you undergo orthodontic treatment sooner as bone elasticity for pressure tension decreases with age. |
Hi doctor, A month ago I was at an outside chlorinated hot springs but it was really cold and windy. I remember saying my ear is so cold like freezing so we went inside. Ever since that day it feels like water is in my ear. Sometimes worse than ever. Then I got a head cold and both my ears felt clogged. But the ear that got super cold still feels like water is in it even after the cold has mostly cleared up. I went to my family doctor and they said it was red in my ear canal but they do not see an infection or water in it. What do you think? If for some reason it is compacted, could that be seen? | Hi. Do you have pain or decreased hearing? Did he rule out wax and outer ear infection? Could he see the ear drum? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hello doctor, Since four years I am taking Sizodon LS medicine from a trusted doctor. Nowadays I feel sufficient response. But after consulting my same doctor, he is avoiding to stop that medicine. As per his opinion, if I stop this tablet, again I will face problem after a month. Now, I request you, is it true or false? | Hi. As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the drugs depends upon many factors like your diagnosis, family support, etc. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist. |
Hello doctor, I am 37 weeks pregnant. I have sharp pain in lower left side that is coming every couple minutes but does not last long. Is this the start of labor? I am also possibly leaking amniotic fluid but I am not entirely sure since there is not a lot. | Hi. How are you doing today? As you said most probably it is the beginning of labor pain. Usually cervix, the mouth of uterus is slightly to the left. Pain usually lasts for a few seconds only, but reappears. Do not worry. Minimal vaginal discharge with this pain indicates that cervix is gradually opening. To confirm about the pain, just feel the top of uterus, trying to indent your fingers. When no pain, you can feel the baby parts. When you get the pain, uterus contracts and becomes stony hard, you will not feel baby parts. Just having pain is not an emergency. Just note four points: 1. Movement- you should have atleast four movements after each meal. 2. Pain- if it is frequent and lasts longer. 3. Leak- you will feel thick water just wetting your clothes. Not minimal discharge. 4. Bleeding- obvious red colour. You will need medical help in all these situations. Do not panic, if this is your first pregnancy, it takes about 12 hours for baby to come out after true labor pain and 6 to 8 hours, if second. All the best. |
Hello doctor, For the past two months, I have been experiencing a minor rash on the crown of my penis. I have have been using antibacterial cream since then but it does not seem to recover. The rash occurred a month after I had an unprotected sex. No itch, no discharge, no pain while urinating or anything just a few rashes that do not seem to go away. Could this be a sign of STDs? No other symptoms are present. I also had an HIV test a month after I had sex and it was non-reactive but I have a very high cholesterol level. Could you please tell me what is going on? I use Brulidine cream (antiseptic and antibacterial cream). | Hi. I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them? Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD. |
Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again? | Hello. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. Driving can be about three months after the date of injury. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online --> |
Hello doctor,My recent CBC showed 1+ anisocytosis and 1+ anisocytosis. My hemoglobin is 12.9. The lowest hemoglobin I ever had was I believe post my C-section. I do take multivitamin/ or prenatal almost on daily basis even now. I am concerned with these results: I know in previous blood test it showed some anisocytosis but not +1. My physician did not say anything about this. I found out because I read my tests. I am going back to see him and question these results. Any suggestions? | Hello. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it is possible that your iron stores are depleted. This can be determined by testing serum ferritin levels. I would suggest that you continue taking the iron and folic acid tablets for another two to three months to bring up your hemoglobin levels and replenish your iron stores. There is no need for you to worry. For more information consult a hematologist online --> |
Hi doctor, I am a 41-year-old male. My blood and urine tests are normal. I am experiencing tender muscles all over the body. I have pain in legs and arms, and I have tried various treatments to treat them. I have done physical therapy, chiropractic, and massage. I am concerned that it can be an overall systemic issue. I am having this problem for about ten years. I have sensitive spots all over the arms and legs. More recently, I had joint pain. I have moderate anxiety (OCD) and mild sadness or depression. I also have dust allergies. Please help me. | Hi. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm it. Please say whether you had any history of mouth ulcer or excessive hair fall, history of difficulty in combing hair or had a problem in getting up from a toilet seat or had any mood changes when you got angry, any recent history of forgetfulness, any history of frequent headaches or bowel upset. Please explain your condition in detail. |
Hello doctor, My right leg is weak and toes also numb. Last year I had the same problem in my left leg. I can no longer control and use my left hand. I had same problem with my right hand before two years. I am very concerned because I can feel my left leg getting weaker and numb and my right hand is going numb again. Kindly advice. | Hello. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including MRI brain, CT angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report too. Revert me with above mentioned information for better understanding and further judgement. |
Hello doctor, I have had this problem for 8 years with no proper solutions. Please help. Strange sensations, tiredness, feeling of heaviness in the arms and legs. Hands and feet become warm. I have an electrical shock like feeling in face. I have extreme fatigue, unsteadiness and muscle twitching in the arms and legs and my eye often twitches. Now my feet and hands itch like crazy. Feet are worse than the hands. I take Cymbalta, Lyrica and Levothyroxin. I have had MRIs of the spine and brain, nerve conductivity test, and many blood tests including heavy metals, HIV, syphilis, drug test, vitamin levels test, Lyme disease test, ANA and so many others. The doctors are not able to figure out what is wrong. I had about 25 hours of sleep only this whole week, because I have so much pain. When I do sleep I thrash all over the bed. Going this long without getting much sleep is not normal for me. I usually do get more sleep than this. When all this first started I got very sick, lost weight (about 40 lbs in two months) and laid on the couch for a year missing out on life because I was too exhausted and sick. I do not know if all these symptoms are related to one issue or more. The doctors thought I had MS, but no lesions. Please help me. Thank you! | Hi. I read your query and understand your concerns. If your age and other description does not match with the above narration or if you have more questions feel free to write back to us. Consult a neurologist online for further help --> |
Hello doctor, I have a stiffness of neck and pain which continues to the back further. This often happens when a stressful situation arises, which also raises my BP. Worries related to health and other life concerns keep bothering me. Please suggest. | Hello. From your symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us. Also, when we are subjected to constant stress, those muscles become stiff. And thus, due to constant tension in them, they hurt after some time because of lactic acid accumulation. Your BP (blood pressure) is also because of stress and not medical hypertension. I would like to know more about your symptoms. Let me know about the details so that I can help you further. Take care. Revert with more information to a psychiatrist online --> |
Hi doctor, For several years my father is suffering from stomach pain. His problem includes blood in stool and pain in left side abdomen area. He has taken ayurveda, homeopathy as well as allopathy medicines, but nothing has benefitted. We did test like endoscopy, but some doctors said it is due to piles. But, no medicine was effective till date. Kindly guide us. | Hello. For further information consult an internal medicine physician online --> |
Hi. I am 20 years old, and a student. I am currently having obsessive thoughts and I find it hard to control the thoughts. I have fears and getting anxious that something might happen to me yet, I am trying to convince myself to not to. But then again, i've been seeking for help from psychiatrists that offer free consultations because, as I said I am just a student wanting to know more about my condition. I hope someone could help me. I have ear problems and mitral valve prolapse. I for now, have medical prescriptions for mitral valve prolapse and haven't checked up for this ear problems of mine. I am currently taking Propanolol. | hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it's a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hello doctor,I started the combined pill 12 days ago. I vomited on the 6th day after 14 hours of taking medicine. I also vomited on the 9th day after 12 hours of taking the pill. Am I still protected? | Hello. Yes, still you are protected, 1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours. |
Hello doctor,I am having cough and chest congestion for the last three days. Also getting a mild fever again and again. I also have a chest X-ray done today only. Please suggest is it pneumonia and if yes how severe is it? | Hello. Your chest x-ray appears normal. There is no pneumonia. What you have is an upper respiratory tract infection (URTI), mostly caused by viruses. This is a self-limited disease and usually clears up within seven days on its own. Sometimes, cough can persist a while longer and is called post-viral cough. Antibiotics are useless against viruses. They should only be used against bacterial infections. Viruses cause the vast majority of URTIs. These infections spread through the air (when you cough or sneeze) or through contact. They are not transmitted through food. Treatment for viral URTI is symptomatic. Fever medicines like Paracetamol, Ibuprofen, or Naproxen can be used. Nasal decongestants for the congested nose. If cough persists beyond a week, then a corticosteroid inhaler can help. |
Hello doctor, I am a 20-year-old female. I got used to masturbating to porn for seven years now, and I never had an orgasm by myself only, maybe twice my whole life before my relationship. And now I am in a lesbian relationship, and we are living together. The whole six months, I have never had an orgasm with her except when we masturbate together. I have started to worry, sometimes I almost reach but never totally reached, and sometimes I return without an orgasm. Is it because of my porn history? I do not know where the problem is? | Hello. Orgasm is not traceable to your masturbation or porn history. Some people experience it a few times in their sex life. Even in a heterosexual relationship, most times the man cums even when the lady is yet to cum. On many occasion, she never cums. So it is body differences. Has nothing to do with your masturbation experience. Some ladies cum faster when oral sex is done on them. So there is nothing wrong with you. You are fine. |
Hello doctor, There is abdomen pain since three days. Pain is not continous but really painful. Little loose motion, light headache when gets out of bed, little fever on day 1 and 2. | Hi. Such pain in abdomen with stool discomfort can happen as a result of stomach infection. Important here is clinical examination to know the site of the pain. So it is advisable to see your doctor. If he would feel suspicious, he would send you for an ultrasound abdomen. If all normal, you would be treated with antibiotics like Ofloxacin. Till you get medical help, you may take a combination of Pantoprazole and Domperidone that would reduce your acidity and pain. Take light food and drink plenty of fluids. Stomach infection. Ultrasound abdomen. Colic. Stomach infection. Light food. Review with ultrasound. |
Hello doctor,Yesterday I consulted an orthodontist, and I was told, that to keep the changes that braces will acquire, they will have to pull out four of my healthy teeth, without including the wisdom teeth. Those are going to be four premorals, two on the upper jaw, and two on the bottom jaw. I heard that it is the only way because of my severe jaw defect. I was wondering if it can be true because nobody wants to get rid of healthy teeth. | Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case. |
Hello ! Can you please review my blood test? My concern are low level of ferritin, high level of B12 and Urine WBC is very high. | Hi, Welcome to the icliniq Following is my opinion for your asked question. The low ferritn , Low Mcv could be suggestive of early iron deficiency anemia. The common cause for high B12 include supplement intake , Liver disease or Kidney disease. Your liver & kidney profile reports are normal.So don't worry about that. If you have any history of supplement intake than mention it.B12 excreted by urine , so might need not to worry about that.High Non Veg food also sometime can cause elevated B12. For low ferritin no need of any treatment.Repeat your serum ferritin & serum iron after few days. The WBC in urine could be due to urinary tract infection.For that investigate further with urine culture report.Meanwhile take more water & cranberry juice extract tablet.Attach the urine culture report once done. Hope this will help you Regards |
Hello doctor,My age is 28, and I think I am suffering from sexual weakness like premature ejaculation and erectile dysfunction. I want my young days back. I think it is just sexual weakness. Can I take Damia drops? What is the dosage and till when I have to take for six months or a year? | Hello. I suggest you have Agnus castus 200 three times a day at every eight hourly for at least 10 days. This medicine will help with both premature ejaculation and erectile dysfunction problems. Please also inform me if you have diabetes, high blood pressure, or any other diseases, so I will help us to do more and appreciate the treatment. I would also like to suggest you do some physical exercise daily in the morning for at least 30 minutes. |
Hello doctor,I am 27 years old, weighing 57.1 kg and about 1.45 in length. I was busy cleaning this morning when my heartbeat felt very strange. Like it was vibrating inside my chest, it lasted for about 30 seconds and stopped. After that, I feel very tired, a little out of breath, and a heavy weight on my shoulders. Should I be concerned? | Hello. You probably had a transient arrhythmia (abnormal heart rhythm). The most common type of abnormal heart rhythm at your age (assuming you do not have any pre-existing heart conditions) is supraventricular tachycardia. This can produce symptoms like palpitations, lightheadedness, and a strange feeling in the chest. An ECG, if done during the actual episode, can provide a diagnosis. But at least, you should get a baseline ECG. So, I suggest seeing your general physician within the next few days. Other things that are pertinent when you have fast heart rhythms are: 1. Excess production of thyroid hormone (a thyroid test TSH would be appropriate).2. Excessive consumption of caffeine.3. Any recreational drug use like cocaine.4. Electrolyte imbalance.If you get these episodes frequently, you should see a cardiologist who can order some tests. |
Hello doctor, Do Zoloft cause muscle pain and cramps or tingling? | Hello. Yes, Zoloft (Sertraline) may cause muscle cramps, tingling by disturbing blood sodium chloride levels. Zoloft is an SSRI (selective serotonin reuptake inhibitor), which may cause a disturbance in these ions (sodium and chloride) hence may cause it. Get the blood test done serum sodium and serum chloride, or you may try increasing salt intake in your diet. Which if improves your problem then it is undoubtedly due to low sodium and chloride. |
Hi doctor, I am suffering from acidity, GERD, IBS from the last five years. I am just taking Pantop DSR or Rabekind DSR from the last three years but no result. I have high BP, stage 1 BP varies from 140 to 150 and 90 to 110. I feel bloated mostly. Sometimes breathlessness, pressure in eyes and head. I have fat in my stomach around 2 to 3 inches. I have visited many gastroenterologist but no result. | Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD. 2. Irritable bowels. 3. Bloating. You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure. |
Hello doctor, A vein is blocked near the heart. The doctor told that he checked up today and there is a pain in the chest when he walks far. He is 45 years old, what should be done? | Hi. Blocked artery in the heart causes pain especially when one is engaged in activities like walking due to increased heart rate during activity which reduces blood supply to the heart muscles leading to ischemia and pain. This condition is called angina pectoris. It is a problem with the coronary arteries which supplies the heart muscle. The doctor to see is the cardiologist. Do ECG, do clotting time. Take Isorsobide Dinitrate 5 mg three times daily will help to open the heart arteries and relieve the pain. Take care. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
I am looking for my husband doxtor becuase he is a diabetic, asking for you what is the better medicine to lower his blood sugar at the same same time he has UTI . | Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history. |
Hello doctor, I have had a crippling headache for two days now and nothing seems to help. It starts late morning and gets worse throughout the day. I just want to know what I should do. I am 21, 5'8", female, around 160 pounds. | Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed. |
Hello doctor, I have a nevus on my lacrimal caruncle which has been there for almost 10 years. Recently I have noticed a slight change in it. Could it be melanoma? | Hello. I understand your concern, but I would not advise you to jump into any hasty conclusions. First of all, birthmarks, moles are very common even with the localization that you mentioned. However, to advise you better, it is preferable to compare this lesion on photos taken during these last few years as a marker, keeping in mind that humans undergo many changes as they age. Second of all, it is more advisable to get digital images of this lesion captured by an optometrist or an ophthalmologist through a slit lamp and under magnification for better evaluation. Thirdly, if an ophthalmologist has confirmed your suspicion, a biopsy can be taken from it and sent to histopathology in the assessment at a cellular level, which will clear all doubts completely. |
Hello doctor, My 16 years old son had a routine CBC performed as part of his physical for summer camp. His white blood count came back low 3.4 thousand/uL (reference 4.5 to 13.0), absolute neutrophils 1445 cells/uL (reference 1800 to 8000), neutrophils 42.5 %. He has always been very healthy and has not had any recent illnesses or infections. The other numbers were within normal range. The doctor wants to retest the blood in three months. Why wait so long? Knowing that some of the causes of a low white count are serious makes me want to retest sooner. What do you advise? | Hello. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not in favour of repeating CBC after three months. |
Hello doctor, Almost two years back, I was diagnosed with psychosis. I improved in two months after taking treatment. I took medicine (Olanzapine) for nearly 9 to 10 months then I stopped taking the medication as I recovered from it completely. I did not consult doctors. Still, my condition is good, and I face no such psychological problems. But I had a blackout episode lately when I was heavily drunk. Should I start taking the same medicine Olanzapine? As I do not want to go to for check-up any more. | Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to drink heavily. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure. |
Hello doctor, I suspect I may have tapeworms. How can I be sure and what can I do to get rid of them? | 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. |
Hello doctor,I did a lot of tests to see if I am bipolar because I have a lot of similar symptoms. They all had the same answer that there is a high possibility that you are bipolar, go to a specialist. I already have a psychiatrist, but I do not know how to talk about it. Could you help me because I am desperate? | Hello. I can appreciate your dilemma. I will suggest discussing your concerns with your psychiatrist. Write down all the reasons why you think you may have bipolar disorder and discuss it with your psychiatrist during your next review. Screening tests in the search may give approximate guidance, but they not very specific. For example, many teenagers have significant mood swings, which may inadvertently be flagged up as bipolar. A proper diagnosis can be made only by a comprehensive assessment, including detailed background history. |
Hello doctor, My last period was before a month, and it has been nine days I missed my period. I got positive in my blood and urine test. My beta hCG on last month was 675, and yesterday it was 3300. I almost completed 10 days after the missed period. Yesterday I went for scan my doctor told no sac is visible. I have some breast pain heavily and feel like period pain but no other symptoms. My TSH value is 2.9, and my doctor suspected may be ectopic. I do not have any pain or bleeding so far, but it is only like period pain. Please help. | Hello. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency. |
Hello doctor,I am a 48-year-old male with 5”8 height and 250 lbs in weight. No health problems. Blood pressure is 118/70. Total cholesterol is 165, LDL is 99, Hdl is 46 and Triglycerides 101. Had sonography of heart and said I had a mild LA dilation of 4.8 cm. Please help. | Hello. No major concern but it would be important to know why your left atrium is dilated. It may be because of higher blood pressure or problems with the heart valves or due to any heart muscle problem. I recommend you see a specialist as you might need some additional workup, perhaps a heart rhythm monitoring and or a stress test. High blood pressure, and valvular disease. Heart rhythm monitor. |
Hello doctor,I am diabetic suffering from ED and depression. Please advice. | Hello. By ED do you mean erectile dysfunction or anything else? You are a male, so I pressure you to mean erectile dysfunction. The erectile dysfunction, together with the fact that you have to be on medication for your sugar control that could have been responsible for the depression that is entirely understood. The erectile dysfunction can cause d inability to have a penetrating sex.diabetes cause damages to tiny arteries which supplies the nerves, and when the nerves which carries e erectile sensation are affected, it results to a weak erection. Kindly consult your doctor and take the treatment with consent. |
Hello doctor, I am 35-years-old. My cholesterol level is 222, triglycerides 87, HDL (cholesterol) 60, LDL (cholesterol) 156 and non-HDL (cholesterol) 162. Kindly advice. | Hello. Do you have diabetes, hypertension, family history of a heart attack in young age? Do you have deranged kidney function? Answers to these questions if not, it is critical to decide medicine. If these are not present, then medication is not required at this stage. Only lifestyle and dietary modification are necessary. Reduce saturated fats and trans fats (ghee, butter) in diet, reduce red meat, consume more dry fruits, and vegetables. Avoid more than one egg yolk per day. Do regular exercise, such as jogging, cycling, brisk walk, etc. Avoid a sedentary lifestyle after three months repeat fasting lipid profile. |
Hello doctor, I have on and off fever since last Friday and been having chest and stomach pain since yesterday (pain somewhere in between the chest and the stomach). I have a loss of appetite and can feel acid coming out of my chest a few times. I also feel like I always need to poop but nothing is coming out when I try to. I already took Biogesic for my fever but did not took any medicine for the chest and stomach pain. Can you please advise me on what medicines to take and food to take or avoid? | Hi. How high was the fever? Any other symptoms such as cough, colds, body aches, sore throat, and pain during urination? How would you describe abdominal pain, burning, crampy, or stabbing? Does it radiate to the back? If yes, which side? Does it occur after food intake? Do you wake up in the middle of the night because of the pain? Any other symptoms such as yellowish discoloration of the eyes or skin, nausea, or vomiting? I suggest taking Omeprazole 20 mg, 1 capsule 30 minutes prior to breakfast but may take one dose today. Complete blood count. Omeprazole 20 mg one capsule 30 minutes prior to breakfast for seven days, Paracetamol 500 mg one tablet every four hours as needed for fever. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hello doctor, My wife is 25 years old. She has been developing lot of moles on her body especially on hands and face. Initially they are very light almost like a small brown spot, but gradually they are becoming darker. They are incrementing periodically. What would be the reason for it? Is there any medication for it to stop and eradicate the issue? Thank you. | Hi. As you explained the disease that your wife has multiple small moles over face and hands, it certainly indicates solar lentigines. It is a multiple freckles type mole due to sun exposure. Now, let me explain the treatment and precautions. Avoid exposure to sunlight as much as you can. Cover body with clothes and cap while going out. Use sunscreen over face and hand every four hourly till evening. This will prevent further development of disease. Now to treat existing lentigines we can opt for laser. Creams will not be of much helpful in this. Q-switched Nd:YAG laser (neodymium-doped yttrium aluminium garnet) will be very useful. You can consult a doctor around you for this laser. One or two sitting would be enough to remove it completely. There is no side effect. It could be costlier, but results are good. |
Hello doctor, I want to lose weight. Kindly advice. | Hello. You can surely lose weight with the help of homeopathy. Do you have any medical conditions that may be causing weight gain or taking any medication? In the meantime try taking Natrum Phos 6x two tablets twice a day 30 minutes before taking any meal (empty stomach).Try this for 15 days. In the meantime, please answer the following questions so that I get a complete overview of your problem. Kindly answer these questions. |
Hello doctor, I am a 19-year-old female. I woke up this morning with two medium sized red, itchy and scaly spots on my upper arms, I searched, and it seemed to me that this resembles an early stage of skin cancer (squamous cell carcinoma). What should I do? | Hello. First I would like to reaasure you that squamous cell carcinoma can not appear all of a sudden (over night). Second, from the pics you attached it looks like fungal infection (attachment removed to protect patient identity), something called tinea corporis, which comes with the same look and other looks as well, in addition to the symptoms that you mentioned (specially itchiness). Please follow the treatment that I will provide you and kindly follow up with photos for the skin lesion in five to seven days. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Lamisil cream (Terbinafine), apply three times a day for 7 to 14 days or Daktacort cream (Miconazole, Hydrocortisone), apply three times a day for 7 to 14 days. Wash your own clothes and bed linens separately as it is infectious. |
Hello doctor, I was initially diagnosed with a urinary tract infection by the presence of white blood cells in my urine. I had symptoms of a typical UTI. I was given a five days course of antibiotics, but the symptoms did not go away, followed by 2*5 days more courses of antibiotics. A urine culture was done after three types of antibiotics failure. A urine culture was conducted, and it was found that I had candida albican (yeast), and I was put on an oral antifungal medication called Fluconazole, but my urine is still dark brown with white substances in it, and I still feel itching after urination. I drink a lot of water, and I am HIV negative, I tested negative for prostate cancer, and I am 27 years old. Please help. I also experience a lot of nausea and heart racing when exposed to cold areas. | Hello. Went through your post. Generally, urine culture growth showing candida is not anything significant because it is a benign infection and usually does not need treatment unless a person has taken a lot of antibiotics, or is HIV positive. The white substance in urine is phosphate, and it is called Phosphaturia you are taking plenty of water is helpful, so no need to worry about that. I would suggest you complete two weeks of Fluconazole but no other antibiotics. |
Hello doctor,I have been using Minoxidil for about a year now and continue to shed. I now have balding patches where it was not an issue before. Ironically the thinning I had started using it for filled in. Wondering if I need to stop the use or if it is normal to experience shedding still? I use it consistently twice a day. | Hello. Can you please upload a few pictures if possible, to advice proper treatment. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hi doctor, I am a 30-year-old male. I am currently using phimocure silicone rings to loosen up my foreskin. Yesterday afternoon I accidentally used a large ring 26 mm by wearing it for 1 hour 30 minutes. After taking off the ring, I have this persistent pain like burning and pressure on the tip of the foreskin (majority on the left side). I still have this pain and wanted to know if it will go away by itself? I am also using Betamethasone cream. | Hello. I have gone through your queries. The only solution to phimosis is circumcision. However, you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring. You can wait and watch to buy some time for natural regression of the swelling or else you can straightway go for circumcision after consulting your local urologist. By few days to weeks, the swelling will reduce. But the permanent solution of phimosis is circumcision. |
Hello doctor, Why do our ears feel full or clogged when we are in a closed room? Are these because of air pressure and ambient noise? | Hello. Rather than a closed or open room, this is related to outside and inside ear pressure. There is an air cavity in our ear called a middle ear, and there is a membrane which separates this cavity from the external environment called a tympanic layer. So, there is air on either side of the tympanic membrane. So, when pressure on either side if high, then the membrane gets fixed and cannot move properly, giving the feeling of a clogged ear. And there is a connection between the middle ear cavity and our throat which equalizes pressure within the ear cavity and outside environment. So, whenever one gets an infection, then this tube blocked and there occurs a mismatch of pressure leading to clogged ear. And also swallowing movements opens this tube temporarily, which helps in equalizing the pressure leading to relief. Similar things occur when one travels in an airplane. So pressure changes are decisive in this. I hope this helps you and get back if you have any doubts. |
Hello doctor, I had a UTI two years ago that went untreated which resulted in the problem. I now have a permanent red dot on the head of my penis. No pain, bump or itching has ever come from the said dot. It has not increased in size in over a year. I have been using Kermatazole on the penis head for over a year now when the redness gets brighter. I take comprehensive STD tests every four months. The readings are always the same and the results negative. Now, I am worried that I have tested as an early case of herpes II simplex (genital herpes). I have performed two HSV2 IGG quant tests this year. Four months ago, I tested with a reading of 0.076. This month, I tested with a reading of 0.232. I had several different sexual partners during this period with unprotected contact, but no unprotected penetration, including two days before the most recent test. Should I be worried I contracted genital herpes? | Hello. I understand that you are greatly concerned about having early genital herpes. For more information consult a general practitioner online --> |
Hello doctor, I would like to know the diagnosis of this MRI result. Multiplanar and multisequential MRI of the brain without intravenous contrast administration was taken. Single voxel MR spectroscopy through the basal ganglia was also performed. The brain parenchyma demonstrates interval development of diffuse cerebral volume loss, most prominently involving the cortex, with a widening of the sulci and ex-vacuo dilatation of the ventricular system. There is a faint T2-FLAIR hyperintense signal of the bilateral hemispheric white matter. There is sparing of the cerebellum and only mild interval thinning of the corpus callosum. Interval development of a subdural collection along the left cerebral convexity, most prominent at the left frontal convexity causing a mild mass effect on the left frontal parenchyma. It shows mildly increased FLAIR signal, likely related to proteinaceous content. The intraorbital optic nerves have decreased volume, compatible with optic atrophy. There are punctate foci of susceptibility artifact in the right parietal and right occipital region, likely related to minimal hemosiderin staining. No mass lesion or midline shift. There is no acute intracranial hemorrhage or acute territorial infarction. No hydrocephalus. No cerebellar tonsillar herniation. Preserved flow voids of the major intracranial vessels. There are bilateral mastoid and middle ear effusions and mucosal disease of the bilateral paranasal sinuses. Single voxel MRI spectroscopy at the basal ganglia demonstrates increased choline and mildly decreased NAA, nonspecific markers of parenchymal injury. Impression: Interval development of severe supratentorial brain volume loss with thinning of the intraorbital optic nerves. Interval development of a subdural collection along the left cerebral convexity with mild mass effect on the left frontal lobe. | Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online --> |
Hi doctor, I am a 23 year old male. Currently, I am taking 225 mg Veniz XR for depression. I am taking it for the past 6 years. My problem is ED. For the past one year, I am suffering from erectile dysfunction. Please suggest me some medicine. I am unmarried. Can I use Sildenafil for one night stand? I also have one side affect from Veniz XR. I get excess sweating after sleep at day time. Is this due to medication? How can I overcome this problem? Also please suggest me how to wean off Veniz XR safely without withdrawal symptoms. | Hello. For further information consult a sexologist online --> |
Hello doctor, I am nearly two years into my orthodontic treatment to correct overcrowding and midline correction. Although I am really concerned as my face seems to look really asymmetrical and my teeth are slanting, I feel really self-conscious about it. I feel it is something my orthodontist not correcting. Please advise what I should do and give me your expert opinion. | Hi. For further information consult an orthodontist online --> |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hello doctor, I experienced a sudden and severe pain in my stomach (lower part) and anus, which caused me to shake, become dizzy, and really pale, and I have difficulty breathing. I did not faint, but if I were standing up then, I probably would have. It happened to me once before and I was on my period then. I had consulted a doctor then as well and was told that perhaps my body was just shocked because I had skipped a few months of my period. I am also diagnosed with iron-deficiency anemia, but I am currently not taking my iron tablets. This time around, however, I had my period last month and was not on my period at all. I am not sure what it is but wanted to let you know should you have come across a similar situation with one of your patients. Please reply. | Hello. Well, most of our patients initially complain to us about very vague symptoms at onset, just like yours. But we explore the possibility based on some more information and yes, of course, investigating them thoroughly. The pain you mention which made you still and shaky, can be arising from the gut as in abdominal colic (a sudden wave of spasm in muscles within the gut). Or can be arising from endometriosis which is anther problem of the female genital tract, whereby there is excessive growth of normal uterus tissues in the lower part of the belly. Thirdly, it can simply be due to perimenstrual syndrome which is pain occurring at the time of menses. For now, I suggest you to do some test and ultrasound abdomen and pelvis, later we can discuss the findings of your result. Functional abdominal colic. Perimenstrual syndrome. Endometriosis. Complete blood count. TSH (thyroid-stimulating hormone), FT3. Liver function tests. Stool detail report. Urine detail report. US (ultrasound) abdomen and pelvis. Follow up after investigation to discuss the results. |
Hello doctor,I have white lines near the teeth on the lower lip which appears and goes by their own. But sometimes it hurts. | Hello. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus. History of smoking. Biopsy. Candida, leukoplakia, and submucous fibrosis. Lichen planus. Biopsy (nearest dental hospital) and follow-up with a specialist. Nicotine patch to stop smoking. |
Hi doctor, I am 36 years old, male. I am traveling and had sex two weeks ago without condom. After two days, I felt itching and pain while peeing. Now, two weeks later, I have white painful wound on my penis. I visited a doctor yesterday and received an injection and two pills antibiotics. He said gonorreah. I am scared that he could be wrong. Please help me. | Hello. You have developed ulcers after two weeks. Usually, in gonorrhea you will have painful white discharge from penis. In syphilis, ulcer will develop after 10 to 14 days, painless single, button like ulcer. Painful genital ulcers in this case are may be herpes simplex, chancroid, and syphilis (from your picture) (attachment removed to protect patient identity). What medication he gave? Will you please give names of the drugs? Better do VDRL, TPHA, HIV and HSV2 investigation, smear study from penis discharge to rule out above STD. |
Hi doctor, I found a red dry skin on my scrotum today. What is is? Is it dangerous? How can I treat it? I am still a virgin. I have attached the pictures of the dry skin. | Hello. I have seen the pictures (attachment removed to protect patient identity). It looks like scrotal dermatitis. Try doing the following. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. For more information consult a dermatologist online --> |
Hello doctor, My mother's fasting sugar is higher than the post prandial sugar (130 and 115 respectively). She had normal diet only. And also, 2 hours after taking 75 grams of glucose, without any work, the sugar level is 260. Why is this happening? | Hi. Consult a diabetologist online for further clarifications --> |
Hi doctor, During a recent extraction of 9 teeth, the dentist said that my right upper back molar had attached itself to the bone. When he tried to extract it a piece of my jaw bone cracked off, pierced the sinus cavity and punctured an artery. Blood spurted everywhere and they frantically applied pressure and packing until it stopped. They sutured it and sent me home with Penicillin. The dentist acted very casual like it happens all the time. I cannot find anything about this subject on the internet. It has been eight days and I have been weak and experiencing constant cold sweats. I do not have fever. I am still spitting out fresh clots of blood three or four times a day. They are not very large, but they are definitely fresh. Is this something that happens frequently with lasting and future effects? What is your opinion of these events? | Hi. For further information consult a dentist online --> |
Dear Doctor, I am a 24 year old female, was prescribed with Celexa 20mg once daily and Buspar 5mg twice daily for severe anxiety/panic attacks. Both of these medicines are SSRIs though, and I read about it online that everyone/every source says never to take them at the same time due to risk of serotonin syndrome. Today, after taking the Buspar, I felt cold and shivered constantly. I could not get warm and I was very sleepy. Now I am scared to take the night time dose of Buspar and Celexa. I would like to have a second opinion on the safety of taking these medications together. If it is not safe, can I take only one instead? Which one would you recommend, the Buspar or the Celexa? Thank you in advance. | Hi. You are not on too high a dose of celexa or buspar. However serotonin syndrome is not always dose dependant. I feel just the chills and sedation are too general to be indicative of serotonin syndrome. You should have some level of muscle rigidity, high fever, muscular contractions (myoclonus) to suggest that. In my professional opinion I do not have much faith in Buspar. Celexa is good enough as an antidepressant (SSRI) to eventually help you have a full remission of depression, anxiety and panic attacks. If I was your treating psychiatrist, I would have supplemented the celexa with clonazepam (Klonopin) on a as needed basis, between 0.5 and 1mg every 8 hours PRN anxiety. If you are feeling cold and shivering constantly you might need to see your PCP (Primary Care Physician) to urgently address if you have an active urinary tract infection and also have him check your thyroid function. In effect, I advise you to stop the Buspar for now. Hope it helps. Get back to a psychiatrist online for further help --> |
Hello Doctor I am a 30 year old male, married for 2 years. I do not smoke or drink. There is no medical history. My penis is circumcised from childhood. The problem which I am facing is that I do not feel any sensation in my penis glans at the time of sex or while masturbating.In normal state, my penis is dry. I use lubricants while having sex. But still the penis remains numb. Only a few seconds before ejaculation I feel the sensation in my penis. I started masturbating 10 years back. Is this a reason for this numbness? I do not have any erectile dysfunction. But still I am not able to enjoy sex due to this problem. Is there any medication to enhance sensation? Please help me overcome this problem. | Hello. I read your query and understand your concerns. Having less or no sensation in penis while having sex is generally due to local factors. The systemic illnesses rarely affect in this way. Masturbation is normal and it does not have any adverse effects either on sensation or erection. So it is time to realize that the sensation problem is not due to chronic masturbation. The possible reason as per available history is dryness of penis which makes the nerve endings non-functional over a course of time. To counter this problem it is essential to use oil based soap (rather than traditional soap) and skin moisturizer which prevent the dryness of skin of glans penis. It can be said that you can use any branded moisturizer for application to penis and local area after taking bath every day. During love making session I advise you to use Durex real feel which is available across the globe for increasing sensation and making the sex more pleasurable. Unfortunately there are no medicines for this purpose and lubricants which I have mentioned above will be helpful to a large extent. Revert back to a sexologist online for further follow up --> |
Hi doctor, My fasting blood sugar is 130 to 135 over last four years. My postprandial sugar is between 90 to 110. Yes, my postprandial is less than my fasting sugar level. Usually, the reading will be taken after 1 hour 45 minutes or 2 hours after eating breakfast. I am unable to bring down the fasting sugar level. My HbA1c reading is 6. I am taking Glycomet 500 mg before dinner daily. Can you tell me why my fasting is higher than my postprandial? | Hello. For further doubts consult a diabetologist online --> |
Hi doctor, I have a painless peanut size bump near the outer side of my anus. I have attached snaps for your reference. It has been there since last 10 years. But, for the past one year I feel it is growing. Sometimes, it bleeds, but no pain at all. It is just like an extended mass and it feels very uncomfortable. I consulted a local doctor. He found a fissure inside the anus and suggested surgery. But, I never felt any pain or bleeding from inside till date. I used to have a hot water seat daily since last few months as per his advice. Do you suggest any medication to restore or reduce the bump? I tried a few antibiotics, but they did not work. | Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure and hemorrhoids. Surgery. Medical treatment and diet modification to prevent constipation. For further information consult a surgical gastroenterologist online.---> |
Hello doctor, I have stretch marks on my inner thighs and buttocks area. When I sit for about 30 minutes, the stretch marks hurt (in the scale of 1-10, the pain is around 8). So, I have to stand up once in a while. More and more stretch marks appear when they hurt and they hurt too. It is very uncomfortable, and it already affects my work (programmer) where I have to sit all the time. I have visited 4 dermatologists already, and one of them even said that stretch marks are not painful, maybe it is varicose veins. I already tried laser, derma roller, pain reliever, retin A, collagen cream and cocoa butter (but they did not work) as per doctors advise. This all started when I started gaining weight/muscle a few years ago. I already stopped going to the gym and all my supplements about a month ago, but the pain is still there. | Hi.I have gone through your history and picture (attachment removed to protect patient identity). I get your worry. I can see that you have already tried a lot of therapies for the same with not much relief. Weight gain is usually a gradual process and not much skin stretch pain is experienced. But few nerve endings become exposed to the exterior in the stretched skin. When weight loss occurs, stretched skin hangs back loose. But it is still not back to normal skin. It is still thin and exposing your sensitive nerves when you stretch, like when you sit or squat. This is why you get that pain sensation during such activity.Now having considered that you have tried most of the options, I would suggest you try a few additional measures that can help. |
Hello doctor, I have a tiny hard spot on the head of my penis. It does not bother me unless I mess with it. It has been there for many many years, but just recently I have noticed a bit of pain when I am just sitting around. It is probably the size of a pinhead and it is dark in color. I have not had a sexual partner in a very long time (years). It does not seem like a boil or a pimple. The very top of the spot is black. Please suggest. | Hello. I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried. Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes. Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time. Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time. Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition. Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time. You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
Hi doctor, I am pregnant of around 6 weeks now. This is my first pregnancy. I have noticed a few drops of bleeding while urinating twice in a week. I have consulted a doctor and she suggested to do transvaginal ultrasound and got the following report. Uterus is bulky in size. Regular well defined gestational sac is seen. Single fetal node is seen. CRL - 0.64 cm. GA - 6 weeks 3 days. Fetal cardiac activities are normally visualized. Decidual reaction is good. Peridecidual color flow is normal. No peridecidual clot or hemorrhage is seen. Yolk sac is seen. Ovaries - normal in size and echotexture. Impression - single live fetus of 6 weeks + maturity. Now I am in need of a second opinion. Is there anything serious in my case? Can I continue my normal work? Can I take Duphaston 10 mg for next 8 weeks as directed my doctor? What kind of precaution do I need to take? | Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online --> |
Hi doctor, I am an 18 year old female, and I masturbate very often. I just rub my vagina, but I do not finger myself. I get really tempted to finger it. Whenever I try to do so, I get nervous and just finish it off by rubbing my vagina. Is it safe to finger my vagina? If yes, how do I do it? What are the safest ways to do it and how often should I do it? Is my hymen going to break if I do so? Will I lose my virginity? Also, is it weird that my vagina becomes wet when I am aroused? | Hi. Get back if you have doubt. Take care. For more information consult an obstetrician and gynaecologist online --> |
Hi doctor, I am suffering with delayed periods. Consulted a gynecologist and started Gestin since 1 week. But still have not got my periods. Home pregnancy tests done and turned out to be negative thrice. Please help. | Hello. Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. If you are still in that period, then you should wait for your period to commence. If you are over that, then I suggest you to do certain tests like transvaginal sonography, TSH (thyroid stimulating hormone) and AMH (anti-mullerian hormone testing). Considering your age, you could be in your perimenopause (stage nearing menopause) where menstrual irregularities are common. Revert back after the tests to an obstetrician and gynaecologist online --> |
Hi doctor,I have a small white dot on my gums. It looks like a whitehead. I noticed it a couple of days ago. It is painless. It is just above my left canine. I do not know what it is. It is towards the top of the gum. I have attached the photo. Can you suggest what it could be? I am scared of the dentist, so any option avoiding that would be nice. | Hi. It looks like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or problems. Oral ulcers are small round or ovoid ulcers of 2 - 4 mm in diameter. They are round or ovoid in most situations but are often more linear in common site. They have an ulcer floor that is initially yellowish white and surrounded by an erythematous halo or redness. They are found mainly on the mobile mucosa of the lips, cheeks, the floor of the mouth, sulci or below the tongue. Yours is in between the junction of gums and sulcus of the cheek, so it is a soft mucosa looks like to be. They occur in groups of only a few ulcers that is, one to six at a time. In your case, you have one only. They heal in 7 to 10 days, and they may recur at intervals of one to four months. They leave little or no evidence of scarring. If it pains, then you can apply pain relieving gel. If it does not subside in a week or 10 days, then do visit your dentist. Aphthous ulcer. Do not eat spicy food. For further information consult a dentist online.---> |
Hello, I had sex and took i-pill. My periods started around 12 days later and lasted for 4 days. I got my periods next month around the same date, which lasted for just one day. So, I took a urine pregnancy test, which was negative. I got my regular periods on the third month as well and it lasted for 3 days. My next periods lasted for just 2 days. I have read on the internet sources that many women get periods during their pregnancy. What are the chances of me being pregnant? I am doubtful because I always used to have regular periods which last for 5 days. | Hi. How was your bleeding during the cycles? Was the flow scanty when compared to your previous cycle (I am not talking about the duration of flow here)? Revert with the details to an obstetrician and gynaecologist online --> |