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###Human: Why do I feel dizzy and light-headed when I stand up? ###Assistant: Hello. I have gone through your details and I have the following inputs: First of all, you have gone through a lot of tests which were not needed in your case, but since everything is normal, that is reassuring. Your symptoms can be related to a few problems as I understand. The first one is, of course, GERD (gastroesophageal reflux disease) for which you have taken treatment. The problem with your treatment was - Perinorm is a medicine which is not used these days due to its side effects called as extrapyramidal symptoms. It causes dizziness and imbalance in some people. So, your present symptoms might be an after effect of that medicine. You should continue PPI (proton pump inhibitors) because once you have GERD, it would never get normal and the medicine should be continued for very long. You have mentioned that you have irregular heartbeats. This is a serious and complicated issue if this really is seen. You might be "feeling" this but if we can see this in our tests then this should be immediately treated. How to catch this? A normal ECG will not tell irregularities if it is sub-clinical or if it is occasional like in your case. We have to study the ECG (electrocardiogram) patterns of one full day continuously to find this out. So, go for a test called as Holter study to find if you have dysrhythmias of any kind and once treated, your symptoms will vanish. You have mentioned that you feel dizzy and faint when you stand up and then recover. This is a typical symptom of orthostatic hypotension which means, your BP falls as soon as you stand up and then the heart recovers it in seconds. This is a common problem and we need to find the cause for this. It can be age-related or organ related, or it can be due to a blockage in carotid arteries, etc. It is difficult to pinpoint the cause till we examine you and then the tests are done according to what we find. I would suggest that you take a print of these points to a cardiologist in your area and tell him to look for all this. You will surely hit the correct diagnosis and get treated easily. None of the above problems are tough to treat. Hope that was helpful. For more information consult a cardiologist online --> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: How to rectify my husband's high GGT levels? ###Assistant: Hello. For more information consult a homeopathic physician online --> |
###Human: Fetus revealed with mild hydrocephalus. Is it a serious condition? ###Assistant: Hello. Kindly revert back with the reports to a fetal medicine specialist online --> |
###Human: I had vaginal bleeding after unprotected sex. Is this menstrual or miscarriage bleeding? ###Assistant: Hello. For further queries consult an obstetrician and gynaecologist online --> |
###Human: What could a strange deep line on the right side of my head be? ###Assistant: Hello. I carefully saw your uploaded photo (attachment removed to protect patient identity) and would explain that this indentation could be related to differential possible causes like calcium or vitamin D deficiency and bone reformation, chronic inflammation, or a hormonal disorder or etching. For this reason, I would recommend performing some tests if this phenomenon persists: All the above tests can be performed by your GP (general physician). Hope you will find this answer helpful. For more information consult a neurologist online --> |
###Human: Can meningitis spread through sharing food and drinks? ###Assistant: Hello. I went through your post. Regards. For more information consult a general medicine physician online --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Are hiatal hernias related to autism? ###Assistant: Hi. Thanks for this query. I can understand your concern regarding your son's autism. First of all, I would like to tell you, there is a relation between autism and gastrointestinal symptoms like burping, constipation, and loose bowel movements. A hiatal hernia has a genetic preponderance, but no association with autism. Your son will improve with age. Can you tell me about his ultrasound report? Because grading is related with prognosis and chances of vagus nerve injury. Abdominal swelling may be because of bloating and slight hernia. A high-fiber diet and breathing exercises will help in early recovery from a hiatal hernia. Yoga and light exercises will help to strengthen the diaphragm. Hope my answer helped you. Regards. For more information consult a psychiatrist online --> |
###Human: I think I have a liver damage. Should I get tested for hepatitis A and B? ###Assistant: Hi. I have gone through all the data posted (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online --> |
###Human: Why am I feeling lazy with low energy and daytime sleepiness? ###Assistant: Hi. For further information consult an ayurveda specialist online --> |
###Human: Would I be pregnant if I had sex one day after my menstrual cycle ended? ###Assistant: Hello. For more information consult an infertility specialist online --> |
###Human: Why is there pain in my ear even after using ear drops? ###Assistant: Hello. No, it is not so, as you have an infection in the outer part of the ear. It is called as otitis externa. In this condition, there will be a severe aching pain in the outer ear. The cause of otitis externa may be due to a humid environment, any micro-injuries, or any fungal infections. In this situation, you need to take care. Continue the drops for at least two weeks so that the infection clears speedily. Now you are on Ciprofloxacin ear drops which is a broad-spectrum antibiotic. It is useful in most of the situations, but if you are having a fungal infection, it will not help you. I suggest you give a sample of the ear swab for culture and sensitivity testing so that a specific eardrop is given for the infection. I suggest you provide me with the details of the investigation once it is completed so that I can help you with the medication and treatment. Regards. For more information consult an internal medicine physician online --> |
###Human: Can masturbation affect the complete blood result? ###Assistant: Hi. For further information consult a family physician online --> |
###Human: How can stomach problems be treated after having had a gallbladder surgery? ###Assistant: Hello. I went through your detailed summary. Hope your queries are cleared. For more information consult a medical gastroenterologist online --> |
###Human: I feel that my erectile dysfunction is due to excessive masturbation. Is it so? ###Assistant: Hi. For more information consult a sexologist online --> |
###Human: How long will it take to recover from liver abscess surgery? ###Assistant: Hello. I had gone through all the data you have posted. We need to know some more details about your problem. Liver abscess is mainly of two types: Bacterial and amebic. From your description as chocolate like pus, it goes more in favor of amebic etiology. So, we need to keep you on tissue agents like Metronidazole, luminal agents like Diloxanide furoate and Paromomycin for elimination of ameba from the intestine. If pus culture grows bacteria or if abscesses are multiple, then we need to provide specific coverage against the organism. Depending upon the amount of pus inside, it is normal for draining of pus like that. Time to recovery depends upon the cause of amebic versus bacterial, size of the abscess and white blood cell count. Drain needs to be continued until full drainage of the collection is done. Repeat ultrasound scan has to be performed to look for residual collection. Manipulation of the position of the drain may be needed for drainage of residual collection. Once the collection becomes dry, then the drain can be removed. Revert back with the answers to the above questions to an internal medicine physician online --> |
###Human: I have cervicitis after having Nuvaring for seven years. Is this normal? ###Assistant: Hello. Nuvaring is a hormone-releasing contraceptive ring placed in the vagina. As it is hormone based, it causes side effects like menstrual irregularities, decrease in libido, vaginal itching, infection, headache, bloating, weight and appetite changes, abnormal hair growth, skin darkening, bloating, changes in appetite and weight, etc. So, all the symptoms you described are side effects of your long-term use of the same method of hormonal contraceptive. My advice would be to try to avoid using the same mode and same hormonal contraceptive for years. Try to have one that suits your body and would have the least side effects. For cervical growth, undergo colposcopy. Repeat Pap smear if it has been more than three years. For more information consult an obstetrician and gynaecologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: Had an i-pill before sex. Is it necessary to take one more now? ###Assistant: Hi. I have read and understood your problem. For further information consult a sexologist online --> |
###Human: I suffer from premature ejaculation and poor erection. I have tried herbal/ayurveda products with no results at all. Please help. ###Assistant: Hi. I read your query and understand the concern expressed by you. In regard to the current medication, I would like to inform you that Parocen CR is one option for premature ejaculation but does not have any effect on weak erection. It can be said that in last three years a new molecule is approved for the treatment of premature ejaculation which is equally effective and do not have common side effects encountered with Parocen CR or other drugs which were in use three years back. I am not sure why your doctor prescribed you Nano leo as it has minimal effect on erection. It is used for increasing testosterone level which has more effect on desire rather than erection. As you informed that you do not have any problem with desire, the possibility of using Nano leo is ruled out. Regarding the viagra, it has definite effect on erection and there is no doubt that it can be effective in your case. Having said this I would like to know what was your initial problem, premature ejaculation or weak erection? I commonly observed that people with erection problem try to rush the sexual intercourse because of fear that they will not able to maintain the erection for sufficient time. This kind of rushing develops artificial premature ejaculation. I need to inform you that if you developed your premature ejaculation in response to erection problem then there is need to treat only erection problem. As the cause suggests, with treatment of erection problem the premature ejaculation will be treated automatically. In case you feel that both the problems are independent then there is need to address both issues simultaneously for correction of the problem. Before we move to treatment part of the problem we need to identify the possible cause of the problem. I request you to post following details in the follow up query so that the cause of problem can be determined and so the treatment. 1.What do you mean by weak erections and premature ejaculation? Describe what you think in detail. 2. How did the problem start, whether it was of acute onset or was it on and off initially? 3. Progress of the problem in the last six months. 4. Duration of sexual activity - both maximum and minimum duration in last one year. 3. Frequency of the problem in a week or in a month. 4. What are the factors that increase the problem in bedroom. 5. Factors that relieve the problem - thoughts, situations, partner, place etc. 6. Do you get early morning or night erections? 7. If yes, how frequent? 8. Your marital status and partner details. 9. Effect on your marriage or relationship so far. 10. Details of any other medical illnesses. 11. Medications you are receiving currently. 12. Medications which you tried till date and their results. 13. Any investigations done so far and if yes, details of the same.As you know erectile dysfunction is a complex disorder, it needs thorough evaluation for treatment. Revert back to a sexologist online for further follow up --> |
###Human: How can I get this inflamed vein along my penis shaft treated? ###Assistant: Hello. If possible, kindly send me the images so that I can see and suggest you properly. For more information consult a urologist online --> |
###Human: My report shows retroplacental haemorrhage. I have a prior history of miscarriage. Please help. ###Assistant: Hello. Considering your history and bleeding on and off from the 16th week, and now at 24th week of gestation, you are presented with an old and mild retroplacental hemorrhage over the anteriorly placed placenta grade 1 maturity. (as per attached reports). One needs to understand that retroplacental clot means that there is a part of placenta which got detached from uterus and got filled with blood at the 16th week. Luckily the bleeding did not continue and got stopped and hence the size did not increase, thereby causing complete separation and fetal loss called abruptio placentae (placental abruption). Now what happens is, as the fetus grows, the uterine wall is stretched and the placental attachment tends to get stretched as well and definitely there would be some bleeding occurring, as it has been in your case. Initially the bleed was concealed, then now it has started to reveal. The main fear is abruptio placentae which is an emergency where due to bleeding, the whole placenta separates from uterus and there is heavy bleeding. It is accompanied with severe pain and uterus is board like hard in consistency. It is dangerous for the fetus and causes death in minutes. Hence you have been given Tidilan retard 40 which is a uterine relaxant and would prevent any form of undue contraction or stretch to affect the already hemorrhaged site. However, the present aim would be to carry the pregnancy till 34 weeks till the lungs of the baby matures and you have to be on complete bed rest and if possible in the hospital only. The reason is, what you have been experiencing has been the warning bleed. It may so happen that suddenly you may have an accidental antepartum severe hemorrhage where immediate attention or probably cesarean may be required to save the child, hence hospital stay where you would be better observed is preferable till delivery. In our practice, this is a high risk pregnancy and abruptio placentae is one of the dreaded diagnosis which often leaves very less time for the doctor and the fetus, hence complete rest, uterine relaxation and hospital stay is warranted. I do not intend to scare you, but it is indeed necessary to be vigilant and careful for a safe future. For further queries, consult an obstetrician and gynaecologist online --> |
###Human: Please suggest some ayurvedic remedy for dandruff and hair fall. ###Assistant: Hi. Consult an ayurveda specialist online for further follow up --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: Is BUN to creatinine ratio normal in my reports? ###Assistant: Hello. Hope this helps you. For more information consult an internal medicine physician online --> |
###Human: I have been prescribed Farxiga. Should I stop this drug? ###Assistant: Hi, Welcome to icliniq.com. For further follow up consult an endocrinologist online --> |
###Human: My heart rate increases with exertion. Should I be worried? ###Assistant: Hi. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepiness, etc.? If yes, then it further supports the diagnosis. Obstructive sleep apnea is a condition characterised by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity. Obstruction of upper airway leads to temporary stoppage of respiration, increased sympathetic drive and increased pulse rate. Also, another reason for pulse rate rise is deconditioning as you are not accustomed to activities. The investigation I suggest includes ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction, thyroid function test, lipid profile, sugar, HbA1c and vitamin D. I also suggest polysomnography, which is sleep study to confirm the diagnosis and extent of disease and pressure of CPAP (continuous positive airway pressure) needed. Revert with the reports to a cardiologist online --> |
###Human: There is no improvement in my father's cough. What to do? ###Assistant: Hi. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typical when lying down, since the position of the heart changes then. My advice is to consult your cardiologist to revise the dosage of Lasix (Furosemide). Furosemide is the only medicine that will help the water to clear out, it also might cause a bit of the cough, which was the reason for changing of the medicines by the cardiologist initially, due to the side effects of cough. I understand your concern, but according to me, the treatment is fine, except maybe he might now need a higher dose of Lasix or admission to get the Lasix IV administration. For further doubts consult a cardiologist online --> |
###Human: I have a runny stomach and black stools after the flu. Why? ###Assistant: Hello. Feel free to follow up any time with a blood investigation. For more information consult an internal medicine physician online --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: Kindly comment on my nausea, dizziness and headache. ###Assistant: Hi. For further information consult an internal medicine physician online --> |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I was on Nexplanon and I did not get last three months period. What to do? ###Assistant: Hi. Nexplanon is a progesterone having implant (Etonogestrel). After insertion, the menses can be irregular or even stopped for 6 months to almost 1 year. But, if you had not gotten your period since last three months and you had regular intercourse, then you should do a urine pregnancy test first. If it is negative, then it is delayed menses due to Nexplanon. Periods become irregular because your normal hormonal cycle of your body gets disturbed due to Nexplanon (outside hormones) like drugs. And, your body takes time for recovering from this disturbance to a normal cycle. It takes time according to your body type, levels of hormone secretion in your body, tissue responses of your body and many other things. Some are known and some are not. Nipple hardness is also due to this disturbance. Because, breast tissue and your uterus are the two major organs, which gets maximum effect due to hormones according to their levels. Other than this, the total body has effects of hormones, but not every single are appreciated or being experienced. Mood swing is also related to one of these. The bleeding for three months after Nexplanon may be because it does either more or less than what is required for your body. In both cases, you may have bleeding. But, it is more likely due to very low doses. You can take oral contraceptive pills for 1 or 2 months and then stop it to see whether periods get started regularly or not. Also, drink more water. For further information consult an obstetrician and gynaecologist online --> |
###Human: Post plateletpheresis,my hand is turning bluish black. Please help me. ###Assistant: Hi. Based on your query and image (attachment removed to protect patient identity), my opinion is as follows: Revert back to a hematologist online for further follow up --> |
###Human: What causes bowel movement immediately after drinking whiskey? ###Assistant: Hello. I had gone through all the data posted. For further information consult an internal medicine physician online --> |
###Human: I had a penile injury that resulted in temporary erectile dysfunction. Please help. ###Assistant: Hi. Revert with more information to a urologist online --> |
###Human: How long do I have for angioplasty after a heart attack due to blocks? ###Assistant: Hi. Your mother suffered a heart attack and angiograph shows triple vessels disease of which two are having a critical block with diabetes (attachment removed to protect patient identity). In diabetic patients, coronary artery disease is very common. At the present moment, it is not wise to shift the patient. However, wherever you go you will have to trust the attending doctor. It is better you follow the advice and go for it. Do not make any delay. Have faith in God. He will take care. Treat diabetes adequately simultaneously. For more information consult a cardiologist online --> |
###Human: Why is my wife getting recurrent typhoid and UTI infection? ###Assistant: Hello. Thanks for the detailed symptoms you have told about your wife. I have checked her reports (attachment removed to protect patient identity). For further information consult a homeopathic physician online --> |
###Human: My 3 year old son has fever and cough for more than a week. Please help. ###Assistant: Hello. LRTI - lower respiratory tract infection. 1. CBC (complete blood count). 2. CRP (C-reactive protein). 3. Chest x-ray. Pneumonia, either viral or bacterial. I suggest the following medicines. Please consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Ibugesic 5 mL (Ibuprofen) thrice daily for 3 days. 2. Syrup Asthakind DX 5 mL (Dextromethorphan, Chlorpheniramine maleate and Phenylephrine) thrice daily for 7 days. 3. Syrup Cetirizine 5 mL thrice daily for 7 days. 4. Continue the antibiotic as advised by your doctor. 5. Nebulization with Duolin - Ipratropium bromide and Levosalbutamol (1 respule) every 6 hourly, and Budecort - Budesonide (1 respule) every 12 hourly for 5 days. If you find any of the warning signs I have told above, then please take the child to the nearest hospital and admit the child. Please follow up with the reports for any further change in the treatment plan. Revert back with the reports to a paediatrician online.---> |
###Human: Is delaying angioplasty a risk? ###Assistant: Hi. I have reviewed your health query regarding your father and can well establish the sensitivity of the issue. For further information consult a cardiologist online --> |
###Human: Will my PCOD get cured with homeopathy treatment? ###Assistant: Hi. Kalarchi choornam can be continued for a minimum of 3 months and to a maximum of 6 months. The heat and pimples might be due to PCOD itself. Some people develop flatulence (gas trouble) due to Kalarchi choornam. This can be prevented by consuming the drug along with (or after) food and by taking more curd or buttermilk. I would advise the following drugs in addition for treatment of PCOD (Polycystic Ovarian Disease): I hope this will be helpful to you and my wishes for better health. Revert back to a homeopathic physician online for further queries --> |
###Human: Can loss of balance occur due to high blood pressure? ###Assistant: Hi. I can understand your concern. Yes, there are some variations seen in BP (blood pressure) readings while using digital device. So, to eliminate your doubt do one thing. After checking BP at home from your digital device try to verify it with manual machine. If both reading are same then it concludes that your BP is normal or I would rather say little bit low for your age. Now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). It is fall in BP during upright position. I want you to measure your BP first in sleeping position. Then stand erect for 10-15 minutes and measure BP again. If there is fall of more than 20 in systolic then it confirmed it. My advice for your condition are, Revert back with answers for the above questions to a general practitioner online --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: Taking Modalert. Now feeling weakness in my hands and getting thoughts like suicide. Please help. ###Assistant: Hi. Revert back to a psychiatrist online for further follow up --> |
###Human: What is the use of Loponin injection? ###Assistant: Hi. PCOS - polycystic ovarian syndrome women are inherently at higher risk of abortion (due to reasons at molecular levels). The risk can be reduced by healthy lifestyle, proper weight and regular exercise and not by medicines. Please remember, more medicines do not equate to increased chance of achieving or continuing pregnancy. For further information consult an obstetrician and gynaecologist online --> |
###Human: Would LAD lesion cause tachycardia? ###Assistant: Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. For further information consult a cardiologist online --> |
###Human: My 3 year old daughter has fever. Can I give her Meftal and Novamox? ###Assistant: Hello. For more information consult a paediatrician online --> |
###Human: My skin is lifeless after using Retinol cream for a year. Will it ever become normal? ###Assistant: Hello. You are right. You should not have used a topical retinoids-based cream for such a long period as you are aware it makes the skin photosensitive. It will take time for the skin to heal. Along with the broad-spectrum sunscreen which you are using, consider applying a moisturizer such as Epitheliale AH cream. It will help hydrate the skin. Also, it will not cause acne. Stop all other applications and scrubs. Use Cetaphil cleansing lotion to wash the face. There is a procedure called as Oxypeel where a jet of water is sprayed on the face followed by a mask. It helps hydrate the skin. You can consider visiting a dermatologist for the same. Clinical photographs would have helped to know the present situation better. For more information consult a dermatologist online --> |
###Human: Will leprosy spread within a family? ###Assistant: Hi. I want to share few facts about leprosy. For further information consult a dermatologist online --> |
###Human: What is the reason for my weight loss? ###Assistant: Hi. We are here to help you. I have gone through your reports (attachments removed to protect patient identity). Revert back with the asked details to a medical gastroenterologist online --> |
###Human: Please comment on the abnormal values in my blood test report. ###Assistant: Hello. I saw your reports (attachment removed to protect patient identity). All these points towards a kidney disease. For more information consult a general medicine physician online --> |
###Human: My wife is suffering from belly bloating. Please help. ###Assistant: Hi. I need answers for the following questions so that I can help you better. Revert back with the answers to a medical gastroenterologist online --> |
###Human: Could you suggest me a supplement for low vitamin D? ###Assistant: Hello. I have gone through your investigations (attachment removed to protect patient identity) and you definitely have a low vitamin D levels, which is very common. Lack of exposure to sunlight and sedentary lifestyle. Revert back after three months to an orthopaedician and traumatologist.---> |
###Human: I had unprotected sex 10 years back. Do I need to be worried about STDs now? ###Assistant: Hi. Testing can only prove your surety of having nothing in the context to Sexually transmitted disease (STD). If you had unprotected exposure 10 years back and no further exposure during subsequent years and you are asymptomatic also, it is unlikely that you will have STD. However, since asymptomatic STDs are also known, I usually recommend my sexually active patients get tested for HIV (human immunodeficiency virus), HCV (Hepatitis C virus), HBV (Hepatitis B virus), chlamydia, syphilis, and gonorrhea. There is no harm to know the baseline status of these. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. For further queries consult an HIV AIDS specialist online --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: How will high blood pressure affect the kidney? ###Assistant: Hi. For further information consult a criticalcare physician online --> |
###Human: Suffering from floating stool and stomach pain. How can I help myself to get better? ###Assistant: Hello. I can understand your concern for your symptoms. Autoimmune pancreatitis. CT scan abdomen with contrast, lipase, amylase and upper GI endoscopy (to rule out gastritis). Severe gastritis. Autoimmune pancreatitis. Continue treatment for diabetes, pancreatic digestive enzyme supplementation, and treatment for acidity. Avoid oily and spicy food. Take fat-free and high protein diet. For further information consult a medical gastroenterologist online.---> |
###Human: After urinating, I feel some amount of urine is retained in my penis. Can I take Gokharu Kadha? ###Assistant: Hello. I just read your query. For further queries consult an ayurveda specialist online --> |
###Human: As me and my fiance are carrier of Hb E beta thalassemia, we need your valuable advise. ###Assistant: Hi. For further doubts consult a hematologist online --> |
###Human: Am I under correct medication for my symptoms? Is it GERD? ###Assistant: Hi. Welcome to icliniq.com. From going through the information you have provided, it is clear that currently you are on treatment for suspected GERD - gastroesophageal reflux disease (acid reflux disease). You have been having intermittent problems over five years. Acid reflux can cause breathlessness and waking up from sleep at night. Some might feel and describe heartburns, but others may not actually feel the burning sensation. The symptoms can be worsened by stress, anxiety and panic attacks. My recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. Following the above test, you may require a 24 hour pH monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. I agree with you that I would not continue on Perinorm CD (Metoclopramide). I tend to give it only for nausea or vomiting. Some people with GERD may find that eliminating certain food helps to improve their symptoms. For example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods. 1. Gastroscopy. 2. 24 hour esophageal pH monitoring and esophageal manometry. 1. GERD. 2. Functional dyspepsia. For further information consult a medical gastroenterologist online.---> |
###Human: Why is there a red line on my anal area? ###Assistant: Hi. I have gone through your case. Most likely it is candidiasis which commonly occurs in such areas when body folds have some friction and on top of it, moisture and tight clothing promote it. No, it does not look like to be part of STD. However, if you have a history of unprotected sex you need to undergo some blood tests to be on safe side. For your current diagnosis: For more information consult a dermatologist online --> |
###Human: Why are palpitations occurring even after pacemaker implantation? ###Assistant: Hello, Welcome back to icliniq.com. I have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug controls it perfectly and sometimes it does not. You have to adjust the drug doses to control his tachycardia episodes. Consult your doctor for dose adjustment. In addition to the Prolomet (Metoprolol), I suggest Digoxin can also be added. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a cardiologist online --> |
###Human: Does sesame seed help in getting periods? ###Assistant: Hi. I do not think period can be postponed or withdrawal bleeding can come with these seeds. If you are not sexually active then you may take progesterone tablets like Gynaset 5 mg (Norethisterone), thrice a day for three days and then wait for one week to get withdrawal bleeding. Consult your specialist doctor, discuss with him/her and take the medicine with consent. However, it will be best if you get a scan for pelvic area before starting the medicine and this will also tell you the reason for this delay. You are quite underweight with BMI 14. Try to improve your weight through good diet and exercise. Also get your thyroid profile done. You can share your reports when available. Revert back with the reports to an obstetrician and gynaecologist online --> |
###Human: Are my symptoms a side effect of Epanutin? ###Assistant: Hi. For further information consult a neurologist online --> |
###Human: Please suggest a medicine, which can cure erection problems and low libido. ###Assistant: Hi. I read your query and understand your concerns. I hope this helps you. Feel free to contact me if you have more questions. Thanks and regards. For more information consult an andrologist online --> |
###Human: Kindly help us with an ayurveda remedy for severe menstrual pain. ###Assistant: Hi. Revert back with the answers for the above questions to an ayurveda specialist online --> |
###Human: Why does the color of semen differ? ###Assistant: Hi. Your descriptions are absolutely right. For further doubts consult an andrologist online --> |
###Human: How long should my husband and I wait to try for a baby if we did cocaine? ###Assistant: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
###Human: Can Yasmin birth control pill be used as an emergency contraceptive pill? ###Assistant: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
###Human: Please explain the poisonous effect of phenol ingestion. ###Assistant: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
###Human: For how long should I take Kalachikai powder to overcome PCOD problem? ###Assistant: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
###Human: Why do periods get delayed after first time sex? ###Assistant: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
###Human: I contacted asbestos at work. Would it pose any health risk? ###Assistant: Hi Welcome to icliniq.com. I want to assure you not to worry as everything is looking normal to me. I have thoroughly gone through your case and can well understand your genuine concerns regarding asbestosis, mesothelioma and other risks you may be having being exposed to insulation a decade ago. You are 30 years old and there is no latent period for mesothelioma to come up like this. A person at very high continuous exposure of asbestos, may develop asbestosis after more than 20 years. Every asbestosis patient never gets malignant mesothelioma or lung carcinoma (it is same as not every hepatitis B patient gets hepatocellular carcinoma). Mesothelioma never comes as a first sign of disease. It first appears as many lung issues that go on for many years and with chronic asbestosis it may sometimes affect the patient. You are all safe and negative for any kind of lung issues. In my view, you are never a candidate of asbestosis or mesothelioma as the pipe insulations you had removed has been confirmed having no asbestos by your safety manager. Right now your lungs are all very fine and you did really great with the peak flow testing. Your blood oxygen saturation is very good being 98%.You were at a risk of less than 1% of developing asbestosis. If you were working in an industry like ship making or painting and you inhaled years and years of large amounts of asbestos on a continuous basis, you may develop asbestosis. Same is the case with other pneumoconiosis (occupational lung diseases) categories.If there had been any risks or damages done to the delicate parts of your lungs, you would have most probably been presented as: |
###Human: How to lower my uric acid level? ###Assistant: Hi. Revert back with the investigation reports to a rheumatologist online --> |
###Human: Are night sweats and chills symptoms of PMS? ###Assistant: Hello. Chills and night sweats are actually unusual symptoms of PMS (premenstrual syndrome). They have been seen in some women who experience a sudden Progesterone withdrawal as compared to a gradual one, leading to heavier first two days of menses possibly with clots. Some element is contributed by the heaviness of blood flow as well due to sudden decrease in blood volume which gets controlled over next few days. So, the best treatment shall be to keep yourself well hydrated during these days. For further information consult an obstetrician and gynaecologist online --> |
###Human: Is whole body PET scan required to check the spread of tongue cancer? ###Assistant: Hello. Tobacco use in the form of smoking or chewing tobacco and alcohol consumption are the most important risk factors. 1. Complete head and neck examination (mirror examination or fiberoptic examination if required after clinical examination). 2. Dental evaluation. 3. Biopsy of lesion. 4. Routine blood investigation, complete blood count, renal function test, blood sugar, liver function test and electrolyte study (Na+, K+, Cl-) should be performed. 5. Imaging chest x-ray posteroanterior view (PA view), ultrasonogram - USG abdomen and pelvis as routine investigation need to be carried out. 1. Cancer tongue. 2. Chronic inflammation condition (infection). Cancer of the tongue with secondary neck. If the disease involves anterior two-third of the tongue then it can be considered for surgery. Later treatment plan will be decided according to histopathology report. If the disease involves posterior one-third or base of the tongue then directly plan for concurrent chemoradiotherapy. 1. Stop smoking and avoid alcohol intake. 2. Maintaining oral hygiene is very important. 3. Proper diet and nutrition has to be taken. Revert back after all the investigations to a radiation oncologist online.---> |
###Human: Why do I have severe breast pain after every ovulation? ###Assistant: Hello. For more information consult an obstetrician and gynaecologist online --> |