diff --git "a/icliniq/test.json" "b/icliniq/test.json" new file mode 100644--- /dev/null +++ "b/icliniq/test.json" @@ -0,0 +1,15544 @@ +{ + "data": [ + { + "id": 23940, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24900, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9060, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13154, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24161, + "tgt": "Why is there tingling and numbness in arm and hand during sleep?", + "src": "Patient: Hello doctor, I have tingling and numbness in the arm and hand, particularly when I wake up from sleep. The right arm evidently has significant ulnar nerve conduction problems. Is there any evidence of nerve conduction problems in the left arm as well because I also have tingling and numbness in that arm at times? Currently, I am on Aloe vera 1-0-1 for blood pressure and cholesterol and Januvia for diabetes. Doctor: Hi. To help you better, I need to correlate your attached report (attachment removed to protect patient identity) with your clinical symptoms. Also, mention if you have got your thyroid profile checked. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24729, + "tgt": "Can you explain cardiac dysfunction in a patient with deep vein thrombosis?", + "src": "Patient: Hello doctor,I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult. Doctor: Hello. DVT or deep vein thrombosis is a condition where blood clot accumulates in lower limb veins due to prolonged bedridden state, reduced physical activity, after a major surgery or fracture of bones. These blood clots can often dislodge and go through the right heart to block the pulmonary artery. This condition is known as pulmonary embolism and can cause right ventricular cardiac dysfunction. Pulmonary embolism is a critical medical condition and needs to be treated promptly with anticoagulant and diuretics. I see you are on a diuretics and you are overweight. Please inform about your findings of lower limb venous Doppler and also do some tests I am suggesting promptly and inform. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26285, + "tgt": "Can my continuous itching and increased leucocyte count be interrelated?", + "src": "Patient: Hello doctor, I am suffering from a blood infection. My leucocytes count is 11,900/cmm.\u00a0I am currently on\u00a0Allegra and Atarax. I have\u00a0continuous itching and redness of the body and face for the last 20 to 22 days. Kindly let me know what should I do. Doctor: Hello. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11347, + "tgt": "I have fever with dizziness, confusion and eye burning. Please advice", + "src": "Patient: Hello doctor,I have a fever of 101 C. It has been almost 12 hours. I cannot breathe properly. My eyes are burning. I ate a Paracetamol 650 mg about one hour ago. Head feels heavy. Dizziness and confusion are the symptoms. Doctor: Hello. After careful analysis of the history provided, I would like to assure you that having symptoms of eye burns, dizziness and confusion while having a viral fever is normal. You do not have to worry about that. Having said that, since you have mentioned that you have been having similar episodes in the past, I would like to suggest you to: As of now, Stay healthy and positive. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10679, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11069, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17819, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11116, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22421, + "tgt": "I am 34 weeks pregnant. Can I take anti-D injection now?", + "src": "Patient: Hi doctor, I am 34 weeks pregnant and I have not taken the anti-D injection. I am A negative and my husband is O positive. When and how can I take it now? Doctor: Hi. A mother with blood group negative and father with positive blood group can give a child with positive blood group and immunity develops in the mother's blood that can cause hemolysis in child's blood, in case of fetomaternal hemorrhage. In this scenario normally, anti-D has to be given to Rh-negative mother at 28 and 32 weeks in addition to a hemorrhage if she has or if the antibody titer is high on the blood test. It would be better if you would describe your complete obstetrics and gynaecology report, menstrual history and the medical history. It is better to have antibody titer and discuss your situation with your obstetrician. If this is the first child, it is not a big issue but if you have a child then you need immediate attention as there are antibodies present. In case of any bleeding, you need an immediate anti-D injection. Baby's blood has to be checked immediately after birth. If you are not getting the anti-D injection, baby can have hemolysis, anemia, low birth weight, jaundice. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10198, + "tgt": "How can wisdom tooth pain be treated?", + "src": "Patient: Hello doctor, I am having wisdom tooth pain and I am currently traveling. Can you please suggest some good pain relief medicine and once I am back home, I shall get it treated. Please find the attached X-ray. Doctor: Hi. Do not worry. I checked your attachment (attachment removed to protect patient identity). Pain is due to impacted wisdom tooth which has also damaged adjacent tooth leading to caries. You may require disimpaction and restoration of adjacent tooth by root canal. Right now you take the following medicines: Ofloxacin 200 mg with Ornidazole 500 mg BD for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg, Serratidopeptidase 15 mg BD for five days after taking food. Tablet Pantoprazole 40 mg OD for five days. Mouthwash Hexidine three times daily for 30 seconds by rinsing oral cavity. You are also advised to maintain good oral hygiene." + }, + { + "id": 28505, + "tgt": "I am eight weeks pregnant, and I feel a burning sensation around my ribs. Please help", + "src": "Patient: Hi doctor, I am a 35 year old female, and I am currently eight weeks pregnant. I have had a tummy ache, and my stomach is burning since yesterday. I also have a backache and a burning feeling around my ribs. I feel sick. Please help me. Doctor: Hi. Most probably you are suffering from gastritis. I suggest you try doing the following. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6554, + "tgt": "I am 19 years old. What should I do to grow beard?", + "src": "Patient: Hello doctor,I am 19 years old, and I want a beard on my face. What should I do? Please help. Doctor: Hello. I read your query. First of all, I want to tell you that beard growth is related to your hormones, mainly testosterone. Sometimes in some men, it took longer to grow a beard. You are still in your teen years. So do not worry and wait for some more years because as you will grow older, you will get more facial hair. The beard growth also depends on genetics too, so watch out your father and uncles too for their growth. Because some men get full facial hair in the late twenties. There is no food, supplement, or vitamin to increase the beard. So beware of these kinds of ads or supplements. Some people use testosterone gels or testosterone pills to increase their beard, but in the long run, these things have potential side effects. My suggestion to you is wait for some more years because you already have some facial hair and they will increase with time, so you do not have to worry. After some years, if you do not get as many hairs as you want, then you can opt-out for facial hair transplant. But do not do it so early because you are too young and you will get your beard to grow naturally after some years. I hope this helps. Failure of gonads or testes in men. Serum testosterone, FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin levels. After two months." + }, + { + "id": 16472, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26564, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28368, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3303, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 17515, + "tgt": "I am weak and shaky after the flu. Is this normal?", + "src": "Patient: Hello doctor,I had what I believe was the flu. It started end of last month. I got mostly better, still had post nasal drip and persistent weakness. Got a worsened sore throat this week. I went to urgent care (as I am traveling) and was given Amoxi 875 for 10 days. Strep was negative. Lungs were clear. Throat clearing with the antibiotic but I am still weak. Is this normal or should I be concerned? By weak I mean, I do not really feel well after doing things like shower, grocery store for supplies, etc. I am not short of breath, just a little weak and shaky. How long after the flu am I safe from deadly pneumonia? Doctor: Hello. From what you mentioned, you have experienced upper respiratory infection and you received appropriate therapy of antibiotics. Post-nasal drip is common after upper respiratory infection and will resolve over time gradually. Regarding pneumonia, you should not worry about it as you have no symptoms like high fever, rapid breathing or wet cough with dark phlegm, also your chest X-ray is free as you mentioned. Your weakness is most likely myalgia which accompanies the infection. It will improve within days. Have you performed CBC blood tests? I suggest: I suggest that you send me your chest X-ray if you have it in order to reassure you more. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30234, + "tgt": "Why does my daughter often complain about stomach pain?", + "src": "Patient: Hi doctor, I have a question regarding my daughter. She is\u00a06 years old. Her symptoms are tummy ache around the abdomen area. The navel looks slightly swollen only during pain and she feels full after a few bites. The pain usually occurs in the morning upon waking up. In the last six months, she has complained about the pain at least once or twice in every few weeks. Recently, it has increased in occurrence and severity to about a few times a week. The pain severity varies from mild to too painful to walk and then it eases up. The pain duration may vary from about 30 minutes to over an hour, but not very much longer than that. Once the pain is gone, she is up out of bed and runs outside to play. What seems to have helped her most of the time is warm black tea. Her eating habits vary, and therefore, I cannot draw a connection to food. The only food taken on a daily basis is cornflakes, bread, fresh milk and bananas, which she has always had. Doctor: Hello. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14339, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6850, + "tgt": "My 7 year old asthmatic child is continuously vomiting from yesterday night. Please suggest medicines for immediate relief", + "src": "Patient: Hello doctor, My 7 years old boy has asthma for about a few years. From yesterday night, he is suffering from cough and vomiting. He is having continuous vomiting of whatever he eats or drinks. The medication used until now is Budecort 200 and Ascoril. Please suggest some medicines for immediate relief. Doctor: Hello. The child will need nebulization with 2ml Duolin (Levosalbutamol sulphate and Ipratropium bromide) plus 2 ml normal saline. Considering that the child has not been able to keep anything in the tummy and having repeated episodes of vomiting, I would suggest an Iv (intravenous) line be put in the hospital for giving Iv ondem and Iv fluids if required after getting the child physically evaluated by a pediatrician. Take the child to the nearest hospital for nebulization and iv line administration. The saturation is also needed to be monitored for this child. An x-ray chest should be done as well." + }, + { + "id": 15449, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7578, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 10130, + "tgt": "Which one should I opt for a vision problem, a laser treatment or specs?", + "src": "Patient: Hello doctor, I would like to know to weather the laser treatment is better than continuing specs for vision. What would be the drawbacks of laser treatment, is it very complicated? Doctor: Hello. This is quite a common question youngsters ask. The best answer to this is it depends on you and your daily activities, profession, and lifestyle, etc. For example, if you want to take up professional sports, modeling, enjoy adventure sports, few jobs in the armed forces, getting a surgery done would be quite necessary. On the other hand, if you want to pursue higher studies and professions where you work a lot with computers and work on fine parts like watchmaking, then surgery would put you at a slight disadvantage as it slightly reduces image quality and increases chances of getting dry eye diseases. Some surgeons also prefer wearing glasses as it protects against infection and blood spurts during operations. With the latest equipment and techniques, laser refractive surgery is quite safe, and outcomes are good. The risk involved is very less. Although a power of - 5.0 is on the higher side, we can still expect good results given that your corneas are suitable for the surgery. The main thing to consider is of course long term outcomes are, 1. As a woman, your power will naturally change during pregnancy and lactation, and this happens to all women. Some have more, others less. This is unpredictable. 2. Surgery only corrects you for distance vision. Another natural change in eyes is presbyopia. Here you need to wear reading glasses. So even if you were to get surgery now, you would only remain glasses free for up to around 40 years of age after which you need reading glasses. I hope this answers your doubts. In case you have any further questions please let me know." + }, + { + "id": 26789, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29851, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2508, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 13070, + "tgt": "Is there any procedure other than braces, to get an adorable smile?", + "src": "Patient: Hi doctor, I am a 22 year old female. I had started my treatment with braces in the age of 14 and it continued for around three years. Then, I used retainers for some time. I was told by my doctor that I have a small jaw and extracted four of my teeth. After getting the whole treatment done when I look into the mirror I see my jaw inclined due to which my face looks weird and not proportionate. The jawline and my teeth are still not aligned straight. I could not get the beautiful smile which I always admired. I do not want to go through the pain of braces again. Is there anything else I can do? And how long the procedure will be? Doctor: Hi. By looking at your pictures (attachment removed to protect patient identity), it seems that your orthodontic treatment was not successful. Now it seems that you have more problems in your lower jaw. So, it is better to correct lower teeth only. You should either try to put crowns (cap) over the lower central four teeth, or there is a method called veneering where we put a half cap over the front teeth on both upper and lower to give a good look to your smile. Ask a specialist that is an endodontist to give veneers to the front six teeth on both upper and lower jaw. The procedure veneering is a little bit costly but gives a very good aesthetic smile makeover. Your weight is also very low which means your overall bone growth is not up to the mark." + }, + { + "id": 6084, + "tgt": "Getting stomach pain and cramps during masturbation. Is that normal?", + "src": "Patient: Hello doctor, I am a 26-year-old boy. I am suffering from stomach pain, cramps, and gastric problem. Before six years when I eat some food I got still more inflammation, pain, and cramps. The first year when I reported in the hospital I came to know that I have gastric ulcer, so I took the medication, and I got cured in about five months. But I am severely suffering from the same kind of cramps and pains for almost six years. Now when I went to the hospital, they said everything is normal. But the thing is I did not know that masturbation or any sexual feelings may cause it and I have never discussed about my sex life to doctors. Usually, I masturbate five to six times in a week continuously (not every week of the month). During this time I noticed whenever I do masturbation I get pains and cramps immediately after ejaculation. There are few days when I masturbate I get some relief to those pains and cramps. This is because I think I am not holding my breath while I masturbate. The problem now is my pain and cramps is still for six years. Please help me to come out of this painful life. Doctor: Hello. I can understand your concern for your symptoms. The cramps, and pain during and after masturbation can be due to, 1. Renal calculi, do you have any abdominal pain? 2. Urinary tract infection may be a reason. Do you have burning or increased urination? 3. Epididymitis causing scrotal pain. 4. Diabetic neuropathy can cause such pain. Please get it confirmed by blood sugar test. 5. Improper methods of masturbation can also cause pain. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 5879, + "tgt": "I have ringworm in thighs. Please suggest a homeopathic medicine", + "src": "Patient: Hello doctor, Please suggest homoeopathic medicine for ringworm at thighs. Doctor: Hello. Usually, homeopathic remedies are prescribed by matching the symptoms of the patients and cause of the problem and cannot be prescribed just on the basis of diagnosis. It would be great if you could describe your symptoms in detail. For common symptoms of ringworm like itching, redness, mild pain, etc., usually Bacillinum 30c one dose (four pills) once a week is helpful. If itching is very severe with redness of spot then Sulphur 30c four pills once a day for seven days would be helpful in this condition. I hope this helps." + }, + { + "id": 10170, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18260, + "tgt": "I have PCOS and had unprotected sex. Are there chances of me being pregnant?", + "src": "Patient: Hi doctor, I am 24 years old. I am a PCOS patient.\u00a0I had unprotected sex with my boyfriend on the expected day of my period and took an I-pill on the next morning, within 12 hours. I\u00a0have not had any withdrawal bleeding. We had unprotected sex again in an interval two days. Do I need to take I-pill again?\u00a0Since I am a PCOS patient and have delayed ovulation, are there any\u00a0chances of me being pregnant?\u00a0Kindly help. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 593, + "tgt": "I have severe localized pain in my left arm while lifting up. Why?", + "src": "Patient: Hello doctor, I am having severe localized pain when I lift my left arm over my head and it is in muscles for more than four months. The rheumatologist did an x-ray and blood test which are all normal. He prescribed tablet Arcoxia-285 (90 mg) and Panadol (665 mg) + injection Depo Medrol 40 mg for 14 days. Seven days have been passed but a bit of pain is reduced but muscle is slightly locked and I cannot freely move my upper arm (pain is near triceps and biceps). Any advice will be greatly appreciated. Doctor: Hi. I read in detail your symptoms. It is suggesting periarthritis shoulder. The profile does not suggest inflammatory arthritis as the signs of inflammation are lacking and the tests are normal. Periarthritis shoulder or frozen shoulder. MRI shoulder. Adhesive capsulitis. Periarthritis shoulder. Continue medication. Local fomentation. Range of motion exercise. Avoid lifting weights. Avoid gymnasium and weight training. Avoid heavy bag lifting. Eggs, fish, dry fruits for natural omega-3 intake turmeric capsules to boost healing." + }, + { + "id": 12373, + "tgt": "What can cause cough with yellow mucus and hazy sinus in X-ray?", + "src": "Patient: Hello doctor, I have had a cough with yellow mucus for a few weeks now along with what I presume a stuffy nose. A few days back I was given an antibiotic for it. The problem I am dealing with apart from the cough is night sweats. I have performed multiple tests today, results are attached but the summary is that total WBC, neutrophils and ESR values are raised above normal whereas lymphocytes have declined. The radiologist's X-ray report says that the chest is clear but the maxillary sinuses are hazy. What do these numbers mean? Should I be concerned? I would really appreciate a prompt reply, anxiety is killing me. Doctor: Hi. I read your symptoms and I also went through your laboratory investigations (attachment removed to protect patient identity). It shows increased neutrophil count and your hemoglobin looks normal. What I feel is that you are having sinusitis. So, in that infection of sinus people get similar symptoms that are what you have. So, coming to the management part, I would advise you to go for steam inhalation. You just have to inhale hot steam vapor from boiling water. I want you to take Fexofenadine 120 milligrams one side at night for five days and other medicines include Paracetamol 650 three times a day for five days, Amoxicillin-Clavulanate 650 twice daily for five days and the final medicine is Pantocid 40 milligram twice daily for five days. With these medications, we should feel better and the symptoms should subside. If you still continue to have the same symptoms, you should seek medical attention from ENT specialist." + }, + { + "id": 16847, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27582, + "tgt": "My 16 year old daughter has PCOS. What are the precautions I need to take?", + "src": "Patient: Hello doctor, My daughter is 16 years old. She has irregular periods. Sometimes, the cycle lasts 15 to 20 days, while on some months, it lasts 40 days. Her doctor advised an ultrasound scan. She was diagnosed with cysts on the right and left ovaries. Her\u00a0cervix size is 7.5. She was asked to take estrogen tablets from the\u00a015th day of her menstrual cycle for 10 days. I would like to know the cause of this particular problem, and how it would\u00a0affect my child's health. Does she have to follow a particular diet or exercise? Will she be able to conceive? How long will she have to continue the treatment? Doctor: Hello. Initial periods around puberty can be irregular. If the diagnosis of PCOS (polycystic ovaries syndrome) is correct, she may require medicines to make her periods regular. PCOS girls are at a risk of obesity, diabetes, hypertension and endometrial hyperplasia. Many of those can be prevented by a good diet, regular exercise, preventing weight gain and taking progesterone tablets to induce a period, if they are irregular even after the age of 20. Regarding diet, there is no specific suggestion, but the consumption of fats and refined sugar should be cut down, and fiber intake increased. The calorie intake should be proportional to the calorie expenditure. In general, if she is following the diet and not gaining weight, it would suffice. Regular sweat-inducing exercise for at least 45 minutes is a must to avoid all the mentioned complications. Exercise is necessary even when she is not overweight. Regarding pregnancy, there is no need to worry, she can conceive easily with medications, if her periods remain irregular despite following the diet restrictions and exercise. There is no need to worry about it right now. Following a healthy lifestyle for the entire life is a must. For more information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13924, + "tgt": "I am not getting erection unless I watch porn or masturbate. What should I do for this problem?", + "src": "Patient: Hello doctor, My age is 29 years now and I am planning to marry in a year. Since my age of 14, I had a strong erection whenever I got tempted. Later, I started masturbating, thinking about fantasies, watching too much porn. But I get hard only during masturbation. I am not getting erection while seeing girls, watching porn or even during sensual touch. But I watch porn and masturbate and so I get erection. What should I do? I had undergone hernia surgery 15 years back. Doctor: Hi. I have read your problem carefully. I have some queries to know. Past sexual history and erection of penis in the early morning when you awake from sleep. Though I have some query, I am giving you explanation. Masturbation and real sex are totally opposite things and the maximum portion is psychological rather than physical. In case of masturbation, we do hurry to ejaculate. But during intercourse, we try to make it late as much as possible. So psychology is totally different. During masturbation, you give your total concentration in doing that. You want to make your penis erect. So it occurs. You told that your penis is being hard enough and you are satisfied with that. So there is little chance of having a physical or hormonal problem. So you can proceed to marry. I can assure you of your physical fitness." + }, + { + "id": 23756, + "tgt": "Are the hitting of my stomach and diarrhea interrelated? What medicine can be taken?", + "src": "Patient: Hello doctor, I hit my stomach with a doorknob pretty bad, and it hurts. I now have diarrhea too. I have to fly now for 15 hours in some time. Should I be worried? Doctor: Hello. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 26898, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 445, + "tgt": "USG at 16 weeks showed separation of amnion and chorion. What to do?", + "src": "Patient: Hi doctor, My wife is pregnant now. Her first pregnancy was completely normal. Now, at 13 weeks she had major bleeding\u00a0and that took us to the ER. US showed movement and heartbeat. \u00a0Since then, she has continued to bleed with dark brown clots and occasional red blood.\u00a0She had 16 week US and it showed that there is a\u00a0separation of amnion and chorion. Also, there is a large floating pocket probable hematoma. This is worrying me. Now, she has fever and severe lower back pain. What to do? Doctor: Hi. First, let me say that I am sorry for your wife's trouble in this pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20069, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20997, + "tgt": "Why is there continuous bleeding while brushing after removal of braces?", + "src": "Patient: Hi doctor, I just got my braces removed today and have been getting some heavy bleeding when brushing my teeth, should I continue to brush my teeth while it bleeds or just stop? Doctor: Hi. I can understand your concern regarding the dental health. Bleeding gums after removal of braces is a very common problem among all. So first of all, consult your dentist for scaling to remove local inflammatory factors. Till the time do gargles with mouthwash after every meal to maintain oral hygiene and avoid brushing to not allow bleeding." + }, + { + "id": 13746, + "tgt": "I sleep with contact lenses in my eyes. Will this affect my vision?", + "src": "Patient: Hello doctor, I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help. Doctor: Hi. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye drops and artificial tears eye drops." + }, + { + "id": 22193, + "tgt": "What is the spot inside my vagina?", + "src": "Patient: Hello doctor,I have a spot on inside vagina. Please help. Doctor: Hi. This is a fungal infection (attachment removed to protect patient identity). But get blood examination like VDRL, HIV, etc. Take tablet Fluconazole 150 mg twice a week, tablet Ciprobid (Ciprofloxacin) 500 mg twice a day for five days, tablet Levocetirizine one tablet twice a day for five days. Saline douch. No sex. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6890, + "tgt": "I have ringing in my ears. Is it serious?", + "src": "Patient: Hello doctor, I am 18 years old, and I have ringing in my ears as long as I can remember, but I have never thought to ask about it until now. Is there something I should be doing? Should I be seeing someone? Doctor: Hello, Welocme to icliniq.com. The ringing sensation, tinnitus is a subjective sensation, hence should never be neglected. Yes if proper tests are done and you rule out any pathology then we can start behavioural therapy with which you slowly neglect the sounds. Tinnitus is the first sign of pathology of the ear connected with our nervous system. It is mostly seen as a subjective symptom in old age people which is due to slow degeneration of neuronal pulse. But since you are young and it is lasting from a very long time. It is absolutely necessary to get few tests done. Audiometry with tympanogram. MRI brain, (contrast, multiplanar, with t1, t2, DWI)" + }, + { + "id": 29417, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2869, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26733, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21888, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14703, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5607, + "tgt": "What are the ways to conceive with irregular periods?", + "src": "Patient: Hello doctor, I am 19 years old, soon to be 20. I and my fiance are trying to conceive for the past four years. We are having trouble getting pregnant due to my absence of a menstrual cycle. When I was younger I did not get my period when I was supposed to and had to be put on birth control pills in order to get my first period. Since then I have been on and off on birth control pills and said Depo-Provera shot. I stopped getting my Depo shot four years back and I have not been on any method of birth control since. I only had my period twice after discontinuing the shot. The last time I had my period was four years back and then I spotted the whole entire first week of the very next month. Since then I have not had any type of spotting or bleeding. Of course, I need to be having a menstrual cycle in order to conceive but I am just in desperate need and I feel so hopeless because I feel like I am not be able to have any kids or if I do it will be in a long time. What can I do to get my period? Should the Depo-Provera be completely flushed out of my body by now? I just want to have my period already and at least a normal cycle so I can finally have a baby. Doctor: Hi. Definitely you need a regular cycle to conceive. A regular cycle signifies a normal ovulation and thus a fertile status. I presume you are suffering from anovulation, which means absence of ovulation. There are 100 causes of anovulation whereas the most common cause of anovulation is polycystic ovarian syndrome (PCOS), a complex endocrine disorder of uncertain etiology, where ovaries turn into cystic structures. Other causes are obesity, thyroid disorders, underweight, anorexia nervosa, stress, overt exercise, and usage of some medications. You have a body weight only 40 kg with BMI 17.28 (attachment removed to protect patient identity). This is a bit lower than normal weight.You were on antidepressant, which you have left, also which could cause anovulation. Are you suffering from any psychiatric illness still now? These all could cause anovulation and amenorrhoea. You have taken also Depo shot one year back. I do not know why you had taken, but this medicine itself can cause absence of cycle. Whatever may be the reason, you need a detailed evaluation. You need to increase your body weight, need hormonal screening (LH, FSH, thyroid, prolactin, testosterone) and an USG screening for polycystic ovaries. Just get a regular cycle and then try to conceive when you will achieve this. Anovulation. 1. Serum level of LH, FSH, prolactin, thyroid, testosterone. 2. USG lower abdomen." + }, + { + "id": 6176, + "tgt": "Please advise ayurveda measures to get pregnant", + "src": "Patient: Hi doctor, I have PCOD problem for the last four years. I have been taking Kazharchi kaai powder with honey for the past three months and observed a regular period. But, the follicles are not growing properly. The FS study revealed that the follicles are MSF (multiple small follicles) ever since has known. I am planning to get conceive. Please suggest me the medication for the egg development for getting conceived. Please mention about the side effects of the suggested medicines. My age is 27. I got married before two years. My height is 165 cm and weight is 49 kg. After a month of Kazharchi kaai powder intake, the period was normal, but the bleeding quantity was very less. Fortunately, my last period was normal. Doctor: Hi. You may continue the Kalarchi choornam. It should be prepared as follows. Kalarchi seed powder 100 g plus 10 g pepper. This will avoid the gas formation in stomach. Continue Kalarchi choornam until cycle is normalized that is three to four cycles and then stop it. Curd, curd rice, tender coconut water and lemon juice are to be consumed on these days. Strictly, no other diet. This will improve ovum growth and cause ovulation on day 14. Sexual contact should happen from day 11 to day 15. You can do scan to confirm the ovulation. You can get vishnukranthi herbal from herbal shop. From day 1 to day14, boil this herb 10 g in 200 mL water till it reduces to 100 mL. This should be taken in morning empty stomach. All these medical advises favor the conception. All the best. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19941, + "tgt": "Why am I getting some white fluid from the infected part of finger?", + "src": "Patient: Hi doctor, I am a 21 year old female.\u00a0I have been getting white fluid from the infected part of my finger. I do not know how it got infected. I have this for the last one month. I used antibacterial ointments, but still it is not getting healed rather it is getting more and peeling away. Doctor: Hi. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20866, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26423, + "tgt": "Do ELISA, CMIA, ECLIA, and RNA PCR need retesting for conclusive results?", + "src": "Patient: Hello doctor, I have had unprotected vaginal sex with an unknown girl for two minutes. I have taken the following tests: ECLIA third\u00a0generation after 17 days of exposure, ECLIA third\u00a0generation after 30 days of exposure, RNA by PCR\u00a0after 31 days of exposure, TRI-DOT\u00a0test after 50 days of exposure, and CMIA\u00a0fourth\u00a0generation after 59 days of exposure. All the tests have been negative. I have also taken the\u00a0ECLIA third\u00a0generation test\u00a0on that girl after 35 days of exposure and it is negative. I would like to know if I am HIV free. Can I have a\u00a0normallife?I am\u00a0very much worried about\u00a0HIV.\u00a0Is the CMIA\u00a0test conclusive after six weeks? Are the results\u00a0conclusive?\u00a0Should I need a retest after three months for conclusive results? Doctor: Hello. Regards. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22351, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19544, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3395, + "tgt": "Could a wart recur after 11 years?", + "src": "Patient: Hi doctor, 11 years ago, I had genital warts. As I embarrassed to go to the doctor I ordered Aldara online and it worked. My question is what if I missed a wart after all this time? I do have a few very tiny white specks on underside of the head on my penis. When I showed them to my regular physician five years ago, he said they are pearly papules and not warts. Can I trust him? Is he right? I am seeing a new partner and do not want to infect her. Please guide me. Doctor: Hello. First I do want to make sure that recurrence of wart after 11 years is almost impossible. Now you can get genital wart only after exposure due to sexual contact done recently. The second possibility of untreated or remaining part of wart also impossible as in 11 year untreated wart would have become significantly large in size and would never remain unnoticed all these years. The penile pearly papule and wart are very different condition and can be recognized by photos. If you are able send me photos of your condition I would definitely tell you what it is. Penile pearly papule is not a disease or any treatable condition. It is just sweat and sebaceous gland which are a bit bigger in size. These are small, multiple and arranged around the penile skin. It does not increase in size, totally asymptomatic and natural thing. Wart has rough surface. They appear four to five in number. It will appear after a sexual contact history within a month. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6021, + "tgt": "My son has slightly sedimentation rate and CRP. Is it due to his fever before blood work?", + "src": "Patient: Hello doctor, My son is five years old. I recently took him to his pediatrician because he has been sweating at night and running hot during the day. It is hard to tell if this is really a new thing because he has always run hot, but I felt like the sweating might be increasing. Doctor ordered for the bloodwork and everything was normal except a slightly elevated sedimentation rate of 36 and a CRP is 8.5. Doctor asked me whether he was sick when he had the tests done and actually he was sick before four days. He had a fever and sore throat for about a week before and conjunctivitis for about four days before getting his blood work done. The plan is to test him again after a month. I wanted a second opinion as I am worried about the elevated sedimentation rate and CRP. Do you believe it could be easily explained due to being sick a little before the blood work? He also has eczema, could that be the cause for these elevated levels as they are related to inflammation? Are those levels concerning something like cancer? I would love to some reassurance. Doctor: Hello. Elevated sedimentation rate of 36 and a CRP of 8.5, looks nonconcerning to me. Not sure, what made you think about cancer. Usually, small kids do catch unknown bugs from their peer groups without throwing many symptoms. It seems he had a recent viral infection which can explain these lab reports. Nowadays we even do not check often these numbers. I am sure your doctor would have checked the kid for any lymph nodes in the neck and axilla. A follow-up lab check after month can be done. Meanwhile, if he is eating, playing well, I am not concerned. Cancer will present with more aggressive symptoms of fever, night sweats, lumps in the body. Usually, kids are more sicker than you are saying in your case. But it is always good to keep a watch for these symptoms. Viral infection, unknown. None. Observation and follow up." + }, + { + "id": 25270, + "tgt": "How to treat headache post brain clot?", + "src": "Patient: Hello doctor,My father has brain clot problem and he was admitted to a hospital for eight days and now discharged. Physically his body is working properly but sometimes he is having a painful headache and most of the time he is taking a long sleep and his memory is affected due to the clotting. Yesterday his PT INR ratio was 7.5. The doctor prescribed Acitrome, Aspirin, and Glycerol. The doctor is saying he will recover. So, please suggest us what should we do for his painful headache? Doctor: Hello. I reviewed your father's tests (attachment removed to protect patient identity) and would explain that he has suffered a venous infarct of the brain, associated with hemorrhagic transformation. A headache is quite common and it will need a long time to recover (weeks). Painkillers and Mannitol perfusions will help against the pain. The most concerning thing is the blood thinner which should be adjusted properly, considering the high INR levels, indicating an overdose. A follow up with brain CT scan is necessary to monitor for possible progression of the bleeding. It is important to monitor his blood pressure too. Hope to have been helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3069, + "tgt": "USG report shows 3 mm calculus with mild nephrosis and dilated ureter. What to do?", + "src": "Patient: Hi doctor, I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it mentioned that tiny 3 mm calculus is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 4.5 mm calculus in the lower ureter. Doctor prescribed me Dytor, Aceclofenac and Paracetamol, Drotavarine Hydrochloride and Mefenamic acid tablets. But, today again my sharp abdominal pain is seen. What to do? Please suggest. Doctor: Hi. Stones smaller than 6 mm are likely to pass without any intervention. Those that are larger than 6 mm or which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pass in a few days time. If pain recurs, you can go for admission and flush therapy (intravenous fluids to flush out stone) for one or two days. You can stop either Aceclofenac or Mefenamic acid as both are pain killers. Take either of the two. Also, add Capsule Urimax 0.4 mg (Tamsulosin and Dutasteride) once daily for five days, this may relax your ureter and help decrease the pain. Repeat USG (ultrasound) after five to seven days to confirm the stone passage." + }, + { + "id": 27465, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20525, + "tgt": "What would be the differential diagnosis based on the biopsy report of the cheek?", + "src": "Patient: Hello doctor, If the biopsy report of the cheek (buccal mucosa, left) showed chronically inflamed stratified squamous epithelium and underlying fibrous connective tissue which contains a number of irregularly shaped vascular spaces approximately the size of normal capillaries that contain numerous erythrocytes; what would be the differential diagnosis? Doctor: Hello. The current biopsy results are indicative of a lichenoid type of lesion in the buccal mucosa. This type of picture can be seen due to a variety of causes ranging from allergens to systemic drugs, anything causing irritation (like dentures), etc. Though the presence of rash, uveitis and recurrent mouth ulcers would be suspicious of Behcet's disease, the biopsy results are not what would be typically seen in Behcet's disease. I would advise you to consult a dermatologist for diagnosis and treatment. Thank you. For more information consult a pathologist online --> https://icliniq.com./ask-a-doctor-online/pathologist" + }, + { + "id": 17254, + "tgt": "Please explain if my teeth pressure and pain are due to TMJ problem", + "src": "Patient: Hi doctor, I had fillings done around two months ago. Two of my teeth with fillings started to hurt three days ago. Also, I had pain in my ears. However, I also had pressure and crackling going on in my both ears. I have had issues going on with my ears for a while, I have been on a decongestant from an ENT doctor and might need to have tubes placed. I also have TMJ problem. I am not sure if my ears are causing the pain in my teeth or vice versa. But, after increasing the dosage of the mucus D medication, it subsided the\u00a0pain. The teeth pain was much better today. I have more fullness in my ears, and my jaw hurts. I feel pressure on both sides of my teeth. I used to have a mouthguard made by my dentist. After my wisdom teeth removal, other teeth got shifted, and the mouthguard does not fit any longer. Doctor: Hi. I have read through your complaint and the relevant details. X-ray for TMJ if required. Fabrication of mouthguard. Avoid chewing on one side and biting hard food such as apple and guava. Instead, cut them into small pieces and chew it on comfortably. Follow up every four months with regards to the mouth guard. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15204, + "tgt": "Which is the best mouthguard for teeth grinding and how to treat underbite?", + "src": "Patient: Hi doctor, What is the best mouth guard used for teeth grinding? What is the cheapest way available to treat underbite? Doctor: Hi. Teeth grinding affects dental health. It is a cause of attrition. If stress is the cause for grinding the teeth, then do regular exercise, yoga, and meditation. Avoid drinks that contain caffeine. Avoid drinking alcohol and smoking, if you have the habit. Take a sufficient amount of water. The best night guard is fabricated by the dentist, after taking an impression. Your dentist fits the mouth guard to protect your teeth from grinding during sleep. There are many methods available for the correction of an underbite, which is cheap and best. Please see your dentist." + }, + { + "id": 18266, + "tgt": "Can sinusitis cause bad breath?", + "src": "Patient: Hi doctor,I have a persistent bad breath and bad taste in my mouth. I have excellent oral hygiene, and my dentist said my teeth and gums are all healthy. My doctor said that it could be sinus drainage, but I have dealt with this for years even when I have no drainage. It is ruining my personal life with my wife and my social life as well. Please help. Doctor: Hi. Did you get any CT scan of your sinuses done before to rule out sinusitis? Yes, sinusitis can cause such symptoms and to rule out that a CT scan is needed. Sinusitis also causes nose block, headache, and post-nasal drip. So if you have any of these symptoms, then it can be due to sinusitis. Have you tried mouth gargles for the same symptoms? If not, then you can use mouth gargles as that will help. Also, tonsillitis causes such symptoms. Kindly send me a picture of your throat and oral cavity. Sinusitis or tonsillitis. CT scan of paranasal sinuses (plain). Revert with the report to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 27734, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20780, + "tgt": "Is the diagnosis of overactive bladder for bladder pain in me correct?", + "src": "Patient: Hello doctor,I have a problem with overactive bladder and bladder pain. My doctor prescribed me Lioresal. Is the diagnosis correct and can I try with Lioresal? I am afraid of side effects and full urine retention. This is my last medical report showing on palpation, the prostate was not suspicious. The prostate was soft and not sore. On ultrasound, the upper urinary tract was normal, the renal outflow down to the bladder on both sides free. No sign of stones or tumor in the area of the kidneys or urethra.On transrectal ultrasound, the prostate was found with minor calcifications as remainings of former inflammatory processes. Otherwise, the tissue was homogeneous. The prostate volume about 28 cc. The transrectal longitudinal section of the prostate showed a suspicion of anarrow bladder outlet. There also just in the outlet the calcification was seen. Residual urine was about 120 cc. The bladder wall showed a hypertrophy of the muscular fibers.On urethrocystoscopy, a normal exterior urethra was found. The passage to the prostatic urethra showed in the bladder outlet some inflammation processes of the mucosa. The mucosa started to bleed even on soft touching. The bladder outlet was stiff and narrowed. The bladder itself showed some hypertrophic muscle fibers. Otherwise, the bladder was uneventful. Doctor: Hi. I have gone through your query and would like to know a few more details about your symptoms. 1. Is your predominant complaint that of increased frequency or weak urinary stream? 2. Do you have any discomfort in the region between your scrotum and anal opening? From your doctor's report, his findings on examination, scans, and cystoscopy, it appears that you have sequelae of prostatitis where the prostate gland becomes fibrotic and hard not relaxing to allow normal urine flow. It is common that in patients with obstructed flow especially due to prostate inflammation, the symptoms of urgency and frequency usually resolve. However, in your case, since you have had the symptoms for more than two years, I would like to do a urodynamic study to identify the overactive bladder and also if there is a definite obstruction. As you are already on Silodosin, I do not think that adding Lioresal (Baclofen) will help in the improvement of your symptoms significantly. If Silodosin does not give you any relief, based on the cystoscopy findings, I would rather recommend surgery after a urodynamic examination." + }, + { + "id": 16965, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7980, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17156, + "tgt": "My mom's health has deteriorated completely in a year. Please help", + "src": "Patient: Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth and the upper layer of the pancreas had ulcer wounds for which she was treated with medication three months ago. She is having indigestion, acute stomach pain, swelling from feet to waist, frequent diarrhea and vomiting. She has been urinating only about 15 mL. Doctor has suggested starting dialysis as they are unable to bring her swollen feet under control. Her blood pressure is normal. I have uploaded her recent test results. She is currently taking 21 tablets a day. I basically need some suggestion. Doctor: Hi. Type 2 diabetes mellitus with chronic renal failure. Serum potassium, serum creatinine regularly, TSH (thyroid stimulating hormone), lipid profile, ultrasound abdomen to see corticomedullary differentiation status of the kidneys. 1. Nephrotic syndrome. 2. Uremia. Type 2 diabetes mellitus with diabetic nephropathy or chronic kidney failure (CKD). My suggestion is to get the following treatment under doctor's supervision. 1. Albumin 20% 2. For hyperkalemia, diuretics, Insulin infusion, Calcium gluconate and potassium bind resin. If hyperkalemia does not improve, then go for dialysis immediately. 1. Salt intake should be less than 1 g per day. 2. Avoid foods rich in potassium. 3. Protein intake should be less than 0.6 g/kg body weight. Revert back with the reports to a nephrologist online.---> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 15896, + "tgt": "Will improper sexual intercourse make it difficult to get pregnant?", + "src": "Patient: Hello doctor, I have been trying to conceive for the past six months without any success. I have done FSH, LHS, TSH, Prolactin tests (all normal). My AMH is 3.73. I have also done TVS where a 3 cm post fundal fibroid was found. My husband\u2019s sperm analysis is also fine. What should I do now? I am really stressed. My cycle is 29 to 30 days and normal. I have hypothyroid and I am taking Thyronorm 12.5 for that. Doctor: Hello. If you have been on Thyroxine and your TSH levels are normal and your remaining hormonal profile is normal with optimal fertility and ovarian reserve as depicted by AMH levels , now you can opt for a dummy cycle where follicular monitoring can be done during mid-cycle to check for timely ovulation along with timed intercourse, which shall ensure that you are ovulating. Also, you can be started on prenatal like l-methyl folate and Ova bless tablet daily during this cycle to potentiate fertility in your case. Continue Thyroxine daily and practice timed intercourse. during the fertile period. The fibroid being posterior fundal 3 cm and not impinging on to the endometrium, conception should not be an issue if HSG reports ensure tubal latency as well. Also, important shall be to check for any vaginal infections in form of white discharge or itching per vaginum or foul-smelling discharge, which is deterrent for sperm survival and needs to be treated first. Avoid use of soap while bathing for genital and vaginal cleaning, use only plain water or alkaline washes. Please share your reports for preview." + }, + { + "id": 3738, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 19312, + "tgt": "What to do for low Vitamin D levels?", + "src": "Patient: Hello\u00a0doctor, Yesterday I took blood tests for hemogram, fasting sugar, and vitamin D. My vitamin D is too low. It is lower than 3. I have tiredness and joint pain too. Please suggest some medicines and diets. Doctor: Hello. I went through your post.\u00a0However, please attach your\u00a0recent blood reports. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17944, + "tgt": "Is there a chance to get HIV or molluscum from a single unprotected sex?", + "src": "Patient: Hi doctor, I have a few\u00a0small bumps or pimples on my penis shaft for the past two weeks. A few bumps are clustered together and two to three around it. They are shiny, round, painless and have a white spot in the center of them. They are not itchy and are skin colored when erected and white when the penis is normal. I have attached an image. I did not have sex in the past 12 months, but prior to that I had sex with multiple partners and once without condom too. Please help me. Doctor: Hello. This is molluscum contagiosum, which is a viral disease and spread by contact (attachment removed to protect patient identity). Contact can be sexual or nonsexual. But, in your case it is sexual as the molluscum is present in the genital area. It is STD (sexually transmitted disease). So, we have to check other diseases also like HIV (human immunodeficiency virus) and hep B (hepatitis B virus) test. Do not touch it as it will spread by touching. Otherwise, it may infect to other parts too. Treatment is very simple. You have to go to a local dermatologist and he will give local anesthesia by injection or by applying cream, which ever suits you. After making that area numb, doctor would puncture the entire lesion one by one and remove the whitish material completely. This whitish material contains virus, so once it removed everything would be healed and you will be cured. I suggest that you must check out HIV and hep B test for further evaluation. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26932, + "tgt": "Can I get pregnant from having sex few days before my periods?", + "src": "Patient: Hello doctor, I had unprotected sex a few days before my\u00a0expected date of periods. The period is now late by a\u00a0week. I\u00a0have been having cramps. I also had a brown spotting, but there was nothing after that. Doctor: Hello. How are you doing? Hope I have clarified your queries. Do write back. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27935, + "tgt": "What is the risk of avoiding or postponing angiography?", + "src": "Patient: Hi doctor, I am a 45 year old male. My height is 184 cm and weight is 97 kg. I have breathlessness on exertion. I get some pain in my throat while walking, but not always. I had a TMT test which was positive. I did TMT for 6.3 minutes and stopped due to breathlessness. The ECG showed ST depression of 2.5 to 3 mm in inferolateral leads. My father, who is now 80 years old, had some ischemic issues and is on medication for about two decades.\u00a0My echo was normal with mild LVH. ECG showed ST depression and T-wave inversion first; later the T-wave inversion went away and again came back. Similarly, it showed LVH with strain earlier and now it does not.\u00a0I suffer from severe sleep apnea (AHI index 62) and oxygen desaturation up to 50% while sleeping. I am unable to use CPAP machine due to discomfort while using. My LDL was 153 and with medicine it is 90 now. My HDL 39, triglycerides 129 and lipoprotein (a) 68. I never had diabetes all these years, but in my last blood test the HbA1c was 6.2 that is prediabetes. My recent blood work also shows changes in MCV (106), MCHC (27.9), RDW-SD (64.4), RDW-CV (16.7) as well as SGOT (38.1) and SGPT (48.6). I have been advised Sorbitrate, Ecosprin AV, Dilzem and Deriphyllin by one cardiologist. He asked me to try out these before taking further tests. Other cardiologist advised an early angiography. Do I need angiography immediately? I would like to avoid invasive procedures. What is the risk of doing angio? What is the risk of avoiding it or postponing it for several months?\u00a0My ECG showed ischemia earlier, but then it seems to have gone away. Does this indicate that the medicines have cured it?\u00a0Similarly, earlier I had RBBB and not now. The same with LVH. Is it possible that a block in artery can cause constriction in throat? Could my TMT be false positive? Should I repeat it? Please help. Doctor: Hi. I welcome you and want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. I feel sorry for the issues you have with your health. But, do not get panic as there is a solution to every health issue you have. I will come to your queries one by one in the order you asked. 1. Yes, you need an angiography immediately as per your medical record suggests (attachment removed to protect patient identity). Please do not get worried about angiography as you will feel only one single prick of the injection of a normal gauge needle which you already have been taken many times in life. The rest of the procedure is painless. You will be conscious, no general anesthesia needed. You will be listening to the doctors and watching your heart's blood vessels on the screen too. So, it will rather be a pleasant procedure. 2. Risks are associated with everything in life, so are with angio. There are no major risks in most cases. But, some minor chances are there for heart attack, injury to the artery of manipulation, irregular heartbeats, stroke, torn artery or a chamber of heart, an allergic reaction to the dye used for angiogram, radiation exposure is also a risk from x-rays used, kidney problems, bleeding and post angiography infection. 3. Postponing the angiography may have no serious problem or may lead to sudden cardiac event that may be fatal and may have serious life-threatening consequences such as heart attack and death before reaching the hospital. I advise you to go for angio and do not postpone it. 4. The change in ECG (electrocardiogram) sometime happens with variation of results but rarely happens to complete cure with medication. Especially, you got LVH (left ventricular hypertrophy) although to a lesser extent now, that may come back and further deteriorate if not dealt with in a timely manner. 5. Constriction in neck and breathlessness or shortness of breath is the major sign of the partial blockage in vessels of heart and that is over there; you or your reports deny it or accept it. You have issues with sleeping too. That is also a major sign of coronary artery disease and the LVH. It may lead to congestive heart failure in near future if not treated timely. 6. When your body needs more oxygen in the time of increased demand due to some activity or emotional imbalance, it leads to the increased heart beats and forceful pumping so as to fulfill the demand. This increased workload on heart muscles demand more blood and oxygen to the heart muscles too. But, there is partial obstruction and heart's own blood supply is not met with leading to decreased cardiac output in that specific time of body's increased need and the symptoms appear like neck and throat constriction and shortness of breath. 7. You have chest pain that is unrelated to exertion. This is more dangerous and serious. Pain on exertion means less coronary artery lumen obstruction. Pain at walking or at rest means there is more obstruction. There is no need to repeat your exercise stress testing. Angiography. If found positive you may need angioplasty then and there in the same procedure. That will be good as in a single procedure all will be handled. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30652, + "tgt": "Kindly explain the treatment looking at my father's blood report", + "src": "Patient: Hi doctor, I would like to get a consultation regarding my father. His blood report showed hemoglobin (optical/impedance) 12.4 g%, platelet count (optical/impedance) 93 10^3/cubic mm, WBC count (optical/impedance) 3.6 10^3/cubic mm, packed cell volume (calculated) 36%, serum vitamin B 12 472 ng/L. Please\u00a0let me know the treatment for this. Doctor: Hi. Based on your query, my opinion is as follows. Folic acid deficiency. Folic acid and vitamin B 12 supplements. Revert back after three months to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25366, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2254, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25843, + "tgt": "My 6-year-old son coughs and remains sick most of the time. What could it be?", + "src": "Patient: Hello doctor,I am looking for answers to certain questions regarding my son's health. Doctor: Hello. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24992, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24439, + "tgt": "Is stiffness in thoracic area during movement a serious problem?", + "src": "Patient: Hello doctor, I had this stiffness, almost something pushing in my left thoracic area just under my shoulder blade, for the past six months and I feel it most when I am moving my left arm forward or keeping it forward or upward for some time (like for example when I wash plates). It is not painful, but annoying, though it stops when I move my hand down, or I hold my hand backward. It is only on one side, my left side. When I am sitting or lying, I am normal. I suspect an injury while doing free weights, cause this everyday annoyance came suddenly. I am being treated by a chiropractor for the last two months, who is slowly working out all my thoracic points (and says that I might have T6 and T10). What I would like to know is since this is a feeling present only at certain mechanical or postural movements, can it be anything more serious than a back injury (I have slight scoliosis and my shoulders are a bit arched)? How many treatments should it take for the stiffness or pushing to go away completely? Do I need an MRI to exclude more serious health conditions? (right now I am quite worried and would like to avoid MRI) I have been feeling like this for past six months but the stiffness is getting less often now, so it is improving. But I still feel it when moving my left hand and sometimes when I am standing, and it gets worse towards the end of the day. I do around three sessions for 20 minutes of cross-trainer every day. It does not affect me when I am doing it, but could it be responsible for my stiffness? Otherwise, I feel extremely healthy, though during the last period I felt a little tired mentally with all the overthinking related to this injury, cause I am used to being perfectly healthy. Doctor: Hi. I have reviewed your question. After reading your post, I immediately thought you might have a rib subluxation. This is very common with scoliosis (I myself have frequent rib issues). Since you know you have scoliosis, this will explain why this issue appears to be chronic. To specifically answer your questions, here are my answers. If you were my patient, I would perform a chiropractic examination and would most likely recommend chiropractic adjustments and exercises if you were a candidate for care. Since you are not my patient, I recommend that you continue to go to a local chiropractor for treatment and proper care. For more information consult chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 3939, + "tgt": "My blood test result shows high FT4, high insulin and low vitamin D. What could be the cause?", + "src": "Patient: Hi doctor, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with six nodules, the largest is 5 cm x 2 cm. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP and ESR, high insulin, and high IgA. Do you have any suggestions on what could cause these results? My symptoms include chronic diarrhea, occasional constipation, abdominal pain, fluid retention, extremely irregular periods, fatigue with trouble sleeping, frequent headaches, occasional dizziness, bone, joint pains, and weight gain. Most of these only showed up in the last few months after goiter was found. My saliva cortisol results are also on the very low end of range. I have attached my blood test results. I am currently taking Tramadol. Doctor: Hello. I just read your query and the results that you have attached. (attachment removed to protect patient identity). It does not seem you have any thyroid disease as of now since your TSH (thyroid-stimulating hormone) is normal and your T3 and T4 are at acceptable levels and nothing to worry about that. Some people do have thyroid nodules which should be assessed yearly by ultrasound to make sure they are not increasing in size or texture. My advice for this aspect would be repeat thyroid function tests yearly and do an FNAC i.e an ultrasound-guided biopsy of the thyroid nodule to be sure it is benign. Yes, you do have vitamin D deficiency and when you have this, you automatically have high parathyroid hormone levels that is called secondary hyperparathyroidism and that occurs usually with vitamin D deficiency and gets better when that is treated. My advice is to have sun exposure 30 minutes daily and take vitamin D and calcium supplements. I do not know what type of hyperparathyroidism your niece is having but I assure you that yours is not to be worried about. Your saliva cortisol I do not think we usually worry about salivary cortisol levels. Try doing a serum cortisol levels if you are worried to be sure in the morning particularly. I know your serum CRP (c-reactive protein) and immunoglobulins are high but they are signs of allergy or immune reaction to any food. They could also be the cause behind your bone and joint pains including vitamin D deficiency. What I am concerned about is your high insulin levels as they suggest that you have insulin resistance. That could be due to polycystic ovaries or sedentary lifestyle or impending diabetes or metabolic syndrome. My advice would be to have a pelvic ultrasound since you also have irregular periods and you might benefit from a consultation with the gynecologist. In the meantime try to exercise 45-60 minutes daily and sleep for eight hours and consume low carbohydrate, low-fat diet, and avoid sweet drinks absolutely. Take the help of a nutritionist to lose weight. You might benefit from tablet Metformin 500 mg thrice a day. It will help you with your PCOS (polycystic ovary syndrome) and the metabolic syndrome as well and help with the high insulin levels and also cause slight weight reduction. I hope this helps. Tablet Metformin 500 mg thrice a day. Lifestyle modification." + }, + { + "id": 3850, + "tgt": "I have been passing out a lot. Is it safe to fly?", + "src": "Patient: Hi doctor, I am suffering from dizziness. I was getting lightheaded and close to fainting. Lately, I have been passing out a lot. I have an early morning flight tomorrow. Is it safe to fly? Is there a possibility of me fainting on the plane? My current medication includes Prozac, Trazodone and Gabapentin. Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11460, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22394, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7643, + "tgt": "My breasts are like woman and I have desire to cross-dress. Am I normal?", + "src": "Patient: Hi doctor, My breasts are as developed as a woman. I dress in a nightie and often strangers address me by madam, which I enjoy. I do not have other feelings. Am I normal? Doctor: Hi. I can understand you concern. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9728, + "tgt": "I am suffering from stomach pain and vomiting after having outside food. What can I do now?", + "src": "Patient: Hello doctor,I started having stomach pain after some time of consuming a particular company's product. I slept somehow, but after two hours, I woke up and puked. I am having stomach pain just below where the upper and lower ribs meet at the center in the upper belly. I had Avil (anti-allergy) 0.25 mg tablet. What else can I do? Doctor: Hello. I can understand you are worried about your health. I know you got digestive system problems based on the possible food poisoning after you ate what looks like a contaminated food from a local food chain. It is a widespread issue, and many people whole eat from outside get food poisoning if the food was contaminated. You are taking the very best step of hydrating yourself. I would advise taking plenty of fluids (as you are already taking) plus ORS (oral rehydration solution) or Pedialyte to rehydrate yourself. Keep an eye on the symptoms, and if they are severe enough, you should rush to a healthcare provider or a hospital. The time you need to seek medical attention would include any one or many of the following five severe symptoms, 1. High fevers (over 102 degrees of Fahrenheit, when measured with an oral thermometer). 2. Blood starts coming in stools. 3. You take fluids, and they cannot go down the stomach due to severe and frequent vomiting. No liquid is staying inside the gastrointestinal tract, and you may get dehydrated in that way. 4. Symptoms of dehydration that you can feel by yourself, e.g., dizziness on standing up, decreased urine volume and dark colored urine, very dry mouth and throat, and no sweating. 5. Diarrhea lasting more than 72 hours from the time of its onset after the food poisoning. You got this stomach cramps (pain) in a timeframe of 30 minutes to an hour after eating the food. This refers to the possibility of food poisoning caused by a germ named Staphylococcus aureus (commonly abbreviated as staph). And this type of bacteria affects the foods not cooked adequately after handling. These foods can include but not limited to sliced meats, puddings, sandwiches, pastries. I hope it helps. Please feel free to ask more if you need further assistance." + }, + { + "id": 5297, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4110, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2451, + "tgt": "Is plastic surgery a must following Mohs surgery?", + "src": "Patient: Hi doctor, I am a 36 year old female. I had Mohs surgery on my temple. My hole is big and it is pretty deep. They went three rounds. My question is, is it better to heal by secondary intention or to have a plastic surgery with flap in which he would take skin from behind the wound on my head? Will it mean the hair will be placed on my temple? Would I have to shave it? So, in that case I need to deal with now two wounds. How easily and long will my wound heal naturally considering the depth? And how long do I keep a band-aid with vaseline on for if I go that route? Doctor: Hi. I have seen your picture (attachment removed to protect patient identity) and history. For further details consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25672, + "tgt": "What could this sharp acute left-sided chest pain be?", + "src": "Patient: Hello doctor,I have an acute sharp pain in my left chest under my nipple not in the middle at all. It feels like a tight constricting pain. I took Asprin three hours ago. The pain comes and goes occasionally and it goes to the left shoulder. It feels very localised. So, I am putting pressure on the spot where pain the is. It feels like it is between the ribs. Please help. Doctor: Hello. Does this increase in deep breathing? How long does it persist? Is it for a few seconds or minutes? Sharp pain and short-lived pain is less likely to be a cardiac pain. Cardiac pain is usually retrosternal, persistent, increases on exertion and relieves with rest, associated sweating, and uneasiness. Are there any risk factors for cardiac diseases like hypertension, family history or smoking? I think the possibilities in you are reflux disease, musculoskeletal pain, pleuritic chest pain which is the pain from linings of the lungs. Musculoskeletal pain increases if you press hard at the site of pain, while pleuritic pain increases on deep breathing or coughing. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25128, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26993, + "tgt": "Please suggest a meal plan for my mother based on her recent reports", + "src": "Patient: Hello doctor, My 59 year old mother is under treatment for hypothyroidism, hypertension, and osteoarthritis of knee joints along with a mild iron deficiency anemia. With the help of medications, TSH (3.15), BP (120/72) and FBS (89) are currently stable, although she used to get symptoms like reeling of the head a few times (once after breakfast another after lunch), which as per our family doctor, is due to low BP. She also faces gastritis and some amount of constipation from time to time, although a physical examination does not indicate anything worrisome. She had lost weight, nearly 5 kg in the past eight months, which is not explained by any of the clinical findings. I request your help to identify if she follows the right schedule in terms of daily food habits and also if she should include any particular type of food to fight against the current medical conditions. Below mentioned is her daily routine and food habit summary, which I request you to kindly review and share your feedback, as required.She wakes up at 5.30 AM and takes Eltroxin 50 mcg on an empty stomach. She takes regular tea with biscuits at 7.30 AM while doing the regular exercise for knee joints, and then does her household work such as cooking, etc. She then takes her BP medicine (Olmezest 20 mg) at 9.30 AM. Her household work gets completed around 11 AM, after which she takes breakfast. This mostly consists of brown bread (four pieces) or sooji or noodles or fruits (mostly apple, guava and sweet orange). Every alternate day, she takes four pieces of dates as well. After breakfast, she takes Gemcal D3. She takes lunch at 3 PM, which mostly consists of white rice, dal or vegetable and fish. She had stopped curd for colitis since the past six months as advised by her doctor. After lunch, she takes the multivitamin Cobadex CZS. In the evening, she takes normal tea with a biscuit around 7.30 PM and then does her regular exercise for knee joints. She then takes dinner at 11 PM, which mostly consists of whole wheat roti (three pieces), vegetable or paneer and mostly no fish at night. There is no other medication after dinner. Doctor: Hello. I saw her reports (attachment removed to protect patient identity). All her numbers are alright, except few which are in the borderline. But, no need to worry about it. Her diet should be perfectly balanced according to the climate. Also, exercise and yoga play a significant role in treating her. Feel free to contact in case of further queries. For more information consult a dietician online --> https://icliniq.com./ask-a-doctor-online/dietician" + }, + { + "id": 7162, + "tgt": "What causes the sensation of something stuck in throat?", + "src": "Patient: Hello doctor, Why do I always need to keep tensing my throat as if something is stuck? Doctor: Hi. What you are describing is known as a globus sensation. This is defined as the persistent or intermittent sensation of a lump or foreign body in the throat for at least 12 weeks. The most common causes would be gastroesophageal reflux disease (GERD), abnormalities of the upper esophageal sphincter (UES), psychologic and psychiatric disorders, and stress. I would suggest an evaluation with an upper endoscopy as a more comprehensive evaluation for anatomic abnormalities. A 24-hr pH study can also be considered to definitively rule in or out GERD. If the GI workup is not revealing, you may want to be evaluated by an ENT specialist to see if there are any upper esophageal sphincter disorders. Reflux is treatable by starting antacids, taking smaller meals, avoiding spicy, oily and junk foods, avoiding late night meals, avoid stress and anxiety, raising the head of your pillow by 6 to 8 inches." + }, + { + "id": 10708, + "tgt": "Is it normal to have bulging veins in arms and legs with pain?", + "src": "Patient: Hi doctor, I am 19 years old and I am currently experiencing an issue with the veins in my arms and legs, primarily on the left side of my body. It started about a month ago when I noticed a vein on the top of my left foot that started bulging up out of nowhere. It was concerning but not painful until a few days later, it gave me extreme shooting, throbbing pain. This lasted for a about a week then started to fade to what it is today, a numb pain that gets sharp if I support my weight too much on that foot. This has limited my movement quite a bit, which makes it hard to complete my daily tasks, and I cannot wear closed toe shoes anymore without pain. The problem got even more concerning when other veins in my body started to bulge ang give pain, first in my legs, and now in my hands and arms. My left hand is my primary one and now I cannot lift things or write or hold it downwards without having a pain in my arm, where a big vein pops up just below the wrist. This has all happened in the course of a month. Does this condition sound familiar and if so, what should I do to get treatment for it? Doctor: Hello. Your problem looks like varicose vein. Veins will bulge when you are standing or moving around when unlike down it regressed and blood flows back into the deeper veins and empty back into the heart. Varicosity is due to incompetence or weakness in the valves within veins which prevents the blood from flowing back as the blood has to be returned to the heart for recirculation. Due to weaknesss in the calf muscle which contracts and compress the deeper veins causing blood to be squeezed out of then for upward emptying into the vena cava and into the heart. Blockage of the pathways of flow or deep veins due to venous thrombosis, usually common in women, tends to increase with age, and with use of contraceptive pills and with pregnancy because of increased intraabdominal pressure which in turn comprises the vena cava and affect return of blood back to the heart. Complications can be venous thrombosis due to increased stasis of blood. If there is so much build up of pressure for long time can cause venous ulcers. Management is elevation of the leg when lying down. Use compression stockings to support and collapse the veins, avoid use of high heels. Change your standing or sitting position from time to time. You can do Doppler ultrasound scan." + }, + { + "id": 31030, + "tgt": "What can I do to recover my eyesight?", + "src": "Patient: Hello doctor,I have a problem with my left eye called astigmatism. My vision without glass\u00a0is 1/10 and with glass it is just 3/10. Doctor: Hello. Please send me your investigation report and other relevant details to comment further.Revert back with the reports to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16429, + "tgt": "What is the difference between a regular contraceptive pill and an emergency pill?", + "src": "Patient: Hi doctor, We have a regular contraceptive pill and an emergency contraceptive pill. I-pill is an emergency contraceptive pill. What is the difference between them? Which one is taken after unprotected sex to avoid pregnancy? Doctor: Hi. A regular pill has to be taken regularly for 21 days daily without any gap, and then they are stopped for a week (for periods). Again, they are retaken for 21 days. It can be taken for two to three years together. At that time, you have to avoid pregnancy. I-pill has to be consumed within 72 hours of unprotected intercourse. All these are low dose pills with minimum side effects." + }, + { + "id": 6607, + "tgt": "I am suffering from Migraine for the last 15 years. There is throbbing pain is on the one corner of the head", + "src": "Patient: Hi doctor, I am 26 years old. I am suffering from migraine for the last 15 years. There is a throbbing pain\u00a0on one corner of the head and generally the next day it almost definitely shifts to the other corner. This cycle continues. So, the frequency is around 2 headaches per week. I used to take\u00a0Paracetamol and Aspirin though the medicines were not very effective. If the medicines are taken within the first half an hour of the beginning of pain, it gives reasonably good results. Two years back, my family doctor prescribed Sibelium 10 mg to be taken once every night. It gave me good results for a while but it increased my hours of sleep and resulted in weight gain and then the migraine attacks also started. My doctor prescribed Zen 200 mg to be taken every morning over and above Sibelium 10 mg in the night. This gave me very good results. Migraine attacks almost stopped.\u00a0I stopped taking Sibelium and Zen 200 mg was enough to control migraine unless I am travelling by car for over 3 hours. My doctor told that the clinical dose of Carbamazepine is 1600 mg per day and 200 mg is negligible. I gradually reduced the dose to 100 mg per day and then 100 mg twice or thrice a week. Later, though Carbamazepine is not considered as a pain abortive medicine, it worked for me. I used to take 100 mg tablet whenever required.\u00a0 For the last 6 months, I am feeling that I am suffering from memory loss. I used to have a very sharp memory. But, nowadays I forget names. Though, I do not forget events that much but my memory power of remembering names has become miserable. I even forget the name of a person I meet a week or a month ago. I have stopped taking Carbamazepine since June and I am taking Sibelium 10 mg whenever required, approximately twice a week, with good results. But, my memory especially in remembering names has become dull.\u00a0Please advice. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29693, + "tgt": "Kindly give your opinion about the swelling in my neck", + "src": "Patient: Hi doctor, I have an impacted wisdom tooth on my left jaw. I had an infection three months back and now, it returned. My oral surgeon is holding off my surgery until confirmation from a rheumatologist. My infection has returned with tenderness, pain and spasms reaching my ear. They started me on antibiotics 500 three times daily for seven days. It is the fourth day and my neck has gotten swollen on the left. It has been difficult to swallow and I feel a lot of pain and tenderness. It is hard to open my mouth. I have no fever. I began to feel pain on my right side. My oral surgeon sent me to the ER instead of seeing me and there they took a quick look and told me that I do not have an infection in my throat just in my jaw. I am just wondering how they know without any tests. I felt like they were trying to discharge me desperately. My primary physician is aware and wants my wisdom tooth removed. Since I was placed on antibiotics three times in the past five months, he does not feel comfortable with me taking them again because of my occasional diarrhea and to prevent resistance. Kindly give your advice. Doctor: Hi. For further information consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9143, + "tgt": "Can I use Hydrozole for jock itch?", + "src": "Patient: Hi doctor, I had jock itch two months ago for the very first time. It is still there but fading. I started using Hydrozole cream two weeks ago, it seems to be working. How long it would take for a complete cure?\u00a0After using this cream I fell some itch in legs. Now the groin skin appears red and very shiny but not normal skin tone. Today I also noticed small pimple like things growing on my hands filled with some transparent fluid.\u00a0Is this all connected? Should I be worried? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11326, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 5488, + "tgt": "I am unable to recollect things suddenly for sometime. What could be the reason?", + "src": "Patient: Hello doctor, I am having blood pressure and diabetes. Currently, I am using Triolmezest 40 mg and Starpress XL 25 mg for blood pressure and Glimestar-M1 for diabetes. All levels are normal including lipid, echo, HbA1c, etc. Two days back, all of a sudden, my neck started paining and there was a blurredness for sometime. After closing my eyes for few minutes, I was normal. Neck pain continued and after one period I was not able to recollect the names of the people for five to ten minutes and fully conscious. After 10 minutes, I was able to recollect everything. Of course, I was under little stress. Kindly suggest what could be the reason or is it normal for everybody? Kindly advise the precautions and any diagnostics. Longtime back, I was diagnosed for spondylitis but there is no pain usually. Doctor: Hello, Welcome to icliniq.com. Since you are a diabetic and hypertensive, in such a case I would like to evaluate you for the possibility of transient ischemic stroke (TIA). I would recommend an MRI (magnetic resonance imaging) brain and a color Doppler. If all results are normal, then this could be a postural fainting attack, cervical myalgia or could be simply stress-induced. So, go ahead with the tests. Start exercises, meditation for stress relief. Never skip your breakfast. Do not stand for long hours. Drink plenty of fluids. Also, keep a watch on your blood pressure. I hope this helps." + }, + { + "id": 26141, + "tgt": "What are the side effects of taking post-exposure prophylaxis?", + "src": "Patient: Hello doctor, I had unprotected vaginal sex with a woman 17 hours ago, and I am worried if I may have contracted HIV. I say this because I have learned that the woman I had sex with has multiple sexual partners and I am anxious she may have HIV. I am not in a position to ask her if she has HIV, and even if I do, I am pretty sure she will not tell me the truth, or worse still, she may not even know it herself. My question is, should I undergo a PEP (post-exposure prophylaxis) course? If yes, then what are the side effects that I will have to contend with? Also, are there any risks (short or long term) associated with a PEP course? I am very anxious and would be extremely thankful if you could help me. Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27666, + "tgt": "I am depressed and feel like killing myself. What is wrong with me?", + "src": "Patient: Hi doctor, I am depressed. I feel like killing myself right now. I think about being in a car crash or cutting myself, but I do not know. I do not want to do it. I feel\u00a0deserted from every corner of my life. Everybody is hurting me. And I have no one to talk to or turn to. I do not even have a shoulder to cry on. What is wrong with me? Doctor: Hello. Thanks and take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24219, + "tgt": "What is the role of ringer's lactate solution in self insemination kit?", + "src": "Patient: Hello doctor,I was diagnosed with ED after a penile Doppler study and observed with low blood flow. We both have been checked and confirmed with no issues with HSG (tube test, semen analysis, etc.). As we want to have a baby, and all the reports are normal, (only problem is ED, not able to perform intercourse), the doctor has suggested self-insemination at home. He has given a catheter, a container for collecting sperm and syringes to perform the self insemination. He suggested to add equivalent amount of ringer lactate solution with the sperm collected in the container. Then, take the mixture in a syringe and flow into the vagina through a catheter. We just want to have a second opinion to know whether it works out and mainly want to know why we need to add ringer lactate solution along with the sperm. What is the importance of adding ringer lactate? Is it mandatory to add this solution or can we do without the solution? Your inputs will help us to know the process in a better way. Doctor: Hello. Ringer lactate is not mandatory. Sometimes, it helps with the sperm speed, but you can do without it. Your erection problem may be due to stress or anxiety or due to any medicine or nutritional supplement if you are taking any. Penile Doppler often gives erroneous results. Usually, it is not performed properly with visual erotica. You need to do blood tests: Depending on the reports, the treatment is decided. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 25061, + "tgt": "Is my pregnancy chicken pox connected in any way to my baby's rickets?", + "src": "Patient: Hello doctor,I have a baby boy who is 1 year 8 months old and his weight is only 8.4 kg (birth weight 2.6kg). Before one month, I recognized some irregularity in his walking and went for an X-ray and blood test by the recommendation of a doctor. And diagnosed that his vitamin D and calcium values are very low (vitamin D 19.9 and calcium 6.8) and also he is affected with a mild form of rickets. On the same day, started the medicine as one injection in two legs and vitamin D and calcium supplements are continuing. I was affected with chicken pox before 15 days of my delivery. Are these are connected? Anything to worry? Is it reversible? Also, I have one more doubt to ask you. My baby is not taking any food. By grating, I am giving everything as a semi-solid form by using spoon type feeding bottle. Is anything to worry regarding this? Is semisolid food is alright for him? He is not interested in any food including chocolates. Please give me the proper solution. Doctor: Hello. Firstly, rickets is completely reversible and nothing permanent. Your babies values are very mildly affected. So, by the course you are giving him it will be cured completely. Your pregnancy chicken pox has nothing to do with his condition presently. So do not feel guilty in any way. Coming to food issue, it is perfectly alright for your child to eat semi-solid food. Do not worry about that. Some children like the texture of the food being semisolid. Please encourage him to drink more milk and eat a lot of curd. Please do not force the kid as it can lead to repulsion. The child\u2019s calories intake should be approximately 1000 kcal. Increase the intake slowly over a period of one month. Do not force feed. Plan the meals accordingly. Please feel free to contact me anytime. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 8610, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12645, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28619, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5816, + "tgt": "I had blood in my stool followed by a slight fever and fatigue for one day. Why?", + "src": "Patient: Hello doctor, I had blood in my stool. I have not seen in the stools but in the toilet bowl. It is bright red in color, seen only for one day and I had a slight fever and fatigue for one day. Four months before the same symptom happened. Doctor: Hello. Your condition is moreover a sign of hemorrhoids. Recent hard stools may because of frank blood in the bowl. Fever is due to sudden deranged bowel. It usually recovers quickly. Hemorrhoids, fissure. Per rectal examination or Proctoscopy. Hemorrhoids. Surgery for removal of hemorrhoids. Decrease weight, trunkal obesity and fibre rich food. Follow up for any pain or bleed." + }, + { + "id": 11321, + "tgt": "I have lost most of my foreskin in circumcision. Is there any medication to stimulate the growth?", + "src": "Patient: Hello doctor, 20 years ago, when I was an young adult, my foreskin was mostly removed in circumcision. Some loose skin remains, although not enough to cover the head at all. Is it possible to regrow the skin or parts of it? And is there any medication or cream that could be used to stimulate skin growth? Doctor: Hello. I can understand your concern for your symptoms. There are medicines to grow cells, but using in penis region is not an option. If your excess skin is giving difficulty during masturbation or sex, the only option is to see a surgeon and remove the excess skin and lead a happy life. If there is any other reason you want to remove the skin, do explain. We can work it out. Kindly elaborate your complaints and all the doubts or question you have in one message so I will do my best to explain all in an understandable scientific way." + }, + { + "id": 6996, + "tgt": "I am on Modafinil for day-time sleepiness. Am I at the risk of acquiring SJS?", + "src": "Patient: Hello doctor, I have contacted my psychiatrist because of day-time sleepiness and weariness. I am a student, so I have a lot of work to do and sometimes do not sleep at night. He suggested the use of Modafinil. While doing some research, all the side effects did not bother me, except for SJS syndrome. My psychiatrist did not have experience with this side effect while dealing with other patients. I am a bit anxious about it, so I decided to have someone else to give me advice about it. What do you think and is there a way to predict or avoid SJS? Doctor: Hello. You may know that Modafinil is a psychostimulant drug which can be used to promote wakefulness. It is known to cause cutaneous side effects in some people. SJS (Steven-Johnson syndrome) is a very rare side effect, and it is difficult to predict unless there are any known risk factors. Is there any particular reason you are more worried about SJS? Did you develop any cutaneous side effects with other drugs? Did anyone in the family develop SJS? Is there any history of immunological problems? In these circumstances, there is an increased risk of SJS. Otherwise, it is difficult to predict such a rare occurrence. Many commonly used drugs like Acetaminophen (Paracetamol) have also been implicated in SJS. So if you notice any fever, skin rash, and blisters after taking the medication, the stop it immediately and seek medical help. If you are feeling anxious about this rare side effect, then another option will be not to take Modafinil. You can try healthy caffeinated drinks which are also effective stimulants and help during course work. I hope this helps." + }, + { + "id": 1926, + "tgt": "Since the time I took antibiotics four years back, I am having stomach issues. What to do?", + "src": "Patient: I've been having stomach issues for almost 4 years now, when I was put on two rounds of back-to-back antibiotics for a bad tooth abscess. I was put on Augmentin and then Clindamycin, along with the use of Motrin and Tylenol as directed by my dentist. Since then, I have had stomach issues including: going to the bathroom more often, feeling pressure when having to go to the bathroom, occasional mucus in stool, and more recently, bouts of nausea, bloating/cramping, and very smelly gas. I have had various blood panels, tried probiotics (including VSL), rifaximin, diet changes, and I'm currently on Viberzi, which helped but made me a bit constipated/tired/bloated, so I lowered the dosage to 1 pill (100mg) per day instead of 2, which decreased side effects but also decreased effectiveness of the drug. Also, it seems my metabolism has shifted after the antibiotics and I gained weight faster than I ever have, and I am still struggling to keep my weight down after making significant diet and lifestyle changes. Any insight here into the weight gain and then anything else I could try for the stomach symptoms? Thank you! Doctor: Hello, Welcome to icliniq I have reviewed your concern. After taking antibiotics your gut bacterial composition has been changed and it has started to cause troubles for you. Weight gain is also seen in such cases. Since you have tried a lot of things and finally viberzi showing some results for you. I am happy things have finally got some control. For your concern regarding relatively rapid weight gain and metabolic shift is genuine. I would say, you are a good observant. What further helps you to restore your gut bacterial composition is to opt for natural selection. Like food changes, you have to avoid junk and bakery products as much as possible, Take alot of yoghurt (natural probiotic) and fruits. Increase use of vegetables. Avoid alcohol if you are taking. Continue exercise or at lease try to remain active. Collectively, this will change the story, you will feel better, but definitely process is slow and it will take time. So you have to exercise patience. I hope you will find it super helpful, give your feedback, let us know after a week, how you feel. If we could do further for you, we will definitely do but it depends how you take the things from here. Humble regards" + }, + { + "id": 19873, + "tgt": "Pain is not subsiding after root canal treatment. What to do?", + "src": "Patient: Hi doctor, Three weeks ago, I had my\u00a0root canal treatment done. Pain is not subsiding. Please advise. I have enclosed latest x-ray for your reference. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7747, + "tgt": "Can oil pulling and eating Calcium-rich diet reduce cavities in teeth?", + "src": "Patient: Hello doctor, This is really embarrassing as I have 10 to 12 cavities in my teeth mostly in between two teeth but still I am developing new cavities now in front teeth. It seems like my full mouth is composite filled. I have healthy eating habits and not a sugar addict. Kindly suggest some measure to save my teeth as I do not want to have denture in the next 10 years. Will oil pulling and eating Calcium-rich diet help me? Doctor: Hello. It would be better if you could start continuous brushing after every meals. Use dental floss to remove food stuck between teeth. Go to a dentist every 4 to 5 months and do cleaning of teeth to remove bacteria and plaque. See if you can get a toothpaste containing fluoride. Fill all carious teeth at the start itself. These much steps are necessary for patients with much caries risk. Avoid sticky food like biscuits, chocolate, etc. Increase intake of fibrous food." + }, + { + "id": 18182, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20409, + "tgt": "What can be done for tiny bumps on face and dark circles?", + "src": "Patient: Hello doctor, I had small tiny bumps (not pimples) all over my face. Also, I had dark circles with puffiness under my eyes. Please provide me some home remedies or methods to cure these problems. Doctor: Hello. I understand your concern. Inadequate water intake can sometimes lead to the occurrence of bumps over the skin and dark circles. I recommend that you increase your fluid intake to at least two liters daily. Sometimes, Vitamin A deficiency can cause similar symptoms. This can be replenished by eating food rich in Vitamin A like carrots, red peppers, spinach, mango, muskmelon, watermelon, papaya, and guava. If you are a non-vegetarian, eggs, lamb liver, salmon and tuna are good sources. Stress and lack of sleep can also lead to dark circles. So try meditation and regulate the sleep cycle. Sleep and wake up at the same time daily. If there is no change after one month, meet a doctor personally for a clinical examination." + }, + { + "id": 10235, + "tgt": "What is the small fleshy growth in my anus?", + "src": "Patient: Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth\u00a0retracts inside when I contract the surrounding muscles, but it comes out when I relax. It does not cause any pain during other times. I am attaching a picture of this fleshy growth. Please help. Doctor: Hi. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the base of these skin tags. Here is what you need to do: To heal the fissure, do sitz bath. Take lukewarm water in a medium sized tub, put two teaspoons of ordinary salt per liter of water. Total 10 g salt per liter of water. Now sit in this water and try to push out on the anus. Try to make the water clean and sooth your anal region. Sit for around 15 minutes, 3 to 4 times every day for a month or so. Try to do this at least twice per day if you are working professional. It will decrease pain, itching, and help to heal the fissure. Do these for around 6 to 8 weeks. For pain relief during passing stools as well as healing of the fissure, I suggest the following or equivalent generic combinations for at least three weeks, after that only sitz bath should be enough: For constipation, I suggest you try the following: Curing constipation treats these and also prevents these from troubling again. Some people need surgical treatment for bleeding hemorrhoids, but only if dietary measures are not effective in controlling the problem. I hope that helps. Kindly leave feedback. Follow-up if you need any more information. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 14673, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9345, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26398, + "tgt": "What is the reason for foul smell in my mouth? What can be done?", + "src": "Patient: Hello doctor, I have been experiencing a foul smell in my mouth since a few years. This may be due to an unclean stomach. Please, can you prescribe me some medication to clean the stomach? Also, whatever I eat does not nourish my body. Can I know the reason? Doctor: Hello. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician \u00a0" + }, + { + "id": 12571, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3562, + "tgt": "My wife is pregnant and her T3 value is high. What to do?", + "src": "Patient: Hi doctor, My wife is 17 weeks and 4 days pregnant.\u00a0She has been diagnosed with T3 thyroid - 237, hemoglobin - 10.4 and low RBC count. Currently, she is taking Aspirin gastro resistant 50 mg, Milical od 740 mg and Fecontin-Z 61.8 mg one tablet per day.\u00a0Does this have an impact on child? What measures or corrective steps to be taken for normal delivery? I have attached all her reports. Please guide. Doctor: Hi. I have seen all the attached reports (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20048, + "tgt": "Could you let me know the seriousness of my dad's diabetes?", + "src": "Patient: Hi doctor, I have attached the blood reports. And, with that it was diagnosed as diabetes. Please share your opinion. Doctor: Hello. Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4307, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3361, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9247, + "tgt": "How to remove the stretch marks from our body?", + "src": "Patient: Hello doctor,I have stretch marks on my whole body, and I want to remove them as they are white. Please suggest me some medicine to remove them in a year as after a year I have my marriage. And I get these stretch marks at the time of puberty, and I had mentally suffered because of the stretch marks, and I cannot wear sleeveless clothes. Doctor: Hello. Stretch marks are formed in areas of a rapid growth spurt or weight gain, due to side effects of certain medications or other medical conditions. Treatment will depend on whether your stretch marks are new or old, color reddish or whitish and the cause of stretch marks. Co2 laser sessions are quite effective. Topical Tretinoin has a role, but you should apply it only with the advice of your dermatologist. You can apply emollients like coconut oil or olive oil and Vitamin E for the time being. You may put up some clear pictures of the affected area for proper evaluation and guidance." + }, + { + "id": 4524, + "tgt": "Is fourth generation HIV test conclusive in 3 months?", + "src": "Patient: Hello doctor, How conclusive are three months negative HIV fourth generation duo test? I did an unprotected vaginal and oral sex with a prostitute and have feet and leg burning pain, prickling, tingling in feet and hand fingers. Is there any test that tells I am 100% HIV free? My doctor told me it can take up to five years to detect HIV but on the internet it says three months. Please clear my doubt. When can I do the final test and what I do for my symptoms? Is there any other test for that? Is this neuropathy of HIV? Doctor: Hello. Generally, the HIV infection takes few days to years to produce the symptoms (it is called as incubation period). The incubation period is not fixed in HIV infection. It is the time taken for the organism to establish itself within the human body. As all of us know that HIV establishes when one's immunity comes down. So, if someone's immunity is good enough, he may not develop any symptoms even after HIV infection. If the immunity had come down, then the HIV infections will be expressed. Thus, the clinical symptoms appear based on patients immunity. Similarly, the few tests show positive only after the immunity has come down. But, there are some confirmation tests that tell about HIV even in the early stages. The fourth generation HIV test is one among such tests. Thus, we can come to the conclusion that you are HIV negative. The peripheral neuropathy may be due to other causes. Definitely, it is not due to HIV. The first symptoms of HIV infections are continuous fever, body weight loss and chronic diarrhea. In advanced cases, there will be white coating in tongue, continuous sputum expulsion by cough and peripheral neuropathy. I feel you no need to repeat the HIV test again. If you still want, do it after one year. Be prepare your mind that HIV is negative for you. It is the confirmation test." + }, + { + "id": 4787, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 11995, + "tgt": "How will a 7 mm uterine fibroid impact my life?", + "src": "Patient: Hello doctor, I am a 28 year old female, and today I went for an ultrasound scan of the abdomen, as advised by my family physician. My test report shows small hypoechoic lesion of 7 mm in the fundus\u00a0myometrium. It is indicative of a fibroid, and my endometrial thickness is 7 mm.\u00a0What is the meaning of this 7 mm lesion? How will it impact my health? Doctor: Hi. How are you doing? If I may suggest, just forget the report, let me explain why. Fibroids or myomas are harmless masses in the uterus, which are hormone dependent. It keeps growing as long as you have estrogen, so once your hormones stop after menopause, it will cease to grow and may regress. They never turn malignant. If you scan 100 ladies randomly, 50 to 70 % ladies will have fibroids of varying size. But they should never be treated unless they are causing some symptoms like excessive or intermittent bleeding during periods, excessive vaginal discharge, severe pain in the lower abdomen during periods, pressure symptoms on the bladder or bowel or back or kidney, or if the fibroid is interfering with the baby. We advise any fibroid of more than 5 cm should be removed, it grows at 1 to 2 mm per year, so you should have no problem. So just forget it, maybe have a scan again after 2 to 3 years or when trying for pregnancy. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16157, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30359, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11278, + "tgt": "Why is my 2 months old son suffering with dry cough?", + "src": "Patient: Hi doctor, My son is 2 months old and he is suffering with dry cough over the last 3 days. We consulted local doctor and he advised TA-65 capsule which can be taken by mixing one capsule in 10 cc of distilled water. He advised to use 2 mL of this mixture for 3 days. My question is how exactly does TA-65 work for cough? Doctor: Hello. Your kid is probably suffering from some throat infection or lung infection (respiratory infection). TA - 65 is a telomerase activator, it comes in capsule form. It is used to boost immune system, skin and given for sexual improvement. It has no role in cough and it is not given in children. I advice you to not to give this medicine to a child. You should probably consult a different pediatrician there as rest of medication like antibiotics or medicated nebulization or any investigation needed. It cannot be advised without examining the child. Viral infection of respiratory tract. 1. CBP (complete blood picture). 2. CRP (C-reactive protein). 3. Chest x-ray if required. 1. Upper respiratory infection. 2. Bronchiolitis. 1) Kufril LS drops (Ambroxol hydrochloride and Salbutamol), 4 drops, three times a day. 2) Nebulization with 3% NaCl (Sodium chloride), 3-4 times a day as required. Avoid cold weather and maintain hygiene." + }, + { + "id": 7126, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23274, + "tgt": "Red and painful boil on testicle makes walking difficult. Please help", + "src": "Patient: Hello doctor,I am a 25-year-old male. I have a boil on my testicle. It discharged some yellow fluid in the morning. It has turned red now. I feel pain when I walk due to friction. I applied Candiderma powder in the morning, but now I forgot to get the powder to the office and I feel uncomfortable while walking. Please suggest a cream or powder to reduce the inflammation. I assume it is Fordyce's spot. Doctor: Hello. I have noted your concern. Perhaps, it is a bacterial skin infection - red, painful and swollen. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3848, + "tgt": "My heart is beating fast. Is it due to anxiety or any underlying problem?", + "src": "Patient: Hi doctor, I am 26 years old. I have noticed that sometimes I wake up with my heart beating too fast and can feel my heart. This first happened when I woke up and took a look at my little child and thought my child was not breathing. That time my heart rate increased strongly. After this, sometimes when I take a nap in the afternoon I woke up with heart rate increasing and little pain in chest that lasts for a few seconds. My heart goes back to normal within a few seconds. It does not happen at night. I am a stressful person and always worried. I am overweight too.\u00a0Also, I have trivial MR that was diagnosed last year. But, I was not advised to have any treatment. My oxygen level is always above 96.\u00a0What do you think about this? Is it just due to anxiety or a heart problem? Doctor: Hi. Please follow exercise and diet to reduce weight. Trivial MR - mitral regurgitation can progress and cause atrial fibrillation (irregular fast heart beat). So, for now check your thyroid functions (T3, T4 and TSH - thyroid-stimulating hormone), ECG (electrocardiogram), echo (to see MR status) and Holter monitor (a 24-hour ECG). Take a tablet Lonazepam-MD 0.5 mg (Clonazepam) under tongue while you have this episode, because it can be due to panic or anxiety. Check plasma glucose for diabetes and check lipids also. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21427, + "tgt": "Is there any solution to make my face match my body color?", + "src": "Patient: Hello doctor,My face is so dark when compared to my body. I am a sports person so from my childhood I am exposed to sunlight a lot. Is there any solution to come back to my body color? Doctor: Hi. I understand your concern. You should use sunscreens with SPF 50 or more daily. Try to avoid sun exposure as possible. The creams used to increase skin color will do more harm than good. Melanin is the pigment which causes darkening. Its production increases on exposure to the sun. So protection from the sun by using sunscreen will definitely help to prevent darkening. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3034, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15954, + "tgt": "I ejaculate within two minutes of intercourse. What should I do?", + "src": "Patient: Hello doctor, During intercourse with my wife, I ejaculate the entire semen within two minutes. After ejaculation, the erection goes away. I am unable to understand how to maintain the longevity of the erection during the intercourse. Please guide next course of action. Doctor: Hello. I have gone through your problem and understand your concern. Premature ejaculation is quite a common problem. There are two approaches to manage this problem Now coming to the behavioral therapy, there are different methods you can try with your partner during sexual activity. These are difficult to explain here but you can find them online and can practice. These are Medicines for premature ejaculation are SSRI (selective serotonin reuptake inhibitors). SSRI as a class has side effects of delayed ejaculation so this side effect is used here as a therapeutic one. I suggest you can either try Fluoxetine, Paroxetine, or Sertraline once a day. Also, Dapoxetine can be used on an as and when required basis at least one hour before the sexual activity. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. First, try behavioral methods and continue using them as these techniques take time to show their effect. Similarly, the drugs also take one to two weeks to show their effect. These drugs are prescription drugs. Thanks and regards. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23972, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7065, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25637, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1203, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 3399, + "tgt": "How to cure eye allergy?", + "src": "Patient: Hi doctor, My 3 year old son has eye allergy for over two months now. When I consulted first, doctor suggested after inspection that it is a kind of seasonal pollen allergy and to give the eye drop Olopatadine along with Cellulose based eye lubricant. As it was not completely cured they gave steroid based eye drops also. There was some\u00a0improvement with steroid based drops, but the doctor said it cannot be given for a longer time. I have also shown him to other eye specialists and they too said the same thing. The problem is that it looks like there is improvement but again the eye turns red. It is present in both eyes. Please help us. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17707, + "tgt": "I get abdominal pain while urinating, and my urine shows RBC. Please help", + "src": "Patient: Hello doctor, From the last two\u00a0years, I have some problems. At an interval of 2 to 3 months, I sometimes get lower abdominal pain while urinating. A few months back, the pain was terrible for two days. I consulted my\u00a0doctor, and he advised me some medications. He told that it is a case of cystitis. My KUB ultrasound was found normal. But during a health checkup a\u00a0few days back, RBC was detected in my urine. So, the doctor told me that I have a chance of having a kidney stone. I am uploading my urine report for further details. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9039, + "tgt": "My feet is numb and tingly. Is it due to nerve entrapment?", + "src": "Patient: Hello doctor, Since 19 months, I have had severe problems with tingling in my feet. This started one week after a 27 km run, where I suddenly got pain in my feet and had to stop. The pain went away, but the tingling started in my left foot one week later. At first, some intermittent buzzing in the outside of the sole started, but after a while, this became permanent tingling and some numbness in the same area. The problems in my right foot began a few weeks later. As far as I can tell, the problems are located in the medial plantar nerve in the right foot, and the lateral plantar nerve in the left foot. There are also a lot of muscle twitching in the right foot arch, and the symptoms can easily be aggravated by tapping on the outside of the legs, from the knee and down. Tapping on the inside of the ankles also reproduce the symptoms. I have done three NCS and EMG, but it showed no signs of neuropathy or any other nerve disease. I am taking Gabapentin and Lyrica. Please help. Doctor: Hello. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16030, + "tgt": "How to become healthy after getting recovered from liver disease?", + "src": "Patient: Hi doctor, I have a liver disease for the past few months. My blood report showed a bilirubin of 1.8 mg/dL. I took Pan 40 and Ribsyn tablet for the past one month. After taking medications, my bilirubin got decreased. Now, I am too slim. How to become healthy? Doctor: Hi. The liver is the most vital organ in the body. It takes part in metabolic activities. When it works correctly, you will gain weight automatically. Take the following medicines. Take Liv 52 syrup (Caper bush with Chicory) 10 ml twice a day before food. Take Kutki capsule (Picrorhiza kurroa) one tablet twice a day after meals. Take Rohitakarishta 15 ml twice a day with an equal amount of water after meals. You should follow some precautions. Avoid eating spicy and fried junk foods. Drink plenty of water. Do regular yoga and pranayama. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 8728, + "tgt": "My gums are receding and my jaw bone is exposed. Will I lose my tooth?", + "src": "Patient: Hello doctor, I have been suffering from a\u00a0swollen, bleeding and receding gums. I tried Corsodyl mouthwash, but I want more advice. I am dreading going to the dentist. I really do not want to lose my tooth. The top bone area is currently exposed. I really need help, please. Doctor: Hello. Revert with more information to a\u00a0dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 11715, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26967, + "tgt": "I am about to get married, but have an erectile disorder. Please suggest a remedy", + "src": "Patient: Hello\u00a0doctor, I am about to get married and I have an erectile disorder. Should I take any medicine? Kindly suggest some remedy for the same. Doctor: Hello. Feel free to ask your doubts with more details. Regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 17168, + "tgt": "What is the best medicine in ayurveda for ED?", + "src": "Patient: Hello doctor, I am 62 years old. Since the\u00a0age of 44, I have been having ED issue. What is the\u00a0best medicine for ED? I do not have any sugar complaint. I am taking Repace 50 mg for correcting my BP. Doctor: Hi. 1. Age. 2. Lack of proper diet. 3. Lifestyle. Semen analysis. Revert back after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20024, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17175, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10115, + "tgt": "I had spotting on the next day of my unprotected sex. Is this a sign of pregnancy?", + "src": "Patient: Hello doctor, I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better. Doctor: Hello. Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure." + }, + { + "id": 27009, + "tgt": "Can you please suggest some precautions and exercises for my tennis elbow?", + "src": "Patient: Hi doctor, I am a 40 year old healthy man. I recently got mild tennis elbow because of playing badminton heavily every day. Can you please suggest some precautions and exercises, which help in quick healing? I wish to get it corrected without surgery. I do not want to stop playing for a long time. Is applying ice or warm water in that area helpful? My son, who is 10 years old, also plays badminton and seemed to have\u00a0milder tennis elbow. Do you like to give any suggestions for him? Thanks. Doctor: Hi. Tennis elbow can be treated by the following: For conservative management, I suggest you: Besides, you also can try therapeutic ultrasound or high intensity (HILT) laser therapy by a qualified physiotherapist. For further queries contact a physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 16972, + "tgt": "Suffering from eye strain with mild headache around eyes. What is it?", + "src": "Patient: Hi doctor, I am 39 years old. In postal department, I am\u00a0working\u00a0continuously with computer from 9 AM to 6 PM daily. For the last three months, I have been suffering from eye strain with mild headache around the eyes (near eyebrows). Almost the whole day I am feeling the pressure on my eyes. Sometimes, it gives me relief if I blink deeply.\u00a0Two to three years back too suffered with the same, but this time it is prolonged.\u00a0I have my power checked, it is 0.25. Doctors have told that it is CVS and gave me Refresh tears or Extralube (Carboxymethyl cellulose sodium eye drops), Toba (Tobramycin) along with some vitamins and no spectacles were prescribed. But, I have not seen any improvement. So, I cannot work properly in the office. Please suggest some other eye drops for me. Thank you. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16635, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12983, + "tgt": "How can balanitis and swollen painful vein be treated at home?", + "src": "Patient: Hi doctor,I have been having some issues with my penis. At first, a month ago I thought I had balanitis and so I used Terrarisil balanitis cream but I have only used a few times and now I see that one of my veins got swollen and it feels like it aches a little. I do not know what to do with both these issues. Can I treat myself at home before it gets worse? Doctor: Hi. I would like to know your age, are you sexually active? To me it looks like Mondor disease, a condition in which veins get swollen for which there can be many reasons like penile injury, sexual activity, etc. The condition is treatable. You have to take oral antibiotic and pain killer along with antihistamine. Mondor disease. Tablet Co-Amoxiclav 1 gm BD for one week, tablet Ibuprofen or Aspirin for one week. Non-sedating antihistamine tablet. Maintain hygiene of the area, wash with soap and water." + }, + { + "id": 11534, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20108, + "tgt": "Can you suggest a good solution for asthma?", + "src": "Patient: Hi doctor, I am suffering from asthma. I cannot do anything physically. I feel very tired and not able to breathe properly. Currently I am taking Deriphyllin. Please help me. I need some relief from this problem. Can you suggest a good solution for this? Thank you. Doctor: Hello. I feel sorry for the symptoms you have. I am more than happy to assist in getting you out of this situation. Keep an eye on how to use the medications suggested to be used. Asthma is a disease that needs serial evaluation and World Health Organization recommends adjusting the dosages according to serial evaluation as every patient needs different regimens. 1. May be due to some allergens like fomites (an object contaminated with infectious organisms), animal dander, open fresh air, pollution on roads, dust allergy from carpets in home, dust from your bedding, colognes, etc. 2. Nasal or throat diseases also cause this issue in many patients. For example nasal polyps, nasal septal defects, etc. Respiratory function tests, one test right now and keep as a record before starting the medications. Other test few weeks later when you will be going to consult a physician about your condition. 1. Inhaler Albuterol sulfate (Proventil HFA or Ventolin HFA and ProAir HFA) use either of them as needed. If you feel short of breath and feel you are ongoing oxygen debt, take two puffs of this metered dose inhaler. Keep a record that how many times a week you need to use this inhaler. If you need to use it before or after an exercise of physical activity and then write that down separately that you needed to use it that many times with exercise related shortness of breath. 2. Tablet Prednisolone (Pediapred or Prelone and Orapred) to be taken 5 mg two times a day. 3. Tablet Montelukast 10 mg at evening once daily. 4. Take tablet Fexofenadine 60 mg at night once daily. 5. You need to start these medications right away. Get back after few weeks. We continuously have to keep an eye on the condition and treatment goes accordingly. In case you have fever, you may take tablet Acetaminophen. Revert back with the investigations report to an internal medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28370, + "tgt": "Considering my cardiac health, should I get operated for gallbladder stones?", + "src": "Patient: Hello doctor, I am a\u00a060 year old female, who weighs 78 kg.\u00a0I have\u00a0multiple stones in the gallbladder.\u00a0And my vomits are greenish or yellowish in color. Once, I threw up brownish vomit, which my doctor said is blood, due to repeated vomiting. The gastric pipe gets torn\u00a0and abraded a little, and the stomach is acidic, so the vomit was brownish. I am diabetic from the past ten years. I was also diagnosed with high blood pressure, and I am on a mild medication. My surgeon wanted a cardiac assessment as standard operating procedures. He wanted DCE, an alternative test for stress treadmill test, due to high BP of 168/93 mmHg. I did a normal echocardiogram, which was as per him fine. So, he did not perform the stress test and told to go for the surgery, as the TLC count increased from 13500 to 19000 today. Today my BP is\u00a0138/80 mmHg. I have\u00a0no cardiac\u00a0history. Should I let them operate for gallbladder stones? I have doubts regarding my cardiac assessment. Doctor: Hi. The short answer, in my opinion, is yes, let them operate for gallbladder stones.\u00a0Here is why. I hope that helps. In case you need more information or second opinion after visiting your doctor or need help regarding what to do or which option to choose, kindly follow-up. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 5923, + "tgt": "After withdrawal bleeding, are there still chances of pregnancy?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex last week, and she took an I-pill within six hours of the intercourse. She got withdrawal bleeding or spotting today. Is there any chance of her getting pregnant? I was just worried. Please respond as soon as possible. Doctor: Hi. I have gone through your question and understood the concerns. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4979, + "tgt": "Can half erupted wisdom tooth cause pain on my face?", + "src": "Patient: Hi doctor, I am 32 weeks pregnant. I am having pain on the right side of my face. I have one half erupted wisdom tooth. Could it be the reason? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21903, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20124, + "tgt": "My symptoms of paresthesia persist even after decompression surgery. Why?", + "src": "Patient: Hi doctor, I have had a compressed nerve in the fibula head for almost 2 years following an operation to lengthen my right leg. The pain was only on and off seemingly after a certain activity. Over time, I could increase the activity level before getting the same symptoms, but then stop improving. My symptoms were paresthesias like zapping and pricking pain. Nerve conduction studies shows my nerve was perfect. I then underwent decompression surgery five weeks ago. After that we expected the symptoms to go as the nerve was now decompressed.\u00a0The symptoms are still the same after exercise and as before it last for a while each time before settling.\u00a0The doctor here says that it could take up to six months to heal. But, the fact is that it is now decompressed and it should not cause compression symptoms as the nerve is apparently otherwise healthy.\u00a0Your opinion would be very much appreciated.\u00a0Thanks. Doctor: Hi. I understand your question. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 18104, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1572, + "tgt": "I have Hashimoto's and alopecia with loss of eyelashes. What should I do to regrow it?", + "src": "Patient: Hello doctor, My main problem is alopecia. I had it from 2015 with several patches on the head and now they are gone, but the problem is my eyelashes are gone and never grew back. I used castor oil, garlic, and now Revitalash and other things. Two years ago a rheumatologist prescribed me Dolquine and I did not have patches but my eyelashes still fell. I have lots of problems like hypothyroidism and Hashimoto and currently on Euthyrox 100. My doctor told me it has nothing to do with alopecia because it is normal now (good T3, T4, and TSH, etc.). I newley knew that I have PCO (normal result in echo but my glucose is lowered after 1 hour of glucose 75 mg intake and my insulin was 60, plus androstenedione 3.5). And I have hyper prolactinemia for six years on its own did an IRM and no tumor and currently taking Dostinex. With all these problems I smoke water pipe (shisha, nargile) three times a day. Doctor: Hi. Your concern is genuine and you are so brave and facing all challenges very bravely. You did not mention your prolactin and thyroid hormone levels. Loss of hair can be autoimmune as you were treated for it as well and due to Hashimoto as well. If there is no skin issue involved in the loss of hair (you should consult a dermatologist for it) it may be due to your autoimmune disease. Hashimoto is autoimmune as well. What you can do is that you decrease the TSH (thyroid-stimulating hormone) target to a lower level with increasing Levothyroxine and then see if it has a better effect. I hope this helps." + }, + { + "id": 20152, + "tgt": "Why do i have consistent acid reflux the whole day? Can GERD cause sleeplessness?", + "src": "Patient: Hi doctor, I have consistent acid reflux when I wake up and until I go to sleep for about three weeks now. It is so bad now that I can not just eat. My mouth tastes to have a nice and yummy food. I get upper back and chest pains when I am lying down at night. I have been checked out by my cardiologist. The doctor did a stress test, CT angiogram and CT scan of the lungs. My next step is towards the gastroenterologist. I have sleeplessness for a few days. I have a small dose of Diazepam for the pain. But it does not alleviate it. Now, I am taking Prilosec regimen and tablet Zantac. Doctor: Hi. You seem to have gastroesophageal reflux disease (GERD). I would advise you to take a combination of Pantoprazole and Domperidone for the reflux. Also, you should take a soft and balanced diet. You should also put a pillow below your head when you sleep. Make a habit to walk after all meals. Avoid alcohol and smoking in case you do. Always brush before you sleep. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 14481, + "tgt": "I have lumbar lordosis and disc dehydration. Which is the best the non-surgical treatment?", + "src": "Patient: Hello doctor, I have a back pain which has made me stay in bed for two weeks. Now the pain has reduced but I have very limited movement, just to go to the bathroom but still, there is a pain when I want to stand up. I did the MRI test, the result was showing lumbar lordosis is decreased with scoliosis, disc dehydration and small central disc protrusion are seen at L3 to L4 level, disc dehydration and left paracentral disc extrusion are seen at L4 to L5 level with moderate central canal stenosis, disc dehydration and central disc protrusion are seen at L5 to S1 level with lateral recess stenosis and S1 nerve root impression. Please advice the best treatment option according to my situation, preferably non-surgery option. Doctor: Hello. Your MRI report shows evidence of wear and tear of the lumbar disc with some pressure on the nerves (attachment removed to protect patient identity). It is difficult to suggest the treatment without examining you in person. However, generally speaking, it is possible to treat lumbar disc disease without surgery with medication and physiotherapy. Wishing you a speedy recovery." + }, + { + "id": 8480, + "tgt": "Does continuous tingling sensation on face, legs, and arms indicate multiple sclerosis?", + "src": "Patient: Hello doctor, About a year ago, I started with tingling symptoms on the face, which was most consistent but also arms, legs, and torso those are more intermittent on both sides of the body. At time B12 was low started taking it after a couple of months symptoms better. Also, I had regular neuro examination and normal MRI of the head and cervical spine. After a few months, I stopped B12 levels up then a few months after the same symptoms again and B12 low again. Started back on B12 symptoms went away in a couple of months. Last month it started signs yet, but still, on B12 it is very high 1270 so symptoms not due to that. Had another head MRI was normal. My cervical MRI did show moderate to severe changes throughout of narrowing of foraminal in all areas c3 to c7. Also flattening of ventral cord c3 through 6. I am anxious about it being multiple sclerosis. Doctor: Hello. If your neuro exam and MRI brain and cervical spine are mostly normal, I believe that the symptoms may not be an indication of something serious. However, if the tingling persists, please get the following tests done. 1. Serum Vitamin B12 (to know if your supplements have worked). 2. Serum Vitamin D3. 3. Nerve conduction studies to check the conduction in nerves. I suspect all the tests will come out to be normal." + }, + { + "id": 15544, + "tgt": "I had depo injection and am bleeding continuously. Is there any way to stop the vaginal bleeding?", + "src": "Patient: Hello doctor, I am a 22 year old female. On the 24th, I got an implant (rod) in my arm to prevent unwanted pregnancy. 10 days after getting that done, I had bleeding for roughly three months non-stop. So, I started taking the pill for a while but the bleeding did not stop. Roughly two weeks ago, I got the rod taken out of my arm and got the Depo needle injected in. The bleeding stopped for three days and then again I have been bleeding for a week and a bit now. It started off really light and now mediumly heavy. It is really uncomfortable to wear sanitary napkins 24/7. It is making me depressed. Is there any way to stop the vaginal bleeding? Doctor: Hi. I understand that you are a candidate in whom implanon (birth control implant) did not suit well. It is good that you got it removed. You switched over to depot injection almost immediately. Ideally, you should have given a gap of a month and should have been placed on antifibrinolytics for the control of bleeding. Nevertheless, now that the depot shot is in, some irregularity in periods is expected for two months or so. This present bleeding can be reduced and stopped by antifibrinolytics like tablet Tranexamic acid 500 mg thrice a day for five days. You may choose to start them as early as possible. They do not have any side effects. But will help you stop the bleeding." + }, + { + "id": 26942, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21305, + "tgt": "Are PRP injections useful in chronic coccydynia?", + "src": "Patient: Hello doctor,I am 30 years old male suffering from coccydynia for many years due to injury. I fell back on cement at that time. X-ray showed a hairline fracture. The doctor said it will heal. Use donut cushion but the pain did not relieve. My pain symptoms are localized pain only at coccyx area. I cannot sit directly on the surface with coccyx wedge cushion can sit for 30 minutes. Recently, I underwent dynamic coccyx X-rays and lumbar spine along with coccyx. MRI reports say mild retrolisthesis at the sacrococcygeal joint along with obtuse anterior angulation (120\u00b0) which is mildly increasing in sitting compared to standing. I have undergone physiotherapy, external and internal manipulation, a steroid with numbing agent injection directly on the coccyx painful area without live X-ray alternative medicine, no relief. So, by seeing my reports please reply what is my coccyx condition name, whether it is hypermobile or rigid. Surgery is the only solution or can I try proper chiropractic adjustments which I did not get done or ganglion impair block and RF ablation, Prolo or PRP injections are useful in my case which is chronic? Please reply in detail. Doctor: Hi. Your condition is called coccydynia and usually, most of the patients improve with conservative treatment. You have also taken steroid injections which might have had given you relief for a few days. (Not mentioned in history but I am assuming). Surgery for the same is mostly not required. You can try for PRP injection. PRP (platelet-rich plasma) has been seen to cause healing as compared to steroid injections which only cause suppression of inflammation. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21423, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13988, + "tgt": "What has to be done for hole in tooth with pain and swelling?", + "src": "Patient: Hello doctor, My mother is 45 years old. She got a hole in teeth and she is complaining of a toothache for three days and from yesterday, she developed swelling on the right half of the face. Is this any sort of emergency? Doctor: Hello. After going through your query and image sent by you (attachment removed to protect patient identity), this seems to be a case of severe infection inside the right tooth. Tooth decay has resulted in infection in the innermost part of the tooth called pulp that contains nerves and blood vessels. Deep dental caries. Intraoral periapical radiograph (X- ray). Acute periapical abscess or buccal space infection. Acute exacerbation of chronic periapical abscess. 1. Treatment can be planned after analyzing the X-ray. 2. To reduce pain and swelling, antibiotics and anti-inflammatory drugs can be given for 3 to 5 days. 3. If infection beneath the root is not in excess, then root canal treatment can be done. 4. In case of excessive pus and infection, pus drainage followed by extraction should be done. 5. Immediate extraction is not advisable. 1. No hot fomentation should be done. 2. The face should not be covered. 3. No massage should be done. 4. Biting from the affected side should be avoided." + }, + { + "id": 18434, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9442, + "tgt": "My ears are recurrently plugged after medications. Why?", + "src": "Patient: Hello doctor, I feel my ears plugged from last week, and nothing I am doing is helping. This happened to me about a month ago, and the doctor prescribed steroid nasal spray, Reactine, and Sudafed. It cleared up within two days, but it is doing absolutely nothing now. I do not feel as though my sinuses (nose) are plugged, but now I am getting a headache. I am getting worried, and is this something serious? Please help. Doctor: Hello. The symptoms of aural fullness or plugging of ears can occur due to acute otitis media most crucial cause for which is eustachian tube edema secondary to allergic or acute rhinosinusitis. Did you have symptoms of nasal stuffiness, sneezing? Do you have any earache and decreasing hearing? How long have you been taking medicines? What kind of headache do you have? Is it persistent, or does it occur in clusters? Is it associated with nausea and vomiting?" + }, + { + "id": 5962, + "tgt": "I have pain in the left side of stomach with burping, gas and green stools. What could be the reason?", + "src": "Patient: Hello doctor, I have been experiencing a pain on the left side of my stomach with passing gas and burping in the stomach. My stool is green and there is no sign of blood and no vomiting. I have been to the doctor and he gave me Nexium and Ranitidine for three days. Also, I was feeling a little better after three days dose. On the fourth day, I felt belly discomfort and burning comes and goes mostly at night. Last night I felt a heat sensation on my neck. The next day I took the pills and the burning feel on the left side of the stomach and heat sensation a neck seems to get cooled. I feel like mucus or something is in my throat. Should I be worried? Also, I get random aches all over the body. Doctor: Hello. I understand your concern. Pain on the left side of the abdomen, along with burping and stomach pain are all suggestive of colitis. Since your stool is also green in color, it is advisable that you get your stool examined for parasites and ova. The sensation in the neck seems to be unrelated to your colitis, however, it could be due to acid reflux. Ranitidine will help and you need to continue. For such colitis, I will advise Ofloxacin and Ornidazole twice daily for five days. Random aches are also suggestive of colitis and infection. So start the medicine and get your stool evaluated. You can follow up once the reports are ready." + }, + { + "id": 25569, + "tgt": "I have 12 warts on my scrotum that have darkened over time. Please help", + "src": "Patient: Hello\u00a0doctor, I have about 12 warts on my scrotum that have not gone away for three years. Because of the length of time they have been there, it seems that they could only be molluscum or HPV. They vary in size from small dots to clusters of slightly larger dots. They have darkened over time, do not multiply, and just will not go away. I would love some assistance to steer me in the right direction, and what may help them go away. Thank you. Doctor: Hello. I have noted your concern. I request you to kindly upload a few clear images of the affected area so that I can have a look and guide you further. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 14700, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27312, + "tgt": "How do I get screened for cancer risk?", + "src": "Patient: Hello doctor, I am a 33 year old male. My weight is 91 kg, and height is 5 feet and 11 inches. How do I get screened for cancer? My mom died of lung cancer at the age of 52. My maternal uncle died of stomach cancer at the age of 50. I have a burning sensation in my stomach from the last three years. I did an ultrasound twice. It showed a fatty liver both times. But, I was not given any medicines. I have a problem of piles from the last 16 years. I always have constipation. I tried changing my diet to include salads, veggies, etc. I drink 6 liters\u00a0of water every day.\u00a0Also, I have other issues like back pain, tiredness, knee joint pain, persistent cough, headaches at night, and fatigue. Should I consult a doctor regarding these issues? Doctor: Hello. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 25875, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6854, + "tgt": "What are the signs of penile suspensory ligament injury?", + "src": "Patient: Hello doctor, I think I have damaged my penile suspensory ligament. The penis even in flaccid state is dipping down. I feel some tight sensations around the body of my penis. Also, the sexual excitement has very much reduced. Doctor: Hello. The best way to know for your erection problems is to do an erection test by a urologist. It is done by giving small injection at the base of penis and create an erection, then the urologist does a physical examination to see if deformity is within normal limit or it requires any correction. Penile suspensory ligament injury usually happens after external trauma, and not related to skin problems. MRI of pelvis is done if clinical suspicion of the injury exists." + }, + { + "id": 20213, + "tgt": "Can constipation be related to high sugar levels?", + "src": "Patient: Hello doctor, I am a 53-year-old female. I had gestational diabetes and 11 years later my sugar levels were high so started taking Glycomet. However, the fasting sugar level in the morning is always high and PP is less than fasting. Recent HbA1c is 6.9. Do I have to continue medicine? I walk daily for one hour and eat raw vegetables for breakfast. I have constipation problem. By any chance is it related to high sugar levels? Please advice me as to how to control or keep HbA1c below 7. Suggest me natural way of reducing sugar levels without medication. Doctor: Hi, Welcome to iclinq.com. Diabetes is not curable but controllable. The first line in the management of type 2 diabetes is lifestyle modifications. Fasting should not be higher than 110, postprandial should not be higher than 140, and HbA1c should not be higher than 7.5. My advice: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2008, + "tgt": "Will the brief use of anabolic steroids impact my hormonal profile in the future?", + "src": "Patient: I\u2019m hoping you can give me some answers/insight about what I can do for health optimization going forward. About myself, I recently turned 25 and have been lifting weights seriously since 18 years old. I am 6\u2019, 198 lbs and about 14% bf. When I was 19 I did an anavar solo cycle with Clomid pct and I did one halodrol cycle at 21 with another month of clomid pct. I have been off all anabolics since and wish I had never touched them. I have some fear that this brief usage impacted my hormonal profile going forward. My recent hormonal panel at 25 was a total test of 535 ng/dl, estradiol 30 pg/dl, and I had a tsh of 4.9. 1. Do you think the brief usage impacted my natural hormones going forward? 2. I wish these levels were higher, as I don\u2019t have the libido that I used to. However, these are totally within the normal range and I wouldn\u2019t do anything but low dose clomid or Aromasin to slightly increase. Could this work? 3. Would watching these levels and starting trt at 30 be a healthy decision? 4. Would you pursue Levothyroxine to get tsh below 2.5? I am starting medical school soon, and mainly trying to start with confidence in my health. Doctor:" + }, + { + "id": 27956, + "tgt": "What is this white layer on the head of my penis?", + "src": "Patient: Hi doctor, I am a\u00a029 year old male. From a couple of months, I have noticed white layer with a\u00a0bad smell on my penis head. Is it a sexually transmitted disease? What to do? How to get it treated? Please, suggest some treatment. Doctor: Hello. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5789, + "tgt": "Can I use Terbinaforce Plus cream for ringworm?", + "src": "Patient: Hi doctor, I am having ring like patches all over the body for the past five months. I have itching all over the body including private parts and now it spreads to face as well. I had Griseofulvin tablets, Liv-Cet-5 twice daily and Terbinaforce Plus cream for the last 2 months. But, it did not cure my problem. So, I have stopped taking it now. Kindly help me. Doctor: Hi. Fungal infection. Tinea." + }, + { + "id": 19114, + "tgt": "How to improve my weight?", + "src": "Patient: Hi doctor,My problem is that I am losing my weight when I physically intimate with my boyfriend. Also, I got miscarriage once. My height is 5'2\" and my weight is 45 kg. For the last three months, I had weight gain capsules. When I stop that medicine, I do not feel hungey. Currently, I am not on any medication. Please share some advise to increase my weight. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1196, + "tgt": "I have LVH and diastolic dysfunction. How to correct the condition?", + "src": "Patient: Hello doctor, I have been taking steroids on and off for the past three years. I got artial fibrallation a year ago (never again since then). My blood pressure was quite high 152/90 at the doctor. LV is normal and LVEDD is 53 mm, normal systolic function, no regional wall movement abnormalities. LVH - 14 mm and beginning diastolic dysfunction (E/A=1, E/E\u2018 8-15), LA 21 cm^2. I already lost 24 kg and now I am weighing 110 kg at 194 cm, my goal is 93 kg. I also stopped steroids and now my blood pressure is 123/75. Will my diastolic function recover once I managed to reverse the LVH? Doctor: Hello. I have gone through your query. Can I know why were you on steroids? Was there any particular disease that was diagnosed and started you with steroids? As there are many determinants causing diastolic dysfunction, one of the common cause is hypertension. And yes, diastolic dysfunction is reversible in the majority of the cases over a period of time if you properly control your BP, obesity, and start doing regular exercise, consume a healthy diet, and lifestyle modification. You should also stop any addictions like smoking or alcohol if any. Also, get your blood sugar levels and thyroid profile checked. Get back with details about your disease and indication for steroids for further discussion and management." + }, + { + "id": 18221, + "tgt": "I am HLA-B27 positive with vitamin D deficiency and back pain. Will it affect my marriage life?", + "src": "Patient: Hi doctor, I am a 29 year old\u00a0female. I got married recently. I am\u00a0HLA-B27 positive patient with vitamin D deficiency (less than 8%). These days, I am suffering from severe back and shoulder pain. Sometimes, there is a hip joint pain, and I am not able to sleep at\u00a0night.\u00a0Rarely, the pain remains throughout the day.\u00a0What can I do to overcome this pain except for painkillers? I just searched a few articles on the internet and found that my backbone will slowly start bending and will look like a slouchy person. I am worried. Will it also affect my marriage life? Do I\u00a0need to stop maintain physical relation with my husband? Please help me. Doctor: Hi. 1. ESR (erythrocyte sedimentation rate). 2. CRP (C-reactive protein). 3. MRI of the sacroiliac joints. 1. Tablet Nucoxia (Etoricoxib) 90 mg once at night for 14 days. 2. Exercises. Revert with the reports to a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 1528, + "tgt": "My nose is stuffy, and I have headaches. Is it a chronic sinus infection?", + "src": "Patient: I think I may have chronic sinus infection. It started 4 months ago, one morning I woke up and blow up my nose with yellow/greenish mucus and blood. I was having it only in the morning. I didnt had any other symptoms except feeling tired. I took advil sinus and used seawater nasal spray. It lasted couple weeks. After I only had a bit mucus dripping my throat when I woke up, but generally felt well, until couple months after I started to hurt and feel pressure in my inner right eye. I went to walk in clinic and got prescribed Amoxicillin/Potassium Clav for 7 days. My eye got better, but after I stopped antibiotics, after couple days I started to feel unwell again, so I contacted another doctor online and he prescribed me another antibiotics Clarithromycin 500 mg for 10 days. After I finished them, again the same. One day past and I didnt felt well. I was feeling tired, pain in my nose, my ears, even dizzy, my body temperature was higher than regular 37.2. So I contacted a nurse online and she told me that probably antibiotics doesnt work, because I had viral infection and told me to avoid diary, take vitamin C, D and probiotics( I was taking them and with antibiotics). It past two weeks generally I feel better, but still have stuffy nose in the morning with a bit yellow mucus, hurt my nose, or feel pressure in it. But I started to worry, because I started to have headaches on top of my head sometimes going to the back part and sometimes tingling feeling in the left side of my head, also I feel my heart rate is higher, specially in the morning. I already thinking maybe I am having anxiety, when I read what can happen if you dont treat sinus infection. I am using corticosteroid nasal spray, seawater spray, neti pot. Should I contact again doctor online and ask for more antibiotics? I guess with all this Coronavirus, I cant get referral to ENT specialist .Do you have any advice how I should treat it? Doctor: Hi, Looks like your having a chronic allergic problem out there. Now there are certain things which have to be understood in detail. 1. Allergic rhinitis is an immune complex issue which is innately present and starts showing symptoms at one particular age. It basically is a hyper responsiveness to something which is foreign and has accidentally entered into you nose causing cascade of chemical events leading to nasal congestion, watery nasal discharge, sneezing, itching in eye and nose, fullness in the ear and often leads to sinusitis causing heaviness in the area of your face involving the frontal and maxillary regions besides your nose. 2. Antibiotics has a limited role here unless it's an infection that we are are treating 3. You have to wear a n95 mask and not allow the triggering factor to enter into your nose in the first place (trigerring factors range from dust, pollens, animal fur, fumes, strong odours etc and the list is endless), allowing the triggering problem to keep entering your nose is just going to prolong the problem through life and no medication will ever be effective 4. Nasal steroid sprays have definelty a role to play, I usually suggest a combination of a topical steroid such as fluticasone propionate along with a antihistamine such as azelastine hydrochloride 2 puffs in each nostril 2 times a day 12 hrs apart for 3 months straight 5. Certain antiallergics containing fexofenadien 120mg one tab two times a day 12hrs apart for 20 days is effective. Antibiotics like clarithromycin 500 mg twice a day if taken have to used for 2 long months to be extremely effective(I give clarithromycin for both its antibiotic and immunomodulatory activity, later of which is more important) 6. Salt water gargles 8 to 10 times a day for 10 days, sipping on warm water, steam inhalations avoiding cold, spicy and oily junk food goes a long way, smoking and alcohol to be completely avoided as it slows down the mucociliary activity and leads to secretions inisde your nose causing a severe sinusitis and its related problems. Hope this advice helps" + }, + { + "id": 4132, + "tgt": "How can brown teeth due to fluoride be treated?", + "src": "Patient: Hi doctor, My probleam is my tooth and the color of my tooth is completly brown, this happen becouse of flouride. Based on this is possible to remove brown colour to white and how much does it cost? Doctor: Hi. I have seen the picture attached along with your complaint (attachment removed to protect patient identity). You have severe dental fluorosis along with severe external stains. It is definitely possible to get whiter teeth with the help of dental veneers. Firstly the procedure includes complete thorough cleaning of the stains. Secondly the teeth visible in your smile zone will have to be prepared (ground slightly on the front surfaces) to fix in the dental veneers. Coming to the cost of the procedure,there are two types of veneers. One is composite veneers which has to be done in the clinic manually by the dentist. But this has short life and a major disadvantage of discoloration. Two, ceramic dental veneers which have to be made in the laboratory and then fixed on the prepared teeth. Ceramic ones are much suitable for you as it can long last and hide the brownish colour of your present teeth to a greater extent but this is expensive than composite ones. Ceramic veneers have different price ranges and it depends on your dentist and the laboratory. Discuss with the your dentist about it and choose your best suited range." + }, + { + "id": 22739, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1105, + "tgt": "Yesterday I had some blood in my stool, and I have gas problems. Please help", + "src": "Patient: Hello doctor, I am 24 yrs old female...my height is 156cm and I weigh 91kg... I had two abortions...and still no baby...yesterday night I had some blood on my stool...and earlier for few months I had gas problems... usually, gas comes for many times in a day...also, I feel like gas is stored in my abdominal area and feels like to visit toilet often... Feeling heavy in my lower abdominal area, for me It feels like gas... yesterday one time I got some blood on my stool and today I didn't get any blood... but my abdomen feels heavy...and it creates discomfort...what is my problem and what I need to do to get relief from this doctor? Will you please suggest me some opinion? Please doctor... Doctor: Hello. I welcome you to icliniq. Actually the chronic problem of gas you mention is common in some one with overweight to obese-as in your case may be. Since your weight appears to be way beyond normal and this has definitely health consequences if not controlled. The blood in stool you mention, is somewhat alarming, and requires a thorough in person examination of the bottom, and looking for the causes such as anal fissure, hemorrhoids, to some serious disorders like inflammatory bowel disease. To summarize I want you to go and meet a gastroenterologist in your local area and get yourself examined to determine the cause. For your and foresee physician's ease just discuss above mentioned causes with him or her. So to finalize, the gas problem is benign (non alarming), but the blood you mention is alarming and need to be investigated. I hope this will help Small intestinal bacterial overgrowth Follow up after getting examined by physician in person" + }, + { + "id": 6163, + "tgt": "Could single use of pepper spray cause permanent damage to eyes?", + "src": "Patient: Hi doctor, Could an accidental use of pepper spray cause any permanent harm to eyes? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22046, + "tgt": "Will taking I-pill 48 hours after unprotected sex be effective?", + "src": "Patient: Hello doctor,I had unprotected sex and took I-pill after 48 hours. Will it work? I do not think ejaculation happened. However, I am nervous. Doctor: Hi. Since you have taken the emergency pill within 72 hours of intercourse there is no chance of pregnancy. So relax and do not worry. However, if you have a doubt, then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18283, + "tgt": "Trying to conceive. For what purpose is Dronis given?", + "src": "Patient: Hello doctor, I got married 15 months back. From then I am trying to conceive. I am having irregular periods only after marriage. For the past two months, my period occurred in a gap of 45 days. When I consulted my doctor, I got to know it as PCOS. I am using B-long tablet in the morning, afternoon APCOD sachets and evening I am having Dronis-30 from second day of my cycle. I did thyroid and pelvis test. Both the reports were normal and Hb was 10.5. Can you please tell me for what purpose these tablets are used? And what is the problem with my body? I observe tender breasts after 10 days of period completion. Please help. Doctor: Hi. I understand your concern. As you told you are having irregular periods and you have been taking treatment for PCOS (polycystic ovarian syndrome), it is good. For getting pregnant there are some treatment methods available, you have to take something for ovulation induction that is egg formation. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8105, + "tgt": "What should be done for schizophrenia while already on medications for epilepsy, anxiety and depression?", + "src": "Patient: Hello doctor, I have epilepsy from my childhood. I have anxiety, depression, and anger issues. Lately, I have been on Abilify, Divalproex, Lamotrigine, and Zoloft. I have been recently diagnosed with schizophrenia and do not know what to do about it, could you help me get on track? Doctor: Hello. You are already on an effective combination of medication to manage your underlying diagnoses. As you may know, you are on an antipsychotic ( Abilify), anticonvulsants (which are also mood stabilizers- Divalproex and Lamotrigine) and an antidepressant (Zoloft). Have regular follow-ups with your doctor so that dosage can be reviewed as needed. Do not stop any medication without guidance. If you experience any side effects, discuss with your doctor. In addition to medication, it is essential to have therapy and psycho-social support to help in your continuing recovery. Have you had any psychological treatment like CBT? CBT can be helpful in anxiety, depression, and schizophrenia as well. Have regular contacts with your trusted family and friends. It is essential to have ongoing social get-togethers and avoid social isolation. If you are in education or at work, try to make appropriate changes to manage your workload. Learn to manage stressors in your life. Apart from therapy, follow self-help strategies which can help you get back on track gradually. Ensure you are following the basics like eating healthily, having a good sleep routine, and regular exercise. Try to keep yourself optimally active." + }, + { + "id": 23871, + "tgt": "What can be done for painful, bleeding, and sore gums?", + "src": "Patient: Hello doctor, I have been having painful, bleeding, and sore gums recently. Also, when I brush they bleed. Just recently my gums have gotten worse. I think it is gingivitis but my gums have been deteriorating and I have started to brush, floss, and rinse with mouthwash every day for the past two weeks and it has been getting worse. Kindly help. Currently, I am taking Ibuprofen. Doctor: Hi. I have seen the picture you have attached (attachment removed to protect patient identity). It is definitely a gum problem but not gingivitis. It seems like a gum injury more like a cut or bruise. Listerine mouthwash and fluoride toothpaste will not work for this. I advise you to visit a gum specialist immediately and go through the blood count check. You might also have to take antibiotics. Before I suggest medicines please let me know if you have got any drug allergies. Meanwhile, you shall apply ointment Chlorhexidine and Lignocaine combination (Corsodyl ointment) over the sore gums to help to heal. Also, avoid hot and spicy food and do not brush aggressively on that side, please. This will worsen the condition. Do not try to rub salt over the area as well. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4368, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 20270, + "tgt": "Can hepatitis E cause black stools?", + "src": "Patient: Hello doctor,My\u00a0mom has hepatitis E since the last 15 days. As advised by the\u00a0doctor, she is taking Drakshadi Kashaya, three teaspoons mixed with nine teaspoons of water and a quarter teaspoon of Katuki Choorna. Also, she is taking Nirocil tablet thrice a day since three days. Yesterday her stool was black, and today it was\u00a0blackish yellow. Kindly advise about the action to be taken. Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16950, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3841, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28665, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16876, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23535, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27183, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23892, + "tgt": "What would you recommend for amblyopic eyes?", + "src": "Patient: Hello doctor, I am a 19 year old male and I have some questions about my eyesight. I have amblyopia and strabismus. When I was born, I was almost blind in my left eye around 20/200. My eye doctor made me wear glasses and patch my right eye until I was about 6. As I absolutely hated the patching I was not compliant and I still have a lazy eye. My right eye is nearsighted and my left eye is farsighted. I have worn glasses full time. I do not remember the diopters for each eye. My right eye over the years has increased in nearsightedness and my left eye is getting weaker because my brain ignores it. My right eye is corrected to 20/20 and my left eye is corrected to 20/40. My eye doctor says that I am one-eyed and surgery would only be cosmetic. I have been doing some research and I have found that through different eye exercises and patching one can improve eyesight in adulthood. My biggest concern is that if I should engage in these exercises. When I cover my right eye the left one immediately goes to the center and when I look up it goes up and left. I am worried because I am both near and farsightedness and if both eyes are used, I will get double vision. I hate being only able to use one eye at a time and I want to strengthen my left eye. What would you recommend? Should I engage in these exercises or just accept the fact that I will be monocular for the rest of my life? I look forward to your reply. I thank you in advance. Doctor: Hi. You have explained everything very well. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 684, + "tgt": "What is the best treatment for psoriasis?", + "src": "Patient: Hello doctor, I am suffering with Psoriasis. Please suggest treatment. Doctor: Hello. I saw your photograph (attachment removed to protect patient identity). You are having psoriasis and I would like to tell you about your disease. Psoriasis is a relapsing condition and usually exacerbates in winters. It will not spread to other people by touching. It will not affect your internal organs. It is treatable but not curable. It will get cleared but can reappear. Nothing to worry about it. As it is in limited area only application of topical steroids will suffice but if there is more body involvement then we will start oral medicines. Presently, I am prescribing your treatment and you can review in 20 days. Papulosquamous inflammatory disorder. Liver function test and complete blood count. Chronic plaque psoriasis. Topisal 6% (Clobetasol propionate)ointment for local application in evening, tablet Levocetirizine 5 mg evening. Coconut oil for local application in evening and morning. Use oil or moisturizer. Keep skin supple. Review after 20 days." + }, + { + "id": 10494, + "tgt": "I heard one of the reasons for psoriasis is lack of Vitamin D. Is it true?", + "src": "Patient: Hi doctor, I am suffering from psoriasis for the past 24 years. I have tried a lot of ointments already. I heard one of the reasons is lack of vitamin D. Is it true? I am 54 years old now. Doctor: Hi. Psoriasis is a T-cell mediated autoimmune disorder. What you have heard about lack of Vitamin D as its cause is a myth among patients because nowadays there is a new class of topical drugs available which are analogues of Vitamin D. These reduce the excessive cell proliferation and differentiation seen in the skin cells of a psoriasis patient. A few of these drugs are Calcipotriol, Calcitriol, and Tacalcitol. Their pros are that they do not cause skin atrophy, but they are useful only for stable and moderate psoriasis. To help you better, I need photographs plus a detailed history with a previous medication you had taken." + }, + { + "id": 25012, + "tgt": "There are knots and stiffness in shaft muscle. Is this side effect of enhancement pills?", + "src": "Patient: Hello doctor,I have been to four urologists and none of them know what is wrong with me. Hopefully, you will have some information I do not already possess.I have a lot of discomfort with the penile shaft. It feels like there as knots and stiffness in the shaft muscle. When running or any kind of exercise, it gets stiff and it is very uncomfortable. I am not sure if there is not enough circulation. The testicles are also red and the skin gets stiff as well. I have done blood tests, ultrasound, and the only diagnosis has been internal shaft bruising, from a urologist taking a guess. Years ago, I tried enhancement pills. That might have triggered the side effects. That is why he said nothing can be done. One urologist ruled out an infection. He said, however, these side effects are very strange and seem uncommon. One also laughed at me and said I do not know how to help you. I cannot wear gym clothes. This has made me very depressed over time. I need to find a solution to fix this issue. Please, please help me. If you are unsure please consult a colleague. Doctor: Hello. I agree that your symptoms are very vague. As per your history, I can conclude either This can be possible due to one of the side effects of enhancement pills. In some cases like in yours, enhancement pills are known to cause changes in the penis like skin stiffness. Anyhow, you also need to rule out Peyronie's disease with an ultrasound penis. If not Peyronie's then it is due to side effects of enhancement pills. Oral drugs will not help much. But after confirmation of diagnosis, I will prefer a physical form of therapy like massage or traction. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12623, + "tgt": "Is it normal to get orgasm without erection?", + "src": "Patient: Hi doctor, I am a 33-year-old male. Height is 5'7'' and weight 71 kg. Yesterday while masturbating I somehow ejaculated but could not have an orgasm. Post that I became very worried as to what may have caused that. Never experienced such a thing before. Also, I have never had any erection problems in the past. I have had physical relationships as well. Now, I am having trouble getting an erection. Not sure what the problem is. I tried masturbating post that. Though I did manage to reach orgasm but could not complete erection. Doctor: Hello. I can understand your problem. This was absolutely normal. Sometimes due to distraction right at the time of ejaculation results in poor or no orgasm and this is normal. This does not show that a person is weak. Remain relaxed for this. You got an orgasm after that but had a poor erection. This occurred because you were worried and had an anticipation that you will not have a good orgasm. This worry resulted in poor erection. So stop worrying, avoid masturbation for a few days and avoid anticipating. You will get a good erection." + }, + { + "id": 30428, + "tgt": "Kindly suggest appropriate tests and treatment for my symptoms", + "src": "Patient: Hi doctor, I am a 34 year old white female. My height is 5'4\" and weight is 165 lbs. I am a healthy athlete (crossfit athlete and a former state champion). I had a very high stress as entrepreneur for more than 5 years. My initial complaints were low energy, depression, fatigue, irregular, heavy periods, unusual weight gain in two years and general malaise. My laboratory result includes elevated testosterone, high cholesterol, high fasting blood sugar. I was given Paxil for depressive symptoms and began taking Vitamedica course of vitamins to raise vitamin D levels. I have a previous history of depressive symptoms and menstrual irregularities before 10 years. Based on my current symptoms and preliminary research, my general health care practitioner assuming it as\u00a0PCOS. I would like to know the type of treatment plan I can expect, tests I should order, etc. Please help. Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7879, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2209, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29091, + "tgt": "Can you explain my maid's heart condition in simple terms?", + "src": "Patient: Hi doctor, My maid has a heart problem since her birth. She complains of pain in heart, a sudden increase in heartbeat, feels hot and leg pain. Now, she feels very weak. Her echo was done recently and I have attached that here. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 25905, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17481, + "tgt": "Can Vitamin B12 improve my low platetlet count?", + "src": "Patient: Hello doctor, I have a history of low platelet count for the last 15 years. My latest count was 4000 cells per microliter. I have not undergone any treatment for this problem. My B12 level is 26.2 pg/ml, biological reference interval is 25.1 - 165, serum ferritin is 12.0 and hemoglobin is 11.0. I recently read that there is a relation between Vitamin B12 and platelet count. Should I start Vitamin B12 therapy to check whether it improves my platelet count? Doctor: Hello. Vitamin B12 deficiency is a very rare cause of thrombocytopenia (low platelet count) and usually, the counts are not very low as in your case. Since your vitamin B12 levels are towards the lower range of normal and bordering on deficiency, you can take vitamin B12 supplements. If your platelet count does not improve, you need to get a proper hematologic assessment done to determine the cause. Your serum ferritin levels are very low and your hemoglobin is also low. You can take iron and folic acid tablets as well to help with your anemia. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 9487, + "tgt": "Why does my son get cough often?", + "src": "Patient: Hi doctor, This is about my son who is 3.5 years old. He started having an allergic cough before seven months. The frequency was once in a month. The doctor said he is allergic to dust and humid weather and prescribed Romilast. He was fine. But, from the 1st of last month, he is having the allergic cough once again. As previous times, I went to doctor and he prescribed combination of Romilast, XL90 and Azithral. But, he is still having cough, though it is less and a very few times in a day. A few things for which I want to consult with you are his cough is not completely going away.\u00a0He has lost 1.5 kg weight and he does not eat as previous and seriously look so lean.\u00a0He weighed 14.5 kg last month.\u00a0Though he is suffering from cough and cold and not eating properly, but still he is active.\u00a0He goes to school every day.\u00a0We have noticed, if he sweats heavily or goes through dust within a day he will start sneezing and then coughing. Please help us. Doctor: Hello. I understand your concern for your child. 1. Complete blood count. 2. Absolute eosinophil count. 3. Chest x-ray. 4. Mantoux test. I suggest tablet Zentel (Albendazole) only today before sleeping. Consult your doctor, discuss with him or her and take the medicine with consent. Revert back with the reports to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29745, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10327, + "tgt": "How can hair fall be reversed?", + "src": "Patient: Hi doctor, I am an 18-year-old girl. It had been quite noticeable for some time that I have had excessive hair loss, especially in my hairline. I am a ballet dancer and have been putting my hair in buns ever since I was little. Two years ago, I started training a full time course which meant I needed to put my hair in a bun every day with hairspray, and a lot of times I got home too late to wash it out. Now I am taking more caution but I have lost a lot of hair and my hairline has receded a lot. Is there anything I can do to reverse or help it? Doctor: Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month." + }, + { + "id": 918, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 15729, + "tgt": "Can I become sexually active if I do not have any pain after pelvic inflammation treatment?", + "src": "Patient: Hello doctor, I am a female and I have pelvic inflammation and I went to see a doctor. I was given Tramacet, Azithromycin, and Ciprobay for treatment. It has been four weeks after the treatment and I do not have any abdominal pain. I had been seeing the doctor before. Can the absence of the abdominal pain mean that I have healed? And can my fiance get sick from the inflammation if we have sex without a condom? Doctor: Hi. How are you doing? No pain or discharge or itching means the infection has subsided, but a point you have to understand is that you got this infection only after you had sex. So your fiance is the source of the infection. So he too should have the same course of antibiotics. Treatment is never complete without both partners being treated. So he will not get inflammation, he will infect you again and your old symptoms will reappear. So I would advise you to give him same medications and avoid sex till he finishes the medicines and two weeks further so that the infection heals. Let him masturbate 1 to 2 times before you have sex, so all the dead infections too will be thrown out." + }, + { + "id": 9475, + "tgt": "The skin on my face is darker than my body. Please help me", + "src": "Patient: Hello doctor,My face is darker than my body. I am currently using bio morning nectar 30 + SPF sunscreen ultra soothing face lotion but it does not help me. I am suffering from this problem from last six years. Doctor: Hello. I have seen your attachment (attachment removed to protect patient identity). Actually, your complexion is a dark one. While you go out, better use face cover and hat. Consult a homeopathic doctor for treatment. It is a facial pigmentation or darkening, medically known as melasma due to excessive secretion of melanin. Homeopathic medicines for treating facial pigmentation are Sepia Officinalis, Thuja Occidentalis, Berberis Aquifolium, Cadmium Sulphuratum and Sulphur. For more information consult a homeopathy physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 16168, + "tgt": "What is the skin tag connecting via side of my vulva skin?", + "src": "Patient: Hello doctor,I am 22 years old and I have two children. No health issues. Around four months ago, I had sharp stabbing pains in my pelvic area, foul odor discharge, irregular bleeding, yellow or brown vaginal discharge. I am in my second year of being on the contraception implant Nexplanon. Due to my age, the local doctor could not help and said I needed to go to a sexual health clinic so I did. They said I had BV (bacterial vaginosis) and gave me antibiotics. I still have bad smelly discharge even four months later. But my main concern is I was going to the toilet and as I wiped I felt a lump in the middle of my vulva. I asked my husband to have a look he said it looks like a skin tag. It is connected via the side of my vulva skin and around that area is different shades of color and it slightly hangs. Doctor: Hi. Do you have any other medical health issue or have been on medications? It is better to have a complete check and treatment if any health issue you have. Regarding discharge, it should be checked in the laboratory by sending a high vaginal swab to check which organism is causing smell and irritation. So, for vaginal discharge, you should have a high vaginal swab and its report needs to be checked here or with a local gynecologist doctor or even you can discuss with infectious control to get specific treatment, if needed. After collection of the swab, have tablet Metronidazole 400 mg eight hourly and tablet Doxycycline 100 mg 12 hourly for 14 days. After swab result, it might be possible that you need specific treatment as well or need to investigate and treat your partner as well. For lump at the vulva, it would be better if you would send me a picture of the issue. If it is lump hanging or coming out or seems to move out at coughing, the pressure or at abdominal stress, then it could be prolapse like cystocele, at rectum rectocele or urethrocele might be due to tissue weakness or increased intraabdominal pressure or difficult delivery. The skin over it could be different due to local friction even could be inflamed and bleed as well. If just small skin tags are hanging, those could be warts that is the infection actually. Any local cyst or abscess could be likely related to Bartholin gland that also needs to be treated. It is better to have one local examination at the time of collection of swab by the gynecologist. The skin tags or skin scrapping could be sent if it is wart like thing to confirm causative organism. In case of lump that could be cystocele, rectocele or urethrocele, and needs to be graded as in some cases, it needs exercises, vaginal pessary or even more advancd surgery. Have a strict hygiene. Wear soft comfortable undergarments. Use condoms to prevent transmission of sexually transmitted infection. Sitz bath can be tried. Avoid local cosmetics. Use a soft blade to clean hair." + }, + { + "id": 11963, + "tgt": "I am having rapid mood swings and suicidal thoughts. Kindly advice", + "src": "Patient: Hello doctor, I am 18 years old, and I have rapid mood swings, and I space out a lot like I have no awareness of what is going on around me. When someone tries to snap me out of it, I lash out. I think about suicide a lot, and I have a history of self-harm, and I have started to drink alcohol to feel normal. What is wrong with me? Doctor: Hello. You are reporting mood problems, history of self-harm and suicidal ideation. When you say you are spacing out, you are possibly describing dissociation which can be a result of high-stress levels. You will benefit by talking to your doctor or a counsellor to clarify the nature and extent of your symptoms and factors which could have contributed to your problems. The symptoms you report can happen in different conditions in adolescents. The common theme is high-stress levels and difficulty coping with the situation. With appropriate support, you will gradually get better. Have you discussed these issues with your parents or a trusted family member? I will strongly advise to talk to a trusted elder so that you can access further help. You can also talk to your school teacher or pastoral support. Be open and honest about your feelings. If talking is difficult, you can write down your feelings in a paper and share it with them. You can access support by seeing a counsellor at school or be referred by your doctor. Avoid alcohol. It will make your symptoms worse and more difficult to manage. Try positive coping strategies like exercise, learning martial arts, etc. I will recommend sharing this query to your parents so that they can support you. It is important to remember that you are not alone. Talk to others. At any time if you feel like you are not able to cope and keep yourself safe, you should talk to a family member or trusted elders. Take care." + }, + { + "id": 4850, + "tgt": "I feel exhausted, but still cannot sleep at night. Why?", + "src": "Patient: Hello doctor, I have trouble sleeping, but when I do get the chance to sleep I often wake up still feeling exhausted. My thoughts keep me up at night and as a result, I am always thinking about tomorrow or worrying. Doctor: Hi. Most causes of sleeplessness are due to wrong habits and the good news is that it is easy to cure them. 1. You should have a natural circadian rhythm. Try to go to sleep and get up at the same time every day, and wake at the same time. 2. Do not take coffee or tea after 6 PM. Milk can be taken. 3. Cover the windows and doors with curtains and avoid light. Avoid watching TV lying in bed and avoid mobile phones. 4. Do exercise. Walk for 45 minutes after dinner. Take a bath after that. I hope this helps." + }, + { + "id": 6156, + "tgt": "Why am I having diarrhea after anal sex?", + "src": "Patient: Hello doctor, My partner tried anal sex for the first time in the last three years. It was not painful at all, and he finished inside of me. Also, he used a natural water based lube. Everything seemed to be fine until the next morning when I had horrible diarrhea. It is very watery and lots of it. There is no blood in stool, maybe has a light green color but overall brown with a bearable stomach cramp on the right side. I am currently taking Iron and Vitamin B12 tablets. Doctor: Hello. Likely it is not related to anal sex because it is not a common complication of anal sex and also bacterias will not proliferate so fast to give you diarrhea in the next morning itself. It is likely related to food consumption in last few days. I guess you do not have a fever. You need to have medicines for this, like antibiotics tablet Norflox TZ (Norfloxacin) 400 mg two times a day for five days along with some antacid like tablet Pantoprazole 40 mg or Rabeprazole 20 mg once a day before breakfast for five days. You will also need some probiotics like capsule Vizylac or Sporulac sachet three times a day till diarrhea subsides. For immediate pain relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. Have plenty of water and ORS (oral rehydration solution). Also, with each stool, you have additional 100 to 200 ml of ORS. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7395, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3591, + "tgt": "Which all conditions cause persistent cough with phlegm?", + "src": "Patient: Hello doctor, I am having persistent cough with phlegm for the last four months. I also have fatigue. I am currently taking Cymbalta, Abilify, Topamax, Baclofen, Lorazepam and Trazodone. Please help. Doctor: Hi. I understand your concern. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3751, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 209, + "tgt": "What might be the reason for neck pain and low back pain?", + "src": "Patient: Hi doctor, I have low back pain and neck pain, but not simultaneously. It occurs alternatively. When there is low back pain, I do not feel neck pain and vice versa. What might be the problem? Please explain. Doctor: Hi. I have read your question with care. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15917, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30038, + "tgt": "Should I be concerned about my abnormal laboratory results?", + "src": "Patient: Hello doctor, Though my doctors\u00a0have not contacted me, should I be concerned with my abnormal laboratory test results? The laboratory results show\u00a0cholesterol of 257 (critical high), total bilirubin of 0.24 (low), creatinine (urine) of 205.3 (High),\u00a0WBC/HPF of 9 (High) and urine leukocyte esterase of 2+(high). Please tell your opinion. Doctor: Hi. For further information consult a general practitioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23715, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1877, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22216, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7156, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20485, + "tgt": "Why do I have weakness and chest pain while traveling?", + "src": "Patient: Hello doctor, I have always a weakness in the head to foot along with pain. A few days I have pain in the chest when I am traveling, then the second day always fall ill. Doctor: Hello. I understand your concern. Feeling weakness and falling ill when traveling is due to any internal problem like anemia. A complete blood count is recommended to rule out anemia, and a full biochemistry panel to evaluate the status of your liver and kidney function together with urine analysis. Blood electrolytes to measure to rule out related deficiencies. Keep well hydrated. Have your meals regularly. Do not skip them. Wish fast recovery. Let me know if you have any other concern. When you get your laboratory results, pass them to me to analyze and further advise." + }, + { + "id": 21250, + "tgt": "How can we stop excessive bleeding from tooth extraction site?", + "src": "Patient: Hi doctor, It has been eight hours now. I have extracted three teeth at the same time. There is excessive bleeding from the extracted site. Is this deadly? Doctor: Hi. Drink a lot of water and follow the medication prescribed by the dentist. You can use ice in the extracted site to stop the bleeding. If it still continues to bleed, consult your dentist. If it stops, then from the next day, rinse mouth with salt water and turmeric mixture twice a day. It will help. Maintain oral hygiene properly. Do not spit for the next 18 hours. Do not drink anything through straws. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14085, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10464, + "tgt": "My father has inhomogeneous opacity in the lung. How to treat him?", + "src": "Patient: Hi doctor, My father has a round inhomogeneous opacity in the\u00a0right middle of the lung. He is taking Ceftum 600. How to treat him? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21721, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12481, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10685, + "tgt": "My facial hair is less. Can I take DHEA supplements for beard growth?", + "src": "Patient: Hello doctor,I am a 28-year-old man with very less facial hair. Recent blood check-up shows that my DHEAS value is 195.9. Insulin check-up indicates that there is a high chance of becoming a diabetic patient. My doctor suggested me Ashwagandha, and I have been taking it for a month (two capsules per day). Not much gain. So, I would like to take DHEA supplements for beard growth, is it fine? Doctor: Hello. I think it is very normal to have less hair on the face. Even if you have little hairs, it is normal. Do not worry about your DHEAS level. You should not be taking any hormonal treatment unless it is required and so you can consult an endocrinologist for it. If you have normal sexual functioning, you should not worry about it. If it bothers you too much, you can ask a hair transplant surgeon and get a nice beard transplant. Focus on a healthy diet and regular exercise." + }, + { + "id": 9630, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5897, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 20807, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16377, + "tgt": "Does patient suffering from mental health illness act like living in fantasy?", + "src": "Patient: Hi doctor, This question is not about me. But it is about a family member that I truly love and want the best for him. For the past years, my brother has had a big crush on his manager. He would always talk about her when he would come home from work. He would talk about her constantly. Sometimes even saying that she also likes him and that he knows they are going to end up together. He had the biggest crush and still till this day talks about her. He lost his job a few months ago and started acting weird. His manager is a different race. So when he was home after he got fired, he would constantly be outside wanting to get tanner because he said thats the way she likes guys. To be tanned how his old manager's race is. He would sit outside every single day wanting to get sunburned. He did indeed. Then weeks went by and he told my mom that his mission of sitting down outside was over and that he will start going to walk instead. At this moment all he does is wake up and go walk anywhere and walk to different places for no reason. He constantly says that he is married already with his old manager and that he is moving to another city. He says the same thing every time. He leaves since the morning and walks everywhere and comes back till the night. He does not do drugs but has a past of doing drugs. He used to drink every weekend before he started doing all of this. He would drink coffe every day before work. And on weekends drink alot. I and my family are concerned about him. We do not know what is wrong with him. He does not do drugs. He drinks sometimes on weekends, not often anymore. He says he is married and that he makes a call to someone and they pay all his bills. He leaves every day and walks anywhere. He knows what he does, he is aware. But we do not understand why he thinks stuff that is not in fact true. He is living in a fantasy. Doctor: Hello. He has developed an attraction for his manager and there was no actual relationship and then he lost the job. Then he started developing the symptoms. He has developed firm belief that he is married to his manager. His behavior has changed suddenly, lost the job and he is running or going out for sunbath without any explainable cause. These are most likely occurring due to some psychotic disorder. This could be due to delusions resulted due to psychosis. This cannot be ignored. His urgent psychiatric consultation is advised. Drugs like Olanzapine, Risperidone, Quetiapine, etc., can be used to control his symptoms." + }, + { + "id": 561, + "tgt": "I have this on my penis and inner thigh. What is it?", + "src": "Patient: Hi doctor, I have these on my penis, ears and inner thigh. I have had them for over 10 years and they did not get red or inflamed. Also, you cannot pick them off. I am married and it did not get spread to my wife. What is it? Doctor: Hello. Can you please upload a picture? So that, I can review it. They may be simple skin tags, but it is hard to tell without a picture. Please also share if you have any history of STD (sexually transmitted disease) in the past and if you were tested for any recently. Revert back with the photos to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5603, + "tgt": "What could be the reason for enlarged spleen based on blood report?", + "src": "Patient: Hello doctor,I have enlarged spleen from the last two years. I am 24 years old, male. My spleen size went from 13.4 cm two years back to 14 cm to 14.4 cm four months back. My CBC report looks normal and I have vitamin B12 level as 349 and vitamin D as 11.13. I have MCV level 102.4 and MCH level 34.2. Monocytes are 0.13 absolute. Can you please guide me on what needs to be done. I had peripheral blood smear, malaria, hepatitis tests too. All were under limits, as of now I do not have pain. Other doctors suggested hematologist. Please help. Doctor: Hello. I have reviewed your query and below is my opinion. The various causes for enlarged spleen include infection like malaria, Gaucher disease like storage disorder, hemolytic anemia, leukemia, lymphoma, infections, liver disease, etc. The CBC and peripheral smear examination report do not suggest leukemia. Hemolytic anemia also can be excluded as bilirubin level is normal. Liver disease chance also very less as reports are normal related to that (attachment removed to protect patient identity). As you have persistent spleen enlargement, it is advisable to investigate with spleen biopsy or FNAC for histopathology examination. It will help in identifying the underlying specific cause if present. You can consult a surgeon for a detailed evaluation and examination. Then, if needed, the surgeon will suggest you visit hematologist." + }, + { + "id": 8472, + "tgt": "What are the possible ways to get rid of genital warts?", + "src": "Patient: Hello doctor, I believe I am having a few genital warts, for which I tried some home remedies as well as wart freeze away recently. Why there is redness around them? What are the possible ways to get rid of it? Doctor: Hello. Yes, those are genital warts (attachment removed to protect patient identity). It is an STD caused by HPV infection. Surrounding redness is perhaps due to irritation to the home remedies that you have used. If I were the treating doctor, I would suggest either electrocautery or freeze with liquid nitrogen for these warts." + }, + { + "id": 27898, + "tgt": "Why do I have red spots of dry and irritated skin?", + "src": "Patient: Hi doctor, I have red spots of dry and irritated skin on the arms, shoulders, and leg, just below the\u00a0waistline. Minor itchiness comes and goes. I am using Neosporin for about a week, but they are still there. I am attaching a picture of these red spots. Doctor: Hi. I need more information. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23355, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21505, + "tgt": "Why is my menstrual cycle late after having sex?", + "src": "Patient: Hi doctor, I had protected sex before two months. After a month, I got my periods, and it was slightly heavier. It lasted for an average duration, and it started on the expected date.After a month, my periods was late and I had a white discharge and have a feeling of getting periods. But I have not got it. Sometimes I also have sore breasts.Really worried. Why is my second menstrual cycle late after having sex? What can be done to have them now? Doctor: Hi. If you did not have any intercourse after getting periods, you would not be pregnant. Your periods can be delayed if you have taken an emergency contraceptive pill. Do serum TSH (thyroid stimulating hormone) and serum prolactin blood test on an empty stomach tomorrow morning to see if you have any hormonal imbalance. Do USG (ultrasound) pelvis by transvaginal scan to see if you have PCOD (polycystic ovarian syndrome). If you are not sure of pregnancy, do serum beta hCG blood test to rule out pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7903, + "tgt": "I have a gap on the bottom row of teeth. Would I be a candidate for Invisalign?", + "src": "Patient: Hi doctor, I am 23 years old and very self-conscious about my teeth. I understand that I have an overbite, which cannot be corrected unless I have jaw surgery. I had braces as a teenager, but they were taken off early, and now my teeth are shifting. I have a gap on the bottom row of teeth and some crowding. Also, I am concerned that they are too thin. Would I be a candidate for Invisalign? I am so stressed. Please help me. Doctor: Hi. I have gone through your query, attached file (attachment removed to protect patient identity) and can understand your concern regarding dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3295, + "tgt": "After diagnosis of ruptured cyst, I experience nausea, diarrhea and blood in toilet. Why?", + "src": "Patient: Hello doctor, I am a 22-year-old female and I weigh about 168 lbs. Seven months ago, I was in the ER with severe lower abdominal pain. I had blood work, abdominal x-ray, internal ultrasound, and an abdominal CT scan with contrast. They found that I had a ruptured cyst. However, for a couple of months now I have had on and off nausea, bouts of diarrhea, some blood in toilet when wiping, and I have started to poop a little more than I used to. Now I will say that my diet has been kind of crazy since moving to another state. I am not sure if I should be worried about what is going on. Doctor: Hi. I understand that the earlier severe abdominal pain might have been due to the rupture of an ovarian cyst, form which you have made a good recovery since. As you have already pointed out a change of location and with that, an erratic diet pattern, the focus should be on any infection involving the large bowel which might be causing your symptoms. It is important that you keep in mind the following. 1. Please have well cooked and hygienic foods at all times. 2. Drink plenty of water and fresh juices and visit washrooms regularly. 3. Never skip meals during the day and if time permits, have helpings of fruits and snacks in between larger meals. 4. Control your anxiety and stress levels. This can also cause some of the symptoms mentioned by you. If you ever have diarrhea for more than 24 hours then please consult a doctor for emergency first aid and medicines." + }, + { + "id": 13317, + "tgt": "What can be done to cope up depression due to relationship issues?", + "src": "Patient: Hello doctor, I feel so depressed from the past few weeks. I am in a relationship wherein, my fiance is not able to give me time. We are in the relationship for the past 5 years. I am so addicted to him that I do not have any other friends in my life and I feel he is my everything. Due to some reason, he is not giving me time and that is hurting me a lot. I do not feel like staying at home. On weekends also, I plan to go to the office. I try keeping my self busy. On sunday, I am at home. I go for a drive or go shopping so that I would feel better but from the past few days, whatever I do, I am not feeling good. I am not feeling like going out for shopping nor for the drive. Things which gave me happiness are also irritating me. I just sit and think about things and keep crying all the time. Doctor: Hi. I can see you are in a tough situation. Every relationship has many aspects which are mutual like mutual respect, mutual care, mutual love, mutual expectations. The problem arises when there is an imbalance in partners mutual love, care, expectations, etc. And it is more hurtful for the partner who gives more, the one who takes things little bit granted does not get affected. In this situation, my advise to you would be a direct and clear communication on what are your expectations and what things are hurting you. Do not plead in front of your partner for his time, love and care. This will make you even more granted in his life. Try to make friends also. Do not make this relationship your whole life, it will increase your fiance's authority to hurt you. Try these things." + }, + { + "id": 10127, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 27814, + "tgt": "After how many days of possible exposure, will CMIA result be conclusive?", + "src": "Patient: Hello doctor, Please help me.\u00a0I had sex with a CSW for the first time, two months back.\u00a0First, we had oral and penetrative sex using a condom. Then we had oral sex without a\u00a0condom. The first time, the girl helped me put the condom. But later, I put it myself, as it was the first time. I put it backward. As we were having sex, because of the friction, the condom broke, and my penis touched her vagina for a brief moment before I withdrew. From that day, I start having stress and fear. Since then I started having nausea, joint pains, and fatigue. After 25 days, I got a sore throat due to fear, anxiety, and guilt. After 35 days, I found mouth ulcers, and after 40 days, a canker sore on my gum.\u00a0After 45 days, my back and buttocks started paining. I again got a sore throat, and this time the whole neck area and armpit started paining. On about the 58th day, I found small swollen nodes\u00a0on my head. I also saw red dots on my neck after shaving. Today, I have a severe body pain. The pain comes and goes.\u00a0When I am busy, there is no pain.\u00a0 After the possible exposure, I did CMIA test on the 36th and 57th day, and it was \"non-reactive.\" I am scared that the condom got torn during oral sex the first time. In how many days is CMIA result conclusive? Doctor: Hi. I have read your concern. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15018, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10650, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13596, + "tgt": "I have blood in stool and pain while passing stool. Please help", + "src": "Patient: Hello doctor,When I go to the bathroom for poop, the blood came out with my stool and it became painful for me to pass the stool. After stool, I could not sit down properly. It hurts for a long time. My second problem is that I have an epidemic cyst in my testes. Sometimes I feel pain in that. Doctor: Hello. I have reviewed your query and here is my advise. You have two main concern: For blood in stool, two common causes could be ruled out: dysentery or colitis or piles. For that proctoscopy examination is done. Additionally, you require to investigate with the stool routine micro examination. If any abdominal pain and vomiting are associated, then mention it. Maintain hydration with lots of water. For epididymal scrotal cyst, if it is painful, then needs its removal through minor surgery." + }, + { + "id": 23965, + "tgt": "I had random urine test for pheochromocytoma. Do I have elevated lab work?", + "src": "Patient: Hello doctor, I had a random urine test for pheochromocytoma and I think my PCP is reading wrong. I went to the lab and gave an ambiguous report confusing people. She did say fourfold elevation normetanephrine and four-fold elevation u-metanephrine. I do have episodic severe hypertension attacks, palor, sweating, BP up to 256/131 mmHg for 20 minutes or so. Only very occasionally have these attacks. As a 50 year old I never had sustained high blood pressure but now I do and am on large doses of medicines. Do I have elevated lab work and what do you think it means? U-metanephrine total QST 196 range 149 to 603. U-normetanephrine QST 148 range 108 to 524. U-epinephrine QST was below reportable range. Rest of numbers seem normal. What is your opinion? Doctor: Hi. I understand your results showed raised urinary metanephrines but the other metabolites were within normal range. This could still indicate pheochromocytoma. I must say that your symptoms are quite suggestive of pheochromocytoma although not exclusively in favor of it. I need to know if you also get panic attacks and whether you have any other disorders associated with your thyroid or parathyroid glands, as that would pretty much go in favor of this diagnosis. Let me know so that I can advise some tests which would confirm the diagnosis so that adequate treatment can be initiated. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26390, + "tgt": "Is Tadalafil effective for erectile dysfunction in a 50-year-old diabetic?", + "src": "Patient: Hello doctor, I am a 50-year-old male. I am a diabetic for more than 20 years. I am taking insulin injection and tablets for diabetes. Due to this, I am affected with erectile dysfunction for one year.\u00a0My physician advised Tfil 20 tablets. Initially, I had good results. But I find it is not effective after some time. So, my friend suggested taking Tadalafil 20 tablets. But, now it is also not effective and I am not getting a\u00a0full erection. I am very much upset.\u00a0My sugar levels fasting are 90-110 and postprandial after two hours are 130-180. I do not\u00a0have problems with BP, ulcer, cholesterol, or thyroid.\u00a0Kindly suggest me better medications for my problem. Doctor: Hello. I can understand your concern. Regards. For more information consult a\u00a0sexologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14737, + "tgt": "I have had a sore throat for 8 days. I am worried if it could be some other major disease. Please help", + "src": "Patient: Hi doctor, I have had a sore throat for eight days. I have tried over the counter throat drops, throat sprays but nothing has worked. Is there anything else I can do and is it just a sore throat? Doctor: Hi. Most of the times, a sore throat is due to a viral infection. This occurs with or without some amount of acid reflux into the throat from within the food pipe. This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gastritis. I would, therefore, recommend antiseptic mouth gargles with Chlorhexidine or dilute Betadine, three times a day before and after meals along with a good proton pump inhibitor such as tablet Esomeprazole 40 mg once in the morning 15 minutes before meals for one week. I would also advise taking an anti-inflammatory medication such as Ibuprofen or Paracetamol once daily for three days after breakfast, to reduce the throat pain. In my opinion, your sore throat should subside in three to five days. If it worsens or you develop fever, then an antibiotic may be necessary for which you can consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9261, + "tgt": "I have E. coli infection and getting pain in stomach and groin. Please advise some treatment", + "src": "Patient: Hello doctor, I have E.coli bacterial infection. I am taking Ciplox TZ and Nitrofurantoin. But after taking Nitro, I get pain in the stomach and the right side in the groin area. Also if I go for a walk for around 1 km, I feel pain in the groin area and cannot walk for more than two kilometers. I also have kidney stones on bilateral sides. I have a grade II fatty liver. Please advise. Doctor: Hello. You have bilateral renal pelvic obstruction due to stones with diabetes with urinary tract infection. The pain in the groin is due to pelvic renal calculi, the pain of which radiates to the groin. The infection needs to be treated with tablet Levoflox 500 mg once a day for 14 days along with injection Amikacin 500 mg twice a day for 14 days (if serum creatinine is less than 1.6 mg/dl) followed by clearance of stones bilaterally. Otherwise, your infection does not get resolved as the pus is due to disease associated with stones. Your stomach upset and pain in the abdomen is due to Nitrofurantoin, which causes gastritis and acidity. Nitrofurantoin is not the right choice for treating such infection. It can be useful as maintenance therapy. Kindly get diabetes treated. Please check serum creatinine checked once you start injection Amikacin. The presence of stones prevents the total clearance of infection. Please get back to me if you have any more queries." + }, + { + "id": 24396, + "tgt": "Are Nusam 400 and Ursodox Plus appropriate for fatty liver?", + "src": "Patient: Hello doctor, As per my latest liver function test, SGOT is 45.05, SGPT is 55.17 and serum albumin is 3.43. All other parameters are in the normal range. For kidney function test, the urine sample is protein positive. All other parameters are in the normal range. For the last two-three months, I have been passing light yellow urine almost all the time. My doctor has advised me two tablets of Nusam 400 and one table of Ursodox Plus every day. I would like to know if the medicine prescribed by my doctor is appropriate. And most importantly, what is the status of my liver and kidney? Doctor: Hi. To help you better, I need to know a few things: Revert with the asked details for a better help. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20363, + "tgt": "My hepatitis B result is positive. Is it acute or chronic?", + "src": "Patient: Hi doctor, I recently went for a checkup for hepatitis B. I did this because I had unprotected sex with someone about three months back. I never had any test before. The results came up positive. I have done further tests to see if the infection is chronic or acute. Doctor: Hi. First of all, I need to know that have you got HbsAg test done?" + }, + { + "id": 27380, + "tgt": "My mom's headache has not improved in spite of medicines. Please help", + "src": "Patient: Hello doctor, This is regarding the health of my 50 year old mother, who is not keeping well for the past six months. She has been complaining of headaches for the past five to six months, which has been constant with heaviness around her forehead and the area between the eyes and the nose. We got all the recommended tests done including a CT scan of her brain, which showed some age related cerebral atrophy and bilateral basal ganglia calcification. The doctors said that it may be a chronic tension headache, for which they gave her medicines for three months. Now, it is almost two and a half months but, there is no improvement in her condition. For the past few days, her headache has increased and it is mostly on the forehead, eyes, and nose area. At night, her nose is severely\u00a0blocked, and the heaviness of the head bothers her a lot. It is affecting her day to day life. And lastly, her condition deteriorated the day she had acidity,\u00a0indigestion, and nausea. The medicines which she has been taking are Escitalopram 10 mg, Clonazepam 0.5 mg once daily, Nortriptyline 10 mg, Gabapentin 400 mg, Domperidone, Naproxen sodium for pain, and Rablet L in the morning. Apart from these, she has been under medication for hypertension for the past 10 years. They are Cilnidipine, Telmisartan and Rosuvastatin 5 mg. All her blood tests including electrolyte test, CBC, thyroid, etc., has been normal.\u00a0Only her EEG had shown some changes in the theta waves after which the CT scan of her brain was done. Doctor: Hello. I just went through your query regarding your mother's health. For further queries consult an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 28349, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10379, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8983, + "tgt": "I feel like something stuck in throat. How to get rid of this?", + "src": "Patient: Hi doctor, I am a 23 year old male who has been experiencing some symptoms related to my voice and throat. For the past few months, my voice has not been as deep as it has always been. If I try to lower it to how it was before, it takes a lot of effort and still does not sound right. I am constantly experiencing a feeling like something is stuck in my throat around my Adam's apple. I had an upper endoscopy performed for stomach-related symptoms; not for this problem. They did not note anything about my throat. My gastroenterologist diagnosed me with GERD and I read that it could explain these symptoms. However, after taking high doses of Omeprazole and trying Ranitidine as well, I have not had any relief for these voice and throat symptoms. What could be going on here? I appreciate any help you can provide. Doctor: Hi. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9205, + "tgt": "I am suffering from foul-smelling greenish discharge from my nose. Please help", + "src": "Patient: Hello doctor, Seven days back, I had flu-like symptoms with very mild fever (max 99 degrees) and little body ache, which lasted for a day or two. However, I did not get any sneezing or cough to date. At present, there is no fever. But after then, my right nostril is consistently producing foul-smelling greenish color mucous, and it is so repulsive as if something rotting inside. I doubted it is sinusitis and took Augmed 625 for three days (six tablets completed). The feverish feeling, body aches, and weakness resolved. However, this smelly mucus discharge, which is nauseating me 24 hours, is not getting cured. I am taking steam vapor twice a day along with Otrivin drops to relieve the congestion. While my left nostril is often transparent and occasionally produces normal white phlegm but right nostril is the culprit here. I am also getting headaches on the right side as if deep inside the skull and right jaw above the molar teeth. I consulted an ENT. She changed my antibiotics to Florenza 325 (twice a day) and also gave Mucolite SR tabs. I have already completed three days of this new regimen. But nothing seems to improve. She examined and said I do not have any visible Nasal polyps. My query is, does this sound normal to you? Does this sinusitis take very long to cure in spite of antibiotics? If it does not seem to be improved in the next two days, what would you suggest as the next course of action? The smelly discharge is nauseating me. I did not notice any blood in the phlegm. I keep blowing out the mucus and more seems to keep forming inside and occasionally drips down to the back of the throat. My tonsils are fine. I have no cough or sore throat or heaviness in the lungs. I am looking forward to the best remedy to get rid of this smelly mucus. Doctor: Hello. You defaulted on the course and dosage of Augmentin 625. It was supposed to have been taken thrice daily for at least five days. With the regimen that you made, I doubt if any bacteria would have got killed, but you would have most probably resulted in a resistant strain of bacteria inside your nose. Complete the second course of antibiotics as told by the ENT. If there is no improvement, give the mucus for culture sensitivity and take the right antibiotic. Additionally, take some antihistaminic and montelukast combination. Avoid excess steam if you are in polluted areas. Do not smoke or drink. Drink plenty of warm fluids. Get back to us if you need it. You may need a radiological investigation." + }, + { + "id": 7882, + "tgt": "What causes pain in the mouth while chewing?", + "src": "Patient: Hello doctor, Since the age of 6 to 18 (current) I have had sharp pains in my mouth whenever I use my chewing teeth. No cavities whatsoever. I do not know what is the problem. And the pain is on and off. What is the problem? Doctor: Hi. Possibilities are many: 1. There might be fractured teeth. 2. There might be sinus problems. 3. There might be condylar or TMJ problems. 4. Might this be related to the nerves. I suggest you go to a good oral and maxillofacial surgeon or an endodontist. Different test reports can tell what the actual problem is because your problem is not on the surface, it is in-depth, so radiological reports are a must. Do revert back for more queries. Follow up with X-ray and other related reports." + }, + { + "id": 4824, + "tgt": "Is it necessary to get surgery done for cervical neuropathy?", + "src": "Patient: Hello doctor, I got cervical neuropathy 10 days back. Got MRI 6 days back. On bed rest, analgesics, got Depomedrol 80 mg shot, Pregabalin, Methycobalamine and oral Medrol. Have not got any muscular weakness or UMN signs. Mild parasthesia in thumb and index finger of right hand. Pain has decreased by around 30-40 percent since it started 10 days back and I am not taking any NSAIDS for last 2 days. I have got a few concerns. Do these changes occur at this age (43 years)? How bad are the degenerative changes? Any need of surgical intervention? How much time usually it takes for complete resolution of acute episode? Is it going to be a trouble in future as well? I mean repeat episodes or further complications. What should be the life style changes after resolution of acute episode (you know the nature of a pediatrician\u2019s job)? If at all surgery is required in future (further canal stenosis causing cord compression), how risky is the surgery and how are the results? Doctor: Hi. I have gone through your medical history and the attached reports in detail (attachment removed to protect patient identity). It does not seem to be a serious matter at present. Yes neuropathies are common at this age. Usually, it takes around 3 to 4 weeks for an acute episode to resolve depending on the symptoms. If proper care is taken (avoiding use of pillow, avoiding lifting heavy weights, neck exercises) usually symptoms do not recur. At present there is no need of surgery. You are doing pretty well and recovering fast. Use cervical soft collar and take analgesics for atleast 10 days. Get a repeat MRI after 3 months. Well, decompression surgery is risky and has side-effects and should better be avoided." + }, + { + "id": 4920, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23266, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27999, + "tgt": "Do I require contraception even after menopause?", + "src": "Patient: Hello doctor, I am a 61 year old female. My last period was more than 10 years ago. I was confirmed menopausal by a blood test taken back then. Do I need to take any contraception in the rare case of my having an intercourse? I have heard of older women, well past the menopausal age, getting pregnant. Is there any danger in taking the morning after pill? I have type 2 diabetes. I am on 1000 mg of Metformin, as well as on low medication for blood pressure and cholesterol. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1935, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25615, + "tgt": "Does a two year old with eye power need to wear glasses?", + "src": "Patient: Hello doctor, My two year old son has eye power. Right S C A -1.50 -1.00 169 -1.50 -1.00. 171 -1.50 -1.00. 171 -1.50. -1.00. 171. Left S C A 2.00. 0.75. 149 1.75. 0.75. 140 1.75. 0.75. 139 1.75. 0.75. 140 Does he need glasses? Which type of eye power? Will his number reduce when he grows? He squints a little. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). The retinoscopy that has been done is the final refractive error. The automatic refractometer readings that you have mentioned are in negative but retinoscopy that has been mentioned is in +3.0. Your child is esotropic, that is inward-deviated eyes. So, we will subtract 1 for atropine. The final refractive error is plus 2 in both eyes. The frame should be plastic, squarish, lightweight and cover both eyes easily. These glasses will serve two purposes. One, it will help your child see clearly and two it will straighten his eyes. You have to get four to six monthly checkup. As he comes of age, surgery can be done for squint. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16729, + "tgt": "What is the risk of high triglycerides?", + "src": "Patient: Hi doctor, I am having high triglycerides around 250 to 500, but very low LDL around 30 to 45 for the last five years. Kindly help. What should I do? I swim five days a week for 20 minutes daily. I am currently on tablet vitamin B12 and Zinc supplement. I have also attached my laboratory reports. Doctor: Hi. We are here to help you. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10558, + "tgt": "What is the reason for stomach pain and blood in stools?", + "src": "Patient: 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. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3285, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26331, + "tgt": "Is there any treatment for a boy who sounds like a girl?", + "src": "Patient: Hello doctor, I am an 18 year old male. I have a girl-like voice since my childhood. I cannot speak in public loudly. The louder I speak, the more girl-like and thin the voice becomes. It affects my confidence levels. I cannot go to the university because of my voice. Girls make fun of me. I sound like a girl on the phone as well. Please\u00a0help me. is there any treatment like surgery? Is this is because of my vocal cords or low testosterone level? Doctor: Hello. We are there to help you find a way to rectify the problem, but until then do not worry and fret. Looking forward to helping you overcome the problem. For more information consult an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15671, + "tgt": "A foul smell comes out of my nose. What could it be?", + "src": "Patient: Hi doctor, I have a serious oral problem for 9 years or so. I am now 19. I have had this metallic taste in my mouth and white tongue, no matter how much I scrap and scrub. Some foul smell comes out of my throat. My mouth can be close yet this smell still seems to get out most likely through my nose. People close to me and people I trust say it is a fecal smell. I have been to the dentist and he told me that my teeth were fine. Brought tongue scrapers to no avail. Switched off the alcohol mouth wash. At a time in my life, I was brushing my teeth 6 or more times a day. To this day, I still brush my teeth four times a day spending at least 15 minutes in cleaning my mouth. My mouth never feels fresh. I have spent countless money on dental products yet nothing has changed and the problem seems to get worse with age. I am all out of options.\u00a0I need some advice on what to do and some sort of diagnosis or at least a point in the right direction. Doctor: Hi. Foul smell is formed by bacteria. So, it is seen in conditions where they are residing for a long time. Normally our nose and throat have commensals and they get washed away by our normal secretions of the nose and throat. Bad smell in nose is seen in conditions like, atrophic rhinitis and pharyngeal web or diverticulum. Atrophic rhinitis, in which it smells bad. After some time, the patient does not get bad smell and only the people around get it. It is a nasal disease and can be diagnosed by examining nose. Pharyngeal web or diverticulum is a condition in which a small pouch is formed from pharynx, away from normal tract. So, whatever you eat, a part of it does not go to the stomach below and escapes into the pouch. It stays there for some time and automatically comes back in pharynx and goes stomach. In this condition, due to retention of food bad smell is produced. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 882, + "tgt": "Individual has genital herpes and performed oral sex. Is transmission of infection possible?", + "src": "Patient: Hello doctor, If an individual has genital herpes and performs oral sex on a non-infected person, is it possible for it to still be transmitted? Doctor: Hi. I read your query and understand your concerns. First of all, I would like to inform you that there is definite risk of transmission of HSV if there was direct skin to skin contact such as sex, oral sex, passionate kissing among others. However, the risk is low provided there was no active lesions at the area of contact. But practically speaking people with active genital lesions can have active lesions over the oral mucosa which can shed the virus, which can be transmitted to their partner. I also like to make it clear that itching and burning sensation are very rare before appearance of lesions. It is good idea to get tested for herpes antibodies." + }, + { + "id": 23834, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 556, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5427, + "tgt": "What causes vascular lines and petechiae in middle back?", + "src": "Patient: Hi doctor, I saw today that my husband has this vascuar lines and petechias in his middle back but I could not do a diagnosis. I am a general physician but not a dermatologist. Is this condition a vasculitis or something I should worry about? Doctor: Hi. I have observed the picture and also gone through the history of present and past illness (attachment removed to protect patient identity). I could observe that there is tendency for the lesions to assume a shape that is generally seen due to excoriation. This implies that the primary lesion or symptom induces the subject to scratch resulting in this picture. Vasculitis tends to be diffuse and involves various body areas and more so on the dependent parts like lower legs and feet. Most such patients tend to spontaneously recover over time. However, an attempt must be made to find out whether any local factor might be operative like an insect or bug bite, postural pressure on the area, any disorder that would cause itching like heat rash or an allergy to some agent that is off and on applied to this part of the body.The petechiae seem to have resulted from scratching. Careful observation leads one to the cause in good number of cases. For symptomatic relief, one can consider giving anti-allergic medications." + }, + { + "id": 12603, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12396, + "tgt": "How can chest pain in left shoulder and upper chest be managed?", + "src": "Patient: Hello doctor, I am a 34-year-old male. I am having a BP medicine (Telma AM 40). I am having pain in left shoulder, upper chest, back side. I had done ECG, 2D echo and a TMT and all the tests are negative. My doctor said the pain is not related to cardio. The pain is not constant it comes and goes, usually it pains in the night, and the rest of the day it is fine. I used to smoke and I quit smoking from the past three years. Please advice. Doctor: Hello. The characteristics of your pain are not typical of cardiac pain. There are two possibilities in you, first is of a spinal cause like spondylosis or compression of nerves and other is costochondritis. Does this pain increases on neck movement, or any neck trauma, these may be the associated symptoms. You should get X-ray cervical spine AP or lateral view. You need to visit physiotherapist after X-ray and also orthopedician. Does this pain increase on pressure over the area, if yes then it suggests the possibility of costochondritis? You will need a Naproxen then." + }, + { + "id": 17324, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13677, + "tgt": "Is it safe to take MTP kit at home without doctor guidance?", + "src": "Patient: Hi doctor, I am a 26 year old married woman. I have missed my period. When I tested using a Prega News kit, the result was positive. I do not like to have a baby now and I want to terminate my pregnancy with the help of MTP kit. Please advise me how and when to take medicine for termination. Do I need to take any other medicine with MTP? Please tell me in detail. I do not like to go hospital for this. Is it safe to get it done at home? Doctor: Hello. Firstly, your decision of not reporting to the doctor itself is very wrong and trying to abort at home is further wrong as MTP can lead to a lot of bleeding complications which you cannot manage at home after taking the medicine as a dosed protocol. The MTP kit (medical termination of pregnancy) is available in the market as unwanted, but the instruction to take the medication is not accurate for requirement of dose depends on the period of gestation first. Hence, it is necessary that you should undergo an ultrasound pelvis to locate the pregnancy first whether it is intrauterine or ectopic. Once intrauterine confirmed, then the tablets can be taken in a scheduled manner under your local gynecologist supervision in a sequential manner with Mifepristone first and then Misoprostol. Sometimes, Misoprostol has to be continued till 2000 microgram maximum dosage in case of failed abortion with the initial dosage, which may lead to surgical abortion or D and C (dilatation and curettage). So, it is recommended that you should meet your gynecologist first and do not attempt any home abortion. It is not safe at all." + }, + { + "id": 12385, + "tgt": "Do I need to stop feeding my baby with packaged milk?", + "src": "Patient: Hi doctor, My son is 13 months old and 8 kg weight. He is having loose motion over a week. I have given him Oflomac-M and Sporlac tablet twice a day. As he did not suffice, stopped giving him Amul milk and started Isomil. Later he was fine for the next 2 days and when I started back Amul milk since yesterday, again the stools are thin. As of now I am giving him Darolac twice a day. Should I give Zinc supplement for him? I am feeding him with tapioca water, curd rice, and rusk. Stopped biscuits also. He is absolutely fine and active. Was the medication sufficient? If not please suggest for his speedy recovery. Is this because of lactose intolerance? Do I need to stop feeding him on packaged milk? Currently we are using Amul. Thanks in advance for your response. Doctor: Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. By what you quote it seems that your child has probably got lactose intolerance, resistant stomach infection or worm infestation. I think you should do stool routine microscopy test and stool culture test to look for any infection and stool for reducing the sugar for lactose intolerance. It is seen in children that when they develop loose stools, sometimes the lactose intolerance may persist for 2 weeks. Continue Similac formula milk and stop Amul milk. Continue Darolac (Lactic Acid) for three days and Zinc syrup for a total of 14 days to increase gut immunity. No need to stop other foods or giving special items like tapioca water. Also, give deworming syrup like Bandy plus (Albendazole) 10 ml once at night before sleep." + }, + { + "id": 26814, + "tgt": "Should I take Amikacin injections for my UTI?", + "src": "Patient: Hello doctor,I am a 36 year old female. I am currently breast feeding. I am suffering from severe UTI since 20 days. My gynecologist suggested Ceftum, Citralka, and Urispas for three days. After taking the course I was fine for two days. But, after two days, the UTI symptoms came back, but not as severe as the first time. I continued taking the same medicines again for three days.\u00a0Still, there\u00a0was discomfort, though the severity had reduced. I got a urine test done and attached the results. My gynecologist then put me on Nitrofurantoin, three tablets per day for a week and from the second week, I was asked to reduce the tablet to two per day. I have taken a total eight tablets, but there is still a burning sensation while passing urine, especially at night. Is this medicine effective? Will my UTI be cured by this medicine? For how many more days will there be a discomfort? Do I have to try a different\u00a0medicine? Also, my gynecologist told me that if this medicine does not work, I will need to take a five-day injection course of Amikacin 500. Should I go for it right away? Doctor: Hello. I have seen the reports sent by you (attachment removed to protect patient identity). You are suffering from a urinary tract infection with E.coli. Nitrofurantoin is the correct medicine, as per your urine culture report. As the infection is severe, your symptoms will require some time to resolve completely. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 21801, + "tgt": "Does Viagra for ED help lower high blood pressure as well?", + "src": "Patient: Hi doctor, I am a 62 year old male. I have one stent but otherwise very healthy, nonsmoker, who works out one hour per day six days a week. I take Atorvastatin, 80 mg daily and Tamsulosin once daily, no other meds except 81 mg Aspirin. I have slightly elevated blood pressure 138/78 and have been experiencing some ED symptoms the last six months or so. I have read that Viagra has been shown in a 20 year study to lower blood pressure while improving erectile dysfunction. What is your opinion on this? I have ordered a few 25 mg to try out. Doctor: Hello. Is your ejection fraction normal? Yes, Viagra (Sildenafil) can cause fall in BP as a side effect and you are also having Tamsulosin. So, it also predisposes one to BP fall. You need to use it cautiously. It is better to stop Tamsulosin if it is not absolutely necessary with Viagra. Consult your specialist doctor, discuss with him or her and stop the medicine with their consent. And do not use other nitrates for the purpose of heart diseases like Nitroglycerin, Isosorbide dinitrate or Mononitrate, etc. Avoid dehydration and keep salt-sugar water or ORS ready if BP falls excessively. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25210, + "tgt": "Is it logical to treat staphylococcal infection they do not know the baby has for sure?", + "src": "Patient: Hello doctor, My daughter is almost 11 weeks old and was admitted to the hospital on the 11th. Blood culture came back negative but she tested positive for RSV and also had bronchiolitis. She was discharged on the 15th and readmitted the next day 16th. The primary physician did not like the way she was breathing. My daughter was pinched several times in the ER for a blood culture which the next day came back positive. The doctor performed additional culture as he believes the positive results were due to a contaminate. Blood culture came back negative. The 42-hour culture that tested positive is appearing to be staph aureus. One doctor is suggesting getting a central line and treating her for 10 days. I am just looking for a second opinion as I do not see the logic in treating something they do not officially know she has. She has had no fevers. Doctor: Hello. I understand your concern. Culture positive for Staph Aureus infection needs treatment. A central line is advised and when it is difficult to get, a peripheral line or prolonged course of treatment is needed. Even if the baby is not having a fever (which is a good sign), the antibiotic course needs to be completed, as half a course of antibiotics leads to more complications like drug resistance or partially treated meningitis. If resources are limited in the setting, we also consider clinical findings like if the baby is tolerating feed well, weight gain present, no fever, looking well, and hemodynamically stable. If all are there then usually we consider them. It is possible that not always you get the cause, but when the child is having symptoms, we have to treat it, initially with empiric medication and simultaneously look for the cause. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 241, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27200, + "tgt": "Should I undergo a tubal laparoscopy or would a HSG suffice?", + "src": "Patient: Hello doctor,I had a one-day period during my last menstrual cycle. After 14 days, I had pink spotting for three days. Then it turned to a brown discharge and then a normal bleeding like my menstruation. All this went on for 10 days. Today, the bleeding is very light. I am trying to conceive. My gynecologist advised me to have an HSG test. But, since I have the bleeding now, can I go for the HSG test once this bleeding stops? Doctor: Hello. Take care. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5955, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13370, + "tgt": "How can high BP be controlled in a patient with aortic valve replacement?", + "src": "Patient: Hello doctor, My BP is very high 200/75. I have made aortic valve replacement surgery with metal valve nine years ago. The BP is high for the past four days and nothing gets it down. In an emergency clinic, they gave me a Nitroglycerin patch which made my BP reach 170/75, however, it did not get the BP more down. My physician prescribed me Coversyl 5/2.5 and Concor 5. I am a chronic Coumadin user. Doctor: Hello. There are multiple options available for you. Firstly, it is better to shift to other drugs like Telmisartan 80 mg or Losartan 100 mg instead of Coversyl plus because combination makes it difficult to titrate. If you want to stick to the same then some other medicines like Amlodipine 5 mg and if not effective 10 mg in addition to Coversyl plus and Concor, will control your BP. Also, if BP remains elevated then tablet Prazosin XL 2.5 mg should be added which can be increased to 10 mg if necessary. So, overall, you may have tablet Coversyl plus, Concor and the third drug should be added like Amlodipine 5/10 mg (or similar medicine Cilnidipine). Next in the line if necessary is Prazosin. Also, the dose of Coversyl could be increased later if necessary. In an emergency situation, you should discuss with your doctor regarding intravenous Labetalol or intravenous Nitroglycerin drip for immediate BP control." + }, + { + "id": 13104, + "tgt": "I have frequent urination and tender nipples after unprotected sex. Am I pregnant?", + "src": "Patient: Hello doctor, I got my Mirena IUD a month back. I had unprotected sex with my fiance about 3 or 4 times after I got the green signal from my Gynecologist that the IUD was in its proper place (after two weeks or so). I am afraid that I might be pregnant. I am experiencing constant peeing and tender nipples. I know IUDs are almost as effective as tube litigation. I am just immensely worried that the symptoms may lead to what I think they are. I had unprotected sex the first time about 1 to 2 weeks ago. After each time, the sperm would come out or drip down my leg. I know I probably sound crazy worrying, but I would just like to hear from an expert. Doctor: Hi. If you have got your Mirena inserted within one week of your periods, your Mirena should be working properly providing contraception. If the insertion is after the first week, then there could be chances of pregnancy. Get a pregnancy test done to rule out speculations. Increased frequency of urination could be a symptom of urinary infection, get a urine culture done. Secondly breast tenderness is quite common complaint in ladies after Mirena insertion, that will subside gradually, you may apply ice packs or warm water bag on your breasts to reduce the pain." + }, + { + "id": 25454, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8457, + "tgt": "How can nodal enlargement in lung be treated?", + "src": "Patient: Hello doctor, I need advice after my second CT chest result. Six months back, I went for a CT scan because I have got chest pain which suddenly comes and goes and I wanted to go for a check-up. The CT showed a right-sided nodule measuring 3 mm and was advised to RPT interval scan in six months. I have done the second CT, the previous nodule is still there and they found another one. In the LLL, a 4 mm nodule is representative of an intrapulmonary lymph node. No suspicious lung lesion. Tiny 3 mm RLL nodule noted. No enlarged lymph nodes. Mild thymic hyperplasia. The partly visualized upper abdominal viscera appear unremarkable. No aggressive bony lesion. They said I do not need to do anything which is strange because there are two nodes now and the second one was not there six months ago. Do I need some kind of medicine therapy to clear my lung from this node or do I need to check if it is growing or not after one year? Doctor: Hi. According to guidelines when there is a single nodule in the lung of size less than 3 mm we ask to follow up in six months for repeat CT. In the repeat CT, if we find any enlargement of the nodule or any new developments we usually ask for a biopsy of the existing nodule. That is how we practice. So, I think you should repeat your CT after six months and if the size increases, you should get a biopsy done." + }, + { + "id": 17033, + "tgt": "Is tablet Thyroxine enough to cure hypothyroidism?", + "src": "Patient: Hello doctor, I have hypothyroidism. My TSH level is 124.5, T3 - 3.16 and T4 - 45.6. My doctor advised me to take Thyroxine\u00a0100 mg tablet two times a day. I am taking that right now. Is Thyroxine enough to cure hypothyroidism? Do I need any other medical attention? But, I feel better now after taking Thyroxine. Please guide. Doctor: Hello. TSH only in six weeks. 150 mcg a day of Thyroxine in the morning. Revert back in six weeks with TSH report to an endocrinologist online.---> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23071, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18633, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12166, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25091, + "tgt": "I saw red bumps two months after risky exposure. Am I free from HIV?", + "src": "Patient: Dear doctor, I have not revealed this to anyone. I am going through a lot of mental instability right now. Seven and a half months ago, I had protected intercourse with a sex worker. Then after the intercourse exactly after two months, I saw three red bumps on the head of my penis. So, referred to a physician the same day. Then from few antibiotics, it was gone (Clop-GM). I got tested for all STDs. Everything showed negative results but my HSV came positive. HSV 1 & 2 IgG 1.2. I took some medicines for it. Then again got tested after seven days it came negative both HSV 1 & 2. So out of confusion, I got tested again after two weeks from another lab. My reports where still negative. Also had HIV 1 & 2 testing five times. 10 week HIV card test negative. 12 week HIV ELISA serum test negative. 14 week HIV ELISA and P24 test negative. 16 week HIV 1 & 2 serum test and still negative. 23 week HIV 1 & 2 serum and P24 test negative. Right now I am having dry cough from one week and it is not going away with the help of medication. I am scared. Please help me. Doctor: Hello. Your HIV test results are conclusive. Could you please send me the HSV report? Do you still have genital lesions? Cough could be due to usual viral infection. Do you have any fever too? Please revert. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17416, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29159, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 798, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 10269, + "tgt": "My father has been detected with glaucoma. Do we need to take urgent action?", + "src": "Patient: Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely? Doctor: Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16392, + "tgt": "Kindly suggest measures for severe toothache", + "src": "Patient: Hello doctor,I have a very bad toothache. The whole left side of my face or jaw is hurting badly. Can I go to the regular doctor for this until I can meet the dentist? I do not know what else to do. Doctor: Hi. I have gone through your question. I can understand your concern about your pain. The pain looks like because of erupting wisdom tooth as you mentioned the hole in the jaw. If the hole is in teeth, it can be acute apical periodontitis. In the former case, you need to take medication like Ofloxacin plus Ornidazole combination twice daily for five days. In the latter case, take Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. For any confusion, send me a picture I will provide you with a better possible treatment plan. For immediate relief, take Ketorol (Ketorolac) DT tablet, it will provide you with an immediate relief. If you get the above-mentioned medicines, you do not have to visit a general practitioner and it will provide you with a better time to visit a dentist." + }, + { + "id": 7940, + "tgt": "Can I get tooth filled without getting it cleaned post-five-day prescription of tablets?", + "src": "Patient: Hello doctor, Is it okay to get a tooth cavity filled without getting it cleaned post-five-day prescription of two tablets? Does this have consequences? Doctor: Hello. The cavity is always cleaned before filling it up. Five days medication is fine that is to subside any further infection. Caries, if present, are never left as it is. There may be another case if it is simply a hole or broken area and not carious but that is also irrigated for once atleast." + }, + { + "id": 22554, + "tgt": "Is it normal to get hepatitis B vaccine even before starting HIV medications?", + "src": "Patient: Hello doctor, I just found I am HIV positive, but I am not on medication yet. My CD4/viral load count is 445 /22,500. I do have issues with my liver enzyme AST=87, ALT=201, ferritin =800, but negative for hepatitis B. The doctor wants to protect my liver, so she gave me first hepatitis B vaccine. My concern is if this is the right decision because I am not on HIV medication yet and I do not want to see my viral load count increase by B vaccine. My doctor wants me to start medication for HIV, so I am planning to take Genvoya. I am scheduled for an ultrasound and fiber scan for my liver in a month. My concern is starting the medication a right decision for my situation before I know the condition of my liver. I am starting to get a feeling \"do I have the right doctor for me?\" I read about Genvoya and it is saying that it is not recommended for people with severe liver impairment. I do not think I have \"severe liver impairment.\" I need advice. Is my doctor's decision getting hepatitis B before HIV medication is the right choice? Should I just follow my doctor and start medication? Doctor: Hello. I think it is the right decision to vaccinate against hepatitis B because it protects you against future exposures to this virus. Hepatitis B is having the same routes of transmission as HIV (human immunodeficiency virus) vaccination. Hepatitis B does not interfere with HIV infection. A CD4 count of less than 500 is an indication to start ARV (antiretrovirals). For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 26747, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3503, + "tgt": "Kindly explain about the best medication for major depression from SNRI group?", + "src": "Patient: Hello doctor, I need help for my 19-year-old son. He has tried SSRI's which did not work (Then we had the Gene testing done and it showed that he should not be on the one that he was on) and seemed to make him worse. He is now on an SNRI, the same one that his mother is on and that is not working as it should either. We have tried the Ketamine treatments and they seem to help short term (a couple of days). We stop those treatments when he was hospitalized at the end of last year. He was required to be hospitalized to be observed for ECT treatments which were started. We saw a great improvement with the ECT and after about 7 treatments, he was backed off to once a week which seemed to work okay, with only one bad day. Then he was moved to every two weeks and it got bad again. We got him in a few days before the two weeks were up and he still had some very bad days. He is a psychiatrist but my son is not honest with him because he fears being locked up again. I guess my question is this. What medication in the SNRI class have you found to work the best for major depression? (I know he has been labeled treatment-resistant but the anxiety medication he takes seems to work). Is there another class of medication that you would suggest we try? Doctor: Hello. Firstly sir, it is just a brief labelling to broadly differentiate classes, but many people who do not respond to one SSRI/SNRI, will do well with another drug of the same class, so cross switching between classes is also done. Among the SNRI, my personal experience as well as the literature, supports the use of Venlafaxine as superior compared to others. Lets assume that we are going to use Venlafaxine as a primary drug. In non responders or resistant, usually augmenting agents are given. I do not know what agents have been tried for your son so far. But normally, SNRI with mood stabilizer like Sodium valproate or Lithium, or SNRI+low dose second generation antipsychotic, or SNRI plus combinations of mood stabilizer and low dose antipsychotics can be used. Apart from this other classes of drugs can also help such as Mirtazepine, Bupropion, and as and when needed temporary use of low dose Benzodiazipines and Propranolol can also be added. The goal here will be remission of symptoms or atleast reduction to an acceptable level. In patients with resistance, usually 2 or 3 drug combinations will be needed. Also many psychiatrists do not reach the maximal dosage recommended of most drugs and that also needs to be tried out. Apart from this, you should consider getting 6 to 8 sessions of cognitive behavioural therapy from a clinical psychologist. It will also help and add to the effect of medicines." + }, + { + "id": 2976, + "tgt": "What is the accuracy of HIV CMIA on 26th day post exposure?", + "src": "Patient: Hello doctor, I took an HIV CMIA test on 26th day after a sexual encounter. The test result is negative. I had protected sex but I saw some blood on the inner parts of my partner. And also at the time I was having two pimples on my penis at the end and not on the tip. I am concern about that. Is an HIV test on 26th day conclusive? Doctor: Hi. HIV negative test report at 26th day post-exposure is quite assuring, but, a confirmatory HIV antibody test is further required at three months of last exposure. There are no specific symptoms by which we can diagnose HIV. The complaints which you are having could be due to multiple reasons and do not necessarily means HIV. For the complaints you mentioned besides getting tests for other STIs (sexually transmitted infections) like HBsAg (hepatitis b virus antigen), anti HCV (hepatitis C virus), VDRL (venereal disease research laboratory), gonorrhea PCR (polymerase chain reaction), herpes simplex 1 and 2, I also suggest you to get vitamin D3 and vitamin B12 levels. Is there any fever as well? If so, please send the temperature record. Please revert with the reports." + }, + { + "id": 19142, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18305, + "tgt": "How to handle a schizophrenic patient?", + "src": "Patient: Hi doctor, My sister is suffering from auditory hallucination and 2 years ago she has been diagnosed to have schizophrenia (paranoid). Earlier, she regularly took medicine. But now she is not taking medicine because of side effects.\u00a0She is unmarried and working in a private company. She does not feel any hallucination in her office, but when she reach home she hear somebody is calling her by her name again and again. When it happens more than her tolerance capacity, she becomes quite violent and says to kill that person. She suffered with\u00a0chronic suppurativa otitis media CSOM till the age of 4 and had undergone right mastoidectomy. She was almost deaf till that time and started hearing actual voices from her 4 years of age. Later she said that she was not comfortable in hearing as these sounds were too loud for her. Then she started complaining that a person repeats her name. It was diagnosed as auditory hallucination and schizophrenia. Earlier she had Risperidone 1 mg, Parkin 2 mg and Escitalopram 5 mg. Our mother is also suffering from schizophrenia but she is medicine compliant. She is maintaining it by taking regular medicine. How to handle my sister? Please guide us. Doctor: Hi. As you have mentioned that your sister is suffering from schizophrenia and shown response on the prescribed medication, start her on tablet Risperidone 3 mg at night and tablet Parkin (Trihexyphenidyl hydrochloride - THP) 2 mg in the morning. You can also give her tablet Sizodon plus one tablet at night, which is a combination of both Risperidone 3 mg and THP 2 mg. You can also opt for Risnia liquid; mix 3 mL in her food in dinner, as her compliance is poor for medication. It is Risperidone, which is in colorless and odorless liquid form, so can mix with food easily. No need of Escitalopram. If depressive symptoms appear, then you can start with Escitalopram 5 mg in the morning. Review after 15 days or whenever needed. Revert back after 15 days for follow up to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11155, + "tgt": "USG shows appendicitis. Do I need surgery?", + "src": "Patient: Hello doctor, I am a 28 year old female. Whenever I have indigestion and gas formation in my stomach, I feel pain in the right side of my stomach. So, I did a whole abdomen USG. It shows appendicitis. I did blood ESR test also. Attached are the reports. As per my doctor's suggestion, I am having below mentioned medicines for one week. Folcovit (once a day), Tibrolin (thrice a day), Pan D (once a day), Zocef CV 500 (twice a day). So, I want to ask, whether these medicines are sufficient or not? Do I need to have surgery? Doctor: Hi. I had seen your report (attachment removed to protect patient identity) and CBC (complete blood count) is not showing any shift to the left or high total count. You have mild appendicitis infection. For that, medical management will be beneficial. You have been prescribed antibiotic course and probiotic and antacid. Complete the course of prescribed medicines. Your prescription is correct as per mentioned history and report. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27225, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26859, + "tgt": "Can you go through my father's ERCP reports and tell me why he has jaundice?", + "src": "Patient: Hello doctor, My father recently underwent an ERCP. I have attached his reports. He now has weight loss and jaundice. Please provide me your opinion. Doctor: Hello. I went through the ERCP (endoscopic retrograde cholangiopancreatography) reports (attachment removed to\u00a0protect patient identity). The final treatment depends on the cause of disease which has to be determined.\u00a0Please revert with the biopsy report and scan reports, so that I can guide you further. Revert with more information to a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 18216, + "tgt": "My son is 3 years old. He is not speaking like other children of the same age. What do I do?", + "src": "Patient: Hello doctor, My son is 3 years old. He is not speaking like other children of the same age. He is speaking very few words. What do I do? Doctor: Hi. He has probably not interacted verbally enough with family members and other children of his age. Presuming his hearing capacity is normal, the above mentioned might be the reason. Please interact with him more often in the form of talking to him and storytelling where verbal communication is significant. Involve him in playful activities and talk to him at every opportunity. He should be encouraged to play with other children his age. Decrease his screen time (television/video games/mobile phones). With your patience and interactions, things will brighten up." + }, + { + "id": 9844, + "tgt": "Can I take Anuloma regularly when breastfeeding?", + "src": "Patient: Hello doctor,I am 32 years old. I delivered a baby two months ago. My issue is that due to hard motion, there is blood. I am taking Anuloma DS tablet. If I stop taking the tablet, again my motion will be hard and bleeding is there. Shall I take this medicine regularly as the baby is small? So help me. Doctor: Hello. Definitely, you should be careful about medications whatever you are taking during the lactation period. Because it may affect the baby's health. During pregnancy and after delivery constipation is a common issue. You should try to manage it naturally. Anuloma DS is a good ayurvedic proprietary medicine which acts as a laxative. But it contains senna. Senna may causes motion to baby also. You can take Triphala Churna 3 g or two tablets with warm water after meals. Along with this you should change your lifestyle and food habits. Also, do regular Yoga and exercise. It helps to regulate your metabolism and bowel movement too. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28377, + "tgt": "I am confused about my decision of getting divorce. Kindly help me", + "src": "Patient: Hi doctor,I have asked my husband for a divorce. I am not happy or in love with him. For eight years, he was into gambling and hardly contributed to our household. He has now stopped gambling for around three months since he found out that I was talking with another man. I have been trying to convince myself to love my husband again since he has changed, but I could not. He is now trying to make me feel guilty and is threatening me. We have a son aged 7. Am I a bad person by seeking divorce in order to find my inner peace and happiness? Should I stay with my husband out of guilt and pity just because he has stopped gambling and remembered that he has a family? Doctor: Hello. Thank you for writing to us. We are happy to help you. Revert with more information to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 6160, + "tgt": "How long will it take to normalize the raised liver enzymes?", + "src": "Patient: Hi doctor, My ALT\u00a0384, AST 144, glutamyl 151, alkaline 131, albumin 45, lipase 24, amylase 68, CRP 7.7 and bilirubin normal. I have stopped drinking alcohol. How long will it take to normalize other enzyme levels?\u00a0What are the risks I have from the above report? Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30948, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 6169, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8161, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10955, + "tgt": "What medicines can be taken to improve erection at bed time?", + "src": "Patient: Hello doctor, Last one week, I am having issue with my erection at bed time. I am 35 years old. Please suggest me some medicines to be taken at bed time to make a relation with my wife without any problem. I am feeling very bad at bed. I have used an oil one week ago. Since then, I am having erection problem. Please suggest me some curable medicines right now. Doctor: Hello. Eerectile dysfunction has many causes and I would suggest you to get yourself fully assessed by some local expert before proceeding to further management and avoid self-medication. Now coming towards your problem, erectile dysfunction can be caused by diabetes, hypertension, anxiety and high cholesterol even and with increasing age and heavy smoking. So if any of these is the case with you? If yes, then you have to first eliminate those factors first. Maintaining a good diet and exercise may help resolving the issue. Thirdly, a product known as Natural Viagara is available in market. Its safety has been approved so that can be used as well but it will not relieve the actual underlying cause which is utmost important to consider." + }, + { + "id": 8980, + "tgt": "Can a girl get pregnant without ejaculating inside her?", + "src": "Patient: Hello doctor,Can a girl get pregnant even though I did not ejaculate inside her? Doctor: Hello. Yes, this method has some failure rate ranging from 4 to 25 percent depending on how effectively it is carried out. So usually, a girl will not get pregnant in most of the cases, but the possibility cannot be ruled out. Also, baseline risk depends on which day of the cycle the sex was done. Say if it was done within 2 to 3 days of the period or in a week before the period, then chances are very less at baseline. So, if sex has happened within last 3 to 4 days, then she may have an emergency contraceptive pill to further reduce the chances of pregnancy." + }, + { + "id": 27013, + "tgt": "Can Hashimoto's disease cause enlarged lymph nodes?", + "src": "Patient: Hello doctor, I am\u00a0a\u00a030 year old\u00a0female.\u00a0I have Hashimoto's hypothyroidism since four years. I take Eltroxin daily and go for a thyroid sonar once a year. I went for an ultrasound yesterday and my report stated that my thyroid features are consistent with Hashimoto's thyroiditis. But, what really freaked me out was these two comments: Prominent lymph nodes are seen within the right cervical chain, with the largest on the right measuring 4.9 mm in its short axis and on the left 3.4 mm in its short axis. A small cystic focus noted in the medial and anterior aspect of the right lobe. What does this mean? Should I be concerned? I was sick with a bad flu about four weeks ago, had a\u00a0high fever and ended up on antibiotics. Could the lymph nodes still be swollen from that? Or can the lymph nodes be swollen due to an autoimmune disease? I have alopecia areata as well since I was diagnosed with Hashimoto's. My immune system seems to be very weak. I constantly get flu,\u00a0colds, and tummy bugs and I suffer badly from allergies or sinuses. Doctor: Hello. I just read your query and from the reports you have attached (attachment removed to protect patient identity), it appears that you do have some enlarged lymph nodes. Yes, there are two possibilities but it is more likely that these are due to: Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 11236, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 12611, + "tgt": "Is there a permanent solution for itching around groin?", + "src": "Patient: Hi doctor, I am 30 years old. For the past few years, I have been suffering with itching on my groin and surrounding areas. I usually use Cloritamazole dusting powder on and off. But, when the itch really increases, I use Quadriderm ointment for 1-2 days. Once the problem reduces, I stop using it. For one year, I have used one tube of the ointment and about 2-3 boxes of the powder. I have never consulted a doctor regarding this. But, now the problem has increased and I am looking for a right treatment. Since, six months, the itching has become severe on the groin, scrotum and penis. I can notice, there is a lot of flaking and chafing of the skin around it. Sometimes, I can find blood spots in that region. I have itching sensation even while sleeping. Generally, I wear loose clothing or no undergarments and spend most of the time at the comfort of AC. I have no other skin problems. Since a month, I am using pears soap and washing the area with lukewarm water twice a day. Occasionally I take tablet Allegra for itching. For last fifteen days, I am using Clocip dusting powder continuously. I am under homeopathic medicine for chronic sinusitis. But, need to take antibiotics once every 3-4 months. Four years back, I was diagnosed with internal hemorrhoids. As of now, I have no problem associated with it. I have attached the recent pictures. Please check and suggest a permanent treatment for the same and also let me know what precautions I need to follow. Thank you in advance. Doctor: Hi. I can very well understand what you are going through. I will give my best shot to treat your problem. I examined the photographs (attachment removed to protect patient identity) and found the original fungal lesions have been converted to the present appearance because of medicine. It is a common tendency for a person to use local steroids like Quadriderm ointment to get relief quickly. This is when the problem gets complicated. My advice would be to never use such products. But if already used no need to worry. Once a physical examination is done we can find a good solution. My suggestions for you to follow are:" + }, + { + "id": 12877, + "tgt": "What leads to blood with loose stool?", + "src": "Patient: Hello doctor, I have blood coming in loose stool for the past one year but I do not feel any pain. What is the reason? Doctor: Hi. Blood in stool is not a normal condition as you are having the problem for one year. It should be investigated in detail and the following work-up will be useful. Rectal, anal area examination, stool routine microscopic examination, proctoscopy examination, colonoscopy, if needed. If needed during colonoscopy, biopsy taken from the abnormal area if found for histopathology examination. This work-up will be helpful to rule out causes for blood in stool like a polyp, proctitis, piles, colitis, diverticulitis, any growth, if present, etc. If the color of blood in stool is of brown-red color than bleeding is from the upper gastrointestinal tract. If colour is bright red then the cause for bleeding is from the lower gastrointestinal tract. So, from your provided history, this work-up should be done and above causes should be ruled out. One diagnosis cannot be given. Consult general surgeon or gastroenterologist for examination and above work up and according to cause identified further treatment plan can be decided." + }, + { + "id": 23308, + "tgt": "Can you suggest few measures to increase the size of my vaginal opening?", + "src": "Patient: Hi doctor, I am 23 years old. I got married before two years. I still have pain while having sex. My husband says vaginal opening is too small hence it is painful for him too. We are badly in need of a baby now. Please suggest some measures to increase the size of my vaginal opening. Thank you. Doctor: Hi. Usually small vaginal opening happens due to dryness of vagina or if you are not fully excited. So, vagina is not dilated and there will be less mucus secretion, which will ultimately cause painful sex (dyspareunia). Follow the following few things regularly, which will definitely help you: For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1793, + "tgt": "Please give a second opinion regarding my knee surgery", + "src": "Patient: Hi doctor, I am a 31 year old female. When I met with an accident before six years my left leg below knee got injured and the doctors has done wrong surgery. Please help me. Doctor: Hello. Revert back with reports and more detailed history to an orthopaedician and traumatologist online.---->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16183, + "tgt": "Is it safe to take Paracetamol during pregnancy?", + "src": "Patient: Hi doctor, My wife is suffering from fever and headache with common cold. Actually, we are trying for our second baby this time. Her date is expected after two days. We went to our local doctor and he prescribed Paracetamol and one another small tablet. Is it safe taking these medicines during this time? Kindly guide us. Doctor: Hello. If both of you are trying to conceive, then for common cold you may opt for conservative management with Paracetamol tablets for fever and saline warm water gargling thrice a day and steam inhalation twice a day. Also increase her water intake to 12-15 glasses a day, this shall help recover sooner.Paracetamol is safe for pregnancy and is free from any congenital side effects even if you conceive. Secondly, if the fever is not controlled and the cough worsens and sputum becomes yellow, then she can be given a three day course of capsule Azithromycin 500 mg once a day. It is also safe in early pregnancy though should be used restrictively. I believe the other small tablet prescribed to you may be tablet Cetirizine 5 mg twice a day, which is an antihistamine. It can be taken, but not for more than three days. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21889, + "tgt": "What is the cause for persistent swollen lymph nodes with fever?", + "src": "Patient: Hello doctor, I have swollen lymph in my neck for the past two months, dry cough for three months, on and off a fever in the evening, headache, vague, abdominal pain and muscle pain. Doctor: Hello. Thanks for your query and I understand your concerns. Persistent swollen lymph node requires tissue biopsy (sampling) as it could represent serious conditions especially if painless. Can you estimate the size? Is it painful? Is it single or multiple? The possible causes are TB (tuberculosis), chronic infection, lymphoma and other blood diseases. Please provide me with more details and send me the investigations to narrow the differentials. For further advice, please do not hesitate to follow up. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9814, + "tgt": "I am 8 weeks pregnant and I am not able to see my baby on ultrasound. Why?", + "src": "Patient: Hello doctor,I am 18 years old with 5'6\" in height and weight 134 kg. I am eight weeks pregnant. I have not had any bleeding or cramping. I do not believe the baby is in my tubes because I have not had any pain. Why my baby cannot be seen on the ultrasound? Doctor: Hello. The possibilities are, 1. Your periods previous to pregnancy was irregular, so what you count as eight weeks maybe less, need to wait and repeat scan after 7 to 10 days. 2. Pregnancy is not healthy. Only if the growth of the baby is normal, the rate of growth of the baby will be regular, and by eight weeks, you should be able to see the baby.You can confirm the health of the baby by checking the serum beta hCG, repeat it after 48 hours, and it should be doubled in 48 hours. For example, if today value is 100 IU/ml, it will be 200 days after and 400 after two more days. If the baby is not healthy, the rise will be less than that. So then repeat it till you can confirm no adequate growth.Only when the beta hCG value is 1500 mIU/mL can a baby be seen on the scan. Do not worry about tubal pregnancy, it will be seen as early as six weeks, and as you said, you would have symptoms much earlier. I hope I have clarified your query. Do write back if any more questions." + }, + { + "id": 26213, + "tgt": "I took an ECP seven days ago. Can I take another ECP now?", + "src": "Patient: Hello doctor, I have taken ECP seven days ago on the fifth day of my period. No side effects till now, but there is withdrawal bleeding happening from the last three days. It has become light now. Accidentally, unprotected penis with semen rubbed my vagina. It happened again 32 hours ago. Can I take a second ECP now? Would it pose any risk because of the current bleeding? Doctor: Hello. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19949, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28514, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24670, + "tgt": "I feel strange after smoking marijuana. Please advise", + "src": "Patient: Hello doctor, I smoked marijuana three days ago. I am feeling very strange from the past three days. Doctor: Hello. I went through your post. It is normal to have an abnormal feeling after marijuana for up to a week, especially if you have used it for the first time. You need not worry. Just try to forget the incident and do not use it in the future. Take enough water and fresh fruits, and start doing routine work. You will be normal in the next few days. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13315, + "tgt": "What is the cure for numbness in head, face and hand with weak convulsions?", + "src": "Patient: Hello doctor, I quite often suffer from feeling numbness in the part of my head, face, and hand. I also quite often feel something like weak convulsions in the head. Those are very often with a headache. I am also very sensitive to the light and temperature changes. Those very often cause very strong headache and tearing. When there is cold outside, for it becomes difficult to speak. While walking sometimes for me it is very difficult to keep the coordination. I often feel trembling and weakness in the face and hands. I have visited neurologist a few years ago and magnetic resonance tomography was indicated. However, I have not gone for this medical examination. I have just started taking indicated medicines Tanakan. It helped me a little bit, but all those symptoms have stayed. I live with it for quite a long years. What illness it may be? What treatment and indications would be in this case? Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to different possible causes like fibromyalgia, vitamin D or vitamin B12 deficiency, tension-type headache related to psychological stress, multiple sclerosis, small vessel disease of the brain, etc. Tanacan can help improve blood circulation in the brain. I would like to know your age and past medical history. I also agree with your doctor on the recommendation for a brain MRI, as it is very important to exclude some of the above possible causes. I would also recommend performing some other blood laboratory tests like complete blood count for anemia, vitamin D and vitamin B12 levels, plasma levels for possible deficiency, PCR for inflammation, thyroid hormone levels for thyroid gland dysfunction. You should discuss with your doctor on the above tests." + }, + { + "id": 125, + "tgt": "What can be done to cure joint pain with muscle tenderness?", + "src": "Patient: Hello doctor, I am a 26-year-old female. I have joint pain in widespread bilaterally in elbows, knees, and ankles. I also have muscle tenderness on my neck and shoulders and back pain from a herniated disc. I take Diclofenac 75 mg PRN for pain. I have had laboratory work done and I have seen a rheumatologist. My initial labs: ANA positive 1:160 speckled. CRP was elevated. My anti-DS DNA, CCP and RA factor were all negative. Secondary lab work through ELISA showed negative ANA and all other autoimmune laboratories were negative except for positive anti-phosphatidylserine/Prothrombim A at 44 units. Slightly low vitamin D but I take supplements. I eat a plant based diet and exercise twice a week. My other medical history includes depression and anxiety for which I take medication. My question is despite my labs being negative, why do I still have joint pain and muscles aches? Doctor: Hi. I would like to ask you a few more queries: 1. Is your sleep pattern fine? Morning fatigue? 2. How frequently are you taking Diclofenac? 3. Any hair fall/oral ulcers/dry eyes/dry mouth? 4. Any recent irritability or forgetfulness? 5. How much was the level of CRP you had mentioned? 6. A personal question: But is there a particular reason for the depression? Any family history for endogenous depression? There can be many reasons of pain. We need to distinguish if it is inflammatory or non inflammatory. Alone ANA positive may not imply much here. We have to see if it is impacting your system as well." + }, + { + "id": 6549, + "tgt": "Is it safe to get pregnant with an enlarged spleen?", + "src": "Patient: Hello doctor, I have a hemoglobin C, and an enlarged spleen (18 cm), my doctor said as long as it does not hurt we will keep it. I do not sleep well because I feel like there is a big heavy ball in my stomach moving. I gave birth two years ago and I want to have another baby. My question is: is it safe to be pregnant with an 18 cm spleen? Is there a risk of splenectomy while I am pregnant? Is it safe to be pregnant without a spleen? Doctor: Hello. You are having hemoglobin C hemoglobinopathy leading to hemolysis and hence splenomegaly is present. Your hemoglobin level also should be checked. In this case, as the cell turnover is high, folic acid is prescribed. If splenectomy is done, in pregnancy, there are chances of infections and other complications as per few studies. And also enlarged spleen creates trouble in pregnancy as uterine growth in pregnancy is affected and enough space might not available as the spleen is much enlarged. So, at this point, in my opinion, you should wait for sometime. And, before planning for conception, consult a gynecologist for examination and discuss these issues and accordingly plan the pregnancy. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20200, + "tgt": "I do not have any symptoms of jaundice, but my bilirubin level is abnormal. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male, and I am a triathlete. Seven years back, I suffered from jaundice. I check my blood bilirubin every six months\u00a0and liver function test every year. The result showed abnormal bilirubin level; the total bilirubin was 3.5. The LFT was normal. I also got an ultrasound of the liver, and the reports were normal.\u00a0I do not have any symptoms\u00a0of jaundice like yellowish skin, vomiting, abdominal pain, tiredness, weight loss, etc. Only the blood test shows abnormal level.\u00a0I consume alcohol once in 2 to 3 weeks. Doctor: Hello. Take care. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 30258, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 26536, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5219, + "tgt": "My gallbladder surgery ended up in diverticulitis and pain. How to stop the pain?", + "src": "Patient: Hello doctor, I have had a gallbladder operation last year and an umbilical hernia, then I ended up with diverticulitis a couple of months ago. That pain has never gone away. So I went and got an upper and lower GI done and it was clear. The pain is centered in the upper part of my belly and feels like a rock it is constant pain and it gets worse when I eat. The other pain comes from both sides about three to four inches above my pelvic bone to the right and left. Then I get a stabbing feeling in both places as well as in between the nurses wanted me to consult a gynecologist. I am just trying to make the pain stop. A year after my operation I gained about 100 lbs, but it is my stomach that is swollen all the time. It looks like I am nine months pregnant. Please help. Doctor: Hi. Symptoms you have mentioned are indicating towards gastritis or acid peptic disease. Still, I need more information. Why you underwent GB (gallbladder) surgery? You did not mention the GI series report, it was before the onset of pain or after the onset of pain? Is there a regurgitation of food or vomiting? If yes are there blood in vomit? These kinds of problem is associated with an excess weight. And it is associated with other problems also e.g. NASH (Non-alcoholic fatty liver disease), metabolic syndrome. Advice. 1. Start on Rabeprazole and Domperidone combination tablet twice a day half an hour before a meal. This will help to alleviate your pain by suppressing acid activity. 2. Take Pepcid (Famotidine) syrup 5 ml along with meals in the initial 10 days of treatment, it will relieve severe pain. 3. Avoid fatty foods. 4. Make a diet chart whatever you are eating in the next seven days, we will modify it. 5. Do exercise to loose weight. Obesity is a known risk factor of these problems and others that I have already mentioned. 6 Get done investigations, CBC (complete blood count), liver function test, lipid profile, fasting and post prandial blood glucose level, and thyroid function tests (T3, T4, TSH). Review with above-mentioned details and reports." + }, + { + "id": 29983, + "tgt": "Despite normal gastroscopy, I am having gas and bloating issues. Please help", + "src": "Patient: Hello doctor, I am 29 years old. I was having stomach pain, acidity and bloating since a year. So, I did an endoscopy as advised by my doctor. The report showed H.pylori positive. I finished the full course of medication as directed by the doctor and I felt better. Then, I switched to a new place. After relocating to the new place, my pain and acidity subsided. But, I do feel bloated and gas especially in the evening time. Again, I had a gastroscopy, but nothing came out of the report. I am still having gas and bloating issues at night. Also, recently, I am having dark stools.\u00a0Please advise. Doctor: Hi. Stool routine and culture sensitivity. Revert back with the reports to a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 14720, + "tgt": "I have developed a very bad face allergy, possibly caused by my new perfume. Please help", + "src": "Patient: Hi doctor, I have developed a very bad face allergy, possibly caused by my new perfume. It itches very badly. It has created swollen patches on my chin, jaw, and cheeks. Please help. Doctor: Hi. Stop using all the creams or cosmetics for the time being. I suggest you try doing the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent." + }, + { + "id": 20290, + "tgt": "My armpits are gray, itchy and scabby. Why?", + "src": "Patient: Hi doctor, My armpits are gray, itchy, and scabby. It involves my entire armpit, and it extends down to my side boob and around my shoulders. I do not know the reason for having it. I also had the same problem last year too. I always have a lot of sweating. Doctor: Hi. You may have a fungus on your skin. Please mix Hydrocortisone and Clotrimazole cream in equal amount and apply it over the skin two times a day for 14 days. Maintain good hygiene. Try to avoid having sweating as much as you can. Apply deodorant regularly. Please send a picture to guide you further." + }, + { + "id": 8408, + "tgt": "I get red marks on my testicles when it is hot. Are they heat rashes or STD?", + "src": "Patient: Hi doctor, I get red marks on my testicles\u00a0when it is hot outside. Is it heat rash or STD? I have attached a picture of the red lesions for your better understanding. Doctor: Hi. I have read your query and examined your picture (attachment removed to protect patient identity). For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 660, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18578, + "tgt": "Is it common to feel dizzy while switching from Phenytoin to Briviact?", + "src": "Patient: Hello doctor, I recently tried switching medicines from Phenytoin to Briviact. Last night, was the first time I tried it. I am transitioning off the Phenytoin. I became dizzy, disoriented and felt very weird. I have not had a seizure in the last 9 years. But, I was not ready to go off the medicines, since I do a lot of traveling. My neurologist recommended to try a new medication with less side effects. Is this a common experience while switching Phenytoin to Briviact? I took it last night at 9.30 and I am still feeling out of it and irritable. I have never had this side effect from the Phenytoin. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29376, + "tgt": "How to identify if my son has autism?", + "src": "Patient: Hi doctor, My son is 3.2 years old. He has a speech delay and\u00a0lack of response. We have done his IQ test, and there is no autism in the result. He is hitting himself and grinding teeth. We are very frustrated by his acts. He will do more once we say no to his activity. Please help. Doctor: Hi. The IQ test does not decide autism. It is determined by the clinical symptoms and signs in your child. Some important signs are disinterest in surroundings, delayed learning skills, delayed language, repetitive and aggressive behavior. If these are present in your child, then it is more likely that it is autism. Also, I would like to know the milestones achieved by the child so far. Does the child interact with other children and play with his toys? For a better guidance, I would advise you to approach a child psychiatrist who can observe the child and evaluate for other behavioral disorders. For further information consult a child psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist/child-psychiatry" + }, + { + "id": 12509, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29734, + "tgt": "Can deworming stop the teeth cluttering in my five year old daughter?", + "src": "Patient: Hello doctor, My daughter is 5 years old and recently started making teeth clattering noise during sleep at night. We have never got deworming done for her. The doctor suggested giving 400 mg of Albendazole syrup around two weeks back, but the problem still persists. Should we give a dose of Bandy plus? If yes, what should be the dosage? What should be the starting age for deworming and till what age should it be continued? And, is it to be administered every six months? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 820, + "tgt": "Does biopsy on a pregnant woman result in any complication?", + "src": "Patient: Hi doctor, I am 30 years old and 20 weeks pregnant. I got an abnormal pap result with ASC-H. I had another pap two years ago and it was normal. My doctor wants to do a colposcopy and biopsy. However, I read that it does result in complication when biopsy is performed on a pregnant woman. Can I do biopsy later? Will colposcopy show how bad the lesions are? Please explain. Doctor: Hi. I can understand your situation and concern. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 48, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 8062, + "tgt": "Had ECG and echo for syncopal episode. Please explain the reports", + "src": "Patient: Hello doctor, The patient is a 17-year-old male with 6'1\" in height and 185 pounds weight. The primary doctor ordered an ECG and an echocardiogram because of a couple of episodes of near syncope recently. The episodes occur after sudden standing, and we were told it might be due to dehydration and orthostatic hypotension. There is no loss of consciousness and not under any medications. Blood pressure and pulse are listed below. The details of the echo cardiogram are below. The ECG was normal.The echocardiogram reported the following: 1)\tBorderline asymmetric left ventricular hypertrophy (1.2 cm). 2)\tBorderline enlarged LVOT (LVOT 2.2 cm; LVOT velocity 1.97 m/sec). 3)\tIncreased mitral valve E to A ratio, consistent with the patient\u2019s age. 4)\tTrace-mild pulmonic valve regurgitation. 5)\tThere is an abnormal mosaic pattern over the pulmonic valve areas during the color flow Doppler examination. 6)\tNormal left ventricular, right ventricular, left atrial and aortic root diameters. 7) The ECG is normal. 8) BP when sitting is typically 110/61, with a heart rate between 58 and 64. 9) BP, when lying down, is 87/43, with a heart rate between 42 and 45. My questions are, 1)\tWhat does the echocardiogram mean? What is this likely to be? Is it of short term or long term concern? 2)\tWhat is the least aggressive treatment option? 3)\tWhat is the most aggressive treatment option? Doctor: Hello. 1) Hypertrophic cardiomyopathy (HCM) is a condition in which there is asymmetrical septal hypertrophy. LVOT (left ventricular outflow velocity) velocity is 1.97m/s, so there is no LVOT obstruction. For the long term, we need to do a follow-up echo to see for any increase in the thickness of septum. For a short time, you may need a few more tests for risk stratification like Holter test, tilt table test, and genetic testing for HCM (if available). 2) Treatment options for orthostatic hypotension are increased salt intake, avoiding prolonged standing, few drugs like Fludrocortisone. Aggressive treatment options will depend upon tests reports that are suggested in the first paragraph. 4) The mosaic pattern over the pulmonary valve needs to be correlated with the anatomy of the pulmonary valve and velocity across the pulmonary valve, which is not provided in details." + }, + { + "id": 24436, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13206, + "tgt": "What does the ECG for slow and fast heartbeats show?", + "src": "Patient: Hello doctor, I need a few of my ECG\u2019s read from my health records. I have chest pain, sharp that spreads across the chest, shortness of breath, rapid or fluttering heartbeat. Extremely low pulse rate to extremely high. At present, I have not been able to get my heart rate below 120 BMP for a few hours. Doctor: Hi. It is not relief of your chest pain only. Diagnosis of your problem and proper treatment has to be started. A beta blocker is effective in lowering fast heart rate but in case of bradycardia, it will further reduce the heart rate. To identify any sinus pause is there or not, Holter monitoring and echocardiography have to be done along with freeT4, T3 and TSH. Sometimes, thyroid function problem may give irregular heartbeat. So, do not worry, do the tests and start treatment accordingly. Attend hospital for the above tests." + }, + { + "id": 12480, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13989, + "tgt": "Can I take Betnelan tablet and Mosegor syrup to stay healthy and gain weight?", + "src": "Patient: Hello doctor,I am using Betnelan tablet and Mosegor syrup to stay healthy. Is it advisable to take it? I am using it for the past one year. Please advise. Doctor: Hi. I would not suggest you use them. These tablets and syrup are not going to help you to gain weight or muscle building. Betnelan is steroids and it will cause harm to your body in the long run. Steroid work by replacing the testosterone hormone that would normally be produced by the body. Suppression of natural hormones made in the body is the most common side effect of steroid use. Eventually, the body can no longer produce the necessary amounts of testosterone, leaving the body out of its equilibrium state. Long term use of steroid lower body's immunity and lead to infection and other diseases in your body. In order to build muscle and body there is no better way than joining a gym and supplementing it with a diet rich in proteins. Choose high calorific foods like milkshakes, fruits like banana, pineapple, chiku, pear, and dry fruits. Add more protein like peanut, soyabean, pulses, and meat in your diet. Egg and milk are wholesome food. Take them daily. Warm milk before going to bed brings in a healthy and considerable weight gain. Start with smaller proportions initially and gradually increase the intake. It is important to have a balance between exercise and diet for a healthy weight gain." + }, + { + "id": 28156, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24074, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 72, + "tgt": "I have difficulty breathing along with a headache almost every day. Please help", + "src": "Patient: hello good day, I've been having difficulty breathing almost everyday and i have a headache along with this problem. Doctor: Hi, I have gone through your medical history and your CBC report.. Your CBC report does not contain any significant abnormal values to be worried off.. Slight deviations which they have mentioned as L or H are insignificant.. So dont worry about your report.. Coming to your breathing difficulty, it being present for a very long time and at this younger age, it is most probably Bronchial Asthma.. Apart from this, we need to rule out any cardiac ailments.. I would suggest you to visit a Doctor to get yoursefl examined clinically for presence of Asthma signs in your chest of any.. Meanwhile also do the adviced investigations amd get back to me.. And answer me few questions, CXR PA VIEW ECHO Bronchial asthma / Congenital heart disease T. Deriphyllin retard 150mg 1tab twice daily to continue Avoid dust exposure" + }, + { + "id": 5704, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16839, + "tgt": "Please explain my further treatment based on the report", + "src": "Patient: Hi doctor, I have my serum creatinine, serum uric acid, creatinine urine and protein urine test done. The result indicates that I have creatinine 1.37, uric acid 9.6, creatinine urine 169.84 and protein urine 31.9. My current medication is Amlovas 5 mg tablet once daily and Seloken XL 50 mg once daily. Please explain me. Doctor: Hi. It seems that you are suffering from hypertensive nephropathy. You would need to know and understand that you need strict control of blood pressure and the addition of an agent. I suggest you to take an ACE (angiotensin-converting enzyme) inhibitors like Ramipril, which helps greatly in controlling the protein in urine, as a result of nephropathy. Consult your specialist doctor, discuss with them and take the medicine with their consent. I would also suggest you for an ultrasound abdomen to check for the status of the kidneys along with the prostate. A lot many times, the enlarged prostate can also cause kidney dysfunction. I hope your blood sugar has been checked and is normal. Revert back with the test report to a nephrologist online -->https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 10756, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14920, + "tgt": "How to resolve the pimples on my mid back area persisting for more than two weeks?", + "src": "Patient: Hi doctor,I find pimples like area on my mid back for more than two weeks. Old ones fade and new ones keep coming. It is not present in any other part of my body. It is just spread in that particular region. What could it be? Doctor: Hi. I have gone through your case. There are many types of acne. Some people develop pimples on back. In my opinion, take capsule Doxycycline 100 mg once daily for two weeks. Apply Clindamycin lotion two times a day. Do not apply any oil or any home remedy. Vitamin E capsule is fine." + }, + { + "id": 9789, + "tgt": "I am just 19 years old and have symptoms of menopause. Please help", + "src": "Patient: Hello doctor, I am a 19 year old girl and my symptoms are as listed: No period since 13 months. Burning sensation on my cheeks, ears, neck and upper chest area. Dry skin in/around my pubic region. Achy all over. Cramps similar to period cramps. Tingling feeling in my hands, legs, and chest. Mood swings. Trouble in sleeping/no peaceful sleep. Trouble in controlling my bladder. Feeling tired/drained and weak for 10 to 15 minutes every now and then. Severe migraine. Loss of concentration and sometimes nausea. Due to these issues, I have been concerned that I may be going through menopause. My mother is going through it and from what she told me, it sounds similar. I know for a fact that I am not pregnant because I have not had sex in over a year and a half. Is it possible that it is menopause? Is there something else wrong with me? Am I just worrying over nothing? Doctor: Hi. The symptoms you have described are most likely due to a hormonal imbalance. I would not term it to be a premature menopause. You are too young for menopause to occur. It seems like anemia or vitamin deficiency which is causing the problems. It could be related to thyroid disorder as well. You may need to undergo an ultrasound abdomen scan. Also, a complete blood count, thyroid profile, serum prolactin, follicle stimulating hormone (FSH) and LH (luteinizing hormone), renal and liver function tests (LFT) would be needed to find out the cause. Once we find the cause it would be easy for us to treat. Till then stop worrying and things would be fine." + }, + { + "id": 7802, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7668, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 22998, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1356, + "tgt": "I have a bump after getting hurt while shaving. Will Neosporin help?", + "src": "Patient: Hello doctor, I did a shave last week and hurt myself pretty badly. Now, I have this bump and it has been a week. I have been using Neosporin, Advil, Claritin, and hot baths. What is this? Doctor: Hello. I have seen the pictures that you attached (attachment removed to protect patient identity). Based on the description you mentioned, it looks like a folliculitis (hair follicle inflammation) or a razor bump. But you mentioned in the picture that a similar lesion was present since a week even before you shaved the area. So I would like to know if you have been having it before, and does it have any intense itching with tingling or pain? Or did you have any fever a few days prior to developing these bumps? If you are a sexually active individual, I would like to know if you had genital herpes anytime before, or if your partner has had genital herpes infection ever? I am enquiring all these because another possibility could be genital herpes. Tablet Paracetamol or Diclofenac for pain relief." + }, + { + "id": 12519, + "tgt": "Please let me know, is there any health issue in my routine health checkup", + "src": "Patient: Hello doctor, I have no issues as such but not feeling fit. I am more concerned about my health. I would like to know whether my routine checkup results are alright or not. I have no symptoms of any kind. I have taken ayurveda treatment for SGPT, SGOT, and high protein. I am attaching my reports for your reference. Please check them and guide me accordingly. Thank you. Doctor: Hello. I went through your reports (attachment removed to protect patient identity) and came across a few significant values. Elevated uric acid can increase the risk of kidney stones and joint pains. I would suggest you have plenty of water and avoid having non-vegetarian. Your blood cholesterol is not under control, and increased levels of hsCRP (high-sensitivity C-reactive protein) indicates the risk of heart attack and stroke. Maintain your blood cholesterol in the normal range. Elevated LDH (lactate dehydrogenase) can be observed in many conditions. Liver injury is one of them. Your reports show that in the past you have taken ayurveda treatment for elevated levels of SGOT (serum glutamic oxaloacetic transaminase) or AST (aspartate aminotransferase) and SGPT (serum glutamic pyruvic transaminase) or ALT (alanine aminotransferase). Hence, the rise of LDH is due to mild persisting liver injury. Low exposure to sunlight has led to low vitamin D. I would recommend you to start taking vitamin D supplements such as Cholecalciferol 60000 units weekly once for eight weeks and try to increase your exposure to sunlight." + }, + { + "id": 30613, + "tgt": "Shall I restart Cymbalta for my extreme depersonalization feel?", + "src": "Patient: Hi doctor, I am a 32 year old man. I have been experiencing panic disorder, OCD symptoms and excessive levels of anxiety. In the last few months, major changes in my life have happened. For instance; quitting my job and moving to another city triggered my anxiety symptoms. I usually feel drowned in fears, health anxiety, fear of losing my mind or becoming delusional, losing my beloved ones, etc. I cannot get rid of those running thoughts. I learn that I have mild Hashimoto's and a kind of mild rheumatologic problems. Also, in the last few days, I feel extreme depersonalization. I strongly feel that I am going to lose my mind and this unreal feeling with dizziness accompany with my anxiety.Three months ago, I visited a neurologist and he prescribed Cymbalta for my neuropathic pain like symptoms and high levels of anxiety. One week later, I visited a psychiatrist to confirm if the medicine is right for me. And, according to my history, the psychiatrist decided to stop Cymbalta and we started Risperdal. I think he had been thinking I have something like borderline disorder. Then, we gradually changed the treatment. I think the psychiatrist thought the responsibility of my anxiety is Duloxetine, however, he could not understand I was more anxious before it. One month, when I took both Cymbalta (30 mg) and Risperdal (0.5 mg to 1 mg) was one of the most peaceful periods of my life. But, the following month I stopped using Cymbalta and my horrible thoughts came back, they are much stronger than before. Nowadays, I am on 1.25 mg Risperdal. Also, I have been on Fluvoxamine for two years for my panic attacks around 15 years ago. Please help me. Doctor: Hi. Thank you for describing your query in detail. \u00a0Please write back with these details so that we can have a better picture. Meanwhile, I have these thoughts about what you have described in the query. Irrational beliefs. Rational emotive or cognitive behavior therapy. Revert back with more details to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3425, + "tgt": "I have muscle soreness with positive ANA and ds-DNA. Is this autoimmune disease?", + "src": "Patient: Hello doctor, I have had some muscular soreness for about one and a half years. I have no other symptoms. Normal hematology, CBC bloodwork always comes out fine. The only thing in the last bloodwork is I had ANA positive with 1:160 homogenous and the DNA (ds) ABS came out as 11 which said it was positive as well. ESR, creatinine, C3, C4 all come out normal. Can you help shed some light on this? I have been googling and it says I could have an auto immune disease. If so, which ones are likely with this bloodwork? I am currently on Nexium, Xanax and Proair when needed. Doctor: Hi. You have mildly positive antinuclear antibody titer which suggests auto immune disease and Anti-dsDNA (double-stranded DNA) which is slightly above the normal range suggests that you might have SLE (systemic lupus erythematosus) but there are 11 other criterias out of which four should be positive to confirm SLE. People who have positive ANA or Anti-ds DNA but cannot fulfill the clinical criteria for SLE need to be followed closely because they are at risk to develop SLE in the future. SLE is a chronic autoimmune disease that can affect almost any organ system. Muscular manifestation includes myalgias as in your case. Titers of anti-dsDNA antibodies often fluctuate with disease activity and are therefore useful in many patients for following the course of SLE. I would suggest you to consult a rheumatologist. You need to take drugs that suppress your immunity. Steroids are the treatment of choice. I would advise repeat testing for both ANA and Anti-dsDNA after one or two months, to look for any change in the titer. Rising titers or very high titers of IgG Anti-dsDNA antibodies are closely associated with impending or already flared SLE. Genetic. Anti-dsDNA and ANA titer. Collagen vascular disease. SLE. Steroids." + }, + { + "id": 28271, + "tgt": "Can I take Kushmanda Rasayana to gain weight?", + "src": "Patient: Hello doctor, I am very lean, and I want to gain weight. Amongst Endura mass,\u00a0Accumass capsule, and Kushmanda Rasayana,\u00a0which is good for weight gain? Please help me. I want to put on some weight. Doctor: Hello. I hope you are satisfied with my answer. For more queries, you can consult me. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9396, + "tgt": "Am I having brain fog, confusion, and forgetfulness due to alcohol drinking?", + "src": "Patient: Hi doctor, I have been suffering from severe brain fog, confusion, and forgetfulness for the last two months. Almost to the point where I thought I might have had a stroke, Alzheimer's, or liver failure.\u00a0I now believe that it may be down to the fact that I drink about 10 pints of beer once per week, as the symptoms only came when I started drinking two months ago. I have brain fog from when I was 20 years old, probably due to recreational drugs like cocaine and marijuana. I have stopped doing drugs from the past 11 years. Do you think this could be the issue or is it possibly something else?\u00a0If it is the alcohol which has caused a vitamin deficiency, do you recommend taking any vitamins and minerals will help? And if so, what should I take? Doctor: Hi. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28443, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 26262, + "tgt": "USG reports say there is unilateral mild ventriculomegaly. Is this normal?", + "src": "Patient: Hello doctor, We have done a\u00a0sonography while during the sixth month of\u00a0pregnancy. The report says that there is unilateral mild ventriculomegaly of 12 mm. Kindly suggest whether this is normal\u00a0or if it can create any problem to the\u00a0child? Doctor: Hello. For more information consult an obstetrician and gynaecologist onlline --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22271, + "tgt": "My vagina is itchy, swollen and red. What could it be?", + "src": "Patient: Hello doctor, For the past few days, my vagina has been itchy and sorta red. Then it started to form bumps today and now it is all red swollen and itchy. And it burns when I scratch it. It is driving me crazy. Do you know what it could be? Doctor: Hi. Sounds like a fungal Infection. Have you recently had sex? If you have, you need to see a Gynecologist and get examined to come to a proper diagnosis and appropriate treatment. If you have not had sex, you could try Nystatin vaginal cream. Apply it twice daily with a clean finger inside and outside for 7 to 10 days. If you do not get relief from this, you need to see someone to get a vaginal swab to find out the type of infection you have. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1013, + "tgt": "How to find out if my son is suffering from any communication problem?", + "src": "Patient: Hello doctor, I have twins, a boy and a girl aged 2 years. I noticed that the girl advanced in skills than the boy. In the first few months of life, my son was faster than his sister in the growth and everything. And then, it was reversed. I am a graduate of psychology. I have a brother suffering from autism and frankly, I have a fear of this disease. I do not care and I do not want to surrender to delusions. But, mom and dad insist on reminding me of everything you see them that my son is also the possibility of getting hurt. I started since 10 months; I am watching my son very much. I blame him if he did not implement what I am asking. He says dad and mom. He loves to play, laugh and shake hands if I asked him to do so. He looks into my eyes when I talk, but I do not feel that he understands what I am saying to him always. For example, if I asked him to bring me cheesed off the table,\u00a0he does not focus with me and ignore me. On the other hand, if he feels he is thirsty, then he will come to me and say a bottle of water. I know this is probably because the rate of a normal IQ and concentration varies from one to another child. I want a word from the doctor that makes me serenely scream in the face of all of the notes that my son is not normal and I tell them that my son safe and sound. The question is how completely I know that my son is not suffering from any problems in communicating diseases or behavior? Doctor: Hi. I have gone through the query with keen interest and understand your concerns. Before making any opinions I need to inform you that take the things in objective manner and not on emotions I understand there is history of autism in the family and it does not mean your child suffers with autism. In a normal growing child there are many ups and downs and not responding on some occasions is not indicative of serious pathology like autism. We need to take notice that a child plays well with another child, responds to language on most occasions, cheerful, not having any abnormal repetitive stereotyped movements and communicates with the mother. Having said this I feel it will be appropriate to fill a simple questionnaire called Autism Spectrum Screening Questionnaire (ASSQ). This is a screening instrument for autism and you will know probably with sure that whether there is problem or not. If you still feel there is something abnormal, then you may contact the specialist doctor nearby for a physical evaluation. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 12045, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17079, + "tgt": "How to manage back pain that started after playing Foosball?", + "src": "Patient: Hello doctor, I have a back pain. It just started while I was playing Foosball. The pain goes down to my left thigh, hamstring area, towards the left side of the left knee and to the ankle. I have also got twinging and numb little toe finger on my left foot. I am only applying Volini ointment for pain relief. But it has been about two weeks now. Doctor: Hello. I read your concern. I would suggest you get an MRI (magnetic resonance imaging) done of your low back. As your complaints are suggestive of disc involvement, I would like to rule that out. I would like to know further details like pain character and movements that cause pain and relief. How does the pain behave at night and in the early morning? As of now, I would like you to do: Kindly revert with the MRI of the lower back for detailed discussion and rehabilitation plan for complete recovery. Hope this is helpful for you. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 13609, + "tgt": "How to treat multidrug-resistant tuberculosis?", + "src": "Patient: Hello doctor, I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this. Doctor: Hello. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. If it is MDR-TB (Multi-drug-resistant tuberculosis), thesecond-line drugs should be started with remaining sensitive first-line drugs. When there is no report of resistance to Isoniazid or Rifampicin, only then we say it as MDR-TB. So, please get done the sensitivity test for all first and second line drugs from the same lab. The patient must take injection Streptomycin 750 mg IM (intramuscular) daily along with tablet Akurit 4 (combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol) according to weight. Also, give protein supplements like eggs and proteinex powder with milk. Decreased immunity might be a cause. Sputum AFB culture. Sensitivity test for first and second line drugs. Multi-drug-resistant tuberculosis (MDR-TB) Second line anti-tubercular treatment. Compulsory use of mask by the patient." + }, + { + "id": 28208, + "tgt": "My wife took an I-pill when her period was due. Why did she not get her periods still?", + "src": "Patient: Hi doctor, I had unprotected sex with my wife when her periods was due. But at that date, she did not get her period, and she took an I-pill next day. It is already six days since she took the I-pill, but she did not get her periods still. I am really worried that she is pregnant, as we are not planning for a baby now, and I did not ejaculate into her. Please give some solution. Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9589, + "tgt": "I am suffering from neck problem associated with tingling and numbness. Please help", + "src": "Patient: Hello doctor,I am having neck problem for a few months with tingling, numbness, and pain on my arms and fingers, especially in early morning and evening. Kindly help. Doctor: Hello. Your cervical spine MRI shows spondylitis in the form of posterior disc bulges at C5/6, C6/7 and C7/T1 levels indenting the thecal sac (attachment removed to protect patient identity). There is narrowing of neural foramina at these levels with indentation of right exiting nerve root. This may cause tingling numbness in hands. Rest of the spinal cord shows normal signal." + }, + { + "id": 8203, + "tgt": "Is it normal to have lactation after taking Unwanted 72?", + "src": "Patient: Hi doctor, I had sex with fiancee a month back. I gave her Unwanted 72 in 48 to 72 hours bracket. She had her periods 10 days later. Today she is experiencing some lactation and also suffering from typhoid. The hCG tests and pregasure tests are negative. But still has lactation when presses her breasts. Doctor: Hello. The fact that hCG levels ruled out pregnancy now, of course, confirms the absence of pregnancy. The lactation or as we call it galactorrhea in absence of pregnancy is due to increased serum prolactin levels. Please get her serum prolactin levels checked to rule out hyperprolactinemia. Typhoid can be treated simultaneously with Cephalosporins and Ornidazole with a period of 10 days of treatment. But hyperprolactinemia shall require treatment with Dopamine receptor agonists like Cabergoline which may be given orally at 0.25 mg, one tablet twice a week for four weeks. This should help treat galactorrhea. Also, along with the treatment, one should avoid any form of breast stimulation or foreplay practices which can reciprocally increase the prolactin secretion in feedback. So, please get a serum prolactin level done and follow up with report before starting Dopamine agonists." + }, + { + "id": 10853, + "tgt": "Why does my vaginal opening feel lumpy and a bit swollen?", + "src": "Patient: Hi doctor, I am an 18\u00a0year old female. I have noticed that my vaginal opening feels lumpy and possibly a bit swollen, and I am panicking.\u00a0It does not hurt, and it is not raw or itchy either.\u00a0Please help me put my mind at ease. Doctor: Hi. How are you doing?\u00a0At this young age of 18 years, I do not see any reason for you to get tensed. Hope I have clarified your query, do write back.\u00a0All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13141, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28524, + "tgt": "Can depression tablets cause infertility?", + "src": "Patient: Hi doctor, We would like to conceive a baby, but we were not succeeding. Please help us. I am sending my semen analysis report. We were married for two years. We have protected intercourse with condom for the past two years. Before five months, we had taken the decision of having a baby. Before marriage, I had taken Serta 25 mg and Serta 50 mg to get cure from depression. Do that tablets cause any problem in infertility? Or do I have any problem in my semen report. My doctor advised me that the motility is 10% and it needs to be increased by 40%. Please help. Doctor: Hi. Revert back with the reports to an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 2087, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9158, + "tgt": "My son has cylindrical eye power. Will his eyesight ever return to normal?", + "src": "Patient: Hi doctor, My son is 4 years and 10 months old. He has -2.5 cylindrical power in both the eyes. Is it possible for his eyesight to recover? Is this a serious condition at this age? Can it be improved with a diet? Are there any precautions I must take? Could it be due to excessive\u00a0use of phones and television? Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30941, + "tgt": "What changes have to be done to control BP?", + "src": "Patient: Hi doctor, My mother is 58 years old. She has high BP problem since last six years. She is taking Amlong-A tablet daily from then and everything was fine. For the\u00a0last two months, she has been diagnosed with high BP three to four times. We went through all blood and urine tests. Once a few pus cells and some urine infection was reported, which got almost cured after taking antibiotics. But, fluctuations in BP\u00a0are still there. Last week it rose to 150 on the upper side.\u00a0My query is that, is the body stopped responding to current medicine since she has been taking it for the past six years? Or is there a need to increase the dose? Do\u00a0we need to change the salt? Please suggest. Doctor: Hi. Revert back with the answers to the above questions to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11631, + "tgt": "My luteal phase keeps changing. Should I test for PCOS?", + "src": "Patient: Hello doctor, I am a 31-year-old woman. My menstrual cycle usually lasts between 27 to 30 days. I usually ovulate on day 12 of my cycle. I usually track ovulation so I know I do ovulate. I recently took a blood test that shows my MCV is 77 and my MCH is 25 both below normal range. My HbA1c was 5.90 and my ALP levels were mildly elevated as well, at 134 (report said it had to be between 42 to 128). My TSH was fine and well within range. My problem is that my follicular phase seems fine but my luteal phase keeps changing. It lasts anywhere between 14 to 18 days. I wonder, is that normal? Do I need to test myself for PCOS? I never had acne problems. I have gained weight, but that is been over five years. I have never missed a period yet. Doctor: Hello. It is really good to know that you are very knowledgeable about your cycle routine. Let me add a few things further into it. The first thing is that the luteal phase is always fixed (14 days) while the follicular phase varies in women's cycle due to hormonal changes in the first half of the cycle. If you want to calculate your ovulation day, then we usually deduct 14 days from the total cycle length. So in your case, your ovulation day is around 14 to 16 depending on if your length is varying between 28 to 30 days in my view. Ovulation on the 12th day is possible in those women who have a cycle length of 26 days. I hope it might have cleared how to calculate ovulation day. Secondly, all your tests are normal, and you have nothing to worry for PCOS as you do not have that because the cycle length of 26 to 35 days is being considered normal for any woman and you are falling in this criteria. I hope this information has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 2621, + "tgt": "I get a feeling of chest congestion with stomach pain and gas between periods. Is this heart probem?", + "src": "Patient: Hello doctor, I am a 25-year-old girl. I have been feeling symptoms for two days but this is happening to me between periods and the other but now it is I feel constriction in the heart area. There is no pain, but I feel constricted and disturbed, this increases when I stand for a long time. But when I eat something sweet or salty, these symptoms disappear. This symptom is also accompanied by simple stomach pain, gas, and some muscular pain in the back. Pain ratio I would say about 10%. I suffer from depression and anxiety. Doctor: Hi, Welcome to the icliniq.com. Your main complaint is pain and fatigue with some gastric issue. Let me know you that excess stress with anxiety can lead to chest pain as well as gastric ulcer. For gastric issue, Pantoprazole tablet can be prescribed for two weeks. If gas excessive then Simethicon containing tablet or syrup can be taken. For stress try to solve problems leading to stress. If exams were not good, you can read well now and can make goals for better reading. Yoga, meditation, and exercise will be having great effect in reducing stress. If panic attacks comes frequently than Fluoxetine like SSRI (selective serotonin reuptake inhibitors) group of drug can be started after doctor consultation. If needed for anxiety issue you can consult a psychiatrist. Here, I do not think you are having any heart problem. If pain is increasing in severity then investigate with EKG (electrocardiography). Also, check your CBC (complete blood count) report to look for low Hb (hemoglobin)." + }, + { + "id": 24544, + "tgt": "I poop five to six times a day. Is this something worrying?", + "src": "Patient: Hello doctor,I have frequent pooping problem. Usually, I poop five to six times a day. It has been happening for the last three years. The stools are hard and I do not suffer from any loose motion. Also, my weight has increased a lot during the last three years and I have gained 82 kgs from being 65 kgs three years earlier. I feel my stomach is tight sometimes during the day as if it is a ballon and is filled with gas having pressure. I have the problem of gastric gas too and sometimes I feel difficult to sleep at night because of a heavy stomach and it is only when I get fresh through pooping I can sleep. Earlier, I had acne and I used oral pills like Tretinion as part of my treatment for six months. So, I am worried if they have done some damage to my liver that I am having this kind of gastric problems. Doctor: Hello. Increased weight is a common issue with many possible causes like: Please provide me with more details about your eating habits. You should not worry about the Tretinoin treatment as these symptoms are not related to liver disease. Liver disorders cause jaundice, tender liver, or dark urine. Bowel motions five times a day could be part of IBS (irritable bowel syndrome) which is very common (10% of the population) and causes gas problems and frequent bowel motions. I suggest: For further advice, please follow up. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26605, + "tgt": "My dad lost consciousness and a liquid oozed from his mouth. What could it be?", + "src": "Patient: Hello doctor, Yesterday, my 70 year old father woke up at about 8 AM. He was sitting on the sofa. Just after a minute, he started losing his consciousness and was trying to speak, but was unable to do so. His body and hands started twisting. Some liquid started coming from his mouth. We immediately took him to a\u00a0hospital and his life was saved. The query is what was this that happened? He is having a high blood pressure problem from the last 15 years. Doctor: Hello. Hope it helps. Please feel free to ask more if you need further assistance. Regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 22363, + "tgt": "My partner has white discharge and pain but not getting her periods. Why?", + "src": "Patient: Hello doctor, My partner got her periods three months back. She has a regular period cycle of 28 to 31 days generally. After four days, we were close together but there is no penetration just using hands but for safety purpose, she took unwanted 72 the next day. Then after 10 days, she got mild bleeding for three days. After that, till now she did not get her periods. 10 days back we got blood hCG done and it came negative (less than 0.6). She is very stressed and feeling weak these days. For past one week, she is feeling pain like periods but getting no periods. For the past two days, white water discharge is taking place. We are very stressed about her health. Kindly help us as fast as possible. Doctor: Hi. Emergency contraceptive pills are hormonal pills that can irregulate bleeding pattern, can give spotting, erratic bleeding, etc. After unprotected sex she had a withdrawal bleed and serum beta hCG (blood pregnancy test negative). Now she is not having periods as per schedule. White discharge with smell and or irritation could be candidiasis. She can have a high vaginal swab and after that pessary, Canesten per vaginal can be used at night to have a clean vagina. Collect HVS (high vaginal swab) result and discuss here or with a local doctor. She can repeat beta hCG for her satisfaction that would be more likely would be negative if not any recent unprotected sex. If periods do not come in a week can have a menstrual induction (tablet Norethisterone 10 twice daily for seven days and wait for bleeding for 1 to 2 weeks) it becomes negative. Combined oral contraceptives pills can be taken for the next three months cyclically to regulate the cycle. Do not get stressed. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7851, + "tgt": "Can I take Asthalin syrup for wheezing?", + "src": "Patient: Hi doctor, I am having wheezing. Can I take Asthalin syrup? Doctor: Hi. Please give a detailed history. Do you have asthma since childhood? Do you get breathing difficulty only when you get cold or have an allergy towards certain things? Asthalin (Salbutamol) syrup is recommended for all types of wheezing. You can take up to 10 ml (2 lids) three times a day. If you get increased heartbeat after taking Asthalin, then we have to change to inhaler form. If not, syrup Asthalin is fine. But there are various other drugs to prevent wheezing episodes. Asthalin can only cure a wheezing episode but cannot prevent it from coming again and again. Take care." + }, + { + "id": 20391, + "tgt": "Is pale stool related to any liver or gallbladder issue?", + "src": "Patient: Hi doctor, For the past three days, I am noticing that my bowel color is pale or clay color. I do not have a fever or loose motion. I have mild cramp in my lower stomach also. Please note that I had gastritis issue few months back and had taken medication. Could you please answer my questions? Is this something serious issue with liver or gallbladder? I have read that it is a serious issue if bowel color is pale or clay color. Is this related to the same? Is it related to gastritis issue? Is it related to cirrhosis? Please advise. Doctor: Hi. A pale stool is one of the normal variants of stool, though it occurs infrequently. If persistent it indicates an obstruction in the biliary tree leading to stasis of the bilirubin in the liver and causing stool pale. We should think about hepatitis or obstruction of the biliary system at a different level. If this is physiological, it will improve without any specific intervention. It may or may not be serious, I explained above. It depends on the cause of the pale stool. It is a normal variant or related to biliary disorders. Initially it may not be associated with cirrhosis, later on, in case of long-standing obstruction of the biliary tree, it may cause. Physiological, acute hepatitis, extrahepatic biliary obstruction. Liver function test, complete blood count, amylase, ultrasound abdomen. Continue normal diet. Review back with reports." + }, + { + "id": 13076, + "tgt": "I am a high BP and diabetic patient. How to get them under control?", + "src": "Patient: Hi doctor,I am a high BP patient. My BP is usually between 150/100 mmHg to 170/90 mmHg, and fasting sugar is 198. My age is 40. Height is 180 cm, and weight is approximately 85 kg. Doctor: Hi. Your BP is on the higher side and fasting sample is diagnostic of diabetes. You are overweight. I want you to reduce your weight, and that will control your fasting blood glucose level. I would advise you to get started your diabetes and hypertension medications. But, before starting that, I want you to get some blood investigations done. They are complete blood count, kidney function test, electrolytes, liver function test, and urine routine examination. I would advise medication after seeing your blood test or consult your physician and get tablet Metformin 500 mg twice daily along with diabetic diet. Take less than 1500 kilocalorie per day. For hypertension, I would recommend Telmisartan 40 mg once a day. Please avoid oil and deep-fried items. Your diet will help to reduce your weight, and that indirectly help to control your diabetes, weight, and hypertension." + }, + { + "id": 5691, + "tgt": "I have abscess on my balls and jock itch. What to do?", + "src": "Patient: Hello doctor, I am a 19 years old male. I have an abscess on my balls, it is reddish and feels pain, but not much. I have a jock itch right now. I am worried because I saw some terrible pictures on the internet. I think I got bite by something as I mentioned there is an infection near my legs too. I am attaching the photos of the abscess and the jock itch. I had got this from a doctor, for the fungal infection, the doctor may suggest Fluconazole 150 mg to be taken twice in one week, for three weeks. Apply Onabet cream over it twice daily. Do not apply any other cream. For the abscess, you need a course of antibiotics Amoxicillin and Clavulanic acid (Augmentin) 625 mg thrice daily for five days. Doctor: Hello. I looked through the photographs. (attachment removed to protect patient identity). There is a small pustule in the scrotum and you seem to have a fungal infection in the groin. For the fungal infection take a tablet of Fluconazole 150 mg once followed by the same tablet one week later. Also, wash the area with normal temperature clean water twice daily, and apply Onabet (Sertaconazole Nitrate) or Zimig (Terbinafine Hydrochloride) cream. You may use a mild soap once daily or once every two days. Nextly, for the pustule, apply Mupirocin or Betadine ointment on the pustule after washing it clean and take tablet Augmentin (Amoxycillin and Clavulanic acid) 625 mg tablet twice daily for five days. The infection will subside. I would suggest you take the above medications as described and then review with me after one week. You should be better by then. Also, another suggestion is that you may attend hygiene in that area, especially in the sultry hot climate that provides perfect conditions for bacteria and fungi to grow in the groin area. You could trim the hairs carefully using scissors every week and keep them to a manageable length. Or after trimming you may remove those closely using a body groomer. This will have some benefits like better aeration, easier application of creams and ointments, lesser holding onto sweat and consequently lesser chances of fungal and bacterial infection. I hope this helps." + }, + { + "id": 16298, + "tgt": "I had an I-pill yesterday. Can I have another I-pill today?", + "src": "Patient: Hello doctor, I had unsafe sex yesterday and took I-pill in half an hour to avoid pregnancy. Today, I had sex again. Should I take another pill? Doctor: Hi. No, you need not take another pill. It works within 72 hours of sex. Hence, your second sexual act is also covered. Wait for the bleeding to start. Avoid further sex till bleeding occurs. Suppose you have intercourse, use barrier contraception like condom and not another pill." + }, + { + "id": 294, + "tgt": "I have itchy red rashes in my inner thighs. Please suggest some medicines", + "src": "Patient: I am suffering from severe skin red rash problem in both inner thighs. The rash is so itchy and it has completely destroyed my life. It looks like fugal like ringworm or jock itch. at past also, i was suffering from same thing but that time it was scaly like liquid was coming out with foul smell. And i visited a doctor and the medicine i used had cured me. i forgot the medicine tablet taken but had use itraconazole dusting powder and fluconazole lotion. At that time my mother and i have visited the doctor at same time coz she also ha d fungal infection but completely different then mine. Now the current situation is very bad. it is so irritating and itches a lot. but no scaly liquid is coming out now. The same thing now can be seen in my neck and face. Please i need a good dermatologist attention. I am in great suffer in this pandemic and lockdown so i am searching online for medication. I have recently taken arzole capsule once weekly for 3 weeks. And used dipsalic ointment and also clotrimazole cream which shows no better treatment. I was so depressed and used steroid cream called dermicom oc plus only two times as it shows some severe bad red rash so i discontnued it. I live in hot and humid climate and had wore tight clothes in past. The area of rash is always at little more tempreature. Doctor: Hi. Thanks for sharing your query. You seem to be very distressed by the problem. As I can see in the picture it is Tinea. Since it is extensive it is important to start proper treatment with oral antifungals for a good length of time to clear the infection. You have been using steroid creams which is going to worsen the infection and make it spread further. So you should stop using dipsalic and other steroid applications and start proper treatment. You should get your LFT and KFT done and you can follow up with dermatologist. Usually itraconazole or terbinafine are given orally along with some creams like luliconazole or sertaconazole, etc. Itching can be controlled with antiallergics. Treatment of family members with infection is equally important. Let me know if you have more queries Hope this helps." + }, + { + "id": 29527, + "tgt": "Kindly guide me for the pain in my lower wisdom tooth region", + "src": "Patient: Hi doctor, I am having intense\u00a0pain in my lower wisdom tooth\u00a0that is making my neck, shoulder, and head hurt badly. This just started up around 6 PM today. I have been taking Ibuprofen, but nothing is working. Please help. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19612, + "tgt": "Use of teeth whitening strips caused a burning sensation. Why?", + "src": "Patient: Hello doctor,I have braces. Sometimes, I use whitening strips. Recently, it has caused a sharp burning feeling. Do I have a cavity? Doctor: Hello. I have seen the images (attachment removed to protect patient identity). For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 18127, + "tgt": "How to get relief from nose block?", + "src": "Patient: Hi doctor, I am 32 years old. Since two weeks, I am suffering with cold, especially nose blockage. As per doctor advice, I had Mucolite SR and Mondeslor daily night. He also advised me to take vaporizer and salt water gargling but I did not do that. I used Otrivine nasal drop for immediate relief. When the\u00a0symptoms reduced last week, I stopped the tablets but again I faced the same problem. I went back to the same doctor and he asked me to continue the tablets. Three days back, I had lower back pain due to improper sleep. Doctor advised me to do proper stretches as muscles are tight and prescribed me Pan 40, Zincovit, Ultracet. Almost the pain got relieved. I\u00a0had erection and ejaculation problem, for which about two months back doctor advised me to take Absolut 3G once a day. I almost stopped it now.\u00a0My doubts are, shall I continue Mucolite SR, Mondeslor in night as still I have cold problems (day before yesterday I had nasal congestion did vaporization in mid night which provided some relief but spoiled my sleep, today early morning had one nose blockage) and capsule Absolut 3G in the morning?\u00a0Is it fine to discontinue lower back pain tablets and take when necessary?\u00a0Can I take raw garlic apart from Absolut 3G? Which is the good form of garlic to eat and when? Is it necessary to take Absolut 3G also? Doctor: Hi. I will answer your queries in the same order as you have asked me and explain to you the details wherever required. 1. Serum IgE. 2. Absolute eosinophil count. 3. Nasal secretion swab culture and sensitivity (if routine antibiotic does not work for your condition). 1. Allergic rhinitis. 2. Vasomotor rhinitis. 3. Infective rhinosinusitis. Revert back with the investigation reports to a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7247, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30450, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18091, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5609, + "tgt": "How to treat sunburn injury?", + "src": "Patient: Hi doctor, I got a very bad sunburn on my left leg about a week ago. I am almost certain it was a second degree even though it did not blister. It was very red and hurted for at least three days. My ankle was swollen for two days as well. I am much worried about it as I am on holiday and did not seek medical advice and also did not wrap it with a bandage. It has healed quite a lot, but now it is starting to scab around the edges and some skin is turning shiny. I am worried about the scarring. I have attached photos for your reference. The white stripe across is where I was wearing a plaster. The area has now become itchy.\u00a0I just do not know what to do. Please help. Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern Photocontact dermatitis. 1. You can take antihistamines like tablet Levocetirizine 5 mg twice daily. 2. A combination of steroid like Clobetasol and antibiotic like Fusidic acid to be applied over it twice daily for one week. This will help in relieving irritation and also minimize scarring. 1. Sun protection. 2. Avoid using soap over this area for a week. You can apply Calamine lotion as soothing agent. 3. Apply emollients like Cetaphil Dam lotion twice or thrice a day. Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19267, + "tgt": "Can a bad cold cause variation in lymphocyte count?", + "src": "Patient: Hi doctor, I have done CBP and everything is fine within limits, except lymphocytes which are 14%. Normal value is between 20 and 45 and neutrophil is 75 percent, with normal range being 32 to 65. Absolute values of both are fine though lymphocytes were slightly towards lower limit. Total WBC, RBC and platelets are all fine too. I had a bad cold when I had the test done. Can this explain the difference? Doctor: Hello. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7531, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23172, + "tgt": "I am taking Pantozec 40 and Augmed 625. Does Augmentin cause stiffness of legs?", + "src": "Patient: Hello doctor, I had a painful, swollen, reddish boil under my armpit two days ago. I went to a doctor yesterday and he put me on antibiotics. Yesterday night, when I took the antibiotics, after some time I got the feeling of stiffness in my right calf and thigh. My leg felt heavy and affected my walking a bit for some time too. I had thought it was due to a little bit of walking I had done yesterday. When I woke up in the morning, the stiffness was gone and my leg felt fine. In the morning again after taking the medicine, I felt stiffness in the right leg, and it is still there (it is late evening now) though less than before. Left leg appears to be fine. I also have a ringing sensation in my ears. I am wondering if this is due to antibiotics? Or is it just coincidence? I am not seeing any noticeable swelling in my right leg, but not very sure. Maybe there is a little bit. Please let me know your thoughts. Is it an emergency? I am in my office now and cannot go to the doctor before tomorrow morning unless it is an emergency. The boil has subsided quite a bit, and is much less swollen and painful. It is not reddish anymore. I am taking Pantozec 40 and Augmed 625. I am fine with stopping the medicine if needed. I am supposed to take it after dinner again tonight. Doctor: Hello. The antibiotic which you are taking does not have the side effect of myalgia and stiffness or joint pains. However, Pantoprazole may cause some times such symptoms. I think the boil itself can cause the myalgia and there is nothing serious. You need to complete at least three days of antibiotics because once you stop these medicines the symptoms will also resolve. I suggest you complete three days at least or if possible take for five days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15388, + "tgt": "My concern is dry foreskin and painful retraction. Please help", + "src": "Patient: Hi doctor, I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate, I ended up. After removing the condom, I saw red dots on my urethral opening and glans. It was paining a lot. The next day, the dots were no more. But my foreskin had pain. Now, after three days, after sex, my foreskin is dry, and some part of the skin is peeling off. I am unable to take the foreskin back. While retaking it, it pains a lot. My urethral opening is always dry. There is no problem on my penis shaft, and my foreskin is dry. My partner is not having a problem. What can I do? Is this a serious problem? Please suggest me a solution. Doctor: Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have dryness, and if there is a pain, I advise you visit a dermatologist for an opinion. The problem is not severe, and this will become fine within a few days." + }, + { + "id": 23218, + "tgt": "Will in-patient treatment for young adults help for ADHD and social phobia?", + "src": "Patient: Hi doctor,I am 18 years old and I just started taking online college classes. I attempted to go to in-person classes but I had panic attacks and I dropped out. For the last two years, I only leave my apartment to go to the movie theater and grocery store. I also go to the doctors and therapists, but recently my mom and I made the decision to stop trying to find the right fit for therapist and just focus on school. I also am having problems going to my psychiatrist now. I live with my mom right now, but I would love to change that in the future. I do not know how to work towards that goal though. I was wondering if going to a two month in patient treatment facility for young adults would help? My official diagnoses are ADHD, social phobia, and depression. I also do not have any friends and sometimes have trouble feeling safe outside my room. (I am not actually in any danger, I just feel like I am). Doctor: Hello. As per details provided by you regarding your diagnosis, such patients tend to have difficulty in attention and concentration along with difficulty in facing social situations and anhedonia. The best course of treatment as per prevailing clinical guidelines is psychotropic medication along with psychotherapy. Because of your comorbid diagnoses, the medication and therapy may take more time than usual. But in 90 % of cases, it proves effective. Regarding in-patient treatment, you can go for that in case you feel that you have difficulty in compliance with outpatient medication and therapy. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13868, + "tgt": "I am feeling uncomfortable with my sports goggles. Please advise", + "src": "Patient: Hello doctor, Why does everything look different or trippy? I recently got sports goggles for soccer with the same prescription as with my regular glasses. I feel so much more comfortable with my regular glasses that I almost want to keep playing sports with those glasses. I got the sports goggles so they won't break (I have broken pairs of glasses in the past with sports) and so they will not fall off. Now I am scared to use them because it is almost as if I am in an adjustment period again. I know that happens when you have a different prescription but I know this is the same exact one. Will this continue to bother me when I am practicing or playing? Any tips? Doctor: Hi. It is very common for everyone to get these kinds of experience when they change glasses even with the same power glasses. This is because our eyes get adjusted to the glasses, even minor changes like the shape of the glasses, frames, interpupillary distance, a gap between glasses and eyes. After you use these glasses for a month your eyes get adjusted to the new one. You can use the sports goggles during sport and normal glass during other times." + }, + { + "id": 20905, + "tgt": "What are the precautions to be taken for an infant while flying?", + "src": "Patient: Hello doctor, I want to fly my three months old infant on June 27th. What are the precautions to be taken while flying? Should I carry any medications with me?Please advise. Doctor: Hi. Usually infants are more vulnerable for flight related issues. They may appear anxious and irritable due to change in height. Main issues are nausea, vomiting and eustachian tube blockage. Precautions to be taken while flying: By following the above mentioned measures you can travel with your baby without any problems. Wish you a happy and safe journey. Consult a paediatrician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10737, + "tgt": "Is it advisable to get RCT done in a child?", + "src": "Patient: Hello doctor, My 2.5 years old daughter had a fall around 6 to 7 months back and one of her front teeth was chipped. At that time, it looked fine and till now, she had no pain or any sensitivity issues in eating. But off late, the color of the chipped tooth has turned green. We consulted two dentists, first one was a specialist in child dentistry and recommended an RCT treatment wherein a chemical will be placed to cure the infection. He said that the discoloration will increase with time and this baby tooth might fall off much earlier (in 4 to 5 years) than the expected time (6 to 8 years). The other dentist recommended to observe for six months and see if any rash or boil is developed above the gums and any kind of pain is experienced. He also said that such a tooth might fall off before time. We are confused as to what we should do? If RCT is the way out then we would prefer to get it done before she starts with her formal schooling at 3. But we are mainly concerned if she could endure such a treatment as she is very small. Please provide suggestion. I have attached a photo of the X-ray. Doctor: Hi. I got your chief complaint and opinions of two dentists. As far age is concerned, your daughter still is in need of these teeth as permanent teeth take time to erupt, by 6 to 7 years they will erupt. Till then, healthy front teeth are important otherwise she will develop irregular teeth later. As tooth has changed color so it is better to act on the suggestions of pedodontist and go for pulpectomy or RCT. It will keep the tooth intact and prevent formation of any cyst later. There is nothing wrong with it and there are modern gadgets to do the procedure, she will not feel any kind of pain during the procedure. If you leave it as such, it will weaken with time and may later contribute to huge financial burden to treat irregular teeth." + }, + { + "id": 27345, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20917, + "tgt": "Does circumcision of penis cause premature ejaculation?", + "src": "Patient: Hello doctor, I had a circumcision done at an earlier age. I am facing a problem of premature ejaculation whenever I try to have sex. Please help. Doctor: Hi. Circumcision is just the surgical method of removing the foreskin from the human penis. It does not cause premature ejaculation nor does it have any effect on sexual performance. The main reason for premature ejaculation is performance anxiety. Sometimes, decreased well being, as in poor health and general weakness also cause premature ejaculation." + }, + { + "id": 27757, + "tgt": "Can Hydralazine cause sinus congestion, headache, chills and dizziness?", + "src": "Patient: Hello doctor, I just started taking Hydralazine 25 mg three times a day yesterday. Today, I started feeling jittery with a very bad sinus pressure and a headache. My blood pressure is down to 115/75 after being at 145/93. My heart rate has increased to 90. I feel very cold like I have a fever, and a little dizzy as well. Could this be due to my medication or do I have a virus? I am also on Quinapril 40 mg twice a day and Amlodipine besylate 10 mg once a day. Doctor: Hello. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27290, + "tgt": "Popping my pimples has caused a big red bump. Please help", + "src": "Patient: Hello doctor, I am a 25 year old female. From the last five years, I have acne. It had reduced a bit. But, recently I\u00a0started to get white heads and papules. I then popped my papule and white head area. Now, it has become red and swollen and it is burning. I have applied cold water and aloe vera gel. Big red marks have formed now. Please help me. Will it give rise to a permanent scar? It looks large. Please help. Doctor: Hello. This will help you. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 15401, + "tgt": "Can marrying own cousin cause any genetic problem in pregnancy?", + "src": "Patient: Hello doctor, I am planning to marry my own cousin (my mother's own brother's child). Is there any precautions to avoid genetic problems for my baby or do we need to take any medication or treatment for a child. Please suggest with a better solution. Doctor: Hi. It would be better if you would send me the background of your question. Any specific family history like thyroid, diabetes or any congenital anomalies, thalassemia, sickle cell disease or any other family history, then it needs precautions and even investigations. The severity of diseases also matters. Either it is dominant or recessive in both sides blood relations as dominant will give dangerous effects as compared to recessive. Check blood group as well as if you are Rhesus negative and he is positive, then there could be a risk of development of autoantibodies and hemolysis. So check the above family history that matches his and yours can affect your offspring strongly if any." + }, + { + "id": 20172, + "tgt": "I am not able to eat anything. Please suggest a nutrient-rich diet plan", + "src": "Patient: Hi doctor, I am 32 weeks pregnant. My doctor suggested me to take complete bed rest as baby is very low down to the uterus. My problem is, I am unable to eat anything due to nausea and indigestion as there is no physical activity. I am losing weight and suffering from anemia and on medication for these. My hemoglobin is 9 g/dL and I weigh 54 kg. Currently, I am taking capsule Dompan SR, Ecosprin 75 mg and Susten SR 300 mg once a day, tablet Corcium twice a day and Depura vitamin D every 15 days. I am non-vegetarian. Please suggest me a nutrient-rich diet plan. Thank you. Doctor: Hello. For further information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 19580, + "tgt": "I experience mild numbness and also sharp pain where the wisdom tooth was removed. Why is this happening?", + "src": "Patient: Hi, I am a 20 year old female. My height is 5'5\" and \u00a0my weight is 140 lbs. I experience mild\u00a0numbness\u00a0and also\u00a0sharp pain\u00a0where the\u00a0wisdom tooth\u00a0was removed 2 years ago, thereby making it hard to eat. Why is this happening? Doctor: Hi. Possible reasons for the numbness and sharp pain could be: Investigations Required: Treatment Plan: Revert back with the reports to a\u00a0dentist online.-->https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4483, + "tgt": "What type of impression is taken for crown fabrication of the last teeth?", + "src": "Patient: Hello doctor, Just wondering what type of impression I will need to get if I have to get crowns on last teeth. Like will it be a full top impression or can they do it off just those two teeth? Doctor: Hi. Regarding the impression making, the material is chosen depending on what it is being used for. As you have already mentioned that the purpose is to fabricate crowns, the best material to opt for is the rubber impression material (elastomeric silicone impression materials). The advantage of the material is the high accuracy of the details and it allows sufficient time for duplicating the teeth model. Talking about the number of teeth involved during an impression making, usually, it is the whole arch involving all the teeth. That is the routine way of doing it. But there are disposable sectional double impression trays available which help the dentist to make an impression in a particular region along with the opposing teeth. The biggest plus with these trays are firstly preventing contamination because it is used only once and for a single patient. Secondly, upper and lower teeth with the bite are registered in one impression hence time-saving. The maximum number of teeth involved in these kinds of impressions would be four to five but definitely not just two teeth. I personally make double tray impressions on a routine basis for crown fabrications. But,it totally depends on the dentist's well and wish to choose the technique according to his/her skills and economic reasons." + }, + { + "id": 6523, + "tgt": "My mother is suffering from hip and back pain. Kindly view the attachments and advice", + "src": "Patient: Hello doctor,My mother has pain in her back and hip, and I have attached the images. Please help. Doctor: Hello. Your mother has decreased mineralization in the bones of the lower back and the hip area. There is the reduced height in few bones of the L1 vertebra and is called a collapse of the vertebra. This can be due to nutritional imbalance of vitamin D and calcium, or it can be due to any other problem causing a diffuse decrease in the mineralization of the bones. You can talk to your doctors and get an MRI scan and DEXA scan (dual-energy x-ray absorptiometry) done to know about the conditions of the bones in more detail." + }, + { + "id": 16753, + "tgt": "Can taking multiple antibiotics cause redness and dryness of vagina?", + "src": "Patient: Hello doctor, Ever since being on multiple antibiotics for a persistent UTI a year ago, I have had vaginal problems. It was first a bout of yeast infections and then BV. I have tried many pills, external and internal creams, home remedies, and diet changes, but still, I have redness and dryness externally. I have tested negative for yeast and BV, but nobody knows what is going on.\u00a0Is it possible that I am just totally out of balance? I have been taking probiotics daily, but it does not seem to be working. I am desperate for help because I am literally at my wit's end. Doctor: Hi. How are you doing? Sorry to hear what you have been through. Hope I have been of help to you, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13185, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10508, + "tgt": "Can Renflexis cause ankle swelling?", + "src": "Patient: Hello doctor,I am 61 years old. I have some weird swelling on my left ankle, and I took photos of it to send to my son. He is worried it is related to a Renflexis infusion I had last week. I have had RA since I was 39. Doctor: Hello, Welcome to the icliniq.com. The edema due to renflexis is an uncommon side effect. If you have leg edema, then it is advisable to investigate as follow. 1. Serum protein estimation to rule out hypoproteinemia. 2. Sgpt (serum glutamate-pyruvate transaminase) to exclude liver disease. 3. Urea, creatinine estimation to rule out kidney disease. 4. Serum TSH estimation to rule out hypothyroidism. Echocardiography to exclude cardiac cause and finally local ankle joint X-ray if needed. If edema leg more than diuretic like Furosemide can be prescribed after consultation with your doctor. I suggest you consult nearby physician for a detailed discussion of all these. I hope I have answered your question." + }, + { + "id": 2101, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29911, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12441, + "tgt": "What are the ways to come out of depression?", + "src": "Patient: Hello doctor,I am depressing a lot for the past one year because of my personal issues. I do not know why when I am depressed my heart started paining high. It pains a lot. So, I could not concentrate on my studies due to depression. My thoughts are going to it even though I try to control. I want to not be depressed but I do not know why it is happening, my heart is paining a lot whenever I am depressed. I am facing these issues from childhood, so before when I am a teenager, whenever I was depressed, I started masturbating but I started getting addicted to masturbating. After that, I realized that it is a bad thing. So I stopped it. But now am depressing a lot as my love is failed, parents pressure on goals, so my depression is at peak. I was stressed a lot. I want to masturbate but I do not want to start it again as I was feeling shame and shy of doing it. So my depression was not cured, it hurts me a lot. I want to use pills but I do not know to whom I should tell my problem. I am feeling nice when I masturbate but it is wrong so please show the right way to solve my problem. Doctor: Hello. I can figure out that the whole problem is love here. Let me tell you in this way. See people have a wrong belief that love is only once. Love is always alive within us because we first love our mother, then father, then toys, then games, then school, then friends, then girls, then the job, then money, etc. The list keeps moving but it is our inner block which does not allow us to move further. We need to understand that when time do not stop nothing stops. If we stop people will go ahead of us. Today's world is full of competition and if we are delayed we are at loss. Forget about movies. Movies are just a story. But I see that movies spoil our life and make us helpless. When celebrities can do love, sex and betrayal then we are fine we should also be one of them. That is human nature. Love is like a mobile. We buy one which is best, next year still the best come and it keeps following. Do we stick to depression? No, right? Then we need to move. everything updates even the android and iOS software for gadgets. Something like that our life we should take. Marriage is just a social show off. We do get married and have sex. Nothing else. Our life has been constantly changing. We finish studies, struggle for jobs, then salary, then buying house, then car, then marriage, then kids and much more. Nothing is easy. We should be hard rock internally. I should share my personal experience in the last 12 years. I was depressed once upon a time, I needed a psychiatrist for myself. But I understood that until I rise nothing can help me, no one can help me. I need to move I need to be strong and I need to be practical. I Will advice you to not masturbate because if you do then you lose your energy of the body and please understand that we are all with one time growing till 18 to 20 years of age. Then we are not going to grow but going to get aged. We will get blood pressure, diabetes, pain, and aches and we will forget anything about love. We will only wait when life will end. Things happen this way only. I will even request you to go for some old age home. Ask their experience with lives. You will really feel so relaxed that life is nothing but just to pass with time. I hope you will become positive and take the decision in life to accept challenges. Because if we accept challenges then we enjoy more and more. If there is no failure in life we will never know what success is. Let us keep the ego, attitude, and anger in us alive to achieve the best for us in life. Think over it." + }, + { + "id": 29096, + "tgt": "One of the hairs in eyebrow has changed to blond. Is that normal?", + "src": "Patient: Hi doctor, I am a 24 year old female and weighs 64 kg. I am not on any regular medicines. I am a healthy woman. I have one hair in eyebrows grow long to around 3 cm and changed color to blond. My natural hair color is black. Is that normal? Doctor: Hello. In your paternal family, is there any history or case of vitiligo in which a person develop white patches or graying of hairs? Right now, I can say that you can get it trimmed for now. If there is a genetic history of vitiligo in your family, then there can be many chances for you to develope such thing and do notice it next time on all your hair growing area. For now, you can take tablet Follihair (Biotin) multivitamin tablet take it once in a day for one month and get your CBC (complete blood count) done. For further information consult a hair transplant surgeon online --> https://www.icliniq.com/ask-a-doctor-online/hair-transplant-surgeon" + }, + { + "id": 31034, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21868, + "tgt": "I have a stye in my eye for last four days. What has to be done?", + "src": "Patient: Hi doctor,I have a stye in my eye for the last four days. It is internal, so hard to even see. I have tried all remedies suggested online and it is not going down in size at all. Kindly help. Doctor: Hello. The history you give is suggestive of a condition called a chalazion (inflammation of sebaceous glands in the lid) which is typically painless. Secondly, it could also be an internal hordeolum (infection in the meibomian glands of the lid) which is generally associated with pain, and it being on the inner side of the lid is not visible externally. The treatment for a chalazion is generally conservative, which requires repeated applications of hot fomentation with a mild lid massage for at least two weeks. If this does not resolve still, you may need a small surgical procedure to get it drained. On the other hand, an internal hordeolum will require a short course of oral antibiotics and topical antibiotic ointments along with anti-inflammatory painkillers, supplemented with hot fomentation and lid massage. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5201, + "tgt": "Is there any medication to increase the penis size after erection?", + "src": "Patient: Hello doctor,I have a sexual problem related to penis size. My penis size after erection is four inches, can I increase up to six inches and if there is any remedy, then please suggest me. Doctor: Hello. I read your query. The average size of the penis after erection should be between four to six inches approximately. So your size falls within the normal range. As far as your query is concerned about increasing the size of the penis, then it is not possible to increase size because the penis is not a muscle. However, in erectile dysfunction, the size can be improved because that is a different problem. So you should focus on maintaining your stamina by taking healthy diet and doing exercises. You can add nuts like almonds, walnuts, pistachio, and pumpkin seeds in your diet to keep your strength. I hope you understand my point." + }, + { + "id": 7635, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18220, + "tgt": "What is the use of Cartigen-Duo and Miol OD tablets?", + "src": "Patient: Hi doctor, I was suggested to use Cartigen-Duo and Miol OD tablets to cure knee pain, which is due to some cartilage damage. How these medicines helpful for this purpose?\u00a0What is the exact use of Cartigen-Duo and Miol OD tablets?\u00a0Are there any side effects of the above two medicines?\u00a0Is there any better alternative to both the medicines in this case? Please explain. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22103, + "tgt": "My penis has a narrow opening as the lower attachment is not broken down. Please help", + "src": "Patient: Hello doctor, I have a 5.5-inch penis but it has a narrow opening because the front lower attachment is not broken down. I am 21 years old. Please advice about it. Also, tell me if with any treatment my penis length can be increased. Doctor: Hello. The size of the penis has no role in sexual intercourse. If your erection is normal, then stop worrying about the size. If you are not able to move the foreskin freely over the tip, then this should be evaluated by a surgeon. This could be due to phimosis. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1953, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 15743, + "tgt": "Can positive factor V cause heavy bleeding and blood clots?", + "src": "Patient: Hi doctor, My factor V Leiden showed a positive outcome before three months. I got Depo birth control shot before three months. I have heavy bleeding and blood clots now. Please suggest. Doctor: Hi. You have factor V Leiden showing a positive result. So you are at high risk for developing blood clots in various organs of the body especially in the lungs and leg as pulmonary embolism and deep vein thrombosis. If you have major clots occurring in the future, then blood thinner and anticoagulant like Rivaroxaban can be used. There is no treatment available for the eradication of factor V mutation. For heavy menstruation, you can consult a gynecologist soon for a pelvic examination and pelvic USG." + }, + { + "id": 5894, + "tgt": "I am experiencing sexual dysfunction and lack of sensation in penis. Are these signs of neuropathy?", + "src": "Patient: Hello doctor, I have been experiencing sexual dysfunction for the past 2.5 years, and I believe it is neurogenic in origin. This is because not only do I lack sensation, and am not responsive to touch in my penis when getting it erect. I cannot feel heat or cold temperatures on the glans of my penis either, which I think as signs of neuropathy. Although it is theoretically possible to block pleasure from a psychological standpoint, not feeling heat or cold in my genitals is not a clear sign of neuropathy? If so, are there any treatment options available, assuming no pinched nerves? I have done an MRI and that is clear. Doctor: Hello. Any psychological diagnosis needs evaluation for other causes and ruling out functional causes. So my recommendations would do a few investigations first : 1. Serum testosterone levels. 2. Thyroid profile. 3. Serum vitamin B12 assay. 4. MRI LS (magnetic resonance imaging of the lumbar spine) spine. However, as far as your query is concerned, yes psychologically one can have a loss of sensation over the penis. But as I said we need to first rule out any actual causes. You have not mentioned about your sexual life. Are you able to do intercourse? Can you achieve erection? Do you have morning erections? Revert with the asked details for better help." + }, + { + "id": 6154, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14759, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 232, + "tgt": "I am on insulin for type 1 diabetes. Will regular insulin intake cause weight gain?", + "src": "Patient: Hello doctor, I am a type 1 diabetic and have been injecting insulin every day for years already. With this current quarantine going on, I gained some weight which made me worry. Although my BMI says that I am on the normal side, it still made me upset because the belly, arms, and legs have gotten bigger. So I started doing minimal resistance training and changed my eating habits for three weeks already. I noticed that my legs look leaner but my upper body is still the same. This made me anxious because it might have something to do with my insulin medications and I cannot go to an actual dietician since they were still on quarantine so I thought someone might be able to help me online. I am hoping to hear from you. This would really be a big help to my overall health for the rest of my life. Doctor: Hi. Yes, insulin might result in some weight gain, but if you are keeping a check on your calories and include a good amount of non-starchy food including whole grain, fresh whole fruits, and vegetables will help you to shed some fat. Keep a check on your exercise minutes, you can easily do 150 minutes of aerobic exercise per week which includes walking, bicycling, and other forms of moderate muscle strengthening exercises. Just keep in mind that your sugar level must not go down, do not reduce your insulin dosage. Also never skip a meal, if you skip a meal you will tend to indulge more calories in the next meal. Include more protein rich food, protein, and fiber rich meals will bring early satiety and will easily help build in more muscles than fat. I hope this helps." + }, + { + "id": 5451, + "tgt": "I bled two days after intercourse. Is it due to nexplanon induced ectopic pregnancy?", + "src": "Patient: Hello doctor, I am 20 years old. I have a 2-year-old kid. I currently have the nexplanon implant birth control. I had a pregnancy scare a month ago but started my period finally. The day after my period stopped is when intercourse happened. Two days after that I woke up and I had a little bit of blood in my discharge my cramps were scattered through out the day I thought I was fine though. The next morning I woke up with bad cramps. I felt a trickle down my leg so I rushed to the bathroom and I was bleeding. The bleeding has slowed down since morning and my cramps went from morning to evening in pain. On my mother's side, we have miscarriages, ectopic pregnancies, tubal pregnancies, but no one on my father's side has had any problems with getting pregnant. Also, the nexplanon increases your chance of having an ectopic pregnancy. So I was wondering what this seemed? Should I worry? or is it just me getting my period again? What should I do about it? Please suggest. Doctor: Hello, Welcome to icliniq.com. Considering the fact that you are using nexplanon, it is unlikely that the bleed would be probably due to pregnancy or even ectopic simply because nexplanon is a progesterone implant which prevents ovulation, make the endometrial lining unsuitable for the implant and increases tubal motility with thickening of cervical mucous making it difficult for sperms to penetrate through. Hence pregnancy seems unlikely. Postcoital bleeding as noticed in your case could possibly be due to cervical erosions or ectopy, which can be possibly caused by an HPV (human papilloma virus) infection or after a rough sexual episode as well. But in either case, a per speculum exam is required along with a pap smear test and an ultrasound pelvis as well to rule out any organic cause. It is not your menses for sure. So advise would be to visit your physician for a local exam first." + }, + { + "id": 2779, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21694, + "tgt": "Is doing embryo transfer on day 55 with 7. 7 mm lining fine?", + "src": "Patient: Hello doctor,I am undergoing an IVF FET cycle. My eggs were retrieved in cycle three months back and this cycle the doctor has planned an embryo transfer. I am on 5 Progynova tablets three times a day plus Oestrogel in the evening. I also had a GSCF. Is this high dose okay? My lining is 7.7 mm and the doctor has advised embryo transfer on day 55. Is doing an embryo transfer on day 55 okay? I would be very grateful if you could advise me on this. I am 37 years old and had two failed embryo transfers a year ago. Doctor: Hi. Progynova or Estradiol valerate of up to 8 mg per day is fine. Dose is high, but may be needed to improve endometrium to a minimum of 7 mm. Any thickness of 7 to 14 mm is normal. I could not get what day 55 is. We can transfer in just normal periods or after downregulating with Lupreolide daily injections. So if you have had natural cycle transfer previously, maybe this time try Lupreolide this time. It will suppress all disturbances from your body hormones. Maybe another option is add Ecospirin, Nitric oxide donor or Sildenafil or best and most physiological method is to use HMG (Menotropin) injections. Endometrium will improve very well. Hope infections have been treated and blood sugar and thyroid, prolactin levels are normal. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27811, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17404, + "tgt": "What is VSD?", + "src": "Patient: Hi doctor, My daughter is 28 days old. During her normal check up, after Doppler echocardiography it is found that she has a small VSD. The doctor said that it is normal and generally by a year it will get cured. But, I would like to have a second opinion with you. Please help. Doctor: Hi. I have gone through the report (attachment removed to protect patient identity). Let me try to explain you the diagnosis. For further information consult a paediatrician online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13898, + "tgt": "Why is there reinfection of otomycosis after surgical ear cleaning and tympanoplasty?", + "src": "Patient: Hi doctor, My wife is suffering from Aspergillus otomycosis. She has had tympanoplasty surgery. She then had a surgical ear cleaning, removing the infected skin in her middle ear. This initially worked to remove the fungus, but now her ear seems to be infected again. I am not sure if it is a fungus, but her ear seems to be infected again. She has taken Clotrimazole, and she is currently taking an alcohol or borax solution. Doctor: Hello. In one of the pictures (attachment removed to protect patient identity) sporangia seem to be there, but in the rest of the pictures, it is just wax. However, it is not likely to require debridement. It should go with the medications she is using." + }, + { + "id": 24669, + "tgt": "How can I cure muscle spasms and pain in back, neck and leg?", + "src": "Patient: Hello doctor, I am a 41-year-old male. I have been experiencing muscle spasms and pain in the back, neck, and leg since 10 years intermittently. I am currently undergoing physical therapy and chiropractic. However, I wanted to consult from a naturopathic perspective on what can be the root cause of these problems. I have undergone medical tests, blood test and urine test. Everything indicates normal parameters. Body weight and height ratio is normal as well. I do moderate or light exercises and consume healthy diet and multivitamin. However, I have been plagued by muscle sprains or spasms. Sometimes on feet or leg and other times on back or neck. I am looking for a solution to this problem. Doctor: Hi. I looked at your laboratory report, and that is absolutely within the normal range (attachment removed to protect patient identity). I wonder whether your occupation or daily activities cause more stress to your neck and back muscles. If so, you may reduce giving stress by that activities. For example, if you sit and work on laptop continuously, neck muscle get stressed. In that case, relax neck in between. You may take help from physiotherapist to relax those muscles. The other chance is chair and bed. You need to maintain the straight back spine while sitting and sleeping. Sitting straight (no bending the back forward) is important. Choose a chair that makes your spine erect and sit. Keep the neck straight. Even people having a belly, the spine bends to produce back pain. If your back is already not straight, then use pillow support while sitting. While sleeping, please make sure the bed is not having the cushion effect to make pits against your back. It should be the flat and hard, which will maintain the natural spine alignment/posture. Avoid pillow to head. Raising head by pillow will cause more stretch-stress to neck muscles. Keep small round pillow around the neck that needs support. You may also take a small towel to roll and keep under the neck, at any cost the head should not be raised. This is how you can prevent neck, hand and back pain associated with irregular posture. Yoga also helps in relieving back and neck muscle stress. Before going to bed, you can apply aromatic oils or herbal pain relieving oils to back and neck. Do self-massage with hands. Then apply hot water to it. This heat application at night will prevent morning stiffness or pain. Each joint is capable of moving in different direction, but in day-to-day life we do limited movements. If you start the yoga practice, that enables all joints to be moved in all possible directions, thus reduce the pain due to non-using the joint. The next possibility is cervical and lumbar spine degeneration, that leads to local structural alteration which will compress the nerves to cause pain. If any issues with intervertebral discs (bulging, prolapse or inflammation), that also compress the nerves to cause pain. These can be diagnosed by X-ray or CT scan. If you consult an orthopedic physician, they will diagnose. If this is the cause of your pain, then physiotherapist can give appropriate therapy. For more information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 17704, + "tgt": "Eye test reports are normal, but have some vision problem in left eye. Why ?", + "src": "Patient: Hi doctor, My wife could not be able to see through her left eye. She has some pain near her eye like\u00a0a headache,\u00a0but there is no numbness or vomiting scenario. Now, her vision is at CF. We had our first visit before 10 days. The doctor did not find anything except the pressure is 29 and he suggested Tobramycin and Dexamethasone ophthalmic suspension for every six\u00a0hours for a week. In the follow-up visit, the doctor found that her vision came down than earlier and the\u00a0pressure raised to 40. He suggested an emergency MRI scan of the head, and it was normal. Then he suggested Travatan and Combigan and no cause identified. All these reports shared with our primary care doctor, and he advised to make another visit to the\u00a0eye doctor and a neurologist checkup. As per his suggestion, we had another follow-up visit, and nothing found abnormal. They wanted to wait for a neurologist check, and until then my wife was asked to continue Travatan and Combigan. The report says everything is normal, but nothing is improved on her vision side. Can you please suggest us what we should do now? Doctor: Hello. I understand your concern. Please do not worry. In my opinion, there are two issues. It can be a POAG, primary open angle glaucoma and the treatment is antiglaucoma medicine. If the pressure is normal and optic disc is normal, then glaucoma is under control, and it is not the cause of low vision. There is a very low vision in the left eye with RAPD (relative afferent pupillary defect) in left eye along and temporal pallor of the optic disc. It is suggestive of optic disc pathology and most likely optic neuritis (retrobulbar neuritis). The treatment plan is as follows. MRI with contrast is the ideal investigation to look for demyelinating lesions in the brain as well as on optic nerve. Once the diagnosis is confirmed, we start high dose Methylprednisolone intravenously. Here, the prognosis is good, but some patients do not improve. Revert with the reports to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1922, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22232, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3493, + "tgt": "How will omega-3, proteins, and complex carbohydrates help in increasing memory during exams?", + "src": "Patient: Hello doctor, This is not a health inquiry, but a problem I would need your help to solve. I would like to know what foods are good to eat before a test or exam? I am getting things like omega-3s, proteins, complex carbohydrates and water. My problem is, I cannot find much tangible information on why these things help us perform during tests? Can you point me in the right direction of where I need to go to get this info? Or do you know? What foods are the best to eat before a test? Doctor: Hello. Yes, as you have searched information is right and coming to its detail. Complex carbohydrates will give you energy and you will not be lethargic as carbohydrates are an easy way to breakdown for its energy levels especially for brain cells. You can opt for whole wheat, oats, muesli, banana, apple, etc. Protein are a good source or considered as building blocks. This will help to manage immunity, help to build tissue tear and keep you manage good health by not letting any infection easily. It can help you to be healthy. You can find these in eggs, lean meat like fish, and chicken. Omega 3 and 6 fatty acids boost the memory as it has antioxidants and increases the memory power like in almonds, walnuts, and fish. Include fibers with fruits and vegetables in the diet as these are rich in antioxidants and anti-inflammatory and helps in good blood circulation, boost energy, memory and good health." + }, + { + "id": 11672, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13146, + "tgt": "I have eye powers -0. 5 and -0. 75. Should I wear glasses all the time?", + "src": "Patient: Hi doctor, I have RE -0.50 and LE -0.75. Should I wear glasses all the time? I am not comfortable with my glasses and need to change contact lenses instead of glasses, if it is possible. Can I change to contact lenses? Doctor: Hello. Ideally yes, you must wear glasses all the time. Since this power is not high, you can avoid them while doing near work like while reading or working on mobile, etc. Yes, you can use a contact lens. For this, small power contact lenses will be of the same power as spectacle power." + }, + { + "id": 30750, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 20790, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8463, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 19187, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 948, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 23886, + "tgt": "What is the treatment for recurrent UTI?", + "src": "Patient: Hello doctor, Ever since I had started being sexually active last year, I have been getting frequent UTIs. I had been having a UTI for a long while. I got it checked last week, and I was prescribed Sofilex\u00a0for five days. The UTI got better, and everything was fine for about a week, and today it started to hurt again. I am peeing frequently, and I feel pain in my lower area. Last night, I was feeling quite sick. I had a headache, nausea, and pain. I was not sure if this was because of the UTI starting up. But, this morning it had definitely started. I am still sexually active, and I know that sex can trigger infections. So, I clean up thoroughly after sex, as advised by my previous doctors, and according to what I have read about its prevention. I make sure it does not get too rough or unlubricated. I just want to know why the UTI keeps occurring and what I should do differently, to stop it once and for all. Is there a different type of medication I should take? I read online that there is a type of medication to take after sex. Is this going to be helpful? If it is possible, may I get a suggestion for which medication to take? What to do next, to make the UTI stop from recurring? Are there any medications or lifestyle changes to me made? I hope to hear from you soon. Doctor: Hello. As you have already mentioned, sexual activity is a risk factor for UTI. A urine analysis report done during the UTI (urinary tract infection) episode, will give us a better picture of the number of pus cells. I request you to share two such reports of tests done during two different episodes. Due to the short length of the urethra, the bacteria of the perineum are inevitably introduced into the bladder. But, these bacteria should not be allowed sufficient time in the bladder to grow. Some females are more prone to UTI compared to others due to a different antigen expression on the bladder mucosa. I recommend the following measures for you: Reply after 15 days after you try the above. Revert after 15 days to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 496, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12046, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10700, + "tgt": "What is the treatment for chronic dry cough?", + "src": "Patient: Hi doctor, I am suffering from\u00a0chronic dry cough originating primarily in bronchial area. I feel fatigue, vertigo, lack of appetite and periodic nausea. Please help. Doctor: Hello. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry test we can make a definite diagnosis. Vertigo can be because of chronic cough. But, clinically it is very difficult to say. Some blood test may also be required for making a diagnosis. Usually, the asthmatic patients have some other allergies also. You have not specified any other symptoms in detail. Please do not hesitate to contact me after doing the above mentioned tests. Treatment mainly depends on the reports. Allergy. Chest x-ray and spirometry test. Asthma. Inhaler medicines. Avoid known allergen." + }, + { + "id": 608, + "tgt": "I am not getting deep sleep during night for the past one week. Why?", + "src": "Patient: Hi doctor, It has been a week now and yet I feel like I do not get enough sleep. I would sleep from 1 AM onwards but tend to wake up every hour and my sleep feels like it is not in deep sleep. I could get a deep sleep only aound morning 5-6 AM and woke up at 10-11 AM. Please help. Doctor: Hello. Yes, this pandemic is causing a lot of stress in everybody is mind. We all processing information at the conscious subconscious and unconscious level of our brain. Sometimes that is to this kind of disturbance in biological rhythms. Along with that at times people start having anxiety of not falling asleep. So do not worry just follow some sleep hygiene measures. Try some sleep hygiene measures. 1) Wake up at the same time every day. 2) If after lying down you are not able to sleep for 10 to 15 minutes then get up from bedsit on a table chair and start reading something. 3) Do not take any tea or coffee after 6 PM. 4) Listen to some white noise or light music. Start some exercise on a routine basis that will keep you fit and will release some and will release endorphins in your brain that will relax your mind. Start Pranayama and meditation." + }, + { + "id": 8328, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24018, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28891, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18491, + "tgt": "Can mixed spongiform thyroid nodules be malignant ?", + "src": "Patient: Hello doctor, I am a female, 32 years old. I do not understand what my ultrasound report means. My gynecologist and PCP both felt a large mass on the right side of thyroid and told me that they have to refer me out and I need another biopsy. The last biopsy was a year back and it was benign. It was a solid dense nodule measuring 1.3 cm. All thyroid tests are normal. Can mixed spongiform nodules be malignant if they are hypoechoic, vascular, lobular and with peripheral calcification? I cannot find anything regarding other abnormal feature with mixed spongiform nodules. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have a thyroid nodule. According to the guidelines, if the nodule is more than 75 % of spongiform appearance, then they are benign and if less than 75% then there is a chance of malignancy which must be confirmed by FNAC (fine needle aspiration cytology). In your ultrasound, there is no percentage depiction of the spongiform portion. Secondly, the malignant nodule has hypoechogenicity and microcalcifications which is present in your report. Please, it is my advice to you to not come to any conclusion before an FNAC. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 463, + "tgt": "I get blood in stools with constipation, but there is no pain. Please help", + "src": "Patient: Hello doctor, I am 22 years old and I have a problem of blood in the stool for two days. I do not feel pain and any other symptoms but sometimes constipation exist and my long toilet interval is once every two days (most common). Sometimes rarely on every day or three days interval. Are there any home remedies and is it normal? Doctor: Hello. Constipation is very common due to the active lifestyle considering your age and history. The blood in stools can be due to chronic constipation. As it does not pain while you pass stool it confirms constipation. To prevent constipation you should drink more water, considering summer season 3 to 4 liters should be good. Include fiber rich food like oats, corn flakes, and fruits like banana, apple, and watermelon. Try having some of these food for dinner. And if you eat nonvegetarian foods make sure you eat an equal amount of green vegetables with it. On an Indian diet, you can have roti instead of white rice. Following this routine would surely improve your constipation." + }, + { + "id": 15813, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21928, + "tgt": "Cheek is swollen and numb after RCT. Is this a dental emergency?", + "src": "Patient: Hello doctor, My 5 year old (turns 6 next month) has gone for a root canal a few hours ago. I was not with him but they told me that they used a gel anesthetic, if it matters. Now, he is back and his cheek on the treated side is swollen and numb, and he seems to have difficulty smiling or speaking with it (no pain). Is this normal or do we need to revisit the dentist again? Is it a dental emergency? Doctor: Hello. Yes, it is normal. The numbness will go away in a couple of hours. The swelling may remain for two days. Give all prescribed antibiotics and painkillers as suggested. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19965, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26333, + "tgt": "I have pain on touch 33 hours after head injury in a road accident. Is it normal?", + "src": "Patient: Hello doctor, 33 hours ago I bumped my head on the road in an accident. The right side of my head got swollen up. I felt no nausea or vomiting. I safely drove back home. I have no coordination or concentration issues. My vision is normal, and all the senses are working normally. The swelling and the intensity has also reduced much. But since then, I am having pain when I touch that point on my head. Also, the left side of my neck hurts when I move it or exert pressure over it. I took three doses of painkillers giving by the doctor. Is this pain on touch normal? Doctor: Hello. I have gone through your query with diligence and would like you to know that I am here to help you. Of this, you have pain at the site of injury and neck pain. So, please consult a neurosurgeon in person at the earliest.Best Wishes for a speedy recovery. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 14354, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27232, + "tgt": "My penis curves to the left when it erects. How to correct it?", + "src": "Patient: Hello doctor, My penis curves to the left side when it erects. It is not painful. It is just curved to the left side completely. What is the medication that you suggest? Doctor: Hello. For further questions consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25209, + "tgt": "I had a medical error in taking Cladribine. What can I expect?", + "src": "Patient: Hello doctor,I had a medical error in taking Cladribine infusion within 30 minutes for four days out of seven days. The treatment is supposed to be taken 24 hours a day. What is the procedure currently required and is there any danger in the short-term and long-term and whether the treatment was taken correctly and what tests are required now? Any procedure I can do to correct this sick error? I received treatment with a dose of 7 grams mixed in 100 ml venous solution at 0.1 concentration and in half an hour for four consecutive days. Please help me rapidly. Doctor: Hello. Cladribine is an antineoplastic drug used mainly in hairy cell leukemia. It is also used in other hematolymphoid malignancies. Since you have not mentioned the condition you are receiving the drug for, I am assuming that it is for hairy cell leukemia. The main adverse effects of Cladribine are hepatotoxicity, renal impairment, and neurotoxicity. If you have any symptoms of decreased urine output, nausea, vomiting, jaundice, tingling of hands and feet, loss of sensation, etc., please visit the emergency room immediately. In the future, I would advise you to talk to your doctor regarding the error that occurred so that it does not happen again. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 26054, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21076, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10837, + "tgt": "I have a short penis and nightfall problem too. Is it normal?", + "src": "Patient: Hello, I am a 25 year old person. I have a short penis.\u00a0It is only 2-2.5 inches long in flaccid state, but the\u00a0length and diameter is 4 inches in erect state. I want to increase the size of my penis. Apart from this, I also have nightfall problem which lasts for less than 2 minutes. It will occur 4 to 5 times in a month. I had masturbated a lot during my early ages. I am an unmarried person, going to get married soon. So, will the penis size affect my marriage life? If so, I need a permanent solution for this. Kindly suggest me\u00a0medications with no side effects to solve this problem. Doctor: Hello. I hope, this will help you. Kindly follow up with a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11307, + "tgt": "What are these rashes on the corona of my glans penis?", + "src": "Patient: Hello doctor, It has been four months since I have been suffering this problem. I have been to the sexual clinic. They say that all my tests were negative. They keep saying it is a non-sexual rash. I have had this white spot near my urethral opening for three months which is what is worrying me. What is it? On the corona, I also have this rash which seems to be spreading around the penis head. What is it? I have attached the images. All the STD and HIV tests were negative. Doctor: Hello. The spots near the tip are a normal variation perhaps due to the keratinized mucous membrane near the tip as it is exposed and therefore it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes. Do you have any associated symptoms of pain, burning, or itching? Are you sexually active? When was your last sexual contact? Was it protected or unprotected? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6486, + "tgt": "What can be done to manage swelling and pain in the tooth extracted area?", + "src": "Patient: Hello doctor, 4 days ago, I got four teeth removed, but it was more like 8 because my teeth were broken and at gum level. Since then, I noticed what seems like a slither of tooth appearance. Then, as of yesterday a big what looks to be tooth has suddenly surfaced and it is swollen around that area with severe throbbing. A lot of times not even the Hydrocodone that I was prescribed helps with the pain. Doctor: Hello. You have to take the painkiller three times a day for five days atleast. The pain will be there for first three to four days, and the wound will appear like yellowish-white color. It is normal, so do not touch the area at all and avoid brushing in the area also. If the pain persists even after five days, then it means you may have a dry socket condition which is caused by dislodging of the blood clot. You need to use warm saline gargle as much as possible. If some bony particle is sticking in the area then it will be necessary that you go back to your dentist. Take some antibiotics like Penicillin for five days which will give relief." + }, + { + "id": 10032, + "tgt": "My husband is over-possessive and controlling. Please help me", + "src": "Patient: Hello doctor, I am newly married. My husband is 26 years old and I am six months younger to him. My family members say that my husband is over-possessive and controlling. How can I know if my husband is over-possessive and controlling? Doctor: Hi. Most of the persons who are over-possessive of their partner show certain kinds of behavior that is uncommon in the general population. They feel less secure and this sense of insecurity is the driving force for the over-possessive nature. Someone who is insecure may doubt their partner's dedication and may, therefore, try to control them. In short, they feel vulnerable and will do anything to make sure they are not hurt. The sense of insecurity can stem from a number of situations including parents leaving a child, a past romantic partner who was unfaithful and many more. To control the possessiveness: Consult a psychiatrist online in case of further assistance in overcoming this situation --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12239, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 433, + "tgt": "How to reduce the pain due to ankle sprain?", + "src": "Patient: Hi doctor,I have chronic ankle sprains in both the ankles. I have this for maybe a year now. I went to PT and have been doing exercises. But, about a week ago, my ankle began to pop. It is happening once in a while. It really hurts and I have to pause for a couple minutes for the pain to settle. Is this normal? Is there a way for me to prevent or calm this pain? I am taking Zoloft and Ibuprofen when needed. Please help. Doctor: Hi. Hope this message finds you in good health.\u00a0I have gone through your complaints and understand your concern. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1012, + "tgt": "Please comment on the severity of my wife's wrist x-ray", + "src": "Patient: Hi doctor,My wife is 42 years old. She is feeling pain in the right wrist while moving the palm laterally outward. The movement gets somewhat obstructed slightly and it is not smooth. This has been started after an occasion when she tried to pull or carry one heavy bag a week ago. X-ray has been done on her right wrist which is enclosed herewith. Please comment on the severity of the wound and its medication. Thank you. Doctor: Hello. Revert back with the photos to an orthopaedician and traumatologist online -->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 28554, + "tgt": "What is social anxiety disorder?", + "src": "Patient: Hello doctor, I am doing my post graduation in psychiatry, and I would like to clear my doubts about social anxiety\u00a0disorder. I wanted to know about the most challenging and important things while dealing with someone with social anxiety disorder. From your experience, can you please tell me the biggest lesson or insight that you would have learned after treating such patients? How should I prepare myself to manage such patients? What advice will you give others about dealing with someone who has this diagnosis? Doctor: Hello. Social anxiety disorder is one of the anxiety spectrum disorders. Here, persistent anxiety in social situations like talking with a person or a group of people, in group presentations, in talking with the opposite sex, etc., are found. Avoiding social gathering and social situations are most commonly seen. Accepting that one has social anxiety is one of the most important things to deal with. The sufferer should be made comfortable that this is a disorder like any other disorder. With proper medicines and behavior therapy, most of the individuals show improvement. The patient should be educated properly regarding this illness. Social anxiety is one of the disabling conditions, and early treatment helps in the early response to therapy. The patient should be given proper support and should be made aware that others are not judging him. This is the most important step in the management. Relaxing prior to any anxiety provoking situation helps to yield best results. There is no need to make any specific preparations. Once the provisional diagnosis of social anxiety is made, then the patient is encouraged to speak without hesitation. Building up a rapport takes time in such situations, but once it is built, then the interview goes easy. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 5791, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13258, + "tgt": "Can I take 10 mg of Citalopram twice daily instead of 20 mg once daily?", + "src": "Patient: Hello doctor, Is it fine and safe to take 10 mg of Citalopram twice daily instead of 20 mg of Citalopram once daily? Doctor: Hello. Citalopram tablets are recommended to be administered as a single daily dose either in the morning or evening. The usual dose is 20 mg daily but can go up further up to 40 mg daily. I presume you have been prescribed Citalopram to manage depression or anxiety or related emotional disorders. Can I clarify why you want to split the dose? If you are experiencing any side-effect like sedation you can take the dose at night time. How long have you been on Citalopram? Usually, you will get used to the medication by two weeks or so. If side effects are persistent and severe, kindly review with your prescribing doctor. Anecdotally, I have seen a few patients taking Citalopram twice daily instead of once daily. They have responded fine without any adverse effects. But once daily dosage is the well studied and recommended dosage plan." + }, + { + "id": 26539, + "tgt": "What precautions need to be taken to prevent HIV and AIDS?", + "src": "Patient: Hello doctor, What are the precautions that need to be taken to avoid HIV and AIDS? Doctor: Hello. Regards. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 6786, + "tgt": "Will tablet Ovacet regularize the periods and ovulation?", + "src": "Patient: Hello\u00a0doctor, I have PCOS and have done D and C recently. I have been prescribed Ovacet tablet for 30 days. Will the tablet regularize the periods and ovulation? Are there more chances for me to conceive because of D and C and the prescribed tablet? Please give your expert advice regarding the same. Doctor: Hi. If your periods are irregular, then tablet Ovacet (combination of L-Methylfolate, Myo-Inositol, and Vitamin D3) alone is less likely to induce ovulation. However, the tablet will help in normalizing metabolism and decrease the resistance to ovulation induction medicine. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9, + "tgt": "What should I do to reduce my weight gained due to genetic hypothyroidism?", + "src": "Patient: Hi doctor, I am a 22-year-old female who was diagnosed with hypothyroidism (genetic) when I was 12. Over the past five years, I have become around 50 pounds overweight and all of my attempts to lose have seemed to fail so I have given up, but my weight has stayed the same. There is so much information put there about losing weight with hypothyroidism but it all seems to conflict. I am so unsure as to what type of exercise and diet I should follow as a result but I still would like to lose weight, but most importantly have my body feel better. What can I do? I am currently on Levothyroxine, Buspar, and Benedryl. Doctor: Hi. You have really done well with the hypothyroidism problem. Your levels are normal with less medications which are very good. As it is genetically induced, it is very difficult to lose weight. My advice to you is, you should focus on maintaining normal levels of TSH (thyroid-stimulating hormone) and try to remain active, having a positive outlook in life. Or else, it will become very difficult to balance your life with the symptoms of hypothyroidism. Even though your weight has not reduced, be very careful in not putting on weight here afterward. Everyday brisk walking for 1 hour. If you have body pain, alternate with exercises and walking. Avoid all kinds of junk foods, processed, bakery products, rich sweets, fatty foods, sodas, alcohol, and smoking. Avoid partying and binge eating. Follow the food timings properly. Have small frequent meals. In between snacks should be strictly fruits or any kind of low-calorie foods. Have unsalted nuts around five daily. It can give a glow to your dry skin. Everyday water intake should be around 1.5-2 liters. You can use flax seeds. Powder it and mix it in your food. It is a fiber which will give you fullness. Use turmeric, fenugreek seeds, or powder every day. It is a good antioxidant and fenugreek helps in reducing cholesterol levels. Include low-fat milk, curd every day. Egg white, lean chicken, or fish can be taken daily in moderation (anyone). Organ meats need to be avoided. Is your menstrual cycle normal? Please get back if you have any other complaints. Follow up after 15 days." + }, + { + "id": 21667, + "tgt": "I am suffering from digestive problems since years with no relief. Please advise", + "src": "Patient: Hello doctor, I am suffering from digestive problems since 15 years. I take Pantin L capsule everyday. But, no relief. I am very nervous. I took treatment with many doctors, but no relief. Doctor: Hello. You are having digestion problems since many years. For that, first rule out hypothyroidism by serum TSH (thyroid-stimulating hormone) estimation. USG abdomen scan is advisable to rule out any organic cause if present. You can include more fiber in the diet. Take green leafy vegetables and fruits. Regular exercise is advisable in case of functional constipation and drink more water. Psyllium husk with milk at night time can be had for constipation. I suggest you consult a gastroenterologist for examination and further management accordingly. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14473, + "tgt": "I am taking tablet Levera. I am getting dizziness. Is it due to the tablet?", + "src": "Patient: Hello doctor, Two years back, I had a left PICA Aneurysm (Posterior Inferior Cerebellar Artery), for which it was coiled. Since then, I am taking tablet Levipil. Right now, I am taking tablet Levera XR 750 mg once daily. Sometimes, when I sit for a long time that too only when I use the Indian style toilet and sit for a long time like 15 minutes, I feel dizziness as if I was going to fall. This feeling will be there only for about 5 seconds, and after that, I will be normal. When I go out in the sun and come back, I feel the same. Is it due to the tablet or any other reason? I am very much worried about that. Doctor: Hi. Dizziness that you are having is a very normal phenomenon, which occurs in a large number of normal individuals. It may happen while standing from sitting position, because of a relatively low cerebral perfusion (blood supply to the brain) for a few seconds. It is during these few seconds when autonomic nervous system adapts itself to bring the cerebral perfusion pressure to normal. It is in those few seconds that such a feeling of dizziness occurs. Coming from sunlight to indoor may cause a similar physiological phenomenon and hence the dizziness. So, keep yourself hydrated well. Drink at least 3 to 4 liters of fluids per day, and these symptoms should improve. Clinically, tablet Levera (Levetiracetam) does not cause such effects. It is just a theoretically listed side effect, but not observed clinically. This tablet is not causing it. This is the safest antiepileptic drug. Please do not worry and continue the same treatment. It is a normal phenomenon." + }, + { + "id": 2799, + "tgt": "Can high white blood cells just reveal iron deficiency?", + "src": "Patient: Hello doctor, I recently was referred to an oncologist/hematologist after having two rounds of blood tests, both showing a high white cell count (as well as a few other abnormalities). I saw the oncologist/hematologist who ran additional tests. I see a multitude of abnormalities, however, she told me I am just iron deficient. My concern is when I saw her she literally gave me less than three minutes of her time because she was in a hurry, she basically picked up her back and ran out. I am worried she missed something and I did not get the opportunity to ask questions. I am currently on Ventolin asthma inhaler, Vitamin D, and Daily iron tablet. Doctor: Hello, Welcome to the icliniq.com. Following is my opinion about your asked question. Your two rounds of CBC (attachment removed to protect patient identity), showing high total WBC (white blood cells) count and high neutrophils. Immature granulocytes are elevated slightly. The inflammation, infection, excess stress, etc like causes might be responsible for that. In the second CBC (complete blood count), count decrease and neutrophils also reduced in number. Hence it does not look like leukemia or blood cancer. Immature granulocyte can be increased slightly in any inflammation. Your count and differential count are not to the level suggestive of leukemia. So it does not seem to be blood cancer as per my opinion. Kindly repeat CBC with peripheral smear examination after a few days. The value will fall within range after a few days. I hope this helps." + }, + { + "id": 9268, + "tgt": "I have severe acne on cheeks and jawline. Please help", + "src": "Patient: Hi doctor, I hope you are well. I am 25 years old, and I suffer from severe acne, especially on my cheeks and jawline. I have very oily skin, maybe that is the reason. Can you help me build a face routine that will rid me of acne and help me get rid of the acne scars? I really hope that you can help me, my self-esteem has been affected by my acne problems. I have at home the following items that may be useful: A facial steam machine, sulfur ointment, peeling solution, acne facial wash, toner, salicylic acid touch pads, aloe vera gel, tea tree oil. Doctor: Hello. I understand your concern but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area. Take care." + }, + { + "id": 19981, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6838, + "tgt": "What are the ways to improve my uneven skin complexion?", + "src": "Patient: Hello doctor, I have uneven skin complexion and dark skin. Can you please tell me any cream or foods that improve my skin and skin color? Doctor: Hello. I understand that you have an uneven and dark complexion. You need to eat a lot of fruits, drink a lot of water, and this should help improve your skin health and skin tone. Also, while going out in the sun please use a sunscreen with SPF 50 to prevent the tanning of your skin. Apply a moisturizing skin cream with vitamin E in it during nights after a face wash or bath. These are general measures that will help you. If you have any specific questions, please do not hesitate to get back to me with a photo of your skin problem. I would be happy to help." + }, + { + "id": 10695, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7865, + "tgt": "What are the ways to reduce creatinine level in a diabetic patient?", + "src": "Patient: Hello doctor,My father is diabetic as well as a heart patient. Right now we performed a general checkup and in that, they mentioned creatine level is 1.4. How to reduce it? Doctor: Hello. It is impossible to reduce creatinine. As you see diabetes is a progressive disease and it affects the kidney. When we control our blood sugar strictly, we may postpone getting the kidney problem for many years. But if we do not control our blood sugar level strictly, we may get kidney problem soon. The point is, all diabetic people will get a kidney problem. It is only a matter of time. But there are some ways to prevent worsening of kidney problem. The blood sugar must be well below the normal levels. So please take care of your father's blood sugar level and control it, then the creatinine value may go back. Each laboratory has their own normal range based on the reagents and types of tests they do. See what is the normal range given for creatinine. If the normal range is more than 1.4, then no need to be afraid. Since he is also having heart problems, I want to ask you a few questions: 1. Is he having swelling in both legs? 2. Is he having difficulty in breathing even doing his routine activities? 3. Is he passing less urine? 4. Is he already on tablets which increases urination like Lasix or Dytor? If he is not on Lasix or Dytor and he is having swelling, we can start tablet Lasix which reduces the load to heart and kidney. I want to suggest a drug which prevent kidney failure. Please ask your father to start tablet Nefrosave twice a day after food which is good for kidneys. It can be taken with other tablets. Also, do a test called eGFR, which clearly says whether he has kidney problems or not." + }, + { + "id": 24022, + "tgt": "How to get over my habit of stealing undergarments and masturbating on it?", + "src": "Patient: Hello doctor, I am a 26 year old man. I have a habit of stealing bras and panties and masturbating on it. Is this normal and how can I come out of this? Doctor: Hello. Since how long do you have this issue? Have you taken any help for this? For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10811, + "tgt": "Why does my brain become hot while studying even if I take proper rest?", + "src": "Patient: Hello doctor, I feel that my brain becomes hot while studying. I studied the whole day and slept for two hours continuously for three days after that my left eye started paining, and my brain also started getting hot severely. Still, now it is continuing even if I take proper rest during exam time when I study less also. Doctor: Hello. Left eye pain and hot feeling in your head is due to severe mechanical stress to your body because of extreme mental exertion and lack of sleep for three days. As a neurologist, my first advice will be to take some rest and be relaxed and calm. To take rest and enough sleep at least five to six hours in a day is a part of exam preparation. Sleep is a must for better and powerful performance in an exam. It will refuel and restart our brain. Sleep will help to build up and potentiate our memory. So as first advice, please maintain sleep hygiene. And take five to six hours of sound sleep in a calm, cool, and dark room. Take food on time. At present, all your symptoms are due to the same. 1) Take cold water shower. 2) Go to bed and try to sleep. 3) If still, you have problems, you can take medicine to calm down your mind like tablet Etizola (Etizolam) 0.25 mg one tablet immediately. It will give you sleep and calmness. After six hours of sleep with that tablet, you will able to restart your reading, and then you can take if needed." + }, + { + "id": 17209, + "tgt": "Which is best between SMILE and Contoura Vision?", + "src": "Patient: Hello doctor, I have to get a spectacles removal surgery but because of a thin cornea, I cannot have LASIK. So, the doctor suggested SMILE. But now I have read some disadvantages of SMILE. There is one more called Contoura Vision which is considered to be the best. Can you please guide me that with a thin cornea, what should I opt? SMILE or Contoura Vision? I do not want ICL. Doctor: Hello. Each procedure has its own pros and cons. SMILE (Small Incision Lenticule Extraction) is a good technique with good results. I did in many patients and the result was very nice. It does not correct any imperfections of the cornea which can be done by the Contoura vision. So first it has to be clear whether your cornea apart from thin has any other issues? From my side, you can opt any one. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1243, + "tgt": "What are the possibilities of transmitting HSV-2 from an infected woman to a man?", + "src": "Patient: What are the possibilities of transmitting HSV2 from an infected woman to a man and how to prevent it if they intend to enter into a relationship. Thanks Doctor: Hello , Welcome to Icliniq. I understand your concern about the HSV .. before I begin to preventive measures let me tell you it how it can spreads.. It is spread through oral, vaginal, or anal sex. It may be spread even if you do not see blisters. It can also be spread to other areas of your body, including your eyes, lips, mouth, by touching open blisters. Unprotected sex increases your risk for genital herpes. Now as you are well aware about its spreads now you just have to take precautions accordingly. Follow the following advice- Fortunately It can be treated effectively with proper medication.. let me know in the follow up if you need it. I hope this will help you. Regards! Do give your valuable feedback." + }, + { + "id": 15035, + "tgt": "Why is my ECG showing low voltage with QRS 86 mm?", + "src": "Patient: Hi doctor, My ECG shows low voltage with QRS 86 mm. I am physically fit and active with no such issue a year ago. What could be the cause and solution? Doctor: Hello. Could you upload your ECG picture? It must be 86 msec, I guess. Low voltage ECG may be seen as a normal variant, also seen in obese individuals, smoker or patients with heart disease like fluid around the heart or in lung disease. But, if you do not have any symptoms then it is likely a normal variant. Patients with a disease will have other symptoms too." + }, + { + "id": 30808, + "tgt": "Please help me in understanding lean PCOS?", + "src": "Patient: Hi doctor, I have been\u00a0getting acne for a few months. Two years back, I skipped a period. Then, my periods are regular, but the cycle is usually delayed by four to five days and sometimes more than that. My period lasts for 3 days rather than 5 to 7 days. I\u00a0consulted a gynecologist and underwent some hormone tests\u00a0and ultrasound. I am sharing the reports with you. Please let me know whether I am a patient of PCOS. Will PCOS cause acne? What could be done to prevent cycle delay? How to resolve this PCOS problem? My gynecologist prescribed Gynex syrup and Ovalife tablets for three months. However, I have not started yet. Please provide a second opinion. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). According to the ultrasound report, it is PCOS only (polycystic ovarian syndrome). All other tests ordered are normal. To confirm this by hormonal correlation, you need to get your FSH (follicle stimulating hormone) and LH (Luteinizing hormone) levels done on day 2 of cycle. It is the reversal of this ratio in PCOS. You may take Ovalife tablet. It is just a supplement. PCOS is not a disease, but just hormonal imbalance. You are a lean PCOS as you are very thin with a BMI of 23. Try to maintain your weight by a good and balanced diet and regular exercise. For reduction of acne and maintaining regularity of your cycles, I suggest tablet Diane 35 (Ethinyl estradiol) once a day for 21 days starting from day 2 of the cycle. Consult your specialist doctor, discuss with him or her and take the medicine with consent. However, regarding acne, your male hormone testosterone levels and also free insulin levels are within normal range and probably not the cause of acne. Consult a dermatologist for acne. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21887, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10598, + "tgt": "My hairs are shedding even after using Minoxidil. Why?", + "src": "Patient: 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. Doctor: Hello. Can you please upload a few pictures if possible, to advice proper treatment." + }, + { + "id": 16777, + "tgt": "Do you think the treatment given for my father is right?", + "src": "Patient: Hi doctor, My father, who is 58 years old, having diabetes for the last 23 years. He always takes Insulin and other sugar tablets. His weight is 67 kg and height is 5'5\". For the last two months, he has been taking Aspirin 75 mg. He had a\u00a0minor headache for the last few days. Also, he had a cold and cough and took Azithromycin. Six days back, some blood came out through cough and he was advised to stop Aspirin. So, he did not take Aspirin for the last five days. Yesterday, he felt nauseous and vomited continuously. He had blurred vision, felt an imbalance while standing and had severe headaches. Then, he had a CT scan and a subdural blood clot was found. CT scan report summary NCCT of the brain suggests subacute on chronic subdural hemorrhage in right cerebral convexity with mass effect. So, our neurosurgeon suggests for operation, but due to Aspirin he kept the operation on hold for four to five days. But, my father is still unconscious. He is in ICU and under observation. But, in this condition, is it right decision to keep the operation on hold? In this condition, can we move the patient by flight to another place for better treatment? Doctor: Hi. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 23744, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8955, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28584, + "tgt": "While correcting the gap of upper teeth, should I get braces on both arches?", + "src": "Patient: Hi doctor, I have been wearing braces on my upper teeth for two years to fix the gap due to the extraction of an\u00a0extra teeth between my incisors. Now I have noticed that my upper teeth are slightly protruding and I cannot\u00a0close my mouth. Now, my orthodontist is asking me to get braces on lower teeth, but my lower teeth are perfectly straight. I consulted another orthodontist, and he said that lower braces are not needed, only front four teeth are required to be fixed. I am confused. What should I do? Doctor: Hi. For further doubts consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 652, + "tgt": "My period is getting delayed this month with weight gain and increased TSH levels. Why?", + "src": "Patient: Hello doctor, I am a 24-year-old female. My weight is 57 kg, height is 163 cm. My complaint is face chubbiness, and I gained about 5 kg for the past 6 months, and the main problem is that I am missing my menses this month. My LMP was on 15th April. As per gynecologist advise I did CBC, fasting sugar, TSH, prolactin, HCG, total testosterone, DHEAS, FSH, LH, USG pelvis for PCOD. Doctor advised to take Primolut N but I have not yet started the tablet. Do I need to start that and what is the line of treatment? All reports were normal except the two TSH -13.740, DHEAS-53.19. Please help. Doctor: Hello. Yes, you can take the Primolut N tablet as advised by your gynecologist. As your periods have gotten delayed by almost more than 45 days, it is unlikely that they would come naturally, even if it does, it may not be similar to your natural menstrual pattern, this is because this is an anovulatory cycle (meaning no ovulation must have occurred in this cycle). Usually, when periods come after such a delay, it could range from spotting to scanty flow to excess flow, or sometimes prolonged bleeding which may need hormonal medications to stop the bleeding. I would like to know if you face any acne or unwanted facial hair growth problems, if so, then you must be having PCOS (even if the USG is normal). And yes, you definitely need to start treatment for your hypothyroidism as your TSH (thyroid-stimulating hormone) level is high. Thyroid hormonal disturbance are quite common with PCOS (polycystic ovary syndrome), and also it can disturb the menstrual pattern too. So, definitely you need to start your thyroxine replacement medications. DHEAS (dehydroepiandrosterone) is low, so there is nothing to worry about that. As you complained about weight gain over the recent few months, it would be advisable to reduce your weight, do regular exercises, and eat a proper healthy diet. I hope this helps." + }, + { + "id": 4097, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 26986, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25336, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1911, + "tgt": "Vision is diminishing after taking 6 months TB treatment. Why?", + "src": "Patient: Hello doctor, Patient is a 61 year-old female. Six months ago she was diagnosed with bone TB and undergoing medication (Ethambutol, Rifampicin, and Isoniazid). After six months of usage, her eye vision is suddenly diminishing. Then her doctor told to discontinue Ethambutol immediately and started using some B12 1500 mg injections on alternate days. After one week they started steroids just to rule out if there might be any optic nerve inflammation. We have done MRI and the findings are below. 1. Tiny FLAIR hyperintense foci in the frontal and parietal and white matter small vessel ischemic changes. 2. Widened perioptic CSF space. 3. T2 hyperintense signal is seen in the chiasm and optic tract. Kindly suggest what to do? Doctor: Hello. I passed carefully through your question and reviewed your uploaded MRI (magnetic resonance imaging) report. (attachment removed to protect patient identity). I would explain that these MRI findings (T2 hyperintensity in the optic nerve and the optic chiasm) are indicative of optic nerve inflammation (neuritis), which could be related to Ethambutol adverse effects. The troubles with vision are a clinical sign of optic neuritis too. So, considering that there is a correlation between radiological and clinical findings, I would conclude about optic neuritis and would recommend to stop Ethambutol as soon as possible in order to avoid possible blindness. I hope this helps." + }, + { + "id": 2958, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 2314, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24604, + "tgt": "Is surgery needed for colloidal nodules in thyroid lobe?", + "src": "Patient: Hello doctor, I have colloidal nodules in my right thyroid lobe. My T3 and T4 are fine. Please suggest whether I need to go for surgery. I am not very sure if I have a problem while swallowing or not. I have problem to swallow when I get throat infection and cough. Doctor: Hello. I just read your query and from what you have mentioned it appears that your thyroid nodule and lymph nodes are enlarged. Your thyroid function test results are good (attachment removed to protect patient identity) but you have to do an FNAC (fine needle aspiration cytology) as your nodule is more than 1 cm in size and it is mandatory to get an FNAC of the same. After FNAC, we will decide whether you need a surgery or not. But, in my opinion, it is of utmost importance to get an FNAC done as soon as possible. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18769, + "tgt": "Are hiatal hernias related to autism?", + "src": "Patient: Hi doctor, I have a son who was diagnosed with autism at 2.5 years. He is now 7 years old. He is verbal now and has improved a lot with the help of therapies. How close is a hiatal hernia associated with autism? We have a history of hiatal hernias in my family. I also read that hiatal hernia can irritate or damage vagus nerve, which may result in autistic symptoms. My son gets frequent hiccups and has a slight swelling in his upper abdomen.\u00a0Kindly confirm if there is really a link between autism, vagus nerve, and hiatal hernia. Is there any treatment in ayurveda or siddha for this?\u00a0Thanks in advance for the replies and your valuable time. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26202, + "tgt": "Do I require a surgery to patch my secundum atrial septal defect?", + "src": "Patient: Hello doctor, I am a\u00a040-year-old male. I have been diagnosed with 3.3 cm\u00a0secundum\u00a0ASD in the right atrium. The catheterization process failed to patch the ASD and now the cardiologist is advising a surgical process. Is this correct? There are no symptoms of chest pain. No breathing or lifestyle issues. I am a normal adult and able to do a\u00a0daily routine. I have cut down exercises after the ASD diagnosis too. The ASD was found during a recent diagnosis of a\u00a0cardiac effusion that may not be related to the ASD. What is your opinion? I have attached images for your reference. Doctor: Hello. I have gone through the images\u00a0(attachment removed to protect patient identity). Hope this helps you and kindly get back if you have any doubts. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4124, + "tgt": "Will mixture of Trisodium phosphate and baking soda with water help in regeneration of teeth?", + "src": "Patient: Hello doctor, A guy on youtube has videos of how he regenerated his teeth by mixing Trisodium phosphate with baking soda and water. He says he spits out mixture and not to swallow. Is this even possible or safe especially since dental work is so expensive? Doctor: Hi, Welcome to icliniq.com. I appreciate you for such an interesting question on dental health. Talking about the two chemical components separately. Baking soda is found to be a great alternative in whitening the teeth as it has mild abrasive quality. It is also found that baking soda has seven on the RDA scale (radioactive dentin abrasion) compared to the regular toothpastes which ranges 200-300. Just a sprinkle of it on the toothpaste in your regular brushing helps in whitening the teeth. But this is not proved on the papers by research. Coming to Trisodium phosphate, it is one of the ingredients present in less percentage in the toothpastes which is chemically basic and removes stains. But it is a commercial agent used as degreaser and stain remover otherwise. The problem using these chemicals in dental cleaning is that you will not be sure how much percentage of the active chemical components you expose on the tooth surfaces in the DIY (do it yourself) project. These might see effective but lack of studies and research making it unsuitable for daily usage. No standardization, therefore not used as commonly as a toothpaste. Also, continuous and prolonged exposure of these on the teeth might end up in roughness of the enamel and a hence weaker teeth. I hope this helps." + }, + { + "id": 7817, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 1451, + "tgt": "I get recurrent fungal infection in ear with pain and tinnitus. Why does it happen?", + "src": "Patient: Hi doctor, I want to ask about the condition of my ear because I have pain in one ear and I had some fungi in addition to the tinnitus. I recently went to a doctor, so he gave me some drops to eliminate these fungi, but after getting rid of those few fungi, I do not hear as well as the other ear. Some blood started flowing, and the pain is more. I think that there are infections and something more dangerous because the blood has not stopped. Please help. Doctor: Hi. As you have rightly put it, there is a possibility of recurrent fungal infection what we call as otomycosis. This condition is very notorious for its recurrence even after treatment. Usually, usage of earbuds i.e. q-tip initiate the entire problem as often the cotton tip is not sterilized in a proper manner thereby introducing infection. The entire fungal blob can obstruct your ear canal, and you will have fullness along with itching and associated pain. It is very essential that the fungal blob be suctioned out completely not leaving backtraces of fungal hyphae as they can form another colony in no time. I recommend you to see an ENT to get this entire blob suctioned out. Continue to use the antifungal ear drops (I usually recommended a combination containing Clotrimazole as it is the most effective in treating such conditions). It will take a while before your ear gets back to normal and there is nothing you need to get stressed about as it is a very common entity we encounter in the outpatient department. I hope this helps." + }, + { + "id": 8520, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8857, + "tgt": "How can I reduce my belly and body weight?", + "src": "Patient: Hello doctor, I am 46 years old, man. Following are my lifestyle. Limited food, especially at night. (anything only two), weekly 4 to 5 days morning treadmill walk up to 4 km, no fried items, 120 ml of drink daily with salads or egg, two cups of tea daily, weekly one or two times non-vegetarian (except broiler chicken). My problem is I have put on weight by 4 kg (68 to 72) one year before. I need to reduce my belly and weight. Please suggest to me. Doctor: Hi. Your diet and exercise schedule is fine. If you could avoid drinks it is better to reduce weight quickly. You did not mentioned whether is there any health issue or not. You can take Apple cider vinegar 5 ml (1 tablespoon) mixed with lukewarm water and take before 30 minutes of lunch." + }, + { + "id": 9801, + "tgt": "Is swelling around the tip of penis normal after circumcision surgery?", + "src": "Patient: Hello doctor, My circumcision surgery was done before a month. The swelling and surrounding area seem to improve until last month. In the mid of last month when I was cleaning the area, I noticed it starting to burn around the bottom swelling area. During those couple of days, I saw the swelling lightly increase. It is now late and have not seen any drop of swelling and worried that this would never heal. Also, my tip area has some light swelling which has not changed for the past eight weeks (it was pretty bad for the first two weeks). My erection last month did not hurt, but now when I get erections, I have some discomfort due to the dryness or redness. I saw my doctor last week who did the surgery, which he did not say much. I am attaching photos on how it looked last month and how it looks now. The picture with the stitches is what it was last month. If you can help me answer the questions below, that will be great since I am stressing out. Is it normal to see this type of swelling behavior? Is it normal to have swelling around the tip? Is this expected healing based on my current photos and healthy to see swelling for three months? I started having a burning sensation which is on and off after I cleaned the area, I am assuming this is just from the irritation that I caused? When I elevate my penis when I get out of the shower, the glands and swelling area look white or tan like it is almost healed, and I see a slight decrease in swelling, is this a good sign? Can I have swelling for this great cause any long term complications or there is nothing I should be worried about? My Glands looked dry and slight red and cracked. Is applying sensitive lotion safe to this area and will it help heal? Doctor: Hello. 1. Yes, it is reasonable to have this much swelling, which will resolve over time 2. Yes, it is usually expected to heal. 3. Yes, the burning sensation is due to irritation. 4. The appearance of tan following shower has nothing to do with healing. This is due to moisture following the shower. 5. The swelling is unlikely to cause any long term complications. 6. The cracks in the skin are due to dryness, and applying lotion is not harmful. However, you need to take the opinion of a dermatologist (skin specialist) if there is no improvement in six weeks. I hope I have answered all your queries. Please get back to me if you have any more questions." + }, + { + "id": 10961, + "tgt": "Whom should I opt for diagnosing ADHD in a 12-year-old child?", + "src": "Patient: Hello doctor,I want your opinion on who is the best person (or where to start) for diagnosing and treating ADD in a 12-year-old child. The information and opinions are mind-numbing and confusing. I have the choice of taking my daughter to a pediatrician or a psychiatrist, after having her tested by a psychologist for school performance related issues. The resulted report indicates that she has serious trouble in concentrating (we knew that) and that she is exhibiting anxiousness (we knew that too). She is currently taking 20 mg Ritalin LA, and we need to re-evaluate the medication.In your professional opinion, where should one start? Will it be sufficient taking her to a pediatrician to re-evaluate the medication, or should I take her to a child psychiatrist for a full evaluation? Doctor: Hello. You have asked a very pertinent question. I am not sure about the medical system in your area. Usually, young children in primary school are seen by pediatricians. Once they move to secondary school and if they have any co-morbid conditions like depression or anxiety, they are usually seen by child psychiatrists. But this arrangement is not universal, and there are huge variations. Both developmental pediatricians and child psychiatrists have the training and expertise to assess and manage ADD or ADHD (attention-deficit hyperactivity disorder). So if you are comfortable with your current pediatrician, discuss your concerns with him or her about your daughter's anxiety. If appropriate, they can refer your daughter to a child psychiatrist. Perhaps your daughter's response to Ritalin LA (Methylphenidate) and tolerability needs to be reviewed, and dose has to be titrated accordingly. If there are any emotional difficulties, she will benefit from pastoral support at school or some counseling. If emotional problems are severe, getting a child psychiatrist opinion may be sensible. Also, we have to remind ourselves that the management of ADD or ADHD is not medication alone. Your daughter will benefit from individualized support to help with her school performance. Her self-esteem should not be affected by ADD. Let her enjoy doing activities which can provide positive experiences. If she likes sports or drama or any other similar field, let her have regular time for pursuing her interests." + }, + { + "id": 487, + "tgt": "If gallbladder stones are not removed shortly, will it turn cancerous?", + "src": "Patient: Hello doctor, My friend is having a gall bladder stone. We consulted few doctors, some are saying the immediate operation is needed otherwise it will be cancerous and some are saying no immediate action is required. She is having pain in her right side of the upper abdomen and also in the middle. I am attaching her ultrasound report. Please tell me about her condition. During this pandemic, we are not able to go outside and consult the doctor. Doctor: Hello. I can understand your concern about symptoms complex and ultrasound findings and whether surgery is the answer to your problem. Well, first of all, I want to clear that you do not have stones in the gallbladder. They are concretions. It is a medical term and they are called microlithiasis (gall bladder stones less than 3 mm in size). So the possibility of developing cholecystitis (gall bladder inflammation) is very low. However, this microlithiasis can cause pancreatitis (inflammation of the pancreas which is a gland sitting over the back of the abdomen). Thirdly, the pain can be secondary to the functional gall bladder problem, where the gall bladder is naturally slow resulting in damping of bile (yellow secretion produced by the liver and stored within gallbladder) and production of small concretions such as in y our case. So I would ask you to get a few blood tests to confirm whether you have pain due to pancreatitis. I also want that you should discuss to me in more detail about your pain, as only proper history can give me a clue towards your problem whether gall bladder inflammation, pancreatitis, or functional gall bladder disorder even before any further testing. Since the ultrasound findings and your symptoms are not correlated very well, there is no point in discussing the role of surgery. But I just want to assure you that you probably need no surgery, so do not worry about it. I suggest you some tests, please get it done, then I would recommend you some lifestyle changes and a medical treatment that can help you resolve your minor stones within the gallbladder. I hope this helps. Pancreatitis. Cholecystitis. Peptic ulcer disease. Functional gallbladder disorder (gallbladder dyskinesia). Complete blood count. Serum amylase and lipase. Liver function tests. TSH (thyroid-stimulating hormone). Start capsule Esomeprazole 40 mg half an hour before meals once daily for now. Follow up after investigation." + }, + { + "id": 9218, + "tgt": "I get vivid dreams in which my best friend is abandoning me. Please help", + "src": "Patient: Hello doctor, I do not have a health issue but lately, I keep having an intensely vivid dream that an old best friend from high school or college abandons me right when everything gets crazy and I have people trying to hurt me. It is always in the manner of my phone will not connect with him or something like that but last night it was just that he was there and disappeared when I needed help. I keep waking up in a cold sweat and feeling like my dream has actually happened. Doctor: Hi. Dream interpretation is not a reliable science branch yet. Many types of research have been done on dream interpretation but there are no conclusions yet as to what suggests what. Some researchers say dreams have no purpose or meaning and are nonsensical activities of the sleeping brain. Others say dreams are necessary for mental, emotional, and physical health. Studies have shown the importance of dreams to our health and well-being. In one study, researchers woke subjects just as they were drifting off into REM sleep. They found that those who were not allowed to dream experienced: Increased tension, anxiety, depression, difficulty concentrating, lack of coordination, weight gain, tendency to hallucinate. Nightmares, or bad dreams, are common in children and adults. Often nightmares are caused by: Stress, conflict, and fear, trauma, emotional problems, medication or drug use, illness. If you have a recurring nightmare, your subconscious may be trying to tell you something. Listen to it. If you cannot figure out why you are having bad dreams, and you continue to have them, I can help you figure out what is causing your nightmares and provide tips to put you at ease. In your case, you must be having an emotional issue with your friend and you are stressed due to that. Keep in mind that no matter how scary a nightmare is, it is not real and most likely will not happen to you in real life. Therefore, do not worry about any dreams at all. Worry may further stress you and may sometime make you be obsessive on those thoughts which may further develop into depression. Ignore those dreams. Engage in your day to day activities. Increase your physical activity level so that you sleep well and sound at night. Take care." + }, + { + "id": 17648, + "tgt": "Do my echo and stress echo show any heart problem?", + "src": "Patient: Hi doctor,I had chest pain, dizziness, palpitations and shortness of breath. I got an echo and a stress echo. I am worried about the results. I have attached the results here. I played soccer almost every day for about a year until three months back where I started getting palpitations. I have done vigorous sports since I was 14. My previous health history includes asthma, anxiety, panic attacks, palpitations and chest pain. I barely use the inhaler for asthma. Doctor: Hello. Your cardiac workup is normal (attachment removed to protect patient identity) and it does not look like a cardiac problem. So, currently, the various possibilities are gastritis, reflux disease, anxiety and asthma. In management part, you avoid spicy and fatty foods, smoking and alcohol if any. Also, maintain regular sleep habits and do regular exercises. Have some walk after meals instead of taking rest immediately. I suggest you acid suppressant like tablet Pantoprazole 40 mg before breakfast once a day for two weeks. Do some relaxation techniques like yoga and deep breathing. I guess your hemoglobin was normal. Try using the inhaler if it gives relief and then it points towards asthma. Have you undergone pulmonary function test recently? Get one pulmonary function test done and get back with some more details. At this point, it does not look like a matter of worry. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2038, + "tgt": "My sore throat and discomfort while swallowing has not subsided on antibiotics. Why?", + "src": "Patient: Hello doctor, I have a sore throat since this Wednesday. My dad is a doctor and he gave me Augmentin every 12 hours. The pain has not gone yet, but I feel like an object anytime I swallow. It hurts and it feels dry and sore. Just on the left side, it is been a few days but nothing new yet. It hurts everytime I swallow and it feels full and pressured. There is some yellow mucus close to the crypts but cannot understand if it is a stone or infection. I tried to remove possible stones but ended up making my tonsil bleed every time I try to clean possible stones and gargled with salt and water. I am really afraid it is something bad. I am 24 years old. Doctor: Hello. Your tonsil looks infected (attachment removed to protect patient identity). I can see pus coming out of your tonsil. You complete the course of Augmentin (take it for seven days, 1 gm 12 hourly). Along with that take plenty of fluids (at room temperature i.e. not very cold and not very hot), do mouth gargles (combination of Chlorhexidine and Benzydamine) three times daily for five days which will soothe your throat as well as remove debris from the crypts. Take proton pump inhibitor (Pantoprazole 40 mg twice daily on empty stomach for a week) and also Paracetamol 650 mg thrice daily for three days. Do take all the medicines, just Augmentin is not enough. Do not touch your tonsils and do not try to remove the debris with fingers. Also, if possible send more pictures of your throat. I want to see your right tonsil and posterior pharyngeal wall clearly." + }, + { + "id": 30666, + "tgt": "Please help me come out of my depressed feeling and jealousy", + "src": "Patient: Hi doctor, I am so much depressed because nothing happens as my choice. No one near to me, listen to my words. I cannot do what I want. I am damn jealous about everything. Please help me. Doctor: Hi. Thank you for sharing your feelings. I would like to assure you that there is a way out and you do not have to keep feeling depressed this way. To understand this better, please consider the following: It is not in the scope of this message to discuss everything, but I would like you to think about the following questions. Irrational beliefs. Psychotherapy. For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 22381, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15509, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8099, + "tgt": "Why do I have burning sensation in stomach associated with back pain?", + "src": "Patient: Hello doctor,I am 21 years old boy suffering from burning sensation in the upper part of the stomach with back pain. Also, I have to urinate many times and have the urge to urinate always. I take medicine Levofloxacin, a syrup and feel suitable for a few days but now I am suffering from these problems again. Doctor: Hello. The problems what you said above is curable. 1) A burning sensation is due to gastritis. 2) Urge to urinate, and frequent micturition is due to urinary tract infection. For gastritis take regular food at regular intervals and avoid spicy, peppery and masala foods. Avoid smoking and alcohol if you are into that. A) Tablet Pantocid-d 1-0-0 X 10 days. B) Tablet Sompraz-L (Esomeprazole) 0-0-1 X 10 days. C) Tablet Sucrafil O (Sucralfate) 10 ml 1-1-1. All medicines before food. UTI (urinary tract infection) take adequate fluid, minimum of five liters of water and liquids. A) Tablet Norflox (Norfloxacin) 400 1-0-1 X 7 days. B) Syrup Citralka (Disodium hydrogen citrate) 10 ml in 25 ml water three times a day. This will help to cure. Kindly follow up SOS." + }, + { + "id": 14511, + "tgt": "Can anger issues, fear of abandonment, suicidal or impulsive tendencies be due to BPD?", + "src": "Patient: Hello doctor, I am wondering if I have BPD as I do have all the symptoms (with anger issues, fear of abandonment, suicidal or impulsive tendencies, and idealization the most prominent) as well as have passed multiple credible psychological tests. I am currently not on any medication and no formal investigations or diagnosis has been done. It seems to be getting worse lately, as with my recent break-up. However, even back when we were together, I was told that I act like someone who is borderline, and it has become a major issue and reason for our break-up. Doctor: Hi. I can only say that if a psychiatrist has labeled you as a borderline then only you should worry about being one. I would advise you to stop being judgmental about yourself and stop being bothered about how the world judges you. From the description which you have provided, I can say that you are having adjustment disorder and nothing else. So stop worrying, psychotherapy would help you a lot and you will have to be more descriptive about how you feel now so that I can help you. You can consult a psychiatrist also if you want." + }, + { + "id": 21358, + "tgt": "What is cauterized tumor?", + "src": "Patient: Hi doctor, Could you answer from my pathology report whether the tumor encapsulated or nonencapsulated? Does it show positive margin or free margin? Could you explain me the findings in detail? Thanks in advance. Doctor: Hi. Hope this report finds you in good health. Based on your query, my opinion is as follows: In the report (attachment removed to protect patient identity), there is no mention of an encapsulation. Usually in classical papillary carcinoma as you had, there is no capsule often seen. Only in follicular variant of papillary carcinoma, capsule is commonly described. At present, there is no need to worry about capsule. Only in follicular carcinoma, we are worried about capsular breach or invasion. In classical papillary carcinoma, we do not bother about capsule. For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 28872, + "tgt": "Why am I urinating more than 10 times a day?", + "src": "Patient: Hi doctor, I have to pee a\u00a0lot of times a day though I\u00a0do not have to wake up at night to go to the\u00a0toilet. I have control over pressure, but I\u00a0have to go more than 10 times a day. Also, I have to pass the stool after every meal. Why? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23895, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28046, + "tgt": "I am anxious because I feel pauses between my heartbeats. Please help", + "src": "Patient: Hi doctor, I have a history of benign PVC. Lately, I am getting these pauses between heartbeats that are felt in my stomach that range from 2 to 12 a minute. I have gas and burping. How many pauses per minute are dangerous and is this a cardiac issue? I put my fingers on my pulse when it happens, and I can feel the pauses between beats. Sometimes, it is a beat, a pause, two beats, another pause, two more beats, and another pause, then regular rhythm for a minute or two. My anxiety is through the roof because of this,\u00a0and I need to know what is going on. I am a 73 years old, who works 40 hours a week, and I go to the gym five days a week. Thank you. Doctor: Hello. Hope this helps you, and get back if you have any other doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30406, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25565, + "tgt": "Which one is better angioplasty or bypass surgery?", + "src": "Patient: Hello doctor,Last week, during night time, my relative developed chest pain and was feeling very uncomfortable. He was taken to a hospital and after tests and preliminary medications, he has been advised to do PTCA to RCA. His age is 51 years old. He has a diabetic history. The reports have been enclosed. Kindly suggest whether he requires angioplasty or coronary bypass surgery. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). He had heart attack. There are significant blockages. The medicine he is receiving is fine and should be continued until bypass surgery. Regarding, bypass or angioplasty. Immediately after the attack, say within 24 hours, if you do angioplasty, then it is beneficial for the patient as it can be done on an urgent basis, and shorter the time interval between attack and either procedure, more is the benefit. This benefit is for 24 to 48 hours. But at this stage, since this crucial time period has already passed, there is no urgency. He should undergo bypass surgery as he is having too many blockages and stenting will not be possible at all these places. So, discuss with the cardiac surgeon regarding bypass. It should be done as early as possible for best results. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18365, + "tgt": "I had started with treatment for GAD. I cannot do anything without medication after I have withdrawn it. Help me tune the medications for extended usage", + "src": "Patient: Hello Doctor, I have started treatment of GAD before 2.5 months as follows: (60 mg Paxil daily, 150 mg Wellbutrin one time daily and 15 mg Buspar twice a day)\u00a0in addition to CTB. The results were very good and the anxiety and accompanying depression went away. Now I cannot do anything without medication because the last case happened to me when I had withdrawn the medication (Paxil 10 mg daily for 4 years) and got that relapse, so how can I tune the medications for extended usage? (i.e, which one to cancel or decrease or increase or keep the three but modify the doses) What do you suggest? Please I cannot do without medications? Is it true that the effect of these medications become weak or insignificant with time (i.e, during the usage, work only for limited time then stop working although the person continues to use it). Doctor: Hi. At first I would like to tell you briefly about Generalized Anxiety Disorder or GAD that you are already well aware of. This is a chronic, relapsing and debilitating common psychiatric disorder characterized by anxiety and worry about several events and activities for a majority of the day over a 6 months time period. The anxiety and worry associated with GAD can be distinguished from normal anxiety by their excessive nature, the difficulty involved in controlling them, and their interference in everyday life. Having said this I like to emphasize again that it is chronic and relapsing disorder. So if any one needs to discontinue medication it should be done in graded manner. Abrupt discontinuation should be avoided at any cost. You might be aware that every medication has its own side effect and risk benefit, analysis need to be done before every single prescription. In response to your question \"Is it true that the effect of these medications become weak or insignificant with time?\" I assure you that with prescribed medication like paxil, the answer is NO. There is no evidence of tolerance with SSRI (Paxil) and wellbutrin. Although such reports you can find in many websites managed by quacks and non medical personnel. I would say it is a MYTH and not a true phenomenon. I hope I have answered your query to a good extent. Consult a psychiatrist online for further help --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26722, + "tgt": "I had unprotected sex with my wife a month after her delivery. Is she pregnant again?", + "src": "Patient: Hello doctor, My wife delivered a baby on the 8th of last month. On the 13th of this month, we had unprotected intercourse. The delivery was a normal delivery. My baby was formula-fed for the first two days as my wife did not have milk and now, is completely on breastfeed. Is it possible that she could get pregnant again and is it possible to avoid the same? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26361, + "tgt": "TSH is very high in a CMV IgG positive patient. Can she become pregnant?", + "src": "Patient: Hello doctor, We are trying for pregnancy. My wife recently got some tests done namely a TORCH profile with the primary sample being serum through the ECLIA method. The toxoplasma IgG was 500.0 positive IU/mL and rubella IgM being\u00a00.20 with negative COI. With the\u00a0ELISA method, there is HSV I and II IgG antibody at 0.47 and negative AI and HSV I and II IgM antibody at 0.60 and negative AI. The instrument used was fully automated COBAS e411, Roche Germany. The second test was a fertility profile with a\u00a0primary sample being a serum. The FSH is 7.37 mIU/mL and the method is CLIA. The\u00a0LH is 5.73 mIU/mL and the method is CLIA. The instrument used was a fully Automated ADVIA Centaur XP, Siemens Germany. The third test was an anti-Mullerian hormone where the primary sample again was serum. The AMH was 2.64 ng/mL and the method was\u00a0ECLIA. The instrument was a fully automated COBAS e411, Roche Germany. The last test was a thyroid function test with serum as the primary sample. The\u00a0TSH Ultra was 18.048 H IU/mL and the method was CLIA. Instrument here was a fully automated ADVIA Centaur XP, Siemens Germany.\u00a0Her ovary releases multiple small sized eggs during ovulation.\u00a0We are worried about these results. She is tensed seeing high thyroid and rubella & CMV IgG positive.\u00a0What do these tests suggest?\u00a0What do we need to do to have a successful pregnancy?\u00a0Do we need to get any more tests done for a check on her health and take precautions about her health? I am looking forward to your response. Doctor: Hello. Your wife is immune to rubella and CMV (cytomegalovirus). If you just want to be sure about the recent infection get an avidity testing for CMV and rubella infection. Your TSH (thyroid-stimulating hormone) is very high. You need to see an endocrinologist or physician for your thyroid. I suggest you start at least 150 mcg of Thyronorm (Thyroxine) daily empty stomach every morning. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. From a pregnancy point of view, your TSH should fall to around 2.4 mcg. Therefore, a repeat TSH after six weeks of treatment is needed. When your thyroid is under control then plan pregnancy as Thyroxine is required for baby's development. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21669, + "tgt": "My Hb is around 12. Should I seek bone marrow aspiration?", + "src": "Patient: Hello doctor, I am a 25-year-old man without major systemic diseases before. I am actually a medical student now. During the general examination this year, I noticed my Hb level around 12 to 13 g/dL. Follow up data in the following months showed 12.7 --> 12.8 --> 12.4 --> 12.6. Normocytic (84), borderline hypochromic (31.5) with borderline Hct (38.5 %) during the last examination. WBC and PLT were both within normal limits and I also had normal differential count with no blast cell. Other lab data like total protein, albumin, ferritin and stool occult blood were all within normal limits. Due to these problems, I looked back for my past examination history and found an examination seven years ago (when I was 18-year- old) showed also Hb level around 12.6 g/dL with similar other lab data. HbEP was also arranged for further survey and revealed Hb A 97.8 % and Hb A2 2.2 %. The reticulocyte count during the last examination showed 1.3 %, which would be bone marrow hypo-proliferative if I corrected it with reticulocyte index. I wonder whether I have some bone marrow problems and seek for bone marrow aspiration. Or, is it just not suitable to use reticulocyte index to calculate reticulocyte when my Hb level was only a little bit below the normal limits? (RBC count = 4570000/microL, absolute reticulocyte count was normal). Can Hb 12 to 13 g/dL be a normal variant in a generally healthy young adult? What other differential diagnosis do I have to keep in mind? Doctor: Hello. You are a medical student, so obviously you are very much alert about health. I have reviewed your query and here is my advise. Your CBC (complete blood count) report is not showing any abnormality except borderline hemoglobin level. You are right in that the male hemoglobin range is within 13 to 17 normally. But, do not worry about your Hb level, it is mildly low. You can take iron-rich foods like red meat, green leafy vegetables, beans, jaggery, etc. Provide me your serum ferritin value to check it. Your reticulocyte count is within range and I do not think you have to worry about hypoproliferative anemia. After taking iron rich foods you can repeat reticulocyte count. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16499, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6429, + "tgt": "I have not got my periods yet. Kindly tell me whether I am pregnant", + "src": "Patient: Hello doctor, Kindly shed light on some issues. I had my period two months back and I had the next once a month later, which only came for a day and I have not had it since it till now. I did home test before my period came which read negative. My two breasts ache and immediately after my period comes, the pain disappear. How many days menstrual cycle do I have? Am I pregnant? Doctor: Hello. Menstrual cycle can be 23 days to 37 days. And bleeding can be from 1 day to 10 days anywhere and all this normal. No need to worry. Sometimes due to imbalance in your body or normally also, your period can be 5 to 6 days here or there and it is absolutely normal.When there is a major imbalance or another problem in ovary than it is more irregular. Now it is also true that sometimes you only have minimal bleeding around your period date while you are pregnant called as implantation bleeding. Around the date, the test can be negative. Do urine pregnancy test once again now, if it is negative, then you are not pregnant and it was normal menses. For breast pain, many female suffer before and during menses also, it is due to hormonal (chemical) changes happening during your cycle that also affects other body parts. And it is one of it. So do not worry. In case of unbearable pain, you can take oral painkillers. You have normal menstrual cycle." + }, + { + "id": 4060, + "tgt": "Should I take Prevacid in the night for GERD?", + "src": "Patient: Hi doctor, I was diagnosed with GERD six years ago. I have gained 10 pounds of weight and I started having phlegm in my throat. I am coughing more to get the phlegm out of my throat. I am currently taking Prevacid (over-the-counter) once a day in the morning. The phlegm and coughing does not seem to be going away and it is affecting my daily life. Should I take Prevacid at night too? Is there any medication that I can change to or add to Prevacid daily? Doctor: Hello. 1. CBC (complete blood count). 2. LFT (liver function tests). 3. Upper gastrointestinal endoscopy. Dyspepsia (indigestion). GERD (gastroesophageal reflux disease). Revert back after 15 days to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6117, + "tgt": "My 19 months old baby is on iron supplement and passing black stools. Should I get her checked?", + "src": "Patient: Hello doctor, My daughter is 19 months old and she passed a dark black putty stool today. She has been taking iron supplements for anemia for three and a half months now, and I have never seen a stool like this before. Should I get her checked over at emergency? Doctor: Hello. Dark color stool is probably due to iron supplement, you may be not noticed it previously or it may be that yesterday she has given more amount of iron supplement. Dark color stool due to blood is unlikely if there is no underlying liver disease or swallowed blood due to any cause. You need to worry if there is fresh blood in the stool. Advice: 1. Stop iron supplement for a few days, because you have never seen dark color stool previously. Persistent dark stool despite no iron supplement is abnormal and requires evaluation. 2. Keep a close watch for fresh blood, if you find it, it is necessary to investigate. 3. Post photo of stool if possible." + }, + { + "id": 6282, + "tgt": "What are the signs of high-functioning sociopath?", + "src": "Patient: Hello doctor,I am almost completely certain I am a high-functioning sociopath. I have had many people tell me this over the years, looked at dozens of websites and online tests that point towards it, and I have reflected on myself many times and come to the same conclusion. I took an IQ test a few years ago and scored in the 130 range, and since then I have had an extremely inflated ego, to the point of narcissism. I had a severely traumatic series of events in the 6th grade that either made me like this or possibly helped to push it to the surface. I can do nearly anything imaginable and feel no remorse for my actions, lie to anyone without batting an eye, and I also find myself convinced of outlandish things quite frequently. These things may include believing that I can beat anyone in a fight, regardless of size, just because I am who I am and no one will go to the lengths, I will to win. I have stolen hundreds of dollars from a friend before and felt nothing by excitement for my newly found money. I am not scared of what I (think) am, more so just curious. I can provide more details and information if you would like, but I truly just want to know why I am like this. From what I have told you does it seem like I am a sociopath? Doctor: Hello. A very interesting portrayal of yourself, I must say. A sociopath might be a judgement, you definitely have signs of cluster B personality traits, anti-social personality disorder. Such people have these characteristics of apathy, higher sense of self, no remorse, etc. But I have to appreciate you because you do have a lot of insight. I do not know what your goal is by sending this query but if you feel the need, I would suggest having a counseling session so you can understand your subconscious thoughts and be able to respond and not react to your situations. You are 19 now, there is a lot of potential in you if you act now and get a grip on your own mind, otherwise it can harm you and others in many ways. Impulse control, generating empathy, regard for others can be learnt and are necessary to have a good life." + }, + { + "id": 19666, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16892, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15894, + "tgt": "What changes can be done in diabetic medication for good diabetes control?", + "src": "Patient: Hello doctor, I have diabetes since last 15 years and is poorly controlled. I have been taking Glimepiride 1 mg, 500 mg Metformin, daily, once in a day (in the morning). Average fasting glucose level is above 170 mg/dl daily and after the meal is usually 350+ mg/dl. HbA1c is 10. Please review my medication. Suggest an increase for good diabetes control. I am a male aged 57, weight 75 kg, a little daily exercise (1 km brisk walk in the morning and same in the evening). I eat one loaf in the morning and two in the evening and no snacks in a day. No ketoacidosis as no fruity smell in breath and urine. Please help. Doctor: Hello. I have seen the details (attachment removed to protect patient identity). Your blood glucose is definitely very poorly controlled. Even BP is also high. Ideally fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8, in a well-controlled diabetic person. It is clear that present medications are not giving effective control. Following is my suggestion for improving the treatment. There is a need to increase the dosage of Glimepiride to 2 mg with Metformin 500, (to be taken twice a day). To add tablet Vildagliptin 50 mg with 500 mg Metformin to be taken after lunch. Then please check blood glucose (fasting and PP ) after 10 days and report. Increase the intake of green leafy vegetables and salads before taking every meal. Increase the exercise to over one hour a day. If brisk walking is done please increase it to one hour (about 4 to 5 km). For blood pressure, increase Amlodipine to 5 mg per day. Get a lipid profile done and report the same." + }, + { + "id": 16307, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5928, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 26243, + "tgt": "My mom is snoring since five days. Is it related to her seizure episode?", + "src": "Patient: Hello doctor, I am writing to get a second opinion for my mother. She is 40 years old. She had a seizure on the day before yesterday. She had got it for the first time during the gestation of her second child 18 years ago. She is using Tegretol 200 mg but not regularly. She has a history of high bp, but since two weeks it is normal (120/80 mmHg). On doing an MRI scan, the reports showed right maxillary and bilateral ethmoid sinusitis. Is this sinusitis related to seizures? During the seizures, she gets froth from the mouth and tongue bite. For the first few seconds of seizure, she is conscious, but later she is not able to hear and later on she\u00a0is\u00a0good. Sometimes, she says that she forgot things and is not able to sleep properly. Since\u00a0the past five days, she is snoring during sleep. Does this cause any complication in the\u00a0brain? Is this dangerous? Doctor: Hello. She is having epilepsy which has recurred due to irregular sleep, stress and irregular treatment. The sinusitis is not related to the seizures. Her snoring while sleeping does not produce any complications in her brain. Her memory problems may be predominantly attentional deficits rather than memory loss per se. Regular treatment will keep her seizure-free and there is certainly nothing else to worry about. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 5838, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 16763, + "tgt": "After how many days of typhoid treatment should I repeat my Widal test?", + "src": "Patient: Hi doctor, Before 20 days, I was typhoid positive. Then, I had Monocef 1 g injection once a day for seven days and then I had Zanocin 400 mg tablet once a day for seven days. Now, I am on Paraxin 500 three times a day and still I have some headache. My current\u00a0Widal test report is as follows.\u00a0Typhi O 1:160,\u00a0Typhi H 1:80,\u00a0Typhi AH 1:40 and Typhi BH 1:40. Please tell me when I should repeat my test to know whether I am typhoid positive or negative. Doctor: Hi. I can understand your concern. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 13589, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20262, + "tgt": "What can be done to reduce scars due to mosquito bites?", + "src": "Patient: Hello doctor, My 8 year old daughter reacts badly to mosquito bites. We try to keep her covered and give antihistamine if she reacts badly and is scratching the bites. But, she scratches them, and they form scars that leave dark marks/scars on her face and body. What can we do to reduce the scarring/marks? She is of mixed race and has dark skin. Doctor: Hi. I have gone through your case (attachment removed to protect patient identity). The reason why your daughter scratches herself so badly is that her skin is extremely dry. Keep it well moisturized by applying petroleum jelly two times a day. You can also apply a mixture of Glycerine and aqua rose on the whole body after bath without using a towel or before drying. This will retain moisture in the skin. Please follow above precautionary measures. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2070, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20090, + "tgt": "I am two days late after I took Plan B. Is this normal?", + "src": "Patient: Hello doctor,I track my cycles. About five days after I was supposed to be finished ovulating, I had unprotected sex and took Plan-B the day after. I got my period when expected, but it only lasted four days (usually it lasts seven). Now my next period was supposed to come but I am two days late. Is this normal? Doctor: Hello. Your body clock has been really timed and punctual. Sometimes, due to few reasons like stress, anxiety, hormonal imbalance, strenuous exercise, strict dieting, etc., periods can be delayed. As I mentioned, the hormones affect the periods. As for delaying periods, and induction of menses both, we use hormones only. So, it seems that your body showed some response to your emergency contraceptive pills that are actually hormones. Last month's less bleeding and this month's two days delay are not serious as you are a teenager, and still, your reproductive system is in the developing phase. Have healthy balanced nutritious diet with exercise, yoga, and walking. Try to avoid hormones intake as still your system is developing and can be disturbed. If you have been treated for any disease, try to have full treatment. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27596, + "tgt": "In spite of taking antibiotics, I still have a throat infection. What do you suggest?", + "src": "Patient: Hello doctor,For a throat infection, I took Azax 500 for three days, one tablet a day. Although there is an improvement, there\u00a0is still a throat pain. Should I repeat the dose? Doctor: Hello. Revert with more information to an ENT otolaryngologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8431, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13462, + "tgt": "Does copper T cause heavy periods? Suggest an alternative", + "src": "Patient: Hi doctor, My baby is now 1 year old. I got copper T inserted after 3 months of my delivery. I still have prolonged and heavy periods followed by spotting lasting for up to 10-15 days. There is no other issue that I face. Is it because of copper T insertion or can there be some other reason too? Will the copper T removal solve the problem? How will the removal regularize my periods? What are the other birth control methods which are safe (I am not much inclined towards hormonal methods since they lead to weight gain etc)? Doctor: Hi. I have read and understood your problem. How was the bleeding before pregnancy and for 3 months after delivery? Was your delivery a normal or C-section? Whether the copper-T is properly placed or not or to see some other cause for heavy bleeding you need to take a transvaginal ultrasound -TVS. Sometimes if the bleeding continues then removal is the treatment, the period will regularize if it is due to copper T. If the cause is something else and the spotting continues, you will have to get treatment. There are medicines which can reduce the amount of bleeding. You need a clinical check-up." + }, + { + "id": 22490, + "tgt": "I had oral sex with confirmed HIV positive guy. What are my chances of infection?", + "src": "Patient: Hello doctor,I am a 29-year-old male homosexual. I had a sexual encounter 15 days back with a confirmed HIV positive guy. I gave him blow job with a condom and we smooched. He also blew me but I was not putting on a condom and when he spit out, there was a streak of blood in the spit. He says he has sinus problem so he has blood in the spit, not in the mouth. I checked his mouth there were no sores or bleeding gums. What are my chances of infection in this case? We did not ejaculate in each others mouth nor we had any kind of penetrative sex. I came to know two days back that he is positive. I am showing acute HIV symptoms burning eyes, nose, and lips. I am unable to sleep. Can I go for RNA PCR? After how many days will the RNA PCR be accurate? Doctor: Hello. There is certainly a sizeable risk of transmission. Since he spit the blood, whatever may be a source, meaning he has had viruses in his oral cavity. HIV RNA or p24 antigen test, both are equally good becomes positive in one to two weeks period after infection, so you may get tested now. However, it is better to get combined p24 or RNA and antibody testing done. Burning eyes, nose, not necessarily mean HIV. Repeat testing should be done after two weeks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1096, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29671, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16165, + "tgt": "My external vagina is itchy during pregnancy without bumps, discharge or pain. Why?", + "src": "Patient: Hi doctor, I am pregnant. My exterior vagina is itchy. It is itchy in the clitoral hood. I do not have bumps, discharge, and pain. I had a vaginal checkup, and all the STD testing was done at the beginning of the pregnancy. The results came fine. Doctor: Hi. From your history, I can see you are slightly overweight. It increases your body sweat, and pregnancy increases the body secretions. Usually, the areas around the vagina are wet with sweat, sebaceous gland secretions and due to the water, we use locally. These factors allow the growth of fungus locally. These result in causing these symptoms. Use cotton undergarments. Use local wash like V wash (Lactic acid with Tea tree oil) locally twice a day. Apply local ointment like Candid B (Beclomethasone with Clotrimazole) twice a day for one week. Do not use undergarments at bedtime." + }, + { + "id": 21851, + "tgt": "I recently developed a skin rash in groin area. Please advise medicines", + "src": "Patient: Hello doctor, I am a 38 year old female. I have recently developed a skin rash in my groin area. This is the first time this rash has developed. I am currently under no medication. My menstrual cycle is normal. Doctor: Hello. It is dermatophytosis, a kind of fungal infection, which is common in a humid environment. I suggest Candid B (Clotrimazole and Beclometasone) cream morning and evening for few weeks. You will notice the improvement in 72 hours. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14505, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7819, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 942, + "tgt": "I get pimples in my arms and wrist and it becomes dark on healing. Please help", + "src": "Patient: Hi doctor, I would like to seek assistance with regard to my concern in skin. There is a pimple appearing in my arms and around my wrists. I am now using a sulfur soap. I am wondering why this happens. If the pimples were healed, it leaves marks that make my arm and wrists dark. I want to have normal skin. I was looking forward to take antibiotics but I do not know what to take. Please help. I will attach a photo of my arms for your look. Doctor: Hello. I have seen the photo. (attachment removed to protect patient identity). How long it has been there? What are the symptoms of it? Any other area affected? Any history of hypertension and diabetes? Please send a few more photographs taken from different angles." + }, + { + "id": 27909, + "tgt": "What can I do to relieve dry eyes and irritation?", + "src": "Patient: Hello doctor, I am a 33 year old male. I have dry eyes and irritation since the\u00a0last five years, especially when I wake up in the mornings. I consulted with\u00a0an eye care specialist, but they found nothing wrong. My sugar levels were checked five times, and it came back normal all the times, except for once. But, the\u00a0doctor said it was nothing to worry about, and gave me eyedrops. It gave me only a temporary relief for four to five months. Then it is back. Please help. Doctor: Hello. Preventive measures work better than treatment, but both are equally necessary. Please feel free to ask more queries. For further queries consult an eye care\u00a0ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11289, + "tgt": "What are the ways to treat infection of nasal passage?", + "src": "Patient: Hello doctor, My nasal passage was cauterized four months back. Two days later I began having lots of yellow pus like discharge from my nose. It mostly was being expelled via my throat with sputum. The cauterized site was yellow and there was yellow pus like all over. I have been prescribed Amoxyclav 625 for seven days, Cefuroxime 500 for seven days. The cauterized site was still not healed and was still having yellow discharge. I then consulted an ENT doctor who took a look at it and gave me Linezolid 600 for 10 days. The infection of the cauterized site is still not healed and still oozing with yellow pus-like discharge although there is slight improvement. I have low grade fever on and off. I feel I may be having an infection in my nose that is resistant to antibiotics. Can you please help me and advice me on how to treat my nasal passage? And also what other investigations should I do? I am worried about the infection whether it could harm me as it continues. Doctor: Hello. The cauterized site you have mentioned might be infected as you said. 1. The best treatement now in this situation is take a sterile swab and touch the swab with the pus and send it for culture and sensitivity, it will definitely give the medication sensitive for your bacteria. 2. Meanwhile start injectables preferably Ceftazidime 1 g and injection Amikacin 500 mg after test doses for five days. 3. Start application of Neosporin ointment on the site." + }, + { + "id": 2163, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 28278, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24407, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27150, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26848, + "tgt": "What is the treatment for PIP joint fracture?", + "src": "Patient: Hi doctor,I am a 21 year old female. Last week, I was playing basketball and ended up jamming my finger. The next day, I went to the ER and they took x-rays and said I have a possible PIP joint fracture around my volar plate. They said I have to go back in 10 days for more x-rays. Since then, the swelling has gone down, but my joint is bruised, it hurts to bend it, tender to touch, and when I did accidentally bend\u00a0it, it felt like a grinding sensation in it. Do you think I ruptured my volar plate and had an avulsion fracture? I am just worried. What would they do to treat it? I go back in tomorrow morning for the\u00a0x-rays. Can you please help soothe my mind? They did splint it. Doctor: Hi. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 14588, + "tgt": "I have an eating disorder. Can this be fixed? What exactly is my problem?", + "src": "Patient: Hello doctor, I am here today to finally address my problem. I am an 18 year old male, who plays football and loves to play golf. I am here today to say, and I have an eating disorder. In this case, I am assuming it is an eating disorder or some type of phobia. But anyway, my problem is eating in public. I never had a problem with it when I was young, but it probably started when I was 13 years old. I cannot eat out if I go to a restaurant or a fast food place, I feel like throwing up instantly when I sit down with my food. I cannot eat at school and the worst one is when I receive the body of Christ, I almost jump out of my shoes to try and not to throw up. But luckily that never happened. It is probably been about two years since I ate out of my house. I do not understand how it just happened. I mean like I was fine when I was younger, and now I have this problem. What should I do? My family does not really believe me when I tell them, they just say it is nerves. But since it has been two years, I think it is buried in my head. Now I have some questions. Can this be fixed? What exactly is my problem? Will I ever be able to eat at a restaurant or fast food place again? Can this be fixed without actually going to the doctor? You honestly do not know how much I would love to go sit down with my family at a restaurant and enjoy a meal. I need help and a confidence booster. I can eat perfectly fine at my own house and that is why I am confused. Please help me. Doctor: Hi. I think it is not an eating disorder because, in the case of an eating disorder, the problem should be everywhere including your home. However, your problem of eating in public could be because of social anxiety disorder or because of Obsessive-Compulsive Disorder (OCD). So, I would like to seek more clarification regarding the following points: Now, I would like to answer your questions. Yes, this problem of yours can be fixed. Do not worry about that. This could be a social anxiety disorder or obsessive-compulsive disorder. Yes, you will definitely be able to eat outside. You can revert with the answers to the above questions for me to arrive at the diagnosis so that we can decide if you have to meet the doctor in person. I can understand and feel your pain as well. There are pharmacological and non-pharmacological treatments to solve your problem. Take care." + }, + { + "id": 7048, + "tgt": "How to control the rise of BP during anxiety? Is tablet Concor advisable?", + "src": "Patient: Hi doctor, I am suffering from high blood pressure for the last three years. During discomfort, the reading comes around 140-148/90-98 mmHg. In normal times, it is 120/80 mmHg. Presently, I have been taking Cilacar 10 in the morning after breakfast and Ecosprin AV 75 at night as suggested by my doctor. I am taking Cilacar since nine months and started Ecosprin just five to six months back. Earlier, I was taking Telma 40. But, my high BP has not cured fully. Sometimes, particularly in the evening due to the anxiety I feel some discomfort and uneasiness in the left chest. But, I do not have any pain. I am getting sleep only after some struggle for an hour or two. But after deep sleep, I feel relieved. My blood sugar level, lipid profile and last ECG report were fine. My doctor did not advise for echo or any further test. I have attached my latest blood report. I do not smoke and drink. But, inactive lifestyle due to sitting in front of a computer for hours. Please suggest some alternate or additional medicine to cure my hypertension and anxiety. Thank you. Doctor: Hi. You have hypertension (high blood pressure), which is out of control occasionally during episodes of anxiety. The baseline BP control is fine. I would suggest adding a new medicine, tablet Concor 2.5 mg (Bisoprolol) once daily at 8 AM. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Let me encourage you to develop a more healthy lifestyle. One practical suggestion would be to join a good gym and have a trainer. You should start with elliptical trainer and treadmill. You need to change your sedentary lifestyle and that in turn will help you to decrease the number of medicines. Also, having a personal trainer will help you to have a sustainable activity program. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5582, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24760, + "tgt": "After I-pill when to take my PCOS medicines again?", + "src": "Patient: Hello doctor, I had sex with protection and even took an I-pill within 24 hours. But the next day I had bleeding. I do not know if it is the period or the I-pill side effect. Along with that, I have a headache also. I am dealing with PCOS at the same time. What are the chances of getting pregnant despite all this? I feel a bit dizzy as well. Doctor: Hello. The chance of pregnancy is almost zero. There is no need to worry. Dizziness might be due to stress. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4316, + "tgt": "I have multiple sclerosis with shortness of breathe. Could paint spray fumes be the cause?", + "src": "Patient: Hello doctor, I have been diagnosed with multiple sclerosis. I never traveled to a foreign country. I have been unprotected from paint chemicals for over a year. I use a mask that was not NIOSH approved. The spray that I have been using is 341g. A test shows that 36 pounds of chemicals have been inhaled (like I was inhaler on drugs). That is from the paint spray itself. I would see things which were not there. I experience numbness and tingliness in the right side of the face, bottom of the right hand, and right bottom foot. I also have shortness of breath. I highly belive this a case of multiple sclerosis symptom. I know it is uncommon, but can certain spray chemical give this symptom? I do not want to be misdiagnosed, I have got kids my health and life is depended on. Doctor: Hello. Multiple sclerosis (MS) is an autoimmune disease in which an abnormal response of body\u2019s immune system is directed against the nervous system (brain, spinal cord and optic nerves). The immune system of the body mistakenly attacks the myelin sheath the protective coating around the nerves. The cause of MS is still not known, it is believed that several different factors may be involved. Mainly immune-mediated but genetic and some environmental factors have a role. Although some studies have claimed to have a relation between MS and some substances used in paints, etc. But not as spray substance. Otherwise also these studies are not giving a strong scientific basis. These are simple reports that need to be confirmed further before reaching on conclusion. The long contact with some paints can cause neurological symptoms and numbness. But mostly it is reversible. Coming to your problem, you have written I have been diagnosed with multiple sclerosis. If it is by a competent specialist then I will not comment anything on the diagnosis. What is MRI and CSF results? Anyway, it can only be judged along with physical examination and signs and symptoms. But some of the symptoms are fatigue progressively leading activity limitation, numbness, weakness, walking difficulty, vision problem, urinary problem, bowel problem, cognitive emotional and depressive changes, and respiratory problem if chest muscle gets weakened. As you have apprehension about painting work so the best option for you is to search for some other job even if it is not proved that inhalation of painting is a cause of MS." + }, + { + "id": 24525, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25453, + "tgt": "I get tremors in my chin that lasts only for a second. Is it something serious?", + "src": "Patient: Hello doctor, I am 25. Since three days, I have been experiencing sensations like twitches/ jerks/ tremors specifically in my chin area. I noticed that when I talk, eat or when something falls down from my hand suddenly, I get a tremor in my chin. They last for a second only. I went to a doctor (not a neurologist but an internal medicine specialist) and as per him, I have a B-complex deficiency and he gave me 30 tablets of B-complex. He feels that the tremor while talking or eating that I face is coincidental. However, he did tell me that if I was very anxious we could get an MRI done. Apart from this, I also get mild muscle twitches in the eye, face, and legs. And sometimes, I feel a shortness of breath and when I get very scared there is tightness in my throat. I actually read a lot about this on the net and to be very honest, I have become very scared after reading about brain tumor, multiple sclerosis, etc. I wanted a second opinion. My doctor said I am otherwise very healthy so I should just take the vitamins and focus on my work and other activities. But I cannot stop thinking about brain tumor and other neurological disorders. Should I get an MRI? Or is this something that is not serious? Please help. Doctor: Hello. I understand your concerns. From what you mentioned, you most likely have what is called benign fasciculation syndrome which is usually due to stress and anxiety. You should not worry, it is benign and you do not have to perform MRI or any other investigations. Do you feel anxious most of the time? Do you have a stressful life? Do you eat and sleep well? I suggest: Wish you all well being. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16835, + "tgt": "How to treat breathlessness in a metastatic breast cancer patient?", + "src": "Patient: Hi doctor, The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. She has pleurodesis related inflammation, interstitial pneumonia as well as interstitial lung disease due to pleural disease showing ground glass opacification. She has talc related leg injury. Patient is currently on tablet Methylprednisolone 16 mg every day. Along with this, she is taking tablet Mucinac 600 mg daily thrice a day. Blood reports, current x-rays and CT scans are attached for your reference. His CT chest is suggestive of patchy areas of consolidation along with bilateral pleural effusion.\u00a0Doctors are not sure about the reason for breathlessness. I need your valuable opinion to treat this breathlessness. Kindly help. Doctor: Hello. I have read all the reports (attachment removed to protect patient identity) including your CT scan.\u00a0It is very sad to be in such a situation with multiple problems. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 11262, + "tgt": "I have three painless blisters like bumps on penis. What are they?", + "src": "Patient: Hello doctor, I am 20 years old. My height is 6\u20194\", and weight is 205 lbs. I noticed three decent sized painless blisters, looking like bumps on the shaft of my penis. I had sex before two and a half week. I do feel like I masturbate a lot which I am hoping it is, but I am freaking out with it. Doctor: Hello. The bumps appear to be normal pimples (attachment removed to protect patient identity). Another possibility is an ingrown hair. Herpes vesicles could also be the possibility, but the chances are rare. Since the site is not common and I hope there is no discharge. If you have unprotected sex with any high-risk partner then you should go for test otherwise there is no need to get worried. Remain relaxed. I do not think this is due to an STD (sexually transmitted disease)." + }, + { + "id": 11157, + "tgt": "The values of hemoglobin, hematocrit and platelet are high. Should I concern about PV?", + "src": "Patient: Hello doctor, I am a 55-year-old male. Routine CBC report shows hemoglobin 17.1, hematocrit 51.5, and platelets 255 (up from 201 last year). Should I be concerned about PV? Doctor: Hello, Welcome to the icliniq.com. In polycythemia vera, hemoglobin level is usually more than 17.5, and hematocrit is more than 55. So you need not concern about polycythemia vera. The chance of secondary polycythemia also seems to be very less. So you need not worry about your CBC (complete blood count) result as per my opinion. If you have a history of persistently elevated hemoglobin for a long time, then only further investigation is needed or else do not worry. You can attach your reports to guide you further. I hope I have answered your question." + }, + { + "id": 2915, + "tgt": "Is it necessary to take MRI scan for high prolactin levels and irregular periods?", + "src": "Patient: Hello doctor, I am 40 years old. I have irregular for the past six months. I got checked my prolactin as per doctor advise which came out to be 27. Then the doctor prescribed me Estrogen-progesterone. Then the cycle was still irregular. After that my prolactin rise to 38. Cabergoline was prescribed for a month. Now from the past month, my cycle became regular. Gynecologist suggested me to go for Endocrinologist. I am worried about the MRI as she hinted about. I need your suggestion. Doctor: Hello. I just read your query and from what you have mentioned it appears that you had slight high prolactin levels and you took Cabergoline to treat that. Well, if at all you had some pituitary problem it gets resolved with Cabergoline and unless you do not have the same period problems like no periods at all for two to three months or headache persistently then there is no need for MRI (magnetic resonance imaging) pituitary. Repeat your prolactin when you finish your Cabergoline dose. I hope this helps." + }, + { + "id": 19757, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12415, + "tgt": "What does HIV test reactive and antibodies negative mean?", + "src": "Patient: Hello doctor, If you have an HIV test done and it is reactive but the antibodies test is negative, what does this mean? Doctor: Hello. It might be due to the HIV test detecting the HIV antigen (p24), and the antibody test might still be in the window period (meaning, the antibodies against HIV have not been formed in the body yet). In any infection, the infection produces its antigen, and later when antigens are processed by our immune system, the body produces antibodies against the infection." + }, + { + "id": 15839, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2443, + "tgt": "Please give your opinion regarding bullet injury of my relative", + "src": "Patient: Hi doctor, My family relative got shot yesterday. As of right now, he still has the bullet inside. The bullet went in through his left ear and did not come back out. I am not sure exactly where inside the bullet is. He is currently hospitalized, but no doctor has come up with a solution. My relative is in severe pain to the point where he starts to shake. I would like a second opinion and want to know what a doctor would do. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2015, + "tgt": "I have a circular rash beside my nose and medications did not help. Please suggest solution", + "src": "Patient: Hello doctor, I have a circular rash beside my nose and did not subside. I have tried antibiotics, face cream, and face wash. Nothing seems to work. It does not itch though, it burns when it is really hot. Doctor: Hi, Welcome to icliniq.com. I went through your case. I need to know the following things before arriving at a final diagnosis. What is the total duration since it first appeared? Is it sensitive to touch? Does it burn in sunlight? Any similar lesion elsewhere in the body? Is it thick on pressing? I need a clear photo to see if the skin over it has any scale or you ever notice any scale over it? Any variation in size or always progressing and never became normal? Please reply to the questions. DLE (discoid lupus erythematosus), Tinea faciei, Facial granuloma, Hansen's, PMLE (Polymorphous light eruption)." + }, + { + "id": 19089, + "tgt": "Is it safe to take Aspirin after 30 weeks of pregnancy?", + "src": "Patient: Hi doctor, I am in my 25th week of pregnancy which is post IUI. I am also a thyroid patient and on Thyroxine. I am taking Aspirin ASA 50 mg, calcium and protein supplements in the form of tablet and syrup. I am taking capsule MCBM DHA for Folic Acid. I would like to get your valuable advice on the following points. Till which month of pregnancy can I take baby aspirin ASA 50 mg?\u00a0Is it safe to take Aspirin after 30th week?\u00a0Recently, I have been advised to take Lrzin one sachet daily. Can you tell me for what should I take this? And till how long I have to take it?\u00a0My doctor told me to take Betnesol injection during 28-30th week. Is it safe to take 6 ml dose on two consecutive days together? I understand this injection is for maturity of baby lungs but after taking this do the sugar levels increase? And will there be a chance of normal delivery rather than C-section after taking this injection? Do I need to take the Folic acid supplement throughout pregnancy and also post pregnancy for lactation purpose? Please clarify my doubts. Doctor: Hi. From your history, I understand that you are a thyroid patient and have had an IUI (intrauterine insemination) pregnancy. Hence, you would have been started on Aspirin ASA 50 (Acetylsalicylic Acid), Folic Acid and Progesterone support during your first trimester. Then, Iron syrup and Calcium in the second trimester. Now answering your questions one by one:- For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23236, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21933, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1270, + "tgt": "What can cause chronic throat irritation?", + "src": "Patient: Hello doctor, I am a female of 32 years old.\u00a0I have a\u00a0chronic issue of throat irritation.\u00a0A year ago, I had taken treatment from the ENT specialist. He told me that everything is fine, but some kind of air obstructs the throat. Unfortunately, I lost the prescription. I have been to doctors here, but I am not satisfied. One doctor gave me gastritis medicine and it does not work.\u00a0As per report my throat is fine. I do not have tonsillitis or sinus problem. But, I am keep clearing my throat. My current medication includes Rabeprazole sandoz 20 mg and Motilium 10 mg.\u00a0I am in a real trouble. Please help. Doctor: Hello. We are happy to help you. From the details you have provided regarding your symptoms and the previous consultations, I can conclude with reasonable surety that you are suffering from a condition called reflux laryngitis. This is a chronic condition characterized by symptoms like chronic throat irritation, feeling of something stuck down the throat, frequent clearing of the throat and excessive throat mucous. It is because of local production of acid. Acid is produced in the stomach to aid in digestion. The throat mucosa is not suitable to handle the acid. When such local acid production occurs or the gastric acid contents rise up the esophagus, they cause chronic irritation of mucosa and produce these symptoms. They are seen typically as inflammation of the posterior larynx in endoscopy. If you can search for your endoscopy report and share with us it will be helpful. The treatment for this condition is to take a proton pump inhibitor like Rabeprazole 40 mg or Pantoprazole 40 mg twice daily, half an hour before food for about a month. Also, I advise to take a teaspoon of Mucaine gel (Aluminium hydroxide) after each meal and before bedtime at night for a week. The proton pump inhibitor prevents acid production and the gel which is a combination of antacid and local anesthetic produces relief of symptoms. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Some additional care to be taken during this treatment are, With these measures your condition will improve. But, it will be a gradual recovery. If you do not recover, then I would like to do some blood investigations to check if there is any other factor that is causing the throat issue. Also a repeat endoscopy can be advised to recheck the larynx, hypopharynx and cervical esophagus for the throat irritation. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28243, + "tgt": "Is my vasoconstriction problem an allergic reaction to the daily intake of antihistamines?", + "src": "Patient: Hi doctor, I am having major vasoconstriction problems. I would like to know\u00a0if my daily antihistamines intake is causing this problem. I am taking Loratadine and Fexofenadine hydrochloride daily for allergies. Doctor: Hi. I would like to know in detail, what you mean by vasoconstriction problems? Revert with more information to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 658, + "tgt": "I have mild abdominal pain and a history of abusing Co-Codamol. Is it due to liver damage?", + "src": "Patient: I have had a history for 2 years of abusing co-codamol. Often taking 4x 30/500mg several times a day. I have some mild right upper quadrant pain that\u2019s persevered for a few weeks after stopping all cocodomol use. Over the last year I\u2019ve had abdominal al ultrasounds, many liver function tests and urinalysis which have all come back in n normal ranges or clear. I have been told sometimes the liver can still be damaged but still present normal liver function tests and it can be hard to see on ultrasounds. Is there a chance I have some liver damage? Doctor: Hello. I welcome you to icliniq. First of all I give you a vote of appreciation that you were able to stop using co codamol. For chronic users of these opioid medicines, it is merely impossible to stop. Well once you stopped taking these medicines, it is unlikely that the effect will remain within you and can harm you in long term. So I do not think that you should be worried about this. Now the pain you mention which has started nearly at the time of stop of these medicines; suggest Narocotic bowel syndrome (NBS). In NBS the patient became insensitive to the usual doses of opioids and kept on increasing the doses to relieve the same amount of pain intensity with subsequent higher doses. This happen because of chronic use of these medicines would potentially increase the numbers of receptors controlling pain. Once the medicine is reduced in dose or completely stop (In your case), a rebound pain develop and it remain until another painkiller or similar opioid is restarted. So actually it is vicious cycle. Pain and increased dose cycle is sometime inevitable and requires a close monitoring of switching to other safe painkillers while at the same time decreasing the dose of opioids. The treatment is termed as Opioid detoxification therapy. To be honest, I am not an expert in it, but tried my best to explain d to you to help you understand your symptoms. If you want further guidance on how to control your pain which is possibly be secondary to NBS; I suggest you to meet with pain management specialist in near by hospital. Since you already stopped the medicines, I suggest to use Paracetomol which is rather safe medicine for controlling pain. Plus you can use Cap Pregablin 75 mg at nigh time daily to control your symptoms. I hope this will help you Take care and have a good day. Narcotic bowel syndrome Nothing Pain assessment only Functional abdominal pain syndrome Nerve entrapment syndrome NBS Tab Paracetomol which is rather safe medicine for controlling pain. Plus you can use Cap Pregablin 75 mg at nigh time daily to control your symptoms. Follow up if you have any concern or want to discuss NBS in detail and its management." + }, + { + "id": 24816, + "tgt": "Is the blood in urine periods or something else?", + "src": "Patient: Hello doctor, I am 18 years old female and sexually not active. A month back, I woke up and peed straight up blood. I went to the ER and was diagnosed a bladder infection/UTI. I was prescribed Bactrim and the next day woke up with a rash. It turns out I was allergic. So, the next day I started a new medicine and took it for a few days. The blood stopped, but I felt pain, so I went back to the ER. They told me my UTI was gone and to stop taking the medicine. A few days later, I saw blood when I wiped after peeing, but it looks like it was in my discharge. It went on a few times, and I went back to the ER three days ago and said that I was peeing blood again. So, I am worried. I have not gotten my period this month, and no, I am not pregnant. I am a virgin. They said it was not a UTI and I was fine. I have had no pain or anything. Just now I peed and when I wiped there was blood in my discharge. It is not a lot but still freaks me out. I cannot tell if it is my period or something else. I have never had this happen before. My mother said that it is spotting but makes no sense to me. Doctor: Hello. This is likely to be irregular shedding which can often occur in adolescence by mid-cycle in girls with secondary progesterone deficiency due to either delayed ovulation or stress-induced hormonal imbalances. You need to get a serum progesterone level done and if it is less than 21ng/dl by day 21 of your cycle, then you may need cyclical progesterone therapy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29585, + "tgt": "Is there any supplement that my brother can take to grow taller?", + "src": "Patient: Hello doctor, My brother is a 15 year old boy. I am 157 cm, which I think is short for a 15 year old. Is there any supplement or vitamin that he can take to grow taller? Doctor: Hi. I understand your concern. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 25115, + "tgt": "How can I strengthen relationship with my spouse?", + "src": "Patient: Hello doctor, I have a baby after four years of marriage. My sex life is not good. I am not getting intimate with my husband as he wants. Please help me out. Doctor: Hello. You need to avoid anxiety. Develop trust and comfortable feeling. You need to talk to each other and share your feelings. Deep breathing, walking, and yoga exercise have to be started. Foreplay involvement. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16302, + "tgt": "Why do I have low energy and weakness in my body?", + "src": "Patient: Hi doctor, I have low energy for a few days now. I have done a blood test, and I have a ferritin level of 10 ng/mL. After taking supplements, my ferritin got increased to 16 ng/mL. But, still, I suffer from weakness. My doctor advised me to have an iron infusion to raise my levels. I still have low energy, and it is affecting my daily life. Can I take an infusion now? Can it help me? Please suggest. Doctor: Hi. It also depends on the level of hemoglobin. There are no additional benefits seen while having an infusion. It gives a rapid rise in hemoglobin. If you have responded to oral treatment, then it is not necessary. Please send your blood reports soon. If everything is fine, then do a thyroid test." + }, + { + "id": 12750, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12596, + "tgt": "Is it safe to have sex a day after periods?", + "src": "Patient: Hello doctor, I and my fiancee had sex. I did not have a condom. I penetrated her and we had sex for a good five minutes. I pulled out way before I ejaculation. The day before she said that she was in her period. She also said that she does take the pill but it is only for her breakouts on her face. And I do not know if this matters but I do masturbate a lot like at least every day. So what is the likelyhood that she is pregnant? Doctor: Hello. The fact that she had her menses the day before the episode, so the chances of pregnancy are minimal. However, unprotected intercourse can often allow even the precum to cause pregnancy in spite of having ejaculated outside as it is known to contain live active sperms. So the chances of her being pregnant would have been good if she would not have menstruated or if she would have just spotted. The earliest and the best way to rule out pregnancy would be to get a serum beta hCG test done after eight days post intercourse. If the hCG levels are less than 3 mIU then she is surely not pregnant and her bleed is definitely that of her menses. I hope I have answered your query." + }, + { + "id": 53, + "tgt": "I am suffering from diarrhea since I gave birth a year back. Is it due to post-traumatic stress?", + "src": "Patient: I gave birth a year ago. I have had problems with diarrhea ever since (periodically). I did tests for candida, Helicobacter pylori, bleeding, parasites. All negative. I have a slightly weaker blood count. I did a stomach ultrasound and everything is fine. I suffer from post-traumatic stress and the doctors told me I had diarrhea because of it. I've been taking post-traumatic stress therapy and I've been feeling slightly better, but the diarrhea hasn't stopped in the last month. I go to the toilet 3-5 times a day. In the morning as soon as I wake up I have to go to the toilet and a few more times during the day. I am currently taking the following therapy: - Orvagyl 400 - 3 daily - Probiotic forte - 2 daily - Heferol - 2 daily - C vitamin - 2 daily - Seroxat 20mg - 1 daily - Eglonil 100 mg- 1 daily - Prazepam 10mg - 1 daily Doctor: Hello. I welcome you to icliniq. I can understand you must be upset about your symptoms. Well the part of problem is explained by certain drugs you are taking like heferol which is iron and usually causes gastrointestinal upset some feel constipation and somw feel diarrhea . but drug side effects usually settle once culprit medication is stopped. I do not whether you taking heferol since last year or started recently. and whether you gave a drug free trial to see if it improve your symptoms of diarrhea. There is long list of conditions which can cause intermittent diarrhea the few such example is giardiasis, Food allergies, and allergic gastroenteritis. I want you to upload all previous testing that you have done and provide me more details about your diarrhea before I can be able to suggest you something. Below I write down some investigations that you should get before we meet again. Or if already these tests are available kindly share with me the reports. I will help you to settle your problem. good day giardiasis food allergies celiac small intestinal.bacterial overgrowth functional diarrhea Irritable bowel syndrome complete blood count TSh Ft3 Ft4 serum ferrtin level stool detail report stool for ova and parasites stool for fecal calprotectin stool for c difficle antigen stool for giardiasis antigen stool for fat globules and reducing substance stool for.spot Na and Spot K serum.cr. serum.Na and serum K see me after investigations will decide treatment.plan afterwards see me after investigations will decide treatment.plan" + }, + { + "id": 13548, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28918, + "tgt": "Why does my body shiver when I get angry?", + "src": "Patient: Hello doctor, Whenever I get angry, my body shivers. What should I do? Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5491, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9157, + "tgt": "I chew on toothpicks. Would this habit damage my teeth in any way?", + "src": "Patient: Hello doctor, Are birchwood toothpicks hard enough to cause damage to tooth enamel? Do they cause damage to the teeth in any way? I have pored over the internet for the answer to this question, with many dentists recommending that toothpicks should not be used or chewed on, or saying that it can cause damage to gums if used improperly. But they do not say exactly and scientifically why, if it only applies to certain woods, etc. Assume the toothpicks are being used properly and will not be causing harm to the gums. I find great pleasure in gently sucking on and chewing a couple toothpicks per day, usually once they are softened with saliva, and I want to know if this is a horrendous dental habit or a fairly harmless one. Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 23576, + "tgt": "I had intercourse on 14th day of month and not got period yet. Am I pregnant?", + "src": "Patient: Hello doctor, I am a 24-year-old girl. I had my last period a month back. I have not gotten my periods in this month. I am six days late. I have taken three consecutive urine pregnancy tests after the first day of my missed period and all of them were negative. Should I trust them? I always get my period four to five days late but never this late. Should I be worried? Can I trust the test results? I had intercourse on the first and 14th day of this month. Currently, I am taking Azithromycin for minor throat infection. Doctor: Hello. Yes, these tests are trustworthy. You should repeat it after a week if there is no period. We may get done blood pregnancy test if urine pregnancy test is negative after a week. Upto a week variation in period is quite common. Were the intercourse protected or unprotected? Did you have an I-pill, if yes it can cause delay in period? So overall, if I-pill was taken then it is a likely cause for delayed period, or else we will wait and get test done after a week. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 371, + "tgt": "What causes reddish flap in the tonsil area?", + "src": "Patient: Hello doctor, I had been having slight trouble with left tonsil. I suffer with tonsil stones and started to get yellow/green semi-solid fluid forming bottom of tonsil. This was easy to get out with cotton bud. It smelt so knew it was tonsil fluid/stone. I have always had lots of bouts of tonsillitis and suffered more that side. The fluid stop but a reddish patch come where the fluid come out of flap. It goes up and down as blood vessels in that area. The tonsil same size, no pain all other issues with it. Just this little irritated patch that does look a little couple bumps but flat and hardly noticable. I suffer from lichen planus and geographic tongue. I have been to GP and he put me in ten days Penicillin but that did not make the patch go. It is reddish in morning and fades as day goes on but not disappear. I have been referred to ENT. Doctor: Hello. The picture you have attached does not show any lesion (attachment removed to protect patient identity). It is a normal looking tonsil showing tonsillar crypt (Crypta magna) which is normal. As of now the tonsils are normal looking. They are hypertrophied nor is there any membrane or pus filled clefts or crypts. There is nothing to worry. However it is at times possible that one may be able to express purulent discharge from tonsillar surface even if it is normal looking. Even then there is no need to worry. All you need is a course of antibiotics which you have completed. You only require topical antiseptic mouth gargles like betadine or chlorhexidine. They are not even that hypertrophic to merit tonsillectomy. However, if there are recurrent attacks of tonsillitis or peritonsillitis with bad breath or halitosis, tonsillectomy may be considered at a later date." + }, + { + "id": 5773, + "tgt": "I have cramps and bloody diarrhea for a few weeks. How to stop it?", + "src": "Patient: Hello doctor, I am a 50-year-old female. I have cramps and bloody diarrhea for a few weeks. How can I stop crampy diarrhea? Doctor: Hello. I think you might have got food toxins during your trip. You take lemon tea (strong tea with more lemon juice) once in four hours. Consume only curd or yogurt with salt during food. Consume lemon juice with salt, tender coconut water, and pomegranate juice. Whenever you wish to drink water, drink this. Pomegranate peel with water, boil it for 30 minutes in mild flame and filter it, add honey or sugar. Consume it thrice daily or soak fenugreek in warm water for two hours, then make juice in mixie, consume this thrice daily. These practices can treat your issues. If not relieved even after following this for two to three days, then it needs antibiotics as there may be some virulent bacterias." + }, + { + "id": 11895, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16936, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9184, + "tgt": "Shall I follow yoga to reduce my BP?", + "src": "Patient: Hi doctor, I am a 34 year old unmarried male. My weight is 70 kg and my height is 5'7\".\u00a0Recently, I checked my BP and it was 150/100 mmHg.\u00a0Please suggest some medicine to reduce my BP. Shall I follow yoga or pranayama for lowering my BP?\u00a0What all foods should I take and avoid? Doctor: Hi. Anxiety, tension, stress, excessive salt intake, cardiac ailments, etc. ECG (electrocardiography). Hypertension. 1. For one week, take only fruits for breakfast and dinner and salt less food for lunch. Any kind of relaxing techniques you can practice during these days. 2. I suggest you Cardimap tablet twice in a day. Consume morning and evening after food. 3. Apply Ksheerabala oil on the nails of the toes and to the head before going to bed. It should be avoided if you feel cold or fever after applying oil. Control weight and do regular exercise. Revert back after two weeks to a yoga specialist online.---> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist" + }, + { + "id": 24706, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16004, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26378, + "tgt": "My doctor said there is a tumor in the fetus. Kindly provide second opinion", + "src": "Patient: Hello doctor, Please check my antenatal scan reports for three months pregnancy. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). For further queries consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 10284, + "tgt": "I am having skin tags in underarms and neck. Please help", + "src": "Patient: Hello doctor,I am 34 years male. I have skin tags in underarms and neck. I have a skin tag in the shaft of the penis for the past four months. I consulted a doctor here in my town, and they said it is a skin tag. I want to re confirm it again. Please help. Doctor: Hello. Please send a clear picture of the affected lesions for better evaluation and guidance." + }, + { + "id": 5277, + "tgt": "How can imbalance in walking be cured?", + "src": "Patient: Hello doctor, Age : 55 years old. Sex : Male. Height: 5.4 feet. Weight : 70 kg. Initial symptoms noticed before two months: 1. Slight imbalance in walking. 2. Unable to walk properly, unable to control the direction of legs. 3. Needed support of wall (sometimes) or a person. 4. Unable to walk on uneven road. Patient is using Amlokind\u2013H (used for past 8 months for BP). In the initial visits to doctor, unable to find out the problem. Many tests were conducted. All were normal. BP, ear testing, MRI, NRM, Vitamin D, B12 in blood, Hb and sugar in blood normal, BP was slightly increased while hospitalized during tests. Hence BP tablets dose was increased, patient became nervous, lost control on urine and motion. Done more checkups. All were normal. Prescription was used for one month (prescription needed). But no effect was observed. Infact many side effects are observed. Prescription: Ecosprin, Rosucor, Mecorol, Histigo-24 mg. During the above prescription there was no improvement in the health condition, BP tablets were changed by local doctor under regular monitoring of BP levels. Patient condition was improved. Then visited another doctor, prescription changed to Win BP-H 20 for BP tablet. Doctors observation: No strength on right side, (possibility of a semi-stroke) for that Nootropil R- 800 was prescribed. For blood circulation problem\u2013 Deplatt A 75, Rozucor for balance, Vertin 16, Vertizac, Mecoday. When started taking those tablets, patient became nervous on the next day and was unable to move towards bedroom when he woke up for toilet in the early morning. Fell fully on the supporting person and sat on the ground. Then had to visit doctor. Again BP tablet changed again to Olmat-20. Current status: Symptoms similar to initial state (as observed 2 months before). Can walk but slight imbalance was observed. Can work alone but needed supervision. Symptoms aggrevated when lemon was used. Has to avoid lemon and tamarind. Now facing difficulties because of side-effects of tablets (lot of heat unable to talk and eat food properly) 1. What is the root cause of the problem? Solution for the same? Shall we continue or discontinue the current prescription? Is it because of BP tablets or lime? How to make the effect of BP tablets negligible? Doctor: Hi. It appears that the patient is having neurological problem at multiple levels. 1. Causes for imbalance while walking: - Problem in cerebellum (part of brain), unlikely in this case as the MRI of brain was normal (attachment removed to protect patient identity). - Weakness in one part of the body might have happened due to stroke, even then MRI brain should have shown that. - Weakness in both lower limbs due to problems in spinal cord. This is more likely as loss of control over urine and motion can also be seen in spinal cord problems and the test mentioned by you have not evaluated spinal cord problems. My advice is get one MRI whole spine done and upload me the report. 2. BP tablets will not cause any of these symptoms, so I advise to continue the BP tablets so that BP is maintained less than 140/80. 3. Vertin and Vertizac can be stopped. 4. Stop Deplat- A, Rozucor instead start tablet Ecosprin -AV. 5. Because of taking previous all those tablets he might be having acidity problems which gets exacerbated by any citrus fruits like lemon, so, I advise him to take antacid like Syrup Mucane gel 10 ml 3 times a day before food. Also, tell me what is the level of power and how is his control over urine and motion revert back with the details and report of MRI whole spine." + }, + { + "id": 211, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9935, + "tgt": "Kindly advise treatment for pain in leg with numbness", + "src": "Patient: Hello doctor, My father aged 71 has severe pain in right leg accompanied with numbness in the foot. Walking increases the pain. We have visited neurosurgeon and MRI of spine was done. Now, doctor has advised for operation. Second opinion is requested. Doctor: Hello. I would like to know more details about your father's symptoms: 1. Since when he started to have pain in right leg with numbness in foot? 2. Does he also have lower back pain or pain in buttock region? 3. Does his pain get worsened during turning in bed or coughing or sneezing? 4. Has he any other medical problem like diabetes mellitus or hypertension or thyroid or heart problem, etc.? 5. What medications he is taking these days and in what dosage? 6. Has he any improvement in symptoms on those medications? 7 Also I would like to see the MRI images. 8. Has he also underwent NCV study or legs?" + }, + { + "id": 26089, + "tgt": "Had sex on third day of periods. What is the chance of pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex with my husband after 2 days of my period. Then, I took an i-pill on the same day. My period stopped the very next day. My period was due now, but it has still not started. I have cramps in my lower belly. From last 2-3 days, I am having smelly watery discharge. Please help. Doctor: Hi. I have read and understood your problem. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10575, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29453, + "tgt": "Despite taking medicine for the past four years, I am facing depression and anxiety. Why?", + "src": "Patient: Hi doctor, I have been on depression and anxiety medications for four years. I found out that I had depression because I stopped eating and landed in the hospital for being malnourished. I was exhausted with antidepressant and anxiety medicine. Now I am not sure whether it is the feeling of my body or side effects from the medicines since every medicine can make depression worse and cause anxiety. I just wanted to get some opinions. What are some other natural ways to help depression and anxiety? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3523, + "tgt": "Will vacuolated neutrophils suggest any problem other than sepsis?", + "src": "Patient: Hello doctor, I understand that a high vacuolated neutrophil result can be indicative of impending sepsis. Is it possible for someone to have this result and an infection that does not make the patient's symptoms visibly worse for a week? If so, could you give some examples of such infections? The patient is not on antibiotics. Can a high vacuolated neutrophil result indicate some sort of problem other than an infection? Doctor: Hi. I appreciate your knowledge. You are right, vacuolated neutrophils suggest towards infective etiology more likely. But let me know you in such a case usually neutrophilia is also seen. So vacuolated neutrophils interpretation should be done in accordance with total WBC (white blood corpuscles) and total neutrophils count. Your clinical correlation and physical examination are also necessary. Vacuolations in neutrophils suggest phagocytic function of it in infection e.g. pneumonia, fungal infection, septicemia, typhoid, etc. Sometime in inflammation also such cells are seen. As you have rapid weight loss cause for that should be searched. Some of the causes are HIV, acute infection, COPD, gastrointestinal problems like celiac disease and inflammatory bowel disease, hyperthyroidism, diabetes, tuberculosis, etc. So the clinical correlation is necessary to do further work up. Provide your other reports if it has been done along with full CBC (complete blood count) report. I hope this helps." + }, + { + "id": 3474, + "tgt": "Will laser treatment be effective in removing the birthmark without recurrence?", + "src": "Patient: Hello doctor, I have a birthmark behind the right side of my neck, which looks like a black thick mass. I had once consulted a skin specialist to check if there are any options to get this removed. I was told that even if it is removed by surgical means there are chances that it may reappear. I want to confirm this. Do we have any options to remove it by surgical or nonsurgical means? Are there laser treatments available? Will I have to remove my hair if I need to undergo treatment? I have attached a photograph of the affected area. Doctor: Hi. I have seen the photo. (attachment removed to protect patient identity). I understand your concern. The condition is known as nevus sebaceous. In case of deep surgical excision in nevus sebaceous, chances of it coming back are very less. The thing is the excision should be deep to minimize the chances of recurrences. Laser treatments are there but not very effective and chances of recurrences are more. Hair needs to be removed as the area should be devoid of it to perform surgery. Cost depends on the different doctors and their location or specialty." + }, + { + "id": 16216, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14163, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10812, + "tgt": "Which medicine should I take when uric acid level is 8. 5?", + "src": "Patient: Hello doctor, My mother has been diagnosed with 8.5 uric acid and recently underwent a hysterectomy. Which medicine should she take for uric acid? Doctor: Hello. High uric acid will require diet modification followed by medical treatment if not controlled by diet. You can start diet modification like, 1. Have adequate fluid intake. 2. Avoid dry fruits, cold drinks, and chocolate. 3. Avoid broccoli, spinach, beans, and non-vegetarian diet. I would highly recommend testing uric acid once again after one month to reassess the uric acid value. As a single high value should not be the basis for starting medical treatment. Because the treatment usually has to be continued for a long period. So begin the diet modification from today, and repeat uric acid after a month, and review again for further advice. As a patient with high uric acid has an increasing tendency to form renal calculi, I will also advise sonography of abdomen and pelvis, if already not done, before the surgery. Uric acid, RFT (renal function test), sonography of abdomen and pelvis. Review after one month with the above mentioned test." + }, + { + "id": 19785, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8198, + "tgt": "Is bone marrow transplantation necessary in acute leukemia patient?", + "src": "Patient: Hello doctor, A 27-year-old female has acute leukemia (ALL). Her vision is lost because of the presence of malignant cells in the brain now but her treatment was finished six months back. Previously she got relapsed CSF 13 months back when her maintenance phase was going on. The doctor gave high dose ITMX that time but it relapsed again. We do her CBC twice in every week and it is totally fine. Doctor: Hi. Acute lymphoblastic leukemia has a very high relapse rate in adults (about 60 %), the higher the white cell count, the worser the prognosis. Those with Philadelphia chromosome (chromosomal abnormality) have poor prognosis and bone marrow transplantation is required. Relapsed cases with confirmed bone marrow biopsy require intensive chemotherapy aiming for achieving new remission, then either bone marrow transplantation or maintenance chemotherapy. I strongly advise to consult a physician for bone marrow stem cell transplantation. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6660, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30298, + "tgt": "Do you think that my doctor's suggestion is right regarding my DVT and knee injury?", + "src": "Patient: Hi doctor, Recently, I met with an accident and the doctor diagnosed my knee with complete ACL tear and partial MCL injury. So, I started using a knee brace. Two days later, I took a long duration flight without taking any medication of thrombosis. However, I started taking Ibuprofen tablets (twice daily for five days) followed by 30 Paracetamol, thrice daily for 10 days. Later, I started having pain at the back of my knee and knee calf. Due to pain, I again started taking Ibuprofen once daily. Before 10 days, I had a long flight travel again to my place. Then, I reported my pain issue to my doctor and he found muscle vein thrombosis\u00a0in the gastrocnemius muscle. I have been advised to use compressions stocking (only during the day) and to take six weeks of blood thinner medicine, 15 mg for 21 days twice daily and then 20 mg once daily for the rest of the period. Earlier, the doctor said that my ACL needs an operation. However, due to thrombosis the operation is postponed for at least six weeks. The doctor also asked me to live a normal life without any restriction. My main concern is that how should I deal with ACL tear along with MCL injury and muscle vein thrombosis? Do you think that my doctor's suggestion is right? Is it fine to live normal day-to-day life, traveling in public transport, outside walking (more than 15 minutes), going and working at the office when I am having both ligament and thrombosis issue?\u00a0What precaution is required so that this thrombosis does not expand?\u00a0How should I sit and how long? How should I sleep?\u00a0How long should I walk?\u00a0Should I use the knee brace now?\u00a0Please help me with these questions. Doctor: Hello. I have gone through your query and would like to give replies to your queries accordingly. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12006, + "tgt": "How do I control my anger?", + "src": "Patient: Hi doctor, I have anger management issues and I am physically abusive in my relationship. I do not know how to control this and really need professional help. I cannot live without my girlfriend. I love her so much. Am I supposed to consult a psychologist or a psychiatrist? What am I supposed to do about this? Please help. Doctor: Hello. What you are describing sounds like intermittent explosive disorder which is an impulse control disorder. In it, there are explosive anger outbursts during which your anger makes you do and utter things which you repent after the episode. It is treated with medicines, prescribed by psychiatrists, as well as anger management techniques learnt in therapy with psychologists. If it is frequent and you need immediate help to prevent complications in your relationship, then I would advise you to see a psychiatrist to begin medication and start therapy with a psychologist. If it is not frequent or severe, then you can start therapy with a psychologist first and consult a psychiatrist if required later on. Hope, my advice is pretty clear. The core elements of therapy for anger issues has three aspects:" + }, + { + "id": 11016, + "tgt": "Does tapering the dosage of Nexito cause relapse of anxiety?", + "src": "Patient: Hello doctor, I have anxiety and panic attacks from last six years. My doctor prescribed Nexito Forte 10 mg. My doctor tapered the tablet to Nexito Plus 5 mg three years back. My questions are: Is the relapse due to decreasing the dosage? Should I increase it again? Doctor: Hello. The dose of the particular drug depends upon many reasons. So, it is difficult to tell that this dose is effective or not for the particular person. Now coming back to your questions, first Nexito Plus (Escitalopram and Clonazepam) has only half of the dose compared to Nexito Forte (Escitalopram and Clonazepam). So, when tapering the dose, few persons may relapse. If you develop the symptoms of anxiety, you need to increase the dose again. And it is quite difficult to predict who is going to relapse. Secondly, as the Nexito Plus has a lower dose of the drug, it is quite prudent that it may not be effective in all persons. So, increasing the dose is a good option. Similarly, when one is tapering the dose, some symptoms may reoccur. Then one has to slow down the pace of tapering as to avoid the relapse. So, if you are stable on Nexito Plus, then no need to increase the dose, but if you have symptoms then you need to increase it. The dose is basically changed according to the response and side effects, one is tolerating. It is individually designed to meet the requirements of that particular person. Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23055, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26829, + "tgt": "Is it normal to get irregular periods after few months of menarche?", + "src": "Patient: Hello doctor,My 12 years old daughter started getting periods four months back. For the first two months, she had them at a gap of 26 days and in the third month after 28 days. This month, it is already 36 days and no sign of bleeding. Is it normal for her to have irregular cycles? Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8518, + "tgt": "I have positive Babinski and Hoffman signs. What does that mean?", + "src": "Patient: Hello doctor, I am a 29 year old\u00a0male. I was previously diagnosed with essential tremor, for which I have been taking Propanolol 160 mg for six years. My current symptoms are constant tingling, soreness, and restlessness of the legs. I get\u00a0spasms in the legs as well as arms. My right eye goes blurry when it is too hot or if I am in the bath. Also, I have been really sensitive to heat recently, and there is\u00a0slurring of speech. My right eye also droops sometimes. My legs are weak, and I have balance issues. I have a positive Babinski and Hoffman sign. I would appreciate some advice on what condition this could be. Doctor: Hello. I suggest you meet a neurologist in person for a detailed history and clinical examination. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 6797, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 26059, + "tgt": "I had very light spotting on my second I-pill and not a proper bleed. Am I pregnant?", + "src": "Patient: Hello doctor,My last period was\u00a0on the 10th of last month. I had unprotected intercourse on the 19th and for precaution,\u00a0I\u00a0took I-pill within 24 hours.\u00a0As a result,\u00a0I got withdrawal bleeding on the 25th. Four days later (29th),\u00a0we again had unprotected intercourse. I\u00a0took another I-pill on the 30th within 24 hours of intercourse.\u00a0As a result, I\u00a0should have had withdrawal bleeding, but I\u00a0experienced very light spotting equal to nothing. Is it withdrawal bleeding? Am I pregnant? When will I\u00a0get my next periods? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5855, + "tgt": "I worked as a smash repairer long before. Will it likely to cause health problems later?", + "src": "Patient: Hello doctor, Years ago I worked as an apprentice in a smash repairer. Mostly I was wet, sanding primer coats and sanding filler flat. This was 20 years ago, and I have not worked in this field since. While doing this I never wore a mask, no one in the shop did that, except the painter when he was in the booth. No one online seems to wear a mask when doing these tasks either. I know the dust from this process probably is not fantastic, but I had no short term effects and was just hoping someone in the know can put my anxious mind at rest by confirming that the reason no one wears a mask because the dust is relatively safe as far as long term health conditions go. It seems highly unlikely these were fiberglass based as automotive fillers seem to be plastic-based. I also might have been in the shop when sanding of paint happened or smelt the smell of spray paint after a job but never remember being in close proximity to anything like that. Doctor: Hello. There is a health hazard upon exposure of such inhalational dust materials for short term exposure (up to 6 months), it can produce allergic rhinitis, cough, and sputum. On long term exposure, it may produce cough, wheezing, nasal stuffiness, fever, blood in sputum, difficulty in breathing. In your case, the exposure is short term and after that no exposure now. You are away from those exposures. So, if at all the issues were there, that might have been now settled down and you become absolutely normal. Only in long term exposure, lung gets damaged or bad effects continue even after stopping the exposure. So, you are on the safer side. You are normal now. If you wish still to test it, then go for x-ray chest, pulmonary function (breathing) test and differential count in the blood. These will tell still the hazardous effect is there are not. I do not recommend you to go for these tests. I hope this helps." + }, + { + "id": 16175, + "tgt": "What does the reports of tests taken for fever, cold, and weakness explain?", + "src": "Patient: Hello doctor, I just got my full body checkup report. Please review, analyze and suggest. Doctor: Hello. Your attached report shows the following positive finding means notable finding (attachment removed to protect patient identity). Calcium deficiency, vitamin D deficiency, low transferrin saturation, and iron level, CRP positive, and abnormal thyroid report. Kindly mention your any significant clinical complaint if present to guide you further. For vitamin D deficiency, you can be prescribed 60000 IU Cholecalciferol containing sachet with milk once a week for eight weeks. Calcium tablet also can be prescribed along with. No need to worry now for low transferrin saturation and iron level as your hemoglobin is within range. Your CRP is positive, so inflammation might be present which can lead to a false result in thyroid report. You need to repeat your thyroid profile report after a few days in another laboratory. If still, thyroid reports come abnormally, then we will think further." + }, + { + "id": 22207, + "tgt": "I am confused what this eye lump is. Please help", + "src": "Patient: Hello doctor, I am confused if I have an eye lump since the lump is located at the top of the eyelids. It is not even in the eyelids. I am getting scared if this is an eye lump or not because it is not visible. Doctor: Hello. At first, you said that it is even not on the eyelid. Is it exact? Is it on the eyebrow or up? Is it like a fat mass? Is it under the eyebrow as a small ball and moving when you put your finger on it? If so, it is a chalazion. In that case, I suggest using an eye ointment Polycort (Tetracycline, Corticosteroid plus antibiotic). You can put it on the lid and inside the eye twice a day for the first week and once a day the next week. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. If no result, your ophthalmologist will remove it by a minor easy operation. Note 1: your doctor may try an injection of Triamcinolone inside the lesion and if no result, the removal. Note 2: if it is not chalazion (on eyebrow or up) you can use the same ointment on the lump (not inside the eye) twice a day for ten days, and if no result, it needs a minor operation. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4367, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9105, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24688, + "tgt": "Why are these itchy patches in my pubic area repeatedly occurring?", + "src": "Patient: Hello doctor, I am a 43-year old male with repeated ringworm infection. This started about a year ago with small itchy patches in the groin area high up on inner thighs and pubic area. These would go away with the use of Candid-B cream and Canditral and Itrasys only to return in 10 to 15 days after stopping the medicines. I have tried to maintain good personal hygiene with daily change of undergarments to no avail. Over time it returns and the patches only get bigger and leaves the skin discolored. I have also been given Fluconazole. Could you please recommend some form of treatment to get rid of it completely? I am currently on Thyronorm and Ciplar-LA 40. Please help. Doctor: Hello. Recurrence of tinea is most commonly due to either incomplete treatment or wrong medication most commonly the combination of a topical steroid with a topical antifungal e.g Candid-B (Beclometasone Topical and Clotrimazole Topical) or other similar preparations. Topical steroids and antifungal combination creams though more effective in providing symptomatic relief from itching, actually prolonging the infection which manifests as clinical recurrence as soon as the treatment is stopped. Therefore, you should use a plain topical antifungal like Lulifin cream (Luliconazole) 1% creamor Onabet cream (Sertaconazole) 2% cream twice daily for five to six weeks rather than using a combination cream that contains a topical steroid and topical antifungal. In addition to this, I also suggest you take a different oral antifungal like tablet Zimig (Terbinafine) 250 mg once a day for five to six weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. I also suggest you take an oral antihistamine like Cetirizine 10 mg tablet for symptomatic relief from itching. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26977, + "tgt": "How to reduce my hand tremors?", + "src": "Patient: Hi doctor, I am a first year BDS student. I have tremors in my hands whenever\u00a0I apply force or\u00a0hold an object with some pressure. I want to become an oral and maxillofacial surgeon or orthodontics. Can I become a dentist despite these tremors? Can\u00a0the\u00a0tremors be reduced? Doctor: Hi. You are most welcome to query further. Take care. For further queries consult a\u00a0dentist online -->\u00a0https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6878, + "tgt": "I am 12 weeks pregnant and having severe constipation. Will it affect my unborn baby?", + "src": "Patient: Hello doctor, I am 12 weeks pregnant, and for the past three months, I have severe constipation. I consulted the doctor, and she suggested me to take Duphalac syrup. I tried, but there is of no use. The same problem persists. Will it affect my unborn baby? Doctor: Hello. Constipation is common in the early stages of pregnancy. It is due to the chemical increasing in your body, which is required for your baby to grow. So the baby is fine, no need to worry about it. For constipation, I suggest you should take Duphalac syrup two tea spoon at night every day. And if it is not working, then take two times a day. Do not drink cold water, drink lukewarm water. Drink more water three to five liters per day. Eat green leafy vegetables more. It is the only solution. I hope this helps." + }, + { + "id": 5003, + "tgt": "Is it safe to have sex during pregnancy?", + "src": "Patient: Hi doctor, My wife is pregnant. She is in her first trimester now. We did not have sex after knowing the pregnancy. Is there any medical problem in having sex during the pregnancy? Doctor: Hi. I have read and understood your problem. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9956, + "tgt": "Can I opt a chiropractor treatment as I am not relieved from my pain in physiotheraphy?", + "src": "Patient: Hello doctor,I have been seeing a physiotherapist for 10 sessions now, and during the sessions, I have been doing exercises and getting needling in around, and undead left shoulder blade to try to relieve the pain, but it still feels bruised under it. I have had some massages previously, which reduces the pain temporarily, but the pain comes back. I was wondering if a chiropractor could help as maybe something needs an alignment? Doctor: Hello. As with history, I can speculate that you are having trapezius. As the pain around the shoulder blade is due to the inflammation of the insertion of the trapezius muscles. As per my clinical practice of I do not think that dry needling and massage are the more extended term relief. I will advise that you should do hot water fermentation over the upper back and neck region. Post that, myofascial release, correction of the posture, and strengthening of the trapezius muscles. This issue is commonly arising due to bad posture and the cervical spine IVDP (intervertebral disc prolapse). But for the cervical spine IVDP we need an MRI to understand the nature of the soft tissue injury. I understand that doing hot water fermentation, myofascial release, correction of posture and trapezius strengthening has helped my patients relief of the pain. I request you to look for one and let us see after a week. I assume things should get correct soon with the mentioned treatment plan. Regarding the chiropractor, I do not think it is needed for now so soon. If you have any more queries, please feel free to contact me." + }, + { + "id": 1208, + "tgt": "I have pain on left side of chest and tip of middle finger. Does it imply heart problem?", + "src": "Patient: Hello doctor, When I touch the tip of my middle finger I feel pain there as well as on the left side of my chest. It just started yesterday. Is this a sign of a heart problem? Doctor: Hello. I am sorry to hear about your pain, please do not be worried. You will be fine. It is not a definite sign of heart disease. There are arthritis, angina, etc. Do you have a history of heart diseases in your family? Do you experience shortness of breath? Have you experienced dizziness or has the pain radiating to other parts of your body? What medications are you currently taking?" + }, + { + "id": 7759, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7862, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24403, + "tgt": "Why is my diabetic father feeling fatigue, lost appetite and lost sleep?", + "src": "Patient: Hello doctor, My father is feeling fatigue, lost appetite, and lost sleep. We have visited multiple doctors. Being diabetic, we suspected diabetic neuropathy and visited a neurologist. As part of tests, he has taken X-ray also and identified pleural effusion and referred to a pulmonologist with HRCT scan of lungs and GeneXpert sputum. Pulmonologist suggested AFB smear also. HRCT shows effusion, but AFB smear and GeneXpert are negative. Kindly help. Doctor: Hi. All are going towards tuberculosis but if you send me the film pictures then I can say anything. I do not believe in report statements. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 8154, + "tgt": "How can I avoid getting tired after gym through vegetarian food?", + "src": "Patient: Hello doctor, How to be healthy and fit? I am going to the gym for the past 45 days but after coming from the gym, I am feeling uneasy and sleepy. So please suggest me healthy vegetarian foods that should keep me full day happy and healthy. Doctor: Hi. Thanks for sharing your query with me. It is good that you have started with exercises. Pre and post exercise meal is very important for better muscle recovery. You can have one fruit and six almonds and two walnuts before exercise for instant energy. After exercise, try to have your major meal like breakfast or dinner or lunch. If that is not possible, have fruits, smoothie with chia seeds (a good combination of carbohydrates and protein)." + }, + { + "id": 23042, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26645, + "tgt": "Can taking Ayurvedic medicines for anal fistula cause loose stools?", + "src": "Patient: Hello doctor, I am currently taking ayurvedic medicines for anal fistula. I am taking Gulgulu Panchapalam tablet, Shallaki tablet, Step tablet and Gulguluthiktham liquid with Nimbadi liquid thrice a day. My doubt is can it cause loose stools? I have soft unformed stools and loose stools. Please reply soon. My doctor performed proctoscopy and the result was normal. Doctor: Hello. I just read your query. I hope you are satisfied with my answer. Revert after three weeks. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25007, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20259, + "tgt": "What is the chance of multiple sclerosis in pars planitis?", + "src": "Patient: Hi doctor, I have had burning sensations on my skin since 14 years. I am also very much sensitive to touch, which feels like my entire body is bruised all over. It is so hard to explain, but that is the best way I can put it into words. I feel inflamed all over at times.\u00a0I had a brain MRI before 20 years after being\u00a0diagnosed with tinnitus and it was cleared. Following that I had a C-spine MRI thrice in the next three years and everything was normal. I had another brain MRI last year and radiologist noted several small spots in the periventricular and subcortical areas consistent with small vessel ischemic changes. The neurologist said he did not see anything on the MRI films whatsoever. So, I was left in limbo once again. I still have that radiologist report that shows spots on my brain that haunts me. Giving all the MRIs through the years and the fact that my symptoms have basically remained the same (sensory). What are the chances of this being MS without showing actual lesions that resemble MS? I also was diagnosed with pars planitis before 20 years, which is linked to MS in small percentage. That, of course, is what has scared me about my skin sensations. They usually come and go. This time I have been dealing with them since four months. This is really hard to deal with. Thank you. Doctor: Hi.I have read your question with care and understand your concerns. Let me explain some basics. Nerve conduction studies. Revert back with the report to a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29094, + "tgt": "Can you tell me some cure for constipation?", + "src": "Patient: Hi doctor, I am following low carb diet of fewer than 1500 calories and facing constipation problem. Sometimes, I am bleeding while emptying the bowel. My stool is very hard and in groups of small pieces. Also, it comes very low in quantity. I am drinking 5 to 6 liters of water and having green leafy vegetables. I just started to take Isabgol powder and ACV in lukewarm water with honey in the morning. I am facing this problem for the past one month.\u00a0Can you please tell me the cure? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 44, + "tgt": "Two teeth missing in my lower jaw. Do I need to extract tooth in upper jaw to get braces?", + "src": "Patient: Hello doctor, I have two missing teeth in the left and right side of my lower jaw so I have now 16 teeth upper jaw because I have the wisdom there as well and 12 teeth in lower jaw no wisdom. Can I get the invaslign or just braces will be good and do I have to extract teeth from my upper jaw? Doctor: Hello. I went through your query and the attached image (attachment removed to protect patient identity). You have two lower second premolars extracted with no third molars in the lower jaw. Little bit crowding is seen in both upper lateral incisors that might be the reason for you opting for braces. Well, as a specialist upper tooths have a little bit of space in between the central incisors. Upper front teeth need proximal slicing to facilitate space that space will be enough to realign your both upper lateral to the arch. Although it is just a front profile if possible upload a side profile of your face to evaluate the overjet but I can say just marginal and proximal slicing of the upper front teeth will be enough, and no further extraction needed. Meanwhile, you have missing both lower second premolars. Get a fixed bridge to cover the gaps or else they will shift and get malaligned. Upper third molar are also fine and does not need extraction in the near future. Go for normal braces instead of Invisalign. Normal braces work much better in these cases. I hope this helps." + }, + { + "id": 27197, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20451, + "tgt": "I am scared of getting HIV. How to diagnose it?", + "src": "Patient: Hi doctor, I am a 32-year-old male. Recently, I had sex with my partner. After 20 days, I got a severe stomach infection, and I am undergoing treatment. I am responding well, but specific food causes loose stools (not sure if it is because of food). After 40 days, I started to get a slight throat infection with cold. I am scared of getting HIV. Please suggest. Doctor: Hi. There are many reasons for having loose stools. Even, anxiety cause increased motility, and it results in diarrhea. Coming to a sore throat, it may occur due to a viral cause. You can get tested with fourth generation test as you have already crossed 28 days and the test result will be conclusive for diagnosing HIV. You can continue your treatment. Kindly share your treatment details for further analysis." + }, + { + "id": 10407, + "tgt": "Why does the stomach blossoms without food in the morning?", + "src": "Patient: Hello doctor,The stomach blossoms without food, even in the morning. It is felt more in the upper part of the stomach. Doctor: Hello, Welcome to the icliniq.com. You can have a gas problem due to functional indigestion. I suggest you take gelusil MPS like syrup before bedtime for one week. It is advisable to take Rabeprazole like antacid for the week also. If there is no improvement than USG abdomen scan should be done for further workup, meanwhile avoid gas forming foods like cabbage, cauliflower, etc. Carbonated drinks should be restricted. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 21850, + "tgt": "My 4 year old son is bedwetting. Will this get fine when he grows older?", + "src": "Patient: Hello doctor, My son is 4 years old. I know he is still too young, but when he is not feeling well or he is tired, he gets very deep sleep and he urinates himself- basically, he is bedwetting. Well, I have to admit that I was bedwetting till I was 14 years old, my father also was bedwetting when he was young. I know it is too early to say, but can he have the same problem when I was young and I was bedwetting? My problem was, that time to time I get very deep sleep and I did not respond to signal sent to my brain that my bladder is full. So, I wake up time to time wet. The second question, I see in him the same thing when I was young and also he is bedwetting when he is not well or very tired, he gets deeply sleep, but when he wakes up he is fine. Last time he gets a little bit higher temperature 38. I did not give him any medicine and let him sleep when he wakes up, he was wet, but the temperature was gone and he was fine. So what do you think? Any advice? Doctor: Hi. There is no co-relation between bedwetting and temperature. So do not worry about that. Also as regards to bedwetting, make it a point for the child to empty the bladder before going to bed. Also, you can wake up the child in the middle of the night if you find out that he has bedwetted himself so that this develops a behavioral change in the child and eventually will go a long way in stopping bed wetting. Another technique that can be used is a bedwetting alarm which sounds when the bed becomes wet and wakes the child up. This can also help in reducing the instances of bedwetting. In extreme cases, we use vasopressin to reduce bed wetting. Also, bedwetting beyond the age of 5 years is not acceptable. Hence, follow the above mentioned advise and observe the changes in your child. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2967, + "tgt": "As diabetic medicines are causing weight loss, can I switch to insulin to overcome it?", + "src": "Patient: Hello doctor, I am a diabetic. My weight is 69 kg and my height is 180 cm. My PP glucose level is 150-210 mg/dL. I am taking Glynase MF one in the morning, tablet Exermet GM 501 one in the evening. My BP is normal. I tested my glucose levels today and postprandial glucose level is 204 mg/dL. I am interested in taking Insulin replacing oral medicine. I heard that oral medicines cause weight reduction and dangerous for kidneys. Doctor: Hello. The Metformin component of the oral anti-diabetic medications aids in weight loss and is usually preferred in overweight candidates. But, there are other medications that do not lead to weight loss, so, you can definitely ask your physician to shift you to such medication. Also, just like all medications have side effects, long term studies in patients taking oral anti-diabetic medications, have shown deteriorated kidney function. Many people are not compliant in keeping up with daily injections of Insulin, also the risk of hypoglycemia is higher with insulin. Hence, not many people prefer it. If you feel you can cope up with it, please speak to your local physician or diabetologist. They would make a chart depending on your daily sugar levels, as to how much units of insulin would you require. Also, they would educate you regarding rotation of sites, for taking the insulin injections, how and when to take them. Also, don't forget to ask your physician to explain the symptoms of hypoglycemia and also to tell you, when exactly should you be taking the insulin injections (before food, during food, morning or night basal dose) depending on its duration of action. I hope this helps." + }, + { + "id": 6765, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 863, + "tgt": "I am trying to conceive with PCOS, but Fertisure F and Ovabless are not helping. Why?", + "src": "Patient: Hello doctor, I am trying to conceive for the last 2.5 years but not successful. I was on Fertisure F and Ovabless for six months and discontinued because I did not see any results and I am diagonsed with PCOS. I am now on Carbimazole 5 mg for hyperthyroidism. Doctor: Hello. PCOS (Polycystic ovary syndrome) and also hyperthyroidism can cause infertility. I saw your examination (attachment removed to protect patient identity). The TSH (thyroid-stimulating hormone) levels is normal. The medication you have taken are only supplements. If you have menstrual irregular bleeding you can correct it with contraception pills for two to three months and then try to conceive again. First, I would recommend you to evaluate the ovulatory process with ultrasound examination at 12 -15 days or measurement of progesterone at 21 days. And after that take some medication that induces your ovulation. But you have to be in a close follow up with a doctor." + }, + { + "id": 2419, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9738, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15270, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10123, + "tgt": "What can be done for swollen gums where wisdom tooth is erupting?", + "src": "Patient: Hello doctor, I think my right side bottom wisdom tooth is coming as there is a ball on the back side of my gum that is really swollen. It almost feels like a pimple and the area around it has white lines on the inner cheek wall. What should I do? Doctor: Hello. If there is not much pain, it is better to let it grow fully. It may take a month or two to fully come out. If it does not, and the area gets painful then better to get an X-ray done for its exact position. Use warm salt water gargle twice a day for a week or two. Use a chewing gum on that side, it helps in faster growth of the tooth into occlusion." + }, + { + "id": 29549, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1045, + "tgt": "What are the ways to manage the withdrawal symptoms of Benzodiazepine and Alprazolam?", + "src": "Patient: Hi doctor, I took Benzodiazepine Alprazolam for insomnia for 2 months for a total dose of 30 mg, while stupidly attending college parties and binge drinking once a week during the period (I have never taken the pill on the day I was drinking). I did not take the drug every day and after roughly two months I quit the drug altogether, the withdrawal, that I did not recognize at the time, kicked in (Extreme tinnitus, sweating, heart racing, heightened anxiety). I went to ENT doctor and she gave me two Dexamethasone injections in 3 days (I think 8 mg). I developed during these 3 days a major loss of short term and then long term memory, trouble finding words, trouble learning in general. The physical symptoms of the steroids and benzo withdrawal went away in 2 weeks. It has now been a month since I feel physically fine, but the cognitive issues persist and they do not get better at all. I have been to a psychiatrist because I felt overwhelmed that Iam not going to be able to finish school in such a state and she gave me Escitalopram thinking it could be psychological, but there is no improvement in cognition after a months use. Does that combination have that drastic side-effects and could it caused a chemical or structural problem in brain? What can I do to return somewhere close to my old self? I am 24 years old. Doctor: Hi. People taking Alprazolam should not combine it with alcohol and avoid combining it with other medications, such as narcotic pain relievers, that cause drowsiness. Doing so can cause additive drowsiness and reduced breathing as well as other side effects, which can be dangerous and possibly fatal. Alprazolam may be habit-forming when taken for long periods of time. If you have been taking this medication regularly for a long period of time (more than one month), do not stop taking the medication without speaking with your doctor. A gradual reduction in dose is recommended when stopping this medication to avoid withdrawal symptoms. Escitalopram works by blocking the reuptake of serotonin so that there is an increased level in the brain. Serotonin is an important neurotransmitter responsible for mood and well being. It is usually taken once daily and may take a few weeks to months reach maximum therapeutic potential. So continue taking Escitalopram until you see significant improvements in your memory." + }, + { + "id": 18197, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7929, + "tgt": "What does 'Trace TR' in an echocardiography report mean?", + "src": "Patient: Hello doctor,My father is suffering from high BP from two days. We met a cardiologist and I have the reports. Can you look at them? Our business is not going well. So, he is a lot tensed lately. He had something similar two years ago. Doctor: Hello. I have seen the echo report you provided (attachment removed to protect patient identity). It is a normal echocardiography report. As your father is going through a tough phase and his BP is increased, it is better to give him antihypertension drugs provided by your doctor. (You have not provided drug details). After controlling BP he may feel better. Thanks. Hope this helps. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 17536, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19162, + "tgt": "I have white patches in thigh area and waistline. What could this be?", + "src": "Patient: Hello doctor, I am a 24 year old female. I have developed white patches in thigh area and waistline. There is no\u00a0itching, irritation or pain. Also small white marks are developing in my neck region. What could this be? Doctor: Hi. How long has it been there? Also attach\u00a0photographs of the affected\u00a0areas and revert back to a dermatologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15683, + "tgt": "What are the black dots I see when I am out in the daylight?", + "src": "Patient: Hello doctor, I am just 10 days away to be 20 years old. I have been seeing black dots or I may say they appear differently on my eyes. They do not go away. I always have them with me. They irritate me because I normally see them the most or clearly when I am out in the daylight. I sometimes find it hard to face the light meaning like looking around on a sunny day. These things do not prevent me from seeing. I see even from afar but I see well when there is no much light because I cannot stand light well when I am watching something. I have read somewhere that they are called floaters and can cause blindness. I have started to see just one dot and now I see some more not too many but irritating. It has been years. However, I have only tried to tell a doctor but he said that there is no problem and I have not done any treatment. So, I need your help, please. Doctor: Hi. You have correctly described your floaters. Only thing is that it is perfectly normal as they are part of aging and will only increase with time. They develop as the vitreous jelly inside our eyes liquifies with time. So they move when your eye moves. They do not cause blindness on their own. They are a matter of concern only when there is a sudden shower of floaters associated with flashes. In that case, you will need an examination of your retina after full dilation of your pupil to rule out any break in your retina which if not lasered on time may proceed to retinal detachment. Take care." + }, + { + "id": 4720, + "tgt": "I have a lipoma. There is no pain as such. Is it normal?", + "src": "Patient: Hi doctor, In my right upper arm, I have a lipoma which grows slowly from three years. Now, I have two new lipomas in the same upper arm. There is no pain as such. Is it normal? Doctor: Hello. Firstly I want to ask you whether the diagnosis of lipoma was made by a doctor. Because swellings may be of several types. My advice is to visit a surgeon for an examination in person. The doctor will be able to tell you the best whether you need a biopsy or excision of the lesion or whether no active management is needed. It is difficult to comment without examination. Hope this helps. For further queries consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 1120, + "tgt": "How accurate are ultrasounds in determinig the gestational age and conception?", + "src": "Patient: Hello doctor, How accurate are early ultrasounds at determining gestational age and conception? Based on my 6th-week scan I am 23 weeks today means I conceived around December 25th. Is it possible that I actually conceived around December 5th and baby is measuring small? (I have had six ultrasounds and the baby has never measured more than 2 days off from the date given at my 6-week scan) even though my last period last came on November 28th she has never measured on track for that. Doctor: Hello, Welcome to icliniq.com. The first-trimester ultrasound scans done before 12 weeks are the most accurate ones in the assessment of gestational age with an error of only + /- 5 to 7 days in the assessment of gestational age. So they are used for obstetric dating and determination of expected date of delivery. Moreover, if you have done 6 ultrasounds and the date calculated from each of them corroborates and does not lag behind then probably your baby is growing well and it is not small as you apprehend. The date we calculate from the first day of last periods is accurate only if the periods were regular for the last 3 months and there was no history of miscarriage or ovulatory disorder like PCOS (polycystic ovary syndrome) or contraceptive pill intake. In case of any discrepancy the date from dating scan at 6 weeks are accurate and to be considered. It is a probability that you actually conceived in later part of the cycle which leads to this discrepancy between the date and USG." + }, + { + "id": 28356, + "tgt": "Please tell me about the vegetarian paleo diet", + "src": "Patient: Hi doctor, I am a 40 year old female, and I weigh 88 kg and my height is 160 cm. I am a vegetarian but I eat eggs.\u00a0I am planning to start paleo diet to reduce my weight and before starting the diet, I got a blood test done. I am attaching my\u00a0reports. Please suggest a vegetarian diet chart. What type of vegetarian foods to be taken? Are there any instructions to follow while doing paleo diet? Doctor: Hi. I went through your reports (attachment removed to protect patient identity), and according to it, you can go on a paleo diet. Which is good for your weight maintenance. Follow these instructions and have patience, all the best. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 5261, + "tgt": "I am 5 feet 7 inch in height. Kindly advice me to reach the height above 5 feet 9 inch", + "src": "Patient: Hello doctor,I am a 17-year-old. I am 5'7\" in height and140 lbs weight. My dad is 5'9, and my mom is 5'1. I would like to at least reach 5'9 to 5'10. My diet is exceptional. I am taking a multivitamin, and I do not have any deficiencies. I am thinking of taking 1500 mg of Glucosamine because I read studies concluding that it may help a bit. Would you recommend glucosamine, or something else?Also, do you think I can still reach my height goal? I am worried that I may have stunted my growth. I have had insomnia, depression, and anxiety for four years now. This has affected my life considerably, and I am worried I would not grow to my potential height because of it. I also have not been getting too much calcium and protein because I have been avoiding dairy products. Should I be drinking more milk and if so, how much? Doctor: Hello. Your average expected height is close to 5'6. Best way to help increase height is doing stretching exercises three to four times a week for 20 minutes in a 30 minutes session. You can try Glucosamine for a year but if it is not helping then taking it beyond that may not help. You can try Protein shakes, Calcium 800 to 1000 mg/d and Vitamin D 1000 to 2000 IU/d supplements to avoid the deficiencies. I hope it helps." + }, + { + "id": 12254, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20945, + "tgt": "Does the same blood group of couple create problem to the baby?", + "src": "Patient: Hi doctor, I am 28 years old. I am planning to get married to a girl who is known to me. We have a very good understanding and we love each other. But, we have the same blood group that is B positive. Since blood group is a factor for having babies, do you think having the same positive blood group could create problems for future generation? My brother-in-law told me that if husband and wife have the same blood group, future generation (babies) will have to face problems like a disabled child, died baby born, etc. He told me it could create a problem and he does not want me to marry this girl. So, I am in great trouble right now. How can I give a clear explanation to my parents and my relatives about this issue? My questions are does the same blood group create a problem? If yes, then what basically create problems? And how to overcome this problem I mean the solution to this problem? Are there any precautions that need to be considered for having a baby after getting married to the same blood group? Doctor: Hello. The same blood group people can marry and can produce a normal child. The same blood group is not at all contraindication for marriage and to produce the child. So do not worry about that. But if you both are relative, then genetic counseling before conception is necessary. If you really want to investigate, then rule out thalassemia minor report before marriage, that is of utmost importance." + }, + { + "id": 1956, + "tgt": "I have hiatal hernia with intermittent moderate pain. Please suggest medication", + "src": "Patient: Hello doctor, I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium. Doctor: Hello. I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity). You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time. My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well. Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis. Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need. Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. Drink plenty of water. One hour regular excercise. After 10 days." + }, + { + "id": 14291, + "tgt": "Diagnosis and treatment of mental illnesses. Could you please answer a few questions?", + "src": "Patient: Hello doctor, I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clinical signs would suggest performing MRI scan and would you order it with every patient? What clinical signs would suggest performing thyroid hormone tests? Would you do the thyroid hormone test with every patient admitted to the ward? Would it be a standard psychiatric procedure? What neurological and physical examinations would you conduct to rule out any other medical or neurological disorders? Schizophrenia is a dysfunction of brain\u2019s physiology; the functioning through neurotransmitters and through hormones but actually genetic problem is always there; means there is a dysfunction at cellular level. Which neurotransmitters and hormones would be responsible for this dysfunction? What kind of dysfunction of cellular level is that? What does an elevated level of homocysteine found in schizophrenic patients tell the psychiatrist? Doctor: Hi. I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions: All the best for your research. For further clarifications, consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 12058, + "tgt": "In NT scan,Trisomy 21 screen is positive. What does it mean?", + "src": "Patient: Hello doctor, My wife is 36-year-old with a height of 5.6 and weight 69.1 kg. She had NT or NB scan and double marker test in obstetrical ultrasound. The nuchal thickness is 1.0 mm. Presence of nasal bone. DV flow is normal, but in double marker test, free beta hCG is 46.20 and PAPP-A is 2.58. Trisomy 21 -screen positive cut off 1: 250. Mother's cut off free beta hCG is greater than or equal to 1.98 PAPP-A. Doctor: Hello. 1 in 250 means that if we take 250 women of the same results as your wife had then only one will have a baby with Down syndrome. So this is the explanation of the calculated risk of down syndrome. Secondly, NT (nuchal translucency) and blood tests which she underwent are screening tests. Screening tests are not diagnostic. They only detect who is at risk. If they become positive, that does not mean that particular is at risk. It just says that specific condition may or may not be there which is then confirmed by diagnostic tests. In your case, CVS (chorionic villus sampling, taking a sample from the baby) will diagnose if the Down syndrome is there or not which you will be offered at 12 to 13 weeks most probably. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." + }, + { + "id": 23695, + "tgt": "I have dengue from three days. When should I go to the hospital?", + "src": "Patient: Hi doctor, I have dengue from the last three days. The\u00a0platelets have dropped from 197 to 129 today. I have the\u00a0following questions:\u00a0My fever fluctuates between 101 to 104 despite having Paracetamol. Is that\u00a0normal?\u00a0Also, when should I get admitted to the hospital?\u00a0When does the body start producing or rising its platelets?\u00a0I feel the very reason we do fluids therapy is for the\u00a0body to do it on its own. Correct me if I am wrong.\u00a0Any help will be much appreciated. Doctor: Hello. Hope this helps. Please feel free to ask more if you need further assistance. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27329, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16345, + "tgt": "I got tested for rubella thrice and received different results. What can be done now?", + "src": "Patient: Hi doctor, I am a 32-year-old female. Recently, I got tested for rubella. I checked it in three places, and they showed different results. I am testing it as I am willing to get conceived. My first test result showed IgG of 6, and the other result showed IgG of 5. All the three results showed a negative IgM. When I was 11 years old, I got a vaccination for rubella twice. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory reports, one thing is clear that you are not immune to rubella as the titers of IgG are below the required level. You are in a safer zone as you have appropriately vaccinated in childhood. In rare cases, due to numerous reasons, we do not develop complete immunity. Do not plan for pregnancy now. Get re-vaccinated again, check the titers and then think about conceiving." + }, + { + "id": 2217, + "tgt": "My 9-month-old baby, though active, is not sleeping throughout the night. Please guide me", + "src": "Patient: Hi doctor, My son is 9 months old and weighs about 8.5 kg. He has reached all his milestones in time. But the problem is he does not sleep well at night, maximum at a stretch it is only one hour. He keeps walking up and only a bottle can soothe him. During the day he is active but nights are really tough. He does not wake up completely but will be crying in his sleep itself and can soothe only with a bottle. Please suggest something with regard to this. Doctor: Hi. Do not worry. It is a common problem among children aged between 6months to 2 years. Baby is asking for the bottle because it pacifies him. So to put him to sleep follow these steps. 1. Wake him up at morning 7 AM. 2. Do not allow the baby to take more than two naps per day. Each nap should be less than two hours. 3. Avoid all screens and gadgets. Screen time should be less than half an hour. 4. Give him a warm bath at night before going to bed. 5. Rocking motion that is cradle helps to make baby sleep better. Put him in the cradle. 6. Usually, babies wake up at night due to short sleep. You can make routine by putting him to sleep without picking him up. You can give the bottle once or twice during nights. 7. Engage the baby in physical activities in the morning like making baby crawl or creep. 8. Light should be dim at night and you have to make him see early morning sunlight because it resets clock in the body. 9. First try all this. If it does not help then I will prescribe a hormone. Behavioral." + }, + { + "id": 28447, + "tgt": "I am bleeding after four days of tonsillectomy. How to manage?", + "src": "Patient: Hi doctor,I just had my tonsils taken out before four days. Today, I took a walk down the mall and started to bleed a lot from my mouth. I rush to the hospital, and the doctor asked me to rest. As soon as I got home, I tasted blood and spat\u00a0a\u00a0lot of blood again. What should I do? Doctor: Hi. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 553, + "tgt": "Please suggest a solution for severe pubic itching", + "src": "Patient: Hi doctor, I have been suffering from severe itching near pubic area and the skin turned black. Previously, I had pubic lice issue, which was cured using Permethrin lotion. I am currently using Flucort-C cream, but it is not effective. Please suggest some medicine for it. Thank you. Doctor: Hi. Revert back after 10 days to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 2851, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4672, + "tgt": "What is the best treatment option for wisdom tooth decay, extraction or restoration?", + "src": "Patient: Hello doctor, I am suffering from tooth decay of my third molar. Should I go for extraction? Or is there any way to save my tooth? Doctor: Hello. I understand your concern and I have studied your x-ray. (attachment removed to protect patient identity). The tooth is divided into the crown part and the root part. The tooth structure till the bone level from top is called the crown and beyond that is root. More than one half of the crown part is decayed and the decay had started penetrating the root part too. If you notice the x-ray, you could see the infection penetrated the root and weakened the adjacent bone too (the gap between the root and bone on the left side of x-ray). The infection has engulfed one of the roots completely. The ideal treatment for this tooth is removal i.e. extraction. If the same scenario occurred in a tooth other than the wisdom tooth i.e. the third molar, I would have definitely advised you to save the tooth. The reasons for advising extraction: The wisdom tooth is highly unstable and there are more chances of secondary infection even after a good root canal treatment. It carries out less than 5% of chewing. Extracting it will not make much difference to your chewing efficiency. Oral hygiene maintanance in the wisdom tooth area is highly challenging which caused your decay in the first place (our brush does not reach that far). Any treatment like fillings and root canal treatment in wisdom tooth may lead to jaw issues in the future because of its unstable nature. I hope this helps." + }, + { + "id": 4916, + "tgt": "What might be the reason for severe hair loss?", + "src": "Patient: Hi doctor, My mother is 5'2\" and she weighs 55 kg. She is suffering from severe hair loss. She had\u00a0ferritin test and the level is 29.10. Her hemoglobin level is normal. Please give me suggestion about this doctor. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27785, + "tgt": "Is my ANA result indicative of lupus?", + "src": "Patient: Hi doctor, I have started to experience weird sensations around my body after my father died three years ago. I would often get sudden stabbing head pains, numbness in face, painful and sometimes stiff fingers especially, after waking up. More recently, I get heart palpitations, which force me to cough to relieve. I have already been to multiple doctors about my situation, and they have almost all ruled it out to be a case of anxiety due to the loss of my father, but my symptoms have been getting worse. I fear that I may have another illness that is being overlooked. I saw a rheumatologist three years back, who diagnosed me as having myofascial pain. My results were ANA 31, ENA 19, and ESR 25. Please see the attached reports. After that diagnosis, I left to work on my stress levels with the help of Lorazepam (as needed). I went back to my GP recently to put my mind at ease. She ordered TFT, CBC, ESR, vitamin B12, RA latex, and ANA. The results are attached. ANA is now 64 (previously it was 31), ESR remains 25, which to me has always been concerning, but I did not get an ENA result this time. Should I be concerned? I am particularly concerned about lupus. Doctor: Hi. I have seen all the reports (attachment removed to protect patient identity). I hope that was helpful.\u00a0Regards. For further queries consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 22404, + "tgt": "What medicine can be taken for constipation?", + "src": "Patient: Hello doctor,I am feeling constipated from the last few days and cannot clear my bowel in the morning in one time. Also, I have to put pressure. Can I take some medicine? What diet should I take? Doctor: Hi. You need to avoid all constipating foods like baked food, red meat, maize-based foods, etc. Add more vegetables, salads to your diet. Keep yourself well hydrated with around 2 to 3 liters of water daily. You can take syrup Cremaffin plus (Sodium picosulfate, Milk of Magnesia, and Liquid paraffin) 20 ml at bedtime for three days. You need to consistently follow the dietary measures to maintain good bowel movement. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16278, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11803, + "tgt": "What can be used for vernal conjunctivitis other than Cromolyn?", + "src": "Patient: Hello doctor, I have eye allergy from the past 15 years due to vernal conjunctivitis. I am under Cromolyn 0.4 % for it. Kindly advice. Doctor: Hello. Along with Cromolyn, start Moxifloxacin plus Loteprednol eye drop four times a day for three days. Taper it to two times a day for the next five days. Then taper to once at bedtime for the next five days. Also, start Refresh tears eye drop every two hours continuously for a month" + }, + { + "id": 21885, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6018, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 12184, + "tgt": "My wife is suffering from severe stomach pain and bleeding after taking abortion pills. Kindly advice", + "src": "Patient: Hello doctor, My wife is two months pregnant. As she got pain and a little bleeding, we consulted a doctor. The doctor told that one is unhealthy, so she advised for abortion. We took one tablet and the next day she gave four pills. Two she inserted inside the vagina and two to take orally. After that, she got bleeding and severe stomach pain. Already 24 hours over but still the bleeding and pain have not stopped. When I informed this to our doctor, she advised us to get hospitalized for abortion. What can we do? Doctor: Hello. Stomach pain is a usual side effect of abortion pills. For that, your wife can take simple pain killers such as the tablet Buscopan or Spasfon. Secondly, bleeding happens just like periods or maybe heavier and may last for 8 to 10 days sometimes. If you feel that she is bleeding heavily, then you might seek medical help, and get her admitted. Otherwise, you must wait for 2 to 3 days, and bleeding will become lighter by itself. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." + }, + { + "id": 320, + "tgt": "I accidentally took double dose of Levothyroxine and facing some side effect. How to proceed further?", + "src": "Patient: Hi doctor, I have hypothyroid for many years and I am having daily 75 ug dose Levothyroxine medicine but last Friday I took 150 ug dose by mistake and after that, I started to have joint and bone pain and my heartbeat becomes higher and I am nervous about what to do now? Should I continue with 75 daily? Or any other help or recommendation to proceed? Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from hypothyroidism for the last seven years and your current medication is Levothyroxine 75 micrograms daily, but last Friday you took double dose of Levothyroxine that was 150 micrograms and felt nervous with increased heart beat and joint pain. At first let me ensure you that taking an extra dose of Levothyroxine by accident is unlikely to harm you. You get side effects such as rapid heart beat, chest pain, sweating, nervousness, etc. They may not develop at once, it may be several days before they come on. These side effects that are resulted from over dose will be subside over time and basically no treatment is needed. Normal range for TSH level is 0.4-4 mU/L.so your recent TSH level is within normal limit. As your last year TSH level was 0.55 mU/L and recent result is 2.6 mU/L which is within the normal limit, so continue your current dose of Levothyroxine. No dose adjustment is needed. Now you are suffering from weight gain, puffy eyes, hair loss, etc., if these are resulted from the side effects of Levothyroxine then they will be subsided soon. Please monitor your blood pressure and do investigations like with CBC (complete blood count), RBS (random blood sugar), and S.creatinine level to exclude other causes." + }, + { + "id": 1288, + "tgt": "What are the ways to manage gas formation in stomach?", + "src": "Patient: Hello doctor, Yesterday in the evening I felt strong heaviness in my stomach and gas started forming. Stomach seems to be full without eating anything . Light pain also started. Today morning also no clear stool, no choice to take food, hence, only some fruits taken in breakfast. Presently also stomach feeling full of gas. Light pain feeling in the morning. I have taken one tablet of gas in empty stomach. Rabiprazole with Domperidone. What to take for relief since office hours has started and I want to be fit. Doctor: Hello. I can understand you had a terrible time due to this problem since yesterday. The gas production in bowel is a normal phenomenon and majorly produces on its own given the number of gas forming bacteria within human gut; however, there are certain foods and environmental triggers that can increase the gas production. Foods containing cereals grains such as wheat, corn, maze, barley, oats, millets, and milk. Cauliflower and many others that even you can find out yourself. So your symptoms and just an overnight onset with worsening intensity suggest you probably have one of these gas producing food a day before yesterday. If you can find out the foods that make you feel gas; then it would be very easy to omit that diet from your diet and go well. It is fine to continue with the Rabiprazole for now, but I want to substitute another medication over Domperidone. Tablet Digestine 40 mg once daily before meals, you can increase the dose to twice daily before meals if you dont feel improvement in next 48 hours. Gas and bloating I can consider testing you thoroughly if your symptoms remain for a week or so and does not improve with the medications I prescribed. SIBO Follow up in 3 days to update me how you doing" + }, + { + "id": 2269, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25368, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12933, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28430, + "tgt": "Can stress cause mild chest pain?", + "src": "Patient: Hi doctor, I am a 24 year old male, who weighs 80 kg and I am 6 feet tall, and I have no previous cardiac problems. I have a slight chest pain, almost like the type caused by grief. I work a lot, especially over the\u00a0last month. The pain has been on off all day since two weeks. I do not want to waste my time going to the hospital, and people keep telling me that it is stress. Should I go to the hospital? Doctor: Hello. I understand your worries, but there is absolutely nothing to worry. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23621, + "tgt": "Kindly review MRI taken for chronic shoulder pain", + "src": "Patient: Hello doctor,I have a chronic right shoulder pain, especially when lifting up an arm or moving arm sideways. I have discomfort when resting on my right side in bed. Also feeling a slightly loose shoulder or detached arm when rotating the arm, and the occasional feeling of nerve pinching, although no paralyzing pain. I would appreciate if you could kindly review my right shoulder MRI images, for a second opinion. I have had this issue for many years, but it appeared when exercising or under heavy restraint. Presently, it only takes a swift or unconscious movement or light load to feel discomfort. I have started with Aceclofenac 100 mg twice a day, one week ago, as per doctor\u00b4s advice, although he mentioned that it was not standard practice for chronic cases. Doctor: Hi. Your shoulder MRI (attachment removed to protect patient identity) is not showing any serious concerns but there are some areas which might be causing mild pain and discomfort during movements. In the coronal images, there is likely early degenerative changes in the distal supraspinatus tendon which shows mild thinning of the muscle tendon. There is slightly decreased fat between the acromion and supraspinatus tendon and it can cause mild pain and discomfort with lifting the arm. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 2291, + "tgt": "I have small lesion on my groin area with irritation and little pus. Can this be STD?", + "src": "Patient: Hi doctor, I have small lesions near the groin area. I just noticed this three days ago. It is not very painful but a little irritating with little pus. Doctor: Hello. I have seen your query and the image as well. (attachment removed to protect patient identity). I need to know some more details about your problem that will help in appropriate management. Do you have diabetes? Do you have a fever? Did you get any injury, trauma there or a bite? Or it just started as a boil and further had pus and all? Kindly get back with the above details in order to modify treatment if required. Until then follow the following management: 1. Wash the area with warm water and soap two to three times a day. 2. Avoid spreading the pus in nearby area that may increase the wound. 3. Apply warm compression if very painful. 4. Apply topical antibiotics ointment like Mupirocin or any that is available in your country. 5. Oral antibiotics tablet Augmentin (Amoxicillin and Clavulanic acid) 625 mg twice a day for three days. Review with above details." + }, + { + "id": 23767, + "tgt": "Having pain in left ovary, and it increases during exercise. Is it ovarian cancer?", + "src": "Patient: Hi doctor, I am a 33 years old female, and I have had three c-sections and normal regular periods. My menstrual cycle three months back was short and lighter, and I ovulated about a week early. I noticed some pain, which almost reminded me of implantation pain. This continued on and off with pain and twinges. I thought maybe I was in early stages of pregnancy. Then I started having pelvic pain and lower left ovary area pain, which continued throughout the week. When I would push to have a bowel movement it hurts. I really thought I was pregnant. The fullness and achiness reminded me of early pregnancy. My most recent period was three days late. I went in and saw my OB yesterday. He did an exam and a transvaginal ultrasound, and he said everything looked fine. He tried to recreate the pain by touching some spots. Ever since then, my ovary pain on the left has been through the roof. What is going on? I am terrified I have ovarian cancer. Would he have been able to tell yesterday? What else could be going on? It hurts right around the ovary area and in the groin crease area. Doctor: Hi. After undergoing three cesarean sections, it is quite possible to have intra-abdominal adhesions. Which may give rise to intermittent pain associated with the bowel movements. Hope your bowel habits are regular and you do not have a problem of sticky stools. As there are multiple organs inside an abdomen, other causes of such pain should be ruled out. Hope this advice helps you. Take care and get back to me in need. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22247, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20267, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 650, + "tgt": "I have pain in the bones and joints of hand and feet every morning. Why?", + "src": "Patient: Hello doctor, I have pain in the bones, joints of hands and feet especially in the morning upon waking up. It has been consistent for the past couple of months. Please help. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). There is a high RA factor and low vitamin D. I would like to take a few more details on the history part. But it would be better if someone can examine the joints as it is a long treatment which patient will need. So she should be examined properly before commencing the drugs for it. Does she have early morning stiffness? If yes, then for how long? Any dry eyes or dry mouth? Any oral ulcers? Any hair fall? Any recent changes in mood with irritability? Any history of tending to forget things early?" + }, + { + "id": 2654, + "tgt": "I have a tiny abnormal growth around the vaginal hole. Please help", + "src": "Patient: Hello doctor, I have an abnormal skin growth around the vagina. They are tiny and white in color. They are only around the vaginal hole. Doctor: Hi. I need to see some pictures. How many numbers, size, redness, swelling? It can be many things from allergy, warts, skin tags, tumor, etc. Some times we need to send a biopsy of the grown skin to confirm the diagnosis and do treatment accordingly. Allergy can goes off as the allergen contact decrease. Warts may require cryotherapy like treatment. Skin tags and tumor may require surgery. Give some more details about the growth. Since when it occurs? Is it increasing or not? Painful? Other related histories?" + }, + { + "id": 3656, + "tgt": "I get continuous cough during certain periods with allergy to dust and smoke. Please help", + "src": "Patient: Hello doctor, Every year during summer and winter, I face problems with continuous cough (irrespective of the type of food I consume). I am having an allergy to both dust and smoke. I got a lot of gas generation and irregular motion again irrespective of the food I take. I am a 51-year-old male with a family history of asthma. I am not under any medication. Doctor: Hi. Such type of cough is called allergic cough which occurs in a particular time. Gas formation is due to irregular bowel habits. Advice: Hot saline gargle before breakfast, lunch, and dinner. Stop fried things, it enhances the problem. Are you hypertensive? Check out your blood pressure also. Treatment: Tablet Azithromycin 500 mg once every day for three to six days, Nexpro RD 200 mg one before breakfast and dinner, Esmoprezole plus sustained released Domperidon for three days one before breakfast for five days or whenever required. For irregular bowel habits, take one bowl of salad in the morning and evening. Add curd in lunch. Take buttermilk in the afternoon it is very good for health. Take husk Isabgol three teaspoons full at night with milk. It is a herbal remedy good for the intestine also. It forms a slimy layer and protects the mucosa of the intestine. You can take it in the morning also. Cough syrup again produces irregular bowel habit. Amrodil-plus one teaspoon full at night is sufficient. I hope this helps." + }, + { + "id": 7346, + "tgt": "What could be the cause for pain in the soft palate during swallowing?", + "src": "Patient: Hello doctor, For the last almost three weeks, I am having a pain in the lower right-hand side of the soft palate while swallowing saliva (or while swallowing on empty, without food. It does not happen all the time, but it is frequent. When I swallow food or liquid, there is no pain. I feel that the pain originates somewhere behind the skin of the soft palate, or within the soft palate itself. When touching that region with my finger, there is no pain. I do not see any redness in the back of my mouth, and generally, I do not see any irregularities. However, this is not a doctor, but me viewing. Also, I noticed that the arc of the right-hand side soft palate is a bit dropped compared to the one on the left-hand side. I do not know if this condition was present before (I never paid attention to that) or is something that I have for a while, or since birth. I am 51 and have regular yearly medical exams (complete blood work, biomarkers, abdomen, prostate, etc.). I do not take any medications. So far, I have been a healthy man. Any advice is welcome. Any suggestions on what to check, look, or do, too. I am asking for advice because I do not have at the moment medical insurance. I will be back at home in three months. Doctor: Hello. I have seen the pictures, and your oral cavity seems to be normal. Can you highlight the area where you have pain? Do you have acidity? Generally in any infection of the oral cavity or larynx pain is more while swallowing saliva than swallowing solid bland food or liquid. So if you have a mild infection, you will not have much pain or any pain while having food. Also, let me know if the pain is associated with the diurnal variation. Any complaints of the dry throat or dental infection? Did you get your sugar levels checked recently? If yes, do let me know the values. Do you consume alcohol, tobacco?" + }, + { + "id": 8650, + "tgt": "Is it normal to get unpleasant smell in the extraction site?", + "src": "Patient: Hi doctor, I just had a tooth pulled. There is an unpleasant smell with a green slimy stuff\u00a0in the extraction site. Is that normal? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2473, + "tgt": "My niece has severe ear pain with slight bleeding. Kindly suggest medication", + "src": "Patient: Hello doctor, My niece's ear is paining a lot. A few days ago, she has inserted her finger insider her ear which might have hurt her. She also bled twice. Now the bleeding has stopped but the pain is still there. She is taking pain killers since no doctors are available due to lockdown. Kindly advise as to what might have happened and also suggest some medicine. Doctor: Hi. Is she having a cold or cough? The ear pain can be due to ear infection due to cold and cough. Did she hurt her ear canal?" + }, + { + "id": 24185, + "tgt": "Why is there pain in leg and restlessness in an alcoholic?", + "src": "Patient: Hello doctor, My brother is an alcoholic. He has been drinking from past six to seven years. I had convinced him to take certain medical tests. One test was conducted four months back and the second test after four months. During the first test, he was drunk the last night and the sample was taken the next day in the morning. During the second test, he drank two days before the sample was taken. We have not gone to the doctor now. He complains about pain in the leg and sometimes about restlessness. He is not healthy as he sometimes weighs less than 60 kg. He does not eat much. Earlier he stopped drinking for two months because his father came to live with him. But, when his father went away, he again started drinking. We want to know what these reports indicate. Doctor: Hello. I went through your post and investigation (attachment removed to protect patient identity). The person in question has transaminitis (raised liver enzymes) which means there is some minimal necrosis of liver cells on a daily basis which in long run over a period of 10 to 15 years may cause significant liver damage and result cirrhosis. So one needs to start taking care today. He should go for a fibroscan of the liver to see at what stage the liver is. He has to stop alcohol and do some amount of daily exercise. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 17737, + "tgt": "Is it safe to pair Gabapentin with Metoclopramide?", + "src": "Patient: Hello doctor, I suffer from chronic migraines, and I take Gabapentin, 1800 mg daily for prevention. Recently, a GP recommended Metoclopramide, 30 mg daily to help with nausea, but I have yet to take it, as I am concerned about the combination. Is this a safe pair of drugs to use together?\u00a0Thank you. Doctor: Hi. I read your query and understand your concerns. I hope this answers you.\u00a0If you have more questions feel free to write back to me.\u00a0Thanks and regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7698, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 6430, + "tgt": "What causes red sputum while coughing?", + "src": "Patient: Hello doctor, My father is 59 years old now. Three years back, one day early morning my father started to cough and when he spit, the color of the sputum was dark red. Sometimes, later he started to cough and spit blood with the sputum. We took him to the hospital and after the test of endoscopy, the doctors said that my father had cirrhosis. Then he never used alcohol. Now he takes regular medicines and checkup. Later after a few months, when he coughed the color of the sputum was dark red. Again some blood was coming with the sputum. The doctors said that it was not because of the cirrhosis. But, now his weight gain and belly fat is also increasing. And nowadays, he coughs more. Can you please tell me some tips to take care of his health. Doctor: Hi. First of all, when he had coughed before, and he was diagnosed with liver cirrhosis, that is because of gastric varices which he might had developed, and now as you were saying that doctor has said he does not have blood due to cirrhosis, that means he has developed some other pathology. For proper diet plan and his treatment, first I would suggest that you should do one ultrasound of liver that is called fibroscan, get it done and send me the reports. Secondly, you need to get his endoscopy done again and one digital chest X-ray. Once these reports are done, send it to me all the reports along with your query. You must stop all oily food, must keep checking his sugar levels. He should not develop diabetes and if he will then stop his sugar intake, give him more soups and boiled food items only, always avoid raw food like salads and stuff. For cough, you can give him tablet CCGO one tablet twice a day for five days. The tablets can be increased more once I get proper reports to study. Do not worry and take care." + }, + { + "id": 20356, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12900, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26406, + "tgt": "I have a sticky throat always. Is it a major issue?", + "src": "Patient: Hello\u00a0doctor,I have a\u00a0sticky throat always. I feel mucus is stuck in the\u00a0throat. There is no pain. I can easily swallow. Doctor: Hello. If mucus is coming from your nose to the throat, then you seem to have sinusitis. Do you have a blocked nose, headache or excessive sneezing? Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18076, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26160, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12789, + "tgt": "Can I take Gaba plus tablet for lower back pain?", + "src": "Patient: Hello doctor, I had driven the car for almost 1700 km in the five days duration. From last week onwards I am getting lower back pain on the right side. Today I visited the local orthopedic. They suggested to use ECT Forte tablet twice a day and Gaba plus containing Gabapentin 400 mg and dosage is one tablet after dinner. Is that Gaba plus tablet safe to use for lower back pain? Kindly suggest. Doctor: Hello. Yes, Gabapentin is pretty safe. The usual side effects are that you might get some dizziness for the first 2 to 3 times that you took the tablet. Also, nausea and vomiting are other common side effects. But overall it is a safe tablet to take. So, I would advise you to continue the treatment. You would also need some physiotherapy once the pain settles down." + }, + { + "id": 1215, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30887, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28362, + "tgt": "Is an anion gap of 20 mmol/L bad?", + "src": "Patient: Hello\u00a0doctor, I am a 32 year old\u00a0female,\u00a0and I went to the ER four days back for SVT. Apparently, my anion gap was 20 mmol/L. Is this bad? The BUN was less than 3, ionized calcium was 1.11 and low creatinine. I am freaking out as no one went over the results with me. I have had four cases of SVT recently, and I am now really worried about these test results. Doctor: Hello. Firstly, low BUN (blood urea nitrogen) and creatinine levels are not a matter of worry. Normal BUN range is from 2.5 to 7.1 mmol/L. Also, ionized calcium is a bit lower but still normal. Anion gap is high, but it has got significance if you have acidosis as well low pH. If you read it on a printed ABG (arterial blood gas) or VBG (venous blood gas) report, then it is inaccurate most of the times. Also, creatinine and BUN report on the printed report are rarely accurate. So, nobody usually pays attention to that. And if the clinical scenario is suspicious, then assays are done and anion gap is calculated manually. Next, regarding SVT (supraventricular tachycardia), it is probably not related to your above reports. It is arrhythmias caused by extra pathways in the heart. They are rarely life threatening but cause symptoms. There are two options as follows. It is better if you can upload ECG showing SVT, so as to know what type of SVT it is. Hope this helps you, and get back if you have any doubts. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6259, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21936, + "tgt": "What precautions should be taken for dog bite?", + "src": "Patient: Hello doctor, I have been bitten by a dog which is regularly vaccinated. So, what precautions should I take? Can you please let me know the diet for food or something else, please. Doctor: Hello. I have reviewed your query and here is my advise. You have been bitten by a dog, so tetanus toxoid and rabies vaccine can be taken for that to prevent tetanus and rabies. But as you said if you are sure that dog is fully immunized with rabies then no need to take the vaccine. No dietary restriction needed. You can eat everything. If a wound is present because of the dog bite then it should be kept clean by a regular dressing. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5783, + "tgt": "Can long term use of Levobren cause death?", + "src": "Patient: Hi doctor, I am writing about my mother who died 22 days back at the age of 76. For nearly ten years, she suffered from bronchiectasis and was treated with Cortisone. Five years back, because of a general illness (insomnia, tremors and loss of appetite) we went to a few specialists such as dietician and homeopathy doctor. After several failures, he prescribed the Levobren that my mother took in the dose of 15 drops per day. My mother took the drug continuously for a year and a half. After six months from beginning, she could not move the fingers of her right hand and this paresis gradually extended to the arm. In addition to this, she spent most of the day sleeping and she was in a state of mental confusion with low emotional and impulse control. After a geriatric hospitalization last year, it was denied that she suffered from Alzheimer's and was recommended a neurological examination. The neurologist, seeing that she was taking the Levobren from three years, was alarmed and suspended it. My mother was hospitalized in the neurology department where she was diagnosed of motor neuron disease. We decided to start a course of physiotherapy which initially seemed to give results, but then the paresis started to extend from the arm to the right leg, while the left part had no problem. Last month, due to a general illness, loss of swallowing reflex and aphonia she could not maintain an upright position and to presumed aspiration pneumonia, she was hospitalized and she died. Taking into account that by specialist examinations made after the first neurological examination no one has ever confirmed the motor neuron disease, and no one knew how to cure her since she was not included in the protocol of no diagnosis. I would wonder if all this could be caused from taking that drug. I am still clueless as to why my mother died? Doctor: Hi. Sorry to hear about your mother. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29054, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20774, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20005, + "tgt": "Why am I devoid of quality sleep?", + "src": "Patient: Hi doctor, I am on CPAP for two years and my AHI is in normal limits. But, the quality of my sleep is not good. My body and brain are not at all relaxing during sleep. I have aching muscles. Please guide. Doctor: Hello. It seems that you might have developed some sleep issues mounting for insomnia. As you have mentioned that you are using continuous positive airway pressure (CPAP) and your apnea-hypopnea index (AHI) is well maintained, this sleep issue might be related with some underlying psychological issues. Underlying anxiety or mood related issues can escalate such kind of sleep disturbances. Also, sleep issues can lead to physical burnout and can precipitate the psychological issues. Hence, a timely intervention should be done to prevent such psychological issues from developing. If you feel like having any such psychological issues, do provide the details. Also describe your sleep issues in detail, so that it can be dealt effectively. Revert back with the details to a sleep medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 11613, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5487, + "tgt": "Is there any treatment in Ayurveda for pinhead sperms?", + "src": "Patient: Hello doctor, My husband has a problem with pinhead sperms. Is there any treatment in Ayurveda? Please suggest. Doctor: Hello. The pinhead is due to the absence of the DNA material within the spermatozoa (sperm). Thus, a higher number of pinhead sperm are not favorable for conception. Only one healthy sperm is going to reach the ovum, to get a baby. So, even with less healthy sperm, conception is possible. Both husband and wife should be equally healthy enough to get conception. For your husband, traditionally, we give gold, Ashwagandha, and zinc-based polyherbal drugs. At the same time, you also can consume aloe vera based drugs. So, I advise the following for your husband. 1) Capsule Rathina purush one in the morning and one in the evening. Continue till pregnancy get success. 2) In diet, he can take pure cow milk, cashew nuts, sprouted green gram, groundnut, other edible seeds, and drumstick as a vegetable. 3) He should avoid tea, coffee, smoking, chicken, alcohol, and packed foods, fruit juices and soft drinks strictly. All these damages the sperm. 4) Should not wear tight jeans pants. Should not get exposed to continuous heat and radiation sources, these things will reduce sperm quality. 5) Weekly once apply sesame oil to the whole body and head. Wait for one hour and then take a bath in warm water. 6) Daily before bed, take normal water (not cool or not hot, it should be in medium level) or mild-warm water in a tub. Sit in this water by dipping buttocks and genitals within this water. Sit for half an hour. Then come out. My advice to you: Tablet aloes compound two tablets in the morning and two in evening after food. Continue this tablet until you get pregnant, stop in between during menstrual days. Note: a) I hope you had done all the tests for infertility to you and your husband. If any varicocele in testis or hydrocele, that is to be corrected. b) For you, the ovulation, endometrial thickness are important. c) There are a lot of healthy couples with normal lab report, without a successful pregnancy. So, I would say that the baby is nature's gift and that you get when the couples have positive thinkings (positiveness in life and mind). So, please keep your mind positive with hope." + }, + { + "id": 19441, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5291, + "tgt": "I suffer from severe headache, nausea and vomiting which does not subside on medication. Why?", + "src": "Patient: Hello doctor, I suffer a lot from headaches. Sometimes I have this pain on my whole head, but one side pains more. Sometimes I just have this pain on the back of my head. My neck and everything just pains I cannot even keep my eyes open or put my head down, or sleep. I have these headaches almost every day it is like off and on the whole day. Sometimes I spew, or I feel nauseous. I only take strong tablets like Syndol, Myprodol, Pynstop, and Damadol. But sometimes these pills do not work for me. I do not take Panado, Disprin or Grand-pa, it does not work for me and makes me spewy like. I would like your doctor's advice because these headaches have been going on for a very long time, and every year it is getting worse. Is this serious? What can I do about this? What type of headache is this? I know taking so many pills is not good. Please advice. Doctor: Hello. If you would have presented to me as an outpatient, I would have advised you to do mental relaxation exercises, yoga, and meditation. If I am asked to make a clinical diagnosis on the basis of medical history, I would say tension-type headache (TTH) without any doubt. Headache at the back of the head with associated neck pain, inability to put the head down and difficulty in getting sleep all are very classical for TTH. Meditation and yoga will definitely help if it is TTH. Regarding drug therapy, my advice is to stop all the current medications you are taking and start taking tablet Tryptomer (Amitriptyline) 25 mg half tablet for initial two days and then full tablet daily while going to sleep in the night. Please take the medicines under the guidance of a physician only. I hope this helps." + }, + { + "id": 11050, + "tgt": "Does nerve fiber and ganglion cell thinning in OCT indicates angle-closure glaucoma?", + "src": "Patient: Hello doctor,I concern that I have angle-closure glaucoma. I took a strong sleeping pill called Trazodone one night and woke up with a decreased vision in the right eye. My left eye became bad three weeks later. It has now been three months with no improvement. Fundus and other clinical examinations are normal. However, an OCT showed nerve fiber thinning and ganglion cell thinning. Doctor: Hello. I reviewed your reports with patience. OCT (optical coherence tomography) of optic nerve head is normal. Your vision, color vision, visual field, and intraocular pressure are normal. I do not think you have any glaucoma. Please feel free to ask your queries." + }, + { + "id": 23432, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10158, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23826, + "tgt": "Can diabetic medicine cause rise in creatinine level?", + "src": "Patient: Hello doctor, My aunt is 44 years old. Her reports are plasma glucose is 119 mg/dL, blood urea is 61 mg/dL and serum creatinine is 3.0 mg/dL. Doctor has told that, the medicine she has been taking for sugar is affecting her kidney. Please provide some advice. Thank you. Doctor: Hi. I would like to know whether your aunt is a long-standing diabetes patient. Diabetes mellitus is a condition where ones sugar level is higher than normal and need to take medicines to bring to normalcy. If she has been a long-standing diabetes patient kidneys can get affected by diabetes itself. Diabetes Mellitus. 1. Urine routine examination. 2. Ultrasound kidneys. 3. Eye checkup for diabetic retinopathy Revert back with detailed information to a nephrologist online.--->https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 28170, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23829, + "tgt": "What treatment can I opt for high degree of corneal opacity?", + "src": "Patient: Hi doctor, I am a 45 year old male. 25 years ago, I had radial keratotomy on both eyes. After a year, I had for the second time in my left. Later, BCVA in left became 9/10 and right 10/10. Now over a month, I am experiencing a blurry vision in the left with occasional headache and left eye pain. Three\u00a0weeks ago, I had an eye examination and the left eye vision was 4/10 and right 9/10 not correcting both with glasses. My doctor informed me that there is a higher degree of corneal opacity in the left\u00a0eye and less in the right. He also saw a coloring matter in the cornea. The RK, 4 incisions, were performed at the age of 16 and now I am 45.\u00a0My doctor told me that my blurry vision is due to abnormal cornea and the only solution for my case is to try to fix the vision with contact lenses. The results were negative when I tried all kind of lenses such as scleral, soft, hard, etc., the left was only 6/10 and 9/10 right. My profession is an airline pilot, so I need the best results possible in order to continue flying. Now, my medical certificate is suspended. My doctor said that there is no chance for PTK or corneal transplant. What treatment can I opt for? I have attached my investigation reports, so you can have a better understanding of my problem. Any suggestion will be helpful. I would like to know, is there a chance of glaucoma? Thanks and looking forward for your response. Doctor: Hi. I have gone through the pictures of your old records (attachment removed to protect patient identity). By your description, I understand you have some idea about your condition. It looks like irregular astigmatism. This might have developed due to weakening of cornea, which is common after radial keratotomy (RK). This causes distortion of the image like irregular lens. RK might also cause some scarring of the cornea, decreasing the transparency. This is not appreciable in the scans but seen on slit lamp examination or eye pictures. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25774, + "tgt": "There was no ejaculation inside me. Can I still get pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex with my partner a week ago. He did not ejaculate inside me. But, I had still taken an I-pill after about two to three hours of having sex. I still have not got my periods. What should I do? Am I pregnant? Should I wait for some more days? My periods were due a week ago. Please help. Doctor: Hello. Yes, it is better to wait for about one week. If your pregnancy test is also negative then there is no need to worry as you have taken precaution well in time. The medicine for postponing can also delay your periods and more dose after taking emergency contraceptive pills. So get one test done and wait and watch. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27995, + "tgt": "I have some eruptions on the skin of my pubic area. What could they be?", + "src": "Patient: Hello doctor, I am having these hard clusters of bumps show up in the pubic region. The bumps are not razor burn. They are not filled with fluid. They can be cut off, but I want to get to the source to remove them. They do not itch, nor do they hurt. Any help would be appreciated. Doctor: Hello. It could be molluscum contagiosum or folliculitis. A skin biopsy would help to diagnose. Do you have a history of unprotected sexual exposure? Do not touch or prick it. It can lead to a secondary infection. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15630, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15191, + "tgt": "Is it advisable to give Paracetamol with Dolowin Plus to a child for fever?", + "src": "Patient: Hello doctor, My daughter has a fever for the last two days. She has tonsils. The doctor has given half Dolowin Plus twice a day and Ziprax 100 DT twice a day. Yesterday she had 103 fever. Fever does not come down by Dolowin Plus. So I gave Meftal P 100 mg. But in the night and the day she did not have fever. But now again she has 102.4 fever. Can I give PCM with Dolowin Plus? Doctor: Hi. I can understand your concerns. Dolowin plus has already got Paracetamol in it so there is no need to give Paracetamol with Dolowin plus. You can give Dolowin plus every four hourly if fever persists. If there is a fever in spite of giving it, then cold sponging of the child should be done. If fever persists then Widal test and malaria antigen test and complete blood count should be done." + }, + { + "id": 30393, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 20979, + "tgt": "I have noticed blood in urine and painful urination. Please tell me the treatment", + "src": "Patient: Hi doctor, I am married and have no baby yet. A year ago, for the first time, I noticed blood in urine and painful urination. After two days of intercourse, I face this problem. When I was 14 years old, I suffered from hematuria. I took Pause, Mix 500 and Alkasol for relief. Please tell me the treatment now. Doctor: Hi. It is a urinary tract infection, mostly cystitis. It occurs due to unhygienic peri genital condition. In order to prevent UTI keep your perineal area clean like cleaning after intercourse and daily cleaning of the area during bathing. For the cure, you will need an antibiotic for a week. First, you should get urine routine and microscopy test done to confirm the infection. You should also get an ultrasound done to confirm cystitis and rule out other causes of bleeding. Then you will need antibiotic like tablet Nitrofurantoin 100 mg twice a day for a week along with antacid like tablet Pantoprazole before breakfast once a day for a week. I suggest you syrup Cital or Alkasol (Disodium hydrogen citrate) two teaspoon in half glass of water thrice a day for pain. Also, for pain I suggest antispasmodic tablet Tolterodine 2 mg whenever needed for up to two times a day, especially if syrup is not helping. Also, you should drink plenty of water. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13646, + "tgt": "Is it fine to take Metronidazole and Tergynan during pregnancy?", + "src": "Patient: Hello doctor, I am six weeks pregnant. Before knowing that I was pregnant, I was treated for recurrent bacterial vaginosis with Metronidazole orally and Tergynan vaginally for a week approximately on weeks 4 to 5 of pregnancy. How it can harm my baby? Cause I heard that it is contraindicated in first trimester. Doctor: Hi. There are medications those can be advised in pregnancy as, during the antenatal period, many symptoms could occur that need to be treated. Metronidazole can be advised in pregnancy. So, do not worry and Tergynan is also antifungal antibiotic and it was advised locally, so acted locally. Actually, medications are better to avoid in the first trimester as basic organogenesis occurs. So now continue Folic acid 5 mg daily and do have scans at 13 weeks for nuchal translucency at 20 weeks for fetal detailed anomaly scan and at 22 weeks for cardiac outflow tract to be on safe side. Do not get stressed. Metronidazole is not contraindicated in pregnancy and Nystatin can be used locally." + }, + { + "id": 19693, + "tgt": "I have a lump below Adam's apple with pain in throat. What is the problem?", + "src": "Patient: Hi doctor, I am a 33-year-old male. I am a non-smoker and non-drinker. I have a lump below Adam's apple. I have swollen lymph nodes with pain in the throat. The pain radiates up to the ears. There is a change in voice, hoarseness, and have difficulty in swallowing both solid and liquid foods. I have loss of appetite, breathlessness, and fatigue. CT scan with contrast was clear. I was given an antibiotic (Augmentin). But there is no relief. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your CT (computed tomography) scan is clear. Below Adam's apple, there is a thyroid gland, and a nodule in the thyroid is quite common. But the rest of the features suggests infectious mononucleosis. You need to do blood tests to rule out the disease. The lump is required to be examined in person for a proper assessment. But a loss of appetite and fatigue may favor a thyroid disease or infectious mononucleosis. You can take antiviral drugs like Valacyclovir and steroids like Wysolone to get relief from symptoms. But I recommend you get the diagnosis confirmed first. It is also called as kissing disease as it spreads through close contact. Take the medicines mentioned above. Tell me if you are relieved or not and then continue the medication further." + }, + { + "id": 24306, + "tgt": "I have a swollen red painful bump in my butt. Kindly help", + "src": "Patient: Hello doctor, A week ago I woke up with a very bad pain in my butt. I have a swollen red painful bump. I think I have hemorrhoid based on reading online symptoms. I tried preparation H cream and supposters, tuck pads, Cortisone cream, Aloe Vera gel but the pain did not go away. I cannot even pee. It is hard. Please help me. Doctor: Hi. It looks like an evolving perianal abscess than hemorrhoid (attachment removed to protect patient identity). You need to get clinically examined by a nearby surgeon to assess if it needs drainage. An ultrasound scan of perineum will help to rule out the underlying abscess. You need to start broad-spectrum antibiotics. Stop Cortisone cream. Also get your blood tests done including fasting blood sugar. Get examined by a nearby surgeon as soon as possible. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27913, + "tgt": "Can Xarelto increase AST and ALT?", + "src": "Patient: Hi doctor, I am taking Xarelto 20 mg daily for DVT from the past four weeks. My blood work shows increased AST, which is double than normal, and ALT, which is triple than normal. Should I take today's dose? I take a lot of medicines for different health conditions. I have attached the photo of my prescription. Doctor: Hello. Take care.\u00a0Hope this information will help you.\u00a0Consult your treating doctor and discuss all these issues.\u00a0Wish you good health. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11242, + "tgt": "Does high level of monocytes and platelets in blood test indicate cancer?", + "src": "Patient: Hello doctor, My blood test shows platelets and monocytes above the normal range. Is this a sign of cancer? Doctor: Hello. There are two types of thrombocytosis, primary and secondary. Primary thrombocytosis is a disease in which abnormal cells in the bone marrow cause an increase in platelets. Secondary thrombocytosis is due to another condition the patient may be suffering from, Increase of monocytes indicates there is a chronic infection, an autoimmune or blood disorder, cancer, or other medical conditions." + }, + { + "id": 9473, + "tgt": "What is the best treatment option for balanitis?", + "src": "Patient: Hello doctor, I am a 32 year old diabetic male. For the last two weeks, I am suffering from balanitis. I think this is because of\u00a0my high blood sugar level. I have difficulty in pulling the foreskin of my penis as it is very tight. There are small, white and red rashes present on the glans. Because of this, there are small cuts on the foreskin and it is very painful. I took Azax 500 and Metronidazole oral tablets as suggested by the doctor. I am applying Candid B cream for the last four to five days but have not got much relief. Please advise. Doctor: Hi. I read your query and understood your concern. Revert back after 15 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13444, + "tgt": "Permanent tooth is mobile after a fall in a child. Kindly help", + "src": "Patient: Hello doctor, My 9-year-old fell and one of her permanent teeth is now wiggly. What can I do? Doctor: Hi. If bleeding is persistent, give your kid cold packs of cotton on the tooth or make him eat ice-cream. If it is not suitable in this weather then put honey around the tooth. Once bleeding is controlled, now start with saline water mouth rinses. Take a cup of lukewarm water, add a 1/4th teaspoon of salt in it and rinse with it. Do these rinses 6 to 8 times a day, it heals up gums and helps gums to grow and bind to the root margins of the tooth. If after a day tooth is still mobile and mobility is grade 3 (severe mobility), take him to the dentist immediately. Meanwhile, keep giving your kid Brufen syrup eight hourly, three times a day for three days. It would be great if you can provide me with a video of mobility of tooth so that I can tell accurately will mobility be covered through rinses or splinting of the tooth by the dentist is required." + }, + { + "id": 26239, + "tgt": "From the past 1 year, I noticed hearing loss", + "src": "Patient: Hi doctor, I am a 43 year old male. I am suffering from\u00a0hearing loss\u00a0for the past one year. It is severe in the right ear and average in the left. I am facing many problems in office due to this. I visited a doctor and he diagnosed it as otosclerosis after some audio test. My elder sister has such problem. \u00a0She is 23 years elder to me. My doctor has advised microsurgery using titanium. What is the best treatment? Doctor: Hi. Otosclerosis is a disease in which the tiny bone of the middle ear gets fixed resulting in hearing loss. Unfortunately, there is no medicine to cure otosclerosis. There are two options for you. Surgical treatment entails removal of the stapes with prosthesis replacement. Patients who refuse surgery can be offered a hearing aid. For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 357, + "tgt": "Can Levetiracetam cause disturbance in sleeping?", + "src": "Patient: Hello doctor, Since after the holidays last year, I have had a hard time sleeping due to some external factors (light, noise, etc) as well as marital problems. Eventually, it got to the point where my hands started shaking again, I stated feeling numbness in my feet, my eyes move very fast sometimes--these are all symptoms I experienced when I was taking Phenobarbital and Phenytoin four years back, my neurologist changed the Phenobarbital with Levetiracetam, and together with Phenytoin, the combination worked very well until I started experiencing these symptoms due to the lack of sleep). Also, a weird sensation that I had, at one point I felt as if my brain was growing bigger and bigger inside the skull, and it got to the point where I was experiencing pressure and eventually headache. After almost six months of lacking sleep, I feel as when I was taking Phenobarbital and Phenytoin: I have problems getting an erection, I lack the energy, I feel sleepy throughout the day, and I experience all the symptoms which I only experienced with Phenobarbital. I really want to get back to how I felt when I started the treatment with Levetiracetam. Are there medications that could replace both Levetiracetam and Phenytoin--or maybe just the Phenytoin? Could the Phenytoin be taken out of the treatment completely? Please, help me. Doctor: Hello. I would like to know some details of your symptoms: 1. Since when you started to have epilepsy? 2. When you started to take anti-epileptic medicines? 3. Seizure details: What what happens during a seizure to you? Do you get aware of seizure just before it starts? How frequent are seizures (how many times in a month or year)? 1) Before starting anti-epileptics? 2) While taking Phenytoin + Phenytoin 3) While taking Phenytoin + levetiracetam? 4. Since when you started to feel lack of sleep/ weird sensations/ lack of energy? What other symptoms you feel these days? 5. How is your mood in day today activities/ appetite? 6. Do you have ever undergone MRI Brain and EEG and other blood tests? If yes, please send the reports and MRI films through DICOM software from MRI CD. 7. How many times in a day you taking Tablet Levetiracetam 500 mg 7 Phenytoin 100 mg?" + }, + { + "id": 29538, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 30412, + "tgt": "Do I need to get stitches for broken glass injury?", + "src": "Patient: Hi doctor, Last night, I accidentally cut my thumb on a bit of broken glass from a photo frame. It looks fairly deep. I think I could see my bone. As I could not go to hospital yesterday night, I have covered it with plasters. Do I need to get stitches? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29510, + "tgt": "Is it true that beta blockers are helpful in treating tremors?", + "src": "Patient: Hi doctor,I am 28 years old. I am suffering from the tremor. Initially, the tremor was not so severe and now, it is\u00a0severe with shaking hands and head. I came to know that beta blockers are helpful in curing it. Is that true?\u00a0Can you please suggest if there is any medication for it. Doctor: Hi. I read your query and understand your concerns. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24025, + "tgt": "I am suffering from eye floater problem. What can be done?", + "src": "Patient: Hello doctor, I am suffering from eye floater problem since four years, in which, I see grey shapes in front of my eyes and also observing headache. My left eye vision is -3.1, and right eye vision is -1.8. Doctor: Hello. You are near-sighted (myopic) person. Seeing floaters points to the fact that there might be early changes of vitreous degeneration in your eye which itself is not a problem but it may cause undue traction on your retina. Here is what I suggest: You have to visit a vitreoretinal expert ophthalmologist and you have to get a dilated fundus examination. We have to rule out any areas of weakness in the retina and if found, they can safely be lasered. Kindly refrain from contact sports and chronic weightlifting like going to the gym for the time being I suggest starting Nepafenac eye drops once at bedtime for the next couple of months. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5228, + "tgt": "What are the risks and succes rate associated with pilonidal cyst surgery?", + "src": "Patient: Hello doctor, I have a pilonidal cyst on tailbone and I would like to ask what are the risks? Success rate? How long do I have to be in the hospital? How long until I can go and work or be my normal self? Doctor: Hi. It is very evident from your query that you have got a pilonidal cyst. This condition is mostly common in male sex and more in hairy people. I will ask you a few questions and your co-operation will be invaluable. What is your profession? Do you have to drive for long hours and what is the duration of the swelling? This is very important because this condition is common in drivers. The hair from back or above natal cleft breaks penetrates through the skin causing cyst and it can get infected and cause a pilonidal sinus with serous or pus discharge. Surgery is the treatment. Now I will answer the queries one by one. There is no risk for the surgery as such if you have diabetes, the sugars have to be controlled. You have to make sure that you trim the hair over the anal region as I have already mentioned that it is common in hairy males. So if you do not trim your hair near the anal region it can recur. You should get X-ray sacral region to rule out osteomyelitis. Success rate 70 to 80 % depending on the size. You have to be in the hospital for 3 to 4 days. You can work normally after 7 to 10 days. You have to keep your anal region clean to avoid infection." + }, + { + "id": 17107, + "tgt": "I had runny nose and sore throat after protected sex. Is condom sex safe?", + "src": "Patient: Hi doctor, I had a protected sex with a spa girl ten days back and after three days I started getting a runny nose and a sore throat. On the sixth day of the exposure, I went to STD clinic. They asked me to do an HIV PCR DNA test and antigen-antibody test. Both came negative. However, after three days I was starting to get night sweats and diarrhea for three days. I was so worried and was not able to eat at all because of worry or it is a symptom I do not know. All the tests showed came non-reactive. My questions are as follows: Is condom sex safe? My test results are conclusive? However, after 31st day, I got four tiny pimples on my arm (opposite to elbow and two on chest). It looks like red but very small. Am really paranoid because of these symptoms. Nowadays am getting tingling in my feet it is just coming and going. Please help me. Doctor: Hi. The chances of transmission of HIV by protected intercourse is nil if the condom is used in a right manner. The HIV tests are repeatedly negative especially the PCR at 11 days combo or duo test after one-month exposure. With the given description and test results, the chances of tests coming positive later are nil. You are free from HIV. You can go for antibodies test as final conclusive results after three months of exposure. The lesions are not related to HIV. It may be simple allergies or irritation or dryness. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22483, + "tgt": "I am experiencing pain but stone has not passed. Should I see a doctor now?", + "src": "Patient: Hello doctor, I was diagnosed several months ago with bladder stones. Tests on stones indicated uric acid content also. I have been on Flomax, then one week ago started Avodart. Most days, I drink lots of water and sometimes coconut water. I pass stones every two or three weeks - different sizes. Within past 12 hours, I am experiencing lots of pain typical of when I am to pass a stone. However, the stone has not passed. Also, noticing blood in urine for the first time. I have passed urine about four times within the hour. I am aware that this is part of the symptoms but want to know if I should see a doctor immediately. Any other advice appreciated. Doctor: Hi. I hope the bladder stones you mentioned you had earlier had passed. Blood in urine after renal colic suggests stone may have reached the lower end of kidney tube (ureter) and may pass soon. However, it is best to confirm it has passed by getting an ultrasound done. Flomax (Tamsulosin) helps dilate lower end of the ureter and so may help stone to pass. You may take painkiller or antispasmodic for pain. Increased fluid intake helps. If the stone is of pure uric acid, taking citrus juices or taking potassium citrate syrup may dissolve the stone. I suggest, if bleeding continues, or there is pain or fever, or you have difficulty emptying your bladder, go see your doctor. Later, a metabolic workup of your 24-hour urine collection may be needed to see why you form so many stones. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21862, + "tgt": "How long does Yasmin or Lucette birth control take to work?", + "src": "Patient: Hello doctor, How long does Yasmin or Lucette birth control take to work? I have just started my third month and heard that it takes about three months to work. However, I have already seen much improvement and it did not break me out really badly in the first few weeks which it did for many others. I am taking it along with Erythromycin, just wondering if things should change soon. Previously, Roaccutane, clear skin for about six months, breaking out again but nowhere near as severely and only really on my cheeks with hormonal ones on my jaw and chin. Doctor: Hi. Erythromycin is a hepatic enzyme inhibitor meaning it will delay the metabolism of Lucette (Ethinylestradiol and Drospirenone) thus allowing increased levels of the hormone in the bloodstream for a longer duration than normal. Hence the effect of contraception will not be hampered but the side effects of the pill may be more apparent, including acne breakouts. As for the pill working, it should start right away in terms of contraception if you are taking it strictly according to the schedule. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16012, + "tgt": "Can Sitagliptin phosphate be taken to reduce blood sugar level?", + "src": "Patient: Hello doctor, I am 36 years old and am having diabetes for five years. Fasting ranges from 180 to 220 without medicine. Now I have decided to take Sitagliptin phosphate 100 mg per day to lower diabetes. Is it fine? Doctor: Hi. To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only. It involves a lot more. 1 or 2 readings usually does not give a clear picture. When I treat diabetes, I look at it 360 degrees, from lifestyle, food, the timing of food, timing of medicine, sleep pattern, co-morbid conditions, hormonal balance, Vitamin D level, evaluation of the type of diabetes which is most important. You are 36 years of age. If medicine 2 onboard diet and exercise are still keeping your blood sugar above 150 and 200 category, you should look into checking into your insulin level, to make sure you are not becoming type 1 diabetes category where your body needs insulin to survive. I have been seeing this pattern frequently now among 30 to 40 years old category." + }, + { + "id": 27817, + "tgt": "I took antibiotics for testicle pain. It has recurred after I finished the course. Please guide me", + "src": "Patient: Hello doctor, I am a 54 year old man, 5 feet and 8 inches, weighing 146 pounds. About six weeks ago, I started having intermittent pains and discomfort in my right testicle. Sometimes it was a dull ache, sometimes a sharper, stabbing pain. It seemed to radiate from a spermatocele cyst, which I have had for thirty years. After a\u00a0physical exam, both my general physician and a urologist diagnosed it as epididymitis, prescribing a 14-day course of Cipro antibiotics and Ibuprofen. The problem got better, but not completely. Now, a few days after completing the course of antibiotics, the pain is ramping back up. I have an appointment with the urologist this week, but in the meantime, I am wondering if I should start back on the antibiotics. Also, my physician prescribed Sulfamethoxazole, which I have, but have not taken. I guess I am scared to commit to another 14-day course without knowing for sure that it is really an infection. Am I right in thinking that blood work and an ultrasound might give a more concise view of what is going on? Doctor: Hello. I would have definitely asked for a complete hemogram and ultrasound of testis before starting an antibiotic course. For more information consult an\u00a0urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12863, + "tgt": "What can be done to cure ulcerative colitis with bleeding before every stool and anemia?", + "src": "Patient: Hello doctor, I have ulcerative colitis for more than two months. I pass more than seven stools a day (loose stools). Constant bleeding before every stool from the rectum. Fever, rapid heartbeat, and anemia. And have a fungal infection, taking medicine too. Doctor: Hello. For ulcerative colitis, an anti-inflammatory drug like Sulfasalazine group of drugs can be started. (In a severe case, Steroid can be prescribed for a short duration). Immunosuppressive drugs prescribed if needed. Anti-diarrheal medication also can be prescribed to decrease diarrhea frequency. Your anemia is because of constant bleeding in the stool. For that, Iron medication like Ferrous Ascorbate can be started. All these medications are taken regularly and even if still no improvement then surgical management can be done. Consult gastroenterologist for examination and accordingly get prescription. Take care." + }, + { + "id": 11582, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19800, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30674, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 17866, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27741, + "tgt": "My sister got her periods in 15 days. Could it be due to her thyroiditis?", + "src": "Patient: Hello doctor, This question is regarding my sister. She is 33 years old. She is a mother of 6 year old twins. Two months ago, she was diagnosed with thyroiditis. From\u00a0the last month, she gets her periods, once every 15 days. Kindly tell me the probable reason and the course of action to be taken. Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26907, + "tgt": "Do I have urinary problems because I have just one kidney?", + "src": "Patient: Hello doctor, I am a 26 year old guy, with one kidney. One year ago, I made a CT scan with contrast. A week after this event, I started to have white stuff in the urine. If I am sitting, there are white things floating on the surface. If I am up, it starts to foam a lot. So, I did a blood and urine test. All the results were good. So my question is, what is going on? I have no specific symptoms, only a burning sensation on the urethra sometimes. With one kidney, my mind is going crazy. Thank you for any help or advice. Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). I can help you further if there is any other query. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 27839, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7487, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24514, + "tgt": "Can herbal capsules be given with allopathic medicine for child with allergic rhinitis?", + "src": "Patient: Hello doctor, My daughter aged 9 years has been suffering from allergic rhinitis for the last few years. During the winter season, cold and cough are very common for her. In the summer, she suffers from coughing and itching in the body. The problem is hereditary as my whole family members like my mother, brother and sister are suffering from it. Due to this reason, I regularly give her one Montek LC tablet (Montelukast and Levocetirizine). Now I consulted with an ayurvedic doctor and he advised me to give her turmeric formula (organic turmeric rhizome, turmeric extract, ginger rhizome) and immunity (organic katuki rhizome with root, Krishna tulsi leaf, Vana tulsi leaf). Can I give her these herbal and organic capsules? Are they safe and can be continued with Montek LC tablet? Doctor: Hello. I just read your query and saw the prescription of allopathic as well as an Ayurvedic physician. First of all, let me answer your question. You can give these Ayurvedic treatments to your daughter along with her allopathic medicine. It does not have any side effect and will not cause any problem to your daughter. So you can continue this. See, the tablet Montek LC (Montelukast and Levocetirizine) is an anti-allergic medicine and stop the histamines from releasing in the body. Histamines are responsible for allergy. So it is the main treatment for this problem. But one thing you can do along with this tablet that increases her body's natural defense mechanism is you can give her syrup Septilin (Tinospora, Shankha Bhasma, Maharasnadi Kwath) one teaspoon two times a day with lukewarm water during the change of season for one to two months. You can consult your Ayurvedic physician regarding this if you want to. Also, tell her to do simple breathing exercises daily. It will help her a lot. Take Desi ghee (clarified butter) made of cow's milk and put two drops of it in the lukewarm state in each nostril daily for one to two months. It will also help her in relieving symptoms. Try these things and you will feel positive results. You can consult your Ayurvedic physician regarding all these if you want to. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5552, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30671, + "tgt": "Is my mother's endometrial thickness abnormal?", + "src": "Patient: Hi doctor, My mother, who is 50 years, has been complaining of painful uterine contractions. We took her to the doctor and she prescribed Urispas tablets. Also, told us to follow up once her period finishes as her endometrium thickness was abnormal. We did the follow up and I have attached the USG report. She has also been complaining of bloating and heaviness below the stomach area. Please do advice me on what modes of action should be taken. Is this something to worry about? Doctor: Hi. I have seen your mother's reports (attachment removed to protect patient identity) and gone through her history. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26989, + "tgt": "I have a constant headache from 10 days. Could it be due to a brain tumor?", + "src": "Patient: Hello doctor, I am a 31 year old male. I am 6 feet 2 inches tall and obese at 113 kg. The problem that I am describing below I have been experiencing for the past 10 days or so. I have a more or less constant headache. It is typically on the right part of the forehead, around the hairline and occurring at the center of my head. The pain is not very severe. It is not throbbing or pounding, though the intensity fluctuates at times, it is never very severe. I also experience a vague sensation of nausea, but no vomiting tendency. Sometimes, I get a subtle feeling of dizziness or light-headedness. I am unable to describe it more precisely. It particularly occurs during the head movement. This occurs hardly for a millisecond or so. Also, my eyes feel strained at times while staring at the computer or TV screen About my past health history, I have sinusitis. This was detected two years ago. I had visited an ENT specialist for a throat irritation, for which he got me to do a CT scan of my entire head and neck area. I have not had any treatment for sinusitis except some medication for the first week or so after detection. However, I have not really felt a similar headache earlier. I also tend\u00a0to catch a\u00a0cold very easily. On several days, I wake up sneezing which resolves on its own as the day progresses or within a couple of days. In the past week also, I had experienced the same few times. I also developed eye styes on both eyes which were painful and watery. I wear spectacles. The power is (\u2013) 5.25. However, I do not experience blurry or double vision at present. I do not feel any difficulty or loss of balance while walking. I have a habit of walking, and even three days ago, I had walked non-stop for 4 km in about 45 mins but did not experience any difficulty or anything unusual during and after the walking.\u00a0About a month ago, I had been experiencing for few days a strange stiffness in my lower left leg after walking a small distance, a non-specific back pain, and a vague breathing difficulty. My GP advised me to get a chest X-ray, PFT, echocardiography, and ECG done. All the reports were normal. The problems since then have significantly reduced. I am forgetful by nature. Apart from that, I have not noted any memory loss as such. I have no unusual difficulty in concentrating or thinking clearly. I do not experience any speech problem, but I did notice on one occasion that after speaking continuously for few minutes, I was facing some difficulty in speaking more, but that I believe could have been due to psychological reasons. Exactly five months ago, I had got a CT scan of the brain done on the advice of my GP because I had a severe headache one night few days after accidentally bumping my head on a solid low-height door. However, the results were normal, and nothing was found. Uric acid, blood sugar, creatinine, and TSH have been tested within the past eight months, and the reports were normal. However, lipid profile tests revealed high triglycerides (292) for which I took Rosumac 5 for three months, after which the triglycerides (152) were relatively normal. I have had high BP (140/100) for which I was prescribed Aquazide 12.5, which I am taking. One week ago, I got my BP rechecked, and it was found fairly normal (130/80). I tried steam inhalation yesterday and the day before, but it did not resolve. What could be the possible cause for the headache\u00a0and the other issues described in the first paragraph? Could this be something serious like a brain tumor? What are the chances of it being any such thing, given that I had a CT scan of the brain only five months ago and everything was normal then? Sorry for the lengthy post. Kindly help. Doctor: Hello. A headache can be due to many causes. Few common causes are: In your case, it seems to be either due to the aggravation of sinusitis due to a recent weather change or raised blood pressure. Sinusitis leads to constant secretions within the sinus leading to a headache and nausea. The treatment for sinusitis will definitely improve it. For sinusitis, you can take antibiotics, analgesics, and anti-allergics after a consultation with an ENT specialist. Also, your blood pressure target should be 120/80. Since your CT head is normal, there is no chance of development of brain tumor so quickly. A brain tumor will lead to a constant headache and also other pressure-related symptoms. Thanks. For further questions consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 785, + "tgt": "I am feeling tired with mild headache. Can this be due to frequent head showers?", + "src": "Patient: Hi doctor, I have been feeling a little tired and only right or center part of my forehead hurts. No fever but sometimes I get mucus from the throat. This is happening form yesterday. Can this because of frequent showers? Each time I go outside the house to buy something, I get paranoid and take complete head to toe shower. This happens 3-4 times a day. Can you suggest how to go about it? Doctor: Hello. With the history you have given, the problem you have can because of the frequent showers. Kindly avoid going out and take bath frequently. I would suggest a short course of antibiotics with supportive measures. Take tablet Augmentin (Amoxicillin and Clavulanic acid) 625 1-0-1, Montek-LC (Montelukast and Levocetirizine) 0-0-1, Zencold plus (Paracetamol, Phenylephrine, and Chlorpheniramine maleate) 1-1-1, and Pantocid (Pantoprazole) 1-0-0, all these for three days. Take hot water, and avoid frequent showers. Kindly get back for follow up after three days." + }, + { + "id": 20366, + "tgt": "I have recurrent shoulder dislocation. I am a softball player. Please help", + "src": "Patient: Hello doctor, I am a softball player and my position is the catcher. I have been playing my position for two years and in these two years, my left shoulder has partially slipped at least 50 times or more. It has been bothering me a lot even when I am not doing anything. What do I do? Doctor: Hello. For recurrent shoulder dislocation, you need further investigation and treatment. MRI might show Hill-Sachs lesion or Bankart lesion which are injuries of the shoulder joint due to repeated dislocations. Hill-Sachs injury is a bony defect and you may need investigation and arthroscopy. You may need arthroscopic repair for bony Bankart lesion. Take rest for early healing. You may have to start TENS (transcutaneous electrical nerve stimulation) or ultrasound which will be helpful in your case. After correction usually recovery occurs in four to six months. Consult an orthopaedician online with the reports --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20134, + "tgt": "My recent reports showed high levels of TSH and cholesterol. What to do?", + "src": "Patient: Hi doctor, I recently got a full body check-up done, and I discovered that I have several deficiencies, which include vitamin D, Vitamin B12, iron, and folic acid. Also, my TSH and cholesterol levels are high. I do not like nonvegetarian food and milk. Is it fine if I start Nutrilite D and Nutrilite natural B tablets? I am attaching my test reports. Doctor: Hello. I have seen your test reports (attachment removed to protect patient identity). Hope this helps you, and get back if you have any doubts. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29691, + "tgt": "My BP has shot up high. Can you help me?", + "src": "Patient: Hi doctor, I am 19 years old (female) and for two weeks, my systolic blood pressure has been over 135 and diastolic approximately 89 with 90 bpm at rest. My blood pressure is usually around 110/75 mmHg with 70-80 bpm at rest. I get sharp headaches that come and go, but some do not go for extended periods of time despite rest and sleep. Since then, when I eat I get acid reflux, which temporarily disappears with alkaline foods like yoghurt, but then comes back. I get spells of lightheadedness, dizziness and sometimes, feeling nauseous. I am a university student and have got exams coming up. However, these are not causing me significant stress and my BP has not shot up this much before. I get fevers on and off\u00a0and take Paracetamol for them. Just before this started, I was feeling extremely depressed and took eight 25 mg Phenergan tablets with two Co-dydramol tablets (500 mg/10 mg). The day of taking that and three days following, I felt like crap. I was feeling the above symptoms in a worse manner and I could not even get out of bed. I was not prescribed to have\u00a0Phenergan, so I understand that I should not be using it, but I did. Since then I have just been taking two or so at night every three days roughly. Two days after I took the load, I was having horrible acid reflux and burning pain. When I talk to a doctor on the phone, he suggested that my thoughts of it being a stomach or peptic ulcer may have been correct. However, the severe symptoms of that assumed peptic ulcer went away after two days of taking Ranitidine and Paracetamol. I did not disclose me taking those Phenergan tablets to the doctor. These problems are persisting and I cannot approach anyone. Can you help? I have also been feeling very fatigued despite not being sleep deprived and as a result of my past. I have not spoken to a medical specialist about this, but my mental health corresponds to mild to severe depression, perhaps PTSD. I have borderline anemia and heavy periods. I am taking Iron tablets, but not regular in it. Also, I am vitamin D deficient and on vitamin D3 supplement. I used to have migraines and it stopped around a year ago, but blurry vision sometimes comes, perhaps a few times a month. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27609, + "tgt": "My wife repeatedly gets a swelling in her underarm. What is it?", + "src": "Patient: Hello doctor, My wife develops swelling in her underarm\u00a0from the last 2 to 3 years. This swelling is painful, and she is not able to lift her hand. After a week, this swelling discharges a bad smelling puss and blood. This happens every 2 to 3 months. Two years back, we consulted a surgeon, who incised the swelling and gave it for histopathological testing. The reports confirmed it to be fat related to the lymph nodes. From last year, this is recurring but with less pain than earlier.\u00a0Can you advice whom to consult now? Thanks. Doctor: Hi. Revert with more information to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9428, + "tgt": "How long will it take to remove the retained milk teeth?", + "src": "Patient: Hello doctor,I have two milk teeth in my mouth in the upper part. There are two adult teeth on top of that as visible from the x-ray. I wanted to know if I start the procedure now, how long it takes to pull the two adult teeth down and remove the baby teeth? Doctor: Hello. There are retained teeth and impacted permanent canines (attachment removed to protect patient identity). As your age is concerned, it is a complicated procedure to move them orthodontically after extraction. Still, I think you consult an orthodontist that will decide the treatment plan. Usually, it will take one year or more to move them to the desired location after milk teeth are extracted, followed by the orthodontic procedure." + }, + { + "id": 1263, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 19217, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13344, + "tgt": "I got an X-ray done for tooth pain and sensitivity. Kindly explain", + "src": "Patient: Hello doctor, Please check my X-ray and guide me. I have minor pain and sensitivity in tooth. Doctor: Hello. I have been through your query and I can understand your concern. In the X-ray, I want to know if you are referring to the last tooth. In the X-ray, there are the following findings: 1. The second molar seems to have developed secondary caries which seem to approach the pulp (not fully though) which might be the cause of pain. However, The extension of the lesion cannot be determined as the X-ray seems to have elongated the structures. Proximal caries in the second (last molar of the mesial side, that is, between the two molars). 2. The fillings seem to have developed secondary caries but that seems mild. (This might also be the elongation error of the X-ray). The correct evaluation and examination of the teeth will confirm the diagnosis and accordingly will chart out the prognosis of the teeth." + }, + { + "id": 19661, + "tgt": "My frequent urination problem stopped after I started masturbating. Are they related?", + "src": "Patient: Hello doctor, I am a\u00a019 year old\u00a0male, who weighs 72 kg and 176 cm tall. About 3 to 4 years ago, I was urinating every 5 to 10 minutes, so I used some medicines. It took about two months to get rid of this illness, but it did not heal completely. For the first two years, I was urinating in every 1 to 2 hours in winter and 2 to 3 hours in summer. I was and still am very weak during cold\u00a0seasons. I even stopped taking soda drinks, as it made the frequency of urination more. During this two years, many doctors checked me, but they did not find any problem. I used many medicines, but I did not see any change. After these two years, I started masturbating three times a week, and I saw improvement in my condition. Now, I have to pee every 3 to 4 hours in winter and 5 to 7 hours in summer. But in the last 2 to 3 months, I stopped masturbating. And\u00a0unfortunately, I started having bad times again. I have this problem, not the entire month, but it starts about 10 to 15 days a month. During nights, I do not have any problem. Is it possible that urination and masturbation are connected? I think not masturbating cannot be the cause of problem or illness. What can be the cause? What can I do in this situation? I used active bladder medicines, but I saw no response. Doctor: Hello. Thanks. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 9535, + "tgt": "I have two holes with hard surrounding in my foot. What is it?", + "src": "Patient: Hi doctor, I am 20 years old. Before three months, I noticed two small holes beneath my right foot at a depth of 1 mm. Its surrounding has become hard. I feel pain when I press it. Also, the pain is like burning sensation and it is not itchy. Please help. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25862, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15029, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5058, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24482, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30387, + "tgt": "Kindly clarify if my mother's breast cancer treatment is right", + "src": "Patient: Hi doctor, My mother, who\u00a0is 55 years old, is undergoing chemotherapy for breast cancer T4 M1 (less than 5 mm non-avid in lymph node above lung) Nx, after mastectomy. She is HER2 positive and other two receptors are also positive. We have two different opinions in front of us from the two best oncologists here. The first opinion from our current oncologist is FAC 3 cycles (already given), Daxotel (3 cycles and second one is going on) and then to continue with Herceptin. The second opinion from another senior oncologist is that since she is HER2 is positive, the above regimen of the FAC and Daxotel is useless. She needs to start chemotherapy all over again with 6 cycles of Abraxane along with Herceptin. Otherwise, metastatic cells will spread soon to brain.\u00a0The second opinion hit us and gave a big shock. She has just finished the task of chemotherapy and we hear that the drugs used were useless.\u00a0I am here to know the reality of above and to seek an advice of which route we should take. Please help us. Doctor: Hi. I understand your plight. Your mother seems to be in stage 4 and less likely 3. However, to give the benefit of doubt, I think that people has considered to give chemotherapy followed by response evaluation. If the result is favorable, then they may even opt for surgery (variable). In stage 4 hormone positive, we prefer to give the only antihormonal agent. In her case, anti HER2 therapy has to be added as she is positive for it. I will not suggest the second type of chemotherapy at this time if there is no obvious progression. In my opinion you should continue with third dose and see the response on radio imaging. We may plan to continue anti HER2 with hormonal agents, while keeping her on close follow up. In less often scenario, if the response is phenomenal, then we may plan surgery. But, this will need further discussion. Do not worry, she should do well. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 26120, + "tgt": "What foods to avoid in serotonin syndrome?", + "src": "Patient: Hello doctor,My 39-year-old son was hospitalized for five days with serotonin syndrome. He was given intravenous and Ativan. He was discharged from the hospital and he will go to his doctor regarding his meds. The problem is he was never told if he needs to stay away from certain foods that might cause his serotonin levels to elevate. I was just reading online about foods to avoid with serotonin syndrome and after reading this I am not sure what he can eat. Sadly, the hospital did not give him any information on what he could eat. There is a list of foods that increase serotonin levels which include foods rich in omega-3 fatty acids, such as tuna, and those high in tryptophan,\u00a0an amino acid found in eggs, soy and soy beverages, turkey, eggs, pumpkin seeds, peanuts and peanut butter, chicken and cheeses. A diet rich in folate may also contribute to increased serotonin levels. Some foods rich in folate include leafy green vegetables, beans, legumes, nuts, bread, and cereals. It sounds like there really is nothing he can eat without worrying about causing any additional problems. After reading all this, what can he eat? This is extremely scary as I have no clue about what he can and cannot eat. If possible, please reply as soon as possible because I did not realize that all these foods were included in things he might have to stay away from, other then turkey perhaps. Thanking you in advance for any advice. Doctor: Hello. Hope I answered your questions. Take care. For more information consult an internal medicine physician\u00a0online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1328, + "tgt": "I feel low, tired, and dizzy with headache all the time. Why?", + "src": "Patient: Hello doctor, Actually, I have been feeling low energy, tired, and fatigue for a couple months now. Also, I get light dizzy, light-headed, and headache, it gets worse when I walk or stand up. The headache is concentrated from the sides and sometimes forehead and around eyes. However, I have been suffering from anxtiey and depression. My anxiety is moderate sometimes it lasts the whole day. I took multivitamins, zinc, and vitamin D. Now I am taking Feroglobin two times a day for a week now. I did not see much improvement. How to cure tiredness and lack of energy? How to reduce anxiety levels? Doctor: Hello. It may happen sometimes but it will be solved very soon. Avoid those stressful conditions. Medication has to be given. Generalized weakness. Serum creatinine. CBC (complete blood count). Urine routine and examination. Fasting blood sugar. Lipid profile. Hypothyroidism. PCOS (polycystic ovary syndrome). Tablet Diazepam 10 mg 1 tablet in bedtime daily for 15 days, tablet Tolfenamic acid 200 mg 1+1+1 for five days, tablet Iron polymaltose complex + Folic acid + Zinc (150 mg + 500 mg + 22.5 mg) 1+1+1 for three months, Folic acid 5 mg 1+1+1 for three months. Avoid anxiety. Sound sleep needed. Eat healthy foods. Drink plenty of water. Recreation needed. Avoid stressful work. Always think positive. Please tell me about your menstrual life, sexual life, and family history." + }, + { + "id": 29015, + "tgt": "Will the medicines prescribed for anxiety affect my routine life?", + "src": "Patient: Hi doctor, I am 29 years old. I had panic attacks and anxiety for the last 1.5 years. It does not happen daily, but twice in a week. My BP and BPM will be increased due to palpitations, and I sweat a lot. Hence, I visited a psychiatrist yesterday. The psychiatrist has suggested me to take D Veniz 50 mg and Etilaam pro 20 mg once at night after a\u00a0meal for anxiety disorder. What may be the side effects of those tablets? As I am a professor, Will it affect my work in the day time? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18257, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14504, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17754, + "tgt": "I am 35 weeks pregnant, can cholestasis be causing an itch on my stretch marks, arms, and thighs?", + "src": "Patient: Hi doctor, I am 35 weeks pregnant. By last week my stretch marks were started to itch.\u00a0So, my OG advised applying Calamine lotion (which does not contain antihistamine). It seemed to soothe the itching, but slowly the itching started spreading to my upper arms and thighs. Then she prescribed Avil tablet for two days and told to apply Caladryl lotion (which contains antihistamine) only on the itchy areas of my arms and thighs. It seemed to relieve the itch temporarily only. Once the effect of the lotion and tablet is off, I became itchy again. Finally, the OG prescribed Udihep 150 mg to be taken twice daily in the morning and night, suspecting it to be obstetric cholestasis. She also advised to take Avil tablet at night and to apply Calamine and Caladryl to soothe the itchy areas. I am on this regimen for the past four days, and the itch seems to have subsided a bit, but not completely. I am also taking calcium supplements (Ostonate 250 mg twice a day), Astymin forte (vitamin supplement once a day), Fol 123 (at night) and Iron supplements (Orofer XT 100 mg two tablets at night). I have been on increased Iron supplements from the last four weeks because my hemoglobin dropped to 9 last month. Now it has improved to 10.5, but my doctor told to continue taking the prescribed two Iron supplements as only one month is left for delivery. My concern is will there be an interaction between the Udihep and the supplements I am taking? Or is there a possible chance that increased iron intake during the last month would\u00a0have caused an additional stress on my liver leading to cholestasis? Kindly advise. I am attaching my hemoglobin blood test and urine routine reports. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). Let me start by putting you at ease by saying that you are normal and your doctor has been doing a great job. As you are near delivery, the skin stretches to its maximum and the tissue under the skin will start giving way. You will have stretch marks, but they will be further increasing, getting pinkish or redness. This itch will subside only after delivery when the stretch of the baby is relieved. Another possibility is due to obstetric cholestasis. But this has been ruled out by the blood tests, so just relax and the danger has been eliminated. This cholestasis is due to the effect of progesterone hormone on the liver, leading to high levels of the liver byproducts. To relieve itching the medications are right, and they do not have any significant interaction. You can further reduce the itching by applying some local irritants like balms or onions juice. These will cause burning sensation, which will mask the itching. About iron and hemoglobin, during the second trimester, every lady's hemoglobin will drop a bit as this is the time baby's blood volume suddenly expands. So, all iron and vitamins will be taken from your body. By last trimester the hemoglobin will improve on its own, as baby's blood is already ready. These iron tablets will be absorbed from intestine and excess will not be taken in at all. As a result, your stools will be blacker. To improve your hemoglobin, health and baby's health in the last trimester, have a lot of water, proteins, vitamins and sugar. These will also give you the energy needed for delivery. The right amount of sugar (unless you already have diabetes) will make baby chubbier and healthier. Somehow hold that itching till the 37th week, then delivery is the solution. There is no other solution. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28723, + "tgt": "I have occasional dull aches on right side of the abdomen. What can this be?", + "src": "Patient: Hi doctor, I have occasionally been experiencing dull aches on right side of the abdomen, about 4 to 5 inches right of the\u00a0belly button, and about 3 inches below the ribs, from two weeks. I just had an ultrasound of the abdomen and kidneys, and everything is normal. What can this be? It just comes out of nowhere when I make a quick movement, but it is deep inside my gut. I am currently taking Protonix. Doctor: Hi. Hope this helps you and get back if you have any doubts. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2076, + "tgt": "I have severe acne with scars and oily skin. Please help", + "src": "Patient: Hello doctor, I have severe acne with the scar left on the skin. I have very oily skin and the acne is a little painful and sebaceous. I am currently using Benzoyl peroxide. Doctor: Hi. I went through your photograph and found that you are suffering from nodular cystic acne with scarring. It is a severe type of acne. Acne is common at a young age. It occurs due to blockage and inflammation of sebaceous glands under the influence of androgen hormone. They also occur due to cosmetics. Diet has a little role and generally, they subside in mid-twenties. They need treatment to avoid scarring which may be permanent. If you have increased hair growth and menses irregularity you have to rule out PCOD (polycystic ovary disease). You can take capsule Isotretinoin 20 mg once daily with meals for four weeks, Clindamycin gel twice daily over the pimples, Salicylic acid face wash once daily, only for 30seconds, and tablet Azithromycin 500 mg once daily on empty stomach for one week and three on consecutive days per week for three weeks. If you want to use sunscreen. Review after four weeks. Scarring or pores left after healing can be treated surgically by needling, microderma abrasion, or by laser only after remission. Hormonal. Lipid profile if history of cholesterol disorder in the family. Acne nodulocystic. For three to four months as per the response. Do not touch the face too often. Do not use oil or greasy cream over the face or scalp. Take ample amount of fluids. If there is intolerant dryness with this, use Petrolatum or Vaseline on lips. Dryness generally subside within one week." + }, + { + "id": 10888, + "tgt": "Can ALS cause muscle twitching?", + "src": "Patient: Hello doctor, My bicep muscle has been twitching and my leg and arms muscles twitch occasionally. I am super anxious about ALS. I am 36 and postpartum six weeks but I cannot stop obsessing about ALS. Please help. Doctor: Hello. I understand your concern and would explain that there are a lot of other benign causes that may lead to fasciculations like anxiety and insomnia, benign fasciculation syndrome, vitamin D and vitamin B12 deficiency, an electrolyte imbalance or thyroid gland dysfunction. For this reason, I would recommend performing some tests: Complete blood count, blood electrolytes, thyroid hormone levels, vitamin D and vitamin B12 plasma levels. Nerve conduction studies would help to definitely exclude ALS and put your mind to peace. You should discuss with your doctor on the above tests." + }, + { + "id": 26421, + "tgt": "I had unprotected sex with my fiancee. What are the chances of pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex\u00a0with my fiancee on the 3rd of this month. Her periods are quite regular, and they appear on the 27th or 28th of every month. So, we had sex right after her periods got over, and I ejaculated inside her. What are the chances of pregnancy? Please let us know as we are quite worried about it. Doctor: Hi. If you have a doubt then get back to me. Take care. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6624, + "tgt": "Why has my lower lip become pink?", + "src": "Patient: Hi doctor, I am a male and half of my lower lip color has changed to pink and it\u00a0looks bad. I want to bring it back to normal color. Please help. Doctor: Hello. Thank you for your query on this platform. It may be initial phase of vitiligo a hypopigmentary disorder. Avoid smoking and taking very hot food or drinks. Avoid biting or licking lips often. Take antioxidant tablets. You can try initially with a steroid cream like Fluticasone and Tacrolimus ointment after consulting your dermatologist. Consult your dermatologist for examination and management. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15963, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4156, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6965, + "tgt": "What causes a sudden blurry vision in the left eye?", + "src": "Patient: Hello doctor, I am a 44 year old\u00a0female. Two weeks ago, I suddenly developed a blurry vision in the left eye. I have no pain and I never had any eye problems. I do not have anyone in the family who had this. I see no black or gray spots. I still see all the colors, but distorted. I went to the doctor and after a few scans, he could not decide over a diagnosis between wet macular degeneration and central serous retinopathy. He suggested that I should start the treatment with an injection. I am very scared and frustrated as I do not have a diagnosis yet. Can you please help me with a second opinion? I am attaching three files, the first two were taken 10 days ago and the last one is from yesterday. Doctor: Hello. I have seen all the\u00a0images (attachment removed to protect patient identity). For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21922, + "tgt": "How can we manage hypothyroidism?", + "src": "Patient: Hi doctor, I have thyroid problem, deficiency of vitamin D, gastric issue and my hands get numb. Sometimes I get burning and pain on the left side of the chest. I also have a lot of stress and anxiety. My weight is increasing day by day. I feel lethargic and I have frequent urination. I am taking Thyroxine 12.5 mg and tablet Uprise D3 60K two times a week for eight weeks, tablet Neurobion forte once a day for one month, tablet Shelcal 500 mg once a day for one month. Doctor: Hi. The symptoms like numbness in hands, weight gain and lethargic are most likely due to hypothyroidism which may require increasing the dose of thyroxine medication. Please provide me with the latest TSH (thyroid stimulating hormone) result. Frequent urination occurs due to many causes. The most important is an infection in the urinary tract. Do you have pain while urinating or any change in urine color? Please provide me with more details. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15929, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23819, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4486, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6349, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30061, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21350, + "tgt": "I have arteriovenous nicking in my left eye. Is it something serious?", + "src": "Patient: Hello doctor,My ophthalmologist said I had arteriovenous nicking in two spots in my left eye. He also said to check my blood pressure. An extensive heart test (ECG, EKG) came back normal with blood pressure measurement of 110/70. I also have checked my blood pressure consistently over the past five years and came back normal. Is there something I should worry about? Doctor: Hello. The arteriovenous nicking or AV crossing changes you mentioned, although present, seem quite harmless in the fundus photos you have sent me. Please do not worry about these, as they are not associated with other precursor changes of hypertensive retinopathy. I am also happy with the fact that your blood pressure and heart tests are normal. This matter of AV nicking would need nothing but periodic monitoring per se, probably once a year. I also have a responsibility as a doctor to tell you that in the photos that you have attached, the disc is asymmetric. What I mean to say is, in your photos (attachment removed to protect patient identity), there is a green computer generated circle in the center of each eye. Inside of this green circle is the dark circular optic disc and inside the optic disc is a grey or white color optic cup. The size of the optic cup is different in your eyes indicating asymmetry (also mentioned in your photo and the top center of the photo). This could be due to a variety of reasons including your refractive error, optic nerve disease or glaucoma. Kindly share with me all your previous records if your doctor has not informed you about this. Primary or secondary Glaucoma. 1.Slitlamp examination. 2.Tonometry. 3.Perimetry. Primary or secondary Glaucoma. Primary or secondary Glaucoma. To evaluate for glaucoma. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30075, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27950, + "tgt": "I have uncontrollable muscle jerks paired with forceful exhalations. What could it be?", + "src": "Patient: Hello doctor, I have uncontrollable muscle jerks starting from my abdomen, down to my leg flexors, paired with forceful exhalations. \u00a0The jerks occur in one large motion, rather than individual muscle groups. It can occur as isolated jerks or for several minutes. They typically occur while in a seated or lying position. More recently, I have had small isolated jerks while standing too. Exhaustion typically increases the severity of the jerks. I have had the problem once, two years ago, when I took an antihistamine for allergy. Doctor: Hello. Myoclonic jerks can have various reasons including epilepsy, liver disease, kidney disease, neurological disorder or sometimes they can be idiopathic. At your age, epilepsy seems to be relevant, though not confirmed, without an evaluation. Do you get jerks in your upper limbs too or vocal tics? You will have to get evaluated clinically by a neurologist who might ask you to undergo certain tests. With that, the exact trigger which causes your jerks can be found. Most of the times a simple pill, prescribed after a thorough examination by a neurologist, can make your symptoms go away. Just make sure you do not self-medicate. Take care Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20552, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29480, + "tgt": "Why am I feeling thirsty and urinating frequently?", + "src": "Patient: Hello doctor, I had a fungal infection in my groin area and even after taking the medication the problem was persistent. The doctor has advised checking diabetes and thyroid. I would like to have a master health checkup including the tests the doctor has suggested. What all should I consider? I am 27 years old. My height is 6'2\", and weight is around 90 kg. Doctor: Hi. In master checkup, the following will usually be done: CBP (complete blood profile), peripheral smear, RFT (renal function test), LFT (liver function test), blood sugars, thyroid profile, USG abdomen, serum electrolyte, serum calcium, vitamin D, chest x-ray and urine examination. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28164, + "tgt": "I have severe sneezing and running nose. Please help me out of this", + "src": "Patient: Hi doctor, I am a 23 year old male, suffering from\u00a0allergy for past 6 years. I am facing this problem more in winter. Early morning, I will get 10 sneezes continuously. If I take cold foods, I will have running nose throughout the day and severe sneezing. Also I have itching and watering of eyes. Currently, I am taking homeopathy treatment. When I have severe sneezing, I use Allegra 125 mg. Please tell a solution to get cured of this. Doctor: Hi. My diagnosis of your condition based on the information you have provided is allergic rhinitis. However, to confirm the same I want you to do two investigations namely serum IgE and absolute eosinophil count. Both are blood investigations. Allergy is not curable, however you can control it. You can keep it under wraps so that you are not bothered by the frequently disturbing symptoms. It needs patience and perseverance from your side. Following are some precautions and suggestions to help you deal with this problem. If we know for sure that you are suffering from allergy (positive results in those two tests which I told you) we can institute you on steroid nasal sprays namely Mometasone Furoate (Metaspray) or Fluticasone Propionate (Flomist). These will reduce local inflammation in the nose and prevent allergic symptoms like running nose tremendously. However, they have to be used continuously for a period of one or two months. They are safe and do not produce side effects like systemic steroids. I am unsure regarding homeo medicines whether it will be helpful for this condition or not. You are advised to use your discretion regarding the use of homeo medicines. However ayurveda medicines being entirely natural (as what is claimed by manufacturers and ayurveda pharmacies) can be combined with allopathic medicines without fear of side effects. 1. Dust, dust mite, smoke, pollution, wind, pollen, saw dust, husk, agricultural dust and industrial air. 2. Food allergies like prawns, peanuts, milk and gluten. 1. Serum IgE. 2. Absolute eosinophil count. 3. Total blood count. 1. Allergic rhinitis. 2. Non-allergic rhinitis with eosinophilia syndrome. Allergic rhinitis. When you suffer from allergy (on the day of intense sneezing and running nose) take a tablet of Allegra (Fexofenadine) 120 mg. If the problem appears daily then take Montair Fx (combination of Montelukast sodium and Fexofenadine hydrochloride) for three nights daily. Revert back with the investigation result to an allergy specialist online.---> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 1486, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8183, + "tgt": "Why am I having white spots on my back, arms, and face?", + "src": "Patient: Hi doctor, I have white little spots on my back, arms, face. They are lighter than my skin color. Also, a few white spots on my back and chest that are bigger in size, bumpy but empty inside and look like white bubbles. What those spots might be? Doctor: Hi. If possible, send images for better diagnosis and treatment." + }, + { + "id": 2631, + "tgt": "Is a person with previous pneumonia attack more prone to Covid-19?", + "src": "Patient: Hi doctor, I have a general question that relates personally to myself in relation to Covid-19. I am a woman of 45 years and several years ago I had a severe case of pneumonia and I was hospitalized for a few weeks (which I have completely no memory of). It took me further 12 weeks to start to feel normal again. Since then I have had at least two chest infections a year and have also in the past two years I had many UTI's and kidney infections one of which was a few weeks ago and took lots of antibiotics to help. At the moment, I have a slight sore throat and like many do not know what and how to react to this. I have never been diagnosed with any conditions but as I said get chest infections, UTIs, and kidney infections often. Am I more at risk of catching COVID-19 and would I be put into the category of someone who has for example, COPD etc.? I am very worried and scared as I know how ill I was when I got pneumonia and also my husband has diabetes and high blood pressure, which makes me even more concerned? I am currently on Naproxen, Co-codamol (when required due to back and neck pain resulting from a car accident) Fluoxetine (daily). Doctor: Hello, Welcome to icliniq.om. We all are at risk to COVID19, but regular washing, sanitization of hands and use of masks outside the home can reduce the risk. Since you have encountered pneumonia earlier, your defense system must be boosted up. Still, I would recommend that you talk to your physician and get yourself vaccinated with: 1. Influenza (Quadrivalent) vaccine yearly. 2. Pneumococcal vaccine every sixth year. These vaccines provide good prophylaxis against typical bacterial and viral infections." + }, + { + "id": 11357, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21087, + "tgt": "Is there a way to cover keloid on chest to avoid rubbing and irritation?", + "src": "Patient: Hi doctor, I have a keloid I guess at the center of my chest from past one year and a new one developed since a few months back. I took treatment but was not effective. I used to take Isotretinoin capsules daily and apply Clobkare cream. One major problem I face with them is they rub against the shirt and irritate especially the new one. Is there a tape or something I can apply to them while exercising and going out because I also have hair on that area. Doctor: Hi. Keloids are a type of scars which itches or irritates when something touches it. Do not apply any tapes or plaster because if you try to remove the tape you will pluck your hair which in turn induce keloid formation. You can plan for intralesional Triamcinolone injection along with cryotherapy.this will help in reducing keloid." + }, + { + "id": 8402, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6805, + "tgt": "Is it fine to use Mifepristone for abortion after C-section?", + "src": "Patient: Hi doctor, My wife missed her periods and we doubt she is pregnant. Our first kid is just 1 year old now and it was a Cesarean. We are not in a position to have a second child now. Her LMP was 22nd of last month. I read that Mifepristone can induce abortion. Is it a safe drug? Do we have to consult doctor for taking this drug? What are all the possible side effects? Is that drug 100 percent reliable? Is there any other options? Whether this drug is available without doctor's prescription? Thank you. Doctor: Hello. First, please confirm the pregnancy with a serum beta-hCG test (human chorionic gonadotropin) as urine pregnancy test is not reliable till eight days post missed periods. If the hCG levels are more than 5 ng/dL then she is pregnant. In that case as she has been a post C-section case, medical abortion is not to be undertaken with either Mifepristone or Misoprostol simply. Because, the C-section scar would still be weak by one year and there are often chances of uterus rupture. The best option in that case would be an ultrasound guided dilation and curettage procedure for surgical abortion. Please meet your gynecologist and get the needful. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2025, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2402, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6061, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 324, + "tgt": "I have abscess at the back of the top molar undrained for the past 2 years. Will antibiotics help?", + "src": "Patient: Hello doctor, I have an abscess in my gum for almost two years because I lost my back top molar and it progressed from there. I do not have dental insurance, so I have never gotten it drained or my missing tooth closed. I have taken antibiotics for this abscess twice now when it flares up, but now it is having a flare-up again and I cannot afford to go to the dentist. I have a bottle of Amoxicillin from a different injury that I have never used. Are there any negative effects any antibiotics could have on this abscess if it is not the same antibiotic I have used before for it? Doctor: Hello. I went through your query. I am sorry for your inconvenience it is too hard to be in such condtions for a long time. But do not worry, as an expert I would recommend you to upload an image of the area. I strongly needed that to comment on any of it. Yes, there might be any root stump left behind from the missing molar tooth, leading to infection and abscess so just taking medications will not help. If the abscess is not drained, medicines can solidify the abscess to form antibioma what will be a complication as needed surgical assistance. You can take Betadine gargle in lukewarm water two or three times a day, capsule Amoxicillin 500 mg one capsule thrice daily for five days, tablet Metrogyl ER one tablet BD for five days, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days, capsule Pan D (Pantoprazole) before meal for five days. Periapical abscess due to retained root. Drainage." + }, + { + "id": 6700, + "tgt": "I have hair loss across my forehead and pigmentation on my nose. What is it?", + "src": "Patient: Hello doctor, I have hair loss across my forehead area and pigmentation on my nose and cheeks for the past 15 years. Doctor: Hello. Hair loss over the frontal area of 15 years duration is suggestive of a diagnosis of female pattern alopecia. There are multiple treatment options for you. Minoxidil, Finasteride, Dutasteride, PRP (platelet-rich plasma) are among them. The exact treatment depends upon the severity. Are your periods regular? Do you have hirsutism? These all will determine the exact treatment. Your pigmentation most likely is melasma. As I do not have a photo, that is the closest I can get. You can go for lasers for melasma. They will help to some extent. But melasma pigmentation is very stubborn, and it does not resolve completely and permanently." + }, + { + "id": 13099, + "tgt": "What can be done for severe pain in a permanently filled tooth?", + "src": "Patient: Hello doctor, I have a problem with the tooth that was decayed. A few days back it was cleaned and had permanent fillings on the first upper molar. However, on the same night, felt a slight pain when I touched the tooth or ate, which became more prominent the next day, and woke up with severe pain on third day morning. This is not normal at all. My cheek and ear was hurting as well and the lower teeth are aching. There is a constant sharp pain. Shoots for a little with painkillers but comes back quick. Doctor: Hello. You need a professional assistance as soon as possible. There may be two possibilities. The first one is carries present in deep part of tooth and create problem, in this condition you need root canal treatment. The second one may be the height of filled material is excess and it needs some trimming to maintain balanced height of the tooth. So, I suggest you to please see your dentist for a clinical examination." + }, + { + "id": 3186, + "tgt": "My mother is unwell with stomach and waist pain. Is she rightly prescribed?", + "src": "Patient: Hello doctor, My mother is 64 years old and is suffering from several kinds of diseases e.g. BP, thyroid, sugar, cholesterol. She is taking medicines regularly as prescribed by the doctor. Her medications are Tripride 2, Altroxin 50, Stamlovita, Met XL 25, Losartan, Atorva 10 mg. Presently she has waist pain and stomach pain. We went to the doctor and they prescribed Calsma D3 60k (once a week), Remac CD3, Vitasonic plus, Eurosure 500 mg, Pregabid NT (from three to four days). Gastrologist suggest Nexpro Hp (morning and evening). I want advice that, is our treatment going in the right way or something wrong because presently she is not feeling unwell? What should we have to do? Doctor: Hello. I have gone through the provided details and treatment prescription from various doctors. (attachment removed to protect patient identity). Although, it will not be possible for me to comment on whether the treatment is right or wrong (without seeing the patient), but I feel there is a need to explore other options than the medications. As I can see she is taking medication for almost every common ailment of senior citizen life but there is no mention of lifestyle changes. The lifestyle changes are either equal or more important in chronic diseases such as HTN (hypertension), diabetes, thyroid, and hypercholesterolemia. In addition to these ask your mother to have at least 45 minutes of moderate physical activity. It is also important to take a diabetic diet and restrict the intake of salt and fats. Regarding the current medications, I do not see any role of remake CD3, Eraser 500 and Vitamin plus. Please stop all the three medicines and give her plenty of fluids to drink. In addition, get an ultrasound of her abdomen and revert back to me." + }, + { + "id": 18995, + "tgt": "Does positive ANA and Scl 70 mean scleroderma?", + "src": "Patient: Hello doctor, My son has a positive ANA and Scl 70. I just do not get it. I am in shock as I am sure anyone else would be. Does this mean for sure he has scleroderma? He has no symptoms. Doctor: Hello. Positive ANA (anti-nuclear antibody) suggestive of some form of autoimmune disorder or connective tissue disorder. Anti-Scl (scleroderma) positivity suggestive of scleroderma. But provide me your report as an attachment for giving more comment as I want to know reference range of anti-Scl 70 (anti-topoisomerase antibody) for that laboratory. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3639, + "tgt": "How to handle my frustration, negative thoughts and anger?", + "src": "Patient: Hello doctor, I get frustrated even for very small things. I take too much stress before starting some work and thinking that it will not work and also my temper is becoming too high. Whenever I get angry I cannot control myself. Please help. Doctor: Hello. I can understand it must be really hard for you to be in this situation. What you are describing looks like an anxiety disorder. There is nervousness in starting anything new because the mind has negative thoughts which overwhelm you and make you feel it might not work out, and then the mind gets fixated on this pattern of negativity and you just cannot stop the overthinking which gives you stress. And long term stress produces aggression. What you need is to start psychotherapy. Via counseling (psychotherapy, cognitive behavioral therapy) the therapist helps you find out where these thoughts are coming from and help you in changing these thoughts in and controlling them so that inside it is not produced in the first place. Second part is anger management where you learn some techniques to control your temper and also via therapy you will be able to find out the source of your anger. I would need to talk to you in detail to be able to find out why you are having these thoughts after I take a detailed psychiatry history and evaluation. You can find a local therapist or we can start therapy sessions online via video consultation. If the problem is severe which we will be able to find out after evaluation, we can decide whether or not you need medications. I hope this helps." + }, + { + "id": 13354, + "tgt": "Is deep bradycardia always a sign of disease?", + "src": "Patient: Hello doctor, Why deep bradycardia (35 BPM) is a disease for some people and for other people is a sign of fitness and health? What makes the difference in the deep bradycardia (35 BPM) between disease and fitness? Doctor: Hi, Welcome back to icliniq.com. You raised a very good point. Cardiologist usually looks at the ECG and patient's symptoms. If the ECG does not show any features of conduction abnormalities and the patient is fit, healthy and has no symptoms, then it is reassuring especially if they are athletes. However, if the ECG shows a conduction abnormality or delays then it is of a concern and if the patient has symptoms of lightheadedness, fainting, collapses or exertional breathlessness, then it is of concern and needs more investigations and possible pacemakers if the condition persists after stopping all heart slowing medications. You need to bear in mind that a single ECG could confirm a conduction abnormality if present, but does not 100 % exclude as the condition could be intermittent, This is why a period of continuous cardiac monitoring is recommended for the patients who have symptoms could be related to conduction abnormalities." + }, + { + "id": 22878, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13648, + "tgt": "Why am I having painful bump with folliculitis below nipple?", + "src": "Patient: Hi doctor, I am a 33-year-old obese male. About 1 and a half years ago, I had a painful folliculitis, right below the left nipple which was cured after taking some antibiotics. It had caused a tiny bump below the left nipple, which when touched hurt. Anyways, after taking antibiotics it got healed. The place, however, continued to have a bump, but it was hollow to touch. You could press it down and when released, it would pop back up again. There was no pain. About three weeks ago, I felt pain in the exact same spot where I had folliculitis and sure enough, it was back. It was painful to touch exactly like when I first got that. So I took antibiotics and the folliculitis got cured again, in the sense that there is no longer any pain to touch it. However, the bump of the folliculitis still remains. It does not pain at all to touch no matter how hard you touch it, and the size of the bump has also lessened. However, that bump remains and feel hard underneath, though it does not hurt to touch. What should I do? Doctor: Hi. The description you have mentioned is quite classical for anetoderma. This condition arises whenever the skin's elastic and collagen fibers are damaged because of an infective or inflammatory condition. Due to the painful folliculitis, a few of these fibers in the affected area could have been damaged resulting in such condition. This can occur as a consequence of any skin disorder, it is totally benign, and if not causing any trouble best to leave it alone. However, in case you want to try something for it, you could use Tretinoin 0.025 % cream over the affected area for two hours daily." + }, + { + "id": 22278, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22508, + "tgt": "I notices white spots in my mouth after using gutkha. Please help me", + "src": "Patient: Hello doctor, I am 23 years old. I have started consuming gutkha/pan masala one year before but not consistently. Today, I noticed a small white spot beneath my tongue and a white area inside my cheek. I am very much worried about this. Please help me. Doctor: Hi. It must be the tobacco pouch keratosis. That means your mouth has started reacting to it. At this stage, if you leave it, it will heal and there will be no problem but in case you continue, it may lead to the leukoplakia which has high potential to transfer into cancer. Leave tobacco chewing this time, you will be happy. Otherwise, it may be dangerous in the future. Also, take a multivitamin and eat carrots one or two daily. You will be fine in three to four months. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12324, + "tgt": "My nails are itchy, yellow and break easily. Kindly advise the treatment", + "src": "Patient: Hello doctor, Nails are itchy, yellow looking, break easily and it has probably been more than six months and getting worse. Doctor: Hi, Welcome to iclinq.com. It would be great if you could attach pictures of your nails for proper diagnosis and treatment. You see there can be different reasons for that, it might be onychomycosis (fungal infection of nails) or may be weathering of nails. So, please kindly attach pictures for that because treatment gets different." + }, + { + "id": 3943, + "tgt": "Kindly explain about the tests required to diagnose erectile dysfunction", + "src": "Patient: Hi doctor, I am 35 years old. I am married for last 4 years and having a kid. I led a sedentary lifestyle. My fasting blood sugar was 257 and PP was 353. My HbA1c was 11.3. I was diagnosed to have diabetes. I consulted my friend with is a doctor and under his guidance, I changed my diet and started the exercise. I reduced my weight from 103 kg to 91.2 kg. After three months, my fasting was 117 and PP 153 with HbA1c 6.5. My lipid profile is normal. For the past one week, when I check my glucose level in glucometer at home, it is less than 110. I am not in diabetes medicine. I think I have ED. What are the test that needs to be done to diagnose the same? Doctor: Hello. I read your query and understand your concerns. First of all, I like to inform you that there is no test which alone can tell you whether you have ED (erectile dysfunction) or not other than the history and proper physical examination. This is the thing which are done by the doctor when you present yourself in his or her office. Based on the observation doctor decides whether the testes are required or not. In case required he only decides what are the tests required based on the available history details and clinical examination. I mean to say that you need to see a properly trained sexologist to determine the number of tests required. This is because the presence of abnormal test does not mean the test abnormality is the cause of the problem and similarly, the presence of normal test result does not rule out the problem. However, in routine practice, we order normal biochemistry (blood sugar, GTT - glucose tolerance test, HbA1c, lipid profile, LFT - liver function test, and thyroid profile), hormonal profile (free and total testosterone, prolactin, LH - luteinizing hormone, and FSH - follicle-stimulating hormone), USG abdomen and pelvis, and penile Doppler study among others. These are often a minimal requirement and the number of tests can change as per the need of the individual patients. I hope this helps you. Feel free to write back to me if you have more questions." + }, + { + "id": 29355, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13180, + "tgt": "What are the tests available to confirm HIV?", + "src": "Patient: Hello doctor,The last exposure was a year back, had pin-prick sensations on head and arms. After three months, I had three HIV tests, two were blood and one rapid test oral. Eight months later, I had a PCR RNA qualitative and another fourth-generation blood test antigen and antibody, both were negative. I also got tested for Hepatitis C, HTLV I and II. But signs of lipodystrophy are present, fat relocation to the abdomen. Legs are thinning. Low testosterone, lipid abnormalities as well. Elevated sedimentation rate and CRP come and go as well. I really think this is HIV but if it does not show up on a test I cannot get treatment. Or if this is not HIV what else should I get tested for? Doctor: Hi. As per description, you are more obsessed with HIV rather than the actual scenario. Any infection will have a remnant in the body, called the footprint of the infection. In case of HIV, the virus leaves its particles in the body, of which p24 is the core protein that protects HIV DNA. For HIV to infect human CD4 cells, it needs to break this core protein and release RNA material from the virus which passes to human cells and then further replication continues and the virus spreads through the body. So, we test for p24 particles in the body. If they are present, then you are infected and if it is not present, then you are not infected in any case (even you highly suspect or think). So, the fourth generation detects, not just these particles but also the body's response to these particles, called p24 antibodies. So, if you are negative after three months by this test, then there is no chance of being positive with the exposure. You have to accept the truth. And coming to other conditions, lipodystrophy, check for the endocrine problem which may be a cause of low testosterone. All your complaints may have undiagnosed conditions but HIV is not at all the cause. Do not be obsessive, accept the truth that you are free of infection." + }, + { + "id": 9932, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 11512, + "tgt": "Recurrent sinus infections are disrupting my life. Please help", + "src": "Patient: Hello doctor, I am a 20 year old female. I am not on any medication. I take probiotic, multivitamin, vitamin D, Cal-mag and omega supplements daily. I seem to have recurrent infections. In the last three years, I have had two strands of mononucleosis, pneumonia twice, ongoing sinus infections, recurring strep throat, and tonsillitis which resulted in getting the tonsils removed. I also had a stomach infection. I cannot take antibiotics anymore because the infections come back when I stop the medications. I was referred\u00a0to an allergist and have tested negative to all the allergies. I do not know where to go from here. Hodgkin's lymphoma, leukemia, as well as\u00a0colon, prostate, and\u00a0breast\u00a0cancer has been in my family. Is there a chance I could have any of those? Doctors have said that it could be just a phase of being sick. But, I am tired\u00a0and worn out. I want to get my life back. Any guidance would help. Doctor: Hello. Firstly, do not worry, your condition is not suggestive of those cancers. Hope this helps. Get back if you have any doubts. For more information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16138, + "tgt": "What is the reason for loose motions in a newborn?", + "src": "Patient: Hi doctor, My baby is 8 days old and he has loose motion. I gave him Enfamil formula but after the feed, the motion per day was 6 to 7 times. I am really worried about him. Doctor: Hello. Bowel habits of infants are as different as the infants themselves. Some babies go several times a day, while others go every few days or even less frequently. Also, breastfed babies usually poop more frequently than those who are formula fed. Finally, a baby\u2019s stooling habits will change as their digestive system matures and their diet changes. Nothing to worry but if you observe sudden change, that is, he poops more than usual and passes looser, more watery stools than usual, then it is probably diarrhea. Please consult your pediatrician. Take care." + }, + { + "id": 14952, + "tgt": "Are my MRI and tympanogram results showing any hearing loss?", + "src": "Patient: Hello doctor, I have a normal MRI and a normal tympanogram. Am I losing hearing based on both the test results? Doctor: Hello. No, you are not (attachment removed to protect patient identity). But I would like to see the graph of pure tone audiogram to pick out if there is any early hearing loss. Kindly upload the graph of your hearing test." + }, + { + "id": 141, + "tgt": "Can the transmission of congenital glaucoma be prevented?", + "src": "Patient: Please need guidance Actually my mother is blind and my family is partially blind. I have weak eyesight by birth and by birth Glocoma which was operated also I have nystagmus. My wife and i are planning to have our first child we don't want our child to suffer as well. Now please recommend me something to pervert this transmission. Also something for me as well. Regards Doctor:" + }, + { + "id": 4642, + "tgt": "Inspite of taking Vigour tablets, my sperm count did not increase. Why?", + "src": "Patient: Hi doctor, I am 33 years old. It has been 11 years since I got married and have one daughter aged 9 years. My main concern is my wife is not getting pregnant. She is undergoing gynecology checkup. All her test reports are normal. I\u00a0am much tensed at this moment. I think my sperm count is low and not thick, because 2 years back suddenly I realized my penis not getting hard too much and also not able to have intercourse for more than two minutes. I searched on internet and found a pill called Vigour 300. I ordered and took as described. It really worked and I started taking this pill every time while having intercourse. I had 10 packs consists of 100 pills, then again used another 10 pack of Vigour 800. Now my sex capacity is normal. But, still I am not able to get my wife pregnant. I observed that my sperm color has changed from white to yellow and quantity is very minimum but not thick as before.\u00a0I really want to get my wife pregnant.\u00a0Please suggest some measures. Thank you. Doctor: Hello. Revert back with the reports after 14 days to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14693, + "tgt": "I have pain in a recently root canal treated tooth. Why?", + "src": "Patient: Hello doctor, I had a root canal done five months back. I started to experience pain yesterday where the crown is, and overnight the pain got severe. The crown feels sensitive when I touch it. So I am afraid there is an infection underneath it. My dentist is closed for the weekend. Nothing I do stops the pain. My regular doctor said she would need an X-ray to confirm an infection. Doctor: Hi. I understand this would be a very painful condition. If it has started with pain so hard inside the crown then infection has definitely occurred. In such cases, re-treatment is done with a very poor prognosis or tooth extraction is done that rules out the cause of infection with 100 % prognosis rate. Things to do right now include taking Ibuprofen 600 mg TDS (thrice a day, that is, eight hourly for three days). Start saline water mouthrinses 4 to 5 times a day. (Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its rinses). Do not lay down straight. It will trigger up a toothache. Keep pillows a bit high or some more cushions under your neck while trying to sleep. If only painkiller Ibuprofen does not help much with pain in a day, then you must start with this antibiotic regime as soon as possible. Tablet Augmentin 625 mg BD (twice a day), tablet Gramex (generic: Metronidazole) 400 mg (twice a day), tablet Ibuprofen 600 mg (thrice a day). That is the best regime to be followed in tooth infections provided that you are not allergic to any of such medicines. Hopefully, it will help." + }, + { + "id": 15829, + "tgt": "I have rashes, marks and black skin inside my butt cheeks. Kindly advise", + "src": "Patient: Hi doctor, I used to have itching and pimples or boils in my inside of the butt cheeks. Even after cleaning there thourougly it continued with no relief. I recently started applying ample moisturizer there after showers and can feel a significant improvement. However, there are many marks and dead black skin over there. Can you please advise how to get rid of it? Doctor: Hi. I have gone through your case. You need to follow strictly a few pieces of advice. Check your blood sugar level, fasting and random, because boils occur repeatedly in it. Apply Fucidin cream two times a day on the pimple. Apply Canesten (Clotrimazole) cream in your all black area. The rash is a fungus. Keep area neat and dry after washing. Wear loose clothes and avoid sweating as much as you can." + }, + { + "id": 8773, + "tgt": "What is the treatment for both sun damage and acne scars in my skin?", + "src": "Patient: Hello doctor, I have a couple of skin issues. I have some sun damage on my skin and a good amount of acne scars as well. I have been trying to get rid of those stubborn areas for a long time. They are mainly on the sides of my face. I also had a horrible case of folliculitis. It has recently cleared up because of not shaving too close to the skin. I do not have much-ingrown hairs anymore. But, I am now left with all the skin damage that has taken place throughout the years. The razor bumps that I had has also considerably darkened my neck area. I have been to a dermatologist recently. I was first given Retin A prescription (0.05 %) and told to use a Hydroquinone cream along with it. I did not see much results from it. I was then given a Retin A prescription for the dark areas on my face again (the first Retin A medication was too strong % 0.05, and so I was given 0.025 % this time). However, I do not see any change in my dark areas. Along with my Retin A prescription, I was also given Hydrocortisone for the area of folliculitis too. There has not been a reversal in any of my skin condition, not in the areas where I had folliculitis or the dark areas on my face. Please help. Doctor: Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area." + }, + { + "id": 2204, + "tgt": "Why do I feel more aroused when I masturbate and not with my partner?", + "src": "Patient: Hi, Im a 20y/o female, with average health. I've always been afraid to ask about sex whether with my gyn or my doctors. I'm not always sexually active, but when i am with my partner, I don't feel anything vaginally during intercourse, during foreplay I feel some but not much. However, when masturbating I'm perfectly fine, and I feel amazing. I have some slight anxiety, and I've had Major Depressive Disorder in the past, but now I'm doing much better on Zoloft 50mg, with limited symptoms now. Im aware that my medication has proven to have negative effects on my sexual libido, but my real concern is why there is such a difference in my sexual experiences when with my partner versus myself. Thank you ! Doctor: Hello, Feeling satisfied in intercourse depends on a number of factors - Sexual desire (spontaneous sexual interest including sexual thoughts, erotic fantasies, and daydreams.etc.). Psychological issues. Relationship issues. Another important point is that during masturbation you are aware of the pleasure points in your body and can therefore attain maximum pleasure, while with a partner a lot of other factors are involved. Also, maybe you should consider using another drug instead of Zoloft 50? Sexual desire is typically more psychological and situational in women, influenced by how they feel about their bodies as well as the quality of relationship with their partner. I suggest you talk with your partner so that you can experiment with different techniques. Also to find what suits you and your partner best so that both of you can understand each other better sexually. (Many women do not experience desire until after they are genitally aroused, and arousal may require an extended period of foreplay)" + }, + { + "id": 5472, + "tgt": "Please suggest the treatment options for pain in the last disc of back bone", + "src": "Patient: Hello doctor, I need the treatment for the pain in the last disc of back bone. Please suggest. Doctor: Hello. The commonest cause of back pain is mechanical, i.e. because of odd posture while sitting, sleeping and also because of lifting heavy weights. I am not very clear about what you have asked in the question that you need treatment for the last disc. Is that a prolapsed disc or disc bulge? Here are a few suggestions to reduce your low back pain. 1. Maintain a proper posture while sitting, make sure that your back and head and aligned in a straight line while you sit down and also while riding any vehicle. 2. Sleeping supine, i.e. with your lying down with your back parallel to the floor and you facing upwards on a firm mattress is known to reduce the pain. 3. Avoid lifting heavy weights until the pain subsides. 4. Stretching exercises of the back and legs are known to help in the reduction of back pain. 5. Warm compresses, i.e. using a cloth that is dipped in warm water or a water bag (pain relief bag) will give some relief. 6. Tablet Paracetamol 500 mg three times a day with eight hours gap for five days may be tried. 7. Diclofenac gel can be applied two times a day over the site of pain. 8. If the pain is very severe or if it is increasing in severity in spite of the above measures, it may be a good idea to visit an orthopedic doctor for a complete evaluation. I hope this helps." + }, + { + "id": 5360, + "tgt": "Can I take two doses of Wellbutrin 150 mg to match up 300 mg dose?", + "src": "Patient: Hello doctor, I am currently on Wellbutrin XL 150 mg per I am going to put up to 300 mg before I do so. Our pharmacy is currently out of 300 mg. They do have a generic brand which I do not like. In cases such as this, is it fine to take 2 doses of the 150 mg to make up the 300 mg? Or is that not possible? Doctor: Hello. Wellbutrin XL ( Bupropion XL) can be increased to 300 mg XL once daily in the morning after you have been taking Wellbutrin XL for at least four days. The dose has to be increased gradually to minimize the risk of side effects like seizures. If Wellbutrin XL 300 mg is not available in the pharmacy, you can potentially take two doses of Wellbutrin XL 150 mg, taken together as once daily in the morning (giving you an effective dose of 300 mg once daily). Both pills should be swallowed as a whole and not crushed or chewed. You can switch to Wellbutrin XL 300 mg once it becomes available. Another easier option will be to try generic Bupropion XL 300 mg tablets as they contain the same active ingredient. I note that you mentioned you do not like it. Is it the medication effect or taste which is not to your liking? If you feel strongly against the generic version, you can take Wellbutrin XL preparation itself. Whichever option you choose, kindly discuss with your prescribing doctor as some pharmacies will not dispense unless the preparation and dosage are clearly mentioned in the prescription. It is important to have regular follow-ups with your prescribing doctor once the dosage is increased so that benefits and any potential side effects can be monitored. I hope this helps." + }, + { + "id": 20583, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20004, + "tgt": "I am suffering from premature ejaculation. Is it curable?", + "src": "Patient: Hi doctor, I am suffering from premature ejaculation. I ejaculate within 20 seconds of penetration. Is it curable? Suggest me some medicines for the same. Doctor: Hello. Premature ejaculation is a common condition which affects men. If you are perfectly healthy without any medical conditions such as type-2 diabetes mellitus or hypertension, you can easily overcome your problem. Mostly, it is due to anxiety. I advise you to get rid of any anxiety which can affect your performance. Talk to your spouse, so that she understands your problem. Be more relaxed during the intercourse. There are some climax-delay condoms available, which you can try. Also, start taking tablet Cobadex CZS (vitamin supplement) and vitamin E capsules." + }, + { + "id": 23597, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 2215, + "tgt": "I am disturbed with eye floaters. When will it go?", + "src": "Patient: Hello doctor, I have eye floaters. I have done the retina exam by dilation, vision test, etc. Please help. Doctor: Hi. I hope you are enjoying good health. What are your questions about floaters?" + }, + { + "id": 30693, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 8146, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30070, + "tgt": "My son got fits without fever. Why?", + "src": "Patient: Hi doctor, My son is 7 years old. He had fits twice in the past 10 days. He got fits while sleeping, but without any fever.\u00a0At the age of 2, he had high fever and fits. When I consulted his doctor, he said that the fits was due to high fever and I should take extra care in case of fever.\u00a0We had an MRI and angiography and the reports showed normal remarks. I could not understand the reason for his fits. Please help me. If you want to see the report, please let me know. I am very depressed. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16668, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19165, + "tgt": "I feel so down and inferior to everyone. Why?", + "src": "Patient: Hi doctor, I feel so down and inferior to everyone. While growing up, I got everything I wanted. I had the best childhood. I was not the most pleasant kid though. I was mean and I wish now I could change it. I thought I was the cool kid. In middle school, I was bullied without actually letting it get to me. I feel like it mentally affected me even though I did not want it to. I was called short and ugly and make fun of. Regardless, somehow I let it go and now I feel inferior to everyone. Everything I do makes me feel like I do not belong. When I am on the train I feel like everyone is looking at me. When I am hanging out with my friends I feel like I have to be someone else. I want to be more outgoing. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7058, + "tgt": "How to remove Becker's nevus?", + "src": "Patient: Hi doctor,I have Becker's nevus on my upper part of the\u00a0chest.\u00a0It has grown subsequently dark in the past few years. Also, hair growth has increased very much on that part. It is aligned towards my left shoulder. My childhood photos show no sign of any such mark. Only, occasional acne occur on that patch. Doctor: Hi. Revert with photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16967, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22072, + "tgt": "I started running but my resting heart rate is going up instead of down. Please help", + "src": "Patient: Hello doctor, I am 36, weighing 57 kg and having a resting heart rate of 60 to 65 bpm till last week, but now I am getting resting heart rate as 80 to 85 bpm. From last one week, I have started running every day for about 16 minutes, four minutes each lap (starting with 5 kmph to 8 kmph till 16th minute). I have heard that if we start running every day our heart rate goes down and down, but the reverse is happening for me, so scary. And also, I am a light smoker, smoke three to four cigarettes a day (till three months back, I used to smoke 10 cigarettes a day). Please help to figure out the issue. Doctor: Hello. I do not think there is anything to worry about. Running for a longer time, say for few months at least, will make the heart stronger and decrease the heart rate, not for a week. There are numerous factors which can affect our heart beat like exercise status, walking before taking heart rate, psychological status like anxiety, etc. So, this can cause an elevated heart rate. I guess you do not have any symptoms like dizziness, shortness of breath with elevated heart rate, right? Also, no harm in getting a thyroid test done as resting heart was on the lower side. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7800, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18023, + "tgt": "Is it true that there is no cure for functional dyspepsia?", + "src": "Patient: Hi doctor, I am a 20 year old male, I have a constant and mild abdominal pain whole day, especially in the morning. I feel heavy all day long, but still, have an urge to eat. I fart and belch more than usual and have a foul smell. I have a sense of indigestion in my\u00a0stomach all day long. I defecate less than I used to. The stools are not watery or lose but are thin and weak as compared to when my stomach was healthy. I do not have any vomiting or lose motion. I do not have any loss of appetite or weight loss. I have been having these symptoms since last two months. Currently, I am taking tablet Rebel D in the morning on an empty stomach, tablet Colofac before every meal, tablet Gastro-soothe after every meal. I have been having these medicines since one week, but I have not noticed much change. I do not have any allergies. I have done blood tests, ultrasound, and stool test, all of them were normal. The doctor said I have functional dyspepsia. My state has not improved much in the last two months, what am I doing wrong? What should I do now? I have read other patients testimonies on some websites, and they have written that they are suffering from this disease from the last two years, and it is something that they have to live with for their entire lives. Is this such a serious illness? Do I have to live with it for my whole life? Is it impossible to cure it? Can no medication or surgery cure it? I want to feel normal again, the way I used to before. I used to eat junk food occasionally, and my stomach was able to digest it, but now it seems frail. Kindly help me and if possible give me as much detail as possible. Thank you. Doctor: Hi. Firstly, you are not sick, and you do not have any disease. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12333, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30793, + "tgt": "Kindly suggest the right action for my skin disease", + "src": "Patient: Hello doctor, I had red, scaly patches all over my body. I consulted a doctor and he said it as Pityriasis rosea. I took treatment for a month, but I guess they are enlarged. Now, I have completely stopped medicines. I took Averzine 25, L-Cet 5 mg, applied Propynate, Clobivax and Galderma. Another doctor says that I need to do a skin test to confirm psoriasis. I have attached the prescription here and the test is yet to take. Right now, I am applying an ayurveda cream Sorion topical and taking ayurveda medicines. I have also attached my recent blood test report. Please suggest any medications and right action. Doctor: Hi. I have gone through your investigation reports and they are normal (attachment removed to protect patient identity). I have seen your images and it is psoriasis only. Yes, a skin biopsy should be done to have documentation for the future. It is a very small procedure. The small skin sample will be taken from the lesion. Your dermatologist prescribed Methotrexate and it is a test dose given to you. Subsequently, if needed the dose of Methotrexate will be increased depending on your response. You have started on the right treatment. Along with oral the topical medications given to you will help. Also, narrow band UVB therapy (ultraviolet B) called as phototherapy works well in case of psoriasis. If your doctor has this facility, then ask him when you visit next time. Because, it will take time to resolve only with medication. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10049, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2955, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16782, + "tgt": "My vitamin D is very low and I am feeling malaise. What to do?", + "src": "Patient: Hi doctor, I am a 21 year old final year medical student.\u00a0I started feeling malaise since four weeks associated with fatigue. I thought it was a subclinical viral infection and took bed rest. Slowly my limbs started to pain, only the thigh. It gradually progressed over two weeks and now I cannot walk for 50 feet or stand for more than three minutes without resting my thigh. The pain gets relieved on resting, but soon twitching starts all over the legs and face. This pain is aching in type and is severe.\u00a0Investigations I had are complete hemogram, liver function test, thyroid profile, ECG, serum electrolytes, calcium, phosphorus, creatinine phosphokinase, B6, folic acid and nerve conduction study. All were normal except vitamin D, which is very low at 14 ng/dL. I have been diagnosed with OCD and I am taking Escitalopram for the past two years and Fluvoxamine and Clofranil for three years before that.\u00a0Now, I am taking Felicita once in the afternoon and Clonazepam 0.25 mg (1-1-2) and Escitalopram (1-0-0). My thigh pain is too much. Please help me. Doctor: Hi. Revert back with the test reports to a general practitioner --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5298, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 11940, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14418, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18166, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15600, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2449, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15955, + "tgt": "How can I cure premature ejaculation?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation (early ejection), which I guess is due to masturbation. I am unmarried, 29 years old, height 5'10'' and weight 64 kg. Doctor: Hi. Premature ejaculation has multiple causes and at times it is difficult to pinpoint the exact cause. It can be managed by two approaches - first, behavioral therapy and second, drug therapy. Behavioral therapy includes squeeze technique, start-stop technique, and coitus interruption technique. You can read about these online and practice any one of them. It takes time to effectively practice them. So, keep practicing. Second, a drug from SSRI (selective serotonin reuptake inhibitor) group is used for premature ejaculation as the side effects of this class of drugs are delayed ejaculation, which is used here. Usually recommended drugs are Fluoxetine 20 daily or Paroxetine 12.5 mg daily or Dapoxetine 30 mg one hour prior to sexual activity. Consult your specialist doctor, discuss with him or her and take medications with their consent. Behavioral therapy has benefits of long-term effects. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3318, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 13667, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11703, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14303, + "tgt": "Why am I having cough with green sputum and stomach pain with loose stools?", + "src": "Patient: Hello doctor, I have two complaints for the past five days. One is deep hacking cough with greenish sputum and the other is stomach pain with loose stools. No nausea or vomiting. Please advise. Another doctor prescribed Omeprazole and Ranitidine but I have seen no improvement in my condition. Also, I live in a place where the air quality is very poor. Doctor: Hi. I can understand your concern. By your history and description, the possibility of lower respiratory tract infection (LRTI) is more likely. A cough with greenish expectoration is commonly seen with pseudomonas infection. And this can also cause gastritis and diarrhea. So in my opinion, you should start tablet Ziffi CV one tablet twice daily, Azithromycin 500 mg one tablet once a day, syrup Bronchorex one spoon full three times a day, tablet Pantocid L (Pantoprazole and Levosulpiride combination) twice daily on empty stomach. Drink plenty of fluids orally and keep yourself hydrated. Also, take an oral rehydration solution (ORS). Avoid oily and spicy food. Avoid junk food. Take these drugs for five days. Do let me know if have a fever, diabetes or hypertension? Do you smoke? Please reply me answers to above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health." + }, + { + "id": 24045, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8508, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 9111, + "tgt": "What do high MPV and giant platelet in CBC mean?", + "src": "Patient: Hello doctor, My father is 65 years old. Recently, we went for his routine cardio checkup. His doctor suggested thallium stress test, which was normal. He has been\u00a0hypertensive for 15 years and is on anti-hypertensive Ramipril 5 mg, Amlodipine 2.5 mg and one diuretic. His BP was high, so the doctor has increased his dose this time. The doctor also asked for CBC. His CBC showed high MPV and giant platelet. What does that mean? I am attaching the report here. It would be really helpful if you go through the whole report and clear my doubt. Doctor: Hello. I had gone through all the reports posted (attachment removed to protect patient identity). For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 9325, + "tgt": "I had no symptoms after hitting my head on a concrete wall. Am I safe?", + "src": "Patient: Hello doctor, I recently slammed the top of my head against a concrete wall while trying to jump a gap at a gymnastics gym. I did not lose consciousness and immediately iced it. It has been two days since then, and I have not experienced any symptoms of a concussion or any other head injury. Only tenderness on the spot. Am I fine? Doctor: Hello. 1. If there have been no symptoms, then it is probably a mild injury without any internal brain injury. 2. In head injury, an observation period of 24 hours is essential, and if there is no progress of symptoms, then there is almost no probability of any serious problem. 3. If you get any symptoms like headache, dizziness, vomiting, visual problems, then it requires an evaluation and CT scan head. If there are no symptoms, then you are alright. Tenderness is almost always there due to superficial injury and will disappear in a week." + }, + { + "id": 11471, + "tgt": "Please suggest some medicine for flatulence, digestion problem and stomach pain in a 6 year old", + "src": "Patient: Hello doctor, I have a 6-year-old child. She has flatulence, digestion problem, and stomachache after eating. Today, her stool was like mucus. Please suggest some medicines. Currently she is on Neopeptine. Doctor: Hello. I understand your concern. Please do not give milk products for the time being. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Syrup Rantac 5 ml (Ranitidine) twice a day for five days. 2. Econorm sachets (Saccharomyces Boulardii) 1 sachet twice a day for three days. 3. ORS (oral rehydration solution) as much as she wants. If she develops fever, foul-smelling stool or blood in stool or tummy pain, then please consult a pediatrician as soon as possible. She may require to start antibiotics. Food. Stool routine SOS (if above-mentioned symptoms occur) Early dysentery. Give homemade food and plenty of liquid to prevent dehydration." + }, + { + "id": 4965, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18219, + "tgt": "Is my bleeding due to periods or implantation?", + "src": "Patient: Hello doctor,I had my period 15 days after my previous one. Normally, my periods are irregular, they are 10 to 15 days late or sometimes early, but not 15 days after the old one. Is it normal? I did not have sex but was close with my fiance just two days after my previous periods. His penis was on my vaginal part but was not inserted and neither did he ejaculate there, and then I had my periods 15 days after the previous one. I read that implantation bleeding also occurs like the period and is hard to distinguish. My period lasted for 5 to 6 days, and the bleeding was normal. What can be this? Was it a normal period? Doctor: Hi. As you have described your history that irregular periods are already there. You are a teenager as well could have some irregularities in cycles as the phase of development but continuous irregular cycles need to be investigated actually. Strict diet, strenuous exercise, hormonal imbalance, illness, medications, contraceptives all can delay periods actually. For pregnancy, a single sperm can help to conceive otherwise in case of hormonal imbalance women used to take medications, extra health precautions for years to conceive. So it is luck as well. For safe side, you can have serum beta hCG (blood pregnancy test) to check your pregnancy status. If it comes negative, then you can have combined oral contraceptive pills cyclically for three months to aid your menstrual imbalance. In case of a negative test of serum beta hCG, you can have a transvaginal scan and on day two periods can have blood tests (serum progesterone, testosterone, insulin, thyroid function test, prolactin), collect all results and can discuss here or with your local gynecologist as per your convenience. Blood pregnancy test will completely guide you correctly. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6069, + "tgt": "I feel sharp pain and swelling in my Achilles tendon with tingling sensation. What could it be?", + "src": "Patient: Hello doctor, I dislocated my right ankle before 14 years and had an operation after one year. Ever since then I have a sheer sharp pain go up to my Achilles tendon lasting for 20 seconds. What causes it? Recently, it is getting worse and swelling has formed around the tendon and there is pain around the heel and tendon. I am having pain around the ankle joint as well. Sometimes, I cannot walk on it. It sometimes gets cold then, very warm with a tingling sensation. What could it be? Doctor: Hello. You appear to be suffering from Haglund deformity, which is otherwise called Achillestendo insertional tendonitis. It happens from overuse and consists of inflammation and swelling of the Achilles insertion. It is not related to your ankle injury earlier. Treatment usually is pain killers, anti-inflammatory, cold compresses, stretching exercises and sometimes use of a small heel in your shoe to relax. Your ankle pain is possibly due to arthritis resulting from the injury. The treatment depends on the age and the severity of the injury. If you are having pain in the front of the ankle, first you need to get an x-ray to study your ankle. Further treatment depends on the radiological findings and the severity of arthritis. Let me know when you get an x-ray done." + }, + { + "id": 7077, + "tgt": "I am having red rashes in my arms and legs. What could it be?", + "src": "Patient: Hello doctor, I have red raised rashes in my legs and arms. I used Hydrocortisone cream, but there are no changes in it. Please help. Doctor: Hello. I have gone through your case. In my opinion, there is two to three differential diagnosis of your clinical presentation, and Hydrocortisone alone is not enough. It could be. 1. Insect bite reaction. 2. Follicular eczema. 3. Contact eczema. Please follow these instructions, 1. Please wear loose clothing while you have this rash as tight clothing like jeans. Rub your skin and itching start, and as a result of itching, these lesions develop. 2. Mix Hydrocortisone cream with Fucidin acid cream and apply two times a day for 14 days. 3. Take tablet Cetirizine 10 mg at night for 14 days. 4. Avoid using any perfumes and deodorants. 5. Do not apply any Dettol or any other antiseptics. Use mild soap." + }, + { + "id": 17727, + "tgt": "Can an HIV positive person marry an HIV negative?", + "src": "Patient: Hello doctor, Can an HIV positive person marry an HIV negative? Doctor: Hello. For more information consult an HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4652, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22040, + "tgt": "I feel sad, cranky and tired. What can I do?", + "src": "Patient: Hi doctor, My energy levels are low, and I feel sad and cranky. What can I do? Doctor: Hi. You seem to be suffering from major depressive disorder. You need to take medication for your disorder and be active in your life. Try to do exercise daily like just go for a walk for 30 to 45 minutes, take good food, avoid junk food, get sound sleep at least six to eight hours, develop some creative hobbies like reading books, playing some instrument, painting, writing, etc. I suggest you start SSRI (selective serotonin reuptake inhibitor) group of medication like Sertraline 50 mg daily in the morning after breakfast and for sleep disturbance take tablet Clonazepam 0.5 mg daily before bed. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do an investigation to rule out thyroid disorder, TSH (thyroid-stimulating hormone) and serum B12 level for vitamin B12 deficiency. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1772, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 10991, + "tgt": "I have three boils under my eyelid. What could it be?", + "src": "Patient: Dear doctor, I had a small stiff boil in the middle of my eyelid for months. Then it disappeared and another one appeared in the outer corner of the same eye (right eye) and kept getting bigger and smaller and still has not disappeared. Then, about six months later, when I blinked it hurt, and I felt another boil under my eyelid and when I looked it was full of pus and I did not disturb it. The next day when I woke up, my whole eyelid was swollen and hurt really bad. But the pain went down in three hours or so. I then realized that another boil was inside my eyelid. The boil burst by itself though and now I have three boils in my eyelid and the third one is in the inner corner of my eye. Is this serious? Doctor: Hi. Your history indicates recurrent inflammatory swellings of the glands of the eyelids in the form of hordeolum/stye (focal infection of the glands of the eyelid). Since these swellings are recurrent and multiple, you require evaluation to treat the underlying predisposing factors. However, no need to worry as this is not a serious condition. The treatment for hordeolum is the use of antibiotic eye drops or eye ointments and anti-inflammatory drugs. Applying hot compression provides symptomatic relief. The common problems that need to be ruled out are refractive errors, blepharitis (chronic inflammation of the eyelid) and systemic conditions like diabetes. Consult an eye care ophthalmologist online regarding further investigations --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24696, + "tgt": "Is my left-sided chest pain due to acidity or heart block?", + "src": "Patient: Hello doctor,I have borderline high cholesterol for five to six years. My blood tests like homocysteine and troponin-I were normal before three to four months.Since last week, I have left sided mild pain usually assumed by me as associated with gas and acidity. More often, I observed that whenever I had gas and acidity mild pain at left side chest happens. This pain usually subsides within one or two days but this time continued for three to four days with symptoms of gas and acidity. Few doctors ruled out heart-related problems by TMT and echocardiography and ECG before one year. But, since my cholesterol is on the higher side,.I always worry about localized chest pain. I have momentary pain without shortness of breath, without center or back chest pain. I do not feel angina. I do not sweat or breathe fast. All the symptoms seem normal except localized chest pain. Please find attached report and photograph and guide. Also, advise that if I want to rule out any blockage which test, radiography (CT/ MRI) what I need to do. I do not think I need angiography at this moment as my Troponin-I and homocysteine are normal. Kindly guide. Doctor: Hello. I reviewed all your reports (attachment removed to protect patient identity). An angiogram is not required. Serum uric acid, LDL cholesterol, and triglycerides are high. Vitamin D3 is borderline. Please take Fibator LS (Fenofibrate and Atorvastatin) once a day at night. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Take Calcium and Vitamin D3 tablets for a month. Continue tablet Pantoprazole 40 mg a day before dinner. You should avoid high protein diet for uric acid. Repeat lipid profile and serum uric acid after one month. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3559, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15473, + "tgt": "Does change in color of motion have any impact on babies health?", + "src": "Patient: Hi doctor, I have twin babies with one boy and one girl. They are four months old now. Breast milk is very low for them. So we are using formula. During the first two months, we used Simyl LBW and Lactodex LBW. Then the doctor told us to use Dexolac 1 powder. Now, my babies motion is in dark green for the past ten days and sometimes it is yellowish green. The doctor told us to have Simyl MCT powder. Does this powder clear the problem? My babies motion is sometimes watery, and sometimes it is normal. But it is always in green color. They are going motion once or thrice a day. Please give me a solution. Doctor: Hi. The color of the stools that you have mentioned is normal. Any color of the stool is normal, except when the color is red or white. All the children up to the age of six months pass stools either 10 to 12 times a day or once in two to three days. It is normal. So as per your history, the children are healthy. You can take Dexolac 1 (Zinc with Sodium) now as the age is four months now. You can stop Simyl and Lactodex. There might be a mild change in the stool habits once you change the feeds and it is normal. If there are lethargy and refusal of feeds in the child, then there can be something wrong. These are the main signs that indicate that there is something wrong." + }, + { + "id": 19684, + "tgt": "Kindly give your suggestion about my knee pain", + "src": "Patient: Hi doctor, I am 31 years old. My body weight is 72 kg and height is 5'8\". I have a pain just behind the knee for the last five months and I feel it while standing from sitting position. If I sit on legs, then I feel stiffness in the back of the knee. Also, I cannot stand properly for more than a few minutes. Here, my local doctor took the blood sample for ESR and CBC. He said everything is fine. My uric acid is 6.30 mg/dL. There is no complication in my x-rays. He prescribed me the following medicines. Etorvel 90, Vitamin D3 (60,000 IU) once in a week and Uristat I have been taking all these for the past three days. But, still my problem persists. Kindly suggest your opinion. Doctor: Hi. Sprain of knee. MRI knee. 1. Synovial hypertrophy. 2. Chondromalacia. Continue physiotherapy and hot fomentation of knee thrice daily with local application of Diclofenac gel. Use a knee cap on the affected site during activity. Avoid sporting activities, stair climbing and squatting. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5411, + "tgt": "I have two marks on labia with no pain or discomfort. Does it suggest herpes or HPV?", + "src": "Patient: Hello doctor, I have noticed two marks on my labia. They neither cause me pain or discomfort. I have labeled them in the photo. I believe one of them is an ingrown hair. I am not sure what the second is? I did not have sex for a few weeks and while doing sex I used a condom with the same partner. I am wondering if this looks like herpes or HPV? Does this look like an std? Is this a concerning presentation of my labia? Doctor: Hi. I have gone through your history and picture and understand your concern. (attachment removed to protect patient identity). These spots could be due to inflammation or a simple fungal or bacterial infection. Apply some ointment on it and keep watch on it (size, color, and pain). I hope this helps." + }, + { + "id": 3845, + "tgt": "When I eat sweets, I become hyperactive. What kind of disease is this?", + "src": "Patient: Hi doctor, Whenever I eat sweets, I get hyperactive. I feel like running and after a few minutes I used to get headache.\u00a0Can you help me understand what kind of disease is this?\u00a0Do we have a name for it?\u00a0How do I control it? How can I treat my headache?\u00a0Do I need to go for any special treatment? Doctor: Hi. We are here to help you. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5715, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26703, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17468, + "tgt": "I have loose motions with fever and body ache. What is the cause?", + "src": "Patient: Hi doctor, I have a fever. When I checked it, it was 100 F. Please help. I am attaching the prescription of the medicines that I take regularly. Doctor: Hello. I just read your query about your fever and saw your medications for your other conditions (attachment removed to protect patient identity). Hope you find my advice of some benefit. Good luck. Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27239, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15082, + "tgt": "I am having brown discharge after sex. Why?", + "src": "Patient: Hello doctor, I am a female 44 years old. After sex, there is a brown discharge. It only happens at that time. There is no other discharge after that. Is it something to panic about? I am taking BP medication Nebicad H and Thyronorm for thyroid. Doctor: Hello. This is called post-coital bleeding especially occurring in form of darkish brown mucoid secretion mixed discharge or often in form of spotting and usually accompanied with pain. The most common cause of such complaints is usually cervical erosions or cervicitis which can be confirmed after a per speculum examination and a pap smear by your gynecologist. This is usually due to a frictional lesion of the cervix during intercourse and a repeat friction causes fresh bleed each time increasing inflammation. The treatment is usually a 10 days course of antibiotics with complete abstinence from intercourse for three weeks and a repeat PAP smear after a month to evaluate the recovery. Other possible cause could be a cervical polyp, a cervical growth or often vaginal dryness secondary to chronic vaginitis-causing vaginal abrasions and bleeding. The best next step shall be a gynecological examination and a PAP smear." + }, + { + "id": 20219, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7996, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27161, + "tgt": "Why do I have white vaginal discharge after a year of getting genital warts?", + "src": "Patient: Hi doctor, I had genital warts last year, which has been treated. I got Pap smear, HIV, VDRL, and HSV tests, and all tests were non-reactive. I have white vaginal discharge, which is more than normal. The discharge is not smelly, and I do not have any itching. I have done an antibiotic course also, but this it is not improving.\u00a0Please help. What is wrong with me? Doctor: Hi. I would suggest you get an ultrasound done to find out if there is any infection in the pelvis. Also, your partner needs to be treated; otherwise, he will keep passing the infection back to you. Please have him visit a urologist and seek treatment. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10041, + "tgt": "Is it safe to take Clenbuterol being overweight and asthmatic?", + "src": "Patient: Hi doctor, I am 33 years old. My height is 176 cm and I weigh 77 kg.\u00a0I started hitting gym a month back. I am into 1 hour daily workout, which include both aerobic and anaerobic exercises. \u00a0As per the BMI report, I\u00a0was informed to keep my weight under 67-72 kg. Recently my gym trainer informed me about the pill Clenbuterol and it is safe to go for it. I went through a few websites and came to know it is more effective in burning fat, muscle build up and also used for treating asthma patients. My medical background is, I am an asthma patient. My recent medical checkup indicated that I have BP which is marginally little higher than regular and doctors indicated that it is not that much to be concerned about. I came to know, Clenbuterol is a steroid which has lots of other side effects like muscle cramp, dizziness, hand shaking, heart problems and effect on aorta. It has short and long-term effects too. It is completely banned in few countries and not available through prescription as well. Can you please inform me whether I have to go for it? Also, I want to reduce my weight without any side effects. As I am working as a software engineer, there might be a possibility that I will be traveling across countries and need to go for blood and urine tests for visa approval. I would like to know whether it will cause any problem in these cases as it is an illegal drug. Please let me know if any further details required from my side. Thank you in advance. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22214, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9942, + "tgt": "I am suffering from constipation with lower back pain. Kindly help", + "src": "Patient: Hello doctor, I am a 15-year-old boy, from the past week I am having constipation, my stool is very soft, but it is difficult to pass, I read about these symptoms in, and they said this is signs of colorectal cancer, I am very scared, I went to my doctor he said there is nothing to worry, he just touched my stomach. He prescribed me Skilax, he told me to take 20 drops at night after the meal, but it is not working. I have slight lower back pain and very dull pain in my left abdomen. Please help me. And I need to struggle to remove stool, but it either comes our in balls, loose of sometimes slightly thin and extended. Doctor: Hello. You are suffering from constipation. It is not colorectal cancer. There is nothing to worry about. Follow these instructions for one week, and you will be completely cured. 1. Continue using Skilax (Sulfolax) for one week. 2. Eat a diet rich in fibers like carrots, green leafy vegetables, and legumes. 3. Avoid meat as it increases constipation. 4. Drink at least seven glasses of water in a day. 5. Do brisk walking at least for 30 minutes every day. 6. Drink one glass of warm water on an empty stomach in the morning. 7. Do not eat junk or processed foods. Follow this strictly for one week. I hope that helps." + }, + { + "id": 12162, + "tgt": "What is the reason for redness and itching that spreads all over the body?", + "src": "Patient: Hi doctor, I have redness around my breast and it feels itchy. The itching is heavy when I wear a bra. It is under tolerable level if I apply Candid B lotion. Also, I have the same itching in my abdomen, bums and under thighs. There is redness over these areas as well. These areas are extremely itchy if I wear anything tight or if I do not apply Candid B lotion. It gives me only temporary relief. If I do not apply it then the itching and redness become severe and gets spread. What is my problem? Doctor: Hi. I have reviewed the attached photograph (attachment removed to protect patient identity). According to your history and the attached photograph you are suffering from ringworm infection. It is a fungal infection which has a tendency to spread. You are probably having the same infection over your abdomen, thighs, buttocks and left nipple. I would recommend you to start oral as well as topical antifungal. Fungal infection. Tinea corporis." + }, + { + "id": 27176, + "tgt": "Will Cetirizine help reduce the itching in my penis?", + "src": "Patient: Hi doctor, I took Norflox-TZ in the morning for loose motions but, in the afternoon my penis started itching. Doctor: Hello. I went through your query. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18809, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24800, + "tgt": "Why am I having pain in penis after masturbating?", + "src": "Patient: Hello doctor, I pressed my penis hard while masturbating by something yesterday due to which my upper part of the penis is having pain. There is no scratch on the upper part, no problem in urine passing or bleeding but still paining. What can this be? Doctor: Hi. Since there is no external injury as well as internal injury (normal passage of urine) I feel the problem is with muscle damage rather than anything. The simple muscle injury can be dealt with analgesics such as Ibuprofen 400 to 800 mg to be taken two to three times a day. Also, over the next three to four days there is a good chance of recovery from damage, and there is little to worry about it. It is also essential to maintain proper lubrication, and hard penis should not be rubbed over a hard surface as it is risky and may cause more damage. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17045, + "tgt": "What is the exact dose of Meftal-P for a 22 months old?", + "src": "Patient: Hi doctor, My daughter got fever since last night. It has been 24 hours and her fever is between 102 and 103.5 degree Fahrenheit.\u00a0She has no other symptom till now.\u00a0She is 22 months old.\u00a0We are giving her Fevago drops.\u00a0What can we do for her? Doctor: Hello. This could be a viral fever, so continue giving Paracetamol that is Fevago every 4 to 5 hours irrespective of fever. If fever is above 101 degree Fahrenheit, then start tepid sponging and give Meftal-P syrup (Mefenamic acid) instead of Paracetamol. If the fever goes beyond three days, then we can evaluate or investigate for causes of fever other than viral by means of a blood test and urine test. Generally, viral fever may last for three to five days and no need of antibiotic at this moment. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30533, + "tgt": "Why do my eyes get stuck on awakening?", + "src": "Patient: Hi doctor, I am wondering about my eye condition. I have had Symblepharon and I may have Ehlers-Danlos Syndrome (awaiting diagnosis). I have general tissue fragility. My skin will stretch more than normal, hypermobility of my joints due to fragile stretchy tendons and ligaments that provide poor support. I have very dry eyes and so, I am using ointment at night and gel lubricant by day. I was previously on Restasis for a year. I have had no eye surgeries or other trauma that I can think of as it might cause symblepharon. Is that a fixed condition of attachment? Or can it be manually detached (by the patient) and then reattach again after another night of sleep? It is very odd and appears a bit like mucus in photos, but it is not mucus at all. I have this sort of superfluous white tissue that adheres over my eye during sleep. I can gradually and carefully detach it from the eyeball in the morning using hot steam compresses. It seems to spring back to wherever it came from. The eye is very red and irritated with a throbbing ache similar to after getting poked in the eye. There is also usually some residual swelling afterward in the hollow between the top of my upper eyelid and the eye socket. This phenomenon occurs only with my left eye, which has mild ptosis since I had some mini-stroke episodes about 5 years ago. It is affecting my vision and now I have some pain basically all the time on the surface of this eye and it is also painful with eye movement. I am currently taking Naproxen for inflammation and joint pain and Tramadol when needed for migraine pain. The migraines are left hemisphere and affect the same eye. I have not had the exact issue before, but I have had the eyelid stick before due to dry eye. Doctor: Hello. I have read all of your complaints. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26671, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15232, + "tgt": "I am using Schwarz appliance for a couple of week and my palate has come down. Is it good?", + "src": "Patient: Hi doctor, I have a question regarding the Schwarz appliance. I have been wearing it for a couple of weeks now, and I have noticed that, on expanding the upper palate, the palate has come down and it became less shallow. Why is it so? Is it a good thing to have the palate coming down? How should be the palate usually, when you are not wearing the retainer? Shallow or more flat? Please suggest. Doctor: Hi. As a part of our body, palate comes in many shapes and sizes. It may be deeper, more shallow, flatter and it may include a torus palatinus. This appliance, which, you are using now, modifies your palate and it helps to erase some orthodontic problems. As long as the age is concerned, when the body growth ends, the palate gains a standard size, and this application can make it flatter than it is used to be. You can consult your orthodontist and check it whether everything is fine." + }, + { + "id": 22317, + "tgt": "Can you please suggest a cream which can dry the acne?", + "src": "Patient: Hello doctor,I am 27 years old female. Daily I get new acne. At first, I get redness in the skin which becomes swollen in 2 to 3 days and sometimes have pus. I use Kaya acne kit in the morning and at night. It dries the acne in three days but leaves a scar as by the time acne is swollen. Can you please suggest some effective cream which can dry the acne before it gets swollen and also cream to remove existing acne scar? Doctor: Hi. I can understand your concern about your face. From the picture (attachment removed to protect patient identity) it seems that you have acne of grade 3. I would recommend you to take a course of oral antibiotic for one week (Azithromycin 500 mg once daily for seven days). You have to apply cream which contains a combination of Clindamycin and Adapalen (Deriva CMS or other brands) every day at night for four hours, wash before going to bed, not only over acne but on other acne-prone areas. Take Vitamin B complex daily. Wash face with soap and water twice daily. Follow up with photos in two weeks. I am sure you should show some improvement in this period. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3551, + "tgt": "Will I-pill consumption affect my periods?", + "src": "Patient: Hello doctor, I got my periods exactly one month back. I had unprotected sex with my boyfriend seven days back. I had one I-pill after two days at lunch time. My periods are regular. Will the tablet consumption affect my periods? Is there any possibility for pregnancy? Kindly help me. Doctor: Hi. Hope your periods are regular of around 28 to 30 days. In that case nothing to worry as you had sex very much after ovulation period. And no need of I-pill also. You should not be taking I-pill frequently. It is an emergency contraceptive pill. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23712, + "tgt": "Please give me suggestions after seeing my blood profile reports", + "src": "Patient: Hello doctor, Today I checked my blood profile. I have attached my blood report. Please give me suggestions. Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). There are no major abnormalities as such. However, I have noticed the following derangements. Firstly, your Hb is borderline, and MCV and MCH are low which is suggestive of iron deficiency. So, you should once get your iron profile test done to look for iron deficiency. And if needed, iron supplements later. Also, increase intake of iron-rich food like green leafy vegetables, dates, jaggery, etc. Next is, your BMI (body mass index) falls in the overweight category, which leads to slight derangement of SGPT and slightly high BP. Also, this is the reason for your slightly deranged lipid profile. So, a healthy lifestyle and weight loss are necessary. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week, then once or twice a week. If BP is persistently more than 140/90 mmHg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. Next, your eosinophils count is slightly elevated. Do you have any allergies, etc.? If not, then you should deworm yourself once with tablet Albendazole 400 mg at bedtime once and repeat after two weeks. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15289, + "tgt": "I have pain in the last tooth of the upper jaw. Please suggest a medicine", + "src": "Patient: Hi doctor, I have pain in the last tooth of the upper jaw. Please suggest me some medication to get relief. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your tooth structure is fine. But third molars are always susceptible to infection. So do not worry and pain will get reduced soon. Report to a nearby dental hospital for radiograph after three days. Thus, if there is any caries, it can be detected and addressed accordingly. Take these medications for pain for three days. Take tablet Ordent (Ofloxacin 200 mg with Ornidazole 500 mg) twice daily for three days. Use Hexidine mouthwash once daily and rinse for 15 seconds in the mornings for 15 days. Take tablet Ketorolac 10 mg as needed. It will give relief from pain instantly." + }, + { + "id": 18148, + "tgt": "I have recovered from jaundice. Can I start working out at the gym?", + "src": "Patient: Hello,\u00a0 I have recovered from jaundice just a week ago and all my reports are normal. I had hepatitis B. Can I start working out at the gym? Doctor: Hi. Please\u00a0Consult a Gastroenterologist\u00a0online\u00a0for further questions -->\u00a0https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6031, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3760, + "tgt": "Please see my CT scan, and let me know if I have lung cancer", + "src": "Patient: Hi doctor, My CT scan says defined streaky opacity with associated loss volume and clustered tree in bud nodules have developed in the anterior segment of the upper left lobe. The associated central bronchi are impacted. Without an obvious mass, although a small central lesion is not excluded.\u00a0The impression at the\u00a0end said\u00a0a focus of bronchitis and bronchiolitis with airway impaction has developed in the anterior segment of the left upper lobe. An infectious etiology is suspected, but a small endobronchial lesion could be obstructing, this is not a typical site for aspiration. Follow-up is recommended to confirm resolution. I am of course concerned about lung cancer, but my pulmonologist said this mass looks like pneumonia, but the airway leading to pneumonia cannot be seen well. That is where the bronchoscopy comes in, as the airway cannot be completely visualized on a CT scan. If there were to be any abnormality in the airway, it would be more along the spectrum of a benign growth than lung cancer. Does this make sense? Do you agree? Doctor: Hello. Revert with more information to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 5251, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11717, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11005, + "tgt": "Can HIV enter my body through precum?", + "src": "Patient: Hi doctor, Last week, I had a sexual\u00a0encounter with a girl. I did not have any penetrative sex, but I rubbed my penis against her vagina for two to three times. There was no vaginal fluid contact also. I did not have penetrative sex, so I did not use a condom. So, I am worried whether I am exposed to HIV, and I am thinking of getting tested.\u00a0But on the internet,\u00a0I read that the tests are accurate after three moths only. I came to know about HIV RNA test, and I am thinking of getting tested for it. Can I go for that test now? Is a doctor's prescription required? I want to get tested after 10 days. Please tell me if it is reliable or not? If reliable, where should I get it tested? Doctor: Hello. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17603, + "tgt": "The 25th week pregnancy scan showed oligohydramnios and IUGR. What to do?", + "src": "Patient: Hi doctor, I am 31 weeks and two days pregnant. I had an ultrasound at 20 weeks, and everything was normal. However, with time, I noticed there was little or no movement, and the baby's movement was more like a ball rolling in a difficult position. So, my doctor sent me for an ultrasound at the thirtieth week. The scan showed severe oligohydramnios and intrauterine growth restriction. My due date was brought forward by a month. On the twenty-fifth\u00a0week, the baby's weight was 603 g. I have tried rehydration and bed rest. Can you offer more help? Doctor: Hi. Let me put forth few facts about pregnancy and baby growth. The growth of the baby is progressive, but if it stops at some stage, that amount of growth cannot be regained. Some reason has been missed by the doctor during the pregnancy monitoring. There could be many causes like uncontrolled diabetes, severe thyrotoxicosis, inadequate food intake or severe vomiting, or a condition called APLA (antiphospholipid antibodies) syndrome (here the baby is rejected by mother's body gradually, as it is a foreign body). So blood flow gradually reduces, as the blood flow to baby's kidney reduces, baby's urine output reduces and thus oligohydramnios becomes severe. In the same way, the baby has to be monitored with scans every week or more often depending on the scan report, fluid level, and doppler scan changes. We cannot take the baby out very early because it will die of immaturity. We can give the mother Steroid prophylaxis at around 28 weeks, to improve baby's lung maturity and to prevent hemorrhage in the baby. Once any of the findings are abnormal, the baby has to be immediately delivered. All we can do is wait and monitor. At least in the next pregnancy, such problems should be anticipated. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10510, + "tgt": "I have constant twitches in my upper arm. Could it be an early sign of ALS?", + "src": "Patient: Hi doctor, I am a 38 year old male, and I have been feeling twitches in my arm. I started feeling this constant twitch about six weeks ago. I did not experience any weakness in that arm or anywhere else in the body. The twitches lasted for about a week and then went away. The twitches have now appeared four weeks later in the same area (upper arm). Again, there is no apparent weakness, which I have tested by lifting weights at the gym and both my upper and lower body strength seems to be fine. What is worrying me to death is, could these twitches be an early sign of ALS? Is it possible that weakness will follow even though I do not have it now? Do ALS twitches go away for four weeks at a time and reappear? If I started to experience constant twitches six weeks ago, if this was ALS should not I have experienced some weakness by now? Is the fact that the twitches are localized to the same place a bad thing? Doctor: Hello. I have read your query and understand your concerns. First of all, I will suggest you consider other possibilities before jumping to conclusions. There are a number of conditions which can present with twitches without any disease, and ALS (amyotrophic lateral sclerosis) is one of the remotest possibility for a 38 year old young male. The commonest cause for twitches is simple worry or anxiety. I know at least 100 individuals with anxiety, who presented with simple twitches and no other symptoms. In my opinion, you need to see whether these twitches have any relationship with your anxiety level. The another common conditions which present with twitches is endocrine abnormalities, such as thyroid and parathyroid disorders. In case the stress level is not able to explain the twitches, an evaluation for endocrine abnormality is indicated. The list may go on in a similar fashion. Find the answers to your questions below: I hope this helps you. If you have more questions, feel free to write back. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16656, + "tgt": "I want to know whether my liver is in bad condition", + "src": "Patient: Hi doctor, I am a 33 year old male. My body weight is 64.5 kg and height is 5'3\". My USG report shows that the liver is mildly enlarged in size (liver span is 123 mm), but has normal shape and outline. There is a\u00a0mild diffuse homogenous increase of hepatic parenchymal echogenicity suggesting mild fatty liver. No focal area of altered echogenicity is seen. The intrahepatic tubular structures are normal. The porta hepatis is normal. Portal vein measures 7 mm.\u00a0The biliary tree is not dilated. The common duct at porta hepatis measures 3 mm in diameter. The gallbladder is normally distended. The gallbladder wall is normal. No calculus or mass is seen in the gall bladder.\u00a0All other organs are normal in shape and size. The overall impression is mild fatty liver. My SGOT is 43 u/L and SGPT is 35 u/L.\u00a0I was a social drinker, but I gave up before five years.\u00a0I want to know whether my liver is in bad condition. Doctor: Hi. Diet and alcohol. LFT (liver function tests) and ultrasonography abdomen. Fatty liver. Conservative treatment. 1. Regular exercise. 2. Intermittent fasting. 3. Use of Omega fatty acids containing oils in the diet. 4. Reducing fat content in diet. 5. Avoiding alcohol. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20803, + "tgt": "What might be the reason for high ESR?", + "src": "Patient: Hi doctor, My father is 72 years old. His ESR is 102. All kidney, liver and hemoglobin are in the range along with clear chest x-ray. Recently, he had right ribs and collar bone fracture. Also, he was diagnosed to have hemopneumothorax and chest tube was given for that. What may be the possible cause for high ESR? Doctor: Hello. I had gone through all the details posted. ESR is an acute phase reactant (erythrocyte sedimentation reaction). It suggests that there is something is going on inside body, but it does not localize the problem. Any infection, inflammation or low hemoglobin can cause raised ESR. I can have a look as some subtle variations you may not be aware of. As it is more than 100, it is better to do serum protein electrophoresis to rule out multiple myeloma. Kindly upload the reports and chest x-ray if possible and the search for the cause depends on history and symptoms rather than on investigations. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18776, + "tgt": "I feel that my erectile dysfunction is due to excessive masturbation. Is it so?", + "src": "Patient: Hi doctor, I am very sad that my penis is not properly erecting, and my penis is getting small when not erect. I feel shy in front of my girlfriend. I think I have erectile dysfunction. I masturbate a lot, and my penis is large when erect, but small when not. From 6 to 7 months, I am ejaculating earlier, and my penis is not erecting fully. It is erect for a few second. Please help me with the cure and precautions. I am only 18 years old, and I weight 51 kg. Please suggest some natural ways to\u00a0solve my problem. I am facing this problem since six months. The problem started slowly and is increasing slowly. According to me, masturbation is the cause. Because of this problem, I had many failed sexual intercourses. I feel that masturbation increases the problem. I get a good erection if I do not masturbate for two to three days. I get early morning erection only when not masturbated last night. I have not consulted with anyone about this, and I do not have any psychiatric illness. I am a regular smoker, and I have a habit of masturbating 4 to 5 times a day. Doctor: Hi. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9316, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30590, + "tgt": "Would it be better to get steroid injection before ablation for neck pain?", + "src": "Patient: Hi doctor, I have had right-sided chronic cervical neck pain for the past six months. My MRI revealed the following. Bulging discs, C6-C7 and C5-C6 osteophytes and severe bilateral stenosis and typical degenerative disc disease. I visited a pain doctor hoping for a cervical steroid procedure, but instead got a cervical medial branch block, which provided relief for only one day. Now, he wants to do a facet radiofrequency ablation in the cervical area. Would\u00a0it be better to do a cervical steroid injection before the ablation? I had same condition four years before and was treated with cervical steroid injections. I am currently on Lidocaine patches and Voltaren cream. Also, taking Quinine sulfate for leg cramps. Doctor: 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 neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 31031, + "tgt": "Can essential tremor get transferred genetically?", + "src": "Patient: Hi doctor, The person I am taking about is having severe tremors in the hand and fingers while going to new places. So, the person avoids huge crowd and sound. The person is 30 now and said that the problem was there from his childhood. All of the siblings have this tremor in the hand and finger. If the men or women from the affected family marry the person outside the family, then does it come to the child? Is this type of tremor curable? Women in the family are not able to hold the lid of the pressure cooker and cut vegetables. Men in the family are not able to hold the tea cup that means hands are shaking and not able to dial a number in a mobile phone without shaking. They underwent test before 10 years and was diagnosed to have essential tremor. Now, I want to know the answers to the following questions. What is the further impact and symptoms of essential tremor over a period of time if left untreated? How does it affect the daily activities? Is it genetically transferable to the next generation?\u00a0Do we have any permanent cure for essential tremor?\u00a0If the person has essential tremor, then what are the chances of linkage to other illnesses and disorders? Doctor: Hi. I have read your question with care and understand your doubts regarding essential tremors. If not treated, the person will not be able to do or will do with much difficulty works involving fingers like writing, mixing food, button shirts, etc. Activities which require co-ordinated movements of the fingers will be affected. Essential tremors can be due to various reasons and a few of these reasons are transmitted genetically. A few are acquired. Even among the ones which are transmitted genetically, it can be AD, AR, XD, XR that is autosomal dominant, autosomal resistant, X-linked dominant and X-linked resistant respectively. So, unless we know the exact cause of this tremor, we cannot answer about genetic transmission. Without knowing the exact cause, the answer for this question is 0 to 100 (0 for acquired and 100 for AD). The cure of essential tremor depends on the cause. A few causes can be cured completely, a few causes can be controlled and a few cannot be cured at all. Again, the link with other illness and disorders depends on the cause of the tremor. Coming to this particular patient, who has this when going to new places or during anxiety, this tremors can be controlled with proper medication. You have to consult a neurosurgeon who has had experience in successfully treating such patients for physical evaluation. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 20324, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26998, + "tgt": "Do I need to improve my testosterone levels?", + "src": "Patient: Hello\u00a0doctor, My testosterone report is attached herewith. Does it need to be improved? Doctor: Hello. I read your query and understand your concerns. I have seen the reports that you attached (attachment removed to protect patient identity). I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 29038, + "tgt": "My cousin has a hole in his heart. Does he need any operation?", + "src": "Patient: Hi doctor, My cousin brother, who is 6 years old, has a minute hole of 2 mm in his heart. Sometimes, he takes a deep breath and is feeble by birth. His birth was a C-section. His father also has some chronic heart disease. His father's sister passed away because of heart disease. All the necessary test have been done. Does his condition need an operation? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13661, + "tgt": "Can braces be used to bring impacted upper canine into its position?", + "src": "Patient: Hello doctor, I have a confusion on pulling down an impacted left upper canine. One doctor said we can pull down left upper canine using bracket and braces other said no because roots are not yet formed. Doctor: Hi. Regarding the impacted left upper canine, I have looked at your CBCT and OPG (attachment removed to protect patient identity). A vital piece of information. The age of the patient is not available. However, according to the present data, the upper left canine is not completely formed and also has a bend in the root. It is also placed at a much deeper and more difficult location. It can be brought down into the arch with surgical exposure and braces. However, there are certain risks with such teeth. Somtimes the tooth is joint with bone compounded by the bend in the bone and so does not respond to the pressure. In such a case, it will have to be extracted. This happens in extremely less number of cases. So it is a risk worth taking for the canine tooth since it is a very important tooth. Younger the patient, better chances." + }, + { + "id": 10965, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17269, + "tgt": "Can bone metastasis disappear after chemo treatment?", + "src": "Patient: Hi doctor, I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC with spread to bone metastasis?\u00a0What should I be worried about most?\u00a0I have been on Femara (Letrozole), but had severe reactions such as stumbling, aches, pains and I am going to switch to Tamoxifen from next week. Should I be concerned about this? Doctor: Hi. I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report. Bone metastasis cannot completely disappear after treatment. They become less prominent. As I have mentioned, it is a very satisfying result for the treating doctor. Regarding reaction to Femara (Letrozole), normally it is very safe drug, but reactions can occur in rare cases. Tamoxifen (Nolvadex) is also a very effective drug. Your oncologist might try again Femara after one to two years or even earlier. I think your treatment is on right track. Follow the instructions of your oncologist. All the best. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 15011, + "tgt": "I am not having any control on my mind and emotions. Why?", + "src": "Patient: Hello doctor, I am 22 years old, currently pursuing my masters. I have noticed it over a few months now. I have absolutely no control of my mind or my emotions. I am happy one moment and the next moment all I want to do is cry. I feel unhappy and claustrophobic all the time. I have always got this urge to escape or harm myself. I have not inflicted pain on myself because I am scared but I do have such thoughts all the time. I used to be able to memorize things and do well in exams. But now it is bothering me. I cannot find the patience and persistence I used to have before. I have become impatient, bored easily and angry often. And I have always had these conflicting thoughts in my head. I would love to know why and what I could do to help myself feel calmer. I have tried meditating but yesterday I burst out crying and I could not do it anymore. I would be grateful for your help. Doctor: Hello. Based on your symptoms you seem to be suffering from a mood disorder, either bipolar or cyclothymia or depression. There is a need for detailed assessment and evaluation to confirm the diagnosis. It happens in acute phases of illness that disturbance is so high, one cannot concentrate properly hence meditation is very difficult. Once your Illness settles little, you would be able to do meditation. I would advise you to consult a psychiatrist, get your diagnosis confirmed and go-ahead with planned treatment. Do not delay in seeking the treatment, your condition and symptom severity seems high. If you find it hard to fight alone, involve your family members for support and care. You need them at the moment. Wish you get well soon." + }, + { + "id": 24127, + "tgt": "Can Enalapril cause psychosis with auditory hallucinations?", + "src": "Patient: Hello doctor,I am taking Enalapril 10 mg and developed psychosis with auditory hallucinations. Could it be my medication? It is listed as a rare side effect and the symptoms are worse when I take the medication and lessen when I stop taking it. Doctor: Hi. As you said ACE (angiotensin-converting enzyme) inhibitors usually will not produce any hallucination or psychosis but some rare reports of hallucinations are available which was mainly visual hallucination not auditory, but psychosis is unlikely. Anyway, you change Enalapril to some other antihypertensive tablets like Calcium channel blockers or beta blockers and see the change. If it is not improving with above medicine change, you have to evaluate further by getting a thyroid function test (hypo or hyperthyroidism), hemoglobin (Vitamin B12 deficiency anemia or iron deficiency) and calcium level with serum phosphorous (hyperparathyroidism- high calcium and parathyroid hormone). If above tests are normal, get an MRI brain and rule out any organic causes. If everything comes as normal, consult a neurologist or psychiatrist. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13566, + "tgt": "I got a teeth cleaning done,but the inflammation is still there. What do I do?", + "src": "Patient: Hello doctor, I got a teeth cleaning done, but the inflammation is still there. The dentist said that I need to get treated for a receding gum line through surgery. She said it was due to brushing\u00a0hard and asked me to switch to a soft bristle toothbrush and sensodyne toothpaste. I am also awaiting some fillings. I already have a temporary filling which as fallen out and the hole seems to be too big. Please advice. Doctor: Hello. Use warm saline gargling daily at least 2 or 3 times, for two weeks. This will help in reducing the inflammation and help in preventing further recession of gum line. Also if you can get Betadine gargle for rinsing then it would be much better, this would be of great help in case of severe periodontitis (gum inflammation and receding gums). Use sensodyne toothbrush (as suggested by your treating dentist) which have very soft bristles in an upward and downward motion only. Do not scrub the toothbrush over gingiva (gums) as it may cause further recession of the gum line. If the recession is severe then it may require flap surgery, still, the receded gingiva can never be brought back but a further recession can be avoided. You need to get that filling done as early as possible or it may result in infection of the tooth root. The receding gums might be due to: 1. Faulty brushing habit. 2. Calculus deposition. 3. Poor oral hygiene. Intraoral x-ray of the affected area. Use of saline gargle, betadine gargle, flap surgery and antibiotics if required. Follow proper brushing technique with soft toothbrush." + }, + { + "id": 14741, + "tgt": "People say I look like gay when I shave. It is very difficult to deal with", + "src": "Patient: Hi doctor,I am a 20 year old male. People say I look like gay when I shave. Dealing with it is tough. Is there any reason or solution to this? Doctor: Hi. It would have been better if you had included a little more information about your problems. Anyways, are there other reasons as to why people believe that you are gay like mannerisms, type of clothes you wear, etc. Sometimes, one's own suppressed homosexuality is also projected onto others, and hence people who have such repressed feelings feel that others view them as gay. It might be that you have no such homosexual component in your behavior, but still, people view you as such. In that case, I would suggest you be confident of your heterosexuality and let people have their opinion. Be strong and face others. Do not be intimidated by what others feel and say. Do not let other people's opinion make you feel bad. I would suggest you write your problem in detail so that I could get a broader perspective of your problem." + }, + { + "id": 1285, + "tgt": "Is it safe to take Prozac during pregnancy?", + "src": "Patient: Hi doctor, I am on Prozac treatment for two months now for depression and anxiety. I am on the minimum dose (half a pill a day) and I am doing very well to this treatment. However, I just found out I am pregnant. My gynecologist says that I should stop Prozac immediately, but my psychiatrist says keep taking them, as it is a very low dose and it will not harm the baby. My anxiety and panic attacks were quite bad before. Now I am much more relaxed and I am just feeling like a normal person again. What should I do? Should I continue the treatment? Is it safe for the baby? Please help. Doctor: Hi. Congratulations on your good news and I went through your query. For further doubts consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator" + }, + { + "id": 26469, + "tgt": "Should I get my milk tooth removed and get an implant in its place?", + "src": "Patient: Hi doctor,I am 21 year old male. I have a milk tooth. It is the second premolar. The\u00a0X-ray does not show any signs of a normal tooth under or near it. The doctor said that an implant is necessary. So, is it necessary? Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 20337, + "tgt": "What are the methods to control myself from using internet?", + "src": "Patient: Hello doctor, I cannot control my mind from using internet. Please share with me if any solutions are available. Doctor: Hello. I understand your problem. Social media kind of increase dopamine levels in the brain. Hence, they could be addictive just like cigarettes. Hence, hard to control. What you need to do is you have to make your schedule tight. Define a short-term goal, focus on achieving it. Reward yourself when you complete the task. This would definitely help you." + }, + { + "id": 8386, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21198, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4860, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 955, + "tgt": "Would you recommend grommets for glue ear?", + "src": "Patient: Hello doctor, I am a 38 year old male. I was diagnosed with bilateral glue ear. It has persisted for two\u00a0weeks now and has seen an ENT specialist. I am on my third dose of antibiotics, Moxiclav duo forte 875/125.\u00a0The condition does not seem to be improving. I am also using painkillers, nasal spray and antihistamine. I am keen to get grommets in my ears just to get some relief as the pressure or fluid buildup is unbearable on occasions. The ENT specialist seems to be against doing this? What would you recommend? Please explain. Doctor: Hi. Revert back with the reports to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6083, + "tgt": "Could hypothyroid cause PVC?", + "src": "Patient: Hello doctor, I am a 39 year old male. My height is about 6 feet, and weight is 170 lbs. I do not drink, but do smoke a pack of cigarette a day. My problem is PVCs. About eight years ago, I went to the ER because it felt like my heart was skipping every other beat. All test came back fine. I followed up with a cardiologist, and he found out that I was hypothyroid. Anyway, I have been mostly symptom-free since then. I will feel the occasional PVC, but nothing like that day I went to the ER where they were non-stop. That was until today. Today, they have been on and off all day. I am anxious, and I am about to have a heart attack or something. I went for my regular 2 miles evening walk, and they did not get any worse while walking. Should I go back to the ER? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7028, + "tgt": "My skin became horrible after pulling the hairs grown in neck. How to get rid of it?", + "src": "Patient: Hello doctor, I started growing hair on my neck when I was about 12, and since then I have pulled the hairs out with my finger, dug the skin with my nails to get the hairs out of the bumps, used razors and also tweezers. Now my skin looks horrible is scarred up pretty mad. I am embarrassed at how my neck seems to be a woman. The hairs grow so much, and I get hair bumps as well. I want to clear my skin up, so it does not look all bump and scard. Doctor: Hello. You have a case of pseudofolliculitis barbae, although a term reserved for male beard condition, you got it because of tampering and ill hair removing practices. Treatment includes manual correction of ingrown hair (visit your dermatologist) under magnification. Your hairs have changed their direction due to pulling. Once pulled out, they will grow normally and will not cause redness and bumps within the skin. Go for laser hair removal, which will take care of both hair growth as well as ingrown hair. Make sure it is a laser and not an IPL (intense pulse light) device. Things can be normal if you start following the right path. I hope this answers your query." + }, + { + "id": 25765, + "tgt": "Will Propranolol help me lower my blood pressure?", + "src": "Patient: Hello doctor, I had hip pain mostly related to sciatic and hip muscle pain. The doctor gave me Methylprednisolone 1000 mg yesterday. The pain subsided but blood pressure slightly elevated at 135/75 and heartbeat at 110 to 120. Earlier, it was 125/80 and heartbeat at 90 to 95. I feel slight heaviness at center and back. It may be due to long bed rest or something else. Fast heartbeat bothers me. It is like I am in full-time anxiety. What should I do? Can I continue with that or should I take blood pressure lowering drug like Propranolol HCL? Please advise how to relieve these symptoms resulted due to Methylprednisolone. Doctor: Hello. You are having this tachycardia and hypertension due to the intake of steroid in a high dose. Once when you are off the medicine, your vitals will normalize. There is no need to take any anti-hypertensives. For fast heart rate, I suggest you take tablet Metoprolol Sustained Release 50 mg at 8 a.m. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. I suggest you do a D-dimer test to rule out pulmonary embolism. Review with a repeat ECG (echocardiogram) and report. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1166, + "tgt": "I have a few swellings in underarms. Are they related to cancer?", + "src": "Patient: Hello doctor,I am a 28 year old male.\u00a0For the past five years, I have few swellings on both\u00a0underarms. Recently, my mother was diagnosed with breast cancer. While browsing on the internet, for her condition, I found out that my swelling may be of lymph nodes and may be cancerous. This urged me to get consulted.\u00a0My swellings are a bit painful while touching. It at times gets sore and brings out smelly pus, which is yellow in color. I am anxious and would like to know what the best way to proceed here.\u00a0Many thanks. Doctor: Hi. Revert back with the answers to the medical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 11467, + "tgt": "Boils at the back of the neck got worsen after using Hydrocortisone. Kindly advice", + "src": "Patient: Hello doctor, My daughter has small boils at the back of her neck for the past eight days, and it seems to be getting worst. Her major allergies are milk, peanut, and egg. Semi allergies are wheat, soy, and beef. When we first noticed, we started to apply Hydrocortisone, but it seems to be getting worst. We took her to the child doctor and he said switch to antibiotic cream, but today we notice fine boil around the bigger spot and the toddler complaining of burning feeling and crying. Doctor: Hello. I have gone through your case in detail (attachment removed to protect patient identity). In my opinion, your daughter got some insect bite reaction as in pictures all pinpoint boils are in curved fashion as most commonly seen when any bug or insect crawl bite on skin. It has some peculiar foot prints. Hydrocortisone is considered a good cream in such type of reactions as it controls itching. But sometimes it exacerbates infection while it controls burning. I would recommend you to mix Hydrocortisone cream with Fucidin cream (Fusidic acid) in an equal amount and apply twice daily for seven days. Do not use any cream alone. Give antiallergy syrup like Cetirizine half teaspoon once at night. No specific test is usually required in such cases." + }, + { + "id": 943, + "tgt": "I have minor nose bleeding with a history of valve replacement therapy. Please help", + "src": "Patient: Hello doctor, I am a 60-year-old female having a complaint of minor nose bleeding and headache for the last five days. I have undergone valve replacement therapy a few years ago, and tablet Acitrom 2 OD going on. My recent PT value - 17.40, INR - 1.52. As we do not have access to our doctor, what step we have to take ahead to manage the problem? Doctor: Hello. Sorry to hear about your experience. Did you have a history of nose bleed long before the surgery? Or did the bleeding start after you started taking Ecosprin? Have you noticed bruising in any part of your body alongside the nasal bleed? Conditions like nasal polyps, hemophilia, Ecosprin medication she is currently using can cause it. If it started after the commencement of the Escoprin, I advise you to call the doctor that prescribed the Escoprin. There is a need to adjust its dosage or replace it. In the meantime try to apply an ice pack on your nose with your face in an upward direction and buy nasal spray Oxymetazoline it will help with your situation. If your symptoms persist, please go to the emergency so as to physically examine your nose." + }, + { + "id": 26289, + "tgt": "My premature baby pooped 10 times in the last 24 hours. Is it a sign of loose motion?", + "src": "Patient: Hello doctor, I need a detailed medical advice regarding my son's medical condition. My baby was born on the 19th last month, but he was premature. He was born at 29 weeks. His birth weight was 1.26 kg. Due to his preterm birth, the\u00a0baby was in NICU for 45 days and got discharged. During birth, he had RDS and a surfactant was given and later supported with CPAP for five days. Feeding was done with OG tube and slowly shifted to oral feed after 25 days (spoon feeds). Initially, he had feed intolerance, but he is fine now. NN jaundice was diagnosed and phototherapy was given. At discharge advice, weight: 1.89 kg,\u00a0height: 45 cm, HC: 30 cm, breastfeed on demand, spoon feed every 2 hours. Medications: Caffeine 9 mg (now stopped),\u00a0multivitamin drops (D3 and A to Z), Domstal suspension 0.5 ml, iron supplement 0.4 ml.As of today, he is 65 days old and his weight is 2.42 kg. In the last 24 hours, he is passing more liquid stools and not like a paste. His usual pattern is one to three stools per day. But, in the last 24 hours, he pooped at least 10 times and most are a bit watery. He is exclusively breastfed. No formula is being given. Is it a sign of loose motion? If so, what should be done? During his stay at the\u00a0hospital, he caught a\u00a0mild cold. His\u00a0doctor gave him nasal saline drops and we are using it. It has been almost three weeks now and the baby is slightly coughing. One week back his pediatrician\u00a0told no medication needs to be given and it will go away. He makes a lot of noise while sleeping. How to treat this cold and cough in a preterm baby? Will this lead to any other complication? His feeding is a challenge. He likes breastfeed, but sucks only for three to four minutes and falls asleep. If we try to wake him up, he is not active to take the further feed and within the next 30 to 40 minutes, he will wake up and demand feed. Due to this frequent feed, my wife gets really tired. Spoon feed he is taking but that too not as expected. He is passing urine well. My concern is whether he will drink enough milk when put on the breast? What should be the pattern to follow? He frequently makes a lot of grunting noises. We are much worried and doubt if it is because of any pain or discomfort. Are these sounds and moves normal? Doctor: Hello. Please find your answers in the same order as the questions asked: For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 15766, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9715, + "tgt": "Please suggest diet plan for managing bloating and constipation", + "src": "Patient: Hello doctor, I am addressing this query to you regarding a long battle with bloating and constipation. Before proceeding, I would like to emphasize that this is very important to me as I have undergone several tests and I have been advised to consult a dietician or nutritionist to follow up my symptoms. I am doing this as in my country there are few, if any, nutritionists and dieticians. The only doubts that came out of previous examinations with gastroenterologist are IBS subtype C suspect. The bloating is the most frustrating thing that I have battled recently, even more than the anxiety disorder which I had a couple of years ago. I am active in gym and it has not made a lot of difference to my bloating issues in the past. My blood examinations are totally fine with a slight elevation of cholesterol at 6.2. I am on Venlafaxine and have no other medications that I take. So lets jump to the question. I have recently undergone a wellbeing examination in a clinic, with the help of a follicle sample from my hair. I received the results, and found some pretty interesting feedback. It appears that I am intolerant to the following: \u03b2-Lactoglobulin at 87%, Chamomile tea at 91%, Earl grey tea at 92%, E211 (benzoic acid), E403 (alginate ammonium alginate) at 94%, E479 at 90%, E903 at 96%, Soya bean at 95%, Mango 100%, White sugar 97%, Berries at 84%, Rye at 98%, Olive oil at 96%, Indian saffron at 96%. As a recommendation from the report from the clinic, I have been suggested a regime of 90 days of not eating for the following: Salmon, Berries, Cow Milk, Prawns, Mango, Potato, Cod, Clams. I have also been recommended to increase the intake of K2 and D3 vitamin, as well as arachidonic acid and oleic acid. There is also a suggestion that I should increase the intake of amino acids like alanine, carnitine, phenylalanine and taurine. Finally it is recommended that I decrease the resistance of bacteria and fungi with different sources of food. For your information, I would like to mention that my body is very selective towards high fiber foods. Some of which, for example avocado, make my bloating worse and cause a very bad flatulence for hours. After this lengthy description I would like to know what kind of diet should I follow? What do you recommend I should strictly take out of my diet? I have an addiction to chocolate. Is dark chocolate included in that list of ingredients or potentially harmful? Are cheese, yoghurt and other dairy products harmful as well? How about fruits and red wine? Are they also prone to bloating in my case? My word, I should be allowed to eat something for the sake of my soul. I would plead to whoever is at the end of this query to please come up with some recommendations on a specific list of foods based on the evidence above, as my bloating has made my life so frustrating. It is making my mood absolutely miserable. Doctor: Hi. First, you shoud avoid chocolate, too much dairy product, and red wine. Take cereals, fruits, tender vegetables. You should take yogurt among dairy product. You can take roti, toasted bread, rice, oats, cornflakes, cereal product. Take apple, banana, pear, sweet grapes or fruits whatever you liked but taking after any meal. Take plenty of water. Sleep atleast 7 to 8 hours. Do meditation regularly. Avoid alcohol, spicy, oily, fast food. Take soaked fenugreek seed water in empty stomach at early morning." + }, + { + "id": 9168, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15535, + "tgt": "What can be done for Eisenmenger syndrome and severe pulmonary hypertension?", + "src": "Patient: Hello doctor,I have Eisenmenger syndrome and severe pulmonary hypertension. Please advise. Doctor: Hi. The lesions in Eisenmenger syndrome, such as large septal defects, are characterized by high pulmonary pressure and/or a high pulmonary flow state. Development of the syndrome represents a point at which pulmonary hypertension is irreversible and is an indication that the cardiac lesion is likely inoperable. The cardiac arrhythmias and sudden cardiac death are important late complications of this syndrome. Conservative management with medications and/or lung and cardiac transplantation are therapeutic approaches that can offer quality-of-life improvement." + }, + { + "id": 11508, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18729, + "tgt": "Which method of abortion is better for 5 weeks of pregnancy?", + "src": "Patient: Hello doctor,I am pregnant. The ultrasound shows five weeks \u00b1 two weeks of pregnancy. My symptoms are fatigue, emotional,\u00a0indigestion, and anger. I am on Pantocid for five days. I want to abort my pregnancy. Please tell me which method is better - surgical or medicine? Doctor: Hello. If your ultrasound scan shows five weeks of intrauterine pregnancy, then you can go for a medical abortion by taking tablet Mifepristone 200 mg orally stat and after 48 hours of taking this medication, you can take tablet Misoprostol 400 micrograms orally and repeat the same dose of tablet Misoprostol orally after six hours of taking the first dose of Misoprostol or you can use tablet Misoprostol 800 micrograms vaginally as high as possible before going to bed. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Do not take the above medication in case: You may experience bleeding per vaginam which is little more than the usual periods. But, in case if it is heavy and not stopping after two to three days, kindly contact your nearest gynecologist immediately. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20770, + "tgt": "All my teeth have cavities and I am ashamed to smile. Please help", + "src": "Patient: Hi doctor, I have big issues with getting cavities. I take good care of my teeth, never had any soda in almost four years. I keep getting cavities in the bottom of my front and back teeth. Almost all my teeth have cavities. I really want to get them fixed but I have always been embarrassed to go to a dentist. I think it is time I get them fixed before they get worse. I really need help on what I could do to fix them. Some information on my teeth: I recently got two crowns on my two front teeth, my teeth are very small and got gaps. Surprisingly, I do not get any pain. I have been ashamed of my teeth my whole life and it has got to the point where I try my best not to smile or talk and cover my teeth. It has brought my self-esteem and confidence very low. I really need help. Please provide me information on what I should do. I will appreciate any help. Thanks for your time. Doctor: Hello. I have seen the images (attachment removed to protect patient identity). You have enamel hypoplasia which is a sort of defect when the teeth were forming or genetic. You can ask your dentist to give crowns to all teeth which have such large broken cavities. Else, you can go for composite fillings if the defects are too small. Your teeth will keep on breaking down in the future if not restored properly. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2499, + "tgt": "I get chest stabbing even after my cough subsides. Why?", + "src": "Patient: Hello doctor, I had a cough since the start this month, but it was just a dry cough. It has got severe when the quarantine started and I could not schedule anymore consultation. I had taken mucolytic which gave me severe coughing but it released a lot of phlegm yellow or greenish color. I tried calling my friends who are nurses and I got a doctor whom I consulted and gave me prescription of Co-Amoxiclav. I had no fever, chills and night sweats. I have a chest stabbing pain for more than two weeks now. Today, the pain level for me is 5-6 whenever I clear my throat or cough a little. I have taken Co-Amoxiclav 625 mg three times a day for the past one week, but the pain did not go away. But my cough stopped and I had just very few episodes of coughing usually when I wake up. My throat does not hurt or itch anymore but I am more bothered by the chest pain now. The inner pain started before just below my breast on the right, but now it is nearly on the chest itself but still on the right. Please advise. Doctor: Hello. The most probable cause for the chest pain, in the setting of the problems described by you, is due to muscle spasm on account of indiscriminate coughing when the infection was present. Now the phlegm is less, signifying decreased infection or healing. What you need are some muscle relaxants and pain killers. Couple this with some balm application locally followed by steam and hot fomentation. Take adequate rest. This shall pass, nothing to worry. If you need any further support or clarifications do not hesitate to contact me." + }, + { + "id": 8847, + "tgt": "What are the ways to treat dry skin around the mouth?", + "src": "Patient: Hello doctor, Why do I have dry skin around my mouth and how can I treat it? Doctor: Hi. I have gone through your case. There are number of causes of such dryness. Use of colored toothpaste, excessive salivation, rubbing tongue on lips, poor oral hygiene, use of lip balms and lipsticks. Treatment involves maintaining good oral hygiene. Mix Clotrimazole and Hydrocortisone cream two times a day and apply on the area for 10 days. Take care." + }, + { + "id": 10374, + "tgt": "Suddenly my nipples are swollen and boobs are tender. Why?", + "src": "Patient: Hello doctor, Just as of today my nipples have got swollen and my boobs are tender to touch. It started less than an hour ago. I had headache all day. As far as I am aware, I am not sure what is going on? I never had this issue before. Please help. Doctor: Hello. A swollen nipple as well as tender breasts can occur if you are just before your cycle. If so, it is quite normal. It is due to the temporary hormonal fluctuation inside you. Otherwise, taking hormonal contraceptive pills could be a reason. Hard sex with rough handling of your breasts is another issue. Just apply some hot compress over your breasts and put them in tight undergarments all the time. If the pain is more, you can avail Paracetamol 500 mg tablets as and when necessary basis. For further doubts consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1424, + "tgt": "My 3 years and 9 months old son does not answer a few of our questions. Is it a problem?", + "src": "Patient: My son is 3 and 9 months old. We are not in our home town. At the place where we live they speak a different language. So as to connect him with a common language we speak in English. Initially he struggled but now he is able to understand English very well. He even speak in English very well. To few questions we ask he doesn't answer properly. Like if we ask him \" what is your name daddy nd mother's name he answers perfect\" . If we ask him \" how are you sometime he answer but sometime he just repeat how are you\". He has good eye contact. He has good social skills. Even if iam sad or sitting alone he wil come to me ask\" what happened mommy ? Do u have fever? \". In the beginning when he started to teach him talking if we ask him to say hi even he will say say hi. But nw if we ask him to say hi he will just say hi. If he is hungry he wil come and say me he is hungry. If he doesn't need something too he wil say no. If he wants to go to toilet too he will say us he wants to go to toilet. He needs help only in washing. Intially he likes to play with rotating objects. Like rotating a remote control something like that. But now he doesn't do that. He is of little shy type. But once he mingle with someone he will be very happy and will play with them. Intially he didn't have clarity in speech. But now he is good in that too. He just doesn't answer to few of our questions. If we show him picture and ask what he is doing he ll answer it lke crying,laughing,eating apple and all tat. He is able to identify fruits, Vegetables and whatever things we give him. He doesn't have any problem with his sleep. So I wanna know if it's a problem or if he is fine. Doctor:" + }, + { + "id": 23047, + "tgt": "Will an anterior placenta at 14 weeks resolve by itself later?", + "src": "Patient: Hello doctor, I was diagnosed with placenta anterior and lower end covering os at 14 weeks. How serious is it? I have been asked to take rest and lie down as much as possible. Also, a 6.5 cm ovarian cyst abutting right ovary. I have abdominal cramping at times. This is my second pregnancy. During the first one, there was a partially covering posterior placenta which resolved by itself at 20 weeks. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4669, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9681, + "tgt": "Can you suggest a way to postpone my periods for 20 days?", + "src": "Patient: Hello doctor,I am 20 years old and I want to postpone my periods for 20 days due to work issues. Can you suggest a way? Doctor: Hello. You can have some tablets based on hormones that could delay your periods. But, I want you to be aware that it can disturb your cycles, cause irregular bleeding, some water retention, breast heaviness, etc. But it is not necessary that your body will show all the effects and you will have all the symptoms. For delaying the cycle, it's better to take tablets at least 10 days before, otherwise a week before is also alright. Everyone responds differently. I suggest tablet Primolut N (Norethisterone) 10 mg daily if starting 10 days before the menstrual date, but if starting after, you can have 5 mg three times a day. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. It depends on how long you want to delay. You can stop it a week before like if you want to have periods around 14th of the month, stop tablets on 8th. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8754, + "tgt": "I am having terrible ear pain and mild jaw pain. What is the treatment?", + "src": "Patient: Hello doctor, I have earache for the past two days, not terrible pain but it is still there. It has been giving me some tiredness and mild jaw pain as well. What should I do? Doctor: Hello, Welcome to the icliniq.com. The middle ear infection can be possible according to the mentioned history. You need to get your otoscopy ear examination first to rule out any pathology in the ear if present. If the infection is present in the form of redness and pus in the ear during otoscopy examination, then medication is given accordingly oral as well ear drops. If impacted wax is present than wax loosening drops can be prescribed, meanwhile for the pain you can be prescribed Brufen like medications. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 21500, + "tgt": "Can taking Iron pills a few days before ferritin test give false reading?", + "src": "Patient: Hello doctor, I am a 22-year-old woman who is struggling with extreme fatigue, muscle weakness, tire easy or poor endurance, treatment-resistant depression, anxiety, panic disorder, skin picking issues, sensory processing disorder and ADHD. I have been a strict vegetarian for 12 years now and for a lot of that time, my diet was poor and mostly carbohydrate based. I have suspected an iron deficiency for a very long time. I had a test for it a few years ago and my hemoglobin was normal but my ferritin was only 39. My doctor said it was fine. I recently had a terrible experience with several methods of birth control and for a few months was having 10 day periods twice a month, and at its worst, I was bleeding for a month straight. I started taking a food-based iron for 2 to 3 months (27 mg) and had my iron checked twice within six months. Both times my ferritin was up to around 80. However, I still feel increasingly tired and other conditions are being ruled out. I just realized that before both of those tests with normal results, I had taken an iron pill within two days of the test. My question is could that have given me a false reading on the ferritin test? If I would have had iron the day before? Is a couple months of food based on iron enough to have raised my levels that fast? And lastly, given the heavy bleeding and relative lack of dietary iron in my life, how could I not be iron deficient? Currently, I am taking Clonazepam PRN, Lamictal 50 mg. Doctor: Hello. Ferritin is an acute phase reactant. This means that apart from reflecting iron stores, it also reflects the inflammatory condition in the body. Taking Iron supplements just a few days before the blood test is not sufficient to raise your serum ferritin levels so quickly. But if there is any inflammation going on in your body, your serum ferritin levels will be raised. It is thus very important to rule out any inflammatory condition before interpretation of serum ferritin levels. Have you checked your vitamin D and vitamin B12 levels? Deficiency in vitamin B12 & Vitamin D can also produce fatigue, weakness and neural disorders. You should get your blood levels of these two vitamins checked and continue taking your Iron and Folic acid supplements. I would suggest that you take the regular Iron and Folic acid supplements available in the form of pills along with a glass of orange juice or lemon water for better absorption. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 7868, + "tgt": "What causes pressure in chest with lots of burps?", + "src": "Patient: Hello doctor, I have done stress echo four months back and that was normal. I have also done ECG last week, it was also normal. I am facing some kind of pressure on the left side of the chest and feeling uncomfortable. Also having lots of burps the whole day. What to do now? Doctor: Hello. This is likely related to acidity and gastroesophageal reflux disease. Also, just see if this pressure feeling worsens on applying pressure over the area, if yes then it may indicate associated musculoskeletal cause. So, it does not appear a worrisome issue. You should have a healthy lifestyle like avoiding fatty oily spicy food. Avoid heavy meals, inspite have multiple small meals. Do not immediately sit or rest after meals, but have a walk for 10 to 15 minutes. Avoid smoking and alcohol if any. Also, the sleep pattern should be normal as much as possible. You should get prescribed antacid probiotics combination like Cyra D or Pan DSR before breakfast for seven days." + }, + { + "id": 21757, + "tgt": "I have PIH after erythema multiforme. What can I apply to let the pigments fade?", + "src": "Patient: Hello doctor, I had erythema multiforme because of drug allergy and currently left with post inflammatory hyperpigmentation. How long will it last and how and what should I do or apply to let the pigments fade? I have my liver, biopsy test, and I need someone to explain the results. Doctor: Hi. I have gone through the pictures (attachment removed to protect patient identity). Your lesions are not only hyperpigmented (which shows the healing phase) but they are still erythematous (which shows the active phase). So, right now you should not worry about the pigment of these lesions. It will take some time like three months to recover. Even then some pigmentation may remain. But you should keep yourself relaxed as you had a serious condition and that is good you are in the safe phase now. I did not receive your liver biopsy report. Only CBC (complete blood count) was there. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1154, + "tgt": "Can Iron tablets cause irregular periods?", + "src": "Patient: Hi doctor, I am having irregular periods. My cycle is usually on the 10th of every month, but I had heavy spotting on the 19th of last month. Then, I had my normal periods on the 10th of this month. But, I had my periods today, which is 10 days earlier than the normal cycle. During mid of last month, I had some Iron tablets for around three to four days. Please help me with this irregular period issue. Thank you Doctor: Hi I have gone through your query and can understand your health concern. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7293, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 26480, + "tgt": "My baby is failing to gain weight. Is it due to worms?", + "src": "Patient: Hello doctor, I have a 7-month-old baby who is failing to gain weight and whose brother 5 years old has Ascaris worm and I believe flukes (still to confirm). The baby has been given Albendazole 2.5 ml one dose every five\u00a0days and is not getting better. I would like to give it more often or maybe combine it with something else. Do you have recommendations as to what is safe to dose? And how often to eradicate this worm issue? Doctor: Hello. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 27912, + "tgt": "Please suggest hypertension medicines which will not cause dyspnea", + "src": "Patient: Hello doctor,I have hypertension, and in my childhood, I suffered from asthma. I have been prescribed ARB (angiotensin\u00a0receptor blockers) to treat my hypertension; however, I have experienced side effects that lead to discontinuing the medication.\u00a0Losartan 100 mg caused nervousness.\u00a0Candesartan 8 mg and\u00a0Telmisartan 20 mg caused respiratory difficulty (dyspnea).\u00a0Now, I do not know which medication to try. I was doing a little research, and here in my country, we have Valsartan and Irbesartan. I would like to know which one of those would be better to give a try with lesser chances to get respiratory difficulty or nervousness.\u00a0Thanks in advance for your response. Doctor: Hello. Do not worry about it, as there are multiple options available. The side effects are class effect and all drugs from this class will have these effects and will not suit you. You need to change to other class of medicine. I suggest tablet Amlodipine 5 mg, once a day in the morning. We will see the response and modify dose accordingly. We can increase the dose gradually and may add Hydrochlorothiazide if needed. You should have a healthy lifestyle as follows: If your BP is persistently more than 140/90 mmHg, then we will increase the dose. Hope this helps you and get back if you have any doubts. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21696, + "tgt": "Why is there ankle edema even after delivery in a heart failure patient?", + "src": "Patient: Hello doctor,My daughter was pregnant and had extreme edema. The doctors said it was normal. As it turned out she was sent by ambulance to another hospital as she went into heart failure, her BNP levels were extremely high and the baby had to be induced. She is now back to her original hospital. The edema around her ankles is severe and nothing is being done about this. What can I do? Doctor: Hi. If the BNP (B-type natriuretic peptide) levels were high, it is probably due to heart failure as you said. For the ankle edema, she needs to be given diuretics (drugs which decrease waterlogging) in the body and fluid restriction should be adhered to. Daily intake should be less than 1.1 liters. In addition, medications for heart failure should be started. Also, she needs an echocardiogram to see the underlying cause of heart failure. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9147, + "tgt": "I have itchy water bubbles on my fingers. What could it be?", + "src": "Patient: Hi doctor, I have water bubbles on my fingers and they are itchy. when I am out in sunlight or when my body heats up, I have a feeling like thousands of ants are crawling and biting my body and my body starts itching. I am very worried. I maintain good hygiene. Kindly help. Doctor: Hello. I went through the details you have provided and feel it be an allergic condition of skin known as pompholyx. Pompholyx generally causes itching of the hands and feet. Since these body parts directly come in contact with external objects on a day to day basis. The substances that aggravate this condition are pollen, chemicals in detergents, paints, solvents and rubber materials. When you have an allergy, it is advisable that you stay away from the allergens. There are chances of blisters to be infected. Hence, do not puncture them. To control itching, I would suggest you to start taking tablet Cetirizine. Based on the severity, you may need oral and topical steroids. Kindly consult a dermatologist for a prescription to the above. Skin irritation that is caused when you are out in sunlight might be because of rosacea or can also be a cause of sensitivity to a particular wavelength. For this, I would advise you to start using a sunscreen with an SPF30 (sun protection factor) regularly. You may also need oral anti-oxidants and photoprotective medications that are prescription based. Avoid taking hot beverages and spicy foods." + }, + { + "id": 15817, + "tgt": "What is the advisable frequency for taking Ipill after unprotected sex?", + "src": "Patient: Hello doctor, I had unprotected sex a week back and took an I-pill within 24 hours. He did not cum inside me but still, for protection, I took the pill. Five days later, the condom broke, although he did not cum inside me, I am not sure of how safe it is. Is there any chance of being pregnant? Should I take an Ipill again? Will my periods be early or delayed due to the pill? Please advise if I need to take an Ipill again and if it is safe. Doctor: Hello. If you have taken Ipill after first intercourse activity and it was taken properly, in proper dose and timings without vomiting, then actually ovulation or fertilization would have stopped already for this cycle. By rule, no need to take another pill if still, no bleeding is there after the previous pill. But if you are not satisfied with the above points then you can take another pill but it will further disturb cycle and will have a withdrawal bleed in coming 1 to 2 weeks. After withdrawal bleed, you will have next period, not as previously scheduled as the body gets accommodated with externally induced hormones." + }, + { + "id": 29221, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20145, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16693, + "tgt": "Although I am on vitamin D supplement, why does the knee pain persist?", + "src": "Patient: Hi doctor, I am a 21 year old female with a height of 5.2 feet and weight 42 kg. I am suffering from vitamin D deficiency and having pain in knees since six\u00a0months. The pain mostly arises on stress on knees using stairs and disappears with rest of a few days. On knee r-rays, the lateral tubercle of intercondylar eminence is raised. My RA factor is negative, and ESR is normal on CBC. My MCH and MCHC were slightly low. Currently, I have been taking a supplement\u00a0(Indrop D) once in two weeks. Why is\u00a0the pain not being relieved even with a supplement? How long will it take to have my healthy knee back? Being a medical student, I need to walk a lot, and this situation is depressing me. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30257, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6257, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16947, + "tgt": "Which antipsychotic medicine will cause the least weight gain?", + "src": "Patient: Hi doctor, Which atypical antipsychotic will cause the\u00a0least weight gain? Abilify is not an option as I am allergic to it. Also, Geodon or Zeldox gave me severe drowsiness to the point that I had to sleep or could not open my eyes. Please help me. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15218, + "tgt": "I am obese. Please give me suggestions to reduce weight", + "src": "Patient: Hi doctor, I am 20 years old. I have an obesity problem. I have a weight of 88 kilograms and a height of 168 cm. Please give me suggestions for reducing weight. Doctor: Hi. Do regular exercise for five to six times a week. Do aerobic exercise along with weight training. Stop eating junk foods. Have a good sleep for seven to eight hours. Stop the habit of smoking and drinking alcohol, if you have this habit. If you have stress, then find ways to reduce stress. Do meditation. Take plenty of water. Calorie intake should be less than 2200 calories and burn excess calories by doing exercise. Your ADL (activities of daily living) should be more than this amount. You will start seeing results after six weeks." + }, + { + "id": 7927, + "tgt": "Etizolam for chronic insomnia patients. Can you give opinion over the long-term use of it?", + "src": "Patient: Dear Doctor, All my life (since as far back as I can remember in early childhood) I have struggled with chronic insomnia. I have tried every sorts of pharmacological and non-pharmacological treatment you could imagine, having seen at least seven doctors over 15 years. I have tried everything from zolpidem and similar drugs (no improvement with these drugs) and the benzos (tolerance problems, not good for long term use), to hydroxyzine (ineffective) and trazodone (still cannot sleep and makes me feel ill the next day). Also I have tried antipsychotics like quetiapine and all sorts of other drugs, and really either they do not work at all, the tolerance issue makes them unsuitable for long term use, or else the side effect profile is too nasty for daily use. I have even been treated with SSRIs and other drugs to rule out underlying anxiety issues. I find myself a very calm person, and my friends know me that way. Also I have been seeing various therapists for years in terms of learning to deal with modifying my lifestyle. I also meditate, practise yoga etc., and only the yoga/stretching helps, but just barely. Finally I was living in Japan for a while where a local psychiatrist put me on etizolam\u00a00.5mg to 2mg per night for sleep. I tried 0.5mg for a few nights without help. 1mg also did nothing. 1.5mg put me to sleep, but I still had this trouble with constantly waking up in the middle of the night as usual. So finally I tried 2mg, and that did the trick. For the first time in my life I could fall asleep at will and stay asleep all night until time to get up, and then not feel all sorts of sleepy/sickly side effects upon awakening. At least in the moment, this has been a wonder drug for me. Now I am back in the United States, so I get my etizolam sent in from abroad. I have been on it for three months at 2mg, sleeping successfully and living a better life, with no tolerance issues. Now, being that it is a benzodiazepine derivative, there is obviously the potential for tolerance. And while I know that with benzodiazepines tolerance is an issue, I also know that the potential for building a tolerance for each benzo depends on the condition being treated. For example my brother takes clonazepam daily for anxiety for years at the same dosage, and while most of the effects have worn off due to tolerance (euphoria, sedation), the anxiolytic effect is as strong as ever and he remains without unbearable anxiety just as well as the day he started. At the same time, if you are looking to \"get high\" on clonazepam, that effect, you might know, is gone pretty fast. And the anticonvulsant effects only last for a certain amount of time, too. I am sure none of this is new to you, and I only mean to point out that with the benzos the potential for tolerance depends largely on the symptom being treated. Might be a few weeks of good use of clonazepam for seizures, only a few days for getting high, a month for sedation but years for anti-anxiety (making these numbers up, but you see what I mean). And I only put this all here because I am afraid of getting this response that \"people build a tolerance to etizolam and so it must not be taken long term.\" Because the question is to which effect do people build a tolerance, and how quickly, and what percentage of the people, etc. So Iam wondering if there is a strong tolerance effect to etizolam for its anti-anxiety and (in Japan, at least) anti-depressant effect, how does it do for its anti-insomnia abilities? What is the consensus on this matter, and what is your own personal opinion? And has there been any research done on it at all, or is it all based on clinical observation/clinical wisdom? If there have been any studies could you point me to one or two? Have you personally prescribed etizolam for sleep? And if so, have you ever done it for daily use? And is it always, in your case, used only in the short term? And if you have seen patients use it for more than a few weeks/months, was there a point where it just was no longer effective? And how long did it tend to take for it not to be effective anymore? And finally, is it the case that it tends to work quite well for long term use for some patients but not for others, and if so, any idea as to whether it tends to work well that way for more patients or for less? Thank you so much for any help you can give me. Doctor: Hi. First of all I would like to congratulate you and your doctor for finding a solution for your long standing problem which caused lots of impairment at your end. Regarding your statement \"people build a tolerance to etizolam and so it must not be taken long term\" I like to clarify that it is only partially true. Although tolerance is a major issue with all benzos, research has found that etizolam is associated with \"Reverse Tolerance\" a phenomena in which requirement for dose decreases with passage of time in contrast to tolerance. In two different studies reverse tolerance has been found for anti anxiety effects and anticonvulsant properties. In one another study etizolam was found to be associated with no tolerance for anti convulsant properties. Regarding its antidepressant properties, I am unable to comment at this moment as there are no studies which conclusively state that it has antidepressant properties. But if you extrapolate findings from available studies I am of the opinion that etizolam is significantly not associated with tolerance for its sedative, hypnotic and antidepressant properties. There is no consensus about development of tolerance for insomnia treatment as it is not available in countries which drive research in psychiatry. Other than this at present, it is recommended for short term use that might be the reason that no one knows its effect or side effect over long term use. According to your history that states you are maintaining on the same dose (2mg) for last three months, it is unlikely that you are going to develop tolerance for its sedative properties, as development of tolerance is affected by particular drug along with genotype of individual. Regarding my personal clinical experience with Etizolam: I started prescribing Etizolam in June 2010 when an Indian pharma company launched it in India. Since that time I used this drug for anti-anxiety properties in majority of individuals. Two of my patients who were prescribed etizolam are maintaining on the same dose for more than two years on the same dose (1 mg at bed time for insomnia and 0.25 mg twice a day for GAD Generalized Anxiety Disorder). Fortunately till date both of them are maintaining well till date and none of them complained of development of tolerance. Although it is recommended for short term use for the insomnia patient (almost duplicate copy of you) has found this drug after almost 1 year of suffering and he refused to discontinue this saying that \" doctor you know I am suffering for all these years. None of your prescriptions worked for me.\" After taking all precautions I decided to continue prescribing etizolam to that particular patient. Although my experience is limited (around 4 years) with Etizolam and it is difficult to make statement about etizolam but with available literature and according to my clinical experience I consider etizolam as non tolerance developing drug although it acts on benzodiazepine receptors. The reason behind different property of etizolam in comparison to other benzos, lies in its structure. Etizolam is exactly not a benzodiazepine. Its benzene ring is replaced by thiophene ring. It belongs to thienodiazepine derivative that acts on various benzodiazepine receptors. I hope I answered your query but still if you feel some thing is left, please contact me again. I will be happy to answer everything related to psychiatry. If you feel it is appropriate to have a face to face discussion you can get an appointment for an online video consultation. Or talk to one of our psychiatrist on a phone call --> https://www.icliniq.com/phone-a-specialist/psychiatrist Thanks and best wishes." + }, + { + "id": 19997, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29978, + "tgt": "Please suggest me some measures to get relief from back pain", + "src": "Patient: Hello doctor, I am having back pain near the spine on the right side, especially when I go downstairs or go for a walk. My back gets locked when I am standing still. There is too much pain on the right side while sitting on a hard surface. There is also nerve pain after having food sitting on the ground. There is pain\u00a0only on the right side while using the commode. I am suffering from this pain from the past two years and have not got any relief. Kindly help me. Doctor: Hi. I have gone through your reports (attachments removed to protect patient identity).\u00a0I would like to know a few more details regarding the characteristics of pain and previous history: Revert back with the answers to the above questions to a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 8698, + "tgt": "I am 68 years old and had experienced tachycardia 12 times. Should I meet a cardiologist?", + "src": "Patient: Hello doctor, I am a relatively healthy 68-year-old female who has been having episodes of tachycardia while at rest. This started three months ago. I also have dizziness while reclining mostly at night. I do have medicated high blood pressure, osteoporosis, and GERD. I do seem to tire easier also. I play tennis three days a week and walk over 10,000 steps every day. My watch indicated 12 times I have had tachycardia. Should I go to a cardiologist about this? Doctor: Hello, Welcome to the icliniq.com. You have dizziness problem while lying down if you have frequent episodes of dizziness in lying down position than positional vertigo can be possible. For which physiotherapy can be beneficial. You need to check your blood sugar and hemoglobin level as well. You have mentioned that you have a high blood pressure problem. So persistent hypertension can cause a light headache and dizziness. If blood pressure not controlled by exercise, then medicine needs to be given for that.For tachycardia, you need to investigate with 12 lead standard ECG testing. You can consult nearby internal medicine specialist for your detailed evaluation as discussed above. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 9279, + "tgt": "I am suffering from low fever with normal test values. What type of infection could it be?", + "src": "Patient: Hello doctor,I have low fever since yesterday. My TLC is 7100/cmm. In urine report pus cells are 2 to 4 hpf, epithelial cells are 1 to 2 hpf. Everything else is absent and normal. What infection could it be? What medicine to take? Doctor: Hello. It seems to be a typical result. Have you any other symptoms besides low fever? If you have pain, difficulty, or burning sensation during urinating, it may be a urinary infection, and the urine analysis is not done properly. It must be done with the first urine of the morning and the middle portion of the complete amount if you have not other symptoms, it may cause a common simple viral infection. Nothing to be worried about. I would recommend you to have another complete blood count with formula and fibrinogen and CRP included, and a urine test too after a few days. Meanwhile, have a light diet with plenty of liquids and vitamins. Antipyretics are only to control the temperature if it goes high." + }, + { + "id": 29051, + "tgt": "How to delay ejaculation. I am suffering from premature ejaculation. Suggest a cure for this", + "src": "Patient: Dear Doctor, I am suffering from\u00a0premature ejaculation. I want a permanent cure without having any side effects. I bother taking pills for a long time. So, kindly suggest any other better way for me. Doctor: Hi. Premature ejaculation is not a disease. Stress is the main cause. Kindly reply to the following questions:" + }, + { + "id": 14300, + "tgt": "Is my past relationship making me anxious while seeing an attractive girl?", + "src": "Patient: Hello doctor, I have extreme anxiety when I see an attractive girl. I feel like escaping from that place at that moment. I intentionally avoid going out and limit myself to home only to avoid attractive girls, I even stopped watching TV to avoid this. I believe this symptom may have started with a broken relationship I had with a girl 10 years back. I am 35 now but I still have it and it is getting worse, I am not sure if I will ever be able to overcome it. Please help. Doctor: Hello. People develop a fear of various things due to some bad past experiences. Some get over them with time while for some people it gets worse. If your past still haunts you and is the reason for developing these fears then you need to undergo some therapy sessions. You may also need a medicine, depending on the severity of your problem and extent of improvement with therapy. I would advise you to see a psychiatrist at your local place as early as possible because already so many precious years have been lost due to this problem. It has taken a lot from your life. Do not delay seeking help." + }, + { + "id": 25066, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22567, + "tgt": "What homeopathic treatment can be done for dark circles around eyes?", + "src": "Patient: Hello doctor,I have very stubborn dark circles around my eyes especially on the inner corners and my lips have turned dark too. Doctor: Hello. Dark circles under the eye are caused by fatigue. Dark circles under may merely be shadows cast by puffy lids of eye or hollows under eyes, actually that are due to as a normal part of aging. Common causes are mainly allergies, atopic dermatitis, contact dermatitis, pigmentation irregularities, rubbing or scratching your eyes, sun exposure, heredity, etc. Treatment depends on the cause. It is not a medical problem. Self-care also needed like cold compression, elevation of the head with more pillows while sleeping, and extra sleep. Black lips are due to anemia, cyanosis, cigarette smoking, alcohol abuse and regular narcotic use may all cause discoloration of the lips. Melasma, dermatitis, jaundice, dry lips, sun exposure, medication, eating disorders, toxins and poisoning. Homeopathic treatment includes Acid Phos, Ferrum Metallicum are homeopathic medicines helpful to remove the darkness of skin. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 21570, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16008, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 600, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27129, + "tgt": "Please go through my USG reports and suggest further course of action", + "src": "Patient: Hello doctor, I am a 23 year old\u00a0female. I am 19 weeks pregnant. The\u00a0ultrasonography reports suggest the following:\u00a0 1. Bilateral 5 mm choroid plexus cyst. 2. A small echogenic intracardiac focus in the left ventricle. Doctor: Hello. I have gone through your query and understand the concerns. I have reviewed the report (attachment removed to protect patient identity). Hope you found the answer helpful. Regards. For more informaton consult a fetal medicine specialist online --> https://icliniq.com./ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 14061, + "tgt": "I underwent medical abortion. There was very less bleeding. Please help", + "src": "Patient: Hello doctor, My period was delayed. I had a pregnancy check which was positive. I consulted a gynecologist since I did not want a baby and hence decided to go for medical abortion (as my son is just 12 months). She prescribed me with medicine and after 48 hours she had asked me to place 4 medicines in my genitals before going to bed. My menstrual cycle started the very next morning and continued for 3 days. After 15 days, she had called me for an ultrasound to examine whether all was done perfectly. I had an ultrasound scan (reports attached). The doctor said that it has not come out completely and therefore prescribed medicine (prescription attached). She gave me two medicines to place in my genitals. Next morning, I had very less bleeding which gradually stopped at night. Doctor, I am very much confused as to what is happening. In no case, I want a medical abortion. Please suggest as to what should I do so that all gets fine. Doctor: Hello. I can understand your concerns. I have gone through your history and ultrasound scan and it is showing that the abortion is incomplete and there are a retained products of conception in the uterine cavity. (attachment removed to protect patient identity) Your doctor had given Cytolog (Misoprostol) to clear that product. As you had only minimal bleeding, the chances of retained products are there, so you can repeat your ultrasound scan. If it is still present, then you should consult a gynecologist and get D&C (Dilatation and Curettage) done to clear the retained products of conception." + }, + { + "id": 1122, + "tgt": "I have a small pimple in the anal area, which itches sometimes. Is it piles?", + "src": "Patient: I have a small pimple or swelling in anal area where stools are passing from last one week which is not painful and there is no problem with bowel movement. Its having an itching sometimes.. it is piles or any related disease. It just had a small itching sensation and had small pain while washing after bowel movement and no pain while passing stool. Doctor: Hello Dear. I welcome you to icliniq. This seem to be a perianal boil. The boil is a pus containing hair follicle. Hair are the stalk and follicles are the trunk of the hair. The follicle can get infected and cause enlarged painful swelling called as boil. It is not communicating to your bowel thats why you dont have problem with your bowel. The best thing you can do is to keep this bottom are clean and hygienic. Wash it thoroughly with each bath and remove hairs timely.. You can apply fusidic cream three times daily over it. It shall heal in few days of application of this cream. I hope you will be fine. Good day. perianal boil/folliculitis none fusidin cream for local application follow up if symptom persist" + }, + { + "id": 18314, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25448, + "tgt": "I feel small ball-like lumps inside both the breasts. What to do now?", + "src": "Patient: Hello doctor, I am a 28 year old female. I have pain in both the breasts since two years. I feel small naphthalene ball-like lumps inside the breast. I consulted a local physician and did a USG of both the breasts and no lumps were reported. My pain has not reduced. I still feel the lumps. What to do now? Doctor: Hello. From what you mentioned, most likely you have a benign condition called fibrocystic disease. The management is according to the stage of the disease. I suggest: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29511, + "tgt": "After my recent filling, I am getting pain whenever I bite. Why?", + "src": "Patient: Hi doctor, Recently, I got a new filling (white), and the dentist removed my old silver ones. Now, my tooth is sensitive, and I\u00a0feel like air going up and down on the tooth. I am getting\u00a0pain whenever I bite down. Why? What is\u00a0wrong here? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 13414, + "tgt": "My mom suffers with back pain and limited walking. What could cause this?", + "src": "Patient: Hi doctor, My mother who is 63 years old, suffering from back pain. She is not able to walk even 100 meters. After walking a short distance, she feels numb in her foot and needs to sit for some time to proceed further. While sleeping, she feels needle pricking like effect in either side of her back. My mother was a fish seller till her age of 61 which involved lifting fish box. Now for the past two years she is not going for work. Though she is active at home, is not able to walk as before. Last year, I consulted a bone specialist nearby our town. But after consulting him she is not even walking 100 m. Before that she used to go to our nearest town walking around 1 km. I have attached the previous consultation reports. The doctor had also done some blood test. Most of the blood tests were normal including blood pressure and blood sugar. But there is a slight increase in gamma globulins. I have attached her back x-ray too. I am much worried that after consultation her problem has increased. Please guide me further. Doctor: 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. Thank you for uploading the lab reports (attachment removed to protect patient identity). Her main issue is her back pain with back bone problems. She has got kyphosis (outward curvature of spine-hunch back) in the lumbar vertebral region. She has got the narrowing of the intervertebral spaces due to age related degeneration of the intervertebral discs at many places. In simple words, she has got issues with cushions that are naturally placed between the two vertebrae of the backbone for properly supporting the body weight. There is no big issue with gamma globulins and that slight change has no impact on her overall health. 1. Improve her diet by giving her plenty of water, salmon fish and a good amount of fruits and vegetables. 2. Give her tablet Acetaminophen (Paracetamol) for pain reduction. 3. Lumbosacral corset for supporting the back and to reduce the pain. 4. Apply Voltaren (Diclofenac topical) gel, massage gently and apply heat pad for soothing effects. 5. Apply ThermaCare heatwraps on the painful and pins and needles sensation areas. 6. Give her by mouth capsule Lyrica (Pregabalin). She will feel much better. Proper rest is necessary for her. If you feel nothing is helping her anymore, please consult a good orthopaedician to get a detailed physical evaluation after an MRI and get the treatment according to that." + }, + { + "id": 19738, + "tgt": "Can you help with my balanitis irritation?", + "src": "Patient: Hi doctor, I have been diagnosed with balanitis. Can you help with the irritation to go away? I have had it for five months. Currently, I am using steroid cream. I have been given antibiotics and steroid creams like Hydrocortisone, Clotrimazole and Betamethasone, but still the irritation is present. I had blood test and urine test. Doctor: Hello. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19990, + "tgt": "My doctor was unable to explain the cause of my concern. Please help", + "src": "Patient: Hi doctor, I am 28 years old. I was diagnosed as type 1 diabetic at age 25. I am used to smoke, but I quit when I was diagnosed. Recently, after a stressful situation I fell off the wagon for the first time since I was diagnosed and bought a pack of cigarettes. I did not smoke the whole pack, just a few. But, I started seeing vision changes and that seems to correlate with it. There are no floaters or flashes, but I have had this constant spot in my right eye for the past month or so. It looks exactly like the imprint light can leave in your eyes after staring at the sun or a light bulb for a long time and then looking away. It has been constantly there and never fades. It feels almost like this one section of my vision is more sensitive to light. It has got progressively more prominent. It was faint at first, but now it is very obvious and distracting when I am reading or working at the computer. It does not obstruct my vision and it is just incredibly distracting me. It is in a crescent shape. It is most obvious when I am working on the computer screen and then look away to a darker background. Also, when I blink rapidly, I see it and it almost looks like a strobe light. I had a dilated eye examination this morning and the ophthalmologist told me that there were no signs of bleeding or edema in my eyes. He said the vision changes I described were not a cause for concern, but at the same time he was not able to explain why I am seeing this.\u00a0It is causing me a particular concern because once it started and I smoked another cigarette, it seemed to become more prominent, brighter, and more obvious in my field of vision. That really freaked me out and caused me to throw the rest of the pack away immediately.\u00a0I have had pretty decent blood sugar control and all of my A1Cs have been in the 5.5 to 6.5 range since I was diagnosed initially. I take Adderall 25 mg for ADD and NovoLog. Is this a cause for concern? I was not able to find anything related to that type of vision change\u00a0on the internet.\u00a0I would really like to get an idea of what causes this type of thing for peace of mind and figure out if it is worth seeing a retina specialist. Doctor: Hi. Most likely, it is not something to be alarmed about. Unexplained visual phenomena. Follow up appointment in six weeks. Stop smoking and manage diabetes. For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16164, + "tgt": "Does using laptops for a longer duration make the eyes small?", + "src": "Patient: Hi doctor, My eyes have become smaller over the years. It did not happen all of a sudden. They have become smaller for a few years. I use the laptop for more than 10 hours a day. Does the problem occur due to increased use of a computer? Do I need to wear anti-glare or blue cut lenses? I am taking tablets for the thyroid problem for the past four years. Doctor: Hi. You can share a close picture of your eyes. You might have drooping of eyelids which is known as ptosis. It gives an appearance of eyes getting smaller. When you are using a computer regularly, kindly follow these instructions. Display of your screen should have a good resolution. The height of the screen should be below the eye level. Move your eyes from the screen for every 20 minutes and gaze at an object as far as possible for 20 seconds and then get back to work. Blink your eyes for at least 15 to 20 times per minute. Whenever you click the mouse, try to blink. Take a break for every 45 minutes. Instill refresh tears eye drop to the eyes for four to six times a day. When your eyes feel tired, light your room. The light should come from behind your head, and it should not be in front of you." + }, + { + "id": 25372, + "tgt": "I am enclosing annual checkup reports. Please review and provide medical advise", + "src": "Patient: Dear doctor,I am enclosing my annual checkup reports for review and for necessary medical advice for the same. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). I have found few abnormalities. Deranged HbA1c and blood sugar. It is in the borderline range and signifies impaired glucose tolerance. Now, you should get your fasting and post lunch sugar levels done to determine whether you need medicine for that or not. Also, you should start dietary restrictions on sugars, fatty, and oily food. Deranged lipid profile. Your triglycerides and cholesterol, both are elevated. You should have a healthy lifestyle like avoiding fatty, oily, and high-calorie diet. Get your BP checked once. Regular exercises like brisk walking, jogging according to your capacity for at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There should not be any abdominal fat deposition or obesity. You should also be started on tablet Rosuvastatin 5 mg at bedtime for your lipids. Need to repeat lipid profile after eight weeks to look for control. Low levels of folic acid. For this, you need to increase the consumption of green leafy vegetables on daily basis. If not feasible then you can have the same in supplements form as tablet Folate 5 mg once a day. Low vitamin D. Increase the exposure to the sun in early morning. Also, have tablet Uprise D3 60,000 units once a week for eight weeks then once a month for six months to correct vitamin D levels. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28114, + "tgt": "My fiancee has intermenstrual bleeding and spotting. Is it a side effect of Provera?", + "src": "Patient: Hello doctor, My fiancee has a history of irregular periods, and her periods gets delayed every month. Recently, her period got delayed for two weeks, so she took Provera for five days. After the second day of stopping Provera, she got her periods. On the second day of her bleeding, we got sexually intimate. I was not wearing anything, but she was wearing her innerwear and sanitary pad. I did not ejaculate anywhere near her vagina, but I had pre-ejaculatory fluid. Now she got spotting and brownish discharge. This month, her period is delayed by seven days. Can she be pregnant? Can the intermenstrual spotting be implantation bleeding? Can someone get pregnant like that? Please help. Doctor: Hi. There is very less chance of conceiving when a female is menstruating. In your case, there was no intercourse, so the chances are very less. But, we need to know the reason for spotting: I suggest she undergoes the following investigations: Thanks. Revert with more information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14591, + "tgt": "What is the reason for bad breath?", + "src": "Patient: Hello doctor,I am 25 years old having bad breath. And I have consulted many dentists for treatment. But no one has any idea about what problem is actually causing bad breath. I usually brush my teeth 2 to 3 times daily. Doctor: Hi. You can opt for the following treatments stepwise. Start using antibacterial or Chlorhexidine Gluconate mouthwash. This is best for bad breath or stinking mouth and halitosis. Use three times a day for two weeks. Another very helpful method for the cure of bad breath is saline water mouth rinses. (Take a small cup of lukewarm water, add 1/4th teaspoon of salt in it). Do these rinses three times a day for 10 days. It will help. But chronic halitosis or mouth stinking is not a healthy thing. You must get the cause identified. This bad breath can be due to any systemic problem (like acidity, stomach ulcer, etc.), mouth breathing habit, poor oral hygiene. Try to fix the problem accordingly first. If you need scaling, get it done and then start with mouthwash or mouthrinses. You will get rid of bad breath soon. Two times brushing of teeth in a day is quite enough, excessive brushing can damage the enamel of your teeth. You can give followup after two weeks. Along with a close picture of your teeth with gums can help me diagnose your cause of mouth stinking more properly." + }, + { + "id": 27607, + "tgt": "My ultrasound showed no fetus pole and yolk sac. Is it blighted ovum?", + "src": "Patient: Hi doctor, I am 7 weeks pregnant according to my last LMP. I got a scan on the sixth of this month, which showed 5 weeks and\u00a05 days pregnancy, gestational sac 8.5mm, no fetus pole, and yolk sac. My doctor said we will\u00a0repeat the scan after a week and will terminate the pregnancy. This is my second pregnancy, and the first pregnancy was terminated at 7 weeks and 1 day because of a blighted ovum. What should I do now? Is this a blighted ovum? Can anything be done for blighted ovum or growth of the fetus? How long should we wait\u00a0before terminating the pregnancy? Doctor: Hi. How are you doing? I am sorry for the previous loss. This time again it does not look very promising. Do not lose hope. You have got pregnant twice. Unfortunately, it ended on the wrong note.\u00a0Hope I have clarified queries. Do write back if any more queries.\u00a0All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5720, + "tgt": "Is it fine to take Ovares Plus to conceive?", + "src": "Patient: Hi doctor, I am trying to conceive for the last four months. I have consulted my gynecologist and she found that I am having PCOS. She suggested me to take Ovares plus. Is it fine to take? Doctor: Hello. Ovares tablet is a multivitamin with few antioxidants. This is usually prescribed as an added adjuvant tablet along with other medication. Most of the infertility specialists will prescribe some or the other antioxidant and multivitamin tablets. Please share your hormonal profile reports for detailed consultation. Revert back with the hormone reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6774, + "tgt": "I am on low dose of Seroquel. Will it affect my normal thyroid function?", + "src": "Patient: Hello doctor, I am on a low dose of Seroquel, which suppressed my thyroid FT4 and, subsequently, my FT3 during these three years of recovery from Hashimoto\u2019s disease. I have stopped Seroquel, and my exogenous administration of testosterone is reduced to half from 700 to 387. Do Seroquel increases the prolactin levels? My sugar levels drop quickly after meals, and I have low genetic TBG. If I increase my exogenous testosterone back to the previous level, will my TT3 level get lowered? I am on Propranolol and my last Seroquel dose of 25 mg. It was affecting my eye sight, so I stopped it, and my FT4 was always low after Hashimoto\u2019s recovery. Doctor: Hello. I understood your question, and the answer is: An increase in testosterone dosage will not suppress T3 (triiodothyronine) levels. It will take some time to recover from the consequences due to the long term administration of Seroquel (Quetiapine). Propranolol can cause low testosterone levels, so no point in artificially increasing the testosterone." + }, + { + "id": 28739, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 8901, + "tgt": "What are the ways to control diarrhea in a baby?", + "src": "Patient: Hi doctor, My baby girl is 7.5 months old and suffering from diarrhea since yesterday. Diarrhea: six episodes yesterday, two times in the night, once in the morning also puked out once in the morning. Gave Enterogermina twice yesterday and did not get any control yet. Please suggest medicine and also diet. Doctor: Hello. Please continue Enterogermina as going on. Also, give syrup Ondem for vomiting on SOS basis (as per the weight of the child). It is very important to maintain hydration of the child by giving ORS (as per the weight of the child) with each loose stool. It is not advised to use any medications that stop the loose motions immediately in such a small child due to the risk of widespread infection. Give the child the above medications and you should see results in 3 to 4 days. Till then watch for dehydration, lethargy and refusal to feed. If at any point of time you feel the child is dehydrated, please get the child evaluated physically by a pediatrician." + }, + { + "id": 2373, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 3568, + "tgt": "What causes constant pressure around ear and nerve twitches?", + "src": "Patient: Hello doctor, I have ear pain going all the way down to my foot. I also have vertigo and tinnitus. It has been two years. I feel constant pressure around ear and nerve twitches in whole body. Please help. Doctor: Hi. I understand your problem. As you say you have radiating ear pain along with pressure around the ear and vertigo and tinnitus. There can be many reasons to this. Have you got any checkup done? If not I feel right away you will need the following investigations: Based on the results of these two investigations, I can further guide you as to need for any more tests or treatment. Meanwhile, I will suggest you the following medicines: If symptoms does not resolve; you may need a neurologist's opinion as well. However, as of now get the above tests done. Revert back after the tests to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20834, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15922, + "tgt": "What can be done for weak erections?", + "src": "Patient: Hi doctor, I am suffering from weak erections and they are not hard enough and also I do not experience morning erections. For many years I could not experience due to excessive masturbation. I also see foamy urine (probably semen) and urine dribbling. I suffer from loss of appetite, too many gases. My sugar and BP are normal. Testosterone 0.972 ng/ml, LH 2.09, FSH 1.38. Doctor: Hello. I have gone through the reports and the reports are fine but the testosterone levels are low. This should be evaluated properly. If you are obese then high weight could be the cause of low levels. This might be contributing to poor erection. Testosterone injections are one option for improving the levels. You can talk with your doctor about that. Drugs like Sildenafil or Tadalafil can be used on SOS basis to improve the erection and can help you. Exercise daily and have healthy balanced food. Get your levels done again after a couple of months and this should come normally." + }, + { + "id": 145, + "tgt": "My left armpit is sore with swollen left ankle and bruise in left groin. Please help", + "src": "Patient: Hello doctor, I have three medical concerns that I think might be related. One is that I have soreness in my left armpit, another is that my left ankle has been swollen lately, and finally I have a one in circle ark that looks like a faded bruise in my left groin. There is no swelling associated with this and no pain. The last one has been persistent for a few months (and the circle got darker when I went on Bactrim for a UTI but then got lighter again). Could these three things be related? Is there any cause for concern? Doctor: Hello. Since when are you suffering from this condition? It may be reactive arthritis (Reiter's syndrome) in which urethritis or UTI (urinary tract infection) followed by joint swelling and rash. It may be associated with dry mouth and dry eyes. It may be a different entity like groin rash which may be a fungal infection. Joint swelling may be due to arthritis or gout or crystal-induced inflammation. Left axillary pain may be due to herpes zoster or boils or shoulder joint arthritis or rotator cuff problem or hypothyroidism. Until examination is done it is difficult to say what it is. Get it done urine culture and sensitivity, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), and x-ray of left ankle joint. Use tablet Naproxen 250 mg twice a day for five days. Keep limb on elevation mode while sleeping. Please review with reports or consult with your physician he will examine and treat you accordingly." + }, + { + "id": 14370, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8213, + "tgt": "What could be the cause for the pain in the left leg, and thigh?", + "src": "Patient: Hello doctor, I have attached lumbar spine MRI. I had sciatica for three months with severe pain in the left leg when I walk and stand. Better when I lean forward or sit. Pain is in the left leg, thigh, and upper thigh under groin. Numbness and tingling down leg calf to the foot. I have pain in the right thigh as well when walking or arching, but not nearly as much. When I stand up straight or lie down pain, numbness, tingling is present. I have to sleep in a fetal position with legs curled up. I cannot arch my back without pain. I did swimming regularly until the pain started. I exercise in the water now. Could swimming have caused this? I also have numbness in my right inguinal area above the pelvis. Can this be related? I am respectfully requesting a detailed report on my MRI. 1. What is causing my pain? 2. Is this stenosis or bulging disc? What are my options? 3. Will epidural injections help or is surgery an only option? 4. Will this resolve on its own? This condition is adversely affecting my life. Can I stretch the painful areas? In other words, can I arch my back to stretch even though it hurts, or can I do stretching that will not hurt, like lifting the leg to the chest? Kindly help. Doctor: Hello. From your symptoms, it sounded like LC stenosis but having looked at your MRI, and it is evident that there are disc bulges prolapse at multiple levels on the left side leading to your remaining sided symptom. L4/5 and L5/S1 showed lateral canal stenosis and possibly a far lateral bulge leading exiting nerve irritation. Yes, you should benefit from a directed nerve root injection at the two levels on the left side. What I cannot explain is the upper thigh pain. No swimming per se should not a disc bulge or a prolapse unless you have done something getting in or out of the pool. Arching your backward is not recommended as this will not help relieve the pressure may make it worse. I hope this helps." + }, + { + "id": 29024, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27901, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1776, + "tgt": "Is scanty period a normal one?", + "src": "Patient: Hi doctor, I am 18 years old. This time my period lasted for five days, but it came down lighter than usual. My period is always consistent, but normally during my periods I would just skip one day and my period is always heavy. Yesterday and today I have not been bleeding or even spotting. Is that normal? Please explain me. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29619, + "tgt": "My daughter has cough. Shall I give her Dexona?", + "src": "Patient: Hello doctor, My 5 year old daughter is suffering from a cough and mild fever for the last four days. Doctor prescribed with LCF Syrup and Azithral Syrup, but she is still coughing. Today, when she was sleeping, we heard cracking and wheezing sound and difficulty in breathing. Shall I give her Dexona? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18682, + "tgt": "Shall I continue my running with cervical kyphosis?", + "src": "Patient: Hi doctor, I have recent x-rays that support my chiropractor's diagnosis of cervical kyphosis. I have been a runner for over 10 years. Is it safe for my condition to continue running? I do not want to give it up. Doctor: Hi. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 20321, + "tgt": "Why am I not interested in talking to people and going out?", + "src": "Patient: Hello doctor, Nothing good is happening in my life right now. I do not understand myself where I want to go, what am going to end up with. It is like everything is blank space in my head. Before I used to interact with people and laugh at times willingly but nowadays I do not even like to talk with anyone. When I think of it, I totally lose my strength and end up either sleeping or watching a movie inside my room. I do not feel like going out anymore. Please help me out. I am in need of help. Doctor: Hello. The symptoms you have mentioned are most likely occurring due to depression or due to some mood disturbance. Poor social interaction, loss of strength, increased sleep are symptoms of depression. If the symptoms are resulting in impairment in functioning, then please visit a psychiatrist for help." + }, + { + "id": 27616, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22269, + "tgt": "Can paleo diet help in non-recurrence of oligodendroglioma?", + "src": "Patient: Hi doctor, I am 47 years old male. I was diagnosed with oligodendroglioma grade 2 brain tumor in the right posterior parietal region ten years back. I underwent neurosurgery, followed by radiation therapy. MRI taken after treatment showed no tumor left. But during follow up MRI\u2019s, two years back, I was again diagnosed with a recurrence at same region as earlier. Biopsy showed it as oligodendroglioma grade 3 (anaplastic), for which I again went through a surgery, radiation, and chemotherapy. At present, I am treated with anti-epileptic tablets and recent MRI was not showing any definite recurrence. I am hearing a lot about the paleo diet, which helps in reducing weight, controlling diabetic, etc. I currently weigh 105 kg and I do not have diabetics. My concern is about the recurrence of brain cancer in near future. My doubts are: Can paleo diet help in non-recurrence of cancer, and/or, Can paleo diet help in postponing the recurrence as much time as possible. I kindly request you to clarify me, the effect of the paleo diet in treating cancer and if so, can I come and meet you with reports, further tests. Doctor: Hi. What this means is assume that the chance of recurrence of a particular tumor is 80 percent. That means out of 100 people, 80 will get cancer again. Suppose all these 100 take paleo, only 50 will get cancer again. Now assume the chance of recurrence of a particular tumor is 30 percent. That means Of 100 people, 30 will get cancer again. Suppose all these 100 take paleo, no one will get cancer again. So, if you have already got a tumor, you have to take paleo. In your case, paleo will be useful in: Please do metabolic profile B and you can consult me in person in any of the hospitals as per your convenient time and location. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25766, + "tgt": "Is there a way of stabilizing troponin levels?", + "src": "Patient: Hello doctor, My 11 year old son fainted at soccer practice and was taken to the hospital. His heart had an extra beat. The bloodwork showed that his troponin level was slightly elevated. He is not on any medications. Is there a way of stabilizing troponin levels? Doctor: Hello. Elevated troponin may occur due to the involvement of heart, lungs, and kidneys. They occur in blood as a response to trauma to the heart muscles. Slightly elevated troponin may or may not be related to a heart condition. The only way to stabilize it is to avoid the condition which makes it appear. If your son is having any symptoms related to the heart like chest pain, or difficulty in breathing he should get evaluated for a heart condition. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30615, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30591, + "tgt": "Is my oral sore due to herpes infection?", + "src": "Patient: Hi doctor, Last week, I had a sore on the outside of my lower gum. My girlfriend, who is a dental assistant, told me that it is just a canker sore and it will go away. Now, I have one on the inside of the upper gum towards the roof of my mouth. If the second one is also a canker sore or is this something I obtained sexually from someone who had genital herpes? Is this an area of concern that I have an infection? Will it go away like the first one? Previously, I had maybe once or twice a year. I am currently on Adderall XR and Singulair. Doctor: Hi. Citrus fruits like strawberries, pineapples or lime, etc., or nutritional deficiency or vitamin B12, folate or zinc deficiency. Aphthous ulcers. 1. Mucopain gel (Anesthetic gel). 2. Chlorhexidine gel like Hexigel. Avoid allergic food. Try to identify precipitating factor. Eat healthy balanced diet with fruits and vegetables. Follow meditation to lead a stress free life. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28300, + "tgt": "Can esophageal cancer be treated through surgery alone?", + "src": "Patient: Hello doctor,My mother is suffering from cancer of the esophagus. I have attached her reports, and she does not want to go through radiotherapy and chemotherapy. Can it be treated through surgery\u00a0only? Please help. Doctor: Hi. I have reviewed your provided images (attachment removed to protect patient identity). Thanks for uploading all of them. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 23828, + "tgt": "Is my RNA HIV early detection test conclusive?", + "src": "Patient: Hello doctor,I have a question about RNA HIV early detection test. I took this test 16 days after exposure, my results were negative. Is that conclusive? Doctor: Hi. No, it is not conclusive. Go for fourth generation testing at four weeks interval. Nevertheless, what was the exposure? For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7796, + "tgt": "Is this growing spot on my face a young melanoma?", + "src": "Patient: Hello doctor,I recently had a melanoma in situ removed from my left middle finger knuckle. This has caused us to look more closely at other areas on the body. There is a small spot that was not there four months ago under my left eye. I started seeing it in photos after that faintly. It is now more defined and a lot easier to see in photos. It is still only about 2 to 3 mm and pretty faint. The dermatologist looked at it and said it was a bit raised compared to the other spots that looked like sun spots. She then froze all three. I am concerned this growing spot is a very young melanoma (since it is growing). It is been three days and the scab already peeled off and it seems to still be there (although that could be irritation from the freezing). How long do I need to go back and have it biopsied to know? I can send photos if needed. Doctor: Hello. I saw your clinical pictures (attachment removed to protect patient identity). In your recent picture, the lesion looks like seborrheic keratosis (harmless), it looks rough and raised. I cannot confirm what it is with this picture. I am sorry dear, the picture becomes little blurry when I try to zoom it, to appreciate finer features. I am very sure your dermatologist would have looked at the spot with a dermoscope. With dermoscopy, the dermatologist can make out abnormal changes that are concerning. Even if it is doubtful feature leaning towards melanoma, your dermatologist would have done a shave biopsy to rule out that minimal possibility. After cryotherapy, the area becomes dark, it scabs and falls off after five to seven days. I can understand your concern as you had a melanoma in situ removed recently. Observe the treated spot for another week, allow the spot to heal completely. After a week, if you feel it is still there, then you can undergo shave biopsy which would say precisely what it is. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10014, + "tgt": "Can my 3 year old son lead a normal life after sepsis?", + "src": "Patient: Hi doctor, My 3 year old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav. Doctor: Hello. Regards. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29541, + "tgt": "What can I do to make my daughter tall?", + "src": "Patient: Hi doctor, My daughter is 4 years 5 months old. Her height is 100 cm tall, and weight is 15 kg. I want to know whether the height and weight are normal for that age. My height is 5 feet 7 inches and her mother is 5 feet tall. I am worried about her height. I want her to be at least 5 feet 4 inches. What can I do to make her tall? Doctor: Hi. Thank you for providing all the details. I would like to congratulate you that your child is growing quite well right now. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 83, + "tgt": "I recently noticed a small lump beneath my nipple. Is this normal for a 13-year-old boy?", + "src": "Patient: Hi im a 13 year old boy. I have recently noticed a small lump beneath my nipple and was wondering if this is normal? The lump is not too hard but not soft and the same time. Kind of rubbery. I haven\u2019t noticed any other changes so far. Doctor: Good Day, I am Dr. David. Since when did you exactly notice the lump? Did it grow in size since then. Any change of color on the skin over the lump? Did you notice dimpling of the skin over it? And is it painful when you touch it? I would also like to know if you have relatives that also had this? If most of your answers are \"yes\" i suggest to say to your parents that you have to see a surgeon right away to be evaluated. If not i will still suggest you to see a surgeon, but you can take your time. Lumps should be evaluated properly and will be treated accordingly depending on the physical findings. Base on your findings it might be a lump of fat cells that formed. But still a good evaluation would tell us more. Thank you. If you have further questions you may message me here. Suggest to do a breast ultrasound Suggest to Suggest to undergo a sugery consult." + }, + { + "id": 26953, + "tgt": "What are the possible consequences of a fetus without heartbeat?", + "src": "Patient: Hi doctor, My wife is now 8 weeks and 5 days pregnant. She started to bleed three days back and felt little cramps. We had our first early trimester scan and they said that they are unable to detect fetus heartbeat. They arranged for another scan in some 15 days. She is taking Pregnacare Folic acid.\u00a0Our questions are, whether the fetus has grown in previous cases after 8 weeks?\u00a0What are the possible consequences for the\u00a0fetus without a heartbeat?\u00a0Can we still stay with hope? Should we take it as miscarriage if they could not see heartbeat in the next scan?\u00a0Please help. Doctor: Hello. If she is 8 weeks and 5 days gestation as of today and still there has been no heartbeat or a fetal pole, then it is likely to be an anembryonic gestation or a chemical pregnancy with just the gestational sac. If the fetal pole and the heartbeat have not arrived till now, then it is unlikely that it would arrive. The bleeding is a sign of natural miscarriage being underway and she shall miscarry naturally by the next scan. However, you have not attached the scan reports, which would give a definite idea of the situation. Please attach the reports. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25841, + "tgt": "What could be the reason for bright red blood in my stools?", + "src": "Patient: Hello doctor, I happened to pass a large firm stool today. It hurt a bit and I was a little sore after it and the stool had bright red blood on the outside of it. I do have a small internal hemorrhoid that was spotted during a colonoscopy last year. Has the blood come from there or is it a torn vein? There was no blood when I wiped myself and the water did not turn red. I have attached photos for your reference. Doctor: Hello. I have reviewed your health query and seen the photos (attachment removed to protect patient identity). Hope it helps. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7600, + "tgt": "Please suggest me the cure for lymphangitis in my leg", + "src": "Patient: Hello doctor,I am a 43-year-old male. Born with meningomyelocele and operated before I was 1. Operated for the clubbed foot at one and half years in. I can walk with elbow crutches. 17 years before bladder augmentation operation with appendicular vesicostomy surgery was done for urinary incontinence. But during the surgery, only bladder augmentation surgery was done and left with a suprapubic catheter, and appendicular vesicostomy was not done. Due to lumbar puncture for giving spinal analgesia, I lost sensation below the knee in both my legs.Due to the continuous loss of sensation after the operation, I developed severe wound and was treated with intravenous antibiotics. My right leg was amputated below the knee before six years. After the surgery, my left leg was affected by lymphangitis. Three years before due to long term retention of the suprapubic catheter, a two huge bladder stone of 5 cm and a small 3 cm was operated. Due to loss of spinal puncture, I am suffering from parenthesis till date. The photos of my leg are attached here along with the lymphoscintigraphy test report which shows a block in lymphatic vessels. Please let me know what treatment can be given to cure my problem and which doctor I should consult for my surgery. Doctor: Hello. Your foot looks in bad state (attachment removed to protect patient identity) chronic lymphedema with skin changes. As this is a persistent problem, so there is no single treatment. There are lots of options to improve your leg condition, 1. Manual lymphatic drainage. 2. Complex decongestive therapy. 3. Surgery. 4. Limb elevation. 5. Pressure garments. This you have to maintain lifelong. All the procedure has its pros and cons with varying degrees of success, and it may not match your expectation. You need to visit plastic surgeons and discussed with its detail." + }, + { + "id": 24610, + "tgt": "How to correct my crowded teeth without extraction?", + "src": "Patient: Hello doctor, I have got all the four wisdom teeth taken out. But my bottom jaw of teeth is still crowded. I have also read somewhere that drilling out teeth as the answer is a mutilating act against your body, even wisdom teeth. So I would like to know what you think about getting my teeth less crowded and either straightened out or any advise would help? Doctor: Hello. If there is still crowding after wisdom teeth extraction you need to get braces by an orthodontist. I need to see a picture of your inside mouth to suggest a treatment plan. Sometimes, the orthodontist may suggest extraction of premolar teeth just behind the canines for creating more space. It all depends on how your teeth are arranged, size of teeth and spaces between teeth. Send some pictures for more details. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1734, + "tgt": "I have a lump inside my groin with moving skin. What could it be?", + "src": "Patient: Hello doctor, I am an 18-year-old male. I have a lump on the inside of my groin. It is about the size of a 5 cent Australian piece, and I can feel it under my skin almost as if the skin moves over the top of it. So, I do not think it is a dermatological thing. I have little spots around my pubic area but I think that is because of the hairs. This feels like something different. It does not look inflamed from the outside, and it is not sore to touch (just a bit tender). It feels like it rolls underneath my skin but stays in the same spot obviously. Doctor: Hi. If I am not wrong 5 cents Australian piece is around 2 cm in size. As you have described, it is a lymph node in your inguinal region. The human body has about 600 lymph nodes. Their role is to clean antigens from the extracellular fluid. It helps in fighting inflammation and infection. Lymphadenopathy (LAP) is the term to describe the conditions in which lymph nodes become abnormal in size, consistency, and number. A normal-sized lymph node is usually less than 1 cm in diameter. An inguinal lymph node size up to 1.5 cm should be considered normal. Lymphadenopathy can be called generalized when it affects two or more parts of the body. Enlarged lymph nodes associated with significant fever, night sweats, and unexplained weight loss (more than 10% in less than six months) are considered as red flags. It required an urgent evaluation for lymphoma. Those are not present in your case. Pain and tenderness on a lymph node is a non-specific finding. It is typically due to minor infection. Other causes of the inguinal lymph node are benign reactive lymphadenopathy, sexually transmitted disease, cellulitis or local infection, etc. Benign reactive inguinal lymphadenopathy is seen in patients who walk barefooted outdoors. If it is tender you can take Paracetamol. Keep watch. Avoid walking barefoot. Keep hygiene of your private parts. If it persists and associated pain or fever or other site engaged lymph nodes, you will need an evaluation. I hope this helps. Regards." + }, + { + "id": 6987, + "tgt": "Do you have any suggestion to stop pimples and heal scars?", + "src": "Patient: Hello doctor, I have been experiencing pimple breakouts for about a year now I had no problems prior to, the pimples are on my cheeks and my forehead occasionally around my chin and jaw. They are very large have caused a considerable amount of scaring all over my face. I have tried using cleansers for oily skin and frequently use a face scrub and activated charcoal mask. Do you have any suggestions to stop the pimples from appearing and also heal my scaring? Doctor: Hello. Kindly follow this prescription, 1.Tablet Azithromycin 250 mg bd for the first three days then on alternate day for three weeks. 2. Apply Clindamycin lotion over leisons bd. 3. Apply Tretinoin gel plus cold cream at night on the whole face in small quantity. 4. Apply scar care gel bd over scars. Use good sunblock of SPF 60 evenly and frequently from morning till evening." + }, + { + "id": 18838, + "tgt": "Kindly help us with an ayurveda remedy for severe menstrual pain", + "src": "Patient: Hi doctor, My wife is 24 years old. Six months back, we got married. Over last two months she is suffering with severe menstrual pain. Even painkiller is not giving any relief to her. She is taking Evecare syrup from himalaya over a month. Kindly help her get rid of this pain. Doctor: Hi. Revert back with the answers for the above questions to an ayurveda specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12866, + "tgt": "I am taking Levofloxacin for prostatitis. Will this cause any permanent side-effect?", + "src": "Patient: Hi doctor, I am a 29-year-old male. I have been complaining of symptoms of prostatitis for seven years with LUTS, fatigue, and pain as the main symptoms. The EPS shows more than 10 WBC per HPF and urine and prostatic cultures are negative. Semen culture was done twice in the last six months with the first one showing high agglutination and the second one done three months after is completely normal. I had three courses of antibiotics. Two Levofloxacin and one Ciprofloxacin with a duration of one month to six weeks each time. Antibiotics show partial improvement. I am having a relapse now with pain along the epididymis and when bending down and walking, which happened before and showed improvement only on Levofloxacin. My question is regarding the new data about the safety of Levofloxacin with reported potentially permanent muscular and CNS effects. Should I change antibiotic this time? And what about Fosfomycin? Doctor: Hello. You are suffering from chronic prostatitis. It is very difficult to treat. Ideally, prostatic massage and EPS or semen culture must be done. But, if you have an improvement with Levofloxacin, then you can take it. The side effects are if you take it for a very long duration in years. For an acute episode as now take Levofloxacin. Then later, you can shift to oral low dose Nitrofurantoin 100 mg daily for three months. I would also like to add Doxycycline (with Levofloxacin) 100 mg bd for 14 days for an atypical organism. Fosfomycin is reserved in case you have resistance with other drugs. So do not use now." + }, + { + "id": 20480, + "tgt": "I get white spots on my two front teeth. What is it?", + "src": "Patient: Hi doctor, I recently started getting white spots on my two front teeth. What is it? How can I make it less noticeable? Doctor: Hello. White spots on the teeth might be due to: There are several methods to treat the white spots. To name a few:" + }, + { + "id": 23678, + "tgt": "What is the treatment for two perfectly symmetrical colored moles on the neck?", + "src": "Patient: Hello doctor, I am a teenager. Six months ago, I noticed that I had two colored moles on my neck. I immediately went to a dermatologist. She checked all my moles and she told me that the two colored moles were perfectly symmetrical. So, she did not offer to remove it. I have learned from the internet that in my age the doctors do not really offer to remove a mole. The mole has not changed at all yet. I had blood tests six months back and everything was normal. Do you think I have to worry or go back to the dermatologist? Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3736, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11770, + "tgt": "When does one get small red blisters on genitalia?", + "src": "Patient: Hi doctor, I have very small red blisters on the glans and corona with lot of itching. For that I have used Acivir ointment. There is temporary relief but it reoccurs. Please help. Doctor: Hi. Small red blisters on the genitalia usually occur in herpes virus infection. But they are associated with pain and burning. You are complaining of itching which is unlikely for herpes infection. I would recommend you to upload the photographs of the blisters, so that I can have a clear picture of the condition and can guide you accordingly. What is the duration of the blisters? Are you sexually active? If yes, any similar history in your sexual partner? Do you have diabetes or any other ailment? Are you taking any medicine for some other ailment?" + }, + { + "id": 16855, + "tgt": "Can skipping Lexapro tablets cause suicidal thoughts?", + "src": "Patient: Hello doctor, I have taken antidepressants, in particular, Lexapro 20/10 mg for about five years for Generalized Anxiety Disorder. Unfortunately, I\u00a0had stopped taking the anti-depressants cold turkey for about a month and a half due to negligence on my part. During the month and a half, I only experienced heightened anxiety or\u00a0palpitations. When I realized on Thursday that I had not been taking the anti-depressants, I started taking them again. On Friday, I took my second dose of 10 mg because I have been weaning off the 20 mg for about six months now. Then,\u00a0I\u00a0had this scary thought of killing myself. Now mind you, I love my life and I\u00a0do not ever want to kill myself. With that said, I never experienced this disturbing thought before during my five years of taking Lexapro. I called my psychiatrist who told me that it is withdrawal and that my brain is deprived of the medicines. Now, I tend to disagree. My question is, do you think it is the Lexapro that is causing these disturbing thoughts? Meaning that, since I have re-administered the Lexapro 10 mg, can it cause new symptoms that I have never experienced before or is it like she says withdrawal? Mind you, during the withdrawals, I never had this suicidal thought before as well as not having it while on Lexapro for five years. And neither\u00a0my\u00a0psychologist nor my psychiatrist has ever diagnosed me with depression. Doctor: Hello.\u00a0 Hope this solves your query. Feel free to ask if you have any further queries. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 2832, + "tgt": "Is family history a risk factor for ovarian cancer?", + "src": "Patient: Hi doctor, Two days before I got my periods and I started having sudden, sharp stabbing pain in my right ovary. These pains would slowly subside, although I could always feel a small sensation in the same spot, until it flare up again. It seemed to be agitated by the movement. I stay perfectly still most of the time and so there is no stabbing feeling. I asked my mother, who is a nurse, to check it out. She validated that the pain was ovarian and cleared me of having appendicitis. Over two days the pain has continued at random times, but not worsened. Now I am on my period. The blood is thick, sticky and totally brown to pretty bright red with heavy bleeding. I am normally a heavy bleeder during the first few days, but the color and consistency are unusual. I am also having my usual period symptoms such as achiness and bloating. Hence, it is hard to pinpoint whether it is just my period or the ovarian pain. I have had normal period before this one and no sexual exposure during or in between, so I know I am not pregnant. I am also at a very low risk for STDs. I am worried, as the women on my mother's side have a history of ovarian cancer and cysts. I know I am quite young for such a thing to happen in me. As I do not have any other symptoms related to other causes such as PID, I do not know what else it could be. I just started on birth control pills again last night. Otherwise, I am not any oral medication except topical treatment for itchy scalp, acne and eczema. Am I crazy in worrying? What could this be? Please help Doctor: Hi. I can understand your worry. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23861, + "tgt": "I have yellow ball on inside of cheek after wisdom tooth removal. What is it?", + "src": "Patient: Hello doctor,I recently got my wisdom tooth out and noticed a yellow ball on the inside of my cheek. I am not sure if this is scarring or healing tissue or if it is an infection. Doctor: Hi. Firstly, I would like to appreciate you for the clearest picture (attachment removed to protect patient identity) you have attached to your complaint. Next, my question would be how long has it been since you got the wisdom tooth removed and did you visit back your dentist after seven days for suture removal in that area? As far as I have noticed in the picture you have sent, the region seems to be good and healing. The yellow substance stuck mostly looks like food debris locked around the socket (sometimes it could be the debris swirled around the suture thread in case if it is removed by now). Try gargling with warm salt water to get rid of it. Vigorous gargling is not advisable when it is less than three days since you got it extracted. If you are unsuccessful in this, then I reckon you visit the dentist back for a review and get a saline flush in that region or the dentist would manually remove the debris with a tweezer without affecting the healing gums. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26662, + "tgt": "My friend has been asked to go for blood transfusion for dengue. Why?", + "src": "Patient: Hello doctor,My friend has a blood count of 32,000 cells/cu mm. He has been suffering from dengue for four days. He is admitted to a hospital for the same. The doctors are saying to conduct a blood transfusion. I am not sure what that is. Kindly reply. Doctor: Hello. Hope your friend recovers soon, without having to go through a platelet transfusion. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27460, + "tgt": "I tried to pop a pimple on my thigh and it turned into a large sore. Please help", + "src": "Patient: Hello\u00a0doctor, I had what I thought was a\u00a0pimple on my inner thigh. I tried to pop it, but it just got swollen and red. It has now been three to four days and it has turned into a large open sore. It is about 3/8 inches wide and only hurts when it rubs against clothing. I am attaching a picture of the wound. Doctor: Hello. I have gone through the image. Your concern is a healing furuncle. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 19053, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3903, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 23680, + "tgt": "I am planning to start a family, but have low libido and weight issues. Please advise", + "src": "Patient: Dear doctor,I have been married for four years and I am planning to start a family. I have been facing low libido and fluctuating weight issues for four years. I consulted an andrologist three years back who conducted a blood test and found my TSH level at 4.81 IU/ml which he said was slightly on the higher side. No treatment was suggested. Recently, I retook the test and the TSH was 7.00 IU/ml, T3 was 111ng/dl, and T4 was 7.5ug/dl. The TSH is showing an\u00a0increase. I want to know if this needs treatment and if my low libido and weight issues are related to the\u00a0increase in TSH. My testosterone levels at present are 301.9 ng/dl. Kindly give your opinion. Doctor: Hello. I just read your query and went through your reports (attachment removed to protect patient identity). From what you have mentioned, it appears that you have subclinical hypothyroidism and low libido. Your testosterone levels are good. So, they are not responsible for your low libido. Your subclinical hypothyroidism does not need any treatment nor is it responsible for your symptoms.Your vitamin D is low and cholesterol is high which could be responsible for your symptoms. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 1411, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24307, + "tgt": "I am 28 years old and suffering from erectile dysfunction. What can be done?", + "src": "Patient: Hi doctor,I am 28 years old and suffering from erectile dysfunction during sex with my wife. I had semi-hard erection two times. Six months before also I had a similar issue for 15 days then again I was normal after that but again issue has started since three days. I masturbate every day mostly while watching porn. So, what should I do? I am stressed and have performance pressure. I am taking Ashwagandha and Zinc supplement for 7 days. Doctor: Hi. If it is only on two occasions then you can wait, but if it is frequent then you can manage it by two approaches namely drug and behavioral. Drug therapy includes Sildenafil, Tadalafil, and Vardenafil. Behavioral therapy includes Masters and Johnson technique. It is difficult to explain here but you can google it, and try to practice it or can consult a psychiatrist in person for detail discussion on it. Also, you need to rule out medical conditions associated with erectile dysfunction namely cardiovascular disease, thyroid dysfunction, vitamin deficiencies, substance use disorder, etc. If the problem persists then consult a psychiatrist in person for evaluation. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28583, + "tgt": "I am not able to improve my face tone with healthy diet. Why?", + "src": "Patient: Hi doctor,I am taking good healthy food, but my face structure is not improving. I used to eat two eggs daily. But, my eyes are sunken. I want a good structure.\u00a0My height is 6'2\" and my weight is 70 kg.\u00a0I want\u00a0good looking eyes and bright face. Doctor: Hi. For further information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 26731, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17604, + "tgt": "I feel pain near my ear while opening mouth. Is it a serious problem?", + "src": "Patient: Hi doctor,I have pain in my face just next to my right ear while opening my mouth. My doctor told me that it is a parotid gland infection.\u00a0Is it a\u00a0serious problem?\u00a0He gave Chymoral tablet. Is that right? Doctor: Hi. Do you have a swelling at the same place? Parotitis (inflammation of parotid gland) is associated with swelling and fever. Does pain increases while eating? Do you have jaw pain or clicking while eating? Then, it can be temporomandibular joint arthritis. Are you taking Chymoral plus or Chymoral forte? If it is Chymoral plus, then it is enough as it has anti-inflammatory property also. In the case of parotitis, you need antibiotics and Vitamin C supplement. And, in the case of temporomandibular problem hot fomentation is required to the area where you have pain in addition to Chymoral plus. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 23549, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28983, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 19189, + "tgt": "Please suggest a remedy for my itching", + "src": "Patient: Hi doctor, I am a female, aged 22. I started facing some itching problems in my hip region, including the buttock cleft for almost 2 to 2.5 years now. The itching occurs occasionally, but now it has led to darkening of the involved area. Sometimes, small papules arise on the area as well. I am really concerned now as it looks extremely bad due to the pigmentation. Also, it itches a lot. Please give me a remedy regarding my problem. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24099, + "tgt": "I have idiopathic spastic intestinal obstruction. Can you specify the exact location?", + "src": "Patient: Hello doctor, I have a rare disease called idiopathic spastic intestinal obstruction/spastic ileus with chronic, long-term course (barium stays about 40 hours in the small intestine). On a two-balloon endoscopy of the small intestine, colonoscopy with ileoscopy, CT, MRI revealed nothing. So, we can determine the location of spasm only with X-ray and barium follow through. I did barium follow through several times (with an interval of six months). There was a disagreement among the doctors and they agreed about etiology of obstruction (dynamic/spastic), but cannot decide the location of the spasm. Treatment recommended is therapeutical - endoscopic injections of Botulinum toxin into the intestine (they call it chemical denervation, and recommend it because that conservative drug therapy does not help. Therefore, it is important to know the exact location of spasm. I ask for help in this matter. I am attaching the links. The study was started 11 and half hours after swallowing barium. The last shot was taken 35 hours after swallowing barium. So, there is stasis/stagnation about 30 hours in the small intestine. The most important question is the exact location of the spastic area. It is important to know the location and length of spasm in centimeters, at least in some ranges (if absolute accuracy is not possible, but if it is possible, at least within the margin of error of a few cm, that would be perfect). This information is necessary for the doctor to develop further treatment tactics. Thanks in advance. Doctor: Hello. The condition idiopathic spastic intestinal obstruction/spastic ileus is a unique and rare condition indeed. In the barium pictures, the involved area is usually seen like a sudden constriction of a segment of the small or large bowel. The segment involved can be visualized as a thin pencil-like narrowing. There can be one location involved or it can involve multiple short or long segments. The usual findings are a sudden narrowing of the bowel for a few inches. Your barium swallow images done on the 5th (attachment removed to protect patient identity), show a normal transit of barium in the esophagus and into the stomach lumen. The study is started at 10.10 AM and we can see the barium in the jejunum in the 11.27 image. There is no narrowing in the segments visualized. In the 06.03 PM image, there is a suspicious short segment of sudden narrowing of bowel in the right lower pelvis and is likely one of the affected areas. In the second series of images done on the 18th, there is no severe narrowing in any particular area. The ileocecal junction is seen narrow in some of the images but that can be normal. Please write back with your doubts. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18614, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29299, + "tgt": "My premature nephew had body swelling when he was a week old. Why?", + "src": "Patient: Hi doctor, My nephew is a\u00a0premature baby. On the third day, his blood glucose level was decreased to 34. Later, he was admitted and kept under surveillance. His blood test revealed elevated bilirubin level. Four days later, his blood values become normal. On the same day, suddenly there was swelling on his body. The biochemistry examination revealed urine spot protein to creatinine ratio 2.19 and moderate grade proteinuria. Doctor: Hi. Your baby probably has a problem with his kidneys. A urine spot protein to creatinine ratio of more than two usually suggests that your baby is losing a lot of protein through his kidneys called nephrotic range proteinuria. So, the swelling of the body might have appeared due to protein loss. But, a single value may not be significant, so get it tested once again. If it is still high, then you need to worry. It could be a congenital nephrotic syndrome. If the repeat test value is high, and body swelling is persisting, then consult a pediatric nephrologist for further evaluation and treatment plan. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14031, + "tgt": "What is causing sensitive penis, rectal pressure and pain after ejaculation?", + "src": "Patient: Hello doctor, I am 35 years old male, with a long history of prostatitis, 3 to 4 years, no symptoms. Now a myriad of symptoms including all the following that come and go. Urgency, sensitive penis, rectal or prostate pressure, no pain but happens after ejaculation sometimes and from a bowel movement. Last urgent care said inflamed prostate on DRE and should take Flomax and antibiotics. Another doctor said maybe IC. The second opinion said he would treat for prostate within one month with Cipro. Not sure what to do. Please help. Doctor: Hi. From history and test report (attachment removed to protect patient identity), it appears as CPPS (chronic pelvic pain syndrome) and not to localize prostate as the source of the problem. I would like to add anticholinergic to your alpha-blocker (Flomax) and Psyllium Husk. CPPS (chronic pelvic pain syndrome). Capsule Roliflo OD 2 mg (Tamsulosin with Tolterodine 2 mg), Psyllium husk 3 tablespoon HS with one glass water over it, perineal exercises. Bahy Pranayam, Moolbandh regular two times a day will relax the painful focus in the perineum." + }, + { + "id": 25420, + "tgt": "I feel listless and tired when I return home in the evening. How to resolve it?", + "src": "Patient: Hello doctor, I feel listless and tired when I return home in the evening. So much that I cannot exercise on the treadmill. I was on antipsychotics for 30 years which surely caused muscle stiffness and tardive dyskinesia. That could be one reason for the tiredness. Treatment for the above side-effects is now available and I will be starting it next week. Otherwise, it could be fatigue or something which I am asking you to pinpoint. Can you tell me what you suspect to be the cause? And what protocol we follow to resolve it? Doctor: Hello. The causes of fatigue are many including long-term antipsychotic medicines. Other causes include anemia due to iron and B12 deficiency, thyroid diseases, cardiac failure, diabetes, sleep disorders, and medications to name a few. You have not mentioned about your current medications as well as daily activities, your food habits, eating and sleeping habits exercise pattern. There is no mention about your stress level at work and at home. I would like to know the results of all tests done recently as well as the medication list you are currently taking. Do you do meditation, yoga, etc., to reduce stress? Nothing is also mentioned about your family history also. So, please provide all the details and I would suggest how to fix your tiredness. Please revert to me with the details I have asked for. Hope this was useful. For more information consult an integrative medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/integrative-medicine-specialist" + }, + { + "id": 9584, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17190, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20996, + "tgt": "Will jaw surgery for lack of bone lead to a change in the face?", + "src": "Patient: Hi doctor, My daughter had braces for four years but her midline is off and she has a gummy smile. Her bite is fine but her teeth are not properly aligned and she does not have bone on her left side. Her orthodontist referred her to a maxillofacial surgeon who says she needs her upper jaw broken and rotated clockwise and slightly up to compensate for the lack of bone and her bottom jaw also has to be broken and rotated clockwise. It would all then be held by plates and screws. My biggest concern is that she is a beautiful girl and he says that her face will not change at all. Is that true with this kind of procedure? Doctor: Hi. The procedure which you mentioned is called as orthognathic surgery which is done if there is a skeletal malrelation between the two jaws which cannot be corrected by orthodontics alone. The procedure usually improves the aesthetics of the face and is predictable. The expected outcome can be seen by preparing mock up models before undergoing the procedure. In this procedure, the portion of the jaw is fractured to rotate in the desired direction and fixed using using plates and screws." + }, + { + "id": 1392, + "tgt": "Is there any chance for pregnancy even after taking Depo shot?", + "src": "Patient: Hello doctor, I started the Depo shot before six months and I missed my second shot. I did not continue getting the shot, so I have been off birth control. It was my first Depo shot I have ever received and I am not sure how long it takes to be totally gone. But, I have been very sexually active with my boyfriend for the past few months. I have not started my period as I got the shot. Yesterday, I bled very lightly, but only for a couple of hours and then it stopped completely. I am wondering if this could be implantation bleeding? I have had a couple of bad headaches recently, but do not feel as crampy as I do when I am on a normal period. I was wondering that any chances to become pregnant or not. But I have not noticed any morning sickness or weird cravings. Please suggest me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5343, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 29293, + "tgt": "Please suggest some medicines for the problems reported in my general checkup", + "src": "Patient: Hi doctor, My health checkup report is enclosed. I feel little lethargic with sluggish mental activity. Please advice some medicines. I am already on Ecosprin 75 and Aztor\u00a010. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16370, + "tgt": "Will having Fluoxetine with Venlafaxine lift depression?", + "src": "Patient: Hello doctor, Will having 20 mg Fluoxetine added to my existing 375 mg of Venlafaxine help to lift my depression? I had recurring depression since 17 and have been on Venlafaxine for 12 years. Doctor: Hello. Venlafaxine is a very good anti-depressant. It has given you excellent results for 12 years but if the problem is increasing then there might be some issues like hormonal imbalance, psychosocial problems, substance abuse, etc. We need details on that. At times, addressing the issues will solve the problem. But if still persist instead of Fluoxetine I would like to add some other medicine. All psychiatrists may have different opinions. It may or may not help." + }, + { + "id": 5188, + "tgt": "My wife has peculiar headache near left ear. What is it?", + "src": "Patient: Hi doctor, My wife is 35 years old. She is 5 feet and weighs 50 kg. She is having a peculiar pain for the past six to eight months. The pain is located just above the left ear and 2 cm beside the left eye. Earlier, the pain use to occur once in one to two months. Usual timing for this pain is bedtime during nights around 10 to 11 PM. The pain will last for just 5 to 10 minutes. She kept ignoring it by assuming as a normal headache. Slowly the frequency of this pain increased to once in every 15 to 20 days. This went on to reach once in every two to three days during last month. We were to go on an urgent trip to hometown; therefore we thought to postpone the checkup till the return from the trip. During the hometown trip, we discussed with a known neuro doctor, who got her head CT done. CT report is absolutely normal and he suggested that my wife should not take much tension. For past one week, the frequency of the pain increased to two to three times in a day. At times she had some kind of pain with her left ear in the past. But that is not affecting her now. Currently, the timing of the pain is not fixed and the same happens at any point of time. Usually it lasts for approximately 15-20 minutes. Since the CT scan report of the head is absolutely normal, we are not able to figure out the real reason for this pain. What could be the possible reason for this pain? Can I get the detailed response? She is also having very minor increase in thyroid level. However, as per experts the current level does not require any medication. I am attaching the CT report as well as the recent thyroid report. Apart from this, she does not have any other significant symptom. I am looking forward to your response. Doctor: Hi. Revert back with the answers for the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19013, + "tgt": "What shall I do for heavy periods and anemia?", + "src": "Patient: Hi doctor, I am 24 years old. I have had irregular and painful periods since I started my first periods\u00a0in 13.\u00a0I have a kid, who is 3 now.\u00a0It was a normal vaginal delivery and I did have a fibroid that came out later that day. But as of lately, I have been having a very pink tinted discharge with pain and uncomfortable. My last menstruation was very heavy and painful. I got up from bed to go restroom to change and my thighs were trickling with blood. I felt horrible with painful lower back pain, nausea and I almost threw up from it. I got in the shower hoping to feel better, but as soon as I got in, it felt like someone flipped my switch off. My arms and neck went limp and everything started to go white. My mother helped me to lie down in bed. Then, I felt cold, clammy and shivering. I took two Tylenol to help the pain, which it did. I went to the doctor that day and she just drew my blood and said I was anemic and not pregnant. I followed up with a gynecologist, he said it could be endometriosis and everything else is fine. He also told me that I have high risk HPV. I have had a transvaginal ultrasound that showed everything pretty much fine except for the follicles on my ovaries. I am so confused about my health condition. Please help. Doctor: Hi. I hope you are feeling better now. Have you been started on Iron tablets? I would suggest tablet Livogen XT (combination of Iron, Folic acid and Zinc sulfate) once at night with a glass of lime juice for better absorption. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Continue the above for three months minimum. You will feel better in about one or two weeks. I also suggest a deworming medicine tonight and skip Iron tablet. A single dose of 400 mg Albendazole is sufficient. From tomorrow onwards restart the Iron tablets. This should take care of the anemia. With regards to the endometriosis, this is something that can only be confirmed by seeing with the eyes under a laparoscopy. If your doctor wants to take a look under laparoscopy, then you should consider it once your hemoglobin is back up. The advantage is that any endometriotic lesions can be burnt with cautery at the same time and if it is a fibroid which is causing these symptoms, then it can also be treated simultaneously by laparoscopy if it is average sized. Endometriotic cysts can also be treated if found at the same time. The rest of your scan sounds normal (attachment removed to protect patient identity) so do not worry. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19393, + "tgt": "What can be done for swollen painful preauricular tips", + "src": "Patient: Hello doctor, I am a 21-year-old female. I have preauricular pits, that have drained smelly discharge ever since I was born. I have them in both ears. The right does not drain often. The left drains every day more than once a day. The left has become really swollen and painful recently. I am not sure of what to do because I now understand that the discharge means it is infected and it is hard for the surgery, if infected. Plus they have been infected for so long. I have also read that after surgery, it could reoccur. Doctor: Hi. Let me answer your query in parts. It is a developmental anomaly, a branchial cleft anomaly. Once we remove the whole sinus tract, it does not recur. To see till where it extends one must do a fistulogram scan. When infected we do not do surgery. We do culture sensitivity and institute appropriate antibiotics and clear infection and plan for surgery later. It is a curable problem. Do send us a picture of the ears both sides and send to me." + }, + { + "id": 30847, + "tgt": "Please suggest a way to remove my warts", + "src": "Patient: Hi doctor, I have a wart developing on the face. I want it to be removed. Please help. I am currently taking one tablet of 100 mcg Thyronorm daily. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23614, + "tgt": "I have extreme sensitivity to cold in the area of oldest filling. Why?", + "src": "Patient: Hello doctor,I had not been to a dentist in about a decade (I am 30 years old) till five months back. I had not had any problems or noticeable cavities till about a year ago, when a fair few seemed to pop up all at once, a few on the front of my incisors. Now I admit, I had slacked off in adulthood on brushing, just once a day did not floss, and had slacked off even more in the last two years due to extreme depression (a mixture of forgetting and just not caring). But I have now started getting the cavities filled, the ones visible when I smile with the composite resin, the first cavities done this way were filled about two months ago, the most recent about three weeks ago.I noticed some sudden extreme sensitivity to cold in the area of the oldest filling, went to look in the mirror, and I noticed there is the start of a hole in the resin (more of a pit or dent, really, than a true hole, at this point), and also noticed that there is just starting to be the barest hint of degradation in the most recent one. And I would like to know why. Since going back to the dentist, I have started to try to be better about my oral care, I am still not where I am sure any dentist would like me to be, again due to the depression. But I do make sure I brush at least once. I mean the math, to me, just does not seem to add up, even considering the resin likely is not as strong as tooth enamel. If it took literal years for the cavities to even start forming when I was brushing once a day, how is it the resin is breaking down so fast when I am keeping to that schedule, and about half the time actually do what I should be doing (that is brushing twice a day and flossing). Are my dentists just using substandard resin materials, or (is that even a thing that is possible?) I am worried because I have a fair number of cavities left to go, some of them to be filled with the composite resin, and if they are going to break down this fast even with proper or most proper care, I mean, the hell am I supposed to do, just not eat? Doctor: Hey. Do not worry. The reason could be either your enamel is weak or maybe you are chewing or biting hard on those filled surfaces in the front areas of teeth. The composite filling does not have much strength when done in deep caries of back teeth or a larger portion of front teeth. We usually advise patients with composite filling in front tooth edges not to bite there. Can you please send me the image of the areas where you have complaints? And if you had taken depression medicines in the past, it can cause dryness of mouth, which in turn causes caries or cavity (new and progression in old ones). Regarding oral hygiene, more than the quantity of brushing, the brushing method matters as wrong technique will not cleanse plus cause abrasion of teeth leading to sensitivity. Follow bass sulcular method (google it for video), gargle after every meal. Reduce the use of mouthwash as it can cause staining and dry mouth. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27658, + "tgt": "How long can I use Tugain for hair loss?", + "src": "Patient: Hi doctor, I have got hair loss problem for the past four years. Initially, I had taken some tablets like Follihair and applied Tugain on and off. I am using Tugain till now and I feel that hair loss is controlled when applying it continuously. Till now, I would have used six bottles of Tugain 10% and four bottles of Tugain 5%.\u00a0Long back, I had applied Amexidil spray, Grocapix gel, Androanagen tablets and tablet Finax, but did not find it very useful.\u00a0As of now, I am using only Tugain 10%. I am having hair loss; although not very aggressive it is still there. Please advise further treatment. How long can I continue with Tugain? I have attached couple of pictures for your reference. Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. Minoxidil is quite safe to use, and has to be used continuously for resumed benefit. The contraindications for Minoxidil use are: Other than that, you may continue it for as long as you desire medical treatment for your hair fall. Another point I would like to add, is that Minoxidil 5% is as good as 10% for male pattern alopecia. So, for maintenance you can well use 5% lotion twice daily. Minoxidil lotion with Finasteride combination is available and can be preferred over plain Minoxidil. Androgenic alopecia. 1. Take nutritious and protein rich diet such as pulses, milk products and eggs. 2. Avoid routine application of gels or frequent blow drying of your hair. 3. Use sulfate free shampoo for your hair twice a week. For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 449, + "tgt": "Other than chest x-ray, what test should be done for cough?", + "src": "Patient: Hi doctor, I have attached an x-ray report of my 1 year old baby girl. The report was ill-defined haziness seen in the right perhilar and para-cardiac regions - pneumonitis. What does it mean? She has cough since last five days. My mom is suffering from active tuberculosis. So, x-ray was suggested and the consulting doctor is out of town for the next two days. What should be done next? Doctor: Hello. I understand your concern. 1. Mantoux test. 2. Complete blood count. 3. Gastric aspirate for AFB (acid fast bacilli). An antibiotic should be given for seven days. Revert back with the answers to the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 30321, + "tgt": "Please look into my MRI and give your opinion", + "src": "Patient: Hi doctor, My issue is that around six months before I started getting tinnitus in both my ears. A month later, I had an MRI and a couple of neurologists said that the MRI is fine. I was referred to an ENT doctor. One ENT doctor said that all is fine after several audiography tests. Now, three weeks before, I started getting giddiness and the tinnitus continues the whole day in both ears. I went to another ENT specialist. He is of the opinion that my MRI might be read by a well known neuro radiologist. I am sending my MRI image herewith for your perusal. I am a 65 year old male. I am neither diabetic nor hypertensive. I am a vegetarian with no smoking and drinking habit. Please look into my MRI and give your opinion. Doctor: Hi. Your MRI looks grossly normal. In an unexplained tinnitus like this, you need further investigations to rule out two rare conditions, jugular bulb abnormalities and sigmoid sinus diverticulum (sinus wall abnormality). You will require high resolution CT of the temporal bone to look for any bony abnormalities. Another possibility is dural arteriovenousfistula dAVF; however, MRI does not show any evidence for this. You will need cerebral DSA (digital subtraction angiography) for excluding this condition because of tinnitus. The same test will also identify jugular vein and sigmoid sinus problems. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 20298, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3620, + "tgt": "Why do I get pain in back, knee and foot with occasional numbness?", + "src": "Patient: Hello doctor, I have been having back, knee and foot pain and numbness for some time. So, I am wondering if I should see professional help? It started about a year or more ago, and then it was merely the lower left side of my back. It would go numb for a brief time after riding for about thirty or more minutes. However, as time has progressed the pain has gotten worse, and mostly the pain is in my left knee. I own apartment buildings, and I love working on the properties, but it is beginning to wear on my body being a 53-year-old male. Yesterday was especially hard because I was on a ladder a lot and it makes my lower back and left knee hurt when I use a ladder, and I went up and down three flights of steps numerous times moving supplies from one apartment to another, and it took its toll. Therefore, today I am experiencing pain in my left knee on the side of my knee and in the back. Last night, I woke up with a lot of pain in my left knee and it was a burning sensation, but my back did not hurt as it usually does. I had a baker's cyst many years ago on this same knee, and my doctor advised me to take it easy for a few days and take Advil. Once I did as he recommended the pain went away and until recently I have had no problems with my knee. One more thing most of the time when I feel a sharp pain going through the left part of my lower back it makes my foot numb. If I sit or lie down and pull my leg up to my chest it gives me a lot of relief. Most of the time if I am feeling this sensation in my lower back and it starts to go down to my left leg (pulling my leg up to my chest for a couple of minutes) will usually make the pain go away completely. Most of my time is spent about ten hours a day at my desk working, and while my favorite thing to do is work on my properties. I have to sometimes hire people because of spending so much time at my desk. At one time (about ten years ago) I used to lift weights (free weights) and workout on a cross-trainer for two to two and a half hours a day (from Monday to Friday). Although as I got more responsibility for my work, I started cutting back on the exercising and eventually gave it up altogether. So, I do not do anything outside of working on my properties for exercise, and I hope to start lifting weights again and doing cardio because my waist has gotten up to a 34 and I want to stop it from expanding more. However, I am afraid to start any exercise routine before I find out what is going on with my left side. The pain I am referring to is strictly from my waist down the leg and to my foot. I have no problems with my right side, and if a doctor recommends surgery, it is not going to happen because I grew up with a dad that had Perthes. And I have seen how he has suffered his entire life and how many times doctors have replaced hips telling him this one is the last one only for him to have to go back over and over until he is finally in a wheelchair. Sorry, there is one more thing my primary doctor has retired, and I have not been sick in over seven years, so I have no primary doctor to give me a referral, but I have to do something about this pain. Thanks for any advice or ideas you can give me because I always worry it might be cancer because my grandmother died of osteogenic sarcoma. I am currently taking Vyvanse, Sawpametto, Vitamin C, Magnesium and multivitamin. Doctor: Hello, Welcome to icliniiq.com. Your symptoms (back pain radiating in the knee and leg) are suggestive of a bulging (slipped) intervertebral disc in the lumbar region, which is causing irradiating radicular pain in the knee. For this reason, I would recommend consulting with a neurologist for a physical examination and a lumbar spine CT (computed tomography) scan or MRI (magnetic resonance imaging) study. Prolonged sitting position or weight lifting could be the cause of such clinical situation. For this reason, I would recommend having some rest, avoiding prolonged standing up or sitting position, and avoid weight lifting. Painkillers (Acetaminophen, Ibuprofen), coupled with a muscle relaxant (Flexeril) can help improve the pain. Local warm packs on the lower back and massage or physiotherapy can help improve your situation. A nerve conduction study would help to determine the possible damage to your nerves. You should discuss it with your doctor on the above tests. I hope this helps. Bulging lumbar disc. Lumbar column CT scan or MRI scan. Nerve conduction study. Painkillers, muscle relaxants, and physiotherapy. Avoid weight lifting, prolonged sitting or standing up position." + }, + { + "id": 24940, + "tgt": "How can common cold in a pregnant woman be treated?", + "src": "Patient: Hello doctor, My wife is 23 years old and she is suffering from common cold attack. The symptoms are sneezing, headache. She is 3 months pregnant. What medicines can she take? Doctor: Hello. Since how many days is she having this attack? If it is for just one to two days, then we would better wait and will not start any antibiotics. She should have tablet Levocetirizine 5 mg twice a day for two days and tablet Paracetamol 500 mg if she is febrile and fever is more than 100 degrees Fahrenheit or for headache. This can be taken up to three times a day. If three or more days have passed, then she should get prescribed antibiotics like tablet Amoxicillin 500 mg three times a day along with tablet Rantac 150 mg twice a day for four to five days. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23534, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16915, + "tgt": "My CT abdomen is suggestive of colitis. Would you explain the symptoms?", + "src": "Patient: Hi doctor, I am a 54 year old male. My weight is 84 kg, and weight is 175 cm.\u00a0I have done a CT scan before three months, and it showed mild thickening of the sigmoid colon suggestive colitis. I do not\u00a0have any symptoms of colitis, diarrhea or blood in the stool. I have done stool occult blood tests several times since the report, and all came negative. Also, my CBC test fine. My complaint is a very mild abdominal pain for around two to three times a year. It would last for a week or so along with the feeling that I need to have a bowel movement. Besides the CT report, I have no sense of colitis. Would you explain my symptoms? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28633, + "tgt": "My daughter is suffering from anxiety disorder. Is it curable?", + "src": "Patient: Hello doctor, My 30 year old daughter is suffering from anxiety disorder and washes her hands two to three times, as she fails to remember. Also, she faces the same problem during a bath. But with reasoning, she is trying to overcome. We are trying hard by talking to her to reduce her fear and compulsion. What is your medical advice considering the future pregnancy of my daughter? Is it curable with medicine and other methods? This may be since six months, and her husband has a sexual problem (impotence). He works alternatingly in night and day shifts, so my daughter is alone most of the time. Her CBC, LFT, T3, T4, TSH, and HbA1c are normal. Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13698, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8554, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23848, + "tgt": "Can glaucoma and cataract be operated at the same time?", + "src": "Patient: Hello doctor, My mother, who is aged 57, had eye pain recently. We consulted a doctor and got to know that my mom has glaucoma. Also, they mentioned that it is in the advanced stage and severe of around 90%. From another couple of tests, they found that my mother needs cataract surgery along with glaucoma. Upon asking about the remedies, doctors told that\u00a0surgery could prevent from damaging further, but it will not help in recovering the eye power. I need some help to understand the best possible way to cure or prevent further vision loss. Can glaucoma and cataract get treated at the same time? Is that advisable? I have attached a recent report for your consideration. Thank you. Doctor: Hello. I reviewed all reports carefully (attachment removed to protect patient identity). Your doctor has correctly said that it is an advanced form of glaucoma. The treatment depends on the type of glaucoma, either open-angle glaucoma or closed angle glaucoma. It is diagnosed by doing gonioscopy. Yes, both cataract and glaucoma can be operated at the same time and same sitting. There is nothing wrong. The treatment is aimed at preventing further damage. Otherwise, recovery is not possible. Overall, your treatment is in the correct direction. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25601, + "tgt": "Why has the tip of my penis turned white?", + "src": "Patient: Hello doctor, I am a 26-year-old male. Yesterday, I noticed my tip of the penis becoming white. I do not know the cause but the most part of it is white. I am not getting 100% erection also. It looks like the growth of the penis has also stopped. Can you suggest why is this happening? I am not sexually active. Sometimes, I get an erection but only for very less time. Please help. Doctor: Hello. You need to maintain strict personal hygiene. You can wear loose cotton comfortable undergarments. Get physically examined and investigated to rule out any medical problem and treat accordingly. Is there any pain or itching? A course of antifungal might be considered. Please attach a picture to guide you in detail. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8630, + "tgt": "What could be the gray patches on the white of my eye?", + "src": "Patient: Hello doctor, I am 19 years old male, and I want to know why there are gray patches on white of my eye though it does not irritate so far. I am curious to read a lot of stuff some article goes as far as cancer-related to this, need professional guidance as I am getting anxious. Doctor: Hello. Gray patch on the sclera might be due to some congenital pigmentation, freckles, or nevus. Mostly they are harmless and nothing to worry about. Rarely they are related to cancer, but at your age, cancer is not common. You need to observe these patches if you feel any change in color or size or any other symptom like pain or redness, then you should consult your eye doctor. So do not worry unless it starts behaving differently. You are most welcome for any queries." + }, + { + "id": 19028, + "tgt": "My little fingers, which have been bent since birth, is paining now. What to do?", + "src": "Patient: Hi doctor,My little fingers have been bent since birth, and I\u00a0was told that I had clinodactyly. I am 22 now and have had no problem with these bent suckers until about two months ago. In the last two months, I have been getting incredible pain and tingling in both my little fingers. While driving and when my hands grip something, my little finger tucks under my ring finger. It is uncomfortable, and after about 2 minutes the pain increases and I have to change my grip. At this stage, if I make my little finger straight for a while, then it will relieve the pain and tingling feeling. Please help. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12493, + "tgt": "Does a pancreatic growth with nephrotic syndrome indicate malignancy?", + "src": "Patient: Hello doctor, I am super scared. I am 30 years old and have been in the hospital for nephrotic syndrome which was discovered to be membranous nephropathy. They tested my blood for many conditions which could be a secondary cause including hepatitis and autoimmune and nothing came up. Now, they are searching my body for malignancies. I am terrified that an MRI showed a growth on my pancreas. I have no symptoms of pancreatic cancer. No jaundice and no pain. However, a paternal great grandmother died of pancreatic cancer in her 60s. Please look over these notes from my chart. Worse case scenario, if the biopsy finds a malignancy, in your opinion is this something that can be operated on? Does it appear to have been caught early? I am terrified. I am an only child for my mother and I do not want to leave my mom. Doctor: Hi. There can be many idiopathic causes of a nephrotic syndrome which respond good to medical management. As far as pancreatic mass is concerned, there are high chances for your mass to be benign lesions. So there is nothing to worry. Follow proper instructions for nephrotic syndrome. There is nothing seeming to be alarming." + }, + { + "id": 19810, + "tgt": "I have phimosis, yellow urine, knee pain, and constipation. Please help", + "src": "Patient: Hello doctor, I have phimosis, yellow urine, knee pain, constipation, and lack of hunger. I am having a digestion problem. For the last three years, I went to so many different doctors but did not recover. And from the past few days, my urine turns yellow, not all the time but most probably. And also I cannot pull my foreskin back to the tip. Doctor: Hi. First for phimosis, if it is painful and bothersome, please consult a urologist for steroid cream prescription which most probably will help, otherwise, the next option is circumcision. For constipation, eat high fiber food like oatmeal, citrus fruits, barley, wheat chapati, etc. Avoid high carbohydrate food like rice, white roti, fried items, banana. Avoid taking stress as it aggravates digestive disturbance. For good digestion, eat good breakfast, light dinner two hours before sleep. For yellow urine, do you see any froth in urine and do you have any fever associated with yellow urine? I could not see your report as it did not open up. Please send it again. Then I can tell something further about it. Drink 1 to 2 liters water a day in divided portion like five times a glass in a day. Nil Total blood count showing a white blood cell count. Urine tract infection. Urinary tract infection and phimosis. For constipation, eat high fiber food like oatmeal, citrus fruits, barley, wheat chapati, etc. Avoid high carbohydrate food like rice, white roti, fried items. Avoid taking the stress." + }, + { + "id": 25360, + "tgt": "What is the possibility of HIV from a girl with no noticeable health issues?", + "src": "Patient: Hello doctor, I am a 32 year old unmarried man. I recently had sex with a girl whom I met through an online dating site. It happened one week ago. I knew her from the last three months and had very good communication with her. She said to be working in a good company. We went out one day and had sex. I used a condom while doing it. But during that time I had a cut in my hand and I had once put my finger in her vagina and also the used condom. I also happened to put my tongue in her vagina. The girl is in good health and I even asked her twice if she is HIV positive but she told she is not. I had this anxiety in my mind. I searched the online sites for the early signs and found that I a had little back pain and numbness and throat is feeling little strange. I have little dizziness sometimes. When I am trying to sleep I am shaking from the inside and not able to sleep. It is just seven days since I had sex. I am too scared and not sure what to do. Yesterday, I was feeling a little bad today it is little better for me, but my hands shake a little. Do you think it is possible that I have any symptoms of HIV? Should I look for a common symptom? As I said before the girl is just fine, no noticeable health issues. Do you still think it is possible for me to get HIV from her? What step should I take now? Doctor: Hello. I have noted your concern. I would say that you have a very low risk of HIV due to unprotected oral sex. Unprotected oral sex is still less of a risk as compared to unprotected vaginal or anal sex but the risk is not zero with oral sex. Protected vaginal sex is safe and a skin cut on the finger that is not freshly bleeding is not a risk. A cut that is a few hours old is self-sealing. As far as your symptoms are concerned they are non-specific and partly due to anxiety. Anyways you should take an antigen/antibody HIV screening test (P24Ag and anti-HIV antibody test) at four weeks and at six weeks for a conclusive result. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24829, + "tgt": "Is coronary angiography required in chronic stable angina?", + "src": "Patient: Hello doctor, My mom is 56 years old. She is a patient of hypertension, diabetes, and mild nephropathy. BP 140/80, pulse 96/ min, creatinine 1.3, fasting sugar 125, postprandial 157. From a few months, my mother is suffering from chest pain. The doctor told it is chronic stable angina. All other tests are done like Na, K, hemoglobin, urea, and uric acid. The reports are quite fine. Our family doctor suggests me to take angiography. So, what should I do now? Please suggest. She is taking the following medicines: Aciloc RD, Glimmy 2, Nexovas, Telmikaa40, Febugood 40, Lipikind 10 and Glypten 20. Doctor: Hello. With these kidney function tests, she can perform the coronary angiography. I agree with her doctor's recommendation because this would help identify possible coronary artery stenosis and also perform angioplasty, if necessary. Another test which can help investigate the presence of coronary ischemia is Dobutamine cardiac stress test. If this test results positive, the next step would be performing a coronary angiography. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24144, + "tgt": "Can Cefotaxime be used for UTI in diabetic patient?", + "src": "Patient: Hello doctor, I am 44 years old male and diabetic for past ten years. I have been having UTI almost for three days a week and have been taking Norflox 400 twice a day. I was an alcoholic taking 360 ml of brandy every day and recently a month back, I have quit that habit. I now want to focus on my health. I went to a diabetic center and started Trulicity for weekly insulin for sugar control. I gave urine culture ten days back and the report shows Enterococcus faecalis with a colony count greater than 1000000 and only four antibiotics as susceptible, namely, Cefotaxime, Meropenem, Imipenem, and Vancomycin. My diabetic doctor has prescribed Meronem 500 mg injection twice a day for five days. My question is: I cannot afford Meronem 500 mg as 10 injections are very expensive. I found that Cefotaxime is the cheapest among the four of them. Can I have that injected for five days, twice a day? Doctor: Hi. Yes, you can take Cefotaxime 1 gm twice a day for five days after a test dose for allergy. Controlling your blood glucose levels will help to lower the episodes of UTI (urinary tract infection). Also, get a sonography done with pre and post void urine. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 7145, + "tgt": "What are the treatment options for disc herniation other than chiropractor exercise?", + "src": "Patient: Hello doctor,I am suffering from disc herniation pain. There is no good chiropractor near me. What other options do I have to cure my disc herniation? Doctor: Hello. There are many different treatment options for your disc herniation. Physiotherapy, chiropractic care, physical therapy, and yoga are effective based treatment options. If these type of facilities are not available near you, you can also try anti-inflammatories and muscle relaxers to help ease the discomfort. A most common prescription for disc herniation that is prescribed is Motrin 800 mg (Ibuprofen) three times a day and Baclofen 10 mg two to three times a day. A proper diagnosis is required as well as making sure there is no contraindication for these medications. Boswellia is a natural herb that you can try as well." + }, + { + "id": 15291, + "tgt": "Had alcohol after 30 days of Polyethylene glycol intake. Will it lead to any adverse reaction?", + "src": "Patient: Hi doctor, I was given with Polyethylene glycol for 40 days before undergoing endoscopy and colonoscopy procedures. I had symptoms of edema and consumed 200 ml of alcohol before seven days. Can I have possible adverse reactions? Doctor: Hi. Please explain about the purpose for doing colonoscopy and endoscopy. Edema can occur due to many reasons. It can occur due to nutritional deficiency." + }, + { + "id": 15433, + "tgt": "I feel sleepy and slow during night work. How to keep myself energetic?", + "src": "Patient: Hi doctor, I work in night shift. What can I take to be alive and energetic at night during work? I feel sleepy, and I am slow during my work. Please suggest. Doctor: Hi. Since you are working in the night, you might be losing out the necessary sleep. So you are unable to focus entirely during work. It is essential for an adult human being to get seven to eight hours of quality sleep every day. Once you finish your job in the morning, try to have a hearty breakfast and then close the windows of your room with a dark curtain that blocks the entry of light. Request your family to keep the house quiet and try to sleep at a stretch for at least six to seven hours. It will help you unwind and relax. During the weekends, try to avoid staying out for long periods. Try to catch up the lost sleep. Some foods that help in inducing sleep are dairy products, bananas, and almonds. To keep you awake and energetic during work, avoid eating heavy meals before and during work. Eat small meals at frequent intervals. Green tea, dark chocolate, and fruits may help you to stay awake when you feel drowsy. Please remember that the best time to sleep is the night time. Keep looking for better work opportunities, and sometime in future, you can move on to a job that lets you sleep well at night." + }, + { + "id": 29323, + "tgt": "I have painless, multiple, small, white lesions on the inner cheek. What are they?", + "src": "Patient: Hello doctor, I went to brush my teeth, and I freaked out. I\u00a0noticed multiple small white lesions (looks like small ulcers) on the inner side of my cheeks. They are totally painless. I do not know how long I have had them because I just noticed them a few minutes. Also, my oral hygiene is very poor. Please see the pictures and let me know if there is anything serious. I am a smoker, and I have nothing significant in my medical history. Doctor: Hi. I saw the picture you have attached to the complaint (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21402, + "tgt": "Why am I having pharynx dryness for the past five months?", + "src": "Patient: Hello doctor, I am 33 years old, 180 cm, 83 kg. I am suffering from non-stop pharynx dryness (right behind the tongue) for past five months. I am drinking a lot of water, doing salt gargle, took GERD medication for one month, been tested for Sj\u00f6gren syndrome. Nothing helped. I have noticed that air coming from AC, ventilator or wind increase the problem. I have also been ill already five times this year (pharyngitis with or without fever, up to 40\u00b0C) and I think it is related to my throat weakness. The doctors have no idea and I do not know what to do, at least to relieve my symptoms. I have tried a lot of OTC medicines such as Propolis spray, capsules, etc., but nothing helps. Doctor: Hi. You probably have allergic chronic pharyngitis with air sensitivity. Allergy. Hb, TLC (total leucocyte count), DLC (differential leucocyte count), ESR (erythrocyte sedimentation rate), allergy test. Chronic pharyngitis. Allergic pharyngitis. So you may do the following things: 1.First Avoid AC air directly as far as possible. 2.Take Antiallergic medication at night for five days. 3.Use Chlorhexidine gargle twice a day with one teaspoon to be diluted in one glass of slightly warm water. 4.Avoid smoking and drinking at least for three months. Avoid smoking cigarettes and alcohol intake. For more information consult an ENT otolaryngologist online.--->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5486, + "tgt": "Can you please explain me the results of pediatric MRI of brain?", + "src": "Patient: Hello doctor, Can you please explain to me the results of pediatric MRI. Patchy regions of increased T2 signal intensity within the periatrial deep white matter are primarily with the terminal zones. The hippocampi are both relatively small and with mildly prominent flair signal. Doctor: Hello. The hippocampus is a structure deep-seated at the level of the temple (at the sides of the forehead). It is significantly small in a condition called medial temporal sclerosis, which can give rise to epilepsy. That is why they have mentioned that the hippocampus is relatively small but, there is no atrophy as such, so the changes in the hippocampus are not contributing much to epilepsy. How to find out whether it is contributing to epilepsy? Your doctor would correlate the MRI (magnetic resonance imaging) findings with EEG (electroencephalogram) pattern and find out. Regarding T2 hyperintensities in the deep parietal region, it is just suggestive of increase water or myelin content in the deep area of the brain behind the ears but in front of occiput. This is not producing any signal changes in other sequences than T2, so this may not be significant at all. I hope you understand this. MRI findings are too technical to convert them in simple terms. I have tried my best to make it simple." + }, + { + "id": 26226, + "tgt": "Is it necessary to get a good morning erection every single day?", + "src": "Patient: Hello doctor,Is it necessary to get morning\u00a0erection every day? Most of the time, I do not get morning wood and this is making me stressed out. I masturbate two to three times a week at night. Doctor: Hello. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 12144, + "tgt": "I have severe pain due to pelvic inflammatory disease. Please help", + "src": "Patient: Hi doctor,I am 54 and passed by menopause. Recently, I had done my lower ultrasound due to heavy back pain, and ultrasound shows pelvic inflammatory disease. Suggest me what to do, pain is not bearable. I am already taking BP and cholesterol medicine on a regular basis. Kindly suggest. Doctor: Hi. You said severe lower abdominal pain and the ultrasound report came as pelvic infection disease. Are you having any white discharge per vagina or high color urine?" + }, + { + "id": 23726, + "tgt": "When I have anxiety, my heart rate jumps up. Should I make an appointment?", + "src": "Patient: Hello doctor,I have frequent recurring pains in my chest due to anxiety. I recently got a fitness watch and noticed that when I am experiencing this my heart rate goes way up. Normal for me is 65 to 70 when resting. When my chest starts hurting it has jumped as high as 135 to 140 when resting. Is this normal or should I make an appointment? I currently do not have a doctor. Doctor: Hello. I understand your concerns. From what you mentioned, most probably you have panic disorder (one of the anxiety disorders). Let me know some more details: I suggest: For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19617, + "tgt": "I have pain and bleeding after molar tooth extraction. Please advise", + "src": "Patient: Hello doctor, Is it normal for a dentist to not prescribe anything for pain after having a broken molar extracted, and three roots pulled out? My tooth was extracted yesterday, still bleeding heavily. I had fever through the day. Doctor: Hello. Most dentists will offer pain medications if the procedure can reasonably be expected to cause pain that cannot be managed by OTC medication. In your case, I wonder why he has not prescribed any because extracting a third molar root can be a little difficult and the patients will feel pain and discomfort for two to three days. I suggest your dentist should have prescribed antibiotics like Amoxicillin 500 mg three times daily for three days and analgesics like Ibuprofen or Acecloparacetamol combination three times daily for three days. You should definitely check with your dentist about the medication. Some reasons why he has not given could be because of the stress the analgesics will cause to your liver when taken in overdose as I can see you have already taken some painkillers in the past. Or maybe he might have quickly taken the roots of your molar out and was expecting a quick healing. Anyway, if you still have pain you should definitely go back and check with your dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28519, + "tgt": "My 20 months old daughter has diarrhea and vomiting, and has not peed since afternoon. Please help", + "src": "Patient: Hello doctor, My 20 months old daughter did not pee last week for above 24 hours, the next day she did pee, but also vomited. On the same day, she was having a fever of 102 F, so we went to the pediatrician. He gave Vomitab, Calpol, and an antibiotic injection. From the past three days, the urine output is normal, the fever is gone, but now she has loose motions. Before taking the medicines, she was severely constipated. Now almost after six days, she vomited twice today and has diarrhea (3 to 4 times today).\u00a0And she did not urinate since afternoon. I need help. She puked once before and after taking the medicines. Doctor: Hi. Please note that this must be two different infections.\u00a0 For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 1346, + "tgt": "My nasal passage gets blocked at night resulting continuous sneeze in the morning. Please help", + "src": "Patient: Hello doctor, At night time while sleeping, the nasal passage of mine gets blocked. This results in the stuffy nose in the morning once I get up in the morning and I had to continuously sneeze for a long time in the morning hours. Whenever I take Cetrizine, or Levocetirizine, or L-Montas tablets at night time I get relief from this problem. But consumption of this tablet makes me feel sleepy, and drowsy throughout the day time. Please help. I am currently on Glycomet-HS 1000 and Nexpro-40. Doctor: Hello, Welcome to icliniq.com. As per your symptoms of nasal congestion and sneezing you are likely to be suffering from allergic rhinitis. One thing that is prime importance is avoidance of allergens. Then there is also the role of steroids. Since you are diabetic, systemic steroids are better avoided. However topical steroid sprays can be used safely. Are you using any steroid nasal sprays?" + }, + { + "id": 28455, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 127, + "tgt": "How can large tooth cavity be treated?", + "src": "Patient: Hello doctor, I am going to the dentist soon and I know I have a cavity and I think it is pretty big- it is easily noticeable. And I am just nervous because it is probably obvious that I do not brush- the bristles are always a really weird texture for me and I just do not want anyone to be mad at me because I have known about it for a while now (I feel bad for saying this, but I think it has been around six months) and never mentioned it to anyone because I am little scared of going to the dentist. I do not like anyone feeling around in my mouth and knowing about this cavity is making me even more nervous for going there today. I have had teeth pulled in the past and I hate everything about it, but I am not sure they could just fill in this cavity. Doctor: Hello. As a human we all carry some kinds of secrets or fear back in our head. I felt glad as you have the courage to admit that, most people cannot. So be proud of that. I think you need a scaling too, as you have not brushed for a long time its leads to swollen gingiva that might be the reason of uncomfortable using a brush. As you have caries and sensitivity associated, you might not necessarily need an extraction. If the caries has progressed alot, root canal can be done to save your tooth. Betadine Mouthwash, Gargle in lukewarm water 2-3 times a day. Do not worry, use it, if any foul breath that will be covered and your secret will be safe. As you feel uncomfortable using a brush, you can brush using your finger and toothpaste. That way your mouth will also be clean and issue with bristle will also be resolved. You can also take capsule Sporidex 500 mg one apsule BD for 5 days, tablet Zerodol SP 1 tablet BD for 5 days, capsule Pan D one capsule BD before meal for 5 days. You will be needing a scaling to remove any tartar. Once done you can start practising brushing using a soft bristle brush (even a baby brush will do for a start). I am confident you will succeed. But you have to start the habit and you will get used to it, trust me. You can train and motivate yourself by rewarding a candy or anything special. By that way you can overcome your fear and gain comfidence. I am glad that I could be someone whom you can share a secret. I wish you good luck. You can trust me and ask if any further query. I will be happy to help further. Hope your treatment goes fine. Do as I asked you to do. You are brave, you will be fine. I am confident about that." + }, + { + "id": 8339, + "tgt": "Is a 600 cc breast implant the same as 500 cc implant filled to 600 cc?", + "src": "Patient: Hello doctor, Is a 600 cc breast implant the same as a 500 cc implant filled to 600 cc? Is a 500 cc implant filled to 600 cc considered extremely large with more chance of rupture? Is going from A cup to C cup (350 cc) then going from C cup to possible D cup (500 cc filled to 600 cc) that big of a difference? Doctor: Hello. I can understand your confusions. Let me tell you one thing. The implants are usually measured by three things, the volume, the base diameter and the height (profile). So the implants chosen will be on the basis of all the three criteria. An implant of 500 cc will have the capacity to be filled almost up to twice its volume (1000 cc) without being ruptured. It depends upon the surgeon that what volume will be good in your case. Again the material and shape of the implant determine the distribution of the additional fill. That all will be pre-decided by your surgeon. Going from A to C and then to D is not that much of a difference provided you do have that much skin to accommodate. If not, then the doctor might suggest a few months interval in between for the skin to stretch. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 20068, + "tgt": "Am I a possible candidate for stroke?", + "src": "Patient: Hi Doctor, I recently lost partial vision in my left eye. I was diagnosed with retinal ischemia by an eye specialist and after an angiogram he suspects a small crystal of plaque to be blocking the blood supply to a portion of my retina. He told me I should see a cardiologist fairly soon, as he has worries about where that plaque is coming from and that I am a possible candidate for a stroke. The earliest I can get into see a cardiologist is still a week away. I am wondering if this is more urgent than that. I am 54 years old, currently taking Prednisone and Methotrexate for recently diagnosed psoriatic arthritis. I also have controlled blood sugar with Metformin and cholesterol with a small daily dose of Atorvastatin.\u00a0I feel fine except for the vision loss. Thank you. Doctor: Hi. There are chances of cardioembolic stroke (some clot or infected vegetation) particle that your ophthalmologist is suspecting. Your\u00a0Cardiologist will do echocardio and see if any source of that in your heart. For prevention of stroke you take one high dose of Aspirin 325 mg and Atorvastatin 80 mg and then Aspirin 150 mg with Atorvastatin 40 mg every day.\u00a0If it is not infected vegetation (as in infective endocarditis) then you can prevent stroke and any other infarction. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 537, + "tgt": "How does color blindness occur?", + "src": "Patient: Hi doctor, Can color blindness gets generated by means of other issue or problem except birth? Is there any remedy for it? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29988, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 19495, + "tgt": "Please suggest an ayurvedic solution for my menstrual problem", + "src": "Patient: Hi doctor, I have doubts regarding indigestion, hair fall, acne and irregular and short menstrual cycles, which is lasting for the past days. Are all these interrelated? Currently, I am taking Zandu pancharishta tonic for stomach ailments and planning to go for Hempushpa or Ashokarishta for menstrual problems. Will these tonics help in providing a permanent solution? If not, please suggest me the treatment plan. Doctor: Hi. 1. Ashokarishtam plus Kumaryasavam, mix two bottles together and save it. Take 30 mL after breakfast and dinner. 2. Shatavari gulam, two teaspoons at bedtime with milk. 3. Acnovin cream to be applied on face after washing face in warm water. 4. Dermafex soap to wash face. 1. Drink 3 liters of warm or normal water every day. 2. Wash your face five to seven times a day and at least two times with warm water. 3. Avoid fast food, spicy food, pickles, chips, excessive sugar, milk products, non-vegetarian food, preserved food, carbonated drinks, deep fried food and coffee. Green tea may help. 4. Daily exercise to a minimum of 1 hour to get good sweating. 5. Control dandruff with good quality anti-dandruff shampoo. 6. Avoid day sleep and late night vigil as well, sleep early and wake up early. 7. Eat more vegetables. Eat only three times a day, but full stomach. Avoid eating in between. Meal time should be fixed and followed accordingly. Revert back after a month to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13159, + "tgt": "I have uneven tone and swollen eyelids and lips. Why?", + "src": "Patient: Hi doctor, I have been struggling with skin problems since I was a baby. I was told I have eczema and not allowed to eat things like tin food and my body gets itchy when I play in the grass and after taking a bath. I get a rash, teary eyes, runny nose, when seasons change my skin gets dry too especially in winter. Now as a 25-year-old female my skin tone is uneven, my face is worse, at times my lips and eyelids swell up and I am not sure why. I have recently been using some products for a month and I still see no difference. Which skin repair products can you recommend? Doctor: Hi. You are suffering from atopic dermatitis. You have a family history of atopy. You have all the symptoms of atopy that is runny nose, eyes problem and now swelling. It is a condition in which a person has an inherent tendency of being allergic to so many things. We have a natural moisturizing factor in our skin but that factor is missing in atopic individuals. That is why skin is very dry and itchy. It is affected by different climatic conditions, whether change, clothing, infections. In some people it can get better with age, in others it continues for long periods. You have to avoid the factors that aggravate your condition and I will also suggest you take opinion from an eye specialist as well. Your medications are correct. The main thing is to moisturize the skin. Atopic dermatitis. Atopic dermatitis. Apply white soft Paraffin plus liquid Paraffin and apply over body 3 to 4 times a day, take antihistamine tablet, mild steroid preparation like Hydrocortisone ointment can be used if skin feels inflamed. Apply moisturizer to your face. Use sunscreen for face. Avoid long baths in water, avoid woolen clothing, Immediately moisturize your body after taking a bath, avoid extremes of temperature, do take opinion from an eye specialist." + }, + { + "id": 18253, + "tgt": "Can frequent masturbation lead to weak erections?", + "src": "Patient: Hi doctor, I am a 26 year old male, who weighs 42 kg. When I was 18 years old, I started masturbating. At that time, I released that my penis was strong, but now, it is not that strong. I am in a long distance relationship, and I only meet her once a year. Last year when we met, I had sex, for the first time. It was not good, as I have a weak erection. I cannot last long, as I ejaculate within 2 to\u00a03 minutes. My friends used to suggest some pills, but I am scared to take them. So please suggest a better solution. I suffer from weakness of muscles in my body. So, is it harmful to take these pills\u00a0once a year before I have sex? I feel that my erectile dysfunction and premature ejaculation\u00a0are caused by frequent masturbation. Is it true? Doctor: Hi. Eat healthily and stay healthy. Best wishes and good luck. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18210, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29627, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 9966, + "tgt": "59 year old with a hemoglobin level of 5. Is it dangerous?", + "src": "Patient: Hello doctor, My mother is 59 years old. She has hemoglobin 5 and iron 7. Is it dangerous? Doctor: Hi. Low hemoglobin can be caused by various conditions including: Iron deficiency anemia. Blood transfusion. Revert back after the tests to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 21119, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19303, + "tgt": "I am pregnant. I do not want to carry my pregnancy. Can I take abortion pills?", + "src": "Patient: Hi, I was supposed to get my period on the 19th of this month. Generally, my period lasts 25 days, but it did not arrive this month. After taking a urine test using a pregnancy detection kit, I received a positive result. So, I think I am pregnant. I have not taken a scan or contacted a doctor. I do not want to carry my pregnancy. Is it necessary to have a scan performed before taking\u00a0abortion pills\u00a0or can I take the pills directly? If so, can you please make suggestions as to the pills I should take and how to use them? Also, what is the last date for me to terminate my pregnancy using pills?\u00a0If there are any side effects, please mention them as well. Doctor: Hi and welcome to icliniq.com. Since a urine pregnancy test result was positive, you are pregnant. However, it is very important to confirm the same by scan and to locate the pregnancy to make sure it is in the uterus and not outside, which is called an ectopic pregnancy. Ectopic pregnancies cannot be aborted by pills and they present a dangerous situation, which requires immediate medical attention. You can terminate an intra-uterine pregnancy with pills up to 63 days after the first day of your last period. Following that, failure rates are high. The earlier the termination, the less risk of complications. Pills for termination cannot be prescribed over the phone or online, as it is illegal and dangerous. I would also advise you to consult an obstetrician and gynaecologist online about receiving counseling on ending your pregnancy --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist Take care." + }, + { + "id": 10476, + "tgt": "How can we treat fatty liver?", + "src": "Patient: Hi doctor, I have a fatty liver for a year. I gained a lot of weight. After regular exercises, walking, and maintaining my diet, I am unable to lose weight. Can I take Lycopodium along with Calcera carbonica? And I also have a lot of dandruff problems. I am taking Himalaya liv 52 ds. Doctor: Hello. The fatty liver is due to obesity. You have to check your blood pressure and sugar levels as well. Check serum cholesterol, serum triglyceride. Regular active one hour exercise is needed for you and a strict diet restriction has to be followed. Fatty foods should be taken less. Fruits to be taken more. The Ursodeoxycholic acid tablet can be used for fatty liver. Dieting is needed along with exercise to reduce weight. Check hypothyroidism by serum TSH (thyroid-stimulating hormone) estimation. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 16831, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4331, + "tgt": "Why do I get throat pain with swollen lymph nodes and swallowing difficulty after flu?", + "src": "Patient: Hello doctor, I have a very sore throat, and can barely talk or swallow. It is very red and swollen with red streaks and blisters. It hurts mostly on the left side, and my left ear hurts as well. My glands are very swollen to a point of protruding from my neck and are tender to touch. I have a low fever going between 99 and 100. My stomach is slightly upset as well. I am 16 and weigh about 174 lbs. I have been exposed to streptococcal infection but have not had it since I was 7 years old. I have a doctor's appointment next week so I am holding off going. I did have a flu last week but was feeling better until I got this sore throat. I am not sure if this is still from the flu or something else. The first file is a picture from when the sore throat started two days ago and the second was from today. Doctor: Hi. I have seen the pictures. (attachment removed to protect patient identity). Your description and the images point to acute granular tonsillopharyngitis, a bacterial throat infection, probably due to streptococcus. With low grade fever, throat pain, difficulty in speaking, swallowing and enlarged tender lymph nodes, you certainly need a course of antibiotics. I personally do not think that you should wait for a week to start any medications. For an antibiotic, you will need a prescription from a doctor who examines you in person. In case, if you must wait then you can try the following conservative management. In the meanwhile, I can advise you to take an anti-inflammatory medication like oral Paracetamol 500 mg twice daily after meals for five days along with antiseptic mouthwashes or gargles with Chlorhexidine or Betadine (dilution of 5 ml in 50 ml water and should not be swallowed) three times a day before and after meals with voice rest and adequate hydration with fluids (drink approximately two liters of water per day). Most throat infections would subside on their own without medications in eight to ten days. You can expect a recovery in two to three days if you take an antibiotic along with the supportive medications that I have recommended to you. I hope this helps." + }, + { + "id": 23458, + "tgt": "I wake up coughing at night and swallow water to relieve this. Please advise", + "src": "Patient: Hi doctor, I always wake up coughing during the night. And when I eat, I get discomfort like trapped wind in my esophagus and have to swallow water hard to relieve this. I tested negative for H. pylori and currently on Lansoprazole which is not improving my symptoms much. Doctor: Hi. Your symptoms are most likely due to gastroesophageal reflux disease, that is, acid reflux from the stomach to the food pipe in the chest. This happens more in the night hours which results in cough and sleep disturbances. Occasionally, it can also result in bad taste especially of undigested food particles at the rear end of the tongue. This needs consistent lifestyle and diet modifications as well as medicines. Regarding medicines, I suggest you add prokinetics like Domperidone (10 mg) or Ondansetron (8 mg) three times a day. You will need to continue this consistently for six weeks and see the response. I would like to have a look at your endoscopy report. You can send across the same when you review. Consider a review after four weeks. Revert after four weeks to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4655, + "tgt": "Will steroid make sperm a weak swimmer?", + "src": "Patient: Hi doctor, I had unprotected sex with my boyfriend who is on steroids. I read that steroids will make sperm weak swimmers. Is that true?\u00a0Also, after the unprotected sex I took Plan B One-Step immediately. What is the possibility of getting pregnant? What are the early symptoms of pregnancy? And when do they start? Doctor: Hi. We are here to help you. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27719, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7470, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24601, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2708, + "tgt": "My doctor advised stopping radiotherapy until the coronavirus pandemic is over. What should I do?", + "src": "Patient: Hi Doctor, Good Evening. I had tumor in uterus, was admitted in hospital last month and successfully Uterus, Fallopian tube, Lymph nodes all were removed. Biopsy report came after a week. It says Tumor involving more than 50% of thickness of the myometrium., Lymphovascular space invasion present, FIGO : STAGE II. Doctor advised for IMRT and we completed 12 days. But now due to Pandemic situation doc advised her not to come hospital. Doc advised we can finish the next 13 days sitting once this pandemic is over. I am worried if we stop inbetween will it impact in later stage. Because i am diabetic and having BP. Can you please give me the clear direction. should i continue the IMRT or considering the current situation should i stop for a while. Doctor: Dear, I am sorry for your predicament. it is indeed difficult time due to pandemic. ideally there should not be any gaps in treatment, since gap result in increased chances of disease recurrence. I would advise to continue treatment, however considering the pandemic, the decision to continue radiation is associated with accepting the risk of developing infection, with you having dm and htn, you are at a higher risk from getting infected. please discuss this with your treating radiation oncologist, every hospital has some policies, example in my hospital we are continuing the existing patients, but not starting any new patient. I hope I am helpful, kindly revert in case of any further queries. regards" + }, + { + "id": 28188, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2477, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2169, + "tgt": "Could different blood group of a couple create problem in having a baby?", + "src": "Patient: Hello doctor, I am 28 years old. I am planning to get married to a girl who is known to me. We have a very good understanding. But, we have different blood group. Mine is B positive and she is AB negative. Since the blood group is a factor for having babies, do you think having a different blood group could create problems in the future generation? What will be the problems in future for us to have a baby? How can we get rid of problems during that time?\u00a0Please give me some explanation for this. Are there any precautions that need to consider for having a baby? Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 5425, + "tgt": "I am on treatment for psychosis and depression. Will nicotex interact with my medicine?", + "src": "Patient: Hello doctor, I am suffering from psychosis, anxiety, depression and panic disorder which used to be at its peak before few months. I used to smoke seven to eight cigarettes a day. I visited a psychologist counselor and she told me to quit smoking by using nicotex every two hours. But I am scared because I am having disturbed heartbeat. My ECG is normal, but I have a headache and other symptoms. Can this be any interaction of nicotex with medicines? And also I want to know how to use nicotex? I was recommended to take after every two hours gap, but I want to know for how many minutes it should be chewed? Will this be helpful? Doctor: Hello. Now, have you been diagnosed with psychosis, anxiety, panic disorder, and depression? What were the other medicines apart from nicotex gums which were prescribed to you? Was any improvement noted after taking those medicines? Now, solving your doubt. Nicotex can be taken as many times as you would take a cigarette or whenever you had a desire. Cigarettes contain harmful chemicals apart from nicotine whereas, nicotex contains only nicotine which is not so harmful to lungs. You can safely take nicotex gums. If ECG (electrocardiogram) is normal then no major issues with heart are likely. Your symptoms appear to be because of anxiety more than due to nicotine. You chew nicotine as long as it loses its taste. Let me know about your symptoms more so that I can help you more." + }, + { + "id": 25255, + "tgt": "Is NIPT required in the second trimester?", + "src": "Patient: Hello doctor, My 37-year-old wife is 14 weeks pregnant with my second child. Her level one scan is normal and the double marker is also fine. But, the doctor has told to get DNA test that is an NIPT test. Is it important? If level 1 and the double marker are fine then DNA and NIPT test should also be fine right? Doctor: Hello. Double marker, level 1 scan and NIPT (non-invasive prenatal testing) all are screening test and not diagnostic. They just suggest a possibility of the disease. So, if both the testsare normal you can avoid taking NIPT test. It is not a compulsory test and again a screening test but it is very costly and this test also does not identify all chromosomal disorders as others. Rather you should go for quadruple or triple test and level 2 scan at 28 to 19 weeks. These two tests are always recommended at this age. If there is a family history of chromosomal disorders or previous pregnancy with any disease then only one should opt for NIPT. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11499, + "tgt": "Does iron deficiency cause a pain around the belly button?", + "src": "Patient: Hello doctor,A few days ago one of my female friends had pain around the belly button. She went to a physician and was told that it could be because of a decrease\u00a0in iron in the blood. Does iron deficiency relate to pain near the stomach? What can be the other causes? Doctor: Hello. Yes, it can be related. One of the causes of a low hemoglobin count is low iron in the body, which may occur either due to inadequate diet or excessive loss from the stools or menstruation. There are multiple causes, and we need to confirm it by hemoglobin level, serum iron studies, and stool for occult blood testing. If bleeding occurs due to acidity and gastritis, especially if associated with nausea, bloating, burping, pain on eating, sour water feeling in the throat or chest burning, then she should: If she is bleeding due to a worm infestation, then she should have tablet Bandy plus once at bedtime, to be repeated after two weeks. To confirm this she will need stool routine examination. Hope this helps. Get back if you have any doubts. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21492, + "tgt": "What is the treatment for running nose and cold?", + "src": "Patient: Hi doctor, For the past two days, I am suffering from a cold because of climatic change. I am having body ache and headache. I am a little lethargic. There are signs of a cough and running nose. I am taking cough syrup (Correch-LS). Doctor: Hi. You have a viral respiratory infection. For that, symptomatic management is done with a decongestant. Levocetirizine like decongestant can be taken for five days. Steam inhalation can be done for three times a day with warm water. Take Vitamin C tablet 500 mg twice a day for five days. If there is no improvement, then CBC (complete blood count) and ASO (antistreptolysin O) titer can be done. An antibiotic course can be taken for five days. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9050, + "tgt": "Do the radiation level add to cancer risk on top a dose from medical imaging?", + "src": "Patient: Hello doctor, Does the natural background radiation level (3 mS v per year) add to cancer risk on top of a dose from medical imaging, or is natural radiation separate or safe since we all receive it? Doctor: Hello. One mSv is the limit for the general public. The background is usually within this limit. But radiation workers have a limit of 20 mSv per year, which is also very safe. Also, doses from medical imaging can contribute. But the benefits from medical imaging offset any potential theoretical risks of increased cancer risk. Background radiation is 0.1 uSv per hour, which comes to about one mSv in a year." + }, + { + "id": 15948, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6645, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12463, + "tgt": "How to handle an alcoholic person?", + "src": "Patient: Hi doctor, This is query is about my brother-in-law, who is 38 year old now. He got married before seven years and has a child aged 6 years. He is working in a reputed company. He drinks a lot. Over the last few months, especially last fortnight onward he kept on threatening my sister that he will go away from home. This will be his last day in the life and he will end his life. He is repeating the same thing since yesterday. He does not listen to anybody and keep on fighting for small issues repeatedly and also blames my sister for every small thing. He is not ready to go to any marriage counselor or doctor because of some trust issue. He is behaving very abnormally. I do not know how to handle him. Please suggest. Doctor: Hi.First, answer a few questions, so I would be able to come with some diagnosis." + }, + { + "id": 14245, + "tgt": "I have low back pain which is more in the morning and less in the evening. Why does this pattern occur?", + "src": "Patient: Hello doctor, I have low back pain since 5 years. The pain comes once in every 3 to 4 months. The pain is more in the morning and less in the evening. Why does this pattern occur? Please advise. Doctor: Hello. You have mentioned persistent low back pain for 5 years as your main problem. It is a known scientific fact that when you go to bed, the muscles in the body relax subconsciously, due to which any inflammatory pain is felt more. When you start with some activity, then that protective muscle spasm comes again and prevents the pain perception. Also after overnight inactivity, the disc pressures have been found to be very high in the mornings. So there are very high chances of prolapse early in the morning. Hence, I always advise my patients not to bend acutely forwards, or lift something very heavy, especially in the early morning time. Your pain could be due to multiple reasons - muscular, mechanical, discal in origin, etc. If you have a localized backache, with no associated neurological symptoms like radiation of pain to legs, numbness, paresthesias, electric shock-like sensations in legs and there are no systemic symptoms like swelling, fever, loss of appetite or weight, etc., my advice to you for the initial 2 to 3 weeks will be: If your condition does not improve after 2 to 3 weeks of this conservative management, then you need to undergo some investigations." + }, + { + "id": 30106, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11725, + "tgt": "After I-pill, I had a flow but it was not heavy. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, I need an urgent help. I was on my fifth day of my periods and I made out with my partner. I had my pants and my panty on and he had his penis out. He ejaculated on my pant, and I saw that some portion of my panty was wet as well. And I felt wet in the skin of the lower portion of abdomen, where the vagina does not actually start, where it is only the human skin. I was very scared of it and I took a pill within one hour. And, two weeks later, I had the dark brown fluid, which ended in three days but it is not a very heavy flow and sometimes the thin tissue-like red stuff came out while peeing (like what happens during periods). So I guess I am alright? And there is no chance of pregnancy right? Doctor: Hello. How are you doing? I do not see any reason for you to worry. Let me start by giving few basic facts about the period. Usually, ovulation occurs on the 12th to the 16th day of periods and life of the egg is 24 hours. The life of the sperm is 72 hours. So there is no chance of the egg being available on day-5 of periods. The sperm will not survive until next ovulation. Just then, your period would have stopped, so even the inner lining of the uterus would have been so thin and unfavorable for a possible pregnancy. So, the pill was not needed, but what you did was absolutely right as had it been a week later you had a chance of pregnancy. The pill was taken at the right time. This pill is progesterone hormone in high dose. This suddenly increases the inner lining of the uterus and makes it unfavorable for a possible pregnancy. But being a single dose of the pill, the thickness will not stand, so it will break down and you will get periods within seven to 10 days. As there was already no inner lining, the bleeding you noticed was very less. Usually, the bleeding will be thick, dark with fleshy streaks, and slightly painful. There is absolutely no chance of pregnancy. The next period will be one month after this bleeding. So just relax, everything is fine. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4796, + "tgt": "Why do I feel extreme fatigue and joint pain with psoriasis?", + "src": "Patient: Hello doctor, I am 57 years old with extreme fatigue, achy joints in hands and feet especially during the first hours in the morning or after resting. I have psoriasis in hand, elbow, leg, and behind one ear and vitiligo over 80% of my body. I get random low-grade fevers and develop rashes when in sun. And at times I will have the butterfly rash on my face. I did not get a follow up appointment with my rheumatologist until next month. Any recommendations with what I should ask or discuss would be greatly appreciated. I have attached my most recent labs and concerned with the results of the DNA ds. All other lab reports are normal and negative. Is lupus a possibility? I am currently taking Predisone 10 mg, Synthroid 125, Advair 100/50, and Zyrtec 10mg. Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). Considering the symptoms and medications you are taking, I would like to know a few more details. How is the sleep pattern? Do you get enough sleep or is it disturbed? Any early morning fatigue? Any dryness of eyes or mouth? Do you experience any joint swellings? Any recent history of irritability? Any forgetfulness which has developed recently? As per the investigations and ongoing treatment my suggestions would be: dsDNA has not much relevance in your case. It looks like a false positive value, mainly cause ANA is negative and ESR and CRP are normal. You are on too high dose of Prednisolone which is not good for bones and psoriasis as well. We need to cut down on the dosing. Methotrexate may be a good option as psoriasis can cause a lot of joint pains itself which will get better with it. Also, it is a good drug for removing steroids." + }, + { + "id": 11736, + "tgt": "Should I use EllaOne during intercourse with condom?", + "src": "Patient: Hello doctor, I have taken EllaOne once as the condom has split. If I wanted to have sex again with a condom on, would I need to take another EllaOne pill? Doctor: Hello. I can understand your concern. EllaOne (Ulipristal acetate 30 mg). It is rarely used as an immediate pill and you took it after condom split. Levonorgestrel is an instant pill. But there is no issue as both are potent drugs to prevent pregnancy. A second tablet is only needed if vomiting occurs within three hours. Seizure drugs will decrease its efficacy and 0.9 % to 2 % is the failure rate. Adverse effects are nausea, headache, and dysmenorrhea. Menstrual bleeding for the next period may be earlier or later than expected and you can use a condom for next time sex. There is no need for another EllaOne. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 6373, + "tgt": "How to improve my kidney problem associated with diabetes, BP, and pedal edema?", + "src": "Patient: Hello doctor, I have kidney related problem associated with diabetes, hypertension, and pedal edema. Doctor: Hello. Blood pressure need to be controlled more than this level to avoid deterioration of kidney functions. Need to share more details about history and level of creatinine. Measures that possibly slow the kidney damage are as follows: 1. Control of blood pressure and diabetes. 2. Low salt low fat diet. 3. Regular exercise. 4. Regular checkups. 5. Stop smoking and alcohol. Talk to the nephrologist about any new symptoms." + }, + { + "id": 11813, + "tgt": "Kindly explain well defined altered cystic signal intensity along nerves in MRI", + "src": "Patient: Hello doctor, My wife is suffering from back pain from couple of years and now this has got extended to legs. She kind of gets regular pains like muscle pulling in legs. We got the MRI done and it says well defined altered cystic signal intensity noted along the lumbo sacral nerves on right side measuring 1.8 x 1.4 cm. Based on the MRI results what do you suggest? Doctor: Hello. Regarding your question, I would explain that this cyst is not related to her clinical situation. These cysts are since birth and are usually asymptomatic. In my opinion her symptoms could be related to the bulging disc in L5S1 level, which may need surgery. For this reason I would recommend consulting with a spinal surgeon. Another treatment option would be steroid intrathekal injection. You should discuss with her doctor on the above treatment option." + }, + { + "id": 10984, + "tgt": "Why do I have quick ejaculation?", + "src": "Patient: Hi doctor, I am a 48 year married male suffering from quick ejaculation. I do not have\u00a0diabetes or BP issue. Please help. Doctor: Hello. Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration. Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep breathing for two minutes before sex. It will relax you enough. If you still feel anxious, you can take tablet Alprazolam 0.5mg half an hour before sexual activity. Remind yourself that you are having sex for mutual pleasure and relaxation. It is not an ordeal or duty where you are supposed to be the performer. There are many ways to treat premature ejaculation if it is not possibly due to anxiety. 1) The first technique is known as squeeze technique. In it, when you reach close to orgasm, you or your partner should squeeze on the ridge between the glans and the shaft of penis till the erection subsides. Then begin with your sexual activity once again. Repeat this a few times before you finally ejaculate. This will increase your time of ejaculation and also give you some voluntary control. 2) The second option is you can use Lignocaine spray (Shotmax spray). Spray once on the glans penis 15 minutes before sexual activity. It will reduce the extra sensitivity of the glans to normal level. You can also use 2% Lignox jelly (Lignocaine) instead of spray. 3) The third option is you can take tablet Dapoxetine 30 mg one hour before sexual activity. These techniques are sufficient to treat majority cases of premature ejaculation. 1. Anxiety. 2. Sensitive glans. Premature ejaculation. 1. Treat performance anxiety. 2. Squeeze technique. 3. Lignocaine spray. 4. Tablet Dapoxetine." + }, + { + "id": 20462, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9662, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 22977, + "tgt": "Why are there itchy red bumps in face, chest and forehead of 5 years old?", + "src": "Patient: Hi doctor,This is in regards to my daughter who is 5 years old. Four days back suddenly she developed a fever. Fever was around 100 degrees F. Yesterday her fever subsided and now she does not have the same. She did not have a cough, cold, etc. But she lost appetite and she also had left eye white area red. The redness also has disappeared now. She did complain of a little bit of nausea and headache. But yesterday everything subsided and she recovered well. But, yesterday night we saw red bumps around her face, forehead and chest area. It itches sometimes. I am attaching the image for your reference. These bumps are slightly raised. Rest she seems fine now. Her appetite has increased as well.On the second day of her fever, she fainted briefly (a little bit of saliva came out from her mouth) for 5 to 10 seconds. She recovered quickly in a minute or two. This happened in the early morning when she woke up and stood. She had moderately high fever throughout the night. Doctor: Hi. It is urticaria. It happens commonly in children with or post-infection like a fever. In your daughter\u2019s case, that patient may develop this kind of rashes. It will need 5 to 7 days antihistaminics. Tablet Xyzal 5 mg daily for seven days. It is safe and does not have any major or common side effects. It will be fine in 1 to 2 doses but stop it after 5 to 7 days later. As the baby is otherwise fine, no need of other investigations at this moment. But I would like to highlight a point to you that, the possibility of recurrent episodes may be there in future. Whenever it happens you may take Xyzal (Levocetirizine) in an emergency but consult the doctor too without much delay. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30145, + "tgt": "Is it safe to live with continuous exposure to mold?", + "src": "Patient: Hi doctor, I moved into a 4 year old apartment before five months. They have now found mold under the floorboards in the bathroom. They have removed the floorboards and the padding and cleaned. Now, they are getting professionals to clean it properly. After a month, I developed a terrible cough and have been to my doctor. She did not find any infection in my throat. I put it down to allergies, but it has not gone away. My question to you is am I safe to live in this place while it is being cleaned by professionals? Could this cough be caused by the mold? My current medications are Rosuvastatin for high cholesterol, Omeprazole for reflux, Mylan Bupropion XL and Escitalopram for depression and Inhalers for asthma. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20477, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20978, + "tgt": "Can cod liver oil be used for myopia?", + "src": "Patient: Hello doctor, I am suffering from myopia (-3.5 and -4 ). My age is 19 years old. Can I use cod liver oil? Doctor: Hello. I understand that you are suffering from myopia of - 3.5D in your right eye and - 4D in your left eye. In case you want to use cod liver oil for reducing your glass power, I can tell you that it will not help. Myopia is a disease involving the refractive index, the curvature of the components of the eye and the length of the eyeball in the disease-free eyes. Consuming cod liver oil will not prevent or reverse any of the above-mentioned problems. Measures to reduce myopia progression include: 1. Avoid holding objects very close to your eye. The more the near work, the more will be myopia. 2. Visit your ophthalmologist for a yearly check of the power of your glasses. There are various options for refractive correction such as ReLex Smile, LASIK, etc., after your power stabilizes or you have completed your education. But for a 19-year-old, glasses are the best option, with occasional contact lens wear of less than six hours a day. In case you still want to consider consuming cod liver oil, please do so under a physicians guidance as excessive intake of vitamin A can damage your liver." + }, + { + "id": 14734, + "tgt": "When can I expect anxiety and weakness to get normal after thyroid blood levels are normal?", + "src": "Patient: Hello doctor, I recently was hyperthyroid due to subacute thyroiditis and being misdiagnosed and given 75 mg of Synthroid on top of it. Became hyperthyroid of course. My blood levels were normal as of five months ago but I still experience anxiety and some muscle weakness. How long does it take that to return to normal after blood levels are normal? Currently, I am taking Klonopin and Zoloft for anxiety. Doctor: Hi. Once your hormone levels have normalized, your symptoms should resolve too. Five months is too long for your symptoms to linger once your thyroid hormones are within the normal range. We need to look at other causes of the symptoms you are experiencing now like muscle weakness. If your electrolytes are deranged like a low potassium level, this can cause muscle weakness. I understand that you are on Klonopin and Zoloft. Are they for an existing anxiety disorder as this itself can cause muscle weakness along with anxiety? Also, it is advisable to get your thyroid hormones checked again as it has already been five months since last checkup. Let me know if you have other symptoms like dizziness, feeling tired, pigmentation, abdominal pain, etc., as these would need further evaluation." + }, + { + "id": 13423, + "tgt": "Is it normal for a child to have increased thirst and urination?", + "src": "Patient: Hello doctor, My son (4.3 years old, 21 kg, 109 cm), seems to have a tendency of increased thirst and urination for the past two months. Can I request you to review the below summary and attached reports to help him get well? There are at least 3 to 4 occasions in past two months when he had drunk up to 4 to 5 liters of fluid in a day and urinates at least in an hour up to 3 to 4 times in an hour in the evening. These days he also seemed to have some amount of sweating and hiccups too. Couple of these occasions happened the next day after he has taken some outside food (like noodles). However, there was no loose motion or fever as such. When he urinates 3 to 4 times in an hour, the urine volume is not that much always, neither there was any color or smell. We have also tested his urine routine twice, but nothing obvious was there (attached). We have taken him to a local doctor a couple of times, who did not find anything wrong clinically. His BP comes up as 90/60 and 88/60, while an instant sugar check (after 1.5 hours of light breakfast) shows 132. He had reported 3 to 4 occasions of a headache and reeling of the head in the past two months or so. He did have some forehead injury (not fall) 3 months ago, which was reviewed by a doctor with antibiotics and the local dressing was done. He has taken two doses of Zentel syrup (5 ml) three months back. He has got two instances of cold, cough, fever in past two months, for which he had taken medicines like Calpol 250 mg (7.5 ml), Xyzal (3.5 ml), Montec LC Kid (4 ml), Ambrolite-S (5 ml) and Lupital (3 ml) since almost past one month. Apart from the above symptoms, he seems to have moderate stomach pain (around naval chord) since today morning along with vomiting tendency and no appetite. We have given him Domestal Syrup (6 ml) twice, which although prevented vomiting, but he seems too tired, weak and unable to do his daily routine, etc. Doctor: Hello. The urine report uploaded seems to be absolutely normal (attachment removed to protect patient identity). And as suggested by the case history, he was never diagnosed with any chronic illness. Blood sugar and BP was always within normal limits. More amount of water intake is normally observed after having refined food like noodles or any oily food. And more water may lead to more urine output. It is good that you have already dewormed the child. Now, I would recommend a course of probiotics along with Multivitamins. CBC with peripheral smear, vitamin D level. Give Enterogermina suspension 5 ml twice daily for five days. Syrup A to Z 5 ml once daily for 30 days." + }, + { + "id": 6873, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 16900, + "tgt": "My ultrasound reports say 'bulky liver'. How can I get treated for that?", + "src": "Patient: Hello doctor,My SGOT level is 146, total bilirubin is 2.7, globulin is 4.5 and GGTP is 406. What should I do? Doctor: Hello. Please revert to me with the above details. Revert with more details to an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9716, + "tgt": "I have back pain even after having treatments and medications. KIndly advice", + "src": "Patient: Hello doctor,I am suffering from back pain for the past three years sciatica. Treatment and medicine do not reduce my pain. MRI report l4, l5, and S1 bulge excise physiotherapy did not reduce my pain now I am taking only Vitamin and Calcium tablets only. Sitting increases my pain radiating in my left leg. I am consulting a lot of doctors but still not solve my problems. Doctor: Hello. I saw your query regarding our disc prolapse resulting in back pain radiating down the legs. I need to ascertain this after examining you and looking at your MRI films. Once confirmed, you will get relief from a selective nerve root injection, along with physical therapy and lifestyle changes. Sciatica is relatively straight forward to treat with pain injections in most situations. MRI. Diagnosis is confirmed with lumbar spine MRI. Disc Prolapse L4-5, L5-S1. Selective nerve root Injections (under fluoroscopic guidance) is most likely. Avoid bending forward and lifting weights, jerky long-distance travel, Strenuous work." + }, + { + "id": 7540, + "tgt": "What is the treatment for the swelling that occurs after wisdom tooth removal?", + "src": "Patient: Hello doctor, I had my right lower wisdom tooth removed three days ago. Now the swelling is somewhat near my lower jawbone seems to have hardened. The right cheek looks puffy. And have localized slight pain on pressing the lump. Could you suggest a solution for what the problem seems to be? Doctor: Hello. I understand your concern and feel sorry for the way you are feeling. Though the pain may last for five to seven days, hard swelling is unusual for us to see. Get it checked to rule out any possible complication. Ice packs are usually recommended, but I recommend you check it with your doctor as hard swelling may not get softened with cold application. Painkillers give patients virtually pain-free recovery over 7 to10 days. Some enzymes also help subside the swelling. Keep all this when you go for follow-up. I hope this helps you." + }, + { + "id": 10460, + "tgt": "Is it advisable to get operated for gallbladder stone during pregnancy?", + "src": "Patient: Hello doctor, I am six weeks pregnant and there is a stone of 3 to 4 mm in gallbladder. Can I get operated for the same? Doctor: Hello. I understand that you are worried about gallstones and it can be stressful whilst undergoing pregnancy. However, let me assure you that most gallstones do not cause any symptoms. Seeing as they are small in size, they can be easily left alone until after the mother has delivered the baby. The risk of miscarriage is always present whenever a pregnant women undergoes any procedure. Are there any symptoms that are bothering the mother? Like jaundice, uncontrollable pain, etc.? I would also request you to share the investigation reports as it will help us make a better decision. LFT, Ultrasonography Pain medication - Tablet Paracetamol 500mg SOS if having pain Avoid spicy and oily food" + }, + { + "id": 23018, + "tgt": "How to prevent frequent episodes of tonsillitis?", + "src": "Patient: Hi doctor, I am suffering with tonsillitis for past three years. Nearly four months back, my tonsils got swollen. Followed by that the right tonsil remains the same and the left got subsided. In these four months, I had few episodes of pain in my ear. Also the glands in my right side of neck got swollen. I had Azithromycin, Erythromycin, Penicillin and Clavamax but the swelling of the tonsil and the glands did not go down? What should I do to prevent further episode? Does the cold temperature affect the tonsils? Doctor: Hi. With the conversation we had, I understand that you are an 18 year old male suffering from tonsillitis and you have been having acute exacerbation of the tonsillitis now. Due to the infection, you suffer from ear pain and swollen neck glands. You seem to be suffering from chronic tonsillitis. This resulted in episodes once a while leading to throat pain, difficulty in swallowing, ear ache, neck swelling, fever, etc. Tonsils are lymphoid organs which act as portals to remove offending agents like bacteria. However, in some individuals they themselves become the cause of infection. Infection from enlarged tonsils can spread to nose, ear or further down as throat infection which will cause great discomfort to the patients. Also, because of the same patient suffers from loss of days at work place or school or college. For your condition, I would suggest you to go ahead with tonsillectomy operation. This operation removes both the tonsils. It is done under general anesthesia and is done through the mouth. There will not be any incision outside. The reasons why I suggest you to go for the tonsillectomy operation are that, Few episodes of tonsillitis in a year can be successfully managed using medicines. However, in your case tonsillectomy operation is ideal as I explained above. In the meantime till we decide for surgery, please follow the instructions and suggestions I have given below. Some precautions to be taken are, It is true that cold climate can result in increased susceptibility to tonsillitis. Cold winds accompanied by consumption of road side or outside food can increase the chance of infection. Always use boiled water and desist from drinking water from local places. When tonsils are enlarged, the infection can move through the eustachian tube into the ear, complicate the condition and cause decreased hearing or ear discharge. Sometime the tonsils can cause referred pain to the ear though the infection may be restricted to throat. Lymph fluid from tonsils drains into neck nodes, more particularly the jugulodigastric node below the angle of jaw. Hence, the tonsillar infection will also infect the node and cause neck swelling. The swelling will resolve once the tonsillitis is cured. If the symptoms do not recede then please do the following tests. 1. Complete blood count including but not restricted to ESR (erythrocyte sedimentation rate), platelet and lymphocytes. 2. Absolute eosinophil count. 3. Throat swab for culture and sensitivity. 1. Tonsillolith. 2. Acute Follicular Tonsillitis. 3. Acute Parenchymatous Tonsillitis. Acute exacerbation of chronic tonsillitis. I suggest you the following medications; however a complete and thorough physical examination is required to make a definitive diagnosis and prescribe the apt medication. 1. Take a stronger antibiotic, like Cefixime 200 mg, twice a day for 5 days. 2. Take an antibiotic that against anaerobic organisms, like Tinidazole or Ornidazole for 3 days after consulting with your doctor. 3. Take anti-inflammatory enzymes like trypsin-chymotrypsin tablet before food daily thrice for 2 days (Chymoral forte). 4. Take pain killers if necessary (Paracetamol 650 mg twice a day). 5. Hot salt water gargling daily three to four times and steam inhalation. 6. Follow the general instructions and precautions explained above. If the treatment does not help, you may need hospitalization and intravenous administration of medicines. Also a throat swab is necessary in such cases to ascertain if any dangerous strain of bacteria has caused the infection. For further information consult an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5337, + "tgt": "My mentally retarded sister suffers from epilepsy even after many medication. Why?", + "src": "Patient: Hello doctor, My 13-year-old sister has been diagnosed with various mental disorders since the age of 2. My parents have taken her to doctors since then because they have noticed that she was not developing like the other children. Almost every doctor gave another diagnostic such as autism (each doctor suggested a different type of autism) and mental retardation. When she was approximately 6 years old, she was also diagnosed with epilepsy. At first, the crisis was happening only while sleeping and they were detected during an EEG by a doctor. He prescribed the first anti-epileptic drug which was Ospolot. My sister felt very sick from it so another doctor told us to stop the medication. We did and then she started having a different type of crisis, absence crisis while awake. The doctor then prescribed Topram. Throughout the treatment with Topram, another type of crisis was added beside the absence, that is myoclonus. The doctor then prescribed Depakine instead of Topram. The absence crisis stopped, but the myoclonus stayed. Besides Depakine, she started taking Rivotril as well. With this combination, she stopped having a crisis for 3 months, but then the myoclonus started again and nocturnal epilepsy crisis was added as well. During this period, the doctor tried to replace Depakine with Lamictal (Lamotrigine), but my sister became intoxicated from it and started suffering from the Stevens-Johnson syndrome. She had to be at the hospital for one week to detox. My parents went to a different doctor then and he added Topram (Topamax / Topiramate) besides Rivotril and Depakine. This did not work again. My sister felt very sick from this combination while having a crisis both while being awake and asleep. She was then prescribed Depakine and Levetiracetam. The crisis while being awake stopped, but those while asleep still happen. At the moment, she takes Depakine, Levetiracetam, and Ospolot, but the nocturnal crisis persists. We do not know what to do anymore because the side effects of all these anti-epileptics have done a lot of damage. My sister is always very sleepy and drooling all the time. She already has mental issues so this just makes things so much worse. I know I wrote a lot, but I thought you should have as much information as you can. Here in our place, doctors are not that well informed about these diseases, so they do not really know how to deal with it. We also cannot afford to go to other countries anymore to check with other doctors. Any advice is very welcomed. Doctor: Hello doctor. I read your query and understand the feeling and problems faced by you. As I can see epilepsy is the main problem at this moment and even a combination of three drugs is not making her seizure-free. Despite her treatment, she continued to have seizures and in the medical language, she is known to have refractory epilepsy. I must acknowledge here that treatment of refractory epilepsy is one of the most difficult treatment in neurology and need considerable effort on part of doctors ad family members. Despite the effort we are not 100% successful in doing so. Regarding her treatment I will like to consider one of the two below mentioned strategies. Firstly, I need to know the dosage of current medications. If there is anything that can be changed I will prefer doing so as the current three medicines are rightly prescribed. The dose can be increased or decreased for one or more drugs. My second preference will be to try Trileptal (Oxcarbazepine). This meditation is less sedative in compare to her existing treatment and a definite role in the treatment of refractory epilepsy. Before a change can be made talk to your doctor about these two options. I hope this helps you." + }, + { + "id": 16363, + "tgt": "Am I at risk of STD if condom slips halfway?", + "src": "Patient: Hello doctor, I had protected sex with someone whose status I do not know. I am kind of worried now. I did not ejaculate and the condom slipped half way during the session and pulled that back. Is that a matter of concern? Shall I go for any test? Doctor: Hello. I went through your post. Slipping of the condom makes it an unprotected sexual intercourse and there is a small 1 % risk of getting STD although non-ejaculation makes it a lesser risk. You can test after two weeks for syphils and HIV by doing FTA-ABS (fluorescent treponemal antibody absorption) and CMIA for HIV after two weeks to be on the safer side. However, as the risk is very minute, there is no need to worry." + }, + { + "id": 22907, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 415, + "tgt": "I have loss of smell for the past 2 years with frequent cold and sneezing. Please help", + "src": "Patient: Hello doctor, I have lost my smell. I have consulted many ENT doctors for the past two years but could not resolve the problem. I also have a frequent cold with sneezing. Particularly in the morning, severe sneezing occurs. Please help. Doctor: Hello. The possible causes for loss of smell are 1. Rhinitis. 2. Sinusitis. 3. Ethmoidal polyps. 4. Neurodegenerative diseases. 5. Vitamin B12, and Folic acid deficiency. 6. Tumor of the CNS (central nervous system). 7. Trauma. But in your case possible the cause is sinusitis with or without polyp. Rhinitis and sinusitis may lead to congestion and edema of mucosa, and also nerve endings may give rise to anosmia. 1. So use salt water gargling thrice a day for five days. 2. Use water vapor inhalation thrice a day for five days. 3. Use decongestants like Phenylephrine (tablet Lecope-AD) and anti-histamines to decrease congestion. 4. Avoid cool drinks and ice creams. 5. Use Otrivin nasal spray twice a day for five days. 6. Use tablet Amoxicillin and Clavulanic acid 625 mg twice a day for five days. If symptoms are not improved please get done x-ray paranasal sinuses and nasal endoscopy then we come to know the cause. So review with above reports or consult with your ENT specialist he will examine and treat you accordingly." + }, + { + "id": 30498, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 2410, + "tgt": "I masturbate excessively and feel depressed with guilt. Please help", + "src": "Patient: Hi doctor, I am 18 years old. I am a student and I am excessively addicted to masturbation. I cannot concentrate in fact I started doing sex with my partner regularly. I just treat her as satisfactory material and this causes a deep regret in me. I am not good at studies anymore as well as I just cannot concentrate. Everything in my life is stuck out with my problem. It started when I was in class 7 I saw a porn film then all this has been started and now I am just like addicted. Please help me out I am in a great depression, sometimes I feel like I should end up my life how should I overcome with it? Doctor: Hello. I can understand your problem. First of all, it must clear to you also that it is harmless practice, which is done by almost 100%male and 70% of females in there lifetime. I mean it common in your age. Do not feel guilty, this activity will not affect your married life, you will be able to produce children. Yes, it is a release process, and not have any ill effect until it becomes an obsession and interfere in your functioning. You can quit it by diversion of your thoughts, try to seek interest in other activities and make a friend. Involve in your hobbies, do moderate exercise. You can have sex with your partner no problem in it. If unable to relief with above you can go for pharmacotherapy like Prodep." + }, + { + "id": 28819, + "tgt": "Can you advise medication for fungal infection?", + "src": "Patient: Hi doctor, I have developed some fungal infection under my inner thigh. It is itching badly. It is red and round with elevated outer edges. It is very close to scrotum. It first developed two weeks before. When I applied Clotrimazole it got cured but recurred again now. Can you advise some medication? Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5621, + "tgt": "Why do I get swollen gums at the back of my last tooth?", + "src": "Patient: Hello doctor, I got a swollen gum at the back of my last tooth on my left side. It feels like a new teeth is coming up and the pain sometimes extends to ear also. I can remember that I got this pain few years back on my right side and it went away by itself.\u00a0What should I do now? What is the reason behind this? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16955, + "tgt": "A sudden toothache started last night. What could have caused this?", + "src": "Patient: Hello doctor, A sudden toothache started last night in the front left tooth. It is really painful this morning. The pain is constant. I have attached a picture of the affected tooth. What could have caused this? Doctor: Hello, Take care. Consult a dentist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18834, + "tgt": "Why are palpitations occurring even after pacemaker implantation?", + "src": "Patient: Hello doctor,My 71-year-old father was admitted to the hospital for palpitation occurrence and fast heart beating at 143 beats per minute. He was feeling dizziness in the morning. He was given injections to reduce the heart rate and has taken Holter monitoring for one day. He had previously undergone two stent placements for blocks. According to his Holter reading, the doctor said his heart pauses for two seconds sometime in 24 hours. He has both bradycardia and tachycardia. They suggested him a biventricular pacemaker implantation that is a St. Jude medical pacemaker. He is allergic to Penicillin. During his discharge, he was prescribed the following medicines: Prolomet XL 25 mg two times a day, Xarelto once a day, Glycomet-GP 1 one and a half tablets a day, Ecosprin AV 150/10 capsules one a day, and Pantocid one a day. He takes his medicines regularly but once in 10 days, the palpitation occurs for about 10 to 15 minutes ranging 20 and sometimes 105 and then it stops. Palpitation does not come every day. The doctor says there is no need to worry. My concern is why does the palpitation occur even after the pacemaker implantation. Is there any way to stop the palpitation? Is it a serious issue. Please help me. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26924, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25562, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30102, + "tgt": "Got injured eyes and stitches done. Will I be able to open my eyes?", + "src": "Patient: Hi doctor, I met with an accident and glass went inside my eyes. I got stitches inside the eye and on my eyelashes. I am not still able to open my eye after five days. My vision is clear. X-ray and CT scan reports are also normal. After how many days will I be able to open my eye? Doctor: Hi. Revert back with the reports to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18249, + "tgt": "I get a sore throat and diarrhea after sex with my wife. Do I have HIV?", + "src": "Patient: Hello doctor, I am a 51 year old male. Whenever I have sexual intercourse with my wife, I get a sore throat and flu-like condition. Whenever I have anything cold, my throat gets infected. I also have\u00a0diarrhea. My wife is also suffering from the same problem, and my son has diarrhea sometimes. All this is happening from the past three years. I had sexual intercourse with my girlfriend 10 years back, so last year I did a rapid and tri-dot test for HIV, it is nonreactive. Do I have HIV? Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15077, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15714, + "tgt": "I have severe pain in the lower back region. Please suggest a remedy", + "src": "Patient: Hi doctor, I have severe pain in the lower back region. I have this problem for a few days. The pain is present only on the lower back just above the hips. I feel stiffness and pain in the lower back in the mornings. I have the pain radiating towards my upper spine when I squeeze the upper back muscles. After a few hours, my pain goes away and comes back again after a night sleep. I always do weightlifting at home. Please suggest a remedy. Doctor: Hi. You have a muscle spasm. Evaluate your sleeping conditions and ensure that you are sleeping on a supportive mattress that is not over seven years old. When sleeping on your back, place small support under the lower back and knees. You can use a small pillow or rolled towel. When resting on the side, keep a medium size pillow between your knees to keep your pelvis straight. Try sleeping on a heating pad. Do light lower back stretches every morning and every night in every direction." + }, + { + "id": 20310, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17997, + "tgt": "What are the moles that keep recurring?", + "src": "Patient: Hi doctor, I have some moles on my lower face and earlier the moles were operated twice by laser therapy with the advice of a doctor. But, it appears repeatedly. Am I suffering from any illness? What are the causes behind it? Doctor: Hi. \u00a0 For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15888, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4892, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 29640, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1553, + "tgt": "I am on medication after angioplasty with fluctuating BP. How to control it?", + "src": "Patient: Hello doctor, I have had an angioplasty. Now I am taking Nebicard SM and Rosuvagold 20 one each daily. And I am also taking ginger, lemon, honey, and apple cider vineger solution two teaspoons daily and giloy daily. I am observing that my BP is fluctuating. What should I do? Doctor: Hello. BP (blood pressure) and pulse are not constant parameters and are ever-changing. So it is entirely normal for them to show variations. We just have to watch that they are not crossing their limits. For systolic BP, 110 to 140 and for diastolic BP 60 to 90 is fine. And the resting pulse rate between 50 to 90 is appropriate for you. So, readings anywhere in between are fine. Also, BP fluctuations nowadays are more commonly seen due to the use of electronic BP apparatus, which are over-sensitive and cause variations. If you are using an electronic BP apparatus, then you should take three readings at a time with arm resting on the table and completely relaxed. And two matching readings are approximate BP of yours. However, if most of the BP readings are above or below this range then needs dose change, so let me know the details of your readings. You should make a chart of it by taking readings frequently, say three times a day (and each time three readings to know the average) for a week period. I hope this helps you." + }, + { + "id": 30420, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5990, + "tgt": "Can we get STD through body to body or skin to skin contact?", + "src": "Patient: Hello doctor, Is a condom 100% safe? Can we get STDs through the body to body or skin to skin contact? By kissing will any std transmit? Is spa erotic massage safe? Please answer these questions it would be helpful. Doctor: Hello. The condom does not give 100 percent contraception. In fact, no contraception is 100 percent effective. Body to body and skin to skin contact will not result in STD (sexually transmitted disease), unless there are cuts over the body and body fluids get transmitted. Kissing will not cause STD. Deep throat and violent kissing might cause injuries and microbleeds and those might cause transmission of fluids across membranes and STD. Spa erotic massage is usually safe." + }, + { + "id": 11196, + "tgt": "I am suffering from corneal ulcer after PRK surgery. What is the treatment?", + "src": "Patient: Hello doctor,I have done PRK eye surgery about a month ago in both eyes. A few days later, my left eye had some weird blurred vision which turned out to be corneal ulcer that is in the center and relatively big. I got treated immediately with heavy antibiotics Ceftin or Vigamox. After two to three weeks there was some improvement in vision, redness and the loss of epithelial cells is about 1.2 mm, after which I started taking eye steroids, and vitamin C three times a day. Unfortunately, I found out today that there is another small epithelial defect that opened under the first one (both are still very small). I have bad light sensitivity, and I would like to know if there is anything to be done now apart from waiting to get better. I have been told to be patient at least three months since the scarring is still prominent and central, although it is getting slightly better every time I see the doctor. I am currently on, antibiotic eight times a day with steroids three times and Sythnomyine twice a day. Most of the scar is in the front stroma. But central, and it has been slightly getting brighter every time. Doctor: Hello. Indeed a corneal ulcer requires patience, time, and continuous monitoring until it is fully healed or scar forms. Sometimes it might take up to a year and more. It is however mandatory that you add to the list of eye drops that you are using a lubricant (artificial tears) because dryness is inevitable after any refractive surgery and once you are using eye drops that contain preservatives. You can use the lubricant every hour if you need but except the last hour before going to sleep. That is also very important if your job includes intense visual activities at the PC and or use of mobile devices. I wish you a fast recovery." + }, + { + "id": 4612, + "tgt": "My post delivery weight gain causes low back pain. Please help", + "src": "Patient: Hello doctor, I am 25 years old. I have a 7-year-old and a 2-year-old kid. After my son's birth, I have gained quite a bit of weight just a little over the obese range. I say this because I do not know if it has anything to do with my problem. I am writing because I am having trouble finding online information about my lower back pain (behind the backbone). It does not hurt all the time. Mainly there is constant pain while walking, laying flat, or when leaning forward without support. Also, there is a real sharp pinch when my kids or spouse push on it either side. I am not sure if this matters, but once in a while when I stand from the couch there is a pinching pain in my lower front abdomen that goes away after a minute or two. Is there any idea you may have as to what is going on? I have been dealing with my back for a year now and my spouse is starting to tell me to get it checked out. I used to take only Ibubrufen when I get headaches. Doctor: Hi. I am sorry to hear about your pain, but I will try my best to help you. From history, the lower back pain may be related to mechanical or disc protrusion (PIVD) or some rare conditions like a kidney stone, or pelvic inflammatory disease. Mechanical and PIVD (prolapsed, herniated, or extruded intervertebral disc) can be differentiated by a dragging pain to one of your legs. In PIVD dragging pain is common. You may need an x-ray of your lower back. This pain is not related to an epidural, but as there is a pinching pain in front of the abdomen other causes should be ruled which is addressed with an ultrasound. As per your age, PIVD is a common symptom that is addressed initially with conservative management. The diagnosis is confirmed with an MRI. If it is PIVD need not take bed rest, you can do your daily activities. If pain reduces completely then start physiotherapy (back strengthening exercises)." + }, + { + "id": 26155, + "tgt": "I noticed a pea-sized lump below my armpit. What could it be?", + "src": "Patient: Hello doctor,I just noticed I have a painless pea-sized lump just below my armpit. I am not currently ill and otherwise feel fine. What is it? Doctor: Hello. Wish you healthy life. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10450, + "tgt": "I have something like genital warts. Please confirm if it is the same", + "src": "Patient: Hello doctor, I have a few and little genital warts in my vagina. I can send you a picture if you want, I am very worried that it could be VPH. Please help me. Doctor: Hello. It seems to be HPV (human papilloma virus) warts only. But need to be confirmed. Are you sexually active? If yes then does your partner also has similar lesions?" + }, + { + "id": 5139, + "tgt": "Why do things like ghee and oil worsen my lip swelling?", + "src": "Patient: Hi doctor, I am having swollen lips for the past 14 years. Everything I put on my lips will make my swelling worse, even coconut oil and ghee. Food is not even touching my lips directly still it makes them worse. Since I put coconut oil before six months, the swelling is getting more and more every day. How can stuff like organic coconut oil and ghee that are vata and pitta pacifying make my swelling worse? Is my body confused? What is the ayurveda perspective about this? I have gone to ayurveda doctor and she has told me I have very high vata and vata is pushing pitta to my lips. I will go to panchakarma in about six months. I just want to know why things like ghee and coconut oil are making my swelling worse? Thank you so much in advance. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26677, + "tgt": "My beta hCG blood test result is 54. 50 mlU/mL. Am I pregnant?", + "src": "Patient: Hi\u00a0doctor, I am a 26 year old female. My LMP was on the 8th of last month. I missed my period this month. I have done a home pregnancy test on the 10th of this month, and I have seen a faint line which was confusing. So, I took a beta hCG blood test and got the result as 54.50 mlU/mL. Could you please let me know whether I am pregnant or not? I have attached the reports. Doctor: Hi. I have gone through your question and understood your concern. I have reviewed the reports (attachment removed to protect patient identity). Hope you found the answer helpful. Regards. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4504, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28838, + "tgt": "Can UTI cause only left sided abdominal pain and burning sensation on urination?", + "src": "Patient: Hello doctor, I am an 18\u00a0year old girl, I am having left abdominal pain and burning sensation on urinating. I did an ultrasound, but it was normal, and no renal stones were found. After few days, I started having pain from the back till the bladder, vomiting, and weakness. So, I got admitted, and they gave me painkiller injections, IV fluids, tablet Levofloxacin 500, tablet Flavoxate, tablet Pantop, and tablet Voveran.\u00a0I am not discharged still, and I have pain. The doctor diagnosed it as urinary tract infection. Is it really UTI? Doctor: Hi. I saw your reports (attachment removed to protect patient identity), and from what you say, it may be a urinary tract infection. To rule out urinary tract infection, I would suggest urine culture. Left sided pain can occur if the left kidney and ureter is infected, with obstruction. From your ultrasound report, there seems to be no obstruction to urine flow from left kidney. But, ultrasonogram is prone to errors. I would suggest CT KUB (computed tomography of kidneys, ureter, and bladder) for better decision making. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1199, + "tgt": "I have developed gestational diabetes with FBS 130 mg/dL. Do I need to start Insulin?", + "src": "Patient: Hello doctor, I am 2.5 months pregnant now. And I have developed gestational diabetes and consulted with a gynecologist in the nearby polyclinic and made HbA1c (blood sugar monitoring test) and the result is 6.4 % reference range normal up to 6%. Before pregnancy diabetes range used to be always in normal range. Nowadays blood sugar while fasting is 130. Do I need to start insulin? I need your advice. I am 24 years old. My height is 5.2 feet and weighs around 105 kg. Doctor: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that your blood sugar is not very high as to start insulin treatment as of now but you need to be closely monitored as regards to blood sugar, ultrasound fetal monitoring by an obstetrician and a dietitian for low carbohydrate diet consumption. Try to eat more vegetables like green leafy vegetables and not potatoes which contain high carbohydrates. You need to check 50 gm oral glucose tolerance test fasting and after 1 hour and 2 hours. If still high we need to assess the results and do further tests for the same and then decide whether to start insulin or not. Maintain blood sugar chart by checking it fasting, 2-hour post-meal, and before bedtime. Be in touch with a physician. Avoid rice, sweets, and sugary drinks. Take Folic acid 5 mg once daily. I hope this helps." + }, + { + "id": 2440, + "tgt": "What is third-hand smoke?", + "src": "Patient: Hi doctor, My question is about third-hand smoke. My husband and I do smoke and we are trying to quit. My daughter-in-law is so concerned about third-hand smoke. We are no longer allowed to see our grandchildren until we have completely quit smoking. We only smoke outside and are down to five cigarettes a day. We have never smoked around our grandchildren. She says that even we smoke outside the third-hand smoke gets to us and we transfer it to our house. Are we really putting our grandchildren's health at risk? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4435, + "tgt": "Is it true that a CT scan would not detect clots?", + "src": "Patient: Hi doctor, My roommate is in hospital with chest tightness and shortness of breath. Last week they ended up doing an angioplasty. They had not given him the results of any of the tests they had done, mostly just an x-ray and a sonogram. They found blockage in the Y of the circumflex artery and the left anterior descending artery and put in a stent. He went home the next day. Yesterday, he started to have shortness of breath again and checked himself into the ER at 4 AM; he has been there ever since. They did more x-rays and found nothing in his lungs and another sonogram. For some reason, they are refusing to do a CT scan saying they would rather just do another angioplasty. They said a CT scan would not detect any clots. I find this utterly absurd. I think it is weird that they want to go in and put in another stent without further testing. His troponin levels are also normal. Why do not they think a CT is warranted before they do another angioplasty? Doctor: Hi. Revert back with the asked details to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26498, + "tgt": "I have been having palpitations on and off. Should I get a 30-day Holter monitor?", + "src": "Patient: Hi doctor, I am a 30 year old Caucasian woman, 5 feet and 11 inches, 195 lbs and semi-active. My family has a history of heart problems. My mother, eldest brother, and father are all taking Metoprolol for heart arrhythmias and my maternal grandfather died of a heart attack at 55. My father also has a history of blood clots, though I tend to have the opposite problem with my blood not clotting easily at all most likely due to a vitamin K deficiency. My HDL cholesterol tends to be in the 20s and my LDL cholesterol tends to be in the 60s. I have had three different surgeries in my life. I have had a lateral release of the tendon on my left knee, my gallbladder removed, and two months ago, I had a cyst removed from my uterus. My issue is that I have been having palpitations off and on for seven months. They began after a severe case of the flu. At first, it was just the heart racing, but after a few months, it has become more of a skipped beat. The episodes last anywhere from one to 20 minutes. At first, the doctor thought it might be anxiety, but after a visit to a psychologist who specialized in anxiety, it was determined that anxiety was not the cause. The palpitations are not constant, but I also have other symptoms of lightheadedness, and pain in the chest on the left side (not sure if this is musculoskeletal or not). I also have digestive issues which may be a factor. I have had an echocardiogram with the following results:Left Ventricle: The left ventricular size is normal. LV posterior wall thickness was normal. LV systolic function was hyperdynamic. Left ventricular ejection fraction, by visual estimation, is 65 to 70 %. Spectral doppler shows a\u00a0normal pattern of LV diastolic filling.Right Ventricle: The right ventricular size is normal. RV wall thickness is mildly increased.Left Atrium: The left atrium is mildly dilated.Right Atrium: The right atrium is normal in size.Aortic Valve: Mid aortic valve thickening is present.Mitral Valve: The anterior and posterior leaflets are mildly thickened. Trace mitral valve regurgitation is seen.Tricuspid Valve: Trace tricuspid regurgitation is visualized. The tricuspid regurgitant velocity predicts an estimated right ventricular systolic pressure of 27.7 mmHg with normal pulmonary pressure.Pulmonic Valve: The pulmonic valve was not well visualized. Trace pulmonic valve regurgitation.Aorta: The aortic root and ascending aorta are structurally normal with no evidence of dilation.Pulmonary Artery: The pulmonary artery is not well seen.Pericardium: There is no evidence of pericardial effusion. I also had a 48-hour Holter monitor but was sick in bed the entire time. The results were:\u00a0Min HR: 50, Max HR: 160, Average HR 82, Ventricular ectopic activity consisted of seven beats, of which six were single PVCs and one was a single VE. Supraventricular ectopic activity consisted of 210 beats, of which 10 were in atrial couplets, 125 were late beats, 75 were single PACs. The longest R-R interval was 1.4 seconds. The longest N-N interval was 1.4 seconds. I have also done an overnight pulse oximetry test which came back as normal. I have also tried Metoprolol ER and nonextended release. I was only able to take it for a week as the results fixed the racing and weird beats, but after about an hour I was barely able to walk to my bed and fell asleep for 10 hours without my husband being able to wake me up no matter how hard he tried.\u00a0 The palpitations seem to be getting less frequent (especially since the pain from the cyst removed earlier in the year has subsided), but then I will have a week where I get them every day, a few times a day for about 20-minute increments. My husband wants me to get a 30-day heart monitor, but after working with my current cardiologist's office, we have been unable to get one after two and a half months of them saying they are sending it. My husband now wants me to go to a different cardiologist\u2019s office, but the closest one is over three hours away. So, I wanted to get a different cardiologists opinion. Is there anything that I really need to worry about or is my heart relatively normal and this is just a case of something that I have just never experienced before? Should I continue to push to get the 30-day Holter monitor or get a new cardiologist and make the trip? Doctor: Hello. I went through your reports. Regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 22734, + "tgt": "Fiancee and I have the same blood group. Will it affect our married life?", + "src": "Patient: Hello doctor, My fiancee and I have the same blood group. Will it affect our married life? I will be happy if you explain this to me. Doctor: Hello. There is no harm in marrying a girl with the same blood group as you. Everyone is born with a certain blood type that is either Rh positive or Rh negative. Rh-positive blood is more common than Rh-negative. There is no problem if you marry a partner with the same blood type/grouping as yourself. When looking at a blood type, it is not the letter you should be concerned about, but the Rh factor (the positive or negative sign after your blood type letter, example: O + or O -). A woman is at risk when she has a negative Rh factor (example: O-) and her partner has a positive Rh factor (example: O +). This combination can produce a child who is Rh positive. While the mother's and baby's blood systems are separate there are times when the blood from the baby can enter into the mother's system. This can cause the mother to create antibodies against the Rh factor, thus treating an Rh-positive baby like an intruder in her body. If this happens the mother is said to be sensitized. A sensitized mother's body will make antibodies. These antibodies will then attack an Rh-positive baby's blood, causing it to break down the red blood cells of the baby and anemia will develop. In severe cases, this hemolytic disease can cause illness, brain damage, and even death. If you have more questions feel free to ask. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23985, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8771, + "tgt": "May I know the health condition in which monocyte will be high?", + "src": "Patient: Hello doctor, I recently got my CBC done as a part of a routine check-up in which my Hgb, RBC, platelets, WBC counts was entirely within the range except for monocytes. My monocytes were 5.28x10^9/L. I feel healthy otherwise and except for PCOS have no other known medical condition. My GP said that monocytes were nothing to worry about as TLC is fine and I am fine. So can you tell me if it is nothing to worry? Doctor: Hello, Welcome to the icliniq.com. I read your concern, and below is my opinion. There are many causes for high monocyte count. Your monocyte count is high and cannot be neglected.The temporary viral infection also can cause high monocyte count. You do not have any symptoms, so temporary mild viral infection might be cause for high monocyte. You have to repeat your full CBC with peripheral smear examination report after seven days. If still monocyte count is high, then you have to consult a hematologist for detailed evaluation. I hope I have answered your question. I will be glad to help you further, if required." + }, + { + "id": 22043, + "tgt": "My brother has got a swelling in the snake bite area. Please advise", + "src": "Patient: Hi doctor,My brother got a snake bite in his right-hand middle finger. He has taken three antivenom doses and was under observation for two days. After six days of snake bite and treating it from medication, he has got swelling in snake bite area (right-hand middle finger). He is facing anxiety and itching as well. Please let us know the solution to this. Doctor: Hi. I would suggest taking an advice from the doctor about getting steroids and anti-histamine. It may be a localized reaction to anti-venom or maybe sequelae of snake bite or another possibility. It may be an infection that can be controlled with antibiotics, make sure he has got anti-tetanus vaccine or immunoglobulin after snake bite. I am pretty sure he is getting checked for his CBC, kidney functions, PT-INR (prothrombin-international normalized ratio). For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10197, + "tgt": "I have pain and clicking sound in knee. What does my MRI show?", + "src": "Patient: Hello doctor, I would like to get help reading knee MRI. Based on physical examination: Acute medial meniscus tear. Pain, clicking sound and cannot do activities. Doctor: Hi. Please note the images are sub-optimal for giving a professional report as we need to see the images in detail at the workstation computer (attachment removed to protect patient identity). However, my observations after viewing the images sent by you are the following: Your MRI knee is showing a mild knee joint effusion and is the likely cause of your pain an discomfort. The medial meniscus shows a suspicious area of signal abnormality in in the anterior horn root area and is not a serious concern. The rest of the meniscus is looking normal. The anterior cruciate ligament is intact, however there can changes from a mild strain of the ligament." + }, + { + "id": 13310, + "tgt": "When will the hyperactive airway disease in a child get cured?", + "src": "Patient: Hello doctor,My daughter is 3 years old. When she was 2, we shifted to a new place and from there she started having allergy problem like bronchitis. Every time she catches a cold and it developed into allergic bronchitis. In X-ray report, it says she has hyperreactive airway disease. Now finally, I changed place again. How long will it take to improve as she still sneezes a lot? Doctor: Hello. As per the history and the doctor's notes, I understand your daughter has allergic rhinitis and lower airway hyperreactivity. There is no easy solution for allergy. Allergy is due to some component in the air that she breathes. We must identify what she is allergic to. Some of the following you may need to do. 1. After using the Duonase spray for 15 days as given by your doctor, change it to Mometasone and use it once daily. Two puffs in each nostril for 30 days and thereafter one puff each nostril. There is a particular way to use spray. If you do not know that then revert back. 2. Continue the Montair LC syrup for a couple of weeks and keep using it on an SOS basis whenever she gets allergy. When you start, continue it for a day. A single daily dosage is sufficient usually. 3. Inhalers like Asthalin and Seroflo are to be used as per the chest physician advice. Keep both handy and may need to be used whenever there are flare-ups. 4. Maintain a diary and write down whenever she gets allergic symptoms, when she goes to some new place, when she opens any old book, garden, pollen, any relation to the food she eats, linens, beddings, etc. 5. Keep house and surroundings extremely clean and tidy. 6. Stop exposure to smoke, pollution dust, and direct cold air. Do revert back to me for further support and help. It is important the kid has a healthy childhood for appropriate development physically and mentally." + }, + { + "id": 10292, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 7952, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15503, + "tgt": "I had HIV test after eight weeks of exposure and it came negative. Is the result reliable?", + "src": "Patient: Hi doctor, I did an HIV rapid screening after eight weeks of exposure, and the results came negative. I do not have any other symptoms of HIV. Is this result reliable? Do I need to do other tests? Doctor: Hi. The tests available for HIV diagnosis are highly sensitive and specific and gives accurate results. Majority of the people who are infected with HIV develop HIV antibodies by two to eight weeks. Approximately, up to 5 % develop seroconversion by 12 weeks. Your HIV negative result after eight weeks is reliable. You can repeat the test at the end of three months, and not before that." + }, + { + "id": 25266, + "tgt": "I am 9 months pregnant and my TSH value is 3. 17. Is this normal?", + "src": "Patient: Hello doctor, I am 9 months pregnant. My TSH value is 3.17, reference value is 0.30 - 5.5. Pregnancy refer range is 0.30 - 3.00. Is this normal? I am worried about my baby. Please help. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13643, + "tgt": "I have asymmetry of tonsils. Is it due to cancer?", + "src": "Patient: Hello doctor, My tonsils are not symmetrical. I first noticed just two months ago that my right tonsil looks like a kidney bean with a small hole on top while my left tonsil looks oval in shape with a much larger hole. My right tonsil looks like there is a lump of the bottom of it. I am 28 years old and I smoked for just under 10 years and I have not tested positive for HPV. I do not have any lumps that I can feel, have not lost any weight, do not feel regularly sick. I did have a sore throat a month ago and my left tonsil did feel infected. I did push quite a few tonsil stones from it. I am worried that the asymmetry of my tonsils may be an indicator of cancer. Doctor: Hi. Tonsils are our lymphoid organs which protect us from infections. The shape of tonsil can vary from person to person and asymmetrical shapes are not at all indicators for cancer. The holes you mentioned are called crypts which lodges food particles which can form stones. Hence, regular salt water gargling is advised. A sore throat you had was because of smoking which is a normal phenomenon of a tonsil infection. Hence you need not to worry thinking abnormal shapes of tonsil for cancer which is pretty much normal in all individual. Finally, regular gargling and antibiotic for a sore throat will relieve your problem. If at all tonsils are troubling you a lot, you can get them removed." + }, + { + "id": 15502, + "tgt": "Can tablet Jalra reduce blood sugar level within a short period?", + "src": "Patient: Hello doctor, The fasting blood sugar of my mother, aged 55 is 204 mg/dL. She needs to make it low for an operation within a short period. She has started on tablet Jalra 50/1000 form yesterday. Is there any other medication with a quick result? Doctor: Hello. I understand your concern. I assume that the medication that your mother has started is based on a doctor's prescription. Jalra 50/1000 is a good combination and will help your mother's condition. She will have to take it for around two weeks at least to see a considerable difference. Insulin injections have a faster action on lowering blood sugar levels. There are several different types of Insulin. The correct type for your mother can be decided by her treating doctor based on various factors like age, weight, her daily routine, previous medical history, etc. Please talk to your doctor and see if Insulin is an option for her. If she prefers to take oral medication only, she might have to wait until the medicine shows its action. I hope that answers your question." + }, + { + "id": 13363, + "tgt": "I am on anti-hypertensives. Is my BP normal?", + "src": "Patient: Hi doctor, I am 62 and male. I am on anti-hypertensive medication for years, my current BP is in the range of 140 to 150 (sys)/60 to 70 (dia). Is this BP good enough for my age? Any suggestions, please? Doctor: Hello. Diastolic BP is fine, but systolic is mildly elevated. According to recent evidences and guidelines, lower is better. If BP is persistently elevated above 140, then it is better to add some other medicines to keep it atleast below 140 consistently and preferably below 130 systolic. We are not much concerned about diastolic BP even if goes lower. Since pulse rate is 60, then Concor dose may be increased to 7.5 or 10, but cautiously monitoring pulse rate. Instead better option is to add another medicines like Losartan 25 mg or Chlorthalidone 25 mg. Should also have low salt diet and regular exercises. So, overall, we should target BP a bit lower." + }, + { + "id": 900, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7579, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23331, + "tgt": "My memory is suppressed and I cannot recall a huge chunk. Kindly help", + "src": "Patient: Hello doctor, I seem to have suppressed memories to the point that a huge chunk of my memory and past are gone. I want to recall these deeply suppressed memories but I do not know where to even start. I could really use some help. I cannot remember anything past fifth grade which is worrying because as far as I know apparently there were some really bad events that occurred during that window. I am having problems differentiating false memories (that never happened) and real memories. Doctor: Hello. As you told that your childhood period was full of lots of bad issues and nowadays you are not able to recall those old memories, so it is somewhat good that your mind itself is supporting you to get apart from your bad memories. Do not think that much on this matter as it is not a serious disorder. You may try meditation and relaxation exercises to calm down your feelings. No medication is required at present. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 19383, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15545, + "tgt": "I sprained my thumb. Can I skip a doctor visit?", + "src": "Patient: Hi doctor, I sprained my thumb last week. I still have some pain but grip, strength and movement are increasing. Can I skip a doctor visit? At first, my thumb was swollen and redness was present. I could not bend it at all. After using R.I.C.E, the swelling has decreased to near normal and it is much more flexible. There is still some pain on the index finger side of the joint when pressed, but grip strength is returning. I am now able to straighten the thumb without difficulty but I cannot fully close the thumb on itself. What should be my next course of action - more rest, work on stretching it out or consulting a specialist? Doctor: Hi. Your description of pain, the presence of swelling and redness and its site of maximum tenderness makes me worry about what is called the \"gamekeepers thumb\". This is the injury of the ulnar collateral ligament (UCL) of the thumb. If that is the injury then you should ideally have yourself examined by a doctor to assess the degree of the injury of the ligament. Because a complete tear will require surgery. But from your description, the chances are remote as you have regained movements and the pain is also settling. The main issue with the UCL injury is lack of or weakness in the pinch grip between the thumb and the index finger which can be quite troublesome for people who do heavy work with their hands. Revert back to an orthopaedician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19434, + "tgt": "Will I get cancer as a result of CT scan?", + "src": "Patient: Hi doctor, I am a 50 year old male. My height is 5'11\" and weight is 170 lbs. I do not have any major health issue, but my brother and mother had recently come down with leukemia. Recently had a CT scan of the abdomen and pelvis repeated with and without contrast material. Before four years, I also had three\u00a0CT scans\u00a0due to kidney stones.\u00a0I had one CT scan in my age of 12 or 13 for chest. I am walking around all day thinking that will I get cancer as a result of the CT scan that I had. I am very upset with what had taken place. Furthermore, I searched in internet and it is more scarier to look at the dose levels and the corresponding moderate risk equal to just one CT scan. If just one scan is equal to moderate risk, then what about the total risk of all the scans that I have had? Some additional information that I obtained regarding the scans are, the\u00a0recent scan is 87 DLP which is equal to 14 milligray. Two scans in three years are 564 DLP and 785 DLP respectively.\u00a0I do not know the dose of the scans taken for kidney and chest. Well, I hope to hear from you soon and I hope that my question and concerns are clear for a good answer. Thank you very much. Doctor: Hi. For further information consult a radiologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 20889, + "tgt": "When should I expect my period after taking morning-after-pill?", + "src": "Patient: Hi doctor, I had unprotected sex two days ago. After sex, I took the morning-after-pill straight away after two hours. When should I get my period after taking the morning-after-pill? If I get my period does that mean I am not pregnant? Doctor: Hello. The morning after pill or emergency contraceptive has to be taken within 72 hours in the proper dosage as recommended to avoid pregnancy. Emergency contraceptive affects the menstrual cycle, prevent ovulation, fertilization, and implantation differ in different types of contraceptives. If taken within 72 hours in proper advised dosage, you will get the withdrawal bleed within 1 to 2 weeks maximum instead of your regular menstrual period bleeding. Scheduled menstrual bleeding could be disturbed due to externally induced hormones. As body get rid of hormonal effect, gradually periods take a previous pace for menstrual bleeding or period bleeding as was before taking I-pill, depends on the body's response. Less chances of pregnancy if taken properly in proper dose within 72 hours with no history of vomitings of medication or I-pill." + }, + { + "id": 27068, + "tgt": "I have prolonged period bleeding after taking hormonal pills for acne. Please help", + "src": "Patient: Hello\u00a0doctor, I am a 32 year old female. I suffer from hormonal acne and my dermatologist gave me Yasmin 21 to take for it. I have never been on any contraceptive before. I started Yasmin on day 1 of my period. It has been 16 days and I am still bleeding. It is not much but I still have it daily. It is more like dark-red blood. I am still taking Yasmin, but there seems to be no sign of the periods ending. Earlier, it would last for five to six days. What could be wrong and how to make the periods stop? Doctor: Hello. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 29176, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6432, + "tgt": "I was taking Paroxetine for social anxiety disorder. Please suggest a drug with less side effects", + "src": "Patient: Hello doctor, I was affected by a social anxiety disorder. For the last two years, I first used Inderal for one year and then Paroxetine (SSRI) 20 mg for the second year. When I used SSRI for one year, my problem fully recovered, and later on, by doctors advise, I left the tablets. Now, 25 days passed that I have not used SSRI tablets, and now the problem started again. My face and ears turn red when I try to talk to someone, and I have started to take Inderal 40 mg tablets in the morning. What should I do? Is there any tablet besides SSRI, which works best and has no harmful side effects. As SSRI has strong side effects, and I have noticed it during my discontinuation syndrome. Can you suggest me the tablets which work best as I have to give presentation after some days in my class. Please help. Doctor: Hello. You are reporting a relapse of some social anxiety symptoms after discontinuation of Paroxetine SSRI (selective serotonin reuptake inhibitor) medication. Depending on the extent of your social anxiety symptoms, you have two options: 1) If anxiety is predominantly situational (like giving a presentation in a class and other social interactions), then just taking Inderal (Propranolol) 40 mg once daily as needed should be helpful. Check with your doctor about not having any contra-indications before taking propranolol. 2) If anxiety is pervasive and not allowing you to function normally, you can try other SSRI like Sertraline. SSRIs are one of the safest medications to manage long term anxiety. Did you have any CBT (cognitive behavioral therapy) for managing social anxiety? They are very effective. CBT will lessen the need for medication and will help to prevent relapse. Consult a psychologist in your city for CBT. You can also try deep breathing techniques and progressive muscle relaxation exercise daily." + }, + { + "id": 15329, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22724, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30713, + "tgt": "I have a white spot behind my upper back tooth. What is that?", + "src": "Patient: Hi doctor, I have a white spot behind my last upper tooth. I have attached a photo and mentioned the spot by pointing it. What could it be? Doctor: Hello. Revert back with the answer to the above question to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 21900, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14820, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10615, + "tgt": "I do not feel any sensation in my penis at the time of sex. Does masturbation cause this numbness?", + "src": "Patient: 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. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28500, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29286, + "tgt": "Which is the best mode of transport for 2 weeks old baby?", + "src": "Patient: Hi doctor,My baby is 2 weeks old. I want to know whether is it safe for my baby to travel after three weeks as I wish to drop mother and baby in my wife's place. Which is the best mode for the trip? Doctor: Hi. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 7506, + "tgt": "Is Doxycycline a safe drug for abdominal pain?", + "src": "Patient: Hello doctor, A few days back, I was diagnosed with minimal B/l hydrocele with the right simple epididymal cyst. The doctor gave me some medication, and the pain was gone. After a few days, I have to travel to another place for office purpose. Hence I took my medication in case required. I started the gym as well but now and then I have that pain in testicles and lower abdomen. I could not find the prescription tablets, and hence pharmacist suggest me to take Doxycycline. But after taking these pills, I have unbearable pain. I can attach all my X-ray and reports, but I could not find the option to attach files. Please suggest what to do? Doctor: Hello. Doxycycline is a treatment for any infection for urine. It usually does not cause abdominal pain. For the cause of abdominal pain need to be found out. You will need sonography of abdomen to see for cause if the pain is too severe then physical examination by a doctor will be required to see for the cause. Pain in testes can be due to infection of testes is called orchitis. Or occasionally lifting heavy weight can cause torsion in testes that are emergency condition and has severe pain. If pain is not critical, then you can take tablet Paracetamol for pain and continue Doxycycline for seven days. And will review with sonography of scrotum again. If you have any doubt, you can ask me." + }, + { + "id": 3950, + "tgt": "What are the ways to treat IBS?", + "src": "Patient: Hello doctor, I suffer from IBS about twice a month. I began with pain on left side of chest and left side of tummy. It then goes across the bottom of tummy. I then clear my bowels starting with constipation then followed by very soft stools until I empty. Once emptied I am usually fine with just a tender tummy. Today is so different. I am still having terrible spasms by belly button and both sides of tummy as well as radiating back ache at same time. I feel sick as I do not want food either. I am using a hot water bottle right now. Will this pass eventually? Doctor: Hi. You did not mention what medicine at present you are taking. IBS is a type of autoimmune disorder where you're body's defense system works against you why it is considered to be genetics origin so first of all you should keep in mind that you have to adjust your routine, diet daily activities Medicine are there but they are having very limited actions one of that is Equirex tablet three times a day at leat for 10 days. Fiber rich food like fresh fruits, avoiding stress are one of the important habit choices which helps you much better way. Let us start with this then we see what is the result and where we stand." + }, + { + "id": 384, + "tgt": "How can hip pain be managed in a diabetic and hypertensive patient?", + "src": "Patient: Hello doctor, My mother is having lower hip side pain for almost a week now. She is taking maintenance medicines for high blood pressure (Approvel) and 24 units of Insulin everyday. What could be causing the pain and can I give her pain reliever? Doctor: Hi. Looking into mother's problem, you have got both hypertension and diabetic under Insulin with hip pain. First of all we need to understand what is the association between the current problem and existing diseases. Once we understand why it is happening and try to find its link then it is easy to understand the diseases to diagnosis and help long term treatment preparation.Uncontrolled diabetes can affect the muscles and skeleton, leading to joint pain, nerve damage.There is a link between diabetes, arthritis, and joint pain. Both rheumatoid arthritis (RA) and type 1 diabetes are autoimmune disorders. In both cases, the immune system is attacking an otherwise healthy part of the body. According to Arthritis Foundation guidelines, losing 15 pounds can significantly improve the level of hip pain in a person with Osteoarthritis. So, I would recommend to do: 1. Radiography of hip joint Ap/Lateral view to assess OA changes. 2. RA Rheumatoid factor. 3. CRP-To assess condition of active joint inflammation and destruction. I will follow up with the report." + }, + { + "id": 27863, + "tgt": "My son often has severe cough in the mornings. Could it be an allergy?", + "src": "Patient: Hello\u00a0doctor, My son is 2 years and 8 months old. He has\u00a0a severe cough nowadays, especially in the morning. I am currently giving him Levolin syrup for his cough. Also, he\u00a0vomits after a bout of a cough. He has a history of wheezing and was prescribed nebulizers by the doctor. I need to give him antibiotics almost every month.\u00a0Could it be an allergy? Doctor: Hello. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 6079, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4626, + "tgt": "Will similar group of drugs cause unnecessary problems in a heart patient?", + "src": "Patient: Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field and although I am not a pharmacist or an M.D. I know a little bit about adverse drug reactions. Tell me if this makes sense to you. Metoprolol tartrate 25 mg half pill twice a day, Potassium Chloride 20 mEq once daily, Losartan potassium 25 mg once daily, Warfarin sodium 5 mg once daily, Atorvastatin 20 mg, Digozin 25 mcg once daily and Furosemide 40 mg once daily. I need to know if these medications are fine to take all in one day and if so, I would like to split them into two times a day according to the reactions. I feel that so many medications doing the same thing is redundant and unnecessary and causing problems. Please help me. Doctor: Hi. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the heart and keeps it healthy. So we cannot omit that. The dose is already very low and so we cannot reduce it further. Tablet Losartan, again essential in people with heart attacks. It is a disease-modifying drug. The dose is already less and cannot be reduced. But yes, the timing can be changed to alternate with Metoprolol (one in the morning and one in the evening). The danger is giving Potassium tablet Losartan and Digoxin and can cause increased potassium levels and giving more potassium is highly dangerous. The doctor might have given for some time but it has to be stopped now. Warfarin is given for stroke prevention. 5 mg is a minimal dose. It cannot be removed as stroke prevention is essential. Timing can be made flexible. Atorvastatin is for heart attack prevention. Ideally can be taken at bedtime. Frusemide is a diuretic. There is no specific reason to give this in your case. The only issue I can think of is because of the valve surgeries they want to keep blood volume low. This can be discussed and removed. Ideally can be given in the morning. About Aspirin, it should not be given when you are giving Warfarin. Remove it if it is still on. If the blood becomes very thin then there are chances of brain hemorrhages. I hope this helps." + }, + { + "id": 2999, + "tgt": "I am newly married and my husband does not care for me. How to manage my relationship?", + "src": "Patient: Hi doctor, It has been six months of my marriage and I am getting so much heartbroken and emotionally weak. Since the first day of my marriage, my husband has some or the other issue like trust, with the clothes, my siblings, and my friends. He hardly cares for me, no love is there between us. Over it, my in-laws are also very much interfering. At this point, I do not know what should I do. Because with such circumstances it is not possible for me to be in this relationship. But somewhere I feel can the circumstances change? Please help. Doctor: Hi. I completely understand that you feel disturbed due to your partner-related problems. Every girl faces challenges at the start of marital life. For some girls, it may be difficult to adjust with the new partner/ family. Some of them get adjusted after spending time with in-laws and understanding them. Major problems that arise between couples are due to communication problems e.g., not discussing the issues directly with the partner, assuming that your partner must be thinking like this, lack of communication/not talking about the problems or ignoring them. This may lead to 3rd party involvement such as in-laws start interfering because they see partners are unable to resolve their issues. Detail about the kind of trust and other issues you are facing with the partner. Insufficient information to diagnose. I suggest you some of the strategies which may help you and your partner resolve the marital issues. Take couple counseling from a psychologist and learn effective communication skills to sort out daily life issues. Directly communicate the problems with your partner before discussing it with any third person. Share your real feelings with your partner such as how much you feel concerned about your relationship, how much you love or care about your partner, etc. If communicating any negative feeling e.g., anger, hurt feelings, focus on your tone of voice and body language. A polite talk with the next person can resolve many problems even you communicate your negative feeling, but the key is your polite and low tone and saying words which are similar to your internal or real state. E.g. if you are saying to your partner I love you and saying it with grimaces and loud voice this is not going to communicate your real feelings and the next person will believe in your body language, not the words, which will definitely leave a negative message. In this scenario, if you are trying to resolve the problem by crying or shouting, this will even worsen the problem instead of doing something positive to your relationship. Tell him that you feel to resolve the issues, and wonder if your circumstances can change. Think about something positive in your relationship and tell your partner. For instance, praise his good qualities and anything you like in your partner. Spend time with your partner talking about each other and planning something that you both enjoy. It can be an outing, working together on home chores, laughing/talking together, making love, or anything which you both prefer to do. As you spend time, figure out the reasons for disagreement or conflicts between you and partner. Start working on the issues to resolve the problems. Remember, problems are a part of life, so every time you face a problem, just apply a problem-solving approach. Apply above mentioned tips and techniques. If you face difficulty or further need assistance, you both can directly go to a psychologist office and ask for couple counseling. You are recommended to work on your relationship or start proper treatment as soon as possible. Delay in treatment often results in worsening of relationship and the consequences may be negative. I hope this information is helpful to you. Do take follow-up if you feel the need. Best Regards," + }, + { + "id": 3637, + "tgt": "Can Althea cypriterone acetate ethinyl estradiol help in preventing pregnancy?", + "src": "Patient: Hello doctor, Due to an accident, I had unsafe sex. I went to the pharmacy to get a EPC or morning-after pill. However they said they were not being sold. They prescribed Althea cypriterone acetate ethinyl estradiol (2 mg / 35mcg tablet) from Trust and said to take 1 per day for the next 21 days. However if I understand correctly: Is this a normal contraceptive? I read some things about the yuzpe method, how would this work with the contraception described? And I already took one pill an hour ago. What should I do? I do not want to get pregnant. Especially since this is the 13th day since my menstruation, I am getting worried. Doctor: Hi. You should get emergency pills if they are selling normal contraceptive pills. Anyway in emergency pills the dose of hormones are more. So you can take 4 tablets two times a day for 2 dose. Can also works same as emergency pills. But at the same time you should understand that emergency pills are not 100 % safe and there is up to 30% chance of failure. But have only option after unprotected sex. When you stop taking tablets than there can be withdrawal bleeding within 7 days. And your cycle can be irregular for 1 or 2 periods if you are not pregnant. Best way to confirm whether pills worked or not is to wait for 15 days atleast and do urine pregnancy test on kit and see. If turns to be positive than you are pregnant and if negative than pills worked well. Do drink more water. Chance of failure is because pills worked by stopping ovulation but if ovulation already happened than it will not work. So have to wait and watch after taking pills." + }, + { + "id": 9960, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18335, + "tgt": "Is hypothyroidism totally curable with medicines and how long do I need to take medicines?", + "src": "Patient: Hello Doctor, I am 30 years old. My TSH level is 36.5. Is hypothyroidism totally curable with medicines and how long do I need to take medicines? Doctor: Hi. Hypothyroidism is not totally curable. You may have to take medicines for your lifetime. If you have not yet started medicines, I advise you start taking tablet Thyronorm 75mcg daily morning in empty stomach. Repeat TSH after 2 months and revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 12079, + "tgt": "Is it normal to bleed heavily with clots after medical abortion?", + "src": "Patient: Hello doctor,This is an emergency. I underwent a medical abortion at eight weeks stage and everything was going fine but suddenly since yesterday, I have been bleeding very very heavily. It happens suddenly and there are large clots as well that passed out. I took the medical pills two weeks back. Please can you help me out? Doctor: Hello. If you are having heavy bleeding then probably your abortion was not complete. You should immediately get an ultrasound scan to see if the uterus is empty or not. If the uterus is not empty then you have to get it resolved by removal of products of conception by using instruments. If you will neglect this it may lead to sepsis and adverse effects on your health." + }, + { + "id": 29956, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5945, + "tgt": "The cap from my root canal treated tooth came off. What is the reason?", + "src": "Patient: Hi doctor, Five years ago, I had root canal treatment and got the cap fixed. Now, the cap is coming out always. What to do? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10828, + "tgt": "I take Olanzapine. Why am I having headache, cramps, nausea, and bad morning sickness?", + "src": "Patient: Hello doctor, I have headache, cramps, nausea, bad morning sickness, back pain, hunger, feel light headed. I am taking Olanzapine and Zyprexa. Doctor: Hi. The symptoms that you mentioned are common side-effects of Olanzapine (Zyprexa). Please, do your best to tolerate the side-effects especially in the beginning of therapy (if you just started taking the medicines) as in some situations the side effects decrease in intensity by time. I strongly advise you not to stop this medicine or skip doses as it is extremely important to stick to its dosage and continue to follow up with your doctor." + }, + { + "id": 21371, + "tgt": "Why is there eruption of two teeth behind premolars?", + "src": "Patient: Hi doctor, I am 20 years old. I have two teeth growing behind premolar teeth. I have one tooth grown a previous year, and another tooth has started growing today. Doctor: Hi. Anything other than usual is never good. First, we need to know whether it is extra teeth or natural teeth growing in a different place. Why do you have these extra teeth? Is it interrupting the other teeth and disturbing the mouth position or no issues with it? We need to know the answers to these questions, and if they are not causing any trouble, you can leave them. Visit a dentist and get yourself examined, then get an X-ray done. After checking you clinically and with the help of X-ray, then the dentist will confirm whether you have any problems with them or not. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 10012, + "tgt": "Why does one develop swelling after snake bite?", + "src": "Patient: Hi doctor, I am a 40 year old female. I got cottonmouth bite on the back of the left and right ankle. Three people saw and confirmed that as cottonmouth. I do not believe much venom was released. It happened under shallow water. I got immediate pain as if repeatedly the ankle and feet got hit with a bat and a burning swelling began quickly. I went to the ER. They monitored my blood for two hours and decided no antivenom. I was not given either a tetanus shot or any antibiotics. From the laboratory work, they said everything looks good, but I could not stand or walk. They sent me home with Ultram and Ibuprofen 800 mg. After two days, the swelling slightly increased instead of going down. My fiance took me to different hospitals. The swelling and the fang marks were evident. Again, the laboratory work came back as normal. I was still in pain and swollen ankles. They gave steroid IM injection and Prednisone pack and suggested antihistamine. It has been six days. Still, I cannot stand, walk or care for myself in any way. The swelling has not got down. I have kept it elevated and put some cool fabric packs on swollen areas. It seems to help with burning sensation. I have been drinking Echinacea tea, water and taking all medicines prescribed such as Ultram, Benadryl, Prednisone and Ibuprofen 800 mg. Back of my legs up to the thigh is swollen, entire legs hurt and tender to even minimal touch. Bruising has darkened and the swelling has not gone down. There are no red lines and no skin rotting. What shall I do now? I want the swelling to get relieved. I am scared. How to reduce the swelling? Please tell me what I need to do just to be able to stand briefly. The pain has subsided from 10 to 5, but if I try to stand by just keeping the foot down towards the floor, then the pain is excruciating. Please help. Doctor: Hi. I could understand your crisis. For further information consult a toxicologist online -->https://www.icliniq.com/ask-a-doctor-online/toxicologist" + }, + { + "id": 12250, + "tgt": "What makes my one eye look bigger accompanied with pain?", + "src": "Patient: Hey doctor, In previous one year my right eye is looking bigger than other and it is paining sometime. Why does it happen and the solution for it? Doctor: Hello. The two common causes of such a presentation could be that either: 1. One of your eyes is either big in size. 2. That the eyelids of your other eye have swollen up or one is pushed out or one eye has a squint, giving an apparent prominence of the other. Both causes are dangerous in that, they both can hamper your vision in several forms. Rare instances of life-threatening tumors are also reported, I have run into patients with such problems. Given that you have pain, I guess that it could be one of the latter causes. I recommend that you see an ophthalmologist for your issue. In case you need more help, please send me a picture of your eyes, pointing to where exactly it pains, I will do my best to help." + }, + { + "id": 12170, + "tgt": "I am not able to release sperm after circumcision. Kindly help", + "src": "Patient: Hello doctor,I am 29 years unmarried man. My penis upper skin was tight so I did circumcision 50 days before. Before circumcision, I was not having any problem but after circumcision, I have lost the sensation and even if I watch porn, still sperm is not coming out. Could you please advice? Doctor: Hi. I can understand your concern about your symptoms. It is post-surgical, I can give some time. Other reasons are such as: 1. Stress. 2.\tDepression. 3.\tFear of failure. 4.\tLow self-esteem (chronic masturbation). 5.\tHomosexuality. 6.\tReligious constraints. 7.\tLong term illness. 8.\tA negative attitude towards your partner. 9.\tHormonal issue. 10\tLong term drug usage. If you can answer these questions, we can work it out." + }, + { + "id": 5243, + "tgt": "I am getting symptoms resembling tetanus due to long time Strychnine injection. Am I likely to recover?", + "src": "Patient: Hello doctor, I have reason to think that I have been ingesting small amounts of Strychnine over a long period of time. Not enough to kill me. But enough to cause noticeable symptoms. The symptoms resemble tetanus. Extreme jaw muscle tension to the point that I have trouble chewing sometimes, paralyzing neck muscle tension and general stiffness through out all the muscles. Extreme irritability, anxiety and tremors. And extreme trouble breathing as well as dementia-like symptoms. My question is if I have been ingesting small amounts of Strychnine are there any tests that will show it? Will small amounts of Strychnine build up in my hair follicles? Will any signs of it remain in my blood? How long after ingestion will traces still be detectable? And what is the best method of determining whether or not it is, in fact, Strychnine that I have been ingesting? What kind of symptoms can I expect after long term exposure? Are the symptoms likely to continue after I am no longer exposed? And am I likely to recover? Doctor: Hello. What is your age? Since how long have you been ingesting Strychnine? In what form and amount? Though there are one such diagnostic tests available to detect Strychnine poisoning other than typical signs and symptoms like generalized effect of muscles, convulsions, etc. Chemical analysis can be done to reveal the poison. Yes, continuos use of Strychnine can deposit in the body and can be detected many years after death as well, but not in hair follicles but in the spinal cord. Some amount of Strychnine also gets secreted in milk, saliva, sweat, etc. To know whether it is Strychnine apart from test typical signs and symptoms will conform it. Presence in the body and detection of the same would depend largely on the form of poison consumed. The presence of symptoms must be treated with certain drugs. Long term exposure will cause it to accumulate in the body. I hope this helps." + }, + { + "id": 26099, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23731, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10364, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16585, + "tgt": "My dad felt lightheaded with loose stools and sweating. Is that heart attack or food poisoning?", + "src": "Patient: Hi doctor, My dad's age is 59. He is a diabetic patient. He suddenly got a severe stomach ache and passed loose stools. He also sweated more and felt lightheaded. I feel that he is abnormal. He refuses to go the hospital and he believes that if there is a pain in the chest,\u00a0then it is a heart attack. Is this a symptom of heart attack or food poison? If it is a symptom of heart attack, then what is the immediate remedy that can be done at home before we go to the hospital? Can we use Ecosprin? Doctor: Hi. I have noted all your father's details. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19982, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 849, + "tgt": "Why am I having itchy and dry eyes with eye pain?", + "src": "Patient: Hello doctor, I am having itchy and dry eyes for the past one week and recently experiencing some eye pain also for the past two days. My eyes are getting tired fast, and I cannot look at a laptop screen for long periods, there is a constant irritation near both the eye corners. But the itching occurs sometimes, it is not constant. I am taking refresh tears eye drops for 2 times for the past two days and warm compresses, and it is feeling better after that. In the past one month, I had severe tonsillitis for which I took some medications. It had some side effects, that led to a thyroid disorder, which is getting better now. I wanted to know if this condition is serious, and whether I should continue taking the drops. Also, my father has glaucoma, so is my vision in any kind of danger. There is no redness as if now. I am a 20-year-old female. Thank you. Doctor: Hello. What you are suffering from is computer vision syndrome. Modify your computer working habits work in a well lit room always even if using laptop try to work on a table nd chair and chair should be good, ergonomic supporting your spine, main light should come from behind your back. Remove your eyes from screen every 20 minutes and look at distant object for 20 seconds. Work on a HD screen or retina display screen. Take 5 minutes break every 45 minutes. Make a rule whenever you press a common key like enter or space or even when touch track pad you will blink your eye because that is essential to blink eyes 15 times a minute. Disconitnue Betonosol eye drop please. Use refresh tears eye drop 6 times a day regularly. If any discharge or redness develops please let me know these are not signs of glaucouma. See in glaucoma there is no pain so early. Then too after situation of lockdown improves then please get IOP checked to rule out glaucoma" + }, + { + "id": 818, + "tgt": "Why do I have some difficulty in removing the denture?", + "src": "Patient: Hi doctor, I am new to dentures. I am wearing it for approximately two months. When I take my dentures off, the Fixodent makes it difficult to remove and it tears my gums. I wanted to know if there is anything I can use to aid in the removal so that it is not so difficult, time consuming or painful to my gums. Doctor: Hi. I can understand your concern regarding your dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19135, + "tgt": "Can cataract surgery be had in a person with high blood sugar levels?", + "src": "Patient: Hello doctor, My 68-year-old mother has cataracts in her both eyes. She is advised to have a cataract surgery in her right eye. But her blood sugar level is 150 mg/dL at fasting and 190 mg/dL postprandial. Her HbA1c is 8.8%. We are confused whether cataract operation can be undertaken with this sugar level. Please suggest Doctor: Hello. For any surgery be it cataract surgery or any other, blood sugar levels are needed to be in control. Fasting less than 110 mmHg and postmeal less than 140 though levels you have mentioned are not so high. The problem is your mother's HbA1c (glycated hemoglobin) is 8.8 which shows her blood sugar has been high for the past three months. Get in touch with your doctor who is taking care of diabetes and get her treatment revised. We need normal sugar for at least two weeks before one can go for surgery. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 958, + "tgt": "Is thalassemia minor genetic?", + "src": "Patient: Hi doctor, My girlfriend has thalassemia minor trait and I am a healthy individual person. If I get married to my girlfriend, is there a risk of this trait for my future children? Please give me some advice. Thanks a lot. Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 16927, + "tgt": "Why do my eyes hurt after staring at a computer for 30 minutes?", + "src": "Patient: Hello\u00a0doctor, I am a programmer, and I use the computer for 12 hours every day. My eyes start hurting after 30 minutes of staring at the computer. I\u00a0do not have any vision issues, apart from the pain that I feel. Doctor: Hello. I hope this will help you. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30978, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 18711, + "tgt": "After taking Geminor M1, I am losing weight. What shall I do now?", + "src": "Patient: Hi doctor, I am 33 years old. Before 10 months, I came to know that I am a diabetic. My fasting sugar was 155 and PP was 215. My doctor prescribed Geminor M1. My HBA1C is 5.5 and ABG is 111 now. The issue is that I am more skinny now. I was 62 kg when I was diagnosed and now I am 58 kg.\u00a0Please tell me what to do. Doctor: Hi. For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24751, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30362, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11267, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 17407, + "tgt": "Is the smell of car paint dangerous to lungs?", + "src": "Patient: Hi doctor, My car just got back from the workshop and got a new lacquering spray paint all over after storm damage. When I got my first ride,\u00a0I still felt a spray paint smell inside the car. Of course, I drove with open windows and tried to clean it as much as possible. Now, after a week the\u00a0smell is still there, but a lot less strong.\u00a0What I am concerned about is, is this smell dangerous for my lungs? Or is this just something I should not worry about? After sitting in the car for 20 seconds, I do not feel the smell anymore.\u00a0I read on the internet about lacquering and all the awful chemicals such as Isocyanate. Is this something dangerous while working with it?\u00a0I do not have any symptoms unless a very stuffy nose and dry airways after driving for 2 hours with open windows and 9 degrees Celsius outside. Please\u00a0make me feel safe. Doctor: Hello. For further doubts consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 1989, + "tgt": "The mice I came in contact with developed red spots on the skin like me. Did I infect them?", + "src": "Patient: Hello,This is not an average question but I hope someone may help me. A few months ago I have been diagnosed with atypical dermatitis. My simptoms were red spots regularly appearing and disappearing. They were not itchy except (slightly) on the scalp and forefront. Shower was exacerbating the symptoms for about 30 min, but a reaction to shampoo and soap were excluded as this was happening even only with water. I took oral antifungal on GP prescription, but nothing changed. Now for the wierd part. I work as a PhD student in preclinical oncology. I often work with mice and I realized that some of the mice I came in contact with were developing red spots. The only difference is that while my spots are slightly swallowed, on the mice they are deep like the outer layer of the skin is missing. The vet said they are not in pain. They seem not to spread the disease (e.g. 6 mice per cage, only 1 with symptoms for several months). This happens only on mice I came in contact with. The spots on mice extend with time up to 20% of the skin surface (for what we observed), but causing no mortality. The mice used here are NMRI nude mice lacking T-linfocytes. I think an atypical dermatitis is not contagious, so how could it be? Could my diagnosis be wrong or are the spots on the mice an uncorrelated thing? Than you in advance for any help! Doctor: hi the type of description of your reasons it appears that you are having hives or urticaria. it is a slightly raised red or white lesion which occur on the skin and disappear on its on after few minutes or hours this occur due to allergy to some internal or external agent that maybe water, in case of aquagenic urticaria. had you included a photo I would have helped you more. as far as the lesion in mice are concerned you are saying that outer layer of the skin has gone so it actually appears to be type of skin like necrosis . and in your case there is no such lesion, a typical dermatitis as diagnosed by GP is vague term and general term sometime used when you cannot reach a specific diagnosis. please send a photo if it is due to water note that whenever you touch water to some part of the skin it happens or not. take fexofenadine 120 MG once daily for a week and then tell me how much response you have, you can also take it as per need like alternate day for every 3rd or 4th day. do lot of oiling of the skin, dont use Harsh soaps and avoid any irritant application thankyou" + }, + { + "id": 27301, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10929, + "tgt": "Is it serious to have mild cerebral edema, with facial fractures and post-nasal drip after accident?", + "src": "Patient: Hello doctor, A 23-year-old male patient hit with bike accident, fell on back side of head, CT scan reports reveals mild cerebral edema, with some facial fractures, currently patient is having blood clots discharge as post-nasal drip, and not associated with headache, dizziness, seizures, fainting, etc. Please let me know the cause for blood clots discharge as post-nasal drip and is mild cerebral edema complicated? Doctor: Hello. I have read your concern. You might be worried of the cerebral edema if this will cause any harm. A repeat 48 hour CT scan if with any signs of wakefulness deterioration is warranted if that ever happens. The blood clots is a sequelae of the trauma to the face. Most commonly this is part of the superficial veins near the nostrils called keisselbachs plexus. This will heal. Give it 2 to 3 days until it gets crusted by itself with the help of the antibiotics to lessen chances of infection. If the CT scan is normal other than the mild cerebral edema is seen, then no further medical and neurosurgical procedure is needed. The zygoma fracture and orbital fracture is also not worrisome if does not cause any deformity (like a protruding bone), and does not need any procedure for it if it does not obstruct your visual field or puncture the globe of the eye. I agree with antibiotics and saline spray three times a day. It would also help taking some Ibuprofen to lessen the inflammation and swelling, if taken every eight hours." + }, + { + "id": 23151, + "tgt": "I read that self-tanning creams can cause cancer. Is it true?", + "src": "Patient: Hello doctor,I am 32 years old. I was using self-tanning creams around seven years all year long. I have stopped for the last two years. I am worried because I have read that self-tanning creams are causing cancer and tumors. Is it true? Are they out of my system or will it take years to appear if they caused me cancer? Doctor: Hello. Yes, self-tanning lotions are known to cause skin cancer. Please stop using it and avoid exposure to sunlight without a sunscreen. Use a sunscreen with SPF 50 or more, apply every fourth hourly. Look for any changes in the skin, any bumps that look different, any changes in moles. Seven years is too long. I would suggest you visit a dermatologist for full skin examination so that any abnormal skin lesion if present, can be picked up early. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15095, + "tgt": "How can I cure toothache at home quickly?", + "src": "Patient: Hello doctor, I have a severe toothache. I have tried clove on it but that only takes the pain away for 2 to 3 minutes and my tooth is rotted and another tooth is growing out of it. What is the fastest way to cure it at home now? Also, do you think they can put me to sleep and then take the decayed tooth out? Doctor: Hi. Home remedies will not give long-lasting relief from pain, therefore you should consult a dentist and get evaluated. A combination of antibiotics and anti-inflammatory painkillers like Ibuprofen can help in reducing infection and also relieve pain. The tooth can be removed after numbing it, therefore, you do not need to get general anesthesia and just numbing the tooth and adjacent structures is sufficient." + }, + { + "id": 27503, + "tgt": "Do I hear little sounds in a quiet room due to my anxiety?", + "src": "Patient: Hello doctor, I am a 34 year old female, and my hearing is good, Is it fine to hear little sound in a\u00a0quiet room? Can there be a\u00a0sound of our brain or blood flow?Are these idle mind's thoughts? Doctor: Hi. Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13366, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15066, + "tgt": "I had a dental scan on the day I conceived. Is it fine?", + "src": "Patient: Hi doctor, I had a dental scan the week I conceived my baby or possibly the day I conceived. Should I be worried? Doctor: Hi. The dose of radiation in a dental X-ray is very less and approximately 0.01 mSv. This will not cause any significant harm if you got X-ray done on the day you might have conceived. Please avoid X-rays during the pregnancy." + }, + { + "id": 19566, + "tgt": "Kindly suggest ways to cure the snoring", + "src": "Patient: Hello doctor, Sometimes, I snore at night. It disturbs my wife. If I turn on my side, the snoring stops. But can you suggest ways to cure the snoring? Doctor: Hello. This is likely related to obstructive sleep apnea. Do you also have any symptoms like interrupted sleep, unrefreshed sleep, morning headaches, daytime sleepiness, etc.? These may be the associated symptoms. It is a condition characterized by obstruction of upper airway especially during sleep due to lax airway and narrowing of airway due to obesity or excessive fat deposition. You need to undergo ENT examination if you have any symptoms of nasal stuffiness, recurrent tonsillitis to rule nasal causes of obstruction. Thyroid function test, polysomnography which is a sleep study to confirm the diagnosis and extent of disease, the pressure of CPAP needed. In treatment, the first thing is weight loss. You need to have low fat, calorie diet in order to loose weight. Cure for this is weight loss. Secondly, CPAP which is mask and device, and pressure during inspiration and expiration during sleep in order to keep your airways patent and avoid this from happening. Also, regular exercises are very important. Chest physiotherapy and yoga will be helpful. So, you either get this done or visit nearby sleep specialist or pulmonologist." + }, + { + "id": 6532, + "tgt": "I have chest congestion, acid reflux, and heartburn. Is it GERD or a heart attack?", + "src": "Patient: Hello doctor, I am a 25 year old male, who weighs 240 lbs,\u00a0and I am 5.10 feet tall. Tonight I had what I think was acid reflux or heartburn. I was not sure about it, as I have never had it. I felt like something is stuck in my throat, and also I felt a chest congestion\u00a0when I tried to cough. I was reading online about the symptoms of GERD\u00a0but also started reading about heart attack symptoms. I did not have any noticeable chest pains, but after reading about how people have a feeling of uneasiness, I had a weird feeling rush over my body for a brief second or two that felt like pins and needles and numbness, then I came back to normal. Is this a sign of anxiety, hypochondriasis, or a\u00a0heart attack? Doctor: Hi. Thanks for your query. Let go of your anxiety. Gastroesophageal reflux disease is 80 % corrected by simple diet and lifestyle modifications. So, I would suggest you try the following. Your symptoms could also be due to multivitamin deficiency, especially, vitamin B12 deficiency. Hope this helps. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27448, + "tgt": "Why do my pupils constrict when I get nystagmus, despite being in total darkness?", + "src": "Patient: Hi doctor, I am a 21 year old female.\u00a0I suffer from very rapid up-beating and sometimes down-beating nystagmus, which exclusively occurs in the absence of visual stimulation. That is with my eyes closed and Frenzel goggles on. When the nystagmus occurs quite intensely, my eyes will bounce under my eyelids and cause quite a nuisance. My neuro-otologist provided me with goggles to record my own eyes. From the recordings, I notice my pupil constrict significantly when they nystagmus occurs intensely despite being in total darkness. Why do my pupils constrict when the nystagmus occurs despite being in total darkness? When the nystagmus stops, my pupils dilate back to the normal size. I was diagnosed with a vestibular migraine. My symptom includes vertigo, dizziness, headaches, balance issues, binaural tinnitus, and cognitive issues. I have undergone routine vestibular testing. My rotational chair and caloric test results came back hyper-responsive. VEMP testing came back normal. And my brain MRI came back unremarkable.\u00a0I have been on Amitriptyline 25 mg, and I am currently on Pizotifen 0.5 mg. Doctor: Hi. I read your query and understand your concerns. I hope this answers you.\u00a0If you have more questions feel free to write back to me.\u00a0Thanks and regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9245, + "tgt": "What causes semi-runny diarrhea that has an orange or brown pigmentation?", + "src": "Patient: Hi doctor, I have experienced semi-runny diarrhea that has an orange or brown pigmentation. It is not bloody, nor contains mucus. I passed this when I woke up at three in the morning because of something, and before going to sleep I had experienced some stomach aches but ignored them and slept through. During breakfast, I had eaten a yellowish curry type of food. I had a couple of snacks midday which contains an extremely red pigmentation and also a bag of puffs which contain an orange pigmentation. I then had brown rice for dinner before the stomach aches began. I also drank a drink made from a mixture of water and a red syrup a few times during the day, though not many amounts. The only medication I am taking now is Amoxicillin (bad sore throat, recommended by a doctor), and I also have slight acid reflux so the intensity of the snacks may have not done well. What is the cause of my extremely orange diarrhea? It is like a copper-orange and brown color. I am 18, female, 5\u20193\" in height, no records of this before. Doctor: Hello. You may need not to worry about orange colored stool. It could be due to food intake that contains carotene. I suggest you take Rabeprazole 20 mg OD antacid for week. The associated gastritis can be responsible for stomach pain. If after 3 to 4 days stomach pain and loose stool continues, then investigate with stool routine micro-examination and occult blood test for further work up. Drink more water to maintain hydration. Vital Z with water also should be taken to maintain electrolyte balance." + }, + { + "id": 9103, + "tgt": "A year ago my root canal filling fell off. How bad can it be now?", + "src": "Patient: Hi doctor, I had a root canal and the filling fell off. I am too afraid of dentists. Hence, I did not go back to get a permanent filling. How bad can it be now? It has been a year. What to do? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 7177, + "tgt": "What causes black tongue and a purple patch on the skin after oral sex?", + "src": "Patient: Hi doctor, 10 days ago I had oral sex with CSW while drunk. I visited the GP the next day who gave me PEP, now nine days. Yesterday, I saw a hairy black tongue and freaked out. Visited local clinic, was prescribed mouthwash and Miconazole cream and did HIV 1 and 2 antibodies, due, hep B and VDRL- all negative.Also saw a small purple patch on the right forearm. I am not sleeping, worried sick. I want to know the risk of HIV and if confirmed very low, what is probably going on with black tongue and a purple patch on the skin. Intend to get the HIV PCR test done in RSA on day 13. Please advise. Doctor: Hi. First, as per the history of 10 days contact, you will not possibly have HIV related symptoms. Second, the rash appears to be localized and not related to HIV or contact, it indicates local allergic reaction (attachment removed to protect patient identity). It resolves automatically or uses tablet Cetirizine. Third, black tongue, not sure by pictures, if any, can be due to Nevirapine, which can give that and please specify the drug in PEP. Finally, using PEP after exposure is very good and it nullifies any risk. There are no known cases of getting HIV, post PEP use. So, continue PEP as advised. You are negetive and have very low chances but they are nullified by using PEP. So, worry not regarding HIV." + }, + { + "id": 11419, + "tgt": "I am trying to conceive but I am spotting in my last two cycles. Why?", + "src": "Patient: Hello doctor, I have been having spotting during my past two cycles on an off for days on end. I am not sure if I should be concerned. I have stopped birth control for over one year, and I am trying to conceive from the past two months. I have had a couple of urinary tract infections during these cycles. I am worried that my hormones are out of balance. Doctor: Hello. The presence of pinkish-brown spotting in the proliferative phase of your cycle does indicate that you are having inadequate endometrialization possibly due to decreased serum estradiol levels during the phase. Also if the spotting turns darkish brown in the second phase of the cycle, then the level of progesterone is also inadequate which can cause early spotting premises as well. It is suggested that you should get your hormonal profile for day-2 of cycle done and also take to sequential ultrasonographic follicular and endometrial thickness monitoring which would indicate the state of endometrialization due to estrogens and also the correct time of ovulation. This can be corrected by starting estradiol pills in the first half of the cycle followed by progesterone-only pills post ovulation, which shall prevent these bleeding episodes." + }, + { + "id": 25604, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30641, + "tgt": "My daughter's left eye closes when she smiles. Is it something to worry?", + "src": "Patient: Hi doctor, For my 8 year old daughter, her left eye closes when she smiles. This is very prominent and regular lately in the last one month. Earlier, it was very occasional. Is this something to worry? She is far sighted with -0.25 in both the eyes, but does not wear spectacles regularly. Doctor: Hello. Revert back with the answers to the above questions to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21880, + "tgt": "What does an irregular heartbeat mean?", + "src": "Patient: Hello doctor, Just tonight I started having an irregular heartbeat. I have no other symptoms. I am not weak or dizzy or lightheaded. It has been going on and off for about five hours. Doctor: Hi. I understand your concerns. Your symptoms are most likely due to heart arrhythmia most likely AFib (atrial fibrillation), the most common arrhythmia which causes palpitations and may be completely asymptomatic. The other possible causes include SVT (supraventricular tachycardia) or other heart arrhythmias. Please provide me with more details in order to reach the appropriate diagnosis. Is it the first time you have this symptom? Do you have any health problem (thyroid or heart)? My advice is to perform ECG (electrocardiography) and send me the report. Measure your blood pressure. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20657, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22435, + "tgt": "Does my sonar result sound like I am pregnant?", + "src": "Patient: Hi, Welcome to icliniq.com. I went for a sonar as I did two pregnancy test and both show faint lines but still got my monthly cycle as it was not the same it was watery at first and very little the second day. It was heavy but still light and lasted only three days. I was late by two weeks this month. The sonar showed an oval almost water drop like dark line and the doctor said he does not know what it is. It is above the pregnancy line. The way he described it could I be pregnant? Doctor: Hi. How are you doing? Let me start by giving you a few basic facts about fertility and pregnancy. When blood levels of Beta hCG hormone (the pregnancy hormone) are above 25 miu/ml urine test becomes positive, that is you get two lines. If it was faint, maybe the levels were just above 25. You can see a pregnancy on scan only when the levels of beta hCG is above 1500 miu/ ml. So what you saw on scan might mostly be a thickness in endometrial lining. From your history, I presume the pregnancy was not strong enough or healthy enough to survive, so you had your period. No matter how the daily bleeding was. If you still want a confirmation, have a serum beta hCG tested today, it will give you a baseline value. Then repeat it after 48 hours, that is two days. If it is a healthy pregnancy, it will double or else it will be the same or fall if an unhealthy pregnancy. Do not worry about the scan, it is too early to see anything on the scan. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 27861, + "tgt": "I woke up today morning with wheezing and cough with mucus. What should I do?", + "src": "Patient: Hello doctor,I am a 41 year old female. I woke up in the morning with wheezing, throat congestion, and cough. The cough was not dry but with mucus. It looks like the weather has triggered it. I have experienced this condition previously at the same time of the year. I also feel some heaviness in the chest. Please suggest. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 17298, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2174, + "tgt": "Accidentally, I ate a small piece of paper. What to do now?", + "src": "Patient: Hi doctor, I accidentally ate a small piece of paper\u00a0last night. I drank plenty of water and also ate normal food, but still I can feel it. What to do? Doctor: Hi. \u00a0I can realize the sensitivity of the issues you have right now. But do not worry as there is nothing that cannot be managed. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18678, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22096, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16134, + "tgt": "How to get relief from back pain?", + "src": "Patient: Hi doctor, I have back pain for the past three days. I do not know the reason behind it. I usually sit in front of a laptop for 10 hours daily. I have the pain while sitting or standing or when I bend. I do not have it when I sleep at night on the floor. Please help. Doctor: Hi. Back pain comes from fatigued muscles. Your back muscle gets relaxed at night. So you do not have the pain at night. Sitting for long hours can aggravate back pain. Poor posture while sitting can also lead to back pain. Do back extension exercise, and sit only for 25 to 30 minutes on the chair. Sit in a chair which is having lumbar support. Take NSAIDS (non-steroidal anti-inflammatory drugs) for a few days." + }, + { + "id": 28680, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4927, + "tgt": "What does restrictive disorder in spirometry test imply?", + "src": "Patient: Hi doctor, I have breathing difficulties. I had a spirometry test that showed a restrictive disorder. I recently had a CT scan and waiting to see my specialist in the end of the month. I was wondering what could indicate this type of problem? I can attach my CT scan. I am currently taking Plaquenil to help urticaria. Doctor: Hi, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). The CT (computed tomography) scan which you attached is showing ground glass with mild reticular changes in your basal regions and from the history which you gave it could be an interstitial lung disease (restrictive pattern in spirometry and ggo in CT chest), and in the next visit, I would advise you to go for a DCLO (diffusing capacity for carbon monoxide) and serum IgE (immunoglobulin E) levels." + }, + { + "id": 8923, + "tgt": "Due to congested nose, I am breathing through mouth. What is the treatment?", + "src": "Patient: Hello doctor, I am a 27-year-old female with height of 5'7\" and weight 120 pounds. Every few days, I have been having a hard time in breathing through my nose. I sound congested, and end up blowing out a considerable chunk dark in color. It is the the same for the past six months, or so. I have not been able to breathe through my nose very well. And while sleeping, I have to sleep with my mouth open to breath. Why is this happening? And what is going on in my nose? Doctor: Hello. We have to rule out any organic lesion in the nose as that can cause difficulty in breathing through the nose. The deviated nasal septum, polyp (edematous mucosa), etc., can be a possibility. I suggest you rhinoscopy nose examination first to rule out above lesion. The second possibility could be inflammation in nasal mucosa leading to enlarged turbinate which causes difficulty in breathing through the nose. You can take Levocetirizine 5 mg once a day for a week. Take one teaspoon turmeric powder with milk daily. Steam inhalation with warm water three times a day can be beneficial. I suggest you consult otorhinolaryngologist for your rhinoscopy nose examination and further management. I hope I have answered your question. I will help you further if needed." + }, + { + "id": 5935, + "tgt": "I have spondylolisthesis. Can I plan for pregnancy?", + "src": "Patient: Hi doctor, I am a 25 year old dance fitness instructor. I came to know that I have grade 2 spondylolisthesis of L5-S1. I do not experience severe pain. But, in the case of heavy\u00a0jerk or periods, it pains in the lower back. I have reduced my activity since I know the issue. Also, I am on regular thyroid medication. Is it fine to plan a baby under such circumstances? Please guide me. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27958, + "tgt": "I am suffering from chronic migraines. What to do?", + "src": "Patient: Hello doctor, I am a 30 year\u00a0old male, who is suffering from chronic migraines. Occasional marijuana seems to have helped. But, I test positive for drug tests. What do I do? Doctor: Hello. I just read your query. Try all these regularly for good results. I hope you find my answer helpful. For more queries, you can consult me. Thank you. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19337, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 331, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4667, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 23261, + "tgt": "Why do I have a double urine stream?", + "src": "Patient: Hello doctor, I have recently developed a double urine stream from last week. I have anxiety and had all sorts of urinary tract issues and bowel issues with anxiety. Frequent urination, splashing urination and trouble urinating and I think double urination is the next in line. I had an ultrasound two weeks ago and result said no significant findings of the prostate gland. I had a TURP (transurethral resection of prostate) two years ago. So, they compared my prostate to that one Psa 1.5 and pre-void 265cc and post void 22cc normal jets. Currently, I am on 75 mg Effexor. Now the two streams happen 30% of the time and if I pinch my penis it goes back together. But sometimes not. I have seen it come together midstream and go apart midstream. Doctors here feel the double stream is linked to pressure on the bladder, from anxiety. What do you think? Doctor: Hi. The split stream can be due to narrowing of the urethral opening or sometimes due to voiding with high pressure. If you consult your urologist, get a uroflow test done. If there is any narrowing, it will show in the flow. Splaying of the stream can sometimes be prevented by pissing with foreskin fully down (non-retracted) provided you are not circumcised. Also, if frequency and urgency are problematic, add an anticholinergic. Consult your specialist doctor, discuss with him or her and take medications with their consent. You may upload uroflow reports when you have them. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28112, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12875, + "tgt": "How will a child with autism behave?", + "src": "Patient: Hi doctor, I have just noticed recently my 15 months old when he plays with his electronic toys that light up. He will look closely at where they light up and open his mouth like a stun. It does not happen all the time though. I know this is a sign of autism. But he has great eye contact, responds to name, asks for help with something, babbling, says words like nah, dada, nana for banana, he will point to banana in the book and say it. That to me is pretty smart for a 15-month-old. Imitates, for example, claps hands understands when I say something like, hey Siri he looks straight at the phone. Waves bye we do not even face to say goodbye just I am going or when dad leaves for work and he waves. Loves cuddles sometimes he will gnaw in my arms and make noises. Do not know if that is just a soothing thing he does. We went to playgroup yesterday and looked at what others were doing smiling and laughing. Walked by 14 months. Follows others if they go somewhere, he will open his books and sound out what they are and looks at me as he does it. I know these all sound like a normal developed child, but I am just worried he will not outgrow what he is doing and later develop it. Am I worrying for nothing I just wanted to get your thoughts. Doctor: Hi. Please note that whatever you have described is a sign of a normal growing child. It is not a sign of autism. These are signs of the child grasping the knowledge of the things and interacting with things around him. Please do not worry. Also, I would advise tender loving care to your child. Spend more time with the child and interact more often with him. Your child should be fine if your interaction with him is fine. Find age-appropriate toys and games for him. It will improve his intellect. One thing I would advise is to prevent giving your phone or for that matter any phone to the growing child. Handing over a mobile phone to any child cancels all human interaction. The child could have as the child would be lost in the neverending world of the cell phone and not even realize it. I hope I have answered your question and helped you gain an insight into how you can look after the psychological and intellectual growth of your child." + }, + { + "id": 2092, + "tgt": "I have psoriasis vulgaris with anxiety disorder and dry cough. Will Hydroxychloroquine be harmful?", + "src": "Patient: Hello doctor, I have psoriasis vulgaris, anxiety disorder, and dry cough for a long time. Recently, I have taken Hydroxychloroquine and Azithromycin along with my usual medicine like topical corticosteroid, Sertraline, Montelukast and Rosuvastatin. Is taking these medicine like Hydroxychloroquine do any harm? Or do I need any adjustments with my regular medicine? Doctor: Hello. I am sure some healthcare providers must have advised you to take these drugs and he would be aware of these interactions before starting. If you are self-medicating yourselves I would strongly advise you against that. Using Hydroxychloroquine together with Sertraline can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. You may be more susceptible if you have a heart condition called congenital long QT syndrome, other cardiac diseases, conduction abnormalities, or electrolyte disturbances (for example, magnesium or potassium loss due to severe or prolonged diarrhea). Your doctor may already be aware of the risks but has determined that this is the best course of treatment for you and has taken appropriate precautions and is monitoring you closely for any potential complications. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with these medications, whether together or alone. With Rosuvastatin, the risk of peripheral neuropathy may be increased during concurrent use of two or more agents that are associated with this adverse effect. Patient risk factors include diabetes and age older than 60 years. In some cases, the neuropathy may progress or become irreversible despite discontinuation of the medications. It does not have any interactions with topical corticosteroids and Montelukast." + }, + { + "id": 29436, + "tgt": "Can I use Benzoyl peroxide throughout my life for acne?", + "src": "Patient: Hi doctor, I am suffering from acne for five years. I took Accutane for two months and stopped it recently due to side effects. My acne again started to come back after a month. Now, I am following a diet with no sugar or fast food and fewer dairy products. Also, I am using Benzoyl peroxide face wash. I am taking Omega 3 supplement (300mg) daily. It has improved by skin texture and reduced the redness of my acne to some extent. Shall I continue these drugs throughout my life? Will it have side effects? Will it affect my fertility? If I cannot continue it throughout my life, then how long should I stay? I just loved the way it gave me a good skin with less inflammation. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 504, + "tgt": "After meningitis vaccination, I am getting headache with visual aura and dreamy sleep. Please help", + "src": "Patient: Hello doctor, I have taken meningitis vaccination for visa process. I suffered headache with visual aura with dreamy sleep and less sleep for three months. I started treatment in India and took Cipralex, and Escitalopram. CT scan was normal. My symptoms relieved for about 80-90%. I gradually tapered off the treatment. Later, mild dreamy sleep problem with mild and sound sensitivity occurs. I did not took any medicine for that. I also suffered from scalp pain in head and treated for three months with Phenergan, and Neocalm plus. I felt only temporary relief. MRI was done in consultation with neurologist. Results are normal. I was on Cipralex 10 mg, Naproxen sodium 250 mg then gradually tapered. After that I am suffering from dreamy sleep all day and localized head pain episodes 2-3 times in a week when sleep disturbed in the previous night. Meanwhile, I was heavily stressed due to family issues and job pressure. Once again I was prescribed the same medicines but I did not take and tried to control it with yoga and meditation. I have mild light and sound sensitivity which is quite tolerable. My major problem is disturbed dreamy sleep and episodes of localized head pain in the scalp only. I took vitamin D, B12, calcium for six months. My elevated triglycerides are due to SSRI 230 mg/dl. At present, I am alright but want to get rid of symptoms. My symptoms are muscle tension and nerve pain. I did eyes test OCT and my eyes are normal. My questions are even if I am not stressed I do not get dreamless and refreshing sleep why? Which is suitable medicine in general? Can Flunarizine cause more deficiency of calcium as already I am deficient? Cipralex and Esclitopram are habit forming but I was very comfortable with that it causes weight gain and elevation of triglycerides so I tapered off to end. But after some time dreamy sleep and scalp mild pain comes back. What to do? Kindly suggest and advise some medicines. Doctor: Hello. Your symptoms seem to be related to tension type headache, which is a benign headache. Light and sound intolerance are features of migraine, but the other symptoms you explain, are more compatible with tension type headache. Nevertheless, I agree with your doctor treatment regarding Escitalopram. You should know that the sleep disorders are related to different causes depression, daily stress and anxiety, vitamin D deficiency, an abnormal sleep regime, caffeine intake, etc. I would recommend taking Vitamin D if there is low plasma levels of this vitamin. Regarding your sleep disorder, I would recommend starting Zolpidem for a couple of weeks 10 mg before sleep. You can try half a tablet before going to 10 mg. Melatonine intake can regulate your sleep rhythms too, but it is taken for a more prolonged time than Zolpidem and its effects are lower. A good sleeping hygiene (sleep always at the same time, avoid straining physical or emotional activities before sleep, avoid caffeine intake) would help too. If all these tips and drugs are not helpful, a prolonged brain EEG (electroencephalogram) during sleep would help diagnose any possible sleeping disorders. Regarding Flunarizine, I would explain that this is a calcium channel blocker and as such it can interact with calcium or vitamin D in high amounts. But usually it does not affect the calcium levels. You can try taking Escitalopram for three months initially and then try Flunarizine, if no good results on Escitalopram. I would not recommend taking them both initially. You should know that Escitalopram achieves its effect after three weeks from the starting, and the main changes to be seen are a reduce in the frequency of headaches and also mood changes (optimism). You can try taking Amitriptyline too, if you do not have any symptoms relief after the first month on Escitalopram. It can be really helpful with the sleep too. All the drugs have some adverse effects, but the benefits are higher. I hope this helps." + }, + { + "id": 14738, + "tgt": "I have been having a lot of symptoms that correlate with leukemia symptoms . Please help", + "src": "Patient: Hi doctor, I am worried that I may have leukemia. I have been having a lot of symptoms that correlate with leukemia symptoms. Please help. Doctor: Hi. I require details of the symptoms that you have, for a complete opinion. Leukemia is a blood disorder commonly known as blood cancer. There are two types of leukemias namely Acute and Chronic leukemia. Acute leukemia usually has bleeding manifestations while chronic leukemia rarely has bleeding manifestations. Chronic leukemia is usually seen above 40 years and acute leukemia below 40 years. Chronic leukemia could have multiple lymph nodes enlargement and also spleen enlargement. Look at the total WBC count and also for the presence of immature forms or blast cells. If they are present, leukemia may be thought of, however, complete correlation is essential. Revert back with the reports to a hematologist online -->https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6075, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4917, + "tgt": "Is there any side effect in ovary donation?", + "src": "Patient: Hi doctor, I am unmarried and 32 years old. I am having PCOD. One of my friends suggested me recently to donate eggs. I would like to ask is there any sort of side effects to my ovary. Will the hormone injections cause some side effects to my body? Or any damage to my pelvic organs? Will it affect my menses or in getting pregnant in future? Please help me. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2681, + "tgt": "I get chest pain after recovering from flu. Why?", + "src": "Patient: Hello doctor, I am a 28-year-old female. I have chest pain after flu-like symptoms. My height is 171 cm and weighs about 61kg. It started about one and a half months ago as a normal flu with coughing and runny nose. I took some flu medicines (Lemsips pills), I got rid of the runny nose, but I still had the cough which was dry. After a few weeks the cough began to be productive and the pharmacist prescribed some cough syrup (Robitussin) and Paracetamol. After a blocked ear, due to inflammation, I had to take antibiotics as well (Amoxicillin). Now I only cough in the morning, but I have this chest pain, mostly when I lie down. I do not have any other symptoms such as fever, runny nose, etc. Doctor: Hi. It seems like a little infection in lungs maybe. So I am prescribing some drugs and tests as well. Take medicines properly and do the test and show me. 1. CBC (complete blood test). 2. Pulmonary function test. 3. Chest x-ray. Take syrup Dextromethorphan two times daily, Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) three times daily for five days, Diclofenac and Paracetamol two times daily for three days, and Levocetirizine 5 mg once daily for five days. Take medicines with warm water. Drink warm water with honey. Avoid smoke exposure. Infection. Chest x-ray. CBC. PFT." + }, + { + "id": 27211, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13422, + "tgt": "Is it possible to contract STI through kissing?", + "src": "Patient: Hello doctor, I had kissed a prostitute on lips and breast but did not have intercourse with her. I have no cut on lips and mouth. Is there any chance of me getting any STI? Doctor: Hi. It is really great that you want to know about an important issue and just do not want to make assumptions on your own. STIs are the diseases that are typically transmitted during sexual intercourse. It is unlikely to catch sexually transmitted infections with kissing alone, but with a few exceptions if the STI has manifested itself orally and/or in oral fluid of that person. Hepatitis B virus can be transmitted through kissing as the virus is found in saliva and other body secretions of HBV infected person. Herpes infection- This can be transmitted through kissing with a person who has a visible cold sore. Human papillomavirus (HPV) or warts and syphilis are less likely to be transmitted through kissing. So far, there is no reported case of HIV transmission through kissing." + }, + { + "id": 15166, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19335, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8797, + "tgt": "What causes canker sore after application of teabag on an dental abscess?", + "src": "Patient: Hello doctor, I had an abscess yesterday, I put a teabag on it to reduce swelling. This morning swelling was gone but I have a very large canker like sore on the whole left side of the upper jaw. Is this just a canker sore or something more sinister like a major infection? Doctor: Hello. Usually, abscess heal best with antibiotics (and drain with lukewarm saline gargle), but something like tea bag application and other home remedies may often lead to controversial outcomes. However, your abscess has been drained, it is not a major cause of worry, but you should consider seeing a dentist at once, or share a photograph here. It should heal within three days in normal cases. I hope it helps you." + }, + { + "id": 26754, + "tgt": "My partner is weak after withdrawal bleeding. How to improve her health?", + "src": "Patient: Hello doctor, My partner and I had sex nine days ago. The condom slipped, but its opening was outside and I removed it carefully. But, just to be sure, she had Unwanted-72 immediately after. Today, she had period-like bleeding. Is it a side effect of Unwanted-72 or was it something else? Doctor: Hello. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6682, + "tgt": "I am having left lower abdomen pain when I move or stretch. What could it be?", + "src": "Patient: Hi doctor, I am a 25 year old male. I have\u00a0gas problem for the past three days. Since day before yesterday night, I have started to experience some pain in the left lower abdomen whenever I stretch or move. The pain is very dull and present whenever there is a movement. Please suggest what it could be.\u00a0I do not have constipation problem.\u00a0The pain only happens when I move or stretch the abdomen and is present on the left side. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13261, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10897, + "tgt": "I am having swollen lymph node in my neck. Will it be painful after adjusting my neck?", + "src": "Patient: Hello doctor, I went to the chiropractor and got my neck adjusted. I had sore on my neck more in the back left corner then the pain passed down to my left arm. After checking, they said it was a flare-up and to ice it. The next day I had it adjusted again, and he pointed out that I had a swollen lymph node on the left side. I still had sore in the same spot and was worried about my artery and my lymph node. Could my lymph node be painful because they adjusted my neck or because my muscle was sore and irritated? Doctor: Hello. I do not think that because of chiropractor there will be any trouble to the lymph node. If the pain is radiating in nature, then it can be related to intervertebral disc injury which can be a past injury and due to which you had a sore neck. As the intervertebral discs are located in between the two vertebral bodies and the muscles are the supporting structures any trouble to the disc can first make the muscle sore and change the normal curvature of the cervical spine. The radiating symptoms can arise due to nerve root entrapment by the muscle as well as the intervertebral disc. Having an MRI scan of the cervical spine will be useful to avoid further injuries. Also, doing hot water fermentation will help to reduce the muscle spasm of the cervical spine region and the trapezius muscle by which the normal alignment of the cervical spine is achieved. Using cervical soft collar will help to reduce the mobility of the cervical spine leading to stabilization of the joints and less nerve root entrapment. Exercises like static neck exercises, shoulder stabilization exercises, interscapular muscle strengthening exercises will help to regain the muscle strength and correct the cervical spine alignment. If you have any more questions, you can ask me anytime." + }, + { + "id": 12496, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22682, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5244, + "tgt": "I am having a painless pimple on my penis skin. Is this due to STD?", + "src": "Patient: Hello doctor, I am having a painless pimple protruding on my penis skin. I am concerned about STD. I carried out blood tests and it shows herpes. Kindly suggest some cream. Doctor: Hello. Herpes genitalis usually presents with well-defined erosions or polycyclic lesions. The lesions are usually associated with pain or a burning sensation. Treatment is with oral antivirals. You complain of painless bumps which are unlikely to be herpes. It seems more like it could be viral warts. You may ask me a query along with a clear digital photograph of the lesions for a confirmatory diagnosis." + }, + { + "id": 26212, + "tgt": "If I had six Paracetamol tablets and seven of Mefenamic acid, how bad can it be?", + "src": "Patient: Hello doctor, I am 18 years old. What if I have six tablets of 500 mg Paracetamol (Crocin advance) and seven tablets of 500 mg Mefenamic acid (Ponstan forte) at one go (within five minutes)? How bad will it be? What will the side effects be? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30241, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23142, + "tgt": "There is a sore on my tongue which is recurring at the same spot. Is it cancer?", + "src": "Patient: Hi doctor,The lateral edge of my tongue\u00a0has a sore which is recurring on the same spot from the last six months and it\u00a0is painless. It gets cured but keeps\u00a0coming back after some days. I\u00a0consulted a few ENT doctors. I was given a vitamin tablet, but nothing helped. My uric acid level is 9.2 and I\u00a0have some pain in my knees. Apart from that, I\u00a0have no health issues. I\u00a0use tobacco for the last 10 years. Is this recurring sore an indication of cancer? Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 15010, + "tgt": "What diet plan can be used to gain weight in an anemic?", + "src": "Patient: Hello doctor, My wife was anemic and as per the doctor's advise she was taking Iron tablets. Now she is eating iron-rich foods. However, we need a balanced diet for her to put little more weight. She was 59 kg six months back and now her weight is 54 kg. Need to increase the weight as well along with a balanced diet. Please suggest a good chart for my wife to take iron rich and vitamin-rich food as well as good fat to gain weight. Doctor: Hello. As per the reports were taken before the surgery (attachment removed to protect patient identity), please do mention the after reports if any taken. She needs to take a wholesome diet rich in protein along with Iron also. In anyways, do wait for the results to come up and do not hurriedly take any precaution to gain weight. Breakfast should include a sandwich, oats, milk should be made mandatory every morning. Include all kinds of foods in her diet but, four to five small meals per day in an equal interval should be taken. In lunch green vegetables, non-vegetarian like fish especially salmon, small fish are very good. Eggs can be taken in a boiled form in breakfast or lunch but not in the night. Evening snacks can be soups, juices, beetroot juice, carrot soup, tomato, mixed veg soup, chicken soup. During night time all kinds of pulses and cereals should be taken. One or two breads (chapatti), and any day. Rice half plate and chapatti during lunch time. Banana is rich in Iron. But take during the daytime banana shake, milk banana shake are good. Avoid fatty and oily foods. Fewer spices and salt should be done. Walking is good. Coconut water early in the morning in empty stomach is very good." + }, + { + "id": 25982, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18128, + "tgt": "Is it serious to have a low serum albumin level in multiple myeloma patient?", + "src": "Patient: Hello doctor, My mother is a multiple myeloma patient. First relapse 10 months ago. Now her serum albumin is 27 which is low. Is it alarming? She is physically fit and can work sometimes, but fatigue. Her upper side legs are getting a bit fat. She is having Lenalid now. I would appreciate your suggestion. Doctor: Hello. Your serum albumin level is low according to the mentioned history. So, it can be considered alarming. If serum albumin is less then 3.5 gm/dl, then it can be a stage 2 category of multiple myeloma according to the international staging system. Prognosis is intermediate in that stage, meaning not an excellent prognosis. You are advisable to investigate with serum calcium estimation, full CBC (complete blood count), serum beta 2 microglobulin report and urine light chain excretion study as well to do a further workup. You can consult your hematologist for examination and get above investigation done after discussion with the hematologist." + }, + { + "id": 20466, + "tgt": "Why am I having cough with wheezing and sneezing?", + "src": "Patient: Hello doctor,I got a kidney transplant done six years back. Currently, I am taking immunosuppressants Tacrolimus 1.5, Azoran 50 mg, and Wysolone 5 mg. Renal parameters are normal. Six months back, I started with a cough slowly increased to wheezing and sneezing. I took antibiotic from GP for seven days along with Montair FX but no relief. I showed to a pulmonologist and she got PFT, chest X-ray, CT chest done and also TB test done in the same and next month. All were normal. She gave Prednisolone 30 mg and was tapered off slowly. Along with Foracort 400 and Duonase, nebulization was also done. But no relief. Two months later, I showed to other pulmonologist and suggested Levofloxacin 500 mg for seven days and Prednisolone 20 mg for five days then 15 mg for five days then 10 mg for five days and 5 mg done and continuing as a regular dose. Along with Foracort 400 and Duonaze also which is still continuing. These are the anti-asthmatic which I have taken and continuing with an inhaler and nasal spray along with Montair FX one at night till date. But today I am still facing cough problem along with wheezing with incoming breath which is not so prominent but is more prominent with outgoing breath. Kindly suggest further course of action. Doctor: Hi. First of all, let me assure you that you are not the only one with the same history to me. There are lots and lots of my patients suffering from this. Now see, this is actually pollution induced and a lot of people are experiencing this kind of a non-resolving cough. My recommendations to stop steroids and just continue with tablet Montair LC (Levocetirizine and Montelukast) and Foracort (Formoterol) inhaler for one month. Make sure you do not light any incense sticks, good night, or all out at home. For more information consult a criticalcare physician --> https://www.icliniq.com/ask-a-doctor-online/criticalcare-physician" + }, + { + "id": 4161, + "tgt": "What is the right age to plan for a baby?", + "src": "Patient: Hi doctor, I am a 28 year old woman and I am\u00a0likely to get married by next year. As I will be 29 by the time I get married, should I plan to have a baby right after marriage? Or can I take some time? My fiance is not keen to plan a baby right after marriage. He is also 28 now and we want to enjoy a bit before planning a baby. But, I am worried. Will I have a problem if I delay it by two or three years? Doctor: Hi. We are here to help you. For further clarifications consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30394, + "tgt": "What is the exact reason for on and off bumps in pubic area?", + "src": "Patient: Hi doctor, This query is about bumps in my pubic area. I am a 23 year old female. These bumps sometimes appear with pus and that looks like a huge pimple or skin colored bumps. They have occurred around and inside the labia from teenage time. One gynecologist told me that it might be ingrown hair, but they were there even when I did not start shaving and does not shave for a long time. These bumps are on and off. I have started taking Lactogut. I can send you an image of this bump for further information. I slightly poked it, but only blood came out. It is pretty huge like 1 \u00d7 1 cm and feels lumpy inside when touched. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20439, + "tgt": "I have a problem with speaking. Please help", + "src": "Patient: Hello doctor, I have a problem with speaking. I cannot speak fluently without practicing it in my mind. Many a times I use wrong words accidentally, even though I meant to say some other word. Please help. Doctor: Hello. These problems suggest a condition called aphasia. It happens due to some problems in a particular part of the brain. Infections in the brain, salt imbalances, liver failure etc., also cause this disorder. I need a detailed history of your problems like the duration of the problem, examples for wrong words used, any associated visual problems, any problems with swallowing and any weakness in hands or legs. I advise you to get these tests done: You may also require an MRI scan, but we will decide that after seeing these reports." + }, + { + "id": 14509, + "tgt": "Can hormonal changes cause pimples, red, and brown spots on the face?", + "src": "Patient: Hello doctor,I have pimples, red, and brown spots on the face. Moderate acne. Mainly on chin, cheeks, sides of the nose and between eyebrows. Is it hormonal acne? How do I fix it? Large pores on the face but dehydrated, sensitive skin. Red pimples with white pus. Varies from large to small sizes. Leaves large brown acne scars that still have not faded. Not painful but sensitive to touch and harsh acne treatments. After changing products, the face is irritated and red, and the skin feels sticky. Combination skin, with oil on T-zone. Acne mainly on the chin area. Is it hormonal acne? How do I fix it? Doctor: Hi. I have seen your query. With your description, it seems you have developed grade 2 to 3 acne. See acne concentrated over chin indicate hormonal acne. If you can share a few pictures, it will be helpful in exact grading of acne, which further leads to proper treatment. You can use 1 % Clindamycin gel during the morning and use 3.5 % Microbenz gel during the night. Use face care face wash twice daily. Not to use oily spicy foods and junk foods, take lots of water daily which will hydrate your skin." + }, + { + "id": 3642, + "tgt": "Will Humira taken for Crohn's disease interacts with HIV results?", + "src": "Patient: Hello doctor, I am a 31-year-old male. I have been diagnosed with Crohn's disease before years and I have been on Humira 40 mg every two weeks. I had unprotected sex with two different girls a year ago. I have had done three HIV tests and one HIV combi Elecsys at 10 months from the last possible exposure. After a few days of the first possible exposure, I had flu. After a few weeks of the last possible exposure, I started to have some skin condition Sebopsoriasis around my mouth and under my armpit. I am also losing some muscle weight. All my HIV and Elecsys test results came back negative. My questions are: Are my tests reliable? Does Crohn's disease affect HIV test results? Being on Humira, will it affect HIV tests? Does Humira cause a false negative? Also, I know that sebopsoriasis is associated with HIV. Is there any other tests I have to do? I am under huge stress, I need your help. Doctor: Hello. Going by your description, it seems highly unlikely that you have contracted HIV infection. The ELISA (enzyme-linked immuno0sorbent assay) detects antibodies to HIV antigens whereas the combi test detects both antibodies and antigen. Since you have done these tests much after the exposure, I believe there is a little chance that you could be harboring HIV infection. The rashes you have developed are more likely to be a part of Crohn's disease syndrome progression. Humira, although may suppress the production of antibodies, it does not affect the detection of HIV antigen. Crohn's disease has various non-intestinal manifestations that could crop up anytime. I believe the new rashes are a part of Crohn's disease syndrome complex." + }, + { + "id": 5674, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28913, + "tgt": "Shall I use MTP kit as my last period was before 43 days?", + "src": "Patient: Hi doctor, My last period came before 43 days.\u00a0When can I use MTP\u00a0kit? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28361, + "tgt": "I have a benign multinodular goiter. Is there a need for thyroidectomy?", + "src": "Patient: Hi doctor, I have been recently diagnosed with multinodular goiter and have done FNAC, which turned to be benign. Is there any other way to get rid of the enlargement of the goiter and the nodules? My thyroid is full of them ranging from 0.5 to 0.9 mm. What should I do? I feel lost, and I have a continuous feeling of unbalance and dizziness, even though my thyroid is working well and producing normal hormones. Why is it so? Doctor: Hi. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5895, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13454, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12965, + "tgt": "Is there any sign of cancer in the MRI neck of my mother?", + "src": "Patient: Hello doctor, My mother is suffering from severe neck pain for the past year. Her doctor believes it might be arthritis, but he is not sure. She even got several shots in her neck for pain by a physical therapist but nothing seems to be working. My mother got her first MRI scan done a week back without contrast medium. She was extremely pleased with the way the doctor conducted the investigation. He was very quick to respond and did a commendable job. No serious issues were observed in the MRI scan. Today my mother got another MRI scan done, both with and without contrast medium. Can you please read this MRI scan and also let me know if there is any sign of cancer in the neck area. I have attached my mother's MRI reports for your reference. Kindly have a look and guide me. Thank you in advance. Doctor: Hi. I had a detailed look at the contrast images of your mother (attachment removed to protect patient identity). There appears to be light gray to black areas seen in the central portion of T1 and the left side of T2 vertebral bodies. These findings were not clearly seen in the previous scan. There was even a vague appearance seen in a small portion of the C7 vertebra on the right side of the body, but nothing abnormal as such. After a thorough examination of the contrast pictures of MRI (magnetic resonance imaging), I observed, that the contrast sequences do not highlight the lesion, just the way it should in case of a tumor or cancerous area present. It seems to be due to marrow changes. According to my knowledge, on T2 sequence, it happens to be non specific, benign signal abnormalities seen in more than one vertebra which may not cause severe pain on the left side of neck. I would like to suggest you to get another MRI scan in a period of three to six months time." + }, + { + "id": 25098, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2456, + "tgt": "What can I do to heal my tongue ulcer?", + "src": "Patient: Hi doctor, I have one white patch in my mouth. It is exactly in the front part of my tongue and it affects my daily life strongly. I am really uncomfortable and my mouth has slobbered all the time. I used to have this in the past, but I did not have for more than a year. Sometimes, it is totally white and sometimes, the color changes.\u00a0I read on the internet that to wash with salt water helps. I am doing it now and it helps for a while. Now this is the 3rd day and I still have it. What can I do to make it better? I would like to receive some natural home remedies. Also, I am fine with medicine suggestion as well. Doctor: Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12112, + "tgt": "Is it advisable to use mineral oil to treat ringing in ears?", + "src": "Patient: Hello doctor, I am 48 years old. A few months ago my ear was full of fluid, ringing, and infected. I took antibiotics which cleared up the infection. The fluid is gone, however, my ears still ring. Three weeks ago, I saw an ENT. He said that cells which had collected around the eardrum were impeding my hearing and causing the ringing. He said this collection would fall off and we did not need to do anything. If I wanted to speed up the process to use some mineral oil. 1. How long should I leave the mineral oil in my ear? 2. Could you explain a little more about what this collection of cells is called and the healing process from this? Doctor: Hello. Whatever mineral oil or any oil you instill, will only act outside the eardrum. The cells that are outside the eardrum form cerumen or wax and these oils will be helpful. I can give you the dose and duration for that. But however, if there was fluid inside the ear, now resolved, the ringing should be due to that. The fluid we are talking about is the one inside the drum. In a scenario where the drum is intact, these oils are of no use to remove the cells which have got clumped inside the drum. Did the ENT do any test to confirm the presence of fluid inside the ear? Did he do an audiogram or a tympanogram? Can you share reports with me?" + }, + { + "id": 24194, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9896, + "tgt": "Is it advisable to give P-250 and Amoxicillin for fever to 3 years old child?", + "src": "Patient: Hi doctor, My son age 3 years old has a fever since yesterday noon, till now I have given six times P-250 5 ml dosage, the fever reduces and comes back in three hours. The temperature goes 102.8 F in the underarm. Now at 2.30 PM, I have given Amoxicillin 125 mg 5 ml with P-250. Otherwise, he is normal, plays 30 minutes in the morning and ate little. Can I continue the medicine or change it? Please prescribe any other medicines and tell me when to worry. Doctor: Hi. I understand your concern. A fever has multiple causes, the most common causes are viral fever, throat inflammation. Usually, these illness does not require antibiotics (Amoxicillin). Antibiotics should be started only in a bacterial infection that too after doctor's recommendation. For high great fever (100 F or more ), you can give Meftal P 3 ml stat dose and repeat after six hours. If the fever is more than 100 F. If fever is less than 100 F then continue P 250 4 to 6 hourly. In between medication do whole body tepid sponging. The purpose is to get down fever as early as possible to normal temperature. If fever is not subsiding after 48 to 72 hours, then you need to investigate and show to doctors to rule other important causes of fever. Tepid sponging can be done with a wet towel, starting from head to toe. Check temperature after it, if it gets down stop tepid sponging." + }, + { + "id": 30646, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1337, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 19148, + "tgt": "How to overcome my strange anxiety?", + "src": "Patient: Hi doctor, I have a strange anxiety that something will happen to my loved ones whenever they go out. What shall I do? Doctor: Hi. Revert back after two weeks to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15796, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 409, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12641, + "tgt": "Does positive RNP indicate RA?", + "src": "Patient: Hi doctor, I have been diagnosed with RNP positive. I have dry eyes problem. Is RNP positive alone considered as RA? My ANA was negative and all other things negative. My eosinophils are 8.5% in my blood, and I am always suffering from col. I am on HCQS 200 and Defza 6 mg. Please help me. Doctor: Hello. You may be suffering from mixed connective tissue disorder. But do not worry you may have to take above medications along with that you may take tablet Banocide forte 100 mg twice daily for three weeks. Avoid using plastic. Take plenty of fruits with vegetables. Use tablet Levocetirizine in case of itching. If necessary may need to start Methotrexate and Folic acid. Please continue the above treatment. Please consult your rheumatologist; he will examine and treat you accordingly. Take care." + }, + { + "id": 12278, + "tgt": "What causes nonsustained ventricular tachycardia with orthostatic hypotension?", + "src": "Patient: Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and orthostatic hypotension.Also, during an echocardiogram, it was reported they saw trace mitral regurgitation and trace tricuspid regurgitation. I was not given much information with these scary-sounding diagnoses. I was just looking for some explanation of them and also if it means something with them all together. Is there something I need to do to make these things better? Doctor: Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a few people may need ICD insertion. Anti-arrhythmia drugs may be useful. Please check it out for hypo or hyperthyroidism, electrolyte imbalance or hypocalcemia or magnesemia, etc. Please consult your cardiologist. He will examine and treat you accordingly." + }, + { + "id": 20599, + "tgt": "What is the cause and remedy for bilateral spondylolysis?", + "src": "Patient: Hello doctor, What is bilateral spondylolysis between L5 and S1? What is the cause? What is the remedy? I have pain near the tail-bone, especially when seated. I have started experiencing a sharp pain when lifting clothes from a bucket. Doctor: Hi. Spondylolysis is basically lysis of pars interarticularis. This is the bone responsible for stability between two vertebral bodies. At your age, it is not surprising to find this because most commonly it is seen after degenerative changes. Usually, if this spondylolysis is unstable then it can cause back pain. According to you, pain is at the tail-bone and while sitting. So it could be coccydynia. Whatever it is, just maintain a healthy lifestyle. Make a habit to walk for 4 km at one stretch daily. Also, do some stretching exercises. Get IFT (interferential therapy) or SWD (short wave diathermy) in your painful area and take painkillers SOS. Most of the spondylolysis can be managed with regular general conditioning exercises. If you can tell me more about your pain. what happens to your pain when you bend forwards and then become straight? Press your tail-bone, is it painful? Does pain travel down to your leg?" + }, + { + "id": 16829, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2531, + "tgt": "I am 80 kg. Will it affect the outcome of ACL operation?", + "src": "Patient: Hi doctor, I am planning to get an\u00a0operation for ACL injury. After how many days of operation will I walk normally and do bike riding? How fast will I recover? My weight is 80 kg. Is there any problem for quick recovery with this weight? Kindly guide me. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18426, + "tgt": "Please explain my father's heart problem from the medical report", + "src": "Patient: Hi doctor, My father has diabetes\u00a0for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment in ICU for several days, he was discharged from hospital and was normal. But after 40 days, he was again admitted into hospital with similar symptoms. Also, laboratory tests like echo, fasting blood sugar, etc., had been done. I am attaching the medical reports. Please help. Doctor: Hi. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the valve issues, especially the mitral valve and all the related symptoms of abdominal swelling, breathing issues and leg swelling are due to failure of the heart to pump normally. In such a case we need to go for thorough evaluation in cardiac care hospital. Try to search locally for a better heart hospital where better diagnostic test facilities available. My recommended lifestyle modifications for your father include smoking cessation, restriction of alcohol consumption and salt restriction. He is having this issue because heart muscles are unable to get their blood supply in a proper way. More specific testing like angiography may be needed for the diagnosis of the issue. As far as the permanent management plan is concerned, it is difficult to say anything about that before assessing the heart's own blood vessels through angiography. Heart failure with a reduced ejection fraction (HFrEF) or systolic heart failure (systolic HF). For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 13920, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2505, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21411, + "tgt": "What can be done for erectile dysfunction which is affecting my marriage life?", + "src": "Patient: Hello doctor,I am a male, 37 years old, height 5'10'', weight 78 kg, and suffering erectile dysfunction for the last two years after my marriage. I am unable to perform at the bed. The penis is not enough hard to go inside the vagina. Some days I took Tadalafil and Jermivit forte and Tentex forte but in vain. I want to become a father and save my marriage. My wife is very helpful and nice. Please advise me proper treatment. Please find my lab reports. Free testosterone 10.89, glucose fasting 103, glucose postprandial 142, thyroid T3 145.10, T4 10.02, TSH third generation 4.650, prolactin 9.58. Unable to update sperm and CBC is 5 whole blood report. Doctor: Hi. I understand all your concerns. Erectile dysfunction is a common issue with two main subtypes with two different management. The first is organic and the second is psychological, we have to differentiate between the two. Please answer the following questions: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22918, + "tgt": "How to prevent sinus infection?", + "src": "Patient: Hello doctor, I am writing this on behalf of my wife. She is 26 years old. The problem is that she is prone to sinusitis. She gets infected with sinusitis at least once in two months. When she gets infected, it takes one to two weeks to recover. Her nasal passages gets blocked and she finds it difficult to breath through the nose. Also, the mucus is very thick and she tries very hard to squeeze the mucus out. Sometimes, she applies too much pressure and finds blood stains in the mucus. She tried vaporizer and saline spray, but none of them seems to work for her. She also gets a severe headache at times due to the mucus getting blocked. She feels a pain around her eyes too. Due to this she remains inactive during the entire period. The assumption is that most of the time, she gets infected due to exposure to dust or cold climate. Is there a permanent solution for this problem? Is there anything that she can do to prevent the infection? Please help. Doctor: Hi. She may have an allergy and a superadded bacterial infection. If she is getting recurrent infection, then get a skin prick allergy test and CT scan of the sinuses. The CT scan may show either mucosal thickening or polyp or a deviated septum, which may block the drainage of the sinuses. If positive findings on CT scan, then she may need endoscopic sinus surgery. If the sinuses are normal, then she will improve with antibiotic, anti-allergy tablet and steroid nasal spray. Skin prick allergy test and CT scan sinuses. I suggest the following treatment for sinusitis. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Antibiotic Augmentin 1 g (combination of Amoxicillin and Clavulanate) twice a day for five days. 2. Anti-allergic tablet Allegra 120 mg (Fexofenadine) at night for one month. 3. Use Nasonex nasal spray (Mometasone furoate) one puff at night for one month. Revert back with the reports to an ENT otolaryngologist online.---> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13197, + "tgt": "Does circumcision cause any negative impact on sexual activity?", + "src": "Patient: Hi doctor, I am a 30 year old guy, and I have phimosis. Many times, I have tried to retract my foreskin, but always in vain. I would like to know if circumcision is mandatory to rectify the problem. Is there any other method which I could opt for? I am going to get married soon, and so I would like to get this problem solved. Please suggest. Doctor: Hi. Phimosis is a common problem. The simplest, long-term and permanent solution for phimosis is circumcision and is a minor day care procedure. However, if you want to try medicines you can use ointment Fludrocortisone along with Clotrimazole ointment to be applied daily for three weeks. If it does not improve, go for circumcision. Even if you get relief with ointment it is likely to be a temporary solution. Moreover, after circumcision, it is easy to maintain hygiene and there is less chance of repeat infection. After circumcision, you can resume normal activities within one or two days and sexual activity after a month. In my opinion, if indicated, go ahead with circumcision." + }, + { + "id": 9628, + "tgt": "What are the ways to stay calm and happy during exam preparation?", + "src": "Patient: Hi doctor, I am a student and I have been good at studies always. And I want to be a doctor but I somehow could not manage to get a seat in government medical college. I did not work hard enough. I am 21 now. My parents are very supportive and I am preparing for exam. But I am really scared of everything. I know I am stronger than this but how can I stay calm and happy during this process? Doctor: Hi. I understand your problem. It is actually very tough phase. But all you need to do is gather yourself back, tell yourself that you can and will be able to do it. Try this. Make a full-proof plan. Executive with full motivation. If you feel that there were some mistakes you did in the past, then rectify them. Do not give up. Study in group or in library if you cannot study alone or get distracted. Make short term plans. You can have one or two counseling sessions if you want." + }, + { + "id": 20962, + "tgt": "I developed a muscle pull or nerve problem while working out. How to get cured?", + "src": "Patient: Hi doctor, I think I developed a muscle pull or nerve problem in the shoulder and neck area when I was doing leg raise in the gym on a bench. How to get cured? Doctor: Hi. From the complaints you had described, it sounds like a muscle pull. It is better to get examined by a doctor first to know the right diagnosis. You might get relief from simple analgesic and muscle relaxant. For further information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 15989, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11381, + "tgt": "Guide me for the scan taken for swollen lymph node in the neck", + "src": "Patient: Hello doctor, Kindly give a report of my CT scan. I had CT scan for swollen lymph node in the left neck, posterior cervical. Doctor: Hello. Please find the CT scan report as below (attachment removed to protect patient identity). Contrast enhanced CT neck, \u2022\tBilateral neck spaces appear normal. \u2022\tVisualized neck vessels appear normal in course and caliber. \u2022\tThyroid, submandibular and parotid glands appear normal. \u2022\tFew enlarged reactive lymph nodes with intact fatty hilum (hilum is a the portion of a lymph node where the efferent vessels exit) are seen in left sub-mental and jugular region. \u2022\tVisualized bones appear normal. \u2022\tVisualized lung fields appear normal. Incidental note is made of a simple renal cyst in the upper pole of left kidney. If any further doubts please feel free to discuss." + }, + { + "id": 13439, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17409, + "tgt": "Do you have any suggestion for vision-related tinnitus?", + "src": "Patient: Hi doctor, I have vision-related tinnitus. I have been nearsighted for a while. Approximately, three months ago, I went to see a speaker, sat in the back and ended up looking at him out-of-focus for an hour. The next day, my ears started ringing. Looking at my computer tends to make it louder. I have special blue light blocking computer glasses. I got polarized yellow clip to use at night, in addition to three screens over my computer as well as a couple programs to warm the screen's color temperature. But, I am still experiencing elevated ringing. My audiology test revealed a slight hearing loss in left ear, but nothing that would have brought on sudden tinnitus. I am currently on Nortriptyline to aid sleep. I have an appointment to see an ophthalmologist. I am searching for any immediate help possible. Do you like to give any suggestions for a particular polarized shade for to clip on or use over my prescription specs? Doctor: Hello. From what you have described, you have tinnitus that gets exacerbated on looking at the computer screen. There is no established connection between looking at a bright object and worsening of tinnitus, though there may be isolated reports. Tinnitus is usually caused due to an inner ear problem. In my opinion, you should seek an ENT consultation instead of an eye checkup as your main problem is tinnitus. An ENT consultation will help you find out the real cause for your tinnitus. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25150, + "tgt": "I have pain in my heels which did not get better with any painkiller. What to do?", + "src": "Patient: Hello doctor, I am a 24 year old male. I have a pain in my heels from three to four months. I used a lot of painkillers like Ibuprofen, Voltral, Nims, Dicloran inj, Brexien, Movax, Muscoril, Rotec, Bonate, Carlex D, and Vitamin D inj. and Methicobal inj. etc, but the result is zero. I also try to warm the feet in warm water but there is no decrease in pain. I also took some lab tests: 1. Serum uric acid that has a value of 3.9 on my report and the reference value given on my test report is 3 to 7 for male. 2. Serum RA Factor that is negative. 3. ESR value on my report is 12 mm/ 1st hr and the reference value for male is 0 to 10. 4. CRP high sensitive result is 0.9 mg/ dL on my report and the reference value is up to 0.6. Doctor: Hello. This is a condition in which the fascia or the tissue at the heel is inflamed, and pain is there especially in the morning after getting up from sleep. I suggest the following medications: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Take these tablets only if you are not allergic to them. Also, do not take these tablets if you are a known case of bronchial asthma. You need to do the following: Physical therapy. A physical therapist can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize your ankle and heel. A therapist may also teach you to apply athletic taping to support the bottom of your foot.(alternatively, you can do the exercises at home too). Wear shoes which have soft soles, or alternatively, you can insert silicone heels or silicone soles. Apply ice twice daily. Doing all these things will help reduce this pain. Do X-ray of both heels - lateral view and upload it for me to see. Regards. This professional advice provided by me stands subject to the actual examination of the report/ image and is based entirely on the inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16685, + "tgt": "Can Bell's palsy cause bloated stomach, frozen shoulder, and tightness in the throat?", + "src": "Patient: Hi doctor, I am a 57 year old male, who was diagnosed\u00a0with Bell's palsy about a year back. I was treated with steroids for 10 days along with antiviral medicines. I was also given Mecobalamin (Tetrafol plus) which I am still taking. I had also taken ayurvedic medicines Brihat Vatchintamani Ras, Rasraj Ras, Ashwagandha,\u00a0Brahmi, and Trayodashang guggul (for shoulder pain). I was told to take Causticum 200 once a day, Biochemic\u00a0Mag Phos and Kali Phos by my homeopathy doctor. My Bell's palsy is now 80 percent cured, and I can close my eye, hold water in my mouth, and puff my cheeks. However, lately, I am having some twitches in my face and sometimes in other parts of my body. I feel a burning sensation on my body. My mouth feels dry, and I feel very sleepy during the day. My stomach is bloated, have frozen shoulder, and feel tightness in my throat. My sugar level, thyroid, and BP are normal. Please help me. Doctor: Hi. For further information consult an internal medicine physician --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3925, + "tgt": "I get pain in my right shoulder during sports and weight training. Will PT and rehab help?", + "src": "Patient: Hello doctor, I am having pain in my right shoulder probably because of my sporting activities or weight training. The doctor ordered an MRI and I got it done. I want to check if there are any findings. Doctor: Hi. I reviewed your MRI report. (attachment removed to protect patient identity). 1. There is a partial thickness tear involving the anterior and mid fibers of the distal supraspinatus tendon over the humerus head and can be seen to be prominent along the bursal surface of the tendon. 2. There is kinking of the middle glenohumeral ligament and injury of the subscapularis muscle tendon. 3. Other than the arthrogram contrast, there is likely joint effusion and fluid in the axillary recess and superior subscapularis recess. 4. I do not find any significant labrum injury. 5. There is no significant bone injury. Please do let me know your doctor's suggestion after reviewing the images and their findings." + }, + { + "id": 12289, + "tgt": "Why are there white spots on cheeks of a 10-year-old?", + "src": "Patient: Hello doctor, My 10-year-old son has white spots on his cheeks. They have been around for the last couple of years. Some appear to look like blackheads. I do not know how to treat them. Or if this is milia or keratosis. They are only on his cheeks and some tiny spots under his eye. But chin and forehead and nose are totally free of them. Doctor: Hello. The white colored papules are indeed milia. The others are comedones. Comedones are part of acne vulgaris. Comedian acne with milia. Milia, comedonal acne. 1. Adapalene gel 0.1 percent for local application once at night on comedones. 2. For milia, they require needle extirpation for removal. Sometimes they subside on their own in a few months." + }, + { + "id": 20081, + "tgt": "My 3. 6 year old daughter has stomach pain and loose stools. Please help", + "src": "Patient: Hello doctor, I have a 3.6 years old daughter, who weighs 10.5 kg. She is very thin and not a foodie. She is hyperactive when she is well. Sometimes, she complains of\u00a0pain in the\u00a0abdomen. It\u00a0is going on\u00a0from 1 to 2 months. The doctor advised getting an ultrasonography. She has been complaining of having continuous pain from 10 days. She also had a 101 fever. So, we got an ultrasonography, and the report shows, few discrete right iliac mesenteric lymph nodes, which is likely to be mesenteric lymphadenitis. We consulted the doctor again with the ultrasonography report, and he prescribed the following medicines and asked for stool routine test, blood test, and Mantoux test. He prescribed Calpol 250, Cyclopam suspension, Junior Lanzol 15, one tablet in the morning for a week, and Metrogyl syrup 2.5 ml, thrice daily for five days. After having two doses of these medicines, she is not recovering from the pain and her stool is becoming loose and mucus mixed. She defecates 4 to 5 days daily. Before the medicines, she was complaining of hard stools. Now, from 2 to 3 days, she is having loose stool and the color of the stool is also not good. She is not having a\u00a0fever now. We also performed the blood tests including Mantoux test and stool test, as suggested by the\u00a0doctor. We got the reports, and I am attaching the same. Mantoux test result is still not out. The doctor said that it is some viral infection and prescribed the following. Zinconia syrup (2.5 ml, two times a day after food for two weeks), Tufpro or\u00a0Progermina mini bottle (5 ml, two times a day for five days), and the doctor also advised stopping\u00a0Lanzol 15 tablets.\u00a0Now, we are in confusion whether the\u00a0doctor has been able to identify the problem or not. Doctor: Hello. I went through the detailed history of your child and the attached reports (attachment removed to protect patient identity) too. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29065, + "tgt": "How to deal with a recent breakup?", + "src": "Patient: Hi doctor, I am a 20 year old engineering student. Life has been good to me for all these years. Eight months ago I met a girl, and since I met her, I\u00a0have not spent a day without talking to her, and it was a long distance relationship. Now, I was very inexperienced when it comes to love as it requires to trust another human being. I have fallen for her so deep that I have forgotten myself, my life, my habits, hobbies and cause in life. It is like a mind enslavement, other than physical slavery. This person has requested more and more from me, and I was unable to set boundaries. I have become a shadow of her, pick up her habits, her beliefs and fearing that she would love me less for who I was. I would try to comfort her, even if it was something that defies my logic. For eight months, I have been living encapsulated into another person. I have failed my exams and was unhappy that I\u00a0could not stay with her all the time. Every night I would struggle to fall asleep. I have been wasting my energy on planning future with her. I jumped 10 years ahead and started worrying about things. I would hear someone talk and fail to follow after a couple of words, because of daydreaming. I have been on the verge of snapping several times and felt like death was the only solution. Until a few days ago, I chose to live and be myself again. I physically felt relief. I have stopped worrying so much about others and cared about me. Life felt different all of a sudden. I am on my way to recovery now, and my past haunts me. Whenever I remember how it was, I feel terrified. I also feel that I have done significant damage to myself. My brain has become more sloppy. I have taken depression drugs in the past and sleeping pills when I\u00a0could not handle the pain. I am starting to learn about myself again, I have forgotten how I used to be. And it feels so weird to be in that place, but very healthy. I am caught up in all this mess, and I would like to hear from others. Doctor: Hello, Welcome to iciniq.com. I have read the details you provided, and I can understand your concern. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 18592, + "tgt": "My serum bicarbonate level is low. Is it due to respiratory alkalosis?", + "src": "Patient: Hello doctor, I have been really sick from last two weeks. Two weeks ago, I had flu symptoms, like headaches, body aches, low fever, chest tightness, and shortness of breath. The chest symptoms were there straight away, and my asthma medicines (Symbicort and Ventolin) were not working from the start. I was taking 200 mg Symbicort twice daily, and Ventolin every three hours or so. After a weekend of being short of breath and tight-chested, I was on my way to my GP just to run my symptoms by him to see if I needed a GP or ER. He told me to take 12 puffs of Ventolin and go straight to the ER. The ER did ECG, chest x-ray, and blood tests. They gave me a nebulizer and Prednisone 50 mg and sent me on my way. I was still short of breath. My chest x-ray was clear, and my blood showed no infection. I did not have any improvement for the week, and I was taking Prednisone, Symbicort, and Ventolin every 2 to 3 hours. I was short of breath all week. I went to another GP, who sent me straight to the ER again. An intern took my history, after three hours of waiting with chest tightness, shortness of breath, mild intermittent sharp chest pain, and lifelong asthma, etc. I also explained that I am a non-wheezing asthmatic, and when I feel at my worst nothing can ever be heard on my chest. Interestingly, he only noted intermittent sharp chest pain not worse on deep inspiration. He did not note chest tightness when breathing. I also told them that for the 10 days, I had coughed more at night but the shortness of breath decreased overnight every night and was gone in the morning and then just gradually increased over the day until it was sober. Then the registrar came and told me that I was to be sent home, as I was taking too much medication and that was causing my heart to race, and that is why I had shortness of breath. I explained that I had shortness of breath before taking lots of medicines and that was why my physician sent me to the hospital the previous day. I did not even know that I could take it more than my usual two puffs every four hours. I was taking medicines as per my brand new asthma plan, which was given to me by my GP. I asked him \"was my heart rate high when the intern tested me?\" To this, he answered, \"I do not know, and I have not looked.\" Then he took my pulse for about three seconds with no watch and said it was 100 per minutes, but my heart rate has been tested over and over all week and was normal every time, that is why I challenged him. He then said that he would keep me in overnight for observations and to await a blood test for a blood clot. The intern had told me they would be doing an ECG and lung function tests. They put me in a room with about eight recliner chairs and no blanket. The nurse attended to everyone else in that room all night and did not even look at me once. She just ignored me. She did not even come close to me. I was awake most of the night. I could hear everything she did with the other patients. My breathing settled a little, but it was still labored all night, and I was coughing all night. They would not let me have my asthma medication. I felt hot and then cold, and I had a migraine. I felt so unwell that I could not get up to reach the button and was just waiting for her to come and help me so that I could tell her. At handover in the morning, she told the next nurse all my information loudly until she came to the bit where she whispered to him that I had been fine all night. I could not believe it. I managed to get some Panadol out of the new nurse, as he did my observation at 7 AM. Then the morning doctor, a young boy, told me he was sending me home, as I was better. I said that my shortness of breath was slowly returning with movement, as I told the doctors at night would happen. He said with asthma; I would be better off being at home as if I caught one of the nasty bugs in there things would get way worse. He said \"you do not look like you are dying, and that is my job to see if you look like you are dying. And if you do not, then you are sent home\". They never gave me an ECG, and they never gave me lung function tests. My discharge report simply stated that I should go home and take my Ventolin if severely short of breath with wheezing. They made up their minds that I was just taking too many medicines or that I had a 10-day long panic attack.\u00a0My GP asked me if I had been put on any antibiotics, and I told her how the ER said I had no infection. The GP said, but how did they know if they only took blood? She told me that the hospital tests would not show up a chest infection. So she put me on five days of Augmentin, and the headache is gone now and asthma slightly better, but I still feel tightness and short of breath. I have been sitting for an hour and a half and am breathing like I have been on a long walk. This has really scared me. The only message I got from the ER says that do not go there even if you have serious symptoms. I have been sent there by doctors. I have not been believed about my asthma all my life, as I never have a wheeze and since menopause, my asthma has gone from mild to sometimes really bad.\u00a0Home GP was worried about respiratory alkalosis, as I had been hyperventilating for 10 days. I told the intern and registrar what the GP was concerned about, and they just shrugged like it was unimportant. When I read my discharge summary, I saw my bicarbonate level is low, which indicates the possibility of respiratory alkalosis, does not it? And my eGFR level was low also, which indicates the possibility of a problem with my kidneys. The doctors told me none of this. I am being treated for low vitamin B12 and tested for anemia at the moment by my GP. I would like a second opinion as none of this is making any sense to me, and I am still pretty much just as breathless and just as tight chested when I breath. Between ER doctors and GPs, I have nowhere else to turn. I am now taking Symbicort and Ventolin. Doctor: Hello. I am sorry for your trouble. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 15705, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24346, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11747, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5892, + "tgt": "I have cataract with pars planitis in right eye. Should I get monofocal lens or multifocal lens?", + "src": "Patient: Hello doctor, I have complicated cataract RE with pars planitis. My doctor started conservative treatment and after two months he advised me to go for the surgery for cataract. I wanted to go with a multifocal lens in my eye to avoid specs after surgery. But the doctor suggested me to go for monofocal as the eye is having infection pars planitis. Is the doctor right to choose a monofocal or should I go for a multifocal lens? Doctor: Hello. Your doctor is correct in choosing monofocal as the amount of useful vision you will get would be less and the inflammatory reaction due to pars planitis may cause you to get lesser vision post surgery than what you had before it. Another option, however, is that you can wait for around three months after your pars planitis has resolved, and when there is no residual inflammation, then it is a good option to have multi focals implemented, provided your vision potential is good. I hope this helps." + }, + { + "id": 11457, + "tgt": "Kindly advice diet for a TB patient under DOTS treatment", + "src": "Patient: Hello doctor, My father is 48 years old. He is suffering from pleural effusion and TB for the last two months. DOTS treatment is going on. I want to know what foods should he take and what should he avoid? Doctor: Hello. Good your father is under treatment, continue without any break, that is the most important thing. Diet also plays a vital role in TB treatment. Consume fruits, and vegetables like orange, mango, sweet pumpkin, carrots, guava, amla, tomato, nuts, and seeds are an excellent source of Vitamin A, C and E. Protein-rich foods, and foods rich in B complex Vitamins should be taken. Ask him to have a boiled egg daily. He needs more protein because they aspirate effusion fluid from the chest, that is rich in protein. So there will be protein loss. To compensate add more protein-rich food." + }, + { + "id": 25077, + "tgt": "What is the medical term for having no pigment in the eye?", + "src": "Patient: Hello doctor,My eye doctor told me, after doing an eye scan, that I have no pigment in my sclera. She said she could see right through my eye in the scans. I cannot find anything online regarding this. I would like to know what this condition is called so I can research as I also have glaucoma that is unresponsive to any drops and trying to find out if there may be a connection. As in a genetic link of some sort. So my question is, what is the medical term for having no pigment in the white part of the eye? Doctor: Hello. I think what she meant was iris, not sclera. There is brown or black pigment in our iris. Normally, some people have blue or green. But, there this a genetic condition known as albinism or pigment dispersion syndrome which leads to loss of pigments from the iris. Patients with these conditions suffer from glaucoma too. To correct glaucoma these patients need a surgical intervention like laser trabeculoplasty or trabeculoplasty. Kindly share your docs case file with me so that I can guide you better. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 30779, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24583, + "tgt": "Does unprotected oral sex put someone at risk of HIV?", + "src": "Patient: Hi doctor,I spent three nights with a girl I met online a week ago. There was no intercourse, but we had unprotected oral sex, mutual masturbation, and kissing. I later found out that she has had a pretty crazy sexual history (unprotected anal sex and vaginal sex). Am I at risk of HIV? My worry is that she tried to rub my penis with her vagina, but I stopped her. I am worried about what if it touched? Do my other activities warrant a need for a test? Please help me. I am in agony, and I cannot live like this. Doctor: Hi. Unprotected oral sex carries negligible to low risk for HIV acquisition especially if there are fresh cuts or sores or lesions or bleeding gums. Mutual masturbation and kissing are quite safe. Rubbing vagina without entry, I do not think will cause any harm. Overall, I suggest you to get tested for HIV at four weeks of the exposure and if the result is negative, get a confirmatory HIV antibody test at three months. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3071, + "tgt": "Kindly explain why there is discoloration on skin of penis?", + "src": "Patient: Hello doctor, I have a discoloring on skin of penis. Why? Doctor: Hello. The condition you are presenting is hypopigmentation of penile skin, relating to penile vitiligo, its an autoimmune condition, vitiligo can be present in other parts of skin or hairs also turning the color light, or white, it is not related to any STDs, but if any history of injury, itching is present kindly do mention and for treatment of this hypopigmentation, few ointment like Tacrolimus ointment has found to be effective, other than this you can also get help with light therapy, both of these will decrease the spread and density of vitiligo. thyroid profile for autoimmune disorder do mention, from how many days, if any injury has occurred or not, any prior infection" + }, + { + "id": 21468, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1742, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8010, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2049, + "tgt": "I am passing stools immediately after my meals. Why?", + "src": "Patient: Hello doctor, I am a 32-year-old female. Whatever I eat within one hour I am urged to go to the toilet. My stomach hurts every time I go to the toilet. I cannot eat fish, milk products, some gluten products, or chicken. My sister thinks I may have Crohn's disease. I need to find out what is going on. I have been dealing with it since I had e.coil four years ago. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from abdominal pain followed by defecation one hour after taking your meals. You cannot eat fish, milk, some gluten products, or chicken which can aggravate your sufferings. The most likely cause of needing to pass stool right after eating is the gastrocolic reflex. The reflex is a normal involuntary reaction to the food entering stomach. For some people, it is mild causing no symptom. For others, it may be intense and the urge to poop after eating can be severe like you. Certain health conditions such as irritable bowel syndrome or IBS can cause a person's digestive tract to move food through their system at a much faster rate. Other conditions like food allergies, food intolerances, anxiety, gastritis, celiac disease, inflammatory bowel disease or IBD, Crohn's disease, etc., all can give rise to digestive symptoms like abdominal pain, bloating, increased frequency of defecation, diarrhea, constipation, alternating diarrhea, and constipation, etc. So you should undergo some investigations like CBC (complete blood count), USG (ultrasound) of W/A, stool culture, sigmoidoscopy, and rectal biopsy, colonoscopy, and jejunal biopsy to find out the underlying cause of your present conditions. In the meantime, you can avoid some foods like fatty or greasy foods, foods high in fiber, dairy products, etc. Again if you are suffering from anxiety, stress, or any other psychological distress, then you should take steps to remove them. After getting your investigation reports and knowing some additional history like weight loss, hormonal imbalance, previous diseases, medication history, family history I can help to treat you further. You had an e.coli infection four years back and from then you have been suffering according to your description. I think you took medication for your e.coli and e.coli usually disappears from the body with 7-14 days, but it may aggravate some rare long-lasting complications like IBS, Crohn's disease, ulcerative colitis, etc." + }, + { + "id": 27549, + "tgt": "What are the round and flat black pellets that I discharged from my colon?", + "src": "Patient: Hello doctor, I had round and flat black pellets discharged from my colon after coffee enema with gentle massage. I do not have\u00a0pain or abdominal discomfort, but I occasionally get gassy. The black balls are all perfectly round, flat, and all are exactly the same size and structure. I discharged about 40 of them. Doctor: Hi. I need following details to help you better: Revert with more information to a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15591, + "tgt": "What can be done to avoid porn addiction and masturbation?", + "src": "Patient: Hi doctor, My problem is that I always think about porn, and very little things arouse me. I do not sleep until I masturbate. How to avoid it? Doctor: Hello. Sexual desire is controlled by hormones. During puberty, early and late teens, an enormous amount of sex hormone start producing which causes these excessive desires. Masturbation is a healthy and normal practice. If you do it once a day then it is absolutely normal. But yes, indulging too much into it causes waste of time and create a hindrance to your academic life and career. Keep yourself busy in other productive things. Do not be alone. Try to be in the company of friends. Set a goal work towards it sincerely." + }, + { + "id": 5718, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 20233, + "tgt": "Will smoking cause toothache?", + "src": "Patient: Hello doctor,I have tooth ache. When I consulted a doctor, he suggested for OPG. I have stopped smoking a month ago. I am little bit scary whether this tooth problem is because of smoking. Please suggest whether I have to undergo any more tests. I could see lymph nodes below neck as well. My dentist did not mention any such things but it keeps haunting me. Doctor: Hello. Revert back with the OPG report to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6379, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8653, + "tgt": "My father has some crawling sensation in chest. What is it?", + "src": "Patient: Hi doctor, I need a consultation for my father. He is 56 years old. His height is 5 feet 8 inches and weight is 78 kg. He looks healthy. He is not obese and there is no history of ortho, cardiac or uric acid problems. Sometimes, he might have high BP. He does not smoke, chew tobacco or drink alcohol. Two months ago, he felt chest pain. When we visited a physician, his ECG and BP were normal 120/80 mmHg. He prescribed some medicines and my father became perfect in two days. Three days ago, he again felt the same pain. He was given some medicines by the doctor; however the pain subsided very gradually. He is also feeling like something crawling and slight tickling sensation in the chest. Again all his tests were normal. Heart rate was 110. The pain is now very less, but still present. Please give suitable advice. Doctor: Hi. Revert back with the details of medicine to an general\u00a0medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16672, + "tgt": "Please suggest the best cure for xerosis", + "src": "Patient: Hi doctor, I am suffering with xerosis. I had consulted many doctors and wasted so much money without any use. I am really fed up with this. Please suggest the best way to cure this. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist \u00a0" + }, + { + "id": 28827, + "tgt": "I had an incisional hernia fix a month back, and now the incision is draining pus. Please help", + "src": "Patient: Hello doctor, I have had seven abdominal surgeries, namely gastric bypass, laparoscopic cholecystectomy, exploratory laparoscopy, panniculectomy, ventral hernia repair, mesh removal from hernia repair with exploratory laparoscopy, and recently open epigastric incisional hernia fix a month back. Immediately upon opening my eyes after surgery, I knew something was different, I had extreme pain, more pain than I have ever had with any surgery. Within one week my incision opened, both at the top and bottom. It drained significant amounts of fluid, which went from serosanguinous to seropurulent drainage, on four occasions. At this time, the upper part of my incision is open to a depth of 5 cm. I have been packing it for two weeks with no improvement. I almost completed Augmentin but developed a rash and was switched to Bactrim DS. I continue to have severe pain and see no signs of improvement. I am actively draining yellow to green pus that has a very slight odor which continues to increase. I have only had a low-grade fever, I am fatigued, and feel unwell. I am a registered nurse, and to me, all these are the signs that the mesh is preventing my incision from healing. I had complications from the mesh placed during my first hernia repair as well. I was supposed to return to work, but I would like the incision to be opened, cleaned out, and mesh removed. As I am a nurse, the PA is treating me for MRSA, and they have not cultured the wound. At this time, would it be a good idea to have the mesh removed?\u00a0Or should something else be done? Doctor: Hi. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 193, + "tgt": "I have normal vision and good sleep. Why do I have headache?", + "src": "Patient: Hi doctor, I am suffering from throbbing, dull pain in my left eye, which is shooting down to the left nostril. I feel pressure when I bend forward and also some discharge from the nose with a salty taste. I am getting the pain while watching television and when working in the computer. I am having a\u00a0good sleep and my vision is also normal. But, when I press my forehead just above my left eye, I feel throbbing pain. I have consulted two neurologists. They did not recommend for any scan. One suggested Gabapentin and another Sibelium 10 mg once a day at night for a month. Both asked me to do some physical works like closing eyes, stretching hands, walk and step one foot after another.\u00a0What is my problem? Please explain. Doctor: Hello. I had gone through all the details that you have posted. The\u00a0differential diagnosis for your problem would be as follows. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 360, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20037, + "tgt": "I have a dull headache. Can it be related to thyroid issue?", + "src": "Patient: Hi doctor, I have been diagnosed with Hashimoto's five months ago. My anti-TPO and anti-TG were 115 and 33 respectively. My TSH was 1.5 and FT4 1.1, so normal function. Two\u00a0months ago, I started having palpitations and tested my thyroid again. TSH was 0.0018 (suppressed), FT4 2.66 and FT3 7.8. I was hyperthyroid, so I had the TRAb test and it was 5.9. So, I was diagnosed with Graves' and overt hyperthyroidism.\u00a0I was put on 15 mg Methimazole and 6 weeks later retested my thyroid and my results are,\u00a0TSH 0.0026,\u00a0FT4 0.86. So, normal but low range and FT3 is 2.8.\u00a0Over the last 2-3 days including before these tests, I started having a nasty dull head pressure and lack of focus, similar to what I have had a couple of years ago when my TSH came out 4.1. I also had fatigue and brain fog, which I do not have now. I feel this pressure or tension around my ears, nose, head and throat. I feel my jaw and upper throat tense, had nightmares, irascible and emotionally unstable. It all started rather suddenly. Can it be thyroid related? It is my only known health issue. I do not feel sick and I do not have fever too. But, this sensation in my head and throat annoys me and makes me very anxious. Could it be related to my FT4 going too low? And why is my TSH still suppressed? Why should not it rise with this FT4? Are the TRAb antibodies keeping it suppressed?\u00a0I will now half my Methimazole dosage to 7.5 mg per day for another three weeks and test again. Does this sound right? Do you have any other advice for me with these symptoms and test results? Please let me know if you need any more information.\u00a0Thank you so much. Doctor: Hi. You have written a very detailed and engrossing history. Well done! Revert back with the answers for the above questions to an endocrinologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 8732, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3661, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11424, + "tgt": "I have thyroid, irregular period and pregnancy test negative. What can it be?", + "src": "Patient: Hi doctor, I am a 24 year old lady and married. I have thyroid and irregular period sometimes. For thyroid, I am taking Eltroxin 75 mcg and I am in control. It has been two months since, I last got my period. We used condom while having sex. For three days, I had light cramps on and off in lower abdomen. Since two days, I am having nauseous feeling. Took a home pregnancy test and got negative result. Kindly suggest. Doctor: Hello. Irregular periods are not only be associated with thyroid but few other conditions too. Check this time for your periods. Suppose, you are still not getting, but having nauseous feeling and vomiting sensation, then I would suggest you to get a beta-hCG test done to rule out pregnancy. Beta-hCG test is a blood test carried out that gives more confirmatory and accurate results even after home pregnancy test is found to be negative. No matter whether the results of beta-hCG is found to be positive or negative, I would recommend you to get an ultrasound of pelvis done. If the ultrasound scan shows negative result, we can rule out the possibility of polycystic ovary syndrome (PCOS). If the ultrasound scan turns out to be positive, we can know the pregnancy details. Medicine to get periods can be prescribed if pregnancy is ruled out. 1. Beta-hCG and 2. Ultrasound of pelvis. Follow up with reports to an obstetrician and gynaecologist physician online.--->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10805, + "tgt": "I am a nursing mother and my nipples are cracked. Please advice", + "src": "Patient: Hello doctor, I have cracked nipples that have failed to heal for the past five weeks. I am a nursing mother, and I am not able to feed. Doctor: Hello. Please apply Purelan 100 (Lanolin) to the cracked nipples and express the milk to prevent engorgement and feed the baby that milk (store in hygienic conditions) along with some top feeds if required. Reduce the latching of the baby to enhance healing. Till you have healed completely feed the baby expressed milk and top feeds. I hope this should help." + }, + { + "id": 358, + "tgt": "What causes presence of HPV virus after complete treatment?", + "src": "Patient: Hi doctor, I was HPV 16 positivethree years back. Follow up Pap a year later showed positive for HPV 16 again. Last year Pap was normal but my Gyno doctor notes stated \u201cpap normal but HPV still present\u201d. I was told today that I had cleared the virus last year but why would he write HPV still present if I cleared it. Hysterectomy with removal of my cervix and uterus was done last year. Pathology of cervix and uterus were fine and normal. Last pap was 2 weeks ago. It showed abnormal cells in my vaginal cuff and HPV positive but it is not 16 or 18. The nurse told me it is a low risk type. Doctor: Hi. I understand your anxiety. The fortune thing is that even if last year HPV was present the treatment has been done in the form of hysterectomy. In fact it is over treated. I do not think it is a matter of concern. For your vaginal HPV, low risk types are rarely responsible for any cancer. Also If one is sexually active, HPV infection keeps coming and body deals with it by its own immunity. What should concern us is a persistent HPV infection in your vaginal smears. So right now just use barrier contraception like condoms and repeat vaginal smear at 6 months. That is all. Follow up is what is needed as you are a very low risk case." + }, + { + "id": 21798, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18020, + "tgt": "Will sex before the day of semen analysis affect the report?", + "src": "Patient: Hi doctor, In my semen analysis, the semen count is 66. But, there are 95% dead cells. Ultrasound scan revealed that I have varicocele. Can varicocele operation improve the quality of semen? I made sex the day before the analysis. Did it make the difference? Doctor: Hi. For further information consult an infertility specialist online -->https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 30542, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27974, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11720, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 14829, + "tgt": "Is it all right for a newborn of 4 days to be given a normal bath?", + "src": "Patient: Hi doctor, Is it all right for a newborn baby of 4 days to be given a normal bath? I read that only sponge bath should be given to the baby till the umbilical cord comes off and is completely healed. Doctor: Hi. In this cold winter, it would be preferable to give a sponge bath with lukewarm water, cleaning all areas of the body. One has to be careful that the baby is not exposed to cold. Keep the baby warm. Breastfeed the baby as it gives the mother's warmth also." + }, + { + "id": 16225, + "tgt": "Is it safe to have sexual intercourse on 19th day of menstrual cycle?", + "src": "Patient: Hello doctor, My query is that my fiancee got her period 18 days back and she wants to do intercourse tomorrow. My question is whether it comes under safe days or not. If not, what to do for protected sex? Doctor: Hello. You are right in contemplating the fact that tomorrow she will be on her day 19 of her cycle, which is her unsafe period if her menses have been regular, so chances of pregnancy with unprotected intercourse would definitely be higher. So, the best way to have protection would still be barrier contraception with condoms with additional use of spermicidal jelly over it to reduce the chances of failure due to rupture condoms during intercourse. Also, practice ejaculation outside the vagina, that would further reduce the chances of any misadventure. The second method is to ask her to use a cervical diaphragm, which is a female condom and needs to be inserted before intercourse and removed post intercourse along with you using barrier contraception. The failure rate of condoms is 3.3 percent which can be increased by either using double condoms with or without spermicidal jelly or with a female condom." + }, + { + "id": 23325, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1871, + "tgt": "What is the treatment for moles under the nails?", + "src": "Patient: Hello doctor, I have moles under the nails of each of my big toes. They appeared over the last months, but I do not remember exactly when. The one on my left toe is a round dot in addition to a diagonal line next to it and that goes to the right edge of my nail, while the one on my right toe is just a round dot. The nails themselves are also somewhat cracked and do not look good. I am wondering if there could be cause for concern. I am sending a photo of my toe. Please help me. Doctor: Hi. Revert back with answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21029, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6579, + "tgt": "I am having redness on penis and urge to urinate. What is the treatment?", + "src": "Patient: Hello doctor,I am a 29-year-old male. I am having redness on the penis head and urge to urinate for the past four months. I had a habit of masturbation, but now I have stopped it. Can it be due to any structural defect in the penis due to masturbation? I took five days course of antibiotics and T-bact ointment, but there is no use. I have done urine culture, KUB test, UFM test and blood sugar test. All results are normal. Please help. Doctor: Hello. Redness in the penis can be due to local infection. Did you have any unprotected sex? If not, we can think of fungal infection. Share a picture for confirmation. Local application of Lobate-GM Neo (Clobetasole propionate, Neomycin sulfate, and Miconazole nitrate) ointment can help you. You did a complete urine test. You need to do urine culture tests for finding an organism. If you had any spine issue (injury or pain) need to do a CT (computed tomography) spine to check whether it is related to the spine. Urge for urination can be controlled by taking tablet Urikind (Flavoxate) as a temporary relief." + }, + { + "id": 17509, + "tgt": "My left side kidney was swollen and I have kidney stone. Do i need surgery to remove the kidney stone?", + "src": "Patient: Hello doctor, I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in. I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care. Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril. Doctor: Hello. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8542, + "tgt": "Can I take Viagra and antibiotics on the same day?", + "src": "Patient: Hello doctor, I am a 27 year old male, weight 69. Currently, I am on medication since last six days for viral fever and taking antibiotics. I am planning to have sex with my fiancee tomorrow. Can I take Viagra and antibiotics on the same day? Please suggest me a better tablet as I am doing it for the first time.Before how much time should I take the pill and for how long it lasts? If we cannot do sex after taking Viagra, is there any side effects? Doctor: Hello. I can understand your concern. Yes, it is safe to take Viagra (Sildenafil) with antibiotics. But if you are taking antibiotics of Azithromycin class then I suggest taking lower doses of the drug or preferably avoid. The drug is safe with other antibiotics classes commonly used. Take the Viagra brand from the pharmacist. If you fail to get Viagra then take Penegra of Cadila. Both are good. This will have great effects. You can take Tadalafil 20 mg tablet instead of Viagra. The drug has a long duration of action and will provide sustained erection for long. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. The tablet should be taken around one hour before sex. Take plenty of water with the tablet. I hope you are not taking any antihypertensive medicines and any blood coagulants. The drug is safe to use and no serious residual side effects. But if you have good erections then no need to take the tablet. If your erection is poor then you can take it without worries to make it harder. Thanks and take care. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30563, + "tgt": "I'm on Paleo diet. Do I need to panic regarding my blood report?", + "src": "Patient: Hi doctor, I am on paleo diet for the past 20 days and took the blood test today. My result reported\u00a0elevated triglyceride from 109 to 150 and homocysteine levels of 32. I have attached the report for your reference. Do I need to panic? Doctor: Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 6795, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24464, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3951, + "tgt": "I have low mood, debilitating anxiety, and intrusive thoughts about the past. Please help", + "src": "Patient: Hello doctor, For months I have struggled with low mood, debilitating anxiety, intrusive thoughts about the past, avoiding anything to do with the past, suicidal thoughts, self harm, and daily guilt and shame that has stopped me from hanging out with friends, or being successful in school. Everyday I just try to survive. My appetite sucks, I have trouble falling asleep and have frequent nightmares, I am exhausted all the time. I finally decided to get help. I saw a psychiatrist today, who concluded I do not fit any diagnosis, and with therapy I can learn to deal with the situation that causes these things. But there is no situation? How can someone be in so much pain for so long and the answer is basically that I am just too weak to handle life? I have never felt so awful ever and coming to that appointment was a big step for me. I feel like such a loser, I got nothing out of it except humiliation. Should I consider reaching out to a different doctor? Or am I overreacting and she is probably right? Doctor: Hello. I would beg to differ with the psychiatrist who you have consulted and all the symptoms you have mentioned are depressive symptoms which do need treatment with medicines. Therapy can only help increase the effect of medicines, it is not a replacement . I would prefer that a psychiatrist or a doctor should prescribe you a standard dose of an SSRI such as Sertraline 50 mg, and add low dose mood stabilizer such as Divalproex sodium 250 mg. Major depressive disorder secondary to a stress in past along with a probable personality disorder , will need further history to arrive at a diagnosis. Also consider doing some deep breathing, relaxation exercises." + }, + { + "id": 7519, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5049, + "tgt": "I am six weeks pregnant with sacroiliitis. How will my pregnancy affect sacroiliitis?", + "src": "Patient: Hello doctor, I have been diagnosed with Sacroiliitis caused by AS and hypermobility, which I manage without tablets, and by doing exercises, stretching and seeing an osteopath once a month to prevent flare-ups. I have also been refered to a rheumatologist with suspected fibromyalgia and I am still waiting for the first appointment. I have now found out that I am six weeks pregnant and have a few questions. Can I still see the rheumatologist regarding fibromyalgia and treatment for sacroiliitis? How will pregnancy affect my sacroiliitis? Will I get more pain? Are there risks in giving birth? How could I be affected after giving birth? Doctor: Hello, Welcome to icliniq.com. To answer your questions in turn, yes, that will be fine to see a rheumatologist, they should be able to help you. It is hard to say how pregnancy will affect sacroiliitis. Some people improve during pregnancy and some people worsen but there are things that can be done even whilst you are pregnant. The rheumatologist can help you with this. There are not any actual extra risks giving birth, your joints are inflamed but not damaged. After birth your symptoms may worsen or improve, it is difficult to know at this stage, but again there is plenty that can be done to help. So it would be good to see your rheumatologist shortly after birth. I hope this helps." + }, + { + "id": 10840, + "tgt": "What is the cause for toothache after eating?", + "src": "Patient: Hi doctor, I am a 23 year old female. Few weeks earlier, I had tooth pain after eating. Yesterday, I had acute pain in the tooth. I have attached the OPG scan for your reference. I would like to know, from the OPG, what is your opinion about the extent of decay? And also I would like to know about the possible diagnosis. Thank you. Doctor: Hi. Before I answer, I would like to point out a few issues here. You have not mentioned the location of your tooth pain, whether it is on the right or left side. The right and left indicator on the orthopantomograph (OPG) are not visible on the scanned image. So, I am going to describe the findings as I see it. To my right and left, I can see there is decay in two upper molar teeth. Upper third tooth from my right and the upper third tooth from my left.The decay in the upper right first molar appears to be deep. Depending on the symptoms, if you have acute pain that is unchanged, persistent and disturbs your sleep, then the tooth will require root canal treatment (RCT). This is because the nerve of the tooth (pulp) has been involved by the decay. If the RCT is started right away, the tooth can be saved. The decay in the upper left molar tooth is moderately deep and can be filled, if you get it done right away. If delayed, then the decay is likely to progress and involve the nerve of the tooth (pulp), then root canal treatment would be the only option to save the tooth." + }, + { + "id": 30455, + "tgt": "Please suggest a way to cure my elbow and shoulder pain", + "src": "Patient: Hi doctor, I have had pain in my right elbow and shoulder for a couple of weeks. I lift heavy weights and workout every day. I am doing this for many years, so this is nothing new. But, it is agony now to hold the bar in squats. If I am lying on the floor with the elbow at 90 degrees, I cannot put the rest of my arm on the floor. Also, wearing a sports bra, etc., hurts me and I cannot rotate my arm to try and reach my back. When I am sleeping, I tend to wake up with my arms straight out and above my head, since this is the least painful position. The last day, it is also painful to just stand with my arm straight down, feels like something is ripping across from above my sternum to my deltoid. Is there anything you can do to help this? Either exercises or stretches, which one will be helpful?\u00a0I cannot recall anything happening during a workout as that has caused this. Doctor: Hi. I am glad to respond to your query. 1. Overstraining in the gym. 2. Lifting weights that are too heavy for your shoulders and arms. 3. In the absence of the above, it may be because of insufficient healing time (rest) after a minor injury. Ultrasound shoulder would be sufficient and can get an MRI if warranted. Pectoralis major muscle strain. Ice application and rest. 1. Prevent any position of the limb that hurts your shoulder. Keep the arm supported. 2. Stop visiting the gym for at least three weeks or till the pain subsides and be regular with your medicines. For further information consult a physiotherapist online.---> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 29262, + "tgt": "Is it normal to feel numb after lymph node biopsy?", + "src": "Patient: Hi doctor, I recently had an open lymph node biopsy with lymph node extraction. Since the moment I woke up from the general anesthesia,\u00a0I realize that my trapezius muscle is not functional and my ear is numb. My doctor, who is a qualified ENT specialist, told me that it is unlikely to be an accessory nerve damage and I should just wait for the swelling to go down. My cut is 3 cm long just under my ear. \u00a0I am 4 days post op, and my wound is healing nicely, but absolutely no sign of trapezius working. I had an ultrasound of the neck in A and E, and there is no hematoma or fluid present in the wound. I was prescribed to have Neiromidin by the Emergency Room doctor. I have attached my photo for your reference. Doctor: Hello. NCV for bilateral accessory nerves. For further information consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19496, + "tgt": "I am unable to breathe deeply, and doing so causes a cracking sound. Why?", + "src": "Patient: Hello\u00a0doctor, I am a 28 year old female. I weigh 55 kg, and my height is 168 cm. I have been having difficulty taking a deep breath for over a year now. I got it suddenly one day while riding my bike. It feels like my breath is not completed or like I am missing some air. Some days it does not occur at all, but it occurs most days. Sometimes, when I take a deep breath, I hear a cracking sound at my back. My physician said that my lungs and heart are fine. He stated that it might be stress. However, I often have it when I am not stressed, although stress usually makes it worse. Stretching my back seems to help. Could it be a muscle pull? What could I do about it? Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25056, + "tgt": "What is causing vision problems in both the eyes?", + "src": "Patient: Hi doctor, I have attached the scan reports of my aunt. She is 54 years old, diabetic, and hypertensive. She is on medication to control sugar and BP. She had an eye surgery before one year for some nerve problem in one of her eyes. The reason given by the ophthalmologist was diabetes. Now, her complaint is vision problem in both the eyes. The scan report was attached. Today her random blood sugar is 300. As I am far from them, I could not collect more information to present here. Kindly interpret the report and explain the problem in detail. Please explain the treatment part as well. Thank you so much. Doctor: Hello. I have gone through the files (attachment removed to protect patient identity). There is a blood clot in the retina of the left eye of your aunt. This is not due to diabetes per say it may be a contributing factor. Here is what she should do: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5152, + "tgt": "How to treat premature ejaculation through ayurveda?", + "src": "Patient: Hi doctor, I am a 25 year old male. I am suffering from premature ejaculation while having intercourse. Please help me. Doctor: Hi. Revert back after two months to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22460, + "tgt": "I am six weeks pregnant. Can I take stool softener for constipation?", + "src": "Patient: Hello doctor, I am six weeks pregnant and suffering from severe constipation which is the main cause of heartburn and acidity. Can I take any stool softener? Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20481, + "tgt": "Can painkillers for chikungunya raise blood sugar levels?", + "src": "Patient: Hello doctor, I want to ask for my mother. Her age is 52 years and weight is 54 kg approx. She suffered from chikungunya in and as chikungunya causes severe pain in joints. So the doctor prescribed painkillers always and when the pain was severe, the doctor also gave injections to decrease pain (one every day). After recovery in one month, I tested her blood sugar level and that came (365) nine months back, after recovering from chikungunya. Does that high level of blood sugar came due to the painkiller that she took and the injections? Followed by that I did her blood sugar test every month sometimes after 15 days then after that up to now, in last more than 1.5 year it never came up. It always came between 90 to 110 in the last 1.5 years or more time. One important point is she did not take any medicine from the date it was diagnosed. Medicine was taken only first day and not after that. She also made changes in her lifestyle as she is not taking sugar much. She is only taking natural sugar in fruits, etc. Some time brown sugar in milk. Does this mean she is not having blood sugar problem and that level came up only due to painkillers and injections she took at the time of chikungunya? Is there any way I can check? Doctor: Hi. Temporarily any illness can cause elevated blood sugar levels. It is difficult to say what was the cause in her case. If the painkillers included steroids then yes, that added to the cause. But illness itself could be the reason, since it disturbs the immune system and can affect any organ system. To confirm that if she has diabetes or not, in addition to blood sugar monitoring (early morning and two hours after any meal) she will need HbA1C test specifically, that can confirm if she has diabetes or not. It is very easy to do and is available in most centers. If it is greater than 6.0 level despite diet control, she more likely has diabetes and should be treated. Acute illness. HbA1C and complete metabolic panel. To be determined after laboratory reports. Continue diet control." + }, + { + "id": 1652, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4963, + "tgt": "My 2 year old baby falls while walking. Kindly suggest an ayurveda remedy", + "src": "Patient: Hello doctor, My 2 years old baby is not yet walking properly. While walking, her body shakes and she fell down. I started doing massage using ayurveda. Please suggest any remedy for my baby. Doctor: Hi. Do not worry, I read your query and understood your concern. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28319, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2923, + "tgt": "How would I know if I have listeria?", + "src": "Patient: Hi doctor, I am 34 weeks pregnant. What are the symptoms of listeria? I read somewhere that a pregnant women may not have symptoms at all. How would I know if I have it? Also there is opened unpasteurized cheese in the fridge. Can that cheese contaminate an opened package of cheese, just by being beside it? I am worried about listeria and would appreciate your advice on this topic. Thank you. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28613, + "tgt": "Doctor advised us to have intercourse only from day 11 to get pregnant. Why?", + "src": "Patient: Hi doctor,I am trying to conceive my first baby, and I am on Clomid this month. My gynecologist has asked me not to have intercourse till day 11. From day 11, I can have intercourse every other day. Now the problem is that my husband is not satisfied with this decision. We would like to know the reason why we should not have intercourse till day 11. Can you explain? Doctor: Hi. I would not suggest that regimen of sex to get pregnant, let me explain. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 22457, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18073, + "tgt": "Which specialist should I consult for one side headache?", + "src": "Patient: Hi doctor, I have been suffering from one side headache since last 10 years. I was diagnosed with paranasal sinuses. I am taking medicines for sinus problem and a few periods for migraine. But no results found. Please guide me. Which department should I consult and get treated? Doctor: Hi. Your description fits into migraine headache. Migraine headaches occur usually on one side of head and have severe throbbing sensation associated. They can be accompanied with vomiting, photophobia (severe sensitivity to light) and phonophobia (fear of noise). You can see a physician who deals with migraine cases and even you can see a neurologist for the purpose. A neurological examination and fundus examination are must to rule out any other neurological problem. If required your doctor will also post you for CT scan and MRI brain. Treatment for migraine headache would be with the drugs like Flunarizine, Propranolol and Amitriptyline. In case of acute pain drugs like Sumatriptan and Ibuprofen helps to terminate the attack. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19583, + "tgt": "Please clarify my MRI report", + "src": "Patient: Hi doctor, Around four weeks ago, I drove for three hours. I had pain in my abdomen that had spread to my spine. I had to crawl everywhere for one week as I could not walk. The pain has reduced, but still I am uncomfortable. I have been advised by my doctor not to work until I consult a specialist as it could be serious. I had back pain in the past, but never for this long period of time. My current medications are Ibuprofen and Paracetamol with Codeine.\u00a0I hope you can help me with my MRI report. The comment at the end of my MRI lumbar spine says:\u00a0Moderate central stenosis with indentation of anterior cord at T11-T12, possibly with an area of cord edema or myelomalacia.\u00a0I have been referred to a neurosurgeon. Could you please clarify the results and my condition? Is there anything serious? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17303, + "tgt": "I have a lot of health issues, but my reports are always normal. Why?", + "src": "Patient: Hello doctor, I am a 35 year old male. I have been primarily suffering from a\u00a0headache on the right side of the head above the ears\u00a0for many years. The headache is almost always there. Even when I wake up at night to go to the toilet, I can feel a\u00a0slight headache. I do not feel fresh when I wake up in the morning. I feel dull and sleepy. The severity of the headache varies depending on the quality of sleep the earlier night. Due to a continuous headache, my sleep is getting disturbed and sometimes I have a slight pain in my left shoulder and the left side of the\u00a0neck too. Recently, I felt a slight pain in the left part of the buttocks too. I did an MRI several times including this month, but the doctor said that there is nothing to worry as the report is fine. He also mentioned that there are fewer chances of it being a migraine headache. Due to all these health issues, I am stressed out and fear the worst all the time. Recently, I fell from the train. Since then, I have developed a fear of falling unconscious when traveling alone. I feel depressed and have unknown fears. I recently realized\u00a0that it is happening mainly due to anxiety and depression. I have been trying different allopathy medicines for muscle relaxation and good sleep since a year, but it has not helped much.\u00a0My medical reports status is as follows. Brain MRI report is normal. Blood test, all vital elements are normal.\u00a0Urine is normal. The stool test is normal. ECG is normal and BP is 120/72. I am currently taking Rivotril 5 mg twice a day, Sertraline 25 mg twice a day, Myonal/Eperisone 50 mg thrice a day and Depas 5 mg before sleep. Doctor: Hello. I just read your query. Try all these things regularly, and you will feel positive results within a month.\u00a0Do consult me after two or three weeks regarding improvement. I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30031, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25871, + "tgt": "Can low vitamin D and B12 levels have adverse effects on the fetus?", + "src": "Patient: Hello doctor, My 29-year-old sister has a 5-year-old son. It was premature delivery (34th week) and it was a normal delivery. After that, for three times she had abortions and all were between 8 to 10 weeks because of no fetal growth and no heartbeats found. Currently, she is 10 weeks pregnant. Recently, an ultrasound scan was done and the report was good with heartbeats found. In the investigation report, we came to know that her vitamin D level is 12 and the B12 level is 227. Will the low vitamin levels have an impact on the baby? Should she continue the pregnancy? Fetal hemoglobin (HbF) is 0.9 %, Hemoglobin A0 (Hb A0) is 96.5 %. Hemoglobin A2 (HbA2) values before last year were between 94.3 and 98.5. Please give your opinion. Doctor: Hello. The vitamin D levels are in a deficient range and vitamin B12 levels are normal. There is no need to discontinue the pregnancy due to these values. Vitamin D supplementation will help to gain adequate levels in the baby. I suggest you start with vitamin D supplementation of Calcirol sachet 60000 IU weekly after the 12th week of pregnancy for eight weeks.I hope your sister is already taking folic acid 5 mg daily. I also hope she has already undergone routine investigations of pregnancy like Also hoping the NT (nuchal translucency) and NB (nasal bone) are normal. Please review if otherwise.In view of previous three abortions, I suggest she start tablet Ecosprin (Atorvastatin and Aspirin) 75 mg daily and continue for 36 weeks. Also get tests for APLA (antiphospholipid antibodies), LAC (Lupus anticoagulant) and aCL (anticardiolipin). According to the report, we will decide whether further pregnancy support is required or not. I suggest she does not take any medications except folic acid, Ecosprin (Atorvastatin and Aspirin) and Doxinate (Doxylamine and Vitamin B6 (Pyridoxine)) for vomiting for the first three months (12 weeks) of pregnancy to avoid congenital malformations in the baby. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14514, + "tgt": "What can be the cause for pain and burning sensation in left breast?", + "src": "Patient: Hello doctor, I am having a lot of pain and burning in my chest. I had an ECG done about 20 days back which was normal. I have pain on the left side, (it is like on my breast) sometimes I feel it moves. I have been suffering from this since more than a year. Last year, I went through a complete evaluation and my ECG, 2D echo and TMT were normal. I was diagnosed with acidity but not on any medication now. Doctor: Hello. There are two possibilities in you, first is costochondritis (musculoskeletal) and the second possibility is of gastric reflux followed by fibroadenosis. Such a long duration of the pain and pain which increases on movements or pressing over the same site is usually costochondritis. Also, get your breast palpated once for any lumps (fibroadenosis), which can also cause pain if feeling pain is in the breast. You may continue Pantoprazole Domperidone combination (Pan DSR) for a week period, and if there is inadequate relief then get prescribed anti-inflammatory medicines from GP like Naproxen 250 mg twice a day along with Pantoprazole for five days. So, overall, the first possibility in you is of costochondritis and should have anti-inflammatory medicines like Naproxen." + }, + { + "id": 4214, + "tgt": "Does my EMG report show any issue with peripheral nervous system?", + "src": "Patient: Hello doctor, My EMG report is as follows. Pelvic EMG:\u00a0Pudendal nerve motor latency: left 1.9 and right 2.4.\u00a0EMG: Bulbocavernosus muscle and anal sphincter shows denervation with reinnervation and anal sphincter shows high voltage polyphasic potentials.\u00a0Does this imply a problem in the peripheral nervous system, peripheral neuropathy or any lesion or tumor? Or does this suggest a problem in the central nervous system like lumbosacral plexus radiculopathy or plexopathy? Please interpret my EMG. Doctor: Hi. I read your query and understand your concerns. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1314, + "tgt": "I have high uric acid with mild pain in all joints. Please help", + "src": "Patient: Hello doctor, I have high uric acid levels and mild pain in random joints. I would like to know about hyperuricemia management. Please help. Doctor: Hi, Welcome to icliniq.com. Definitely, your uric acid is very high. (attachment removed to protect patient identity). To discuss about the management, I would need to know, since when are you having these symptoms? Only small joints are involved or large joints like knee, elbow are also involved? Any reddening or swelling over the joints? Any alcohol consumption?" + }, + { + "id": 2737, + "tgt": "Is there any aid to help my constant skin pricking habit due to anxiety and depression?", + "src": "Patient: Hello doctor, This is a bit embarrassing. I am afraid of going to the doctor because I am embarrassed and ashamed. I have bad anxiety and social anxiety and depression. I pick at my skin constantly and I do it unknowingly and also when I am aware. I feel like I cannot help but I do it. And I do it mostly when I am having an anxiety attack. I also do it because I feel as if I need to pop everything on my body. And I am creating scars on my body and try to avoid looking in the mirror as much as I can because I do not want to do it to my face. What is wrong with me and how can I help myself? Is there anything I can get myself over the counter that I can take or put on my skin to help so maybe I would not have anything to constantly pick at? Doctor: Hi. I am so sorry to hear about your problem, I can understand it must be really difficult for you. Anxiety has to be managed in two ways: 1. Medical management, you will require some medications if the problem is severe. I cannot prescribe them online because it needs complete evaluation and some blood test might also be required. So for that, you will have to see a local psychiatrist. 2. Therapy, psychotherapy is one of the most effective ways of controlling anxiety and depression. You need to understand the negative thought pattern which is causing the anxiety in the first place so that you can either stop them or at least not get affected by them. Cognitive behavioral therapy is one such tool. As you have mentioned, that you are not comfortable with going to a doctor which is completely understandable, I would suggest to opt for online counseling sessions which are equally effective and works well for people who either have social anxiety or have difficulty traveling. The counseling sessions are done online once a week via video consultation. Therapy and medication combined are the gold standards for the treatment of anxiety and depression. Apart from that take out some time every day and engage in some relaxing activities like deep breathing, meditation, progressive muscle relaxation, etc. I can understand it is overwhelming when you have kids around and so much to do but it is important that you also take care of yourself and make yourself a priority too. Only if you are healthy you will be able to provide a healthy environment for the family. If you want to start with therapy sessions you can let me know." + }, + { + "id": 5370, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27740, + "tgt": "Is it safe for a woman with cancer to take an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My friend has stage three esophageal cancer. Her doctor said that she is recovering well. She had unprotected sex with her fiance. She is in a panic now. She has planned to take Unwanted 72 pills to prevent a pregnancy. But my question is, will she have serious health issues if she takes it during cancer? If yes, is there any alternative to this? Please help soon. Doctor: Hello. All the best. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27017, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28999, + "tgt": "My 11 months old baby is still not sitting. What is your advice?", + "src": "Patient: Hi doctor, My baby is preterm, and the corrected age is 11 months and 6 days. He is still not sitting. When we consulted a doctor, he advised for PT. And he said, we may need to check an MRI after 15 months of age if it persists. What is your advice? Doctor: Hi. I can understand your concerns. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 12822, + "tgt": "Is it advisable to take Toprol 25 for tachycardia?", + "src": "Patient: Hello doctor, I went to a cardiologist and he found me with tachycardia. But he never says where he found that. Reality is I have tachycardia every day mostly 11 to 4 PM. He gave a medication Toprol 25. But I fear the side effect and that I am having asthma. I have my studies done if you want to check it. Doctor: Hi. Please send me your ECG and other test reports so that I may guide you better. If you are asthmatic and have tachycardia, Nebivolol is better than Metoprolol, yet I want to check your reports to devise a proper plan for your treatment." + }, + { + "id": 10845, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3418, + "tgt": "What is the importance of mental health over physical health?", + "src": "Patient: Hello doctor, Is mental health not as important as or more important than physical health? Why? What seems to be the dominant approach to treating people with depressive disorders? And, how do you think it could improve to prevent mental health crises, namely suicide? How should the topic of mental illness and more specifically depression and suicide be discussed? What role should religion or faith have in the diagnosis and treatment of depression? Is suicide morally wrong and why? How should it be portrayed in education? Doctor: Hello, Welcome to icliniq.com. Sharing my thoughts based on my professional experience and expertise. Mental Health is as important or probably even more important than physical health because most physical ailment or issue starts within the mind or if it is not for to a mental process, its tolerance and recovery depend highly on the mental state of the patient. Depression has a biological basis of primarily disbalance of the neurotransmitter serotonin. So, first and foremost medications should be taken which is SSRI. SSRI (Selective serotonin reuptake inhibitor) which are a group of medications that help in increasing the level of serotonin and are first-line treatment of depression. Therapy: Cognitive behavioral therapy (CBT) is one of the most tried and researched form of therapy which works really well for most of the patients. Therapy and medications combined are gold standards for the treatment of depression. Suicide is one of the consequences of untreated depression. Almost 80-90 percent of people who attempt suicide have been estimated to have an underlying mental health disorder. So, one way to prevent suicide is 1. Creating awareness 2. Creating resources and trained professionals 3. Treating mental health disorders early. Depression, suicide or any mental health issue should be discussed as often as possible and just with the same approach as any medical illness because they all essentially are biological disorders. It is important to normalize the approach which helps in reducing the stigma related to mental health. Role of faith or religion is similar to having any personal goal because they give a sense of purpose but it can be sometimes a negative influence as well because sometimes religion teaches us that our suffering is a consequence of our actions and people often are denied treatment based on this belief. Suicide has nothing to do with morality. It is an end-stage consequence of long term suffering. It has been proven that people who attempt suicide in most cases have an underlying mental health condition that might have not been detected. It is important to address this issue and educate people as much as possible." + }, + { + "id": 20700, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24911, + "tgt": "How can I get instant relief from pain due to swelling in anus?", + "src": "Patient: Hello doctor, I have a hard swelling measuring 3/4th finger size from anus on the right side. It hurts while sitting. It started developing five days back and was worst since yesterday. The entire nearby area is sensitive and slightly painful. For your information, I underwent surgery for anal fistula on the left side 52 years back. I have type II diabetes for past five years and BP for past 12 years. I am 82 years old. Kindly suggest medicine, ointment or injection for instant relief from pain. Doctor: Hi. It looks like you have a right perianal abscess. It needs to be clinically examined by a surgeon and if required, drained as early as possible. You need to start antibiotics too as you are diabetic which increases the chance of the infection. My antibiotic preference would be Augmentin duo (Amoxicillin and Clavulanic acid) 1 gm twice daily for five days or Ciplox-TZ (Ciprofloxacin and Tinidazole) twice daily for five days. For pain, you can have tablet Ultracet (Acetaminophen) 1 three times a day or as needed. Consult your specialist doctor, discuss with him or her and take medications with their consent. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 19561, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30549, + "tgt": "Is it normal to have peroneal palsy after tibial fracture?", + "src": "Patient: Hi doctor, I had a tibial shaft fracture and the doctors placed an intramedullary rod for the recovery. It has been two weeks. SLR and knee flexion are good. But, I am unable to actively dorsiflex. My doctor said it could be a common peroneal palsy and suggested for a nerve conduction test after four weeks. Is it normal to have common peroneal palsy after fracture? Can it be cured? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16894, + "tgt": "I have sudden and severe hair loss. Please help me", + "src": "Patient: Hello doctor, I am a 34 year old female. I\u00a0am suffering from severe hair loss. Almost three-quarters of my hair I lost in 15 days. I have severe itchiness on the\u00a0scalp with a\u00a0sensation of something crawling on my scalp and\u00a0body. But, my mother says nothing can be found on the\u00a0head, except\u00a0some traces of dandruff. Every now and then, I suffer from a skin problem\u00a0of red bumps on the body. Please help me. Doctor: Hello. I have gone through your case. Take care. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 2319, + "tgt": "My two lower teeth are infected and pain every six months. What do you suggest?", + "src": "Patient: hi, male, age 36, i have 2sides bottom big teeth its infected completely, every six months i get severe ache, the teeth is hallow, do i need to close the gap what do u suggest. this teeth is infected almost 6years above i hope. but recently since a 20days the tooth ache is severe. bottom end munching big tooths both sodes are infected and its Hallow, cant munch anything just having liquid type food, avoided sugar content foods.very rare Tea. Taking antiboitic and pain killer from Medical stores and Gogling salt water. also 2cloves near infected tooth for Relief. Doctor: Hello, I have gone through your query and understood your concern. A clear clinical picture or an x-ray of the teeth will help determine the present condition and the extent of the decay. This tells whether the teeth can be saved with a root canal treatment or it needs to be extracted. If this pain is manageable with the meds, I suggest you to continue using the same meds and home remedies. Let this pandemic settle, after which this can be treated safely. If this pain is unbearable even after taking meds, please visit a nearby dentist for an x-ray and an emergency procedure. Since it's the time of the pandemic, the dentists are providing emergency care only and sometimes with prior telephonic consultation. Call up a nearby dentist to get an appointment. And if your planning to go out to get this treated, make sure to follow measures for self-protection. I hope this helps. Good day, and stay safe!" + }, + { + "id": 7705, + "tgt": "What should be followed for severe migraine?", + "src": "Patient: Hello doctor, The complete background of the history of the past 10 years is attached herewith. There is a severe migraine. Right now not on any medicine. Please advise the medication. Doctor: Hello. I have read your query and all your reports are very carefully (attachment removed to protect patient identity), before prescription I want to know about your diet and digestive system history. 1. Is your digestion normal? 2. Are menstrual periods regular or not? 3. Any surgery that you have undergone in the past? 4. History of hypertension and diabetes? Please provide me this history then I will prescribe you the best available treatment." + }, + { + "id": 27078, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7636, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14410, + "tgt": "I am having persistent cough. My doctor told me that there is no need for taking x-ray,do you think the same?", + "src": "Patient: Hello doctor, I am having a persistent cough for 14 days. I feel something like phlegm, but I am not able to spit it out. I feel shortness of breath also. The doctor has diagnosed bronchitis, but I want to be sure about it. My doctor told me that there is no need for taking an x-ray, do you think the same? He gave me a nasal spray, cough syrup, antibiotic, and one another medicine. I am taking a lot of fluids, and I have stopped drinking or eating cold items. Please let me know if the diagnosis done is right? Doctor: Hello. Yes, most likely you have bronchitis. But you should do sputum microscopy. Please answer the following:" + }, + { + "id": 5719, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22647, + "tgt": "My psychiatric medicines are causing hormonal side effects. Please advise", + "src": "Patient: Hi doctor, I was taking Soltus 100 mg for delusion problem for a year. Now, I am absolutely fine. Before a month, the doctor has reduced my dosage to Soltus 75 mg. Now, I am facing hormonal problems like weight gain and amenorrhea. I am having my menstrual cycles once in two months (after taking some progesterone stimulant only). The gynecologist told me to reduce the dosage of the psychiatric medicines as it can cause side effects when you are taking medicines for the hormonal problems. Also, I have raised prolactin level (131 mIU/L) that is too high. Please suggest some medicines. Doctor: Hello. You are suffering from delusion disorder and you are taking Tablet Soltus 75 mg for the problem. It can lead to raised prolactin level as side effects. So, either dosage reduction is needed or this drug should be replaced by another antipsychotic medication and psychotherapy like behavioural counseling can also be beneficial. Hope this will help you. For more information consult a family physician online. ---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 29360, + "tgt": "My IUD got displaced and I am late for my periods. Does it mean ectopic pregnancy?", + "src": "Patient: Hi doctor, I am 29 years old with a Paragard IUD, and it has been dropped beyond the normal place. I was told to get my IUD out.\u00a0I have an abnormal discharge, and I am 10 days late on my period.\u00a0I got a pregnancy test done, and it was an\u00a0error. I had an ultrasound, and I saw what looks like an ectopic pregnancy. I am concerned that I saw a heartbeat and a living thing in the scan. My IUD seemed like it was just about to come out and did not appear to swell my fallopian tube. I was told by the technician if the IUD is taken out, then I will be fine. I have unprotected sex every night, but my pregnancy test is an\u00a0error. If the ultrasound is not negative or positive and looks like a heartbeat and not a flat line, then what does it mean? If it is red and blue scan, what does it mean? They kept asking me about my period for more than five times. The technician had her supervisor suggestion that the IUD needs to come out. I am having weird discharge, bloated, painful stomach and diarrhea. I had a miscarriage last year and the symptoms were the same that time. What shall I do now? Doctor: Hello. You are missing the most important thing that is the pregnancy test is an error, which means it is not positive. Of course, if IUD (intrauterine device) is displaced from the normal position, there is a chance of pregnancy and also of tubal ectopic pregnancy. But, it is not that all cases have a tubal pregnancy. For further information consult an obstetrician and obstetrician online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16093, + "tgt": "How to control recurrence of chocolate cyst in ovary using ayurvedic medicine?", + "src": "Patient: Hi doctor, I have undergone cystectomy in my left ovary to remove a chocolate cyst of 9 cm. It was done before two years. After that, I got conceived, and my baby boy is five months old now. I got my first period after three months of delivery, and I experienced mild pain in my left lower abdomen. I am experiencing mild constant lower abdomen pain. I have done an ultrasound and found the existence of the cyst with a size of 3 cm. As I was feeding my baby, I was told to wait for the baby to reach six months. I am worried about the cyst growth. I am looking for solutions to stop them growing. Please help. Doctor: Hi. Ovarian cysts are commonly known as PCOD. A cyst is a form of an immature ovum. It occurs due to hormonal imbalance, and it causes irregular menstruation. In this concern, some ayurvedic medicines taken along with yoga practices are beneficial. You need to have a regular check-up of your thyroid profile and USG abdomen. You can take the following medicines to prevent the further growth of cyst and to regulate the periods. Take Hyponid charak two tablets twice a day with warm water after meals. Take Kanchanara Guggulu (Kanchanara with Varuna) two tablets twice a day with warm water after meals. You can consume M2 tone syrup (Ashoka with Ashwagandha) 10 ml twice a day after meals. You can take Arogyavardhini Vati (Shuddha Guggulu with Shilajit) one tablet twice a day with warm water after meals. Do regular yoga like kapalbhati, Mandukasana and Ardhamatsyendrasana, Pranayama like anuloma vilom, Nadi sodhan and bhramari. These are very effective. Avoid eating spicy and fried junk foods. Drink plenty of water. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after a month." + }, + { + "id": 17570, + "tgt": "I have 3. 5 pack-year history of smoking. Am I prone to leukemia?", + "src": "Patient: Hello doctor, I am 29 years old and I am a former smoker. I smoked half a pack a day from the age of 19 to 26 years (3.5 pack years). I stopped smoking three years ago. I also had three CT scans in my life that totaled just a little over 9 mSv. for some reason. I have attached the CT scan reports. I am worried about leukemia. Should I be worried even though I am young? I only have 3.5 pack-years and a total of 9 mSv as a radiation dosage? Doctor: Hello. I have seen your CT scans (attachment removed to protect patient identity). As of now, you are not having any symptoms and CT (computed tomography) scans reveal no mass as well. So you are not having cancer as per the history. The risk cannot be predicted when the person smokes because genetic and environmental factors also play role in cancer development. Regular screening will be beneficial. Try to stop smoking firmly. Smoking has multiple adverse effects on body and cancer as well. You can investigate with blood peripheral smear examination and you can get checked by a doctor for a physical examination to palpate the liver, spleen and lymph nodes. A regular clinical checkup can be done once or twice a year. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28624, + "tgt": "I have a pain that runs from the left lower back to my left foot. What to do?", + "src": "Patient: Hi doctor, I have a pain that runs from the left lower back to the stomach, onto the left thigh and all the way to my left foot. I was stretching sideways while sitting with stretched legs when I heard a loud click. I cannot lift my leg straight to my chest, and I feel pain in my hip while lying down. Doctor: Hi. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 25137, + "tgt": "Is there a new medicine for 100 % cure of HIV?", + "src": "Patient: Hello doctor,My brother was detected as HIV positive. Is this disease completely curable or not? Is there is any new medicine for 100 % cure for this disease? Doctor: Hello. There is so effective a treatment available for HIV (human immunodeficiency virus) that it is no longer a dreadful disease. Antiretroviral treatment (ART) needs to be taken regularly with 100 % adherence. With regular ART, HIV will be completely suppressed and this not only improves the quality of life but also prevents the risk of other infections and reduces the transmission. With this treatment, it is a well manageable infection. ART medication is freely available at all ART centers. Please revert if you require any further information. Best wishes. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 7697, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 11310, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18841, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19475, + "tgt": "My mom had hysterectomy for adenocarcinoma. Is radiation therapy compulsory?", + "src": "Patient: Hello doctor, My mother had complex endometrial hyperplasia for which surgery was fixed and last week, hysterectomy along with salpingo-oophorectomy and pelvic lymphonodectomy was done. After surgery, the parts were sent for histopathology. It was diagnosed as stage-2 endometrial adenocarcinoma. The lymph nodes were normal, uterus border was also normal and well-differentiated. Now, what is the treatment for this? Is radiation therapy required even after the removal of the\u00a0entire uterus and its\u00a0neighboring parts? Doctor: Hello. For further queries consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27107, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29099, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9736, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9619, + "tgt": "I am taking Glycomet but my sugar levels are still uncontrolled. Please help", + "src": "Patient: Hi doctor, My age is 30 years and my weight is around 70 lbs. My fasting sugar is around 180 and PP around 270. I am taking Glycomet GP2 tablets twice a day from last nine months. But sugar level is uncontrolled. Please suggest. Doctor: Hello. The reasons for uncontrolled sugar are several even though you are taking medicine. 1. Sedentary life style. 2. What you eat, if you consume more fat or deep fried item in your diet, it is another reason. 3. Anxiety also plays a major role. 4. Time duration between two meals. I suggest you to follow the above-mentioned reasons. You also need to decrease your weight that would be helpful in controlling sugar. You also need some laboratory tests like lipids profile, HbA1C, urine for D/R, free T4, TSH." + }, + { + "id": 17050, + "tgt": "What are the preventive measures in case of slippage or breakage of condoms?", + "src": "Patient: Hi doctor, I am a 37 year old heterosexual male. I am HIV negative with no known STD.\u00a0I always have safe sex.\u00a0I always have very safe sex with girls who are not sex workers. But may have casual sex with others. Generally, I would imagine that they too would be practicing safe sex with their regular boyfriends, then really I do not see statistically being any real chance of contracting HIV or any other STD. I too have had casual sex with a number of such girls. If I continue these activities with multiple partners of the same profile then chance of contracting HIV or STDs should be next to zero. Is this correct?\u00a0In two situations like condom coming out or breaking, but the sex act being stopped immediately, what would be the chance of my contracting HIV or any other STD?\u00a0What other immediate preventive measure should I take if the condom breaks or comes out other than stopping the act?\u00a0Should I take Truvada immediately? If yes,\u00a0for how many days should I take it to become effective? Does it become effective from day one? Can one take it few days before sexual intercourse and stop it in between and again restart it?\u00a0Do I need to do any blood test for HIV or other STDs in case the condom breaks or slips out? If so, what are the blood tests that I need to do and with how many days gap?\u00a0Is there any STD one can get from skin to skin contact without genital contact.\u00a0Is there any STD one can get from accidental genital contact and what preventive measures should be taken if this happens?\u00a0Can one get an STD from kissing? Only once in my life, around two to three years back, I had intercourse without a condom. I had myself tested for HIV six months later and it turned out to be negative. I have not had any symptoms of any STDs, but should I still get myself tested for any STDs and if so, which test should I do? Which condom size should I use? My penis is 7 inches in length and 7.5 inches in girth. Do I use XL or XXL? I do not find any condom which supports 7.5 inch girth. What should I do in this case?\u00a0It seems that if the partner is HIV+ then it would be a statistically low probability that with one sex act with protection?\u00a0Would it not be better to take Truvada regularly to be on the safer side? What are the side effects of taking Truvada regularly even if one is not at high risk?\u00a0Should I use any lubricant with the condom?\u00a0Should I get a hepatitis B shot? I am not sure whether I have had the shot earlier. Doctor: Hi. An unsafe sex increases the chance of contracting STDs (sexually transmitted diseases) as well as HIV (human immunodeficiency virus). As you mentioned that the status of your partners are mostly not known, so this puts you in risk of contracting STD or HIV if you get involved in unsafe sexual practices with such partners. In case of slippage of condoms or breakage of condoms, puts you at risk, which cannot be neglected while having sexual intercourse. First and foremost important thing to do is, to stop the act and wash your genitals with mild soap under running water. Avoid applying any cream or lubricant that can cause irritation to genital skin. Besides this avoid promiscuous behavior. There is no need to take Truvada (Emtricitabine and Tenofovir Disoproxil Fumarate) until and unless you know the HIV status of the partner with whom you have had unprotected sex. Viral infections such as genital warts and herpes can be contracted by even skin to skin contact. For accidental genital contact, firstly get the STD profile done, and then if required start the treatment for the respective STD that is detected on testing. In your case you should use XL size condoms (extra large), which can be procured from a medical store. Having an unprotected sexual intercourse with a partner who is HIV+ then there is always a risk of contracting HIV, you cannot neglect it or can take chance of not contracting HIV by having sex only for once with such person. If you are not sure about vaccination and as you are involved in unhealthy sexual practices then you should get your hepatitis B done. For further clarification consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18174, + "tgt": "Which soap should I use to clean the glans?", + "src": "Patient: Hello doctor, I have small red bumps on the penile head since a week. They occurred possibly after I took antibiotics for tonsil infection. It caused acidity. It started with mild itching on penile head. The itching subsided after a couple of days, but the small red bumps are still present. They are accompanied by a mildly bad odor and sometimes thick white scattered dry discharge. Retracting the foreskin is not painful and there is no burning sensation. I had unprotected intercourse with my long time partner after a substantial gap. The itching started before 15 to 20 days without any discharge. Every day, I clean the genitals with normal soap from outside and even after urinating I clean it from tap water. Kindly advise on the course to be followed. Thank you. Doctor: Hi. Revert back with the photos to a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11171, + "tgt": "How long should I wait to detect HIV and STD in urine?", + "src": "Patient: Hello doctor, I had forced gay sex before 17 days. I had an HIV rapid test after six days of having sex, and the result was negative. Am I prone to HIV and STD's? How long it takes to detect HIV and STD in urine test after exposure? Doctor: Hello. Good, you have done a rapid HIV test, and it is negative. But normal results are negative. This means that no antibodies were found and that you may not be infected with HIV. Most people who become infected with HIV will develop antibodies to the virus within two months. During this time, you may have an HIV test, but this test cannot detect it. You will have to repeat the test more than three months after your possible exposure if your results are negative. Better do ELISA (enzyme-linked immunosorbent assay) for HIV, and VDRL (venereal disease research laboratory), TPHA (Treponema pallidum hemagglutination assay), and HBsAg (surface antigen of hepatitis B virus) for STD. If possible, investigate your sex partner also." + }, + { + "id": 29163, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 4546, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18777, + "tgt": "How long will it take to recover from liver abscess surgery?", + "src": "Patient: Hi doctor, I got a\u00a0minor surgery for liver abscess\u00a0and a drain was installed. Pus in the color of chocolate and little thick is coming out. Is it normal? How much time it will take to recover? For how many days the drain has to be installed? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30128, + "tgt": "Is my premature ejaculation due to fear or a lifelong problem?", + "src": "Patient: Hello doctor, I am a 34 year old unmarried male. I can hold my ejaculation during foreplay with my girlfriend, but I cannot even control it for more than 30 seconds after entering into the vagina.\u00a0Is this a problem of lifelong PE? Or is it happening due to fear or performance anxiety? Once I used condom to get out of the fear, but the problem did not solve. I am going to marry soon. I have a strong fear that the problem will arise in marriage life. So, I am avoiding marriage. In my past, I had\u00a0a habit of masturbation since the age of 14. Initially, two to three times daily and gradually the frequency reduced. But, I still masturbate.\u00a0My semen comes out in a few seconds while watching porn. But, without watching porn I can control it for 4 to 5 minutes by the start-stop method.\u00a0Once, I used Dapoxetine 30 mg on masturbation and it worked. But, when I used it for the second time with a sex worker, I did not get an erection and left disappointed. Also, I do not want to use medicines as it has a side effect of lowering sex drive.\u00a0So, I could not understand my actual problem. Please clarify it. Doctor: Hi. I read your query and understand your concerns. For further doubts consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 30337, + "tgt": "I feel dizzy, weak and short of breath. Why?", + "src": "Patient: Hi doctor, Since a few months, I am feeling dizzy and weak with vomiting sensation and blurred vision. For the past two weeks, I have been feeling shortness of breath and constant headache. I also feel cold in my legs and hands. Sometime, I feel more blood flowing in my head. I am 24 years old. My height is 165 cm and weight 50 kg. I have a previous history of neck pain. I had neck pain a year ago and was treated with various medications. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity). 1. Tablet Ferrikind (Iron) once a day. 2. Paracetamol as and when required. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10037, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 18852, + "tgt": "I have problem with erection after using penis extenders. Have I done irreversible damage?", + "src": "Patient: Hi doctor, About four years ago, when I was self-conscious about the size of my penis, I started looking into ways to increase the size of my penis. Never long-term, but I tried penis water pump and penis extenders. A few times that I used the penis extenders, the ring may have been very tightly packed around my penis while I was using it and due to the stretch it caused, and tightness, I lost circulation to my penis tip to a point the tip went numb and cold. After that, I started noticing my erections are much weaker and sensitivity has gone down significantly. Besides that, I also became very self-conscious and psychologically worried that I may have made my ED worse. I did not have problems getting an erection, but maintaining one was more difficult and my erections were softer. I stopped having sex. After three to four years, when I masturbate, the quality of the erection is much better and I am able to keep the erection but the sensitivity is not quite back. Also, my climaxes are much weaker and they do not feel as good. In the last year that I have masturbated, I have not had issues maintaining an erection when I am masturbating but I believe the sensitivity is not back. I am worried having sex, I will begin to lose the erection fast. I have red skin marks under the skin at my penis tip that is not going away. Is this due to dead cells? Have I done irreversible damage? Is there any treatment as I now am hoping to become sexually active? Many of my problems are from using the extenders and penis pump aggressively even though it was short usage and regretful decisions. Doctor: Hello. I saw the pictures (attachment removed to protect patient identity). The penis looks almost normal. As you are able to masturbate, post-marriage, sexual activity will not be an issue (rather it is better). Aggressive stretching may have caused some damage but from your description, it appears it will not affect your married life. Feeling an orgasm is also dynamic. It may become better after marriage and is unrelated to stretching. Do not worry. If after marriage there is any issue, you can consult again at that time. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15875, + "tgt": "Is there any problem seen in my blood report after bladder surgery?", + "src": "Patient: Hi doctor, I have undergone bladder surgery for poor flow. Now, I have done some blood test. I am in confusion. I have got rheumatic fever before 20 years. I am taking many antibiotics for the past two months. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your ASO (antistreptolysin O) titer is raised suggesting antibodies against streptococcal metabolites. Your ESR (erythrocyte sedimentation rate) and neutrophil counts are mildly elevated suggesting a mild inflammation in the body. It can be due to urinary tract infection. Kindly continue the medicines recommended by your physician for UTI and consult your urologist for a deeper insight as it may be related to your recent bladder operation." + }, + { + "id": 7617, + "tgt": "I am bleeding after septoplasty. What should I do?", + "src": "Patient: Hello doctor,I had septoplasty in which my turbinates have been shaved, and adenoids were taken out. I had two bleeds already. It started bleeding again and is running down the back of my throat. Should I see the doctor or is this something that I can take care of myself? I am currently on Tranexamic acid. Doctor: Hello. Sit straight, slightly bring your head forward, and pinch both nostrils firmly. Now keep ice packs over the nose and either side of the nose (cheeks) and breathe through the mouth. This controls the bleeding. If you have Otrivin (Xylometazoline) or Nasivion (Oxymetazoline) or Xylomist (Xylometazoline) nose drops instill three drops in either side and then do the maneuver. Some bleeding is expected. Red, and bloodstained liquids are normal after this surgery and not worrisome. Frank blood that does not stop with the above technique should be addressed by a doctor. Revert to me, and I shall explain what other precautions you should take postoperatively to prevent bleeding." + }, + { + "id": 15748, + "tgt": "What ayurvedic medicine can be used to treat ependymoma and sciatica pain?", + "src": "Patient: Hello doctor, This is regarding my brother, male, age 39 years, height 5'10\", weight 65 kg suffering from spinal cord tumor ependymoma was diagnosed six months back. The problems faced are sciatica pain in the left leg, back of the thigh, lower back, piriformis muscle, ankle pain, tingling, numbness, and burning in both the feet. Also, suffering from avascular necrosis in left and right hip. There is a weakness in the left leg, difficulty in walking. I have had so many medicines till now like homeopathy, allopathy, but no improvement at all. He has started with ayurvedic treatment from the last two months, that is, Kachnar Guggulu, turmeric, and St John wart tablets. Please suggest appropriate medicines in ayurveda or any alternative medicines which are easily available and reasonable which can help to treat or reduce or shrink this tumor or remove sciatica pain. He is going through a very bad pain. Doctor: Hi. The report you have attached was taken eight months back (attachment removed to protect patient identity). So, now there might be more growth and spread of the tumor. Ideally, surgery and radiotherapy can be preferred. If more pain is there, the oncologist will give morphine (strictly under supervision), that can control the pain. Turmeric tablet is good to continue, two tablets morning, two in the afternoon and two in the night. In addition, I can suggest few Siddha medications to you as follows. Vallaarai tablet two in the morning, two in the afternoon and two in the night. It is the Centella asiatica herb. Capsule Rasaganthi mezhugu one morning, one afternoon and one night after food. Drink a cup of buttermilk (curd with water) while consuming the capsule. Serankottai nei one spoon (2 ml), mix in hot milk, and drink. This is to be done morning and night after food. Tablet Rumowin (or tablet Chithira moola kuligai) two tablets in the morning and two in the night after food. Capsule Siddhaadhi ennai one capsule before bed with a half cup of warm water. The above Siddha drugs are to kill cancer cells, to prevent its spread and to increase immunity. Continue all these medications for the next three months. Within 15 days of therapy, you will find the improvement." + }, + { + "id": 1132, + "tgt": "Based on the hysteroscopy and MRI, please suggest whether I have arcuate or bicornuate uterus", + "src": "Patient: Hello doctor, I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected? Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests. Doctor: Hello. Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality. The option which you have is called Straussman's operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision." + }, + { + "id": 20408, + "tgt": "Is it good to get Lasik surgery with thyroid problem?", + "src": "Patient: Hi doctor, My partner is wearing spectacles. She is going to undergo lasik surgery next week. She suffers from thyroid. Is it comfortable for her to go for lasik surgery for eyes? Will the eyes get swelled after lasik surgery? Please suggest. Doctor: Hi. Your partner has thyroid disease and has opted for lasik surgery. Usually, the healing and remodeling time for the cornea is three months at maximum. So she can recover soon. Just like other surgical procedures, lasik also have a few shortcomings. I will try to explain it. Thyroid disease, in severe cases, can cause dry eyes. The severity of the problem can vary depending on the pre-operative status of the patient, and most patients require lubricant eyedrops for long periods. It is a normal phenomenon that the power of the eyes can change in women during pregnancy and lactation. So the surgery has a transient action only, and she may need to go back to glasses after childbirth. There is a possibility, and it is not seen in all women. Lasik is currently viewed as an outdated procedure due to flap-related complications. The latest method which has safe and repeatable results is the relex smile. In case, if you have the option to do smile, you can do it. Or in case you do not want to change them at the last minute, go ahead with lasik as it has a good track record for a longer duration than a smile." + }, + { + "id": 27364, + "tgt": "I have hair on my face, hands, and legs. Is this Cushing's syndrome?", + "src": "Patient: Hi doctor,I am a 19 year old female. I have hair on my face, hands, and legs. I have regular periods. My weight is 50 kg, and I am 153 cm tall. Is this Cushing's syndrome? Doctor: Hi. Thanks for your query. Thanks. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21938, + "tgt": "I have a red scar and extra skin at my urethral opening. What has to be done?", + "src": "Patient: Hello doctor, A few weeks ago, a red or pink scar and extra skin showed up at my urethral or where the pee comes out. What has to be done? Currently, I am taking Monistat 7 and had a yeast infection previously. Doctor: Hi. I have gone through your query. I would like to know a few more details as follows: From the images (attachment removed to protect patient identity), it appears to be a slight prolapse of the urethral mucosa. However, a clinical examination is necessary to confirm. The reason is just inflamed, hypertrophic mucosa that is probably protruding out. If it is asymptomatic, then there is no cause for concern and should resolve once the yeast infection settles. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 484, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6072, + "tgt": "Can I take Topamax and Marijuana together?", + "src": "Patient: Hi doctor, I was prescribed Topamax recently for treatment of migraines. I am starting on 25 mg once a day and going up to 100 mg after one month. Are there any known interactions between Topamax and medical Marijuana? I use the former for treatment of anxiety and it is quite helpful, however, I have read anecdotal horror stories about combining the two. Doctor: Hello. Marijuana and Topiramate (Topamax) both increase sedation (increased sleepiness). If both are being used simultaneously, I would advice to avoid works that require constant attention and which risk the life of others (like driving, etc.). Ask your physician to modify therapy according to you, along with that your physician should monitor the therapy closely before escalating dosages." + }, + { + "id": 3801, + "tgt": "Are enlarged prostate, loss of libido, and joint pains symptoms of high estrogen levels?", + "src": "Patient: Hi doctor, I am 30 years old. I just want check whether my T/E2 values are proper not because I am suffering from most of the symptoms of high estrogen levels like enlarged prostate, extreme fatigue, anxiety, muscle loss, belly side fat, loss of libido, knee and joint pains, etc., for more than 10 years. Around six months back, I got checkups for gastritis, there they said it is minor gastritis only and all readings are good including thyroid, but better to check for T, e2 and PSA levels as they see enlarged prostate. Do I need to take any medicines to inhibit E2 levels like Arimidex? Please check the below readings: Testosterone 580 E2 43.6 pg/ml Prostate size 33 cc Weight 75 kg BMI 25.9 Height 172 cm Visceral fat 10.5 Body fat 27.9. Doctor: Hi. I read your query and understand your concerns. First of all, I would like to inform you that your testosterone is completely normal but not estradiol. The maximum physiological level is 40 pg/ml and the level above this rings alarm bell and should be investigated. The increased level of PSA (prostate-specific antigen) along with prostate enlargement indicates there is abnormal aromatization of sex hormones which could be due to simple overweight to sex steroid secreting tumors. Regarding the treatment, there is a definite need for treatment and Aromatase inhibitors could be the right choice for you. There are multiple options for this purpose including Arimidex. I hope this helps." + }, + { + "id": 6544, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23689, + "tgt": "Having thyroid, i am not able to reduce weight. Can you suggest any medicines?", + "src": "Patient: Hi doctor, My wife had three cesarean deliveries. She is not able to reduce weight in spite of all efforts. Her thyroid profile T3 is 3.05, T4 is 0.83 and TSH is 5.339. Please suggest whether any medication is required or not for thyroid. Doctor: Hi. I read your query and understand your concerns. For further doubts consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4579, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2005, + "tgt": "I have a throbbing headache for two weeks now, which is getting worse. Please help", + "src": "Patient: hi doc good morning. i have been having really bad headache for 2 weeks now. its a throbbing headache that affects the front and back part of my head. i also notice that it gets worse when i am lying down. there are times i vomitted also. last week i noticed that i have fever for 2 days but the fever went away this week. i tried drinking painkillers to. last week medicol seemed to work. but i noticed the headache was getting worse and the painkiller is no longer working. Doctor: Hi, good morning headache, vomiting starting with fever is suggestive of infection, we need to rule out meningitis and raised intracranial pressure my questions 1. Do you have blurring of vision or double vision? 2. Do you have neck rigidity? ( you will feel like stiffness and pain in back of neck, you won't be able to touch your chest with chin) if any of the above is there, please consult locally as early as possible to your GP/Neurologist, if above things are not then you need to do two things 1. Get on MRI brain with contrast done to look for infective focus or parenchymal lesion. 2. Get your Eyes checked for pappiloedema to look for raised intracranial pressure. meanwhile you can take pantoprazole and domperdon (pantocid - D) before breakfast take tablet Naproxen 500mg (in place of Medicol ) when required for headache thank you" + }, + { + "id": 25383, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6612, + "tgt": "During masturbation, the penis goes flaccid just before ejaculation. Kindly help", + "src": "Patient: Hello doctor, I had a minor bike accident four years back. A couple of days later, I realized that I was not getting erections. I consulted a urologist and was diagnosed with ED and was administered medicine (in sachets) to be emptied into a glass of water and consumed. That brought back interest in sex and a bit of erection. Later CDDU scan result categorized the same as psychogenic. I took some oral medicine including Polybion CZS and some vitamin tablets. In a few months, I got back erections, but again, not as hard as before the accident. I am still single but will be soon getting married. Of late, the matter got worse. While masturbating, roughly 10 seconds before the expected ejaculation, the penis goes flaccid which is very frustrating. Kindly help me. Doctor: Hello. Relax and do not worry. If possible, please send me color doppler report. Also, do you watch porn or addicted to porn? If your penis doppler test is normal, then the cause is psychological may be due to excessive stress or porn induced erection problems. I see many cases of porn-induced erection problems or due to excessive masturbation. But I want to assure you it is reversible and there is nothing to worry. You do not have any physical problem with you. It is just a mental thing. I think there is no relation to the bike accident. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 387, + "tgt": "I am having cough for the past 3 months, with persistent mucus production. Please help", + "src": "Patient: Hello doctor, For the past three months, I was having a dry cough. I consulted a doctor who advised me Augmentin 625 mg, Grilinctus, Betadine gargle, and steam for five days. That gave me a lot but not full relief. I continued gargle and steam for some more time. Since then, the cough is reducing. But, some amount of mucus remains in my throat. Nothing comes out but keeps giving me a feeling of something there. Doctor: Hello. The problem you are suffering is a viral illness that is temporary. You also need to check for any triggers that cause the mucus to increase. If you started with a dry cough, there should be no mucus build-up anymore. The feeling in your throat may possibly be due to dryness of your membranes. Please double your water intake and you should notice a considerable change. You can also take a tablet Neksium 40 (Esomeprazole) on empty stomach in the morning so that any gastric irritation can be prevented by this." + }, + { + "id": 11571, + "tgt": "What is the condition when there is low haemoglobin and high platelet count?", + "src": "Patient: Hello doctor, My mother\u2019s blood test report shows low hemoglobin 10.9 and high platelet count 623000. The sugar test report shows 107 glucose fasting and 144 postprandial. We also had her ultrasound done as she had pain on the left side of the groin area. I am attaching all the reports. Kindly advice. Doctor: Hello. Increased platelet is called thrombocytosis (attachment removed to protect patient identity). This can be present in anemia due to iron deficiency. Since your mother has anemia platelet count may be increased. Pain in her left side groin may be due to hernia. Lastly very rarely we have to rule out that is there any cancer lesions also. Kindly send your mother's ultrasound report." + }, + { + "id": 4715, + "tgt": "What is the relation between lead poisoning and heart problems?", + "src": "Patient: Hello doctor, I am 42 years old. I had a heart attack 12 years ago and now have three stents. By the way, I have no family history of heart disease, high blood pressure, cholesterol and anything of that nature. I am a disabled military veteran and am 40% disabled as a result of being exposed to lead and asbestos during my time in service. I am drawing disability for chronic or acute sinusitis and migraine headaches. It is my contention that my heart complications are a result of being under those same conditions while in the service. I had not had any health issues nor any family history of heart issues leading up to these complications. This is a battle I have been fighting for nearly ten years. I have provided case studies, online articles and most recently, feedback from a cardiologist that stated that there has been findings that there is a correlation between lead and asbestos exposure and heart disease. Even when I was able to obtain that particular feedback, they are now requiring additional documentation. I am reaching out to you in an effort to get an open and honest opinion. The veterans administration is asking the following. Is there a greater than 50% chance that my exposure to lead and asbestos during my service time could have lead to my heart disease and heart attack? I have also included some articles below that back up the correlation between the two. Doctor: Hello. It saddens me to hear of the whole difficulties you have gone through in the past years. I must recommend you for staying strong in the face of all these difficulties. I have thoroughly gone through all your detailed explanation and here is my view. Although I have not had clinical experience of a patient with such complications, I have thoroughly researched to find enough evidence to bring me to the conclusion that lead poisoning can lead to heart diseases and stroke, but no much evidence of asbestos causing cardiovascular diseases. These below are my findings. 1. In a study that involved 60,000 participants, it was concluded that lead poisoning was associated with cardiovascular events. Most commonly but not limited to hypertension, especially in lead blood levels below 5 \u03bcg/dL. 2. Another article also detailed the complications of lead poisoning to the cardiovascular system, although the mechanism is unknown. 3. A study by the Harvard school of public health (HSPH) also detailed the effects of bone lead to increase cardiovascular complications. In my conclusion, there is more than 50% chance of a cardiovascular complication due to lead poisoning. Although they might argue the fact that only a few cases have been reported. I feel strongly that more than 50% of it caused your heart complications. Your level of lead exposure will help your case." + }, + { + "id": 6252, + "tgt": "Why do I feel sad and hopeless with loss of appetite?", + "src": "Patient: Hello doctor, I have felt very sad a lot of the time for the past year and a half. This has been accompanied by feeling hopeless, very low self esteem, feeling unloved and like a burden and occasional mild suicidal thoughts (although I would never act on them), being very sensitive to rejection and isolating myself. Before all of this I used to be very hungry in the mornings and now I have zero appetite during the mornings. Lately, I have had barely an appetite at all. Since five months back I am having trouble in sleeping. These feelings of sadness, worthlessness, etc., tend to worsen at night as well. What is wrong with me? Doctor: Hi. The negative thoughts which are making you feel this way are due to depression. They are not valid thoughts, they occur due to chemical imbalance in the brain called serotonin. This is how depression works. I would suggest you to meet a psychiatrist as soon as possible and start medications. Also, I would suggest you to start counseling sessions to help you with your negative thought patterns and help you with breaking the cycle of negativity." + }, + { + "id": 3181, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25202, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22028, + "tgt": "My mother observed a lump in her right breast. What is the cause?", + "src": "Patient: Hi doctor, My mother observed a lump in her right breast before two months ago. The doctor advised for full abdomen USG, mammography, and FNAC. The results showed duct cell carcinoma (NST) with a lesion measuring 12 x 15 mm. Surgical Oncologist has advised for surgical removal of a tumor (BCS surgery) followed by radiation and chemotherapy. He suggested, my mother, to undergo four to eight sessions of chemotherapy, depending upon the biopsy report of the tumor. I wish to seek a second opinion depending upon the requirement of chemotherapy and radiation therapies and also want to know the possible side effects. Doctor: Hi. The current treatment for the early breast cancer is breast conservation surgery and sentinel lymph node (axillary node) sampling. There are oncotype testing to personalize the treatment which gives the magnitude of benefit for a particular individual. Radiotherapy is mainly given to reduce the risk of local recurrence. Side effects of radiation are skin reactions in the short term and hardening of the breast in the long term. Chemotherapy, not sure whether your mother needs chemotherapy. If the nodes are negative with strong ER (estrogen receptors) in positive status, we could avoid chemotherapy altogether. For more information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 16382, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3627, + "tgt": "Can stroke cause facial droop in the lower half of the left side of my face?", + "src": "Patient: Hi doctor, I am 34 years old and I have facial droop in the lower half of the left side of my face. It has been with me for years. I would not call it a paralysis or bells palsy as I have full control of my forehead and eyebrows, but the lower part when I talk it is noticable that the lip from the left side is way lower, and the nose as well seems lower from one side. I was wondeing what this could be, all the searches online say stroke but I am young and never had any symptoms of stroke, so what else could it be? And what would you advise me to do? Doctor: Hello. I would like to know some details about your symptoms: 1. When, first time, you noticed facial drop in left lower half face? 2. Did it happen suddenly? Or it happened slowly and gradually? 3. Did you had any weakness in left arm/ hand / left leg along with? 4. Had you any change in voice that time? 5. Have you ever undergone some tests for its evaluation? 6. Have you any symptom in left ear: hearing difficulty/ ear discharge/ hearing abnormal sound? 7. Have you any other significant medical history (apart from this facial droop)? 8. At what time this facial droop is most noticeable: at normal forward face look? while smiling? while speaking? while eating? while laughing? 9. Have you any difficulty in swallowing? Revert with above mentioned information and also I suggest to make a short video of your face (in normal/ smiling/ speaking/ laughing) and upload here as attachment. MRI Brain ENT (ear) examination serum ACE level viral markers (HIV/ HBsAg/ Anti HCV antibodies) NCV bilateral facial nerve" + }, + { + "id": 3540, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22678, + "tgt": "Is it true that athletes have a low heart rate?", + "src": "Patient: Hi doctor, I am 18 years old. I go to the gym six times a week. I am taking protein supplements and milk. I am not taking caffeine, alcohol or any other medicine. My resting heart rate is 84. When my pulse is under 100 I do not feel anything, but during some tension it goes above 100. While sleeping it is 72 and normally it is approximately 78. I want to know, is it dangerous? Please help me. I am worried about it. Doctor: Hi. We are here to help you. The normal heart rate varies from 60 to 100 beats per minute (BPM). During activity, heart rate of every person increases and it may cross 100 BPM. So, what I can see in your query is something that I also have. In fact, this is the pattern with every normal human being. So, there is no issue with your heart rate and it is not going to harm you. The supplements you are taking can be accepted if you are taking them in a moderate amount. Remember excess of everything is bad. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7981, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8091, + "tgt": "What is the correct treatment for heavy and painful jaw after wearing braces?", + "src": "Patient: Hello doctor, My daughter wears braces for almost three years now. Right now, she often complains of the heavy jaw and is painful. What is the best treatment for this? Doctor: Hello. The metal fittings over your daughter's teeth would be cause for the heaviness she feels. And the pain she encounters might be for two reasons. 1.Generalized soreness of the gums since there is continuous pressure over it by the tooth movement produced during the treatment. or 2.Because of ulcers on the gums produced by some parts of the metal wire. The best treatment would be as follows: 1. Ask her to maintain proper oral hygiene. 2. Regular visits to the orthodontist where she can get her routine cleaning done to reduce soreness of gums. 3. The impinging metal part has to be corrected at the ulcer site by the dentist. 4. Applying Dentogel 15 gm over the ulcers thrice a day for pain relief. Works better only when proper oral hygiene is maintained." + }, + { + "id": 19064, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4781, + "tgt": "Why do my nostrils get blocked often?", + "src": "Patient: Hello doctor, I am 25 years old. I am 6 feet tall and my weight is 86 kg.\u00a0Basically my entire\u00a0problem starts at night while lying down. Three to four years back, I had mild pain. While lying down I feel acute pain or some tingling in my left chest sometime it goes down around my body. When I am about to get sleep I feel short of breath then I had to wake up and sit for a while. And also my nostrils are too often blocked. For few days I had Levocetirizine and currently just using nasal drops. Consulted many doctors over the years. \u00a0As per the doctors I have nasal muscle swollen or increased which is blocking the way. I had undergone some tests of heart (ECG) and took chest x-ray. Everything was pretty normal. But from last 3-4 days my nights are hell. I could not sleep at all. I am a smoker (half cigarette per day) and drinks alcohol twice a week. Please tell me which doctor to consult? Is it something serious? Doctor: Hello. I have checked your x-ray reports (attachment removed to protect patient identity). 1. You have deflected nasal septum with C-shaped deformity of the septal bone and cartilage. Due to this reason you are getting sleep apnea, breathless nights that makes you to wake up and sit for a while to catch the breath. 2. Chest pain is an additional symptom that may be due to smoking and it is giving bad impact on your lungs. 3. Smoking keeps lung tissue irritated and causing inflammation and then healing. This gets repeated in your case. 4. You need to curb smoking and alcoholic beverages. 5. Consult a sleep apnea specialist for better management. If felt necessary he will advise medication or will refer you to an otorhinolarngologist for nasal defects. That may need surgical correction. Consult your doctor for prescription of : 1. Prednisone by mouth. 2. Ibuprofen oral. 3. Ebastine (Evastine) oral. 4. Use saline nasal spray for better relief. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4649, + "tgt": "Do I need to take medicine for high levels of LDL?", + "src": "Patient: Hello doctor, I am 43 years old. I do not smoke or drink, but my food habits are not very good. Recently, I got my blood checked for Apo B/Apo A and the ratio was really bad at 1.6. The triglyceride is around 474 and this rose from 270 around three months back.\u00a0My HDL is 26, LDL 116 and TC 237. Let me explain that my last 60 days diet which was really high on rice and oil. I also had a lot of cashew nuts in the last 30 days before this checkup. Fasting sugar is 114 and postprandial 170.\u00a0May I know whether I need to start taking any medication or this can be taken care of by exercise?\u00a0My last three years blood report has been showing elevated reports of LDL around 180 and my TC has been around 270.\u00a0I have always maintained my blood glucose level within the normal range, but this time it has overshot (114). My BP has always been bang on 120/80 mmHg. Please advice. Doctor: Hi. We are here to help you. Revert back after the repeat test to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19640, + "tgt": "Accidentally, had birth control pill during pregnancy. What shall I do?", + "src": "Patient: Hi doctor, I got my last period on the 1st of last month. Two days back, I used birth control pills. But, I am 2 weeks pregnant now. Will it cause any side effect? Doctor: Hi. It depends on the number of pills you took and the duration of intake. If it was single or two pills, then chance of the pill affecting baby is low. Please remember that the chance can never be 0 or 100%. If exposure was continuous, which is less likely from the history you mentioned, then the pill can affect the baby. You may need to consider for termination of pregnancyin consultation with an obstetrician after considering other factors. Regarding side effects on the mother, there will not be any side effect. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29836, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4511, + "tgt": "Do anal fissure present with diarrhea and blood in stool?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I have been having some symptoms for two years. It started with noticing some blood on the toilet paper, went to my GP and he said probably hemorrhoids nothing to worry about and then, I started having diarrhea with blood on the toilet paper again. Then I had constipation with blood in stool. I went to see a specialist that said I had a fissure. Then four months ago, I started having too much diarrhea (at least once a week) and gas and borborygmi after every single meal, no matter what I ate. I went to the specialist, I did celiac test negative and my blood tests all look fine. All my doctors said that I have nothing that it is probably stress but I am too worried. How can I convince them to give me a colonoscopy? Doctor: Hello. I have gone through your query in detail. A few details which could be helpful are, have you lost weight? Do you have anemia or any abdominal pain? Have you had a fecal calprotectin done? Apparently, your symptoms have been going on for close two years and specifically since you have had diarrhea with blood on toilet paper, it is unlikely to be due to anal fissures. Anal fissures usually are precipitated by constipation and quite unlikely with diarrhea. Persisting diarrhea and bloating is more in keeping with symptoms of inflammatory bowel disease (IBD) especially since the celiac markets are negative (anyways celiac disease is unlikely to cause blood with diarrhea). On these grounds, you can certainly insist on a colonoscopy." + }, + { + "id": 2666, + "tgt": "I have irregular periods with long duration of bleeding. Why?", + "src": "Patient: Hello doctor, I recently turned 19. I suffer from irregular periods. I did not have my periods for two to three months and then when I have them it would continue for a whole month straight without a pause. I have had the period gap problem for a few years now and recently started with these elongated periods. I have also consulted all kinds of doctor but never actually could find a permanent solution to it. Is this some kind of dangerous issue in my body? (Never had any physical relationships). Doctor: Hi. This could probably be PCOS (polycystic ovarian syndrome), which is a lifestyle disorder and because of the hormonal imbalances it causes can lead to irregular periods or maybe even thyroid abnormality which needs evaluation. There is nothing to be worried about and it could be easily tackled and controlled. I would advise you to kindly get the blood tests and ultrasound and get back to me. Meanwhile, keep a track of your menstrual cycles of they get delayed by more than two months please consult your gynecologist for withdrawal. Complete hemogram, Glucose tolerance test, HbA1c levels, lipid profile, RFT (renal function test), LFT (liver function test), Serum calcium, Vitamin D3 and B12 levels , serum fasting and post prandial insulin levels. Serum FSH (follicle-stimulating hormone), LH (leutinizing hormone), Estradiol, Prolactin levels, Thyroid profile (T3, T4, TSH, Anti TPO) on second or third day of next menstrual period. May need hormonal pills for cycle regularization. Reduce weight (if overweight). Maintain menstrual diary. Regular excercises at least one hour daily. Lifestyle and dietary modifications (consult a dietician). Get back to me with the reports when possible so that we could discuss and correct this." + }, + { + "id": 15435, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6341, + "tgt": "I feel fuzzy in the morning hours. Is it due to early menopause?", + "src": "Patient: Hello doctor, I am a 30-year-old-female. I have a fuzzy head mainly in the mornings, and I have read online and regarding this. It includes stuff like elimination of diet, early menopause, etc. I think it may be due to something like this. I have no pain in my head, but sometimes it makes me anxious and feels sick. I also have asthma. Doctor: Hello, Welcome to icliniq.com. Fuzzy head or brain fog can be due to a lot of causes. Most commonly, patients present to us with a fuzzy head after improper sleep for a long time (insomnia), long term stress at the workplace, too much caffeine, or caffeinated drinks. Some medical causes can be low hemoglobin (anemia), hypotension, weakness due to improper diet, due to malabsorption, etc. We can not attribute the cause to early menopause. Early menopause is considered only when patients get menopause around 35-40 years of age. You are too young to attribute this cause to early menopause. I will advise you to get the following tests done: 1) CBC (complete blood count). 2) BP (blood pressure) monitoring at least three values. 3) LFT (liver function test). 4) Stool routine. Once you have the reports ready, you can contact us, and we will help you. Make sure that you are not too anxious because stress will further worsen the symptoms. So try to eat well and stay healthy for the time being. Take a multivitamin supplement like Cobadex (vitamin B and C), once daily and also take tablet Evion (vitamin E)." + }, + { + "id": 17362, + "tgt": "Can I father a child with one testicle?", + "src": "Patient: Hi doctor, I am 31 years old. I have only one testicle by birth. Can I become a father? Please find my attached semen analysis report. I have few clarifications in my reports. My sperm count is 16 million/cumm, is it normal? I\u00a0read on internet normal sperm count is above 20 million. My pus cell is in the range of 6-8/hpf, is this normal?\u00a0Please check my report and clear my doubts and suggest any solution. Thank you. Doctor: Hi. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22492, + "tgt": "What is the yellow vaginal discharge after giving birth?", + "src": "Patient: Hello doctor, I gave birth to my son three months back. Shortly after the bleeding stopped I had a discharge coming out it had a tinge of yellow to it. A few weeks after that it stopped. It has recently started again. What could it be and should I be worried? It causes some cramping. Doctor: Hi. As now you are experiencing cramps it is better to send this swab for an investigation to a laboratory in form of a high vaginal swab. Collect the reports and discuss here or local gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24032, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17634, + "tgt": "Does HIV spread through toilet sharing?", + "src": "Patient: Hi doctor, I have used the toilet in a public area and there were some feces in the commode. I urinated as it was urgent. I fear that there might have been some backsplash to my penis. I am extremely flustered and paranoid with the thought of HIV. Is there any risk from the situation for HIV? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16044, + "tgt": "What is the treatment for chronic migraine?", + "src": "Patient: Hello doctor, My age is 30 and unmarried. I suffer from a migraine for the past 16 years. At least one time per week, duration of more than 10 hours. Doctor: Hello. Noted you are having migraine problem many times. So, if you are having repeated migraine headache problem then prophylactic treatment for a migraine can be started. For prophylaxis Amitryptiline, Beta blocker, Topiramate, etc., drugs are available and one of them can be prescribed. Try to avoid loud noise and more sunlight exposure. Peppermint or flaxseed oil topical application can be beneficial. During an acute attack of a migraine, Rizatriptan 5 mg tablet can be taken." + }, + { + "id": 15231, + "tgt": "My QTc was 470 in the EKG taken for shortness of breath. Is that normal?", + "src": "Patient: Hello doctor,I went to the ER for shortness of breath. I suffer from panic disorder and hypochondria. My doctor did an EKG and released me and told me it was benign. I saw my QTc was 470. Is this correct? She told me there was a benign ST elevation. I am so nervous. Please help me. Is this EKG normal? Do I have a prolonged QT? Doctor: Hello. No, it is not a long QT (attachment removed to protect patient identity). Manually, QTc fine. There are S waves in lateral leads suggestive of some conduction delay and early stages of RBBB (right bundle branch block), which can also be seen normally in some individuals and more common in athletes. So, at present, there are minor changes in ECG which are fine to have and does not suggest any particular abnormalities. However, you may need echo if clinically indicated like having consistent shortness of breath on exertion rather than panic attack, or any other symptoms suggestive of heart disease. So, overall should be considered as benign." + }, + { + "id": 13056, + "tgt": "I noticed peeling skin with itchy white dots on my glans penis. Kindly advise", + "src": "Patient: Hello doctor, I have skin peeling on my glans penis and also some white dots near the skin joint on glans. It is a bit itchy too and there is no white discharge. What would you advise? More details about the presenting complaint: Started 2 to 3 days back. I did have intercourse. Doctor: Hi. I have gone through your case. Keep your skin well moisturized by frequent application of liquid Paraffin. Mix Hydrocortisone and Clotrimazole cream in equal amount and apply two times a day for 14 days. Maintain good hygiene. Avoid friction." + }, + { + "id": 6001, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7460, + "tgt": "How can I prevent the appearance of rash in between testicle and anal area?", + "src": "Patient: Hi doctor, I have been working for about 10 hours a day in the sun for the past three days. When I work long days and keep walking, I get sores, rashes and irritation between my testicles and anal area. It is happening more frequently than it has in the past. They typically go away in about two to three days time. I am on Lisinopril currently. How can I prevent or help from this happening? Why is it really hard to walk without severe pain? Doctor: Hello. 1. Excessive perspiration. 2. Maceration. 3. Scratching. 4. Tight or unfriendly undergarments. 1. Wood's lamp examination. 2. KOH test (potassium hydroxide) if no response to treatment. Use Tetrix cream (Dimethicone and Cyclomethicone combination) or Desitin topical cream (Zinc oxide) are some topical measures. If this does not help Greer's Goo ointment (combination of Hydrocortisone, Nystatin and Zinc oxide). 1. Do not use tight clothings. Use moisture wicking undergarments. 2. Eliminate friction and heat by keeping folds dry and cool. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2925, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28575, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30794, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30825, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 26909, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21784, + "tgt": "A yellow lesion appeared on the tonsil and capillaries have widened. What is this?", + "src": "Patient: Hello doctor, I had a cold starting with a sore throat, followed by nasal congestion and post nasal drip/coughing. In the past few days, a yellow lesion appeared on my left tonsil. I have attached a picture. As you can see, capillaries have widened on this tonsil and it appears red. What is this? Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). There is acute inflammation of your pharynx. That is the reason for widened capillaries. The yellow spot could be pus pointing or a tonsil stone. You need a course of antibiotics, decongestant, nasal spray and mouth gargles. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18985, + "tgt": "My friend is suffering from neuropathic pain after a thalamic stroke. Please help", + "src": "Patient: Hi doctor, My friend, who is a 48 years old female, suffered a CVA three years back. She was diagnosed with a right thalamic hemorrhagic stroke with pericardial effusion, left hemiparesis, autoimmune thyroiditis, hypertrophic cardiomyopathy, ischemic unstable angina, grade 3 obesity, altered glucose tolerance, and depressive disorder. She\u00a0suffered a CVA after a high blood pressure episode, and her BP was 240/120 mmHg. Subsequently, a right side adrenal nodule and Cushing's syndrome were discovered, for which adrenalectomy was performed, following treatment with Glucocorticoid.\u00a0The cerebral CT performed three years back showed thalamic hemorrhage. Now, she has left-sided spasticity in the leg and arm, left-sided sensory loss, and neuropathic pain.\u00a0For endocrine problems, she was given Prednisone 5 mg\u00a0and Synacthen\u00a05 mg. The remaining adrenal gland does not work properly. My friend is under observa\u021bion for endocrine problems.\u00a0For neurological and depression symptoms, she was given Gabaran\u00a0and Rivotril 0.5 mg, twice a day. Gabaran was interrupted after approximately a month when the pain almost disappeared, but the treatment was resumed after six months when the pain was very strong. This time it had no effect, so the doctor advised her to take Carbamazepine. She took it several weeks with no improvement and interrupted the treatment. She tried Lyrica, but it did not work because of some side effects. She followed Cymbalta, with the same result. So, she returned to Gabaran 400 mg again, but the pain persists, so she started taking\u00a0Zoloft 100 mg. She is also taking\u00a0Cerebrolysin from 2 to 3 months and Actovegin\u00a0in between. Lioresal for spasticity and she takes kinesiotherapy three times a week. Even with all these treatments, there was no improvement with the pain. I will appreciate your advice and opinion in finding a solution for the pain, which is very important at this moment. Your advice will be discussed and taken into consideration together with our specialist's doctors. Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19141, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13248, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14309, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8407, + "tgt": "My wife is pregnant through IVF. Is Lonopin injection compulsory for her?", + "src": "Patient: Hello doctor, My wife is 3 months 3 days pregnant through IVF. Currently, she was prescribed to have the medication, which I have attached for your reference. Even after 3 months, they are forcing her to take Lonopin injection, which is very irritating, painful and give side effects like nausea. We have done TVS, which is normal and the heartbeat is 150. Please guide us. How to deal with this? Is it really needed? Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 8984, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15935, + "tgt": "Is it good to take Kalarchikai choornam for PCOD?", + "src": "Patient: Hi doctor, I am 30 years old. I have completed my marriage life for three years. I have no children. I have PCOD and thyroid. I have a prolactin level of 53 ng/mL. I am taking Metformin 500 mg. I am taking Caberlin 0.25 mg weekly once. I have severe hair loss. Can I take Kalarchikai choornam along with this medication? Doctor: Hi. I can understand your concern. Nowadays, PCOD is one of the most frequent causes of infertility. But it can be managed naturally through ayurvedic medicines. Hypothyroidism also affects the period and hair fall. You should take regular medications to make it fine. You can take Kalarchikai choornam along with these medications. But have a gap of one hour between these medicines. Take Kalarchikai choornam two to three grams twice a day after meals for three months regularly." + }, + { + "id": 24774, + "tgt": "Partner is yet to have her periods after Unwanted 72. Please suggest course of action", + "src": "Patient: Hello doctor, My partner took an Unwanted 72 tablet on 15th last month and had bleeding from the 26th to 31st. Her expected date for the period was 6th this month but a doctor suggested she should wait till 15th. She started with an odorless vaginal discharge and has reduced since but is yet to have her periods. She has no common symptoms of pregnancy but is under tremendous stress. What would you suggest? Doctor: Hello. The bleeding that she had from 26th to the 31st, post Unwanted-72 intake was the withdrawal bleed or her menses which got initiated as per the schedule of emergency pill intake. So, now her next bleeding or menses would only be after a month post 31st, that is by 2nd or 3rd next month onwards. In some cases, this may be delayed by a further one or two weeks as it is a known side effect of Unwanted-72 to delay natural menses for the next one or two cycles. So, pregnancy is unlikely as she had a withdrawal bleed. However, if you wish to confirm as well, then get a urine pregnancy test done. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14393, + "tgt": "What is the recommended dose of Folic acid while planning for pregnancy?", + "src": "Patient: Hi doctor, I am an epileptic patient and currently on Lamictal 200 mg twice a day. I am planning for pregnancy. I would like to know the dosage of Folic acid I should start. Doctor: Hi. I suggest you tablet Folvite 5 mg of Folic acid one tablet per day. The recommended dose of folic acid is a controversial topic. Various doctors favor 1 mg to 5 mg per day. The best part is that the Folic acid has no side effects. It is a water-soluble vitamin and an excess of it gets excreted in urine. So, we recommend 5 mg per day to all our patients. When sufficient dose is harmless, there is no need to take a chance by giving low doses. One more concern of mine is that you have to check with your neurologist if it is safe to go ahead with pregnancy while on Lamictal (Lamotrigine). The safety of Lamictal is not established by studies. But, if your physician has good experience with personal case series, then I think you can continue. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7032, + "tgt": "Please see my attachments and advice if I need a tonsillectomy", + "src": "Patient: Hello doctor, Kindly view my attachments and advice whether I need a tonsillectomy. Doctor: Hello. From the pictures you have provided as an attachment, it seems you have rhinitis with a sore throat and a bad cough. To answer your question, I will request you to please provide me with the following details for better accuracy. 1) Age, 2) Symptoms in detail, 3) Duration of illness, 4) Frequency of the illness per year. Since the acute episode needs to subside first, I will advise you to follow the underwritten treatment. 1) Start on antibiotics if having a fever, a tablet with a combination of Amoxycillin and Clavulanic acid (625 mg) will work well. It is to be taken twice daily after meals. 2) Take antiallergics like tablet Levocetirizine (10 mg) once in the evening. 3) If you are facing a problem of blocked nose, start on nasal decongestant drops like Nasivion nasal drops (Oxymetazoline) two drops in both nostrils every six hours. 4) If having a fever, take tablet Paracetamol (500 mg). Again dose of this tablet is according to age which you have not mentioned. 5) Taking steam inhalation early morning and evening helps a lot. I hope this helps." + }, + { + "id": 21089, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19418, + "tgt": "Apart from getting injections, what treatments are available for seborrheic dermatitis?", + "src": "Patient: Hello doctor, Eight years ago, a car wreck shattered the windshield, and my head got injured with pieces of glass. They did not take the glass out, and I have also been dying my hair since I was 16. I developed fibromyalgia from the wreck, which is supposed to be relatively non-progressive, however as the years went by I started experiencing debilitating neck pain paired with even worse migraines. I did stretching, physical therapy, chiropractor, and even medication, but\u00a0nothing seemed to help. Last year, a pharmacy refused to refill my Tramadol. I was in such a debilitating pain that I went home and stared at where my headache was coming from, and I noticed my hair was growing funny in certain areas. So,\u00a0I started to comb close to the scalp, and the hair that where my natural color started coming out of my scalp and pain started being relieved. I also noticed that rubberized glass was coming out of so many areas in my scalp. At this point,\u00a0I could see all of the places where there was glass lodged and each time I shaved an area to get the glass out, the\u00a0pain lessened in a way I will never even forget. I went and just shaved my head. After a few months, my scalp is so itchy, flaky, scaly, and pieces of glasses are still making their way out. So, I went to see a dermatologist, who said it is seborrheic dermatitis, but I have used everything you could use for that (Clobetasol, Ketoconazole, apple cider vinegar, Prednisone, some topical cream, Salicylic acid shampoo, tar shampoo, coconut oil, etc.). But still, I have to shave my head because my scalp is still very messed up.\u00a0I think my follicles are damaged, so aside from getting injections at a dermatologist office, what treatments are available for that? Do you have a specific shampoo you recommend for repairing follicles? Doctor: Hi. The diagnosis from your history would still be seborrheic dermatitis or sebopsoriasis or scalp psoriasis. This is more of a cyclical problem, it tends to curb down with 2 to 3 months of treatment, but recurring back with a change in season or lifestyle. However, it naturally settles down as the age increases, usually around 30 to 35 years of age. The pain, as you describe, could even be neurogenic in view of a past history of trauma to the skin. This could damage the nerve fibers, which have a very slow tendency to regrow and recover, resulting in chronic pain. With regards to your scalp scaling, I would advise you to restart with a Ketoconazole, Zinc pyrithione, and coal tar combination shampoo. Initially, it would be recommended to start using it every alternate day for three weeks, with a gradual tapering in frequency. Thereafter, use it twice a week for next three weeks, and then weekly once for next three weeks along with the simultaneous introduction of your regular shampoo. In order to repair the damaged follicles, you could take oral supplements containing Biotin and Pantothenic acid, daily one tablet for a month. Consult your specialist doctor, discuss with him or her and start taking the medicine after their consent. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27710, + "tgt": "My 5 year old kid does not listen to me. Please help", + "src": "Patient: Hello doctor, My 5 year old kid is getting me really agitated. He does not listen to us. He does something even though he has been told not to. He really gets on our nerves. Doctor: Hello. If you need more information and help, I am always here to help you. Take care. For more information consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 2142, + "tgt": "My diabetic father had mild stroke with BP reading of 140/80 mmHg. Does emergency treatment needed?", + "src": "Patient: Hi doctor, My father is 63 years old. He suffered from a mild stroke yesterday and we would like to seek the second opinion on the proper treatment for his case. He was given Catapres to lower his blood pressure and was asked to continue taking his maintenance medicines for hypertension (Losartan). His latest BP taken just a while ago is 140/80 mmHg. We would also like to ask for guidance whether this warrants a trip to the ER. Since the hospitals are now full of confirmed and suspected COVID patients, we are concerned that going to the hospital may be more detrimental to his health. Please help. Doctor: Hello. Regarding your concern, I would like to explain that his blood pressure values are normal. I would like to know his symptoms. Did he perform a brain CT scan? As he suffers from diabetes, the most probable cause would be an ischemic stroke (blood clot). For this reason, besides antihypertensive drugs, antidiabetic drugs, it is necessary taking Baby Aspirin (80-100mg) daily in order to help prevent a future stroke. I hope this helps." + }, + { + "id": 18742, + "tgt": "There is a drastic decrease in my platelet count in the last five months. Why?", + "src": "Patient: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24644, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19279, + "tgt": "I have oily dandruff and dry hairs with hair fall. How can I be treated?", + "src": "Patient: Hello doctor, I have oily dandruff and dry hairs and hair fall. So what should I do if I wash hairs every day so they will become more dry and thin too? Doctor: Hello. Many people with dandruff have oily skin and the latest research shows that the real culprit is probably a tiny fungus called Malassezia globosa that needs oil to grow. It only becomes a problem when the fungus grows too rapidly, and our natural renewal of cells is disturbed. It causes skin cells to renew too fast and dandruff will start to show because the skin cells bond with the oil on the surface of your scalp. This process results in the formation of white flakes. Regular shampooing can even irritate your skin that may aggravate flakes formation. Do not wash your hair more than two times a week or every alternate day. Use organic shampoos without skin irritants. While washing your hair use lukewarm water. Do not use nails just massage it gently with fingers. Then wash with cold water. You may use antifungal Nizoral shampoo to control dandruff. You may use it once a week for six to eight weeks. If symptoms still persist, you need to consult your dermatologist. He will guide you in the right way. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 24521, + "tgt": "Can I get a spinal block for laparotomy instead of general anesthesia?", + "src": "Patient: Hello doctor, I have been diagnosed with a 13 cm complex cyst in left ovary and have a laparotomy (small 3 to 4 inches vertical incision under my belly button to get rid of ovarian cyst) coming up and I would feel so much better if I could just get a spinal block instead of general anesthesia. I have heard of multiple women getting these with similar surgeries and I want to know why my surgeon is telling me that spinal block is not possible. I have a major anxiety of general anesthesia and I know my recovery would be better with a spinal. The tests performed are an ultrasound and CT scan. Doctor: Hi. Spinal anesthesia is good for surgeries below umbilicus eg., pelvic surgeries, and ovarian cyst as in your case. But the size of your cyst is large, more than 10 cm and it is a complex cyst (not simple) which would mean surgeon may have to see other intrabdominal structures also and may take more time to complete surgery, also you may feel uncomfortable if he has to extend incision above the umbilicus. So he has advised you for general anesthesia which is the most reliable option in your case. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 18514, + "tgt": "Apart from sex, how does HPV enter into body?", + "src": "Patient: Hi doctor, I have a doubt about the cervical cancer. I know that it is caused by HPV. What are the other channels for the entry of virus into the body apart from sex? If wife and husband both are virgin at the time of marriage and are sincere after marriage, is there any chance of getting cervical cancer? Doctor: Hello. Cervical cancer is caused principally by two strains of HPV (human papillomavirus) - 16 and 18. Though there are more than 400 serotypes present but only 144 have been identified till date and of these high risk types being 16, 18, 31, 33, 34, 45, 52, and 58 which constitute 90% of cervical cancer cases. HPV commonly spreads through vaginal or anal sex. It can also pass when the infected person has no signs or symptoms. Though you have been sexually active with only one person, you can get HPV. Even a mere skin to skin contact with a HPV infected person can spread HPV. But the fact is, unless the above mentioned strains are not detected on HPV DNA studies during pap smear, it is unlikely that you shall get cervical cancer. Even if both of you are virgin and do not have HPV still if you do not have the high risk strains, you may have other strains of HPV as commensals which with regular sex often can undergo mutation and beget high risk strains. So, the best is to get a HPV vaccination done before you undertake sexual activity ideally, else as per guidelines HPV vaccination should be given to all women between 9-45 age group irrespective of their sexual activity status. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28073, + "tgt": "My mother has episodes of dizziness when she sits down or stands up. Why?", + "src": "Patient: Hello doctor, This question is regarding my mother, who is 57 years old. She is getting episodes of dizziness from the last one and a half\u00a0or two years. Most of the time, they are mild, and they occur for few seconds when she gets up or sits down. Sometimes, they stay long and are associated with nausea and other symptoms. And few months, she does not have any symptoms. She does not have any other complaints like headaches or muscle weakness, and she does not have diabetes or hypertension. But, she gets migraines from the last 15 years, for which, she takes Melzap 0.25 mg. She also takes Vertin 16 mg for insomnia and anxiety. These medicines reduce her episodes, but they do not stop them completely. What could be the reason for it? Is it something to worry about? Doctor: Hello. Hope this helps you, and get back if you have any doubts. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12321, + "tgt": "When will the wound created during urolift procedure heal?", + "src": "Patient: Hello doctor, I just had my second urolift a week back. My doctor-surgeon pinned down the median lobe of the prostate and removed a bladder stone during that surgery. Had voiding trial two days back. Urinated out about 200 cc at urologist's office. I think she put in 300 cc if I recall correctly. Went home and had to come back and be recatheterized at 4:30 PM. Had 485 cc in. My bladder at that point was able to get a fairly good stream going for a while but then got spasms and just dribbling so the amount out was not good enough to handle the amount of liquid going into the bladder. The head of my penis had stopped bleeding from the surgery but the recatheterization has caused it to start bleeding again. PA wants another voiding trial next week. I am concerned that this is too soon and that the wound inside the head of my penis will never heal and the spasms which do not allow me to accomplish a successful voiding trial will never cease if I am not given enough time to heal. Your thoughts? Doctor: Hi. In urolift, there is no cutting and therefore no wound. The prostate tissue is pinned to its covering and this widens the urine tube. So one week's rest should be fine for whatever healing there has to occur. The spasms that occur with a catheter in place are due to bladder trying to push out the catheter and these go once the catheter is removed. I think another trial of catheter removal is fine. If it does not work, or you are not happy with the flow or symptoms, or if you have more than 100 to 150 cc residue, better to undergo a formal TURP or HoLEP surgery for the prostate. It is an endoscopically performed, under anesthesia and little side effects. In your case, the urolift is causing problems and this defeats the whole purpose of urolift being less invasive than prostate surgery." + }, + { + "id": 9248, + "tgt": "Is there any treatment to control anger?", + "src": "Patient: Hello doctor,I always try to control my anger since my childhood days, but for three years, I usually lose my temper and day by day, my anger is increasing like anything. I tried all methods to control my anger, but it does not work. Is there any treatment to control anger? Doctor: Hello. Anger is an emotion. When anger rises, our animal instinct tries to protect our-self resulting in aggressive behavior. Aggressive behavior happens only when anger goes out of control. Getting angry is fine. But you should make sure that it does not cross the boundary. In my opinion, instead of controlling anger after it is triggered, you should try not to get emotional at all. Understanding the circumstances and correct perception should help you never even start the emotion. Anger management therapy is the management of anger after it got triggered. That should be useless. I could suggest some cognitive behavior therapy method in this aspect." + }, + { + "id": 1037, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27728, + "tgt": "I have dizziness from the last one week. Can it be a brain tumor?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 250 pounds. I have been feeling dizzy for one week and there is a little pressure on my head and ears. I did a\u00a0blood test and EKG and all came good. I am attaching these reports. I am really scared that it could be a brain tumor even though I\u00a0do not have a\u00a0family history of brain\u00a0tumor. I do have an anxiety disorder and have been in stress for a month now. I\u00a0do not know if that is\u00a0causing my dizziness. I smoke one pack of cigarette a day. Doctor: Hello. I have gone through all the reports (attachment removed to protect patient identity). They are all normal. Hope this helps For more information consult a neuro surgeon online --> https://icliniq.com./ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 16881, + "tgt": "Will anal fistula heal on its own?", + "src": "Patient: Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast and since then I have no problem at all. I do get some itching problem in the opening\u00a0area when I do not follow a proper diet and eat any junk food or spicy food. If I sit for a long time in the same position, then I can feel some pain in the same area, but there is no pus or abscess. But,\u00a0there is a scar in the area where the fistula opening was and when I touch it, it feels different than that of the other skin area. Can I consider this as my fistula has healed on its own? Is there any other problem that I should consider? What are the other precautions I have to take in order to make the area feel more comfortable? Is there any chance that the fistula can spread to other parts internally? Doctor: Hi. Digital rectal examination, proctoscopy and fistulogram. Fistula-in-ano. Surgical excision of fistula. Prevent constipation. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3460, + "tgt": "Is ARVC condition reversible?", + "src": "Patient: Hi doctor, I used to play football a few years ago, however, I had to stop playing due to symptoms of immediate fatigue after a maximum of one sprint, wheezing, dizziness and palpitations. They were first attributed to asthma, however, upon having a cardiac MRI, I was told there are no issues with my lungs and the problem lies with my heart. They took an ECG and I was told I have two slightly impaired valves with some regurgitation and a slightly swollen right side. I might possibly have ARVC, however, I am still waiting to get a Holter strapped. What I would like to know is, will the Holter definitely let the doctors know if I have ARVC? If it is not the case can the performance of my valves be rectified or will my heart's condition remain permanent? Doctor: Hi. ARVC (arrhythmogenic right ventricular cardiomyopathy) is diagnosed on echocardiography or MRI (magnetic resonance imaging). Then further risk stratified on past history, family history of ARVC or sudden death in the first degree relatives, or Holter monitoring to detect ventricular tachycardia. Furthermore, genetic testing can be done, especially if your first degree relatives also have the same disease. Competitive sports are a risk factor for the progression of this disease and also for sudden death. So exertion is contraindicated. It will be easy for me to guide you better if you share your echocardiography, and MRI reports with me and also send ECG." + }, + { + "id": 13445, + "tgt": "How to keep the skin well moistened?", + "src": "Patient: Hi doctor, The use of moisturizer or face wash made my skin glow. If not for five to six days, my skin would become very dull even without any sun exposure. So, I used them regularly. But, I had stopped applying anything on my face for about three months and then my facial skin stopped responding to them. Now my face is much darker than my body. I have tried scrubbing and even chemical peel but no results are seen. I do not think any signs of disease are shown. Then what could be the reason? Doctor: Hi. My inference from the above is that your skin is facing lack of oil. There is dryness which makes your skin vulnerable to sun and other external influences. Hence it gets dark. However, with moisturizer, the skin gets adequate moisture and hydration and stays supple and healthy. I suggest you to restart applying the moisturizer on a daily basis. Also, there are combinations of moisturizer + sunscreen + fairness creams in the market. They are offered by all leading brands like Garnier, Neutrogena, Vaseline, Ponds and many more. These creams are very effective as they provide the required moisture and oils for the skin. They prevent sun-related damage and darkening by acting as a sunscreen that prevents contact of sun rays on the skin. They have ingredients which overtime lightens your skin. At the same time, please check if your skin gets excessively dry after face wash. Use a mild moisturizing face wash and not any soap. Also, do not use face washes which are meant for people with oily skin as they will dry the skin even more and help evaporate the skin oils." + }, + { + "id": 3660, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28602, + "tgt": "Is there a possibility to perform MRI of brain when on ventilator?", + "src": "Patient: Hi doctor, My mother is 65 years old. She is suffering from high blood pressure and high sugar levels. As\u00a0a result of this, she\u00a0fell unconscious and her brain has some small blockages and damages. Please help. Doctor: Hi. I examined the CT scan report (attachment removed to protect patient identity) and clinical assessment. My findings are: Guidelines for stroke management; For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5680, + "tgt": "Does my ultrasound scan project anything serious?", + "src": "Patient: Hello doctor, I have uploaded my ultrasound scan report. Could you please check the scan and tell is there any dangerous situation? Any surgery needed? Suggest me what I have to do? Doctor: Hi. I went through the report (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27602, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23165, + "tgt": "Can exposure to pre-seminal fluid cause HIV?", + "src": "Patient: Hello doctor, I want to know if the pre-seminal fluid can infect HIV. I had an exposure. My anus was in contact with his fluid. One guy put his penis in my anus four or five times, no penetration but that fluid was present. I took an RNA HIV test 16 days after that exposure. It was negative. After 48 days, I took a fourth generation HIV test antibody/antigen. It was negative too. Is that conclusive? Do I need more tests? Doctor: Hi. There are possibilities of transmission of HIV by pre-seminal fluid if the person is HIV positive. If negative, the chances are nil. The two tests done are reliable and suggest you are free from HIV. But it would be better if you can go for HIV antibodies test after three months exposure to be totally free from anxiety. The chances of tests coming positive later are almost nil. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 27420, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2947, + "tgt": "Following thyroid scan, what is the next step to rule out cancer?", + "src": "Patient: Hi doctor, I am a 41 year old male. My recent ultrasound of thyroid revealed multiple bilateral ganglion formation in area IV. The most prominent was 11 x 8 mm diameter in lower right cervical area. It was mentioned homogeneous thyroid. My doctor suggests clinical follow up due to the number of ganglions in area IV and because they were spotted last year in another ultrasound. I am attaching the ultrasound scan images. What are your main hypothesis for diagnosis from the images and prognosis? Also, what follow up should I do? Thanks in advance. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2294, + "tgt": "I am facing ED and delayed ejection. Can phimosis be the cause?", + "src": "Patient: Hello doctor, I am 30 years old. I am a healthy individual with no signs of BP or heart issues. I have done a healthy heart screening where they checked heart plus blood flow in legs, lipid profile, liver function test, vitamin D and everything is normal. My morning erections frequency is fine, (not every morning I get it) sometimes during afternoon sleep. I have a phimosis issue. Recently last three attempts I had an issue with erections and unable to maintain it. I am worried and piling up stress. Another issue is ejaculation. I feel I have delayed ejaculation as I am not able to ejaculate. When I masturbate I can ejaculate in the normal interval, I am not able to understand if phimosis causing delayed ejaculation and ED issue? Apart from the last three instances, I had this issue for a few months and then it resolved, I got erections for the next 10-12 sexual instances. In addition, I do not have diabetes, I used to masturbate a lot by watching porn (kind of addicted) a few years ago then the frequency reduced as I became more mature. I am worried if this is the reason for ED? When I start sex all my attention goes to whether I am getting erections or not. I eat a healthy diet and do cardio three times a week. Please guide. Doctor: Hi. I have gone through your query and find that you are physically active and healthy. You have phimosis but that is not causing you much problem. For the last few occasions you have erection problems and delayed ejaculation, it can occur because of many issues including the stress or performance or time hurry. Once you had one episode of ED (erectile dysfunction) or delayed ejaculation it can cause you anxiety and that can lead to ED for the next sexual activity. If the issue is not affecting you regularly or at least 50 percent of your sexual activity then it is not required any medical treatment. Just continue your cardio workout and take healthy food and take adequate sleep." + }, + { + "id": 6905, + "tgt": "I am getting some tissues while vomiting. Why?", + "src": "Patient: Hello doctor, I am suffering from vomiting, and when the vomit came out, with vomit some tissue also came out from my mouth. And now, I am feeling something held into my throat. Please help. Doctor: Hello. If you are suffering from vomiting for a long time, you should do some examinations and consult a gastroenterologist. A fibrogastroscopy (endoscopy of your upper gastrointestinal tract), is needed to determine the pathology. If you have had a history of intermittent stomach pain or ulcers or if you have bleeding in your vomits or stools, you also have to go to the ER and consult your gastroenterologist. If none of the things mentioned above have happened, do not worry. Take antiemetic drugs such as Metoclopramide, antacids such as Omeprazole and have light meals with soups and plenty of liquids." + }, + { + "id": 23703, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24541, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16921, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29551, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24236, + "tgt": "Can the lump under my male breast be cancerous?", + "src": "Patient: Hello doctor, I am a 24-year-old male. My complaint is that I have a breast lump in my right breast lower outer quadrant. I noticed it three days ago. I have pain at that site. I also noticed redness in the surrounding areas. I have poor beard growth and chest hair so I suspect that it could be gynecomastia. Can gynecomastia be tender and painful? I also suspect myself having Klinefelter though I do not consider my genitals to be of small size.I am a medical student and I am worried that the lump could be a carcinoma as I have learned that there is an association between Klinefelter's and carcinoma. Please help me. Doctor: Hello. Most probably it is gynecomastia as it is common in young age and may cause pain, Although, breast cancer is rare in males, it is more aggressive with rapid growth and spread. I suggest that you take painkillers and send me a photo of the red lump Also if you have noticed any swellings in the armpits please tell me. In general, you should not worry, but be a little cautious. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11040, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2502, + "tgt": "Whenever I get stuffy nose, it is accompanied by lightheadedness, dizziness and headache. Why?", + "src": "Patient: Hello doctor, For the past five years, I have been getting a stuffy nose and itchy eyes. On top of these symptoms every time I get a stuffy nose, I get lightheadedness, dizziness, stomach upset, diarrhea, and headache. I also noticed that when this happens, if I move just my eyes to the left or right, I get this literal pulse of dizziness and I can also feel a buzz in my ears and they feel full. These symptoms come all at the same time and are non-stop for about two to three days and it is during all seasons. A stuffy nose is always an indicator that I am going to get all of the other symptoms. Right now, I am on my second day of this type of episode. I have been to numerous doctors and other specialists, and I have had MRI, CT scans and x-rays, but no one has ever been able to give me a diagnosis or treatment that works. I have tried dozens of medications that either do not work at all or only work for about a month. I am desperate for help at this point. I just cannot take this anymore. It makes it impossible for me to do anything, work, school, travel, and I am even starting to lose weight. Do you have any idea what could be going on and how I can fix it? I am currently on Venlafaxine, Simvastatin, Vyfemla, Flonase Propionate Nasal Spray, and Afrin. Doctor: Hi, Welcome to icliniq.com. Your nasal symptoms are more suggestive of allergic rhinoconjunctivitis. The dizzy feeling and associated changes are more suggestive of benign paroxysmal positional vertigo (BPPV). There is no direct relation between both symptoms, but an allergic exacerbation may aggravate BPPV. For allergy, the treatment of choice is skin prick test and immunotherapy. Please contact an allergy specialist. That is the only way to cure an allergy, with everything else symptoms may exacerbate on and off. BPPV is a condition that may not show any findings on MRI (magnetic resonance imaging) or CT (computed tomography). Treatment of choice is vestibular rehabilitation exercise and maneuvers like Dix-hall pike and Epley,s. Antivertigo medicines are mainly supportive only. In your case, you have to get both the conditions treated simultaneously. I hope this helps. Allergic rhinoconjunctivitis, BPPV. Vestibular rehabilitation exercises." + }, + { + "id": 22989, + "tgt": "Can I have liposuction surgery under general anesthesia with tricuspid regurgitation?", + "src": "Patient: Hello doctor,I am 51 years old with hypertension, having an elective liposuction surgery with general anesthesia. I have been preopted. Everything is fine including, PT, INR, CBC, CMP, chest X-ray, and EKG. Echo is within normal limits, including EF 56 percent. However, I was found to have mild plus tricuspid regurgitation. I am asymptomatic- no chest pain, no dizziness, no shortness of breath, no edema, no wheezing, no fever. Do you think I can have the liposuction surgery with general anesthesia with the mild plus tricuspid regurgitation? Doctor: Hello. Yes, you may have it. There is no additional cardiac risk due to mild tricuspid regurgitation if there is no pulmonary artery hypertension mentioned in the echo report. It is being mild will not increase the risk beyond usual cardiac risk if there is no pulmonary artery hypertension. So just check RSVP (right ventricular systolic pressure) on the echo report and if it is less than 35 mmHg then you may have or else just upload the echo report, I will go through it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 19444, + "tgt": "What can be done for tooth pain because of broken tooth?", + "src": "Patient: Hello doctor, I am having a lot of pain on my upper right side with a broken tooth. The pain is going up in my face to my head. Could you tell me what I can do? I have been taking Tylenol for pain. Doctor: Hi. You need not worry. Your chief complaint suggests pain in the upper right back region which is due to a carious tooth (attachment removed to protect patient identity). So as far your emergency is concerned, you are advised to use following medications: Amoxicillin-Clavulanic acid 625 mg TDS for five days, tablet Zerodol SP (Aceclofenac 100 mg plus Paracetamol 325 mg + Serratiopeptidase 15 mg) BD for three days but after food to avoid impact on stomach, take tablet Pantoprazole 40 mg OD for seven days, tablet Ketorolac 10 mg SOS. Place this tablet under tongue it will relieve your pain immediately. This is for emergency treatment. To address this problem properly, I suggest you after taking medication, go to the nearby dentist for restorative procedure or extraction. You are advised to take following precautions to prevent pain like salt gargles twice, do not bite on hard objects or use sugar-rich drinks for next one week. Keep mouth clean and rinse after eating so that food cannot lodge in the broken tooth." + }, + { + "id": 723, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24970, + "tgt": "I had a tingling in my left foot. Does this sound like MS?", + "src": "Patient: Dear doctor, For a couple of weeks, I had a tingling in my left foot (under the pinky toe). Then one day after, the sensation was positioned in my right foot. It lasted for about two days, and then I had no symptoms. Now after a week, suddenly while reading, I notice the (vague) tingling sensation under my left knee. Does this sound like MS? I am really anxious. (I have health anxiety as well). I do not take any meds. Doctor: Hello. Your symptoms are not suggestive of MS (multiple sclerosis). So, you should not worry about this disorder. An electrolyte imbalance or a pinched nerve could lead to such complaints. For this reason, I would recommend performing some tests if the problem persists: Hope to have been helpful to you. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16267, + "tgt": "What can be done to get rid of mouth smell?", + "src": "Patient: Hello doctor, I want to get rid of mouth smell. Please recommend a good remedy. Doctor: Hi. Do not worry. Do these things. Maintain good oral hygiene by brushing twice daily. Rinse mouth after eating food. Before sleep, rinse mouth always. Avoid onions, garlic, if these are the cause in your case. If you have constipation or stomach problem, use fibers and vegetables in the diet and reduce consumption of meat-based products. If you have a stomach problem, acidity, avoid citrus acid-causing foods. Use milk in the diet. For acidity, you need to consult a physician, if present in your case. Avoid or stop smoking. No drug or habit can clear it than stopping smoking. Try a mouthwash Chlorohexidine for 15 days. If you have stains, calculus, on teeth, get scaling done and do it every six months. If you have any problem in kidney, intestines, diabetes, then get it corrected." + }, + { + "id": 23168, + "tgt": "Kindly recommend a drug to stop ovulation and menstruation permanently", + "src": "Patient: Hello doctor, I want to stop having menstrual period. I am 38 and widowed. I go through pains in both period and ovulation. Kindly recommend a drug that can stop ovulation and menstruation permanently. Thank you. Doctor: Hello. For stopping menses, few medical options are there but you have to be on hormones continuously and it could have some long-term side effects as well. But, if you go for a surgical option, it would be permanent with no side effects. You can have continuous Progesterone withoutwithdrawal or continuous oral contraceptive pills will out pill free tablets but continuous as well as cyclic hormones have their own specific side effects like endometrial hyperplasia, unscheduled bleeding or spotting, mood variations, breastengorgement, stroke, high blood pressure, clotformation, breast and endometrial cancer, etc. Another option is gonadotropin-releasing hormone to reduce sex hormone production but can cause bone pain and menopausal side effects within six months. Even then, if you want to have medical treatment or find it convenient, I would like to say it is temporary and the choice is yours. It is better to have a total abdominal hysterectomy as you do not need fertility. It is a whole surgery, but if done nicely there should be no long-term side effects. So, the complete removal of the uterus will give you complete cessation of menses. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2484, + "tgt": "I get recurrent mild cough at night and sneeze in the morning. Why?", + "src": "Patient: Hi doctor, I am a 33-year-old male. I would like to consult about my recurring mild cough during night time, and sneeze and runny nose in the morning that usually go away before lunchtime. I recently consulted a pulmonary doctor due to severe cough she gave me antibiotics, anti-histamine in the morning, Seretide oral spray, and medicine that uses a nebulizer. I have finished it, the cough as well as the sneezing, and runny nose went away for a couple of days. Suddenly the mild cough, sneezing, and runny nose came back. I also mentioned the recurring allergic attack to the pulmonary doctor that is why she gave me the anti-histamine because she told me that the cough might be an allergic reaction. I just take in vitamin C tablets and ginger daily. I do not use any medications right now. Last night I experienced mild cough again, I have resorted to use the Seretide oral spray because I experience slight discomfort in breathing. I have no idea what I could be allergic to? I have no food allergy. I usually have a jacket when I sleep because we sleep with air condition on. It is fine if it is just me but I sleep with my partner and a 2-year-old kid in a room. I do not have a fever or any symptoms of Coronavirus. I can no longer consult an allergologist near me due to the lockdown in our area. I hope you can put an end to this recurring problem. Thanks. Doctor: Hi. Please continue the antihistaminic. Preferably pair it up with Montelukast. Take the medicine at 6 PM in the evening. You need a steroidal nasal spray like Mometasone as well. Take Albuterol inhaler SOS and a Budesonide inhaler twice daily for a week. Avoid exposure to cold air from the AC. Keep the blower of Aircon away from you. Keep an optimum temperature of 25 degrees. Do not lie down directly under the fan. Keep all surfaces extremely clean and tidy. Wipe all areas with a wet cloth every few days. Keep carpets, curtains, upholsteries, puffed toys, etc., very clean and dust free. Wash your beddings twice a week with warm water." + }, + { + "id": 22361, + "tgt": "I am 16. Can I consume whey protein?", + "src": "Patient: Hello doctor, I am a boy of 16 years, height 5' 11'' and weight 78 kg. I was wondering if I could consume whey protein. Doctor: Hello. Whey protein helps in fat loss and improves muscle mass. So, if you are interested in building muscles with exercise, then after the workout, that powder can be taken. Diet sprouts and other protein-rich foods can also be taken. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 10715, + "tgt": "I am anxious because I failed in my exams and scared to inform parents. Please help", + "src": "Patient: Hello doctor, I think I am going through anxiety because I failed in my exams and I am scared to tell parents. I do not know what to do. It is mentally exhausting. Please help. Doctor: Hello. Failure in exam is quite common and always remember that it is only a temporary setback. Almost all successful people would have failed an exam at some point in their life. Do not put too much pressure on yourself by hiding it from your parents. It can be a difficult burden. Your parents may be upset, but eventually, they will get over it. After initial disappointment settles down, they will support you. Learn to develop coping strategies to manage frustrations. You will come out stronger in the long term. Try to distract yourself and relax for some days. Then plan to retake the exam with better preparation. Make sure you eat well, sleep regularly, listen to relaxing music, talk to supportive friends and family. If anxiety is just situational nothing to worry, it will get better when the situation improves. But if it is persistent, you will benefit from some counseling to manage anxiety." + }, + { + "id": 18132, + "tgt": "Is it necessary to repair soft cleft palate with surgery?", + "src": "Patient: Hi doctor, My daughter is now 2 years old. She has been detected with a\u00a0soft cleft palate six months back. As of now, she does not have issue while eating as well as hearing. She used to drink milk with normal milk bottle we are in the process of removing her habit of milk bottle. Our pediatrician asked us to take her to a plastic surgeon and he said to do it in between 3 to 4 years of age, so that she can be little strong.\u00a0Is it compulsory to go for surgery in case of soft cleft palate?\u00a0Is it fine if we go in between 3 to 4 years of age? Or what is the proper age for surgery? She is just 2 years old and so we are a bit worried with the surgery part. How long this surgery will take place?\u00a0Will she be alright after this surgery and will able to speak all words?\u00a0Is there any dangerous situation involved in this surgery? How anesthesia will be given to her? Will she feel the pain? Please explain me. Doctor: Hi. I understand your concern for your child. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27674, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20222, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28394, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19869, + "tgt": "I have rash near the bikini line. What is it?", + "src": "Patient: Hello doctor, I have developed some sort of a rash near the bikini line (on the inner left side of the thigh). It is extremely itchy and uncomfortable. Could you please tell me what it is. The image is attached. Doctor: Hi. I have gone through your complaints and reviewed the attached photograph (attachment removed to protect patient identity). It is tinea which is a superficial fungal infection of the skin. You need to take oral and topical antifungals. If I was your treating doctor I would recommend you to take tablet Terbinafine (tablet Sebifin) 250 mg twice daily and apply Luliconazole cream (Lulifin cream) on the affected area once daily. For itching, take tablet Levocetirizine 5 mg twice daily. These need to be continued for four weeks. These are prescription drugs and should be taken under the supervision of the doctor. Also, keep the area dry and clean, avoid sharing of soaps and towel, stay in a cool airy environment and wear loose-fitting cotton clothes." + }, + { + "id": 7171, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7685, + "tgt": "How can I support someone taking antidepressant?", + "src": "Patient: Hello doctor, I was just wanting some information and/or opinion on certain medications a family member takes daily in order for me to support them. Doctor: Hello, Welcome to cliniq.com. Auorix (Moclobemide) is an antidepressant prescribed to manage depression. Stelazine (Trifluoperazine) is an antipsychotic medication used to treat various conditions like anxiety, psychosis, neurosis, insomnia, etc. Kalma (Alprazolam) is used for short term management of anxiety. I have to say Auorix and Stelazine are no longer commonly prescribed nowadays since newer classes of medication are available. I presume your family member may have been prescribed these medication earlier and is continuing them. I have explained the types of medication based on the names you have provided (attachment removed to protect patient identity) but is difficult to give a reliable opinion on the nature of the illness your family member may be experiencing. It will be mere speculation to give an opinion without further history since the medication can be prescribed in different situations like I listed before. As you mentioned, your family member will be needing love and support when he is taking this medication. Talk to them regularly. Ask if you can help in any manner in their daily life. Try to gently explore their diagnoses but do not push too much if they are hesistant to share more information at present. They need to have regular follow-ups with their psychiatrist or prescribing doctor. Encourage them to attend regularly and offer to accompany them. Avoid social isolation. Try to involve them in activities. Avoid arguments and high expressed emotions. It can have a negative effect on their well being. Encourage healthy eating and regular exercise. Encourage them to look after their physical health ." + }, + { + "id": 13914, + "tgt": "Is it normal to have sperm leakage from vagina post-sex after D and C procedure?", + "src": "Patient: Hello doctor, I have been having the problem of sperm leakage from my vagina immediately after sex for some time now. It comes out in loads which were not like that in years back just before I had a D and C three years back. I have been trying to get pregnant but to no avail and I suspect this could be due to the D and C and the sperm leakage because the leakage is not normal. Though I had complications after the D and C, some fetal remnants which caused severe pain, came out on its own the next day but still bled for 10 days with the pain minimal. Please, do you have an idea about how this could be causing infertility problems. Doctor: Hi. Fertilisation of ova requires a single sperm, and a normal male ejaculate contains millions of them. So sperm leakage should not be the only concern causing your subfertility. You need to go through some tests for you and your partner to rule out other causes as well. D and C (dilatation and curettage) sometimes cause intrauterine adhesions or tubal block, which may be a cause in some cases of infertility. Husband's recent semen analysis, transvaginal scan to rule out PCOS, intrauterine pathology, fibroids, blood parameters: LH, FSH, TSH, prolactin on the third day of periods." + }, + { + "id": 16859, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18953, + "tgt": "Is one tablet of Ovral I enough to prevent pregnancy?", + "src": "Patient: Hello doctor, I had protected sex with my partner six days before. I consumed one tablet of Ovral l within 24 hours of the intercourse as a safety measure and because that was the only tablet available immediately. We have a doubt that the condom may have broken and do not want to risk being pregnant. Is that one tablet of Ovral l enough to avoid it? (Similar to I-pill or unwanted 72). Also, because I got scared I consumed two tablets of Ovral l today morning. I need help with the right information and further guidance to avoid pregnancy and any side effects caused by these pills. Doctor: Hi. The dose of Levonorgestrel is quite low in Ovral L compared to Unwanted 72. So the effectiveness for prevention of pregnancy, the two tablets of Ovral L may be sufficient. Now onward, please use regular protection and do not depend much on Unwanted 72. If the 72 hours have not passed, then you can take Unwanted 72 else or equal amount of Levonorgestrel, if it is already more than 72 hours then wait and watch for your scheduled time of the menses and if you miss your period then consult a gynecologist immediately." + }, + { + "id": 25723, + "tgt": "How to identify an ectopic pregnancy?", + "src": "Patient: Hi doctor, I have attached my report. Can you please have a look and let me know is it\u00a0a cyst or an ectopic pregnancy? Doctor: Hello. I have checked the reports (attachment removed to protect patient identity). Though the follicles in the left lower side are those of an ovarian follicle, I am afraid it cannot be commented up on accurately with serum beta-hcg (human chorionic gonadotropin) levels. You have not mentioned if it was a transvaginal or an abdominal scan? Revert back with the asked details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2572, + "tgt": "I lost my sense of smell after cold recovery with foreign travel history. Is this a symptom of Covid-19?", + "src": "Patient: Hello doctor, On March 1st I flew to Utah from Texas and developed cold symptoms after three days. It was a normal cold, but as it was almost gone (no more congestion, did not feel sick anymore), I lost the sense of taste and smell overnight. I have not had a sense of taste or smell for 11 days now. I do have a history of losing my sense of taste and smell for a few days during cold with congestion and for four weeks when I had mono. I did speak with a general doctor and he seems to think my loss of taste and smell is cold or allergy-related so he does not think I have Coronavirus. However, this loss of sense of smell is different than all the rest. I have never been without smell for this long after a normal cold and I have had a fairly clear nose for the entire duration of it so it cannot be due to congestion. I just wanted to get a second opinion on if you think it could be Coronavirus as news has just come out that this is a possible symptom of asymptomatic Coronavirus carriers. I am currently on Amoxicillin for sinus infection. Doctor: Hello. I appreciate your timely picking up of the signs and reaching out to us. We have two scenarios. First, is that you have Coronavirus infection and the cold, allergy, and loss of smell are due to it unless you develop more severe symptoms like fever, temperature, breathing difficulty, respiratory distress, you do not go anywhere out of home. You are gonna remain quarantined till 15 days from now. Take plenty of fluids and water. Eat good and normal diet. Exercise indoors if you can. Second, it is allergy-related. In this case, it should subside in some time. You can try some nasal steroids and other measures told above. In the first scenario also nasal steroids can be tried. You can revert back to us if you need any further support." + }, + { + "id": 4378, + "tgt": "What could be the reason for persistent neck and back pain?", + "src": "Patient: Hello doctor, I recently got a shoulder and neck x-ray for persistent back and neck pain. The pain started a couple of years ago. No medicines were taken so far. My blood work and CT abdomen are fine. Doctor: Hi. I have read through your query in detail. Please find my observations below. The cervical spine x-ray AP (anteroposterior) and lateral views show the following. 1) There is straightening of the neck spine. 2) The alignment of the cervical spine is normal. 3) Mild early degenerative changes are noted in the vertebral bodies of the cervical spine. 4) Intervertebral disc spaces are normal in appearance except a minimal suspicious decrease in disc height C 3-C 4 disc level anteriorly. 5) There is a small bridging osteophyte at C3 anterosuperiorly vs limbus vertebra (rare possibility). This is not a serious concern. 6) Pre-vertebral soft tissues are normal. Impression: There is a possibility of neck muscle spasm and early degenerative changes in the neck spine. Left shoulder x-ray AP view shows normal shoulder joint. 1) The bones are aligned normally and left shoulder joint space is maintained. 2) The scapula, lateral end of clavicle and head of humerus on the left side are normal. I hope your query is answered. The possibility of neck muscle spasm exists with early degenerative changes in neck spine. Pinching of nerves due to disc problems (which might be seen only on MRI cervical spine) cannot be commented up on this x-ray. Further clinical neurological examination of neck spine might reveal any suspected causes for your symptoms. Orthopedic clinical examination of the left shoulder is also suggested to know any restriction of movements and whether any soft tissue structures like rotator cuff requires evaluation by an MRI shoulder. Recommended physiotherapy for few weeks and if there is no improvement or if there is worsening then the concerned area is to be evaluated by MRI scan. There is no need of doing MRI scan for both the regions. MRI scan of the cervical spine is more important in the view of muscle spasm and early degenerative changes. Please avoid sudden neck movements." + }, + { + "id": 29739, + "tgt": "Please advise me some treatment for low sex drive", + "src": "Patient: Hi doctor, I am a 30 year old male. I am suffering from low sex drive. I usually get the early ejection, but will have two or three sessions of sex in a single night. Nowadays, it takes at least 12 hours for next erection. I feel low energy level throughout the day. Most of the time, I feel myself in a bad mood. I do not have masculine body. I got my thyroid and testosterone test done. My TSH is 4.87, free testosterone is 9.69 and total testosterone is 278.69. Please advise me some treatment. I am on Vasograin for migraine. Doctor: Hello. I have seen the reports attached by you (attachment removed to protect patient identity). \u00a0Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12231, + "tgt": "Is it normal to get brown discharge after taking Ipill?", + "src": "Patient: Hello doctor, My last period was on 24th last month and it went for a regular five days. I had sex on that Friday after my period was over, had Ipill the next day. Again had sex on Wednesday, had Ipill on Thursday and from Thursday, I am getting a brown discharge, a little bit of cramps. Am I pregnant? Because he did not discharge inside me, so I cannot be pregnant but I am scared of pre-cum, but I took Ipill. Still I am getting a brown discharge, please help. When can I expect my next period (on the date or delayed)? Doctor: Hello. You have taken Ipill after sexual relation. So the chance of getting pregnant is very less. The brown discharge could be due to the frequent use of Ipill. The excess Ipill intake is not advisable for health. You can use precaution next time. Your next period might be delayed for a week as Ipill contains high dose Progesterone. If your next period gets delayed for more than a week then rule out pregnancy by urine hCG card test." + }, + { + "id": 26579, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8921, + "tgt": "I have weakness and fatigue after having a fever. Please help", + "src": "Patient: Hello doctor, I was suffering from fever yesterday, but the fever is lowered today. But the problem is heavy weakness and fatigue. Please help. Doctor: Hello. I have read your query carefully as you told you have fever from yesterday and feeling weakness and fatigue. Please take this prescription after getting your physician's consent. 1. Tablet Paracip 500 mg twice daily for five days. 2. Tablet Cephalexin 500 mg twice daily for five days. 3. Tablet Neuronvit (Multivitamin) once daily for 20 days." + }, + { + "id": 15592, + "tgt": "I have red wound growing on my thighs. What is it?", + "src": "Patient: Hi doctor, I have red wounds growing on my thighs. I used a Candid B cream over it. It gets reduced, and it starts in another place. Please give me a solution. Doctor: Hi. I have gone through your query and attachment (attachment removed to protect patient identity). You have developed tinea cruris. It is a fungal infection of the groin area. Stop applying Candid B (Beclomethasone and Clotrimazole). Although it is an antifungal, it also contains a steroid, and this delays your healing. You can use topical Clotrimazole cream local application twice daily and take tablet Fluconazole 150 mg once a day for four weeks after consulting your GP or nearby dermatologist. Use Kz 2 % soap (Ketoconazole) for bathing." + }, + { + "id": 17777, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17608, + "tgt": "What is the treatment for recurrent anal fissure?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have been having constipation since a year. I am having anal fissures. The doctor says that the fissure has healed, but I still have a burning sensation and mild itching in and around the anus. There is increased burning after bowel movement. I have had two episodes of fissure in this year, but they were not as severe as this. I am taking Cetirizine, Anobliss cream and Siloderm cream. Earlier, as I had perianal itching along with fissure and worms I took one full course of Mebendazole. My stool microbiology suggests there is no worm infestation. Doctor: Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure. Continue the same treatment. Try to reduce the use of tablet Cetirizine and consider surgery for fissure. Treatment for constipation. For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 30021, + "tgt": "Had anal sex with a HIV positive person. What is the chance of infection?", + "src": "Patient: Hi doctor,My partner is HIV positive. We had anal rubbing, but we used protection (condom). Also, there was no discharge and not even precum. The anus was also dry during that time. What is the chance of me getting affected? Doctor: Hi. 1. HIV by ELISA (enzyme-linked immunosorbent assay) at baseline and repeat at 1 and 3 months. 2) HBsAg (hepatitis B surface antigen). 3) Anti HCV (hepatitis C virus). 4) VDRL (venereal disease research limited). Revert back with the reports to a HIV AIDS specialist online.--->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15197, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29746, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27354, + "tgt": "I have a lot of pain in my erupting left lower wisdom tooth. Any suggestions?", + "src": "Patient: Hello doctor, I have a cluster of white rings near a tooth on the roof of my mouth. My left lower wisdom tooth is coming out, and I have a failed root canal on the same side as the wisdom tooth. I am in a\u00a0lot of pain, and I cannot eat. I keep biting my cheeks because the left side is so swollen. Any suggestions or tips on how to help myself till I go back to see my dentist? Doctor: Hi. Thanks for the query. Please upload your x-ray, so that I can guide you how to proceed with the treatment in the\u00a0most appropriate way.\u00a0Hope this helps. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3417, + "tgt": "What is the chance of thyroid nodule being benign?", + "src": "Patient: Hello doctor, I am trying to find out what the following images show (images attached). Are there nodules? If so, how many and what size? What types of nodules do you see? What are the chances of the nodule being benign (maybe a colloid)? What characteristics do the nodules show hypo or hyperechoic, any vascularity and if so, is it peripheral or intranodular flow and any other info you can provide? Doctor: Hi. I have seen the images. (attachment removed to protect patient identity). There is a larger nodule in the left lobe and a tiny one in the right lobe of thyroid. The left thyroid nodule measures 14 x 19 mm and is isoechoic and solid areas and shows peripheral vascularity with a small focus of possible cystic change within which can be cystic changes probably colloid changes. The right thyroid nodule is 4 x 4 mm and is iso to hypoechoic. It is too small to comment on vascularity. There is no calcification in the nodules. In my opinion, it is likely to be a benign condition but FNAC (fine needle aspiration cytology) from the larger left thyroid nodule is suggested for confirmation. Usually, 80 percent of thyroid nodules are benign. I hope this helps." + }, + { + "id": 30473, + "tgt": "Apart from UTI, what would be the reason for lower abdominal pain?", + "src": "Patient: Hi doctor, My husband is 28 years old. He has had\u00a0lower abdominal pain since two months. I have marked the paining area in the attached picture. He has pain in the area just behind this in the back also. The pain is mild about 0.5 in 10 scale and sometimes 2 or 3 out of 10. There is a mild burning sensation while urinating. Previous medical history includes that he had diarrhea for about 25 days, out of which about one week was severe. He had about 85 times in a week and hospitalized. While in hospital, he had increased potassium (4.7) and was given a nebulizer for two days. On the discharge, potassium was 4.4 and they said it was normal. This happened two months ago and from the day of discharge, he has been normal. Last week, visited a urologist for UTI like symptoms. They checked urine sample and also took a blood sample. All other parameters were normal, except potassium which was 6.2. Later, it was 4.4 and doctor said some sampling error. I have attached his urine test report. Our doctor said there is no urinary tract infection. What is causing this pain, if not UTI? We had US abdomen two months back during the diarrhea issue and it was normal. I have attached that reports too.\u00a0This pain has been irritating though not disturbing his sleep. He sits for a long time in front of the computer for work and does no exercise or other physical activity. Would that be a reason? He travels a lot and has erratic sleep patterns. Though he has adequate sleep, he sleeps very late at night. Please share your opinion. Doctor: Hi. Revert back after a week to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28743, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 26506, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21766, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20648, + "tgt": "I am having severe bouts of depression in a new place. What should I do?", + "src": "Patient: Hello doctor, I am in a new city where I do not know anyone. All my classmates seem to be uninteresting and do not care to talk. I am having severe bouts of depression. What should I do? Can anyone prescribe me over the counter antidepressants, please? Or any other way to feel good. Doctor: Hello. For how many days you have these feelings? New environment and a new job come with new challenges. And it is not the rule of life that you should get what you want or people with a similar hobby and habit will meet you every time, everywhere. We are the ones who make people alike and the important thing is we accept people with their mistake. Nobody is perfect. Try to make them a friend. If they are uninteresting, then you can make them interesting. It is not their ability, it is yours. The best way to defeat depression is to keep talking. Say everything in your mind so that your mind and heart feels light. You can start other activities also like gym, playing games or the activity you want to do. Keep yourself busy anytime and stop thinking on trivial issues. You say you are introvert. Most of us are introvert. Nobody wants to face anyone thinking that something bad might happen. Come out of that fear. What people will say, what they are thinking. It is your life, you can live it with your own rules. Social phobia is very common. Everyone has hesitation during a presentation. So, do not bother about that as you start presenting in your own way. It will subside. I am not prescribing any treatment because psychiatric medicines are not over the counter drugs. You can take them by prescription. You should start a psychotherapy session if you feel demotivated." + }, + { + "id": 22934, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25185, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14022, + "tgt": "Will Minoxidil with Eclipta Alba help in hair regrowth?", + "src": "Patient: Hello doctor,I am suffering from alopecia. Can I use Tugain Foam 10 % Minoxidil hair gain treatment as well as Morpheme Bhringraja (Eclipta Alba) for hair and skin care 500 mg extract 60 Veg capsules together for the better result? Doctor: Hello. I read your question but unable to understand what kind of alopecia are you having and how severe it is. If it is in the beginning stage, Minoxidil can reduce your hair fall. Use 5 % Minoxidil instead of 10, as 10 can be very irritating to the scalp. Eclipta alba has reported hair growth properties but research is more in favor of locally applied ether or ethanol-based extract rather than oral medication. But yes, there are reported benefits in grown factors seen with Eclipta alba, so you can continue taking that. Take supplements containing biotin like Follihair for augmenting the growth. If your hair growth is still not satisfactory, please discuss with your dermatologist about starting you on low dose Finasteride. (1 mg alternate days). Review with us after one month." + }, + { + "id": 18609, + "tgt": "After PPP removal, some dark lines appeared on my penis. What are they?", + "src": "Patient: Hi doctor, I am 27 years old. Four months ago, I had the\u00a0PPP removal along with CO2. Now, for the last 30 days, I have been noticing some dark lines on my penis head. Is that something to worry? Doctor: Hello. Please attach a picture to ascertain if it is something to worry. Thank you. Revert back with a photo to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11021, + "tgt": "How can I tighten my loose vagina?", + "src": "Patient: Hello doctor, I have a loose vagina and I am 20 years old, female and I am sexually active. I used to have sex always with toys so it became loose. Please help me. I need to tighten my vagina again. Once I used Everteen vaginal tightening gel for a month and I stopped its use as I was afraid of its use. Doctor: Hi. The Everteen vaginal gel is an herbal product used for the same purpose but the efficacy of this is not well established. This may help some but not all. Kegel exercise are a good option for you. You can do this exercise daily and will see good results. As of now stop using toys or atleast stop bigger toys so that the benefits of Kegel exercise are maintained. If the hymen is torn then there is a procedure called hymenoplasty, which can restore the hymen. This is a surgical procedure. For more information consult a psychologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6594, + "tgt": "I have choroid plexus AVM in the left ventricle. Will surgery cause weakness on the left side?", + "src": "Patient: Hello doctor, I have choroid plexus AVM (sm grade 2) in the right temporal horn of the lateral ventricle. Doctor said embolization and gamma knife are not possible. So they opted for microsurgery and said surgery would lead to weakness on the left side. I want to know what are the other effects? How long will it exist? Will the effect become normal after some days? Please explain. I am currently on Eptoin 100 mg. Doctor: Hello. I need to see the angiogram images to comment in detail. Anyways, I have listed the essential points : Your weakness will depend on the extent of the damage during surgery. If some blood vessels are damaged, which supply the bundle of nerves supplying the limbs, you can have a weakness. If it is damaged completely, you will have a severe weakness. Usually, that does not happen. If your weakness is partial, it will recover in six weeks. Provided you should do physiotherapy regularly. Apart from weakness, you may have a minimal visual impairment in the upper outer quadrant of your visual field. But this will not trouble you in your daily life. Apart from these two, there are no other major complications. Minor ones would be nonhealing wounds, CSF (cerebrospinal fluid) leak, development of hydrocephalus, etc." + }, + { + "id": 13866, + "tgt": "Will taking Caverta for recreational purposes cause any side-effects?", + "src": "Patient: Hello doctor, I have used Caverta for recreational purposes for the past one and a half years. I used to have it once in 1 or 2 months and the dose used to be about 10 mg. What are the side-effects? Doctor: Hi. Using this for such a long time and at a young age can produce pronounced side effects like erectile dysfunction at a later stage, and low BP problems. I would advise to avoid the drug and try a more natural way of life. Use a barrier contraceptive that enhances the duration of sex and you can successfully wean off the drug. You can take it occasionally but it will be at your own risk. Besides, it produces short-term side effects also like dryness of respiratory tract and retention of alcohol. So avoid taking it with alcohol. Take care and keep healthy." + }, + { + "id": 3922, + "tgt": "Does prolong use of Klonopin increase the risk of QT prolongation or other heart problems?", + "src": "Patient: Hello doctor, I have been suffering from panic attacks and anxiety for several years, and on top of that essential tremor affects my everyday life. A couple of weeks ago, my doctor prescribed Klonopin (Clonazepam) for me, but there are some things I am worried about after googling a bit. Does Klonopin increase the risk of QT prolongation or other serious heart problems? I just do not want to take any risk, because I have been suffering form PVCs every day for over a year. Sometimes I have also bradycardia and every now and then short burst of an accelerated heartbeat with fluttering sensation. They are still under investigation. I have had lots of ECGs, and at one my QT, QTc was 412, 447 at a heart rate of 71 bpm. And I would not like to make my QT any longer. I have also used Oxazepam. Is it a safer option when it comes to the risk of QT prolongation or can I continue taking Klonopin? Doctor: Hello. Long term Clonazepam, as well as high dose clonazepam, puts you at a risk for developing acquired long QT, having said that a QTC of 447 msec is within the prescribed i.e < 460 msec limit for women. Oxazepam is safer but if you combine either of these with another QT prolonging drug, the QT may become dangerously prolonged, also avoid a low potassium blood level and diuretics (medications which promote urination). Your description of PVCs leads me to suggest a Holter and ECG just to rule out any pause dependent arrhythmia. Do get an echo done to rule out structural heart disease." + }, + { + "id": 28857, + "tgt": "I noticed rashes forming from groin area. What should I do?", + "src": "Patient: Hello, I noticed rashes forming from groin and spreading up to stomach and chest area. I have attached the reports and photos here, kindly go through it. Doctor: Hi. I have gone through your reports and photos (attachment removed to protect patient identity) in detail. It appears to be due to scabies or fungal infection. I would like to know the following details: Revert back with these details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11345, + "tgt": "How can fever be treated in a baby?", + "src": "Patient: Hi doctor,My 22 months old baby has a very high fever. It has been fluctuating from 38 to 40 degrees. I gave him Tylenol but it still did not come down after five hours. I put suppository. Last week he was diagnosed with an infection in the stomach and was prescribed Nortop antibiotic and then the infection moved to the chest. So he is on Amoxicillin but now even after I put the suppository the fever is still not going down. I am really worried about what to do? Doctor: Hi. In view of such high-grade fever in such a small child, I would advise you to take the child to the nearest pediatrician in order to get the child physically evaluated and blood investigations like CBC, CRP (and others as per physical examination be done). Though the WBC count was 12000 last week they may have increased now since the fever is a little high (40 degrees). Also the antibiotics given previously may need to be changed) stepped up. As of now to bring down the fever you can do tepid sponging." + }, + { + "id": 478, + "tgt": "I have severe rib pain and it hurts more while standing and taking deep breaths. Please help", + "src": "Patient: Hello doctor, I am having severe rib pain since this morning and it hurts when I stand up straight or when I move or lay down. I tried putting a heating pad and ice pack on it and did not do anything. I feel extreme discomfort, cannot take deep breathes, and feel sharp stabbing pain once in a while. Doctor: Hello. There are many conditions where we can get chest pain along with ribs pain. I would like to ask a few questions. Is that pain on costochondral junction which means if you palpate your ribs you can feel there is one gap and then the other rib is started. So pain in that region is costochondritis but the pain is like neurogenic pain sharp and localized (at specific). Does that pain radiates to the tip of shoulder or not? Is the pain associated with other symptoms like palpitation? Had you done exercise one day before and got pain? Meanwhile, I would recommend you start one drug and let us work on your problem. Also, remember anxiety and panic attacks can cause symptoms very similar to angina. These attacks which can occur out of the blue or in response to a stressful event include chest pain along with shortness of breath, palpitations, and dizziness. Take tablet Parafon Forte (Chlorzoxazone) 500 mg per oral three daily after food for three days. This prescription for you helps relax certain muscles in your body and relieve the discomfort caused by acute (short-term), painful muscle, or bone conditions." + }, + { + "id": 9615, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8989, + "tgt": "Is it normal to masturbate during periods?", + "src": "Patient: Hello doctor, I think that I will become maniac in some days. I am going with periods and tend to masturbate the second time. First time on the first day of the cycle and then now on the third day. My urges have become quite high, and I need help to control it. Even I am going by some emotional distresses, and maybe because of that, I tend to masturbate. I want to control and be normal. I feel very tired nowadays and not willing to work at all. Doctor: Hello. Hormonal imbalances may make one's sexual drive higher. Some women do feel increased arousal during periods. First of all, it is okay to masturbate even when you are under some distress. Though for some religious reasons and cultural norms, it becomes not acceptable by society, that is alright. Researches show that there is no negative impact of masturbation physically. However, feeling tired showed that it does not help you get out of your emotional distress, that is a problem. If you do not feel relaxed afterward than you need to channelize your urges towards physical exertion, exercise or increase water intake and improve diet. It is also good to consult some counselor to relieve your stress and learn individualized coping strategies." + }, + { + "id": 28330, + "tgt": "I get a lot of unrealistic thoughts and mood swings. Please help", + "src": "Patient: Hi doctor, I am a 22 year old male, I get a lot of unrealistic thoughts, and they consume a lot of my time; as a result, I suffer in studies. I feel as if I am in a different world when I watch movies or traveling or listening to music.\u00a0I saw a girl's video online, I watched her dance and became her fan. I know she is not my girlfriend, but when she posted a photo with her boyfriend, I was heart broken. I feel sad that I am not a famous personality,\u00a0and I sleep a lot because of sadness. I think it is true that the world is a sad place, full of misery. I mean happiness is not permanent like I scored good marks, but happiness fades away in a couple of days. I want to do something great which nobody else has done. Doctor: Hi. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29074, + "tgt": "Why am I getting pain in the back while breathing?", + "src": "Patient: Hi doctor, I am getting a pain, which starts on the right lower back. It hurts when I breathe and also when I stand, sit and sleep. I know that is not kidney stones. But, I do not know what it is. I am a 45 year old female. My weight is 190. I am not on any regular medication. Doctor: Hello. I have gone through your query, and I can understand your concerns. Minor trauma or lung infection. X-ray chest, ECG and echo test. 1. Pericarditis. 2. Rib fracture. Sprained rib. For further information consult a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13854, + "tgt": "Am I having forgetfulness because of Alzheimer?", + "src": "Patient: Hello doctor, I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer's. Please reply, and if you want to ask questions about me,feel free. Doctor: Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction." + }, + { + "id": 24931, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8048, + "tgt": "Kindly suggest management of recurrent rashes in the neck", + "src": "Patient: Hi doctor, My father is 63 years old and has rashes in his neck. He had rash before and got medication by a family doctor (a Steroid and Zantac). He is also taking allergy medication. Since then the previous rash subsided. Now that he completed his 30 days prescription, he got another set of rashes and has irritation and burning sensation and redness. Can you prescribe for his symptoms? Doctor: Hello. I have examined the pictures as well as the details sent by you (attachment removed to protect patient identity). I find a similarity of the condition with irritant dermatitis complicated by steroid dependence. Had I been able to examine him in person, I would have asked him about the evolution of the rash and other details. I believe his original picture has been modified with the use of Steroids and he has developed dependence to this class of drugs. This is clear from the fact that after completion of the 30 days course, he again started having the symptoms. He can be relieved of his problem but we will have to proceed in a systematic manner. In this case, I would have recommended the use of either mild or moderately potent steroid creams with an intent to control the acute episode and gradually taper them off to a point where he can stay normal without Steroids. I might have considered providing Mometasone or Betamenthasone creams initially and slowly start diluting them with cold cream to reduce their potency. Then I would have gone on to increase the proportion of cold cream till I could control the rash just with cold cream. All this while I would have depended heavily on antiallergics like Levocetirizine or Desloratadine. In such a situation, cold compresses are a great help. Just ensure that he does not have any factor that could aggravate his problems like diabetes or other contact allergies. I am sure by following the recommendations, your dad would soon be in his comfort zone." + }, + { + "id": 19554, + "tgt": "Ferritin level has decreased in spite of taking iron supplements. Should I worry?", + "src": "Patient: Hello doctor, I am a 21 year old female. Yesterday, doctors have checked my blood. I am visiting a hospital frequently as I have iron deficiency anemia. The thing I am scared about is, my doctor asked me why my ferritin has not increased (just the opposite, it has decreased from 5.79 to 5.77) after three months of taking iron supplements. My other iron levels are at 39 which has increased considering those references. But, that was probably because I did not use the medicine correctly, I was only taking 5 mg a day. Another thing I am worried about is, my lymphocytes kind of got increased in my blood: (52.8) - the reference is 19.4 to 44.9, and the other one is 3.57. My neutrophils kind of decreased too (36.9) and the reference was between 41.0 to 73.0. In the last week, I had a viral infection as both my parents were sick. Is it why my levels got high? My WBC is 6.77 and RBC is 4.52. My hemoglobin is also increasing actually, last time I checked, it was 11.0 and now it is 11.2. Still low, but it was good to see that it was increasing. My thrombocyte levels got higher again, unfortunately. The first time I was told that I was anemic, my thrombocyte levels were on 485, then in my second blood test (after using iron supplements correctly it decreased to 380. And yesterday, when I checked, it increased to 435 (reference is 156 to 373). I was also told that I have an infection in my urinary system and he gave me antibiotics. Honestly, I have been always getting suspected about it since my anemia has started. Should I be worried about my condition or is it normal? Doctor: Hello. In viral infection, lymphocytosis means increased lymphocytes and neutrophil is relatively low because of increased lymphocytes. Platelet can be high in iron deficiency anemia. It is not a matter of worry just now. You can provide your reports to guide you further. Your hemoglobin level is mildly low and you should be given a good iron-containing medication like Ferrous ascorbate (brand name Orofer that contains 100 mg elemental iron). It should be taken without break for the prescribed duration. The underlying cause for iron deficiency anemia also should be ruled out like bleeding, parasites infestation, etc. Repeat your CBC after a few days. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 29597, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5823, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24747, + "tgt": "Are white tongue, muscle aches, and sore throat symptoms of HIV?", + "src": "Patient: Hello doctor,I had an unprotected sexual contact with a commercial sex worker some six months ago. I do not know the health status of that lady. After 30 days of exposure, I got fever and body pain and I went to the hospital for treatment. He suggested checking a Widal test and a urine test. The results came as typhoid and I had taken medicines for that too and for stomach pain. Three courses of antibiotics have been taken. The stomach upset was the main problem that time. I am normal now. After one month, I had white plaques like formations on the tongue and one side of the tongue color also slightly changed. I consulted a dentist and he told me the tongue was normal. I went for HIV tests as below:HIV rapid test after 40 days - negative HIV Combo test after 70 days - negativeHIV CD4 test after 70 days - normal HIV Duo test after 84 days - negative HIV rapid test after 88 days - negativeSTD full test after 88 days - all negativeHIV ELISA test after 110 days - negative unit as 0.06 HIV ELISA test after 155 days - negative unit as 0.07My doubt is I have many symptoms like a sore throat with red patches, white tongue, body ache, muscle ache, white dot on the head like itching. I sometimes have a burning sensation. These symptoms have been there for three months. I am wondering it could be due to the exposure. Mostly, I have consulted with a general physician for muscle ache and body ache. I feel like my neck muscles have reduced a little bit.My doubt is whether I have been infected with HIV? My recent test is HIV antibody test at 155 days from my exposure being negative. Please advice. Doctor: Hello. Your screening tests have convincingly ruled out HIV (human immunodeficiency virus). Perhaps you have oral thrush which may have started because of repeated courses of oral antibiotics. I suggest you use a topical antifungal like Clotrimazole mouth paint. In addition, I also suggest you take an oral antifungal like tablet Fluconazole 50 mg once a day for two weeks. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 2057, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 29483, + "tgt": "After a fall, a lump developed on my head and it is painful now. What to do?", + "src": "Patient: Hi doctor, Two years ago, I had a fall from the bike, which resulted in bleeding from one of my ears and blood vomit. I was kept in ICU under observation for two days. After that incident, I had developed a small lump on the back of my head. It used to hurt a little when I touch. Since a few months, it has been getting bigger and very painful even when it is not being touched or disturbed. I feel very dizzy, and my hands feel very weak even after I finish combing my hair because that lump gets disturbed due to the comb passing over it. I have consulted three different doctors so far, and all of them says that it is nothing. But, the changes are happening in the last six months only. Doctor: Hi. I understand your symptoms. Revert with the report to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13397, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6139, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10331, + "tgt": "I have irritation of foreskin and whitish discharge. Please advise", + "src": "Patient: Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise. Doctor: Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25641, + "tgt": "How can persistent cough in a young child be treated?", + "src": "Patient: Hello doctor,My 4-year-old daughter has a lingering cough for the past two months. Is it true that if the child is not dewormed, symptoms of a cough and wheezing persist? Doctor: Hello. Always it is advisable that the child is dewormed every six months. Bandy-Plus (Ivermectin and Albendazole) 5 mL once in the night after meals. Since the child is having a cough for two months, it is advisable to have an X-ray of the chest. Does your child have a history of fever or breathlessness? If present, it will require evaluation. Review after two days. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13526, + "tgt": "What can be done for tight tendons on the sides of penis causing pain on erection?", + "src": "Patient: Hello doctor, My partner has very tight tendons on the sides of his penis that cause pain with erection. He has attempted to stretch out the tendons, but they go right back, and he is concerned about damaging them. He gets relief from the pain when he presses down on the penis. He has also heard a popping noise. He saw a Urologist today and was told there was nothing wrong. Any suggestions? Doctor: Hi. During vigorous sexual activity sometimes there is a partial tear of the superficial layer of tunica of corpora cavernosa leading to such description. If he is able to achieve the erection with no ecchymosis, redness or blackening, it is fine. Ask him to share a picture of an erect penis in two directions." + }, + { + "id": 1150, + "tgt": "Why does the cough after choking persist so long in a baby?", + "src": "Patient: Hi doctor, My niece, who is 1 year and 8 months old, got choked today when she drank her milk. She got cough because of the choke, but the cough keeps coming back the whole day. I thought it was just a simple choke as it is just milk. Why does it last for the whole day? Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7015, + "tgt": "Kindly suggest treatment for tingling sensation in my leg", + "src": "Patient: Hello doctor, I am a 20-year-old male. I currently have a tingling sensation in my left leg, on the right side of my calf. I have recently had a long journey (approximately 10 hours, with stops every three hours) the sensation has lasted for about a week. I am not on any medication or have any health conditions. Please help. Doctor: Hello. This may be due to your long journey where all your joints will be flexed for quite a long time inspire of the rest you had in between. If it is in a bike, your lower spine has also been flexed, which will cause a small inconvenience to the nerves which pass through the foramen of the spine. It simply may due to a vitamin deficiency, or be due to disc problem. Rule out any disc problem, see an orthopedic surgeon, do a spinal MRI. If everything is fine, do some exercises for the leg and the spine and take some B complex." + }, + { + "id": 17502, + "tgt": "Can you propose some ayurveda remedy for my mother's constipation?", + "src": "Patient: Hi doctor, My mother aged 70 is suffering from chronic irregular emptying of bowels. Sometimes, she goes to the toilet once in three days and the quantity of stool will be very less. There is no problem with the form of stools. She tried taking Triphala tablets in the morning and evening for several months and tried to eat fiber regularly, but still, there is no improvement. Lavan bhaskar churna helps at times, but she avoids it as she suffers from high BP. She has been taking Olvance 20 (Olmesartan) once in the morning for high BP.\u00a0Can you propose some remedy for the constipation? She does not want to take any laxatives, which are habit forming. Doctor: Hi. Increased vata and aging resulted in constipation. 1. Kalyanaka gulam two teaspoons at bedtime with one glass warm water. The other option is Anuloma DS two tablets at bedtime with one glass warm water. 2. Also, you can visit an ayurveda treatment center and ask for Ksheera basti (milk enema). 1. She should eat lots of fibrous food and drink more warm water. 2. Should avoid processed food. Revert back after four weeks to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8710, + "tgt": "Can I use Betnovate for my acne?", + "src": "Patient: Hello doctor,I am a 22 year old female. I am suffering from a bout of acne since a couple of weeks now. They redden and leave behind dark spots. I am not touching them and drinking plenty of water. I have used tea tree oil and lemon juice on them. I apply Betnovate but it is not helping much. Kindly advise me on how to stop more acne from surfacing and dietary precautions if any. Also, what to do about the dark spots? Doctor: Hello. I have seen the picture attached (attachment removed to protect patient identity). Please answer these questions so that we can get a better approach to the case. For more information consult a cosmetologist online --> https://icliniq.com./ask-a-doctor-online/cosmetologist" + }, + { + "id": 9744, + "tgt": "How can motor and sensory nerve weakness be managed in an AIDP patient?", + "src": "Patient: Hello doctor, My hands and legs are very weak for the past two years. The doctor diagnosed that I have AIDP or Guillian-barre syndrome. He gave me some medicines such as Methylcobalamin and other supplements and in the acute 12 IV injections of Cobalamin and I am recovering but I think very slowly. So please tell what is the best thing I should do. My MRI was clean. Thyroid, sugar, and calcium were normal. NCV showed motor weakness, sensory weakness. I do not have any kind of pain. Doctor: Hello. AIDP or GBS is an autoimmune disease. Which can be primary or also can be secondary other autoimmune diseases. As you are telling that you are recovering, it is a good thing. There is no medicine for rapid recovery after six months. Only medication available is for stopping the progression of weakness in the acute stage (IV Ig or Plasmapheresis). At this stage, you need regular physiotherapy and it takes a few weeks to a few months for recovery. Few patients do not have a complete recovery. Also, you should get further test for detecting any secondary autoimmune disease ANA, C-ANCA, P-ANCA, serum ACE level. Sometimes, chronic demyelinating neuropathy can present as acute presentation. For that need to see NCV graphs and if suspected, may need nerve biopsy. 1.NCV all four limbs (to be reviewed). 2.ANA, C-ANCA, P-ANCA, serum ACE levels. 3.Sural nerve biopsy. 4.CSF examination to look for albuminocytological dissociation. 1.AIDP (acute inflammatory demyelinating polyradiculoneuropathy). 2.Acute presentation of CIDP." + }, + { + "id": 15062, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26334, + "tgt": "I had gay encounters followed by a lot of bleeding. Can it be AIDS?", + "src": "Patient: Hello doctor, I am a\u00a032-year-old man. I had gay encounters with three\u00a0men in a\u00a0massage parlor on three different days. In all the three cases, we have used condoms. In my second and third encounter, I got a\u00a0lot of blood and that too very dark colored blood and something else also came. I had a word with my doctor. He has asked me to get it tested. Three weeks after my encounter, I have taken tests for HIV 1 and 2. Both antibodies screening test (serum) and VDRL-RPR (serum) were nonreactive. Now it is more than 16 days. I am not feeling well. I cannot sleep during the nights thinking about the possibility of AIDS. My company has laid our entire team. So, I am free nowadays. From today, I started feeling weakness. From the past two to three days, I am also suffering from indigestion. Please help me. Doctor: Hello. I read your query and understand your concerns. To conclude, I like to state that your current problem is psychological and there is a need to take the right approach to manage it. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 29008, + "tgt": "Though I am on treatment for stomach pain, the pain persists. Why?", + "src": "Patient: Hi doctor, I had severe back pain and stomach pain two days ago. I visited my family physician, and he prescribed me Omcar\u00a040 mg along with other medicines. He advised me to take Omcar 40 mg in the empty stomach daily morning, but I took it after lunch and dinner by mistake. Since last 3 hours, I am suffering from severe stomach pain. Can you please guide me? Doctor: Hi. For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 6906, + "tgt": "After some years of ortho treatment my teeth got shifted. Why?", + "src": "Patient: Hello doctor,I got my braces treatment done before 12 years, as my teeth in the upper jaw were outwards than lower ones. Doctor put braces on my upper jaw as the problem was in the upper jaw teeth. But after two to three years teeth starting shifting and now I have developed spaces between teeth randomly and in between front two teeth as well. Need advice that whether again getting braces treatment would fix the problem or not? And what could be the possible reason behind this problem? Doctor: Hello. The reason for relapse are many, 1. Dietary habits, eating hard food, putting much pressure on teeth. 2. Not using retainers up to the suggested time. 3. Internal factors such as lower teeth or jaw alignment which might be interfering with upper jaw alignment. 4. Other habits such as tongue thrusting or mouth breathing if any you have, and wrong brushing techniques. 5. I would suggest you go to some other orthodontist, as you are not satisfied with the earlier one, an OPG will be taken, kindly reply me back with the same. We can then further discuss the treatment plan." + }, + { + "id": 20590, + "tgt": "Kindly evaluate my right ankle MRI", + "src": "Patient: Hello doctor, I need an MRI of my right ankle evaluated by an orthopedic specialist. I have pain on the inside of my right ankle for about two months now. From the inner heel (center) upwards, the pain is on the inside. I do not remember having any considerable swelling if any. The pain has not gone away. It has produced muscular pain in my shin area as well. I assume from not being able to walk properly on that foot. I am flat-footed. Doctor: Hi. People with flat foot usually develop such a problem later in life and in addition, there is dysfunction of the posterior tibial tendon which adds to your problem. It would be really helpful if you can tell more details about your symptoms like is it more on walking, if yes then is it more on an even surface or uneven surface. For now, go for conservative management. Do intrinsic foot muscle exercises, hot fomentation, and painkillers on SOS basis. When your problem is increased beyond your tolerance and hampering your daily routine then diagnostic injection can be given in joints of foot one by one to look for the main culprit and then it can be surgically fused." + }, + { + "id": 3857, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 1291, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19796, + "tgt": "Is my report normal or is there oligospermia?", + "src": "Patient: Hello doctor, I am a 27-year-old male. Here is my semen analysis report: Abstinence before sample - 2 days. Semen volume - 2 ml. Sperm per ml - 29 million. Motility - 80 % and after 1 hour 70 % of A grade. Abnormal form - 10 %. Pus cell 4-2/hpf. pH - 9. Is my report normal or is there\u00a0oligospermia? Please give light on the report. Doctor: Hello. I read your query and understand your concerns. I hope this answers you. Thanks and regards. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 9945, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14878, + "tgt": "Will taking Eptoin while breastfeeding affect the baby?", + "src": "Patient: Hello doctor, My wife is taking Eptoin 100 thrice in a day. Just 13 days back she delivered a baby girl. Should I be worried about this when she is feeding the baby? Doctor: Hello. Eptoin during whole pregnancy can cause fetal hydantoin syndrome and also can cause neural tube defects. Phenytoin is secreted in breast milk but the most chance of baby getting affected are in the first three months of pregnancy. But in your case, she already delivered the baby and her seizures are well controlled on Eptoin 100 mg TDS. And I hope the baby is healthy born. In such case, she can continue Eptoin as she is taking. Also, can consider switching to other medication safely (as no risk of abortion or hypoxic injury to the baby) if she develops seizure during lactation. I suggest you meet neurologist in person with all the details." + }, + { + "id": 16736, + "tgt": "How will nicotex help in quitting smoking?", + "src": "Patient: Hello doctor, I am a regular smoker, and I would like to quit smoking. My question is what is the role of Nicotex here? Will it be useful to stop smoking? Please answer. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25621, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25173, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12799, + "tgt": "Does anxiety cause hand tremor and shoulder pain?", + "src": "Patient: Hi doctor, I am a 24 year old female. I got married a year ago. I am an audiologist. I am having pain in my shoulder, hand, neck and back more in the left side of the body. Sometimes, I feel tremor in my fingers and hand and pain throughout the nerves of hand. I have these symptoms for almost 8 months now. I used to get fever at night. I consulted a physician and he prescribed me some antibiotics and multivitamin tablets. He asked me to get a Vitamin B12 test. My vitamin B12 was 173 and vitamin D was 4.7. He suggested me to go for vitamin B12 injections. After taking injections for two days the pain became severe and my normal activity got affected. So, I stopped the injections. Then, I consulted a neurologist and he prescribed me Meganeuron and Uprise D3. I am taking that for more than a month now and I do not feel any change in pain. In fact back pain got severe now. When I hold something in hand, I feel the pain radiates from the shoulder to hand followed by nerves of hand and then throughout fingers. For past two weeks, I am having pain in my heels while walking, which is more in morning. Due to these pain, I am unable to concentrate on work and sleep. So, last week I consulted another neurologist and he gave me Rexipra and advised me to continue it for 3 months. When I got to know that it is for depression and anxiety, I did not take that. After taking B12 injections I repeated all blood tests and now my vitamin B12 level is 360. Please find the attachment and give a solution. Doctor: Hi. I have reviewed the attached reports (attachment removed to protect patient identity). I would here by say that you may not believe vitamin B12 and vitamin D deficiency are very common in some races and we always misdiagnose these symptoms. Your symptoms are due to anxiety and not due to Vitamin B12 and D. Moreover you have taken the treatment with no relief. Share my opinion with your doctor. I would recommend in such case SSRI (Serotonin selective reuptake inhibitor) like Escitalopram with a beta blocker like Propranolol if your chest condition, pulse rate and blood pressure permits." + }, + { + "id": 19798, + "tgt": "Should I keep taking Multivitamins for irregular periods?", + "src": "Patient: Hi doctor, I have been having irregular periods since I started getting period from age of 13. Bit history about me is that in my childhood I used to be sick with cold and cough a lot of time and my weight was always less. After I started getting periods, they were irregular. So, I consulted a gynecologist and she gave me some Multivitamins and they became normal. When I stopped taking them, they again became irregular. At the age of 18, I consulted another gynecologist and he said I have a cyst in one of my ovaries, so, he gave me a medicine to dissolve the cyst. My stomach was very painful at that time. Then, after that again the periods became normal and again after some time, they became irregular. So, when I consulted another gynecologist, she gave contraception pills. They were normal until I was taking them. Now, I have stopped taking any medication from past two years and suddenly from past six months, my weight has gradually increased. My height is 5.2 and my weight is 59. Recently had a scan done and the doctor says they have found a very minor cyst in both the ovaries. And he has suggested losing some weight. But even when I was underweight, I had the same issue. What shall I do? Shall I keep taking the Multivitamins until my meditating age and stop after that? Doctor: Hello. I just read your query. Also ask your doctor about thyroid function test because it can also cause this problem. Yes, you can take Multivitamin as advised to you on and off or for a long time, if you feel better. You can also take following Ayurvedic treatment for the management of your irregular periods and for management of your cyst. Aloe vera juice 15 ml two times a day with water after food for one month. Tablet Kanchnnar gugglu two tablets two times a day with lukewarm water for one month. Do not swallow these tablets, first chew them and then take it with water. Add ginger in your daily routine. Do walk daily. These all things will help you in the management of your problem." + }, + { + "id": 27381, + "tgt": "What will be the impact of prostatic utricle cyst on general health?", + "src": "Patient: Hi doctor, I am 52 years old. During my general health checkup, in the report of US abdomen, I noticed that tiny midline prostatic cyst likely utricle cyst, measuring 6 x 6 mm. Please inform me the impact of the cyst and the medication for the cure. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30784, + "tgt": "Please give some advice for my mother's painless swollen feet", + "src": "Patient: Hi doctor, A couple of months ago, my mother had fever. She had medicines, which was prescribed by her doctor. After three days of fever, she developed rashes and was hospitalized. Then, her rashes started disappearing, but she has some burning sensation on the soles of her feet. Right now, she has swollen feet up to her shins, which is painless. She has no history of diabetes and BP. Here is the report for your reference. Please suggest some advice. Doctor: Hi. I can understand your concern about your mother's health. Further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2060, + "tgt": "I have a problem of hard stools and it becomes soft with leg and body pain. Why?", + "src": "Patient: Hi doctor, My stool is hard first and then it becomes soft. Otherwise, it is soft always. I pass stool once daily like other people, also I have no pain in the stomach. But due to soft stools, my legs and other body parts are always in pain. When I get up early in the morning I feel very tired due to soft stool condition of my stomach. And when I take pills like Flagyl or Imodium my stool becomes correct and my legs and other body pain get some relief. Please suggest. Doctor: Hi. Two important points that I find in your history are others in the family also have it but you have told only about the male members. What about female members of the family? Secondly, it improves with Flagyl or Imodium. So the possibilities are water-borne disease which is now in chronic phase or incomplete treatment. Or irritability of bowels which could be because of type A personality-related anxiety. I would suggest the following investigations: CBC (complete blood count), SGPT (serum glutamic pyruvic transaminase), Widal, stool for routine microscopy and occult blood. Also, following medicines should be given one course. Ofloxacin 200 mg twice a day for five days, Ornidazole 400 mg twice a day for five days, Ivermectin 3 mg and Albendazole 400 mg once a day for three days, Capsule VSL#3 once a day for 10 days. I hope this helps." + }, + { + "id": 10352, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 11492, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28615, + "tgt": "My baby is suffering from rash on her neck, chest and face. What will be the issue?", + "src": "Patient: Hi doctor, My 8 months old baby is suffering from allergy or rash.\u00a0First, it started on her neck, small tiny bump-like and then now appeared on her face, chest and all over her neck. What will be the issue? She had eczema before a month and was treated for the same. Doctor: Hi. There can be a few common reasons for this rash. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 6661, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15342, + "tgt": "I have tachycardia and dyspnea at night. Why?", + "src": "Patient: Hi doctor, I have tachycardia, and dyspnea at night. It causes sleep disturbance. Please help. Doctor: Hi. High tachycardia and dyspnea at night are also called paroxysmal nocturnal dyspnea. These are indicators of cardiac disease. Few basic tests of cardiology should be done to rule out coronary artery disease or congestive cardiac failure or arrhythmia. 2 D echocardiogram and treadmill test can be done to rule out ischemia and left ventricle ejection fraction. 24-hour Holter monitoring can be done to rule out the nature of faulty beats or arrhythmia. Follow me with the reports." + }, + { + "id": 21504, + "tgt": "Why am I having pain in belly followed by passage of stools?", + "src": "Patient: Hello doctor, From the last 15 days I have a problem that I feel pain in my belly and then after that, I have to go to the toilet to pass stool. This happened 4 to 5 times a day. Because of this I also have a problem of rashes on my anus. Kindly suggest. Doctor: Hello. You can have acute gastroenteritis like infective pathology. It is advisable to take an antacid like Rabeprazole for a week. Empirically broad spectrum antibiotic like Ofloxacin plus Ornidazole combination can be started. Take bland diet more. Avoid excess spicy foods. I suggest you investigate with ultrasonography of abdomen, stool routine micro examination and occult blood test for further work up. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5390, + "tgt": "I am type 1 diabetic and having vision changes with floaters. Is it due to diabetic retinopathy?", + "src": "Patient: Hi doctor, I am 27 years old. I got late-onset type 1 diabetes when I was 25 years old. I was told diabetic retinopathy takes at least five years, but I have had some vision changes. I am concerned about that. I have been seeing rather large floaters. They are not crystal floaters but appear in bright sunlight as transparent dark lines and in dimly lit rooms, when they move over light, they appear white. A couple of days ago I was driving at night and might have seen a flash, but it also could have been lightning in the sky off in the distance but I am not sure. Since then I have not seen any obvious flashes but have been questioning whether I am seeing small, barely visual ones. I made an appointment for a diabetic eye exam and the soonest I could get into an ophthalmologist who takes my insurance is in two and a half weeks. Is this too long to wait? I will definitely pay out of pocket for an exam if scheduling sooner could save my vision. Doctor: Hello. I reviewed your history. The symptoms of flashes of light with the presence of floaters along with the history of diabetes require evaluation. Waiting for two and a half weeks will be too long considering your profile as you are having type 1 diabetes. Five years is the time period we give for the screening of diabetic retinopathy in type 2 diabetes, but in type 1 there is no time frame as such and this can occur early also. Hence, I advise you to schedule your eye examination early as possible with your ophthalmologist. I hope this helps. Vitreous degeneration, vitreous detachment, vitreous hemorrhage, diabetic retinopathy. Indirect ophthalmoscopy. Vitreous degeneration, vitreous detachment, vitreous hemorrhage, diabetic retinopathy. Vitreous detachment. Needs to be planned depending on the diagnosis. Avoid straining, lifting heavy weights, running, heavy exercises. Eye examination at the earliest." + }, + { + "id": 26521, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4523, + "tgt": "Will antidepressant and opioid combination develop seratonin syndrome in elderly?", + "src": "Patient: Hello doctor, My father is a 73-year-old male with the following diagnoses: Essential tremor, congestive heart failure (he has a pacemaker), hypertension, borderline diabetes, arthritis in the hips, depression (moderate to severe) and cognitive issues. He received an epidural yesterday for pain in his hips and buttocks, and my mother found his medication list and shared it with me. I am somewhat alarmed about the anti-depressants and opioid combinations in particular after doing some research on serotonin syndrome. Kindly evaluate his prescription. Doctor: Hi. Looking at the age and co-morbid conditions, the polypharmacy (multiple drugs) is a must. At the same time, the clinician will assess (monitor) the patient for any serious side effects or drug incompatibility. Since your father has many geriatric complaints, I feel all these drugs are required. Due to old age, he may be having some trouble with kidney or liver functions. Most of the drug gets metabolized in the liver and excreted through the kidneys. Hence, continuous monitoring is required as per the clinician's advice. I hope you are following the clinician's advice. Regarding depression and pain in the hip, the antidepressant drugs and analgesics are unavoidable. Please do not worry about its side effects like serotonin syndrome. This is not seen in all the patients. The symptoms of serotonin syndrome will be taken care of by other antihypertensive or cardiac drugs. Sometimes, he develops diarrhea. As I told earlier, do not worry about the side effects. These are not seen in all patients, and these drugs are mandatory for your father. He can avoid tyramine rich foods (example: beer, chocolate, alcoholic beverages, fermented foods, cheese, sore cream, yogurt, shrimp paste, soy sauce, soybean condiments, teriyaki sauce, tempeh, miso soup, sauerkraut, kimchi, etc.). The antidepressant drugs cause side effects only if more tyramine rich food is consumed while under the medication. I hope this helps." + }, + { + "id": 23345, + "tgt": "HSV IgM tested on tongue came negative. Need a second opinion. Is there any Suggestions?", + "src": "Patient: Hello doctor, My brother had one blood test with herpes simplex IgM diagnosed to be negative, but herpes type 1 was diagnosed to be positive with an index more than 8.\u00a0Before that he did a test on his tongue and it was negative for herpes.\u00a0Are these results final? Or is there a chance that he is not infected with herpes? He had so many medications and antibiotics at the time of testing.\u00a0The problem is his tongue and mouth was affected by burning due to hot beverage and it got infected. The reason for the test was that his mouth was almost bleeding.\u00a0Doctors saw his tongue and told him it cannot be herpes and as I mentioned a test on his mouth showed negative results. Do you recommend him to take the test again? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 302, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 179, + "tgt": "Is there any emergency observed in this head CT scan report?", + "src": "Patient: Hi doctor, The patient met with an accident. She is 47 years old. In the accident, she had a collar bone fracture and a hit in the back of the brain. The back of the head is bulging and some spots are observed in the brain CT scan. I have attached the head CT scan report for your reference. Please help. Doctor: Hi. \u00a0I have gone through your query with diligence and would like you to know that I am here to help you. Revert back with the answer to the above question to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 9207, + "tgt": "Kindly look at my MRI and advice whether I have coronary artery disease", + "src": "Patient: Hello doctor,I am 50 years old and had a cardiac MRI dark blood, bright cone blood, and delayed enhancement images with contrast gadoterate. My doctor tells me this is a great test to rule out coronary artery disease. Only thing is it want stress MRI. He stated the coronary looked good and would predict a good result in the stress if we did one. Do you agree with this? Everything on the test looked great. Doctor: Hello. Your doctor is right. Stress CMR is highly sensitive and specific for detecting cardiac ischemia. Furthermore, it is the test of choice for cardiac morpho-functional study and tissue characterization." + }, + { + "id": 21568, + "tgt": "How can we manage seizure disorder and a learning disability?", + "src": "Patient: Hi doctor, My daughter has been suffering from a seizure disorder from her birth and has been taking AED. She is 13 years old now and at present she has been taking Valparin Chrono 500 and Levipil 750 both twice daily. She attained puberty before two years and presently studying in sixth standard. She has a learning disability, forgets everything very quickly and needs to be treated specially. But it will not be possible on the part of that school as the school does not provide any special classes for learners with LD or does not have any provision for CWSN. On the other hand, there is no any institution in my locality which provides special education to CWSN. Under the circumstances stated above, I have left no option except to enroll her in an open school and give necessary support to her. Now my question is will it be fine for her in the future to lead a life without any social development? Doctor: Hi. Your daughter has two independent medical problems. The seizure disorder needs management with medications. Her learning disability needs appropriate assessment and remedial work. I do understand that most schools do not offer remedial teaching and they leave the parents with no option other than NIOS (National Institute of open schooling). However, in most cities, there are organizations which are involved in remedial teaching for children with LD (learning disability). You can look up such organizations in your town. Also, children with LD are normal in social and occupational spheres. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7228, + "tgt": "I am 40 years old and underweight. Will nutrigain work for me?", + "src": "Patient: Hello doctor, Will nutrigain work for any age since I am 40 years and underweight. Doctor: Hello. It is always wrong to think of some short cut methods of weight gain. I have repeatedly been telling in my replies to different people asking about weight gain or weight loss, that it is a matter of difference between calorie intake and calorie requirements. This particular supplement will work if you are not suffering from any other health disorder. One more important point about this product is that it is not only having herbs to give you strength and vitality (Ashwagandha, Mushli, Shatavari) but also contains certain other herbs which improve your appetite and digestion (papaya). So, go ahead without much hesitation. If still, you are not able to get benefits, then please do meet your doctor." + }, + { + "id": 8484, + "tgt": "I am stressed and getting angry on minor issue. How to get rid of it?", + "src": "Patient: Hello doctor,Generally, I feel very stressed and tired. Getting angry on a minor issue and wanted to live alone. Because of this stress and anxiety, I am not getting good results in the exams. Kindly help. Doctor: Hello. You are preparing for a competitive exam for which you have anxiety. If I ask, can you guarantee the results of the exams for which you are preparing? Definitely no. But you can predict the good results, but it is not guaranteed because we expect a lot. Not only you, people around us expect a lot, but this is also the thing which hurts us a lot and put us in a competition that triggers over expectations, uncertainty, apprehension and leads to a variety of psychiatric symptoms and behavioral issues. There are two types of stress, 1) Eustress is a normal stress in which our performance get better because we only do our best and leave the rest. Take good care like sleep, hygiene, social life, a good diet, no expectations, proper diet, and exercise. 2) Distress in which our performance get down due to lack of proper care, lack of good sleep, diet, over-expectation, excessive worry about the result which is not under our control. I think I tried my best to answer if you any other concern you can ask." + }, + { + "id": 27323, + "tgt": "I have a left-sided chest pain and shortness of breath. Is this something serious?", + "src": "Patient: Hello doctor, I had a potential blood clot but, a chest CT came back clear. I still have chest pain and upper back pain as well as shortness of breath. What could this be? They said it was potentially a muscular or skeletal pain but, I get pain on the left side especially. They suggested pain killers but, I am not convinced it is a muscle strain nor could they tell of an infection. They did put me on Morphine. My X-ray and ECG are fine. I still think there is something wrong. I am short of breath and my left shoulder feels achy. My blood work is fine and so are my oxygen levels. So, what could be the cause of my shoulder pain, shortness of breath, left side pain, abdominal pain, and nausea? Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28938, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 25093, + "tgt": "I have a rash that is red with a smaller dot in the center. What could it be?", + "src": "Patient: Hello doctor, I have Raynaud's phenomenon and cutaneous vasculitis. I am concerned about a rash on my finger that is red with a small darker dot in the center. The rash does not itch or hurt. The tissue is soft. Doctor: Hello. With your description, it seems like a target lesion which is seen in erythema multiforme. Erythema multiforme is a hypersensitivity skin reaction due to underlying infections, some medications, systemic diseases, and autoimmune disorders. Or it could be purpura - blood leak underneath the skin. I am very sorry I cannot make a precise diagnosis unless I see the clinical picture. I would like to know few more details: I would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27324, + "tgt": "Can antidepressants cause emotional numbness?", + "src": "Patient: Hello doctor, I am a 36 year old\u00a0male. 17 years ago, I began experiencing high levels of anxiety and depression. I was put on Zoloft. After about five years, I was moved to Lexapro as Zoloft was not working. After being on Lexapro\u00a0for five years,\u00a0I was moved to Pristiq. After 5 years on Pristiq, I finally had enough. With each of these medications, I had a very similar side effect. I became emotionally numb. Before going through this, I was a very active, outgoing individual. While on these medications, I became removed, uninterested, and experienced very little emotions. So,\u00a0I decided to take an extensive test to identify if I had other mental health issues. The results came back that I do have general anxiety but, also ADHD. I was put on Adderall XR and I\u00a0did not like it. It made me very irritable. I have stopped taking that. Now, my doctor has me on Wellbutrin while at the same time taking me off off Pristiq. I do feel a decent amount of the emotional numbness is gone since going to Wellbutrin.\u00a0Here is my question: I feel like the Wellbutrin is helping the ADHD. I am not sure though if it is helping my anxiety and depression. What suggestion do you have regarding medication to tackle this? I am currently taking the Wellbutrin SR 100.\u00a0Can you please help? Doctor: Hello, Welcome to iclinq.com. I have gone through your query and understand your concern. It is true that SSRIs (selective serotonin reuptake inhibitor) make the person emotionally blunt when on a long term use. In your case, SSRI (Zoloft and Lexapro) and Pristiq (Desvenlafaxine) are ineffective and making you emotionally numb. You are diagnosed with ADHD (attention deficit and hyperactivity disorder) and anxiety, and Adderall ( a combination of Amphetamine and Dextroamphetamine) makes you irritable. So, that did not help you as well. Now, over to your question. Wellbutrin is the second drug of choice in ADHD after psychostimulants. So, it will definitely help you. This drug is also effective in depression and it reduces the emotional numbness caused by SSRI. The doses of Wellbutrin can be increased up to 300 mg per day in divided doses. But, Wellbutrin is not effective in anxiety. So, to control anxiety you can try a beta-blocker like Propranolol or Benzodiazepine for the short term. Try meditation or cognitive behavioral therapy to manage anxiety in the long term. Thanks and regards. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 22226, + "tgt": "I have strong burning sensation in vagina. Is the urine infection back?", + "src": "Patient: Hello doctor, I am a 19 year old female. I am a virgin. I was treated for a urine infection a week ago and now it seems to be back again. I have a strong burning sensation in my vagina and it is very painful. Doctor: Hello. It is better to have urinalysis, urine culture and I would suggest high vaginal swab as well or just vaginal swab to be on the safe side. Collect lab results and discuss here or with your treating doctor. You might need specific antibiotics to kill organisms that are causing the infection. After sending urine and vaginal swab for the test, you can have antibiotics till the report comes to reduce the severity of the infection. Just after collection of urine, I suggest having tablet Augmentin 625 mg eight hourly for seven days For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19859, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30323, + "tgt": "Why does my mother spit oral feed?", + "src": "Patient: Hi doctor, My mom has had issues with eating. She has a PEG tube, which was placed for this reason. She does not vomit the tube feeding, but she spits back up what she takes orally. Whatever food she takes, it comes back and is full of phlegm. She is an end stage COPD patient and BiPAP dependent. When she had her PEG tube placed, there were no strictures or any anatomical abnormality. She did have a yeast infection at that time, which was treated with IV Diflucan. She seemed to get better and was good for a month. Then, contracted C-diff colitis, which has now led to this situation. What can be causing the problem? Doctor: Hello. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 22560, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4052, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 11210, + "tgt": "Imbalance in blood report after I began cheating on my Paleo. Please suggest a plan", + "src": "Patient: Hello doctor,I started my paleo in the month of November wherein my HbA1c was almost 10, continued strictly for 100 days and in February HbA1c was 6.5 without taking medicines. Afterwards, cheating started and now it is 8.8. Also, there are some imbalances in the blood report. Now, I am assuring you that I shall stick to my paleo diet and follow your instructions. Kindly suggest me a plan. I can take eggs and chicken. Doctor: Hello. Paleo or Keto diet is not sustainable, as it is elimination and crash diet, especially for morbidly obese people. It not only about bringing sugar levels down, also it should not cause any nutritional deficiency, which may happen with paleo. Having higher intake of animal foods means having higher and processed saturated fats. For diabetes, all carbs are not the culprit, only simple and processed form of carbs raise blood glucose levels. For sustainable lowering of blood glucose, one should have a large serving of fruits pre-breakfast (fruits do not increase blood glucose), a large serving of mixed salads before lunch and dinner. Reduce intake of rice and wheat based foods. Totally avoid market and packed foods, dairy in all forms, refined oils. With these changes, you can have sustained lower blood glucose. Please contact me for any further details. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 6716, + "tgt": "After wisdom tooth extraction, when should I remove the gauze piece to avoid dry socket?", + "src": "Patient: Hello doctor, I got my wisdom tooth extracted. It has been 10 hours since the tooth had been take out. How long should I keep my gauze in? I have read articles on recovery, and it says a lot of reference to \"dry socket,\" which I am trying to avoid. Doctor: Hello. The gauze piece can be generally removed after one to two hours, provided everything is normal. Otherwise, you can change the gauze piece, along with the medication on it, and you can put fresh cotton. I do not know what your dentist had suggested to you. But I would suggest you can remove it, eat ice cream or cold beverages but do not sip. Sipping can apply force on your extraction site. Do warm water and salt rinse after 24 hours. Do not rinse too harshly just put little pressure. Do not eat or drink anything hot or hard or spicy for 48 hours. I hope this helps." + }, + { + "id": 21194, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15857, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8661, + "tgt": "Can a blood clot in the brain be removed by medicines alone?", + "src": "Patient: Hello doctor, My aunt, who is 54 years old, is diabetic since the past 10 years, and she is under regular Insulin. 10 days back, she suddenly lost speech, and since then, she is not able to speak even a single word.\u00a0I am attaching her CT scan and MRI scan reports along with the prescription. What is the problem? How severe is the problem?\u00a0What treatment options are there?\u00a0Please advise in detail.\u00a0Best regards. Doctor: Hi. I saw the attached reports (attachment removed to protect patient identity). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6011, + "tgt": "I gave Paraxin instead of Phexin to my baby and he is getting green stools. What to do?", + "src": "Patient: Hello doctor, My son is 3 months old. He had a cold and cough. Doctor prescribed Phexin syrup 5 ml for three days. But at the medical shop, the pharmacist has given Paraxin 120 ml which I did not crosscheck again with the prescription and gave it to my son. His stools are dark green, and he is very cranky. He cries all the time. Is it because of the medicine? I have stopped giving Paraxin. But would it have caused anything else? Doctor: Hello. Paraxin contains Chloramphenicol, and it can cause loose motion, vomiting, and abdominal pain. Your baby might be cranky for the same reason. It can lead to other side effects if given in high doses, particularly on blood cell production. Please let me know how many doses you have given? What is the strength of the Syrup? When was the last dose given? As there is no antidote, you need to watch your baby for any change in breathing or change in skin color, abdominal distension, and urination. I suggest to get your baby physically checked, and get the drug level in the blood if it is available over there, else just get blood lactate levels and other blood tests. Accidentally ingestion of wrong medication. CBC (complete blood count), CRP (C-reactive protein), serum elctrolytes, serum lactate. Serum Chloramphenicol Level. Chloramphenicol toxicity. Chloramphenicol over dose (toxicity). Watch for breathing, any change in skin color, abdominal distension, refusal of feeding. Get the blood test done. Get the baby physically checked. Always check for the proper medication before giving it to kids. Follow up after blood investigation." + }, + { + "id": 14935, + "tgt": "Diagnosed with pulmonary embolism. What is the safest blood thinner that can be used?", + "src": "Patient: Hello doctor, My father has been diagnosed with pulmonary embolism. What is the safest blood thinner he can use? Doctor: Hi. Pulmonary embolism is a serious condition. We need to deal with it on an urgent basis with higher levels of blood thinners. The safest one is, of course, the mild ones such as Ecosprin (Aspirin), but that is not the drug of choice in pulmonary embolism in acute stages. The treatment always depends on the stage. If the embolus is still there, we will go in for injections, low molecular weight heparins such as Enoxaparin or Dalteparin and oral ones such as Warfarin. They have dangers but are necessary and life-saving. If the embolus has been dissolved, we can maintain on low dose Warfarin also. Tablets such as Clopidogrel and Aspirin are not used in embolism, they are fine for heart blockages. Revert back to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15107, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21802, + "tgt": "My skin color has changed at the penis due to excessive masturbation. Please help", + "src": "Patient: Hello doctor, I have this bad habit of masturbation. I have been doing it since I was in school. Now, after doing lots of masturbation, my skin color has changed near the penis. Also, above my penis, there is some skin reaction. I do not know what to do. Please help me. Doctor: Hello. Masturbation is a safe habit and it does not cause any problems to the health. This is not a cause of any skin reactions. If your skin is becoming dark around the penis, that is normal and is due to friction. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14711, + "tgt": "I have Lyme disease. Can you please review my ECG report?", + "src": "Patient: Hi doctor, Can you please review my ECG? I am on long-term Azithromycin and Minocycline for Lyme disease. Doctor: Hello. I have gone through your ECG result (attachment removed to protect patient identity), and I can see evidence of a second degree AV block (atrioventricular block), which is a common finding amongst patients with Lyme's disease. Since you have already been placed on antibiotics, the ECG will clear up and become normal in weeks. There is no need to worry. Please make sure you complete all the drugs prescribed. Take care." + }, + { + "id": 17456, + "tgt": "My small penis creates an inferiority complex when using public toilets. Help", + "src": "Patient: Hello doctor,I am a 28 year old male. I am married\u00a0and have a child. But, my penis is small. It is 2 inches in the\u00a0normal stage and 4.2 inches during erection. I\u00a0do not have any sexual issue. I have a\u00a0good erection and my wife is getting an orgasm. But, the issue is I cannot use the public toilets or swimming pool. I am depressed due to the penis size. Please advise good medicines to increase the size. Doctor: Hello. I read your query and understand your concerns. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 28338, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3844, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2776, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24400, + "tgt": "What can be done to improve the appetite of 22 months old baby?", + "src": "Patient: Hello doctor, My 22 months old baby girl had a fever on Wednesday and was on Babygesic and Sinarest-AF drops for cold and fever. Until now she did not have fever but now she has raised temperature. She has not eaten solids from Wednesday. I am very worried. Please help. She is such a poor eater and is currently on Dee drops, Aptivate for hunger on a daily basis. Vitamin D test was performed last year. Doctor: Hello. First of all your baby is quite underweight. She has to be above 13 kg by 22 months (attachment removed to protect patient identity). Coming to the fever part, she requires an antibiotic for the fever to subside. Please give her syrup Azee (Azithromycin) 200 - 2.5ml once a day for three days. Now, her not eating solid food issue. Do not force her in any way or else she will develop an aversion to food and will become fussier. It is okay if she does not want to, do not come under pressure from the people surrounding you. They do not know your baby as you do. Please add the Pediasure powder to her milk and give it compulsorily twice a day. Her weight will improve in two weeks. I cannot stress this enough. Do not force food on her. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 14079, + "tgt": "My c-ANCA levels are 5. 6 U/ml. What is the general prognosis?", + "src": "Patient: Hello doctor, My c-ANCA levels are 5.6 U/ml (borderline positive). I have hypertension and proteinuria (3g), high serum creatinine (2.4) and UTI. My other autoimmune tests and serum electrophoresis results are negative. What should I do and what is the general prognosis? Doctor: Hi. Based on your query, my opinion is as follows: C-ANCA (Antineutrophil cytoplasmic antibodies) positivity indicates Wegener's Granulomatosis. In this condition, there is involvement of upper and lower respiratory tract and kidneys. Most common diagnosis, while kidneys are effected, is Lupus. But I suppose your ANA and anti-Ds DNA are negative. I would like to see all your reports, and I also recommend you to get an x-ray of paranasal sinuses to see for any polyps that are associated with Wegener's Granulomatosis. A chest x-ray may show a cavitary lesion. You need a kidney biopsy, first of all, followed by which you will be started on immunosuppressive therapy. Steroids and other immunosuppressive agents like Cyclophosphamide, Azathioprine are used. Prognosis and life expectancy can be commented after the report of kidney biopsy, as most of the times fatality occur due to renal failure. I hope it helps." + }, + { + "id": 1867, + "tgt": "Can Ginseng be taken along with Valparin?", + "src": "Patient: Hi doctor, Can Ginseng be taken along with antiseizure medicine like Valparin? I have been asked by my fitness trainer to take Ginseng to increase stamina and immunity. Please suggest me. Doctor: Hello. Revert back with answers to the above question to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21167, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12608, + "tgt": "How can constipation, pain, and semi-solid stool be treated?", + "src": "Patient: Hello doctor, I am 24 years old. Height 5'10\", weight 55 kg. I have poor constipation, pain, and semi-solid stool for the past two years. All allergy test and reports are negative. But when I eat rice with pulses, I have no pain and stool is fine. So, what should I do? I have not had any allergy and igG and IgA level is 7.1 and 7.7, hemoglobin is 13.7. Doctor: Hi. You are suffering from constipation that can go away by eating healthy foods which are rich in fiber, such as leafy vegetables, raw fruits, and vegetables, nuts like almond and coconut also. Drink more water than usual so that your body gets enough water. If you are hydrated, your stool will not be hard and pass easily. That will help in healing the injury also. Avoid any meats, maida and junk food for now. Also, avoid tea and coffee because it causes constipation and dehydration. Take care and get well soon." + }, + { + "id": 30585, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30912, + "tgt": "What does triple attachment gum graft mean?", + "src": "Patient: Hi doctor, Six weeks ago, I had gum graft. I was told that it could take three months or longer to grow to the maximum. He mentioned it as triple attachment. He tried to explain it, but I did not understand it.\u00a0In gum grafting, what does triple attachment mean? He also said that, if did not totally take, then he would not have to take as much from the palate next time. I am wondering whether you could explain this to me. Thanks in advance. Doctor: Hi. For further doubts consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11660, + "tgt": "I had Krimson 35 after sex. Is there a chance for pregnancy?", + "src": "Patient: Hello doctor, I had sex with my partner before two days and that was my ovulation day. I started taking Krimson 35 from the next day. Am I safe? Doctor: Hello. Actually Krimson 35 is not an emergency contraceptive pill. Hence, there a chances of pregnancy. I would suggest to do serum beta hCG (human chroionic gonadotropin) after 10 days of sex." + }, + { + "id": 11680, + "tgt": "Is it normal to get blood in the penis after having walk in the treadmill after 60 minutes walk?", + "src": "Patient: Hello doctor, About three weeks ago, my wife noticed a blood stain on my underwear while she was doing the laundry. I was surprised because I did not feel pain or any burning sensation. A week later I noticed this but I thought it was the old underwear my wife found. Recently I noticed blood in my underwear, and on the tip of my penis, while changing dress after morning exercise. It probably happens during my daily 60 minutes walk on the treadmill. And I do not know if this has anything to do with it. Sometimes I noticed I have slight pain on my penis, and this morning during my drive I noticed a mild burning sensation. Kindly give your opinion about this. Doctor: Hello. I would like you to get urine routine test, urine cultures creat, RBS (random blood sugar), CBC (complete blood count), USG (ultrasound), KUB (kidney, ureter, and bladder) plus prostate done. Possibilities are, 1. Blood in the semen. 2. Blood in urine due to infection or stone disease etc. 3. Exercise-induced hematuria. Blood in semen may occur due to swelling or stones in semen tube, and this can be treated with a course of antibiotics and anti-inflammatory. Urine infection needs a course of antibiotics. Exercise-induced bleeding is usually benign and may not need any treatment. You can get the above tests done and get back with reports. Till then start, 1. Tablet Oflox 600 mg (Ofloxacin) once daily. 2. Tablet Enzoflam (Diclofenac, Paracetamol) twice daily after food. 3. Tablet Pantocid (Pantoprazole) 40 mg once daily before breakfast. All medicines for five days until the culture report comes. Take care." + }, + { + "id": 8938, + "tgt": "White layer on my penis. Is it any sexually transmitted disease?", + "src": "Patient: Hi, I am a 32 year old male. I can observe awhite layer on my penis head just beneath the foreskin. This layer gets removed after washing, but appears again. Is this any sexually transmitted disease? Doctor: Hi. This is not a sign of any Sexually Transmitted Disease (STD). For further follow up, consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25610, + "tgt": "What could be the reason for intermittent shoulder pain?", + "src": "Patient: Hi doctor, I have intermittent shoulder pain, mostly in the areas where neck and shoulder meets and in the rotator cuff. This is for the last one year. I had neck pain, which subsided after some physiotherapy and still I have the shoulder pain issue. Earlier, I consulted a general physician and a physiotherapist, but not visited for a while.\u00a0I had a suspicion that my shoulder pain was significant and started bothering after I played volleyball briefly in last summer.\u00a0I am wondering whether I should visit an orthopedic surgeon and need an MRI. Doctor: Hi. Trapezitis. Revert back after a week to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29534, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19438, + "tgt": "Can you see the attached CBC report, and let me know if there is anything serious ?", + "src": "Patient: Hi doctor, My wife's iron and ferritin were low, so the doctor ordered CBC. CBC showed low WBC, high monocytes, and high RBC, which is what made us scared. She has schistocytes and elliptocytes among other RBC morphologies. We read about it and are very worried, and she had a C-section three years back. Her iron is 13 ug/dL, iron binding is 484 ug/dL, iron saturation is 3 %, and ferritin is 3 ng/mL. I have attached her CBC report. Are her reports indicative of something serious? She also has pain between her legs and the pelvic area. She has vitamin D deficiency and vitamin B12 deficiency. She also had iron-deficiency anemia in the past, for which she took Ferrous sulfate. She is currently taking vitamin D and Thyrax medicines. Doctor: Hello. I have gone through your wife's reports (attachment removed to protect patient identity). The report shows schistocytes, which are fragmented RBC (red blood cell), commonly seen in hemolytic anemia. So, to rule out hemolysis, serum LDH (lactate dehydrogenase), reticulocyte count, and serum bilirubin should be tested. If hemoglobinopathy is suspected, then HPLC (high-performance liquid chromatography) can be done. As there is a history of iron-deficiency anemia (IDA), which decreases the iron level and increases TIBC (total iron binding capacity). So, treatment for IDA should be started with iron tablets like Ferrous sulfate or iron injections. Her monocyte count is slightly elevated, but absolute monocyte count is more important which is within the normal limits. Total WBC count is low, which can be due to any drug, infections like tuberculosis, typhoid, parvovirus B19, temporary infection, EBV (Epstein-Barr) virus infection, etc. Hence for that clinical examination and correlation has to be done. But in smear, no abnormal cells are seen, so there is nothing alarmingly wrong. Continue treatment for iron-deficiency anemia. Repeat peripheral smear after ten to twenty days and follow-up. Revert after twenty days to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10831, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 10242, + "tgt": "I feel numbness in penis. Is it due to nerve impingement?", + "src": "Patient: Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly.\u00a0I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as\u00a0polydipsia, polyuria, etc. I do not remember any\u00a0trauma to the penis.\u00a0I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease.\u00a0What is your opinion?\u00a0Thanks in advance. Doctor: Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14159, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15762, + "tgt": "My penis shrinks before I penetrate. What to do?", + "src": "Patient: Hi doctor, I am 29 years old, and my partner is 22 years old. We started our life with unpleasant moments after marriage. After a year, we started our sexual life. We are trying for a baby for the past few months. I have a habit of masturbating regularly. Recently, my sperm count and motility got reduced entirely. I consulted a doctor, and the doctor gave me Popson tablets for increasing the sperm count. Also, my doctor did all the necessary scans for my prostate, and the results came normal. But I am unable to do intercourse properly, and my penis becomes small automatically after a few minutes of trying for insertion. I have irritation in penis and pain during urination. We are not doing any foreplay before sex as my partner is not interested in it. I am very much stressed and depressed. What can I do for my erection problem? Can taking tablets for erection become an addiction? Can I have any side effects? Please help me. Doctor: Hi. You have a problem with erection. It occurs due to the stress of having a baby. Regarding masturbation and a decrease in motility of sperm and their count, there is no absolute relationship between these two things. Masturbation is a healthy and safe practice. It is better to assess the level of stress in you. Treat the cause responsible for it, and the problem will get better soon. Taking medicine under the guidance of a doctor will not become an addiction. Your doctor decides the medication, the duration of taking it and stopping it." + }, + { + "id": 12706, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4070, + "tgt": "What causes dull cramping discontinuous chest pain?", + "src": "Patient: Hi doctor, I am 37 years old and normally take Hydrochlorothiazide for diastolic blood pressure and Zebeta for S node dysfunction. I am also on Metformin. My A1c is 6.1. Two days ago, I started experiencing dull cramping chest pain that was not continuous. I went to the ER and all the tests came back fine (chest x-ray, EKG and blood work). He did not know what was the cause for my pain. They gave me Nitro pill and Nitro paste on my chest which decreased the amount of pain. Up on release, my blood pressure was 101/55 mmHg and pulse 61. I had not taken my pills on the day this occurred or the last two days. It has been running around 104/63 mmHg and pulse 69. My diastolic BP without medicine usually runs around 95. And my resting heart rate was 140 before I started medicine, so this is a huge change for me. These are not new medicines either. I have attached all my test reports for your reference. Doctor: Hi. We are here to help you. Revert back after the tests to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18310, + "tgt": "I am unable to lose weight in spite of doing exercises. Why?", + "src": "Patient: Hello doctor, I am unable to lose weight even though I exercise a lot. Also, my penis size is small. Could this be a hormonal problem? Doctor: Hello. Fat is stubborn and it takes a lot of effort to get rid of it. If you are doing regular exercises, please consult a physical trainer to know whether the workout is scientifically efficient for weight reduction or not. If you are working out under the supervision of a professional and still unable to shed flab, I suggest you get your thyroid profile done along with lipid profile. The penis appears small when there is abdominal fat. I suggest you focus on the reduction of belly fat. Your organ size may be just right. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 16440, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17260, + "tgt": "Is orchiectomy necessary for testis torsion?", + "src": "Patient: Hi doctor, I am in need of your help. I had torsion in the left testis; however, it cannot be treated within the time. Now, 12-15 days has already passed. The doctor has suggested for orchiectomy (removal of the left testis) and fixing of right testis. Is orchiectomy necessary? What are the other things I should consult? What are side effects? Is there any other alternative to this? If I did not get orchiectomy, will it cause any negative impact? Doctor: Hi. Doppler USG of scrotum. Left orchiectomy with right orchidopexy. Revert with the details to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3792, + "tgt": "Is it possible to get HIV when infected blood gets into the mouth?", + "src": "Patient: Hello doctor, I went to a beach and I ordered for coconut water. Possibly when the coconut water was given there was a straw that the coconut vendor put in the coconut with his hands. On that day my lips were chapped or cracked. I drank the water by the straw. After that, I saw that the fingers of the coconut vendor were bruised and blood might have had been put on the straw by him accidentlly which might have had touched my chapped lips. If in case if the coconut vendor had HIV, could it be possible that the blood on the straw could have had touched my chapped lips and infected me? Doctor: Hi. Your risk of HIV (human immunodeficiency virus) acquisition is unwarranted in this case. HIV can only be transmitted by sexual contact, through the exchange of contaminated syringes or needles, blood transfusion or there can be vertical transmission from HIV infected mother to her child during pregnancy, delivery or through breast milk. HIV cannot survive outside the body or even in the old healed lesions or bruised sites." + }, + { + "id": 8628, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 30327, + "tgt": "How to make my body produce enough serotonin?", + "src": "Patient: Hi doctor, I am 29 years old. I have been on different antidepressants for 14 years now. I did a 4 week taper off of Lexapro and have been off completely for one and a half weeks now. The physical symptoms of withdrawal are gone. But, I just feel depressed. I am in a constant depressive state. Will my body take a while to start making serotonin again? If so, then how long will it take? When do I know that my body is not going to make enough serotonin? Do I need to go back on antidepressants? I do not like who I am anymore. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26595, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16390, + "tgt": "Why are the hemoglobin and RBC count high?", + "src": "Patient: Hello doctor, I had a blood test today and the results show hemoglobin is 18.05 and the RBC are 5.8 and hematocrit is 42 %. Should I be worried? Doctor: Hi. Your hemoglobin and RBC are certainly high. So your diagnosis can be polycythemia. It can be secondary erythrocytosis for which you can investigate with EKG and chest X-ray to rule out the cardiac or respiratory cause. If you have any dehydration or prolonged fasting history, then provide history regarding that. Kindly provide your full CBC report and any clinical history if present to guide you further. After your reports and total WBC count review, I can guide you further." + }, + { + "id": 21606, + "tgt": "Why do I have foul smelling yellow discharge from site of tooth removal?", + "src": "Patient: Hello doctor, I had all four wisdom teeth pulled nine days ago. Only the one on the bottom right tooth is very painful and when I push near it all this foul smelling yellow stuff comes out. What is wrong? Also, having headaches. Doctor: Hello. You may have dry socket condition on that side. It occurs due to loss of blood clot in the early days since extraction. Use warm salt water gargle twice a day for a week or two to get some relief. You may need antibiotics and painkillers for a week or two. So, go back to your dentist for a thorough clean up of the infected site. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27955, + "tgt": "Can trigger thumb recover without surgery?", + "src": "Patient: Hi doctor, My baby boy has trigger thumb problem, and he is just 11 months old. Our family doctor has suggested surgery, as a treatment option. We are ready for surgery, but we are thinking about the baby's age. Is his age sufficient for the surgery? We are\u00a0thinking to get the surgery done after 18 months.\u00a0Should we proceed with surgery now? Or can we wait for another six months? Or is there any chance to recover without surgery? Please help. Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23823, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1828, + "tgt": "My 3-month-old baby is having loose stools for the last 15 days. What to do?", + "src": "Patient: Hi doctor, My 3-month-old baby is having loose stools for the last 15 days. For the last 7 or 8 days, the color of poop turned from yellow with mucus to greenish-yellow with bad smell. I consulted with a pediatrician, and he gave antibiotic injection and drops to him. But, I could not see any improvement. Homeopathic drops reduce poop frequency, but as I stop giving the medicine, it all started again. I am clueless and under lockdown. So, I am not able to visit a good doctor. Doctor: Hello. Thanks for your query. You did not mention how many times in a day he passes stool and the name of the antibiotic. Does your baby breastfeed? And, please do not give him homeo or other kinds of medication. Give him syrup Erythromycin one-third teaspoon four times daily for seven days. Please, add oral rehydration solution five teaspoonfuls after each purging. Please do continue breastfeeding. There is a rule for making ORS. Please follow the rules for making ORS. Make the whole packet at a time and you will be able to use it up to 6 hours. After this period, please discard the residual. You keep an eye on whether your baby's urine output is adequate or not. If possible, do a test for your baby. The name of the test is stool R/M/E (routine microscopic examination) and C/S (stool culture and sensitivity test). Kindly consult in the future if needed." + }, + { + "id": 2285, + "tgt": "After completing 2 doses of rabies vaccination, I got hurt by a dog. Should I start vaccination again?", + "src": "Patient: Hi doctor, I am taking rabies vaccination. Right now I have completed two doses of my injection. My question is if I get another bite during my vaccination do I have to restart my rabies course from starting or should I continue the same course? Doctor: Hello. I can understand your concern. According to your statement, you are taking rabies vaccination and you have already completed two doses of rabies vaccine. Now you want to know what will you do if you get another bite during your vaccination. And the answer is simple there is nothing to be worried. Just complete your rabies vaccination schedule. No need to start the vaccination from the first dose again. So you should complete your current schedule and rest of the doses of rabies vaccination should be given." + }, + { + "id": 7429, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25882, + "tgt": "What do the orange spots on my fetal ultrasound scan mean?", + "src": "Patient: Hello doctor,I have a fimbrial ectopic pregnancy in my left tube. I received my internal ultrasound pictures but do not know how to read them. I am wondering what the orange spots are meaning on my ultrasound and where the fetus would be? I was told it was about 2 cm. Doctor: Hello. I have seen the images (attachment removed to protect patient identity) An ectopic pregnancy happens when the fetus starts developing at a location other than the uterus. In your case, the pregnancy is developing at the end of the left tube which is called the fimbria. You can see in the pictures that the uterus is empty and a sac-like structure is visualized in the location which is probably the end of the left tube. The developing fetus is very small and looks like a small straight line in the sac. The orange spots are flowing blood and usually, the growing gestational sac has blood flow which can be seen like a ring in cases of ectopic pregnancy. Regards. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 22451, + "tgt": "What does leg pain and larger clumps of fat around knees and joints mean?", + "src": "Patient: Hello doctor, My wife aged 55 years is suffering from arthritis I believe. She has leg pain for the past five years. She has larger clumps of fat around knees and joints and looks heavily obsessive. The recent health checkup results say that she is vitamin D deficient (6.6 nl/ml) and B12 deficient (226 pg/ml). Other values are well within the ranges. One of my friends in the medical field suggested consulting an endocrinologist. Doctor: Hello. I saw her report and photos both (attachment removed to protect patient identity). Her weight has to be reduced which can be done through some exercise. Try doing that as much as she can. Her body weight is causing main problems. For her pain, she can take tablet Etoshine 60 mg once in a day. If more severe then twice a day after meal. Her HbA1c is 6.5 percent which makes her a diabetic. Start tablet Gluconorm SR 500 mg (Metformin) after dinner daily. This will also help her in losing the marginal amount of weight (side effect could be nausea vomiting, some abdominal discomfort or loose motion). If this developed do not worry it will settle in a weeks time. This medicine may make her reduce her appetite so do not worry on that as well. Her cholesterol is high too. Start tablet Rosuvas (Rosuvastatin) 5 mg after dinner daily. For her Vitamin D deficiency, tablet Tayo 60k (60000 units) once a week for eight weeks. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 10771, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 21286, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23333, + "tgt": "There is a lump in anal area with itchiness and heaviness. Please help", + "src": "Patient: Hi doctor, One year ago due to excessive consumption of turmeric and ginger juice, a lot of blood like water came from my anal opening. It was treated but after that, I faced a lot of problems in my anal area. There is a lump created in my anal area and also sometimes I feel a lot of itchiness, heaviness and rarely pain in my anal area. I consulted with many doctors but I was not able to get a proper satisfactory treatment from them. I am very confused and tensed. Please help me. Currently, I am taking constipation relief powder and Lignocaine hydrochloride gel. Doctor: Hi. I understand your concerns. There are three possible causes: I suggest you send me a photo of the lump and give me more details about the pain you feel. We can discuss management after confirming the diagnosis. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9381, + "tgt": "I have bad taste in mouth after wisdom tooth removal. Is it infection or dry socket?", + "src": "Patient: Hello doctor, I got my wisdom teeth out on Tuesday. I am not in much pain but I have a horrible taste in my mouth and my breath is horrible. I have brushed my teeth twice a day, I use a salt water rinse like 15 times a day. And I use an alcohol-free mouth wash. I cannot tell if I have an infection or a dry socket and I am freaking out. The sockets look like they still have the clot but it is white, not red. Doctor: Hi. Since you do not have pain or fever or any other major symptoms, there is nothing much to freak about. Coming on to the bad taste and bad odor, it could be due to any deposits in the socket or anywhere else in the mouth. Even a dry mouth can cause it. But if you feel it is really extreme, you can visit your dentist who will irrigate the socket and also find out the reason after a clinical examination. If it is a dry socket, by any chance, a sedative dressing will be given. Usually, dry socket gives these symptoms but along with severe pain by second to the third day of tooth removal. Ultimately, it is not an emergency. You can continue lukewarm salt water gargling and limit the usage of mouthwashes. If pain or this bad taste and odor continues, visit your nearby dentist. Even if it was an infection, you would have had pain or lymph node swelling at least mildly. So, you will be fine." + }, + { + "id": 18612, + "tgt": "I have throat pain, but there is no actual swelling. How to treat this?", + "src": "Patient: Hi doctor, I am a 34 year old female. My symptoms are as follows: Intense throat pain while swallowing saliva. The pain radiates to the ear and sometimes, head and gives me a headache. Dry throat, especially in the area of pain. I also have a feeling of swelling in the throat, but the doctor said there is no swelling.\u00a0It is fine in the morning and gets worse through the day.\u00a0Talking seems to make it worse.\u00a0It is not that bad while swallowing food or water, but the pain is mainly while swallowing saliva. There is no lump or anything visible, but I can see a small mouth sore kind of thing at the back of the throat. I am not sure, if it is related to this or not and the doctor seemed to think it is not.\u00a0Drinking water helps me temporarily. Strepsils and Advil helps to a little extent. My doctor did a physical examination inside and outside the throat and said nothing seems to be wrong. One key thing is that when I turn my head to the right and swallow, it does not hurt.\u00a0It hurts only when I look straight or left and swallow. I have started salt water gargle, turmeric water gargle, ginger tea with honey, Septran tablets, etc. When it did not help, I visited a doctor. He prescribed Amoxicillin for four days, but it did not help. Also, I am using Benzydamine oral rinse for the past two days. Doctor: Hi. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 9636, + "tgt": "I feel ill and sleepy at daytime. Is this a side effect of Veniz XR?", + "src": "Patient: Hi doctor, I am a 22-year-old male. I have a problem. When I sleep at daytime, I feel ill and sweaty the whole day. When I am not sleeping, I feel better. I want to know about this problem. I am taking Veniz XR for the past six years. Does it cause any side effect? How can I wean off this antidepressant medicine? Doctor: Hi. Yes, excessive sweating can be caused due to Veniz XR (Venlafaxine). Sweating is the most common side effect of Veniz XR. Daytime sleepiness itself is a separate side effect. Veniz XR causes drowsiness and excessive yawning. As you have been taking Veniz XR for the past six years, so it is more likely to result in side effects. These side effects are caused by autonomic activation. This medication can be weaned off successfully. However, it requires gradual tapering. I can assist you in weaning off this medication. Kindly say some details about the condition for which it is taken. Please tell about your current status of illness, and current symptoms you have. Please tell about the number of relapses you had while taking this medicine. Please explain about the current dose. Please say about the previous attempts of weaning it and the difficulties faced while weaning it." + }, + { + "id": 8373, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 26826, + "tgt": "I have memory loss, confusion, and I hear sounds. Why?", + "src": "Patient: Hi doctor, I hear sounds, which are not necessarily voices, and I cannot focus on text or computer. I have memory loss, confusion, and forgetfulness. These symptoms have become relevant from the past week.\u00a0I suffer from anxiety, depression, PTSD, and OCD. I am under Lexapro, Abilify, Mirtazapine, and Buspirone. I have had around eight concussions through my life, and the last one was around three months ago. I am a 19 year old male. Doctor: Hi. Thanks and take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6852, + "tgt": "Though there is no defect in a particular tooth, I feel something odd in it. Why?", + "src": "Patient: Hello doctor, My back upper tooth is feeling strange. But it does not hurt. I have checked to the dentist and doing some scan. But everything fine, what could cause this issue? Is it fine? Doctor: Hello. If x-ray also has nothing, it means there is no cavity. So the probable causes for your problem are, 1. Food impaction between teeth, which will cause such feelings for three-four days and will go away on its own. Use warm salt water for rinsing a few times a day for three days. 2. Sometimes sinusitis, i.e. infection or running nose, may cause discomfort of upper posterior teeth. For it, you should show it to a physician. If you feel there is specific pain which is increasing then show to one more dentist as the previous dentist might have left some finding. If you can, send the x-ray so that I can examine too. Use saltwater and a painkiller for three days and wait if it goes away." + }, + { + "id": 31025, + "tgt": "What to do for diarrhea following radiation therapy and chemotherapy?", + "src": "Patient: Hi doctor, I just finished with radiation therapy and chemotherapy. Now, I feel bloated and nauseated. Also, I am having bad diarrhea. What should I do? Doctor: Welcome to icliniq.com. First of all no need to worry. As you have received chemotherapy (Cisplatin) as concurrent therapy, which is the main cause of gastrointestinal tract symptoms. I suggest tablet Ondansetron 8 mg thrice daily and also Pantoprazole 40 mg once daily. If only diarrhea without fever, then I suggest tablet Lactobacillus, two tablets thrice daily with tablet Loperamide 2 mg two tablets stat after each vomiting. If you have a fever, then no need of Loperamide. Prefer tablet Ofloxacin 200 mg and Ornidazole 500 mg twice daily for seven days if having fever. Take fibrous diet and plenty of liquids. You can also use oral rehydration salt solution to replenish electrolyte loss. If you still feel the same with these oral medications, then you will require injectable (IV fluids Ondansetron and Oflox plus Ornidazole for five days) treatment later. Investigation required complete blood count and renal function test. Revert back with the reports to a radiation oncologist online.---> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 22296, + "tgt": "How to deal with burning pee after intercourse?", + "src": "Patient: Hello doctor, After intercourse, I had to deal with burning pee. And although it has reduced stinging now. It still is there. And also. My periods ended like four days back, so I wanted to know if I should still take the pill if I had unprotected sex but he did not ejaculate in me. Doctor: Hello. From day 1 to 10 of the period it is the safe period. There is no chance of pregnancy as there is no ovulation happening during this period. So you need not take any medication. So relax and do not worry. These symptoms could be because of some urinary infection. Please get yourself checked by a gynecologist and get a complete urine examination and vaginal swab test done. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3100, + "tgt": "How can mobile knee be treated in a femur plasmacytoma patient?", + "src": "Patient: Hello doctor, I would like to know an orthopedist opinion about my mother's situation. She had femur plasmacytoma 20 years ago and 4 prostheses, because she had many infections after the operations. She remained with her external popliteus paralyzed. Now, she began to feel his knee mobile, and she could not walk because of it. There are some noises too. A few doctors said she needs Megasystem-C Link prosthesis, which would totally replace her hip and knee. What is your advice? Is there any intermediate option, like replacing only the actual prosthesis and adding pieces of bone? We heard that, in case of choosing the Megasystem-C, that can lead to amputation. So, we are looking for a second opinion. I have attached the radiograph links, please check. Doctor: Hello. The entire femur seen is grossly osteoporotic and the knee is showing evidence of osteoarthritis though I could not see the knee in the AP view. She needs a knee replacement but with the large hip prosthesis and very weak bone stock, I would support the use of a total femoral replacement. This, in reality, would need the whole femur to be removed but is not equivalent to amputation. The knee would have to be a constrained variety of her knee ligaments." + }, + { + "id": 1925, + "tgt": "How can shingles be treated?", + "src": "Patient: Hello doctor, My mom has a pretty severe case of shingles. Starting on the left side mid back and goes around to the belly. She has been prescribed Pregabalin and it is not helping, they tried Gabapentin and she has bad side effects from it. We have tried compounded pain ointments, ice, cool water, etc. Nothing is helping. She is 74 with late stage COPD, diabetic and has osteoporosis severely as well. Is there anything else we can do to try to ease her pain. She is bellowing out in pain every 5 minutes. Doctor: Hi. Shingles or Herpes Zoster occur due to reactivation of chicken pox virus which hide in spinal nerve ganglion during childhood. Reactivation can occur in immunosuppression or old age, thus it runs along a nerve in girdle like fashion. It starts with fluid filled lesion which heal within upto 2 weeks but nerve damage can give severe pain which may last longer. It is called post herpetic neuralgia. I hope there is no active fluid filled lesion. If so kindly send a photo and Renal function test report. Otherwise start SR tablet Pregabalin 25 mg plus 1500 mcg Methylcobalamin tablet twice daily. Capsaicin or Lidocaine patch application. Tablet Tramadol if severe pain SOS once daily. Calamine lotion thrice daily. Review after 4 weeks. It is sometime resistant. Other modalities like intraspinal steroid or botox injection can also be tried but let's fist see how this responds." + }, + { + "id": 7168, + "tgt": "Kindly look at my blood report and explain whether I need Warfarin", + "src": "Patient: Hello doctor, I have attached my blood report, my doctor suggested me Warfarin sodium daily and a skin-tight sock and he said that may be I have to take it for a lifetime. What would you suggest? Please reply as soon as possible. Doctor: Hi. Based on your query, my opinion is as follows: 1. It appears you have suffered from deep vein thrombosis. Due to this, your protein C and S values are low. 2. Once thrombosis has been seen, future risk of thrombus formation is present. 3. Yes, you will need to take Warfarin for life to prevent future risk of thrombus. Get evaluated with a maintenance INR of 2-3. 4. Stockings beneficial. Avoid immobility for long, especially surgeries or long travel. 5. Risk of bleeding more during injuries, and inform concerned doctor regarding surgeries about being on Warfarin therapy." + }, + { + "id": 29985, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19837, + "tgt": "I am getting persistent brownish vaginal discharge. Why?", + "src": "Patient: Hi doctor, I am not sexually active, but I am getting brown discharge over a month from my last periods. Yesterday my periods started and that is also thick black discharge. Why? Doctor: Hello. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16717, + "tgt": "Why is balanitis not responding to T-Bact and Augmentin 625?", + "src": "Patient: Hello doctor,I have balanitis on the head of my penis, below the foreskin. I am applying T-Bact and taking Augmentin 625 as an oral pill. It has been four days since I have started the medication. It is not going, though itching has reduced somewhat. Please help. Doctor: Hi. Balanitis can be either bacterial, fungal, viral or non-infectious. The most common being fungal. It is difficult to say without seeing your clinical picture. Please attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate medications. Do you have itching, burning, pain, blister or oozing? Since how many days do you have this? Are you sexually active? Is there any history of unprotected sexual contact? If so, inquire your partner for white discharge. Are you on any medications for other systemic diseases like oral systemic steroid for asthma? Have you done blood test for diabetes? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21558, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1216, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4562, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25991, + "tgt": "Does Buspirone have any sexual side effects?", + "src": "Patient: Hi doctor, I was prescribed Fluvoxamine 100 mg a day for my ego-dystonic homosexuality, major depression and OCD. Also, I am on Oxcarbazepine 300 mg twice a day for my\u00a0laugh without any reason continuously for a long period of time. Now, I started using Buspirone 5 mg for sexual side effects. I did some research in online and taking self-medication. Please tell me what causes me to laugh like that. Does SSRIs help to change my sexual orientation? Is using Buspirone safe for sexual side effects? Doctor: Hi. No medicine or counseling can alter sexual orientation. Be absolutely clear about this. Any attempt to change orientation by a doctor is considered unethical by professional organizations including the Indian Psychiatric Society, American Psychiatric Association and World Health Organization. All therapies are aimed at making you comfortable with whatever your orientation is. There should be no shame in accepting your orientation. No, Buspirone does not have any sexual side effects. But, the dose you are taking is inadequate. Consult a specialist doctor, discuss with him or her and increase the dosage with consent. Other options include adding Bupropion or Mirtazapine or Cyproheptadine. Depending upon the exact nature of sexual side effect, more specific remedies can be suggested. Regarding your laughing problem, I will need more information about it to comment. Long period means how long? Is there anything specific that precipitates your laugh? What happens if you try to stop it? Is it associated with any specific thought or act? Revert back with the answers to the above questions to a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4802, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 19674, + "tgt": "What is the permanent solution for tinea infections?", + "src": "Patient: Hello doctor, I am facing skin problems for the past 12 to 13 years. Having an infection of tinea cruris and other tinea infection. It frequently occurs. On medication, it stopped but again it got reversed. Skin gets very dark on buttocks. What will be the permanent solution? Doctor: Hi. Tinea is caused by the fungus. There is no permanent solution as sweat or high humid will help the growth of fungus. So avoid sweat as much as you can. Use cotton clothes. Take bath twice daily. Keep your body dry, especially skin folds. Do not use wrong creams or tablets." + }, + { + "id": 7002, + "tgt": "What is the treatment for scabies?", + "src": "Patient: Hello doctor,I am a 40-year-old, suffering from scabies from a week. I have two kids, a wife, and a cat, and they keep on itching themselves continuously. Please suggest treatment. Doctor: Hello. You may have acquired animal scabies. I would suggest a single whole-body application of 5 % Permethrin cream from the neck downwards to the whole body, kept overnight for eight hours, followed by bath the next day. An OTC oral antihistamine, e.g. Cetirizine 10 mg once daily, will provide symptomatic relief from itching. Kids can take syrup Alerid (5mg/5ml) 1 tablespoon daily (Cetirizine). All the close contacts should be treated simultaneously in the same manner. Clothing, sheets, etc., should be washed thoroughly with hot water to prevent re-infection from clothing. For the cat, you may dissolve one tablet of Ivermectol 12 mg in milk and feed her." + }, + { + "id": 11048, + "tgt": "As my ovulation is positive, when should I have intercourse?", + "src": "Patient: Hello doctor, I had a positive urine ovulation predictor kit test before four days. I visited the clinic for a follicular scan on that day, and I believe there was a rupture of the follicle. I want to know if I have fertile days left after follicle ruptures or there is no chance? We did not have intercourse before follicle rupturing. Doctor: Hello. Follicle rupture is the right time for planned intercourse. So please go ahead and plan for pregnancy. However, if you have a doubt, then get back to me. Take care" + }, + { + "id": 5262, + "tgt": "Is it possible to get remission of diabetes insipidus?", + "src": "Patient: Hello doctor, I was diagnosed with diabetes insipidus when I was 13 and my present age is 43. I have always had to rely on my DDAVP. However, for the past 6 months, my symptoms and use of the medicines has diminished to the point I have not had to take the DDAVP for six months. Etiology unknown as to why I developed DI. Have you ever experienced a person going into remission with DI? Or should I be concerned as I have been having some facial numbs and arm numbness and sometime my equilibrium seems of? Doctor: Hello. It is rare but yes it is possible that over a long period of time, diabetes inspidus can auto correct itself. Over time some, ADH nerve terminals are able to form at the base of the hypothalamus, resulting in the resolution of DI symptoms and the development of an ectopic posterior pituitary. In your case that might be happening and it is a good thing. DI over a period of time is known to cause muscle weakness, and can lead to nerve disorders. I will recommend you to consult a neurologist for your facial numbness, he can perform some tests on you to get the correct picture. Meanwhile you should take a Multivitamin supplement which has Methyl cobalamin and Folic acid (tablet Neurobion Forte once daily for around a month) and check if there is any improvement in your symptoms. It helps in nerve conduction, so might be helpful in your case. Regarding the spontaneous emission, we have to wait and watch. Theoretically as I said it is possible, so hope that is the case for you." + }, + { + "id": 23601, + "tgt": "Is it normal to feel heartbeats in the stomach?", + "src": "Patient: Hello doctor, I can feel heart beats in my stomach and it is moving like the heart is beating. This issue I have from more than a few years, but I am feeling it more and makes me nervous. While having this issue, my stomach is getting bigger, more bloated. Please do not suggest me going to doctor, I need a way to lower the heartbeat that I feel in the stomach. Doctor: Hello. Firstly, I guess you do not have any other symptoms like shortness of breath or chest pain. It is worthwhile to get yourself auscultated by a local doctor to rule out structural heart disease, although that appears to be less likely. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have regular sleep habits and avoid stress. Avoid smoking and alcohol if any. You should get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg or Esomeprazole-Domperidone combination before breakfast once a day for two weeks. Also, you should get prescribed tablet Etizola beta (Etizolam and Propranolol) 0.25/20 mg bedtime for two weeks, if the heart rate is at least more than 65 per minute. This may cause slight sedation. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, try to divert your mind to other activities and do not think much about this to reduce the anxiety and nervousness. Because, the feeling of heartbeat does not mean you are suffering from disease, and one can feel it normally as well. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23144, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23999, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10635, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9864, + "tgt": "I am having UTI. Will it damage my kidneys if I delay to see the doctor?", + "src": "Patient: Hello doctor,I have a UTI and cannot see my doctor until next week. And it hurts so much. Will I get kidney damage before my doctor can see me? Doctor: Hello. Simple cystitis is common in young, sexually active female. Take tablet Nitrofurantoin 100 mg at bedtime, tablet Tamsulosin 0.2 mg at bedtime. Syrup Potassium Citrate two tablespoon three times a day. Have all these for three days. Develop good voiding habits like not holding urine for long, passing urine after having sexual intercourse. Wash genital area before and after sexual activity, and passing urine." + }, + { + "id": 19957, + "tgt": "What are the causes of swollen ankles and legs?", + "src": "Patient: Hi doctor, I am having extreme swelling from under the breast to the belly. My legs and feet are also very swollen and painful. I have gained 40 pounds in two years with no change in diet or activity. My lower legs and ankles were swollen about a year ago. I went through all the horrible heart testing and finally, my heart is fine. My current medications are Bupropion, Carvedilol, Cetirizine, Furosemide, Losartan, Potassium, Hydrochlorothiazide, Gabapentin and Norco. Doctor: Hello. Swelling of feet and ankle is known as pedal edema. Edema occurs due to the accumulation of fluid in the tissues. There are many causes of edema. One is congestive cardiac failure or right heart disease. As this progress, it appears in abdominal wall too. Edema revolves around cardiac, liver and renal that is kidney. It would have been great if you upload 2D echo report, ECG (electrocardiogram) and chest x-ray. Serum albumin, CUE (complete urine examination) to look for urine protein, 24 hour urine volume and protein and thyroid profile are a few tests required. Your blood pressure is perfect; hence the dose of the diuretics cannot be further increased. Curtail salt in food. Another drug by name Spironolactone or Aldactone or Lasilactone can be introduced, which is cardio protective. Consult your specialist doctor and discuss with him or her regarding the above medicine. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19092, + "tgt": "Is it dangerous to stay in a smoking hotel room when pregnant?", + "src": "Patient: Hello, I am currently 25 weeks pregnant and will be staying in a smoking hotel room for three nights. Is this dangerous in any way for the baby? Doctor: Hello, How are you doing? So, even though the damage to the baby will not be substantial, for the sake of the baby, try to avoid smoking or exposing yourself to the smoke.\u00a0 Hope I have clarified your query. Do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20557, + "tgt": "What is the reason for vomiting and fever in a 4-year-old child?", + "src": "Patient: Hi doctor, My daughter is 4 years 6 months old and had vomiting and fever from yesterday morning. Vomit and leg and hand are paining. If she has some food, she vomits. What is the reason? Please advice. No loose stools, not eating for past two days. Doctor: Hi. According to the complaints you gave, it may be viral fever with gastritis or urinary tract infection. Viral fever with gastritis, urine infection. Urine routine, and microscopy. Viral fever, urinary tract infection." + }, + { + "id": 27302, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4217, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3869, + "tgt": "I have non-itchy discolored patches on my back. What is it?", + "src": "Patient: Hi doctor, I am a 25 year old female. I have got some pale discoloration patches on my back as can be seen in the attached picture. These started a few months back as point sized spots and slowly grown to present size. It is not itching or painful. I am from rural area. Please let me know the diagnosis and treatment. Thank you. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29397, + "tgt": "I am not able to concentrate in studies as before. Why?", + "src": "Patient: Hi doctor, I am 21 years old. I was excellent at studies. But, now, I am not able to concentrate on books. I feel like I have lost the power of memory. I do not remember even very small things. I\u00a0have developed some bad habits like chewing papers, the inner side of lips, inner side of cheeks, etc. I am getting sick day by day. I also have a problem of a bad headache for the past five years, and I cannot sleep well. Please help. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6233, + "tgt": "What are the pus like covered sores on tongue?", + "src": "Patient: Hello doctor, I have two sores on my tongue. The sores have a clear to yellow pus like covering on them. What can it be? Please advise. Doctor: Hello. Sores can heal better by avoiding acidic or highly salty foods and any other substances that are irritating. An anesthetic such as Lidocaine may be used as a mouth rinse. Sucralfate and Aluminum-magnesium antacids can be soothing when applied alone. Some mouth sores can be treated with a low-powered laser, which relieves pain immediately and prevents sores from returning. Chemically burning the sore with a small stick coated with silver nitrate may similarly relieve pain but is not as effective as a laser. Also, advise you to do warm salt water rinses to keep the infection at bay." + }, + { + "id": 5226, + "tgt": "My mother is having ribcage pain and mild chest discomfort while sleeping on left side. What to do?", + "src": "Patient: Hello doctor, My mother is 55 years old. She is taking Jalra-M for diabetes and Thyronorm 50 mg for thyroid daily. Her diabetes is under control with her HbA1C also under control. We had the tests four months back. Her fasting sugar is around 100 mg/dL. About 25 days back, she had a pain on the left side of the chest which could be pin pointed to last few bones of rib cage just above the stomach. This pain comes again when pressed at that same point of the rib cage and got aggravated if she used to take a very deep breaths or sleep on that side of the chest. We consulted a doctor and he advised a chest x-ray and ECG both came out normal. On this, he advised DFO gel to be applied. In this period she also experienced weakness and fatigue. After 15 days of initial pain, although her pain was very very low she used to have a slight discomfort while inhaling deep and felt weak. So the doctor suggested to do a CT scan of the chest and advised calcium, and vitamin supplements. Now there is no pain even on pressing and even while inhaling deep. Sometimes when she sleeps on the same side of the chest a very slight discomfort is observed, sometimes at back or some times at below chest rib cage bones. I am also worried as I found out that she has lost 2 kg in the last one month without any change in the diet and more than 5 kg in the last one and a half years. Although her energy levels are almost back to normal. She does feel the heat more than others and her last BP was 130/77 mmHg and her heart rate is 97 bpm. She feels thirsty more nowadays. My questions are, should I get the ct scan done. Is the benefit more than the radiation risk? What should I do for weight loss? Does any further investigation is warranted here? Please reply. Doctor: Hello. You have neither mentioned the duration of diabetes, latest fasting, PP (post prandial) blood sugar levels, HbA1c (glycated hemoglobin) value or the latest TSH (thyroid-stimulating hormone) levels. Please furnish the required information, as well as, her BP (blood pressure). Further, the description of chest pain is suggestive of either (a) simple spasm of the muscles between the ribs (which incidentally, would have improved with a short course of muscle relaxants and warranted no further tests, including CT scan). (b) Inflammation of the left lung covering (pleura), which if associated with weight loss and low-grade fever could be tubercular. (c) Coronary heart disease (chest pain associated with weakness and fatigue), particularly in the case of long-standing diabetes. I will therefore strongly recommend that she undergoes either TMT (tread mill stress test) or stress echocardiography to exclude or confirm heart disease. Also, weight loss or gain is a common occurrence in diabetes. Anti-diabetic drug Metformin (M in Jalra M stands for Metformin) reduces body weight. In addition, a successful correction of hypothyroidism leads to weight loss. For her age and height, she is still overweight by 2-3 kg. I would, therefore, recommend the following initial investigations: 1. Ultrasound of the left side of the chest (for detecting the presence of fluid in the pleural cavity). 2. TMT or stress echocardiography to exclude, detect latent underlying heart disease. Lastly, I do not feel the necessity of a CT (computed tomography) scan at this stage. If she still has any chest pain, a short course of five to seven days of tablet Cip-zox (Diclofenac sodium and Paracetamol) one tablet thrice daily after meals would cure her pain, provided it is due to spasm of the chest muscles. Forwarding of the desired reports would certainly help me in reaching a definite conclusion." + }, + { + "id": 17525, + "tgt": "Why is my TSH extremely low?", + "src": "Patient: Hi doctor, I was diagnosed with Hashimoto's four years ago and maintained on NDT. All the tests are within the normal range although borderline till now. My result shows extremely low TSH 0.036 and FT4 0.28 and extremely high FT3 11. My cortisol and ACTH are also extremely low. My TPO is less than 1. What to do? Doctor: Hi. Your answer is present in your question itself For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30487, + "tgt": "What do my blood test values indicate, iron deficiency or over absorption?", + "src": "Patient: Hi doctor, My TIBC 508, transferrin 363, transferrin saturation 17%, iron 85\u00a0and total LDH 109. Do these values indicate iron deficiency or over absorption? I am on regular Synthyroid, Singulair, Prilosec, Vitamin C and oral contraceptive. Thank you. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Revert back after six months to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1275, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11657, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19989, + "tgt": "What might be the possible cause of pain in my penis during urination?", + "src": "Patient: Hello doctor, I am 19 years old. I am suffering from pain in penis, mostly between the foreskin and glans penis. It hurts more especially when I pass urine. Last week, I had a rough sex with my girlfriend. At that time I saw blood at my foreskin of the penis. What should I do now?\u00a0After the sperms had been released out, the erected penis was going down fast. Is this is a major problem? I am worried. Please help me to get out this issue. Doctor: Hi. Relax and do not worry. Revert back with the images to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25519, + "tgt": "Are frequent periods and heavy flow in teenagers something to worry about?", + "src": "Patient: Hi doctor, I am a 13-year-old female. I am a virgin, not on any medications and I started my period about two years back. My period has been coming nearly exactly every two weeks without fail since about a year ago. At the beginning, it was all over the place (which is to be expected), but it started evening out after a few months. It very occasionally comes slightly later. I also experience quite bad cramps (but nothing that a 15 ml dose of Nurofen cannot alleviate) along with my heavy flow. Could there be an underlying condition? Endometriosis or similar? Should I be worried? Doctor: Hello. How are you doing? Let me start by saying that you are absolutely fine. It is a human tendency to expect a big condition when it is actually a simple one. We should always think of the common conditions first. You are having immature hormone cycles and spasmodic dysmenorrhea. Let me explain. You have started periods at the right time. But, even though you have periods, the hormonal balance between brain, hypothalamus, and pituitary gland - ovaries are fully matured by 19 to 21 years only. Once this axis is fully mature, the hypothalamus produces hormones at the right time, makes pituitary to produce hormones in the right amount and which in turn gets the right level of hormones from ovaries and ovulation occurs on the right time. Now in few cycles, you do not ovulate. That is when you miss periods or you only have a discharge pink or red color. Or else you have no proper periods and the thickness inside the uterus, the endometrium keeps increasing and finally when it tries to come out of the narrow cervical canal, you get severe lower abdominal cramps. You will have the pain only till that clump of blood falls out. The normal frequency of periods will be 28 days plus or minus seven days, bleeding for approximately five to seven days. Ovulation will be around 13th to 15th day. Do not worry. At this young age, you cannot expect big conditions. I cannot say you will not have endometriosis, but chances are very very remote. If you are fine with the medications for pain, you can go ahead with that. Over time, everything will be fine. I am sure. Hope I have cleared your query. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7108, + "tgt": "Other than Spironolactone, which is the best medicine to reduce high androgen level in female?", + "src": "Patient: Hello doctor, I have an excess level of androgen as a female and have been taking the medication called Spironolactone, for the past few years. But with this medication, I only see minimal improvement in lowering my Androgen level. Do you have some suggestions for supplements or medications that could either take along with the Spironolactone or instead of the Spironolactone? Doctor: Hello. I read your query, and from what you have mentioned it appears that you have high DHEA levels (dehydroepiandrosterone) although I cannot understand that number clearly from the test reports that you have attached and you are not getting much benefit from Spironolactone. However, you can benefit from Dianette (cyproterone acetate, ethinylestradiol). Take it daily one tablet like a contraceptive pill. It contains an anti-androgenic drug called cyproterone acetate. It is superior to Spironolactone. You must check your liver function test before starting and every four to six weeks for the entire duration of treatment. I hope you find my advice beneficial." + }, + { + "id": 5346, + "tgt": "Can stroke cause altered sensation in face?", + "src": "Patient: Hello doctor, Six months back, I had a bad sinus infection with a cough that caused a left internal carotid artery dissection. I had a stroke as well that left infarcts on my left parietal lobe and caused problems with my speech and I was not able to use my cellphone correctly. Thankfully I had no lingering damage. Two months back, I had my 3 month MRI rescan and it said the artery had healed and the infarcts were smaller. I have had a sinus infection again which started about a week and a half ago with a cough again. Earlier in the week I was having on and off dizzy spells for a few days and that has passed. Now I am having sensations in the right side of my face around my cheekbone, cheek, top of right lip, around the right side of my nose. I can also feel it around my right bicep, and sometimes my right calf. There is no drooping of my smile or eyebrows. I can raise my arms without drooping. Everything seems to work correctly. These sensations have been going on for at least four days. I have sleep apnea so I sleep with a full face mask and I lay on my right side with my right arm under my head. What could these sensations be? Doctor: Hi. Post stroke, during periods of illness, fever, cold, etc., previous symptoms of stroke may reappear but to lesser degree. They usually go away as the illness resolve. It does not mean you have new stroke. With left parietal stroke, one can expect sensory symptoms over right side and depending on your location, body part, need to see your previous MRI which can help identify if your face region was in previous stroke region or scar tissue is there. If you are very concerned, then you can go for another MRI brain to look for any new stroke. MRI brain if symptom worsen or if no scar tissue in facial region on previous MRI" + }, + { + "id": 23013, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6964, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10989, + "tgt": "How to recover from thalassemia intermedia?", + "src": "Patient: Hello doctor,My brother has thalassemia intermedia. His Hb is between 7.8 to 9. Please suggest how soon he can recover from this. Doctor: Hello, Welcome to the icliniq.com. Thalassemia intermedia is severe as compare to thalassemia minor. In this condition, episodic blood transfusion is needed, especially during childhood. Your brother can be prescribed iron tablets if there is no improvement then blood transfusion might be required. I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 19972, + "tgt": "Energy loss, headache, and hair loss after masturbation. Please suggest ayurvedic medicine", + "src": "Patient: Hi doctor, I am male, 28 years old. I work with lots of work stress. Sometimes I feel a bit headache. There is also after automatically masturbations or supposed masturbations I feel less energy and headache and hair loss. Could you please suggest to me any ayurvedic medicine for my healthy life and after masturbations headache, hair loss and how can I recover energy? Doctor: Hi. Masturbation is not bad, but if done in excess it can make you weak. A headache, low energy, and hair loss are a result of insufficient nutrition. Do you get a good night's sleep? (seven hours). How often do you get headaches? Have you noticed any triggers for a headache? These are my recommendations: Diet- Your daily diet should include one bowl of fresh fruits, preferably the ones rich in Iron and Calcium like pomegranate, papaya, sapota, guava, figs, dates, raisins, muskmelon, gooseberry. You can take one bowl of these fruits, individually or mixed every day. Proteins are essential for hair growth and energy, includes eggs, pulses, and cheese in your daily diet. Ensure you eat at the right time daily so that digestion and metabolism improves. Almonds, pumpkin seeds are also highly recommended. Exercise- to regain energy and to improve blood circulation exercise is a must. 30 minutes for brisk walk, cycling or yoga for five days a week. Medicine- Aswagandharishtam, this is a wonderful Ayurveda preparation which will target all your problems comprehensively. This is prepared using 20 odd herbs which comprehensively target all your issues- stress, weakness, hairfall, and headache. Take 5 ml of this tonic diluted in 15 ml water twice daily after food. Continue it for 15 days and then follow up with me." + }, + { + "id": 2698, + "tgt": "What problem could polycystic ovary cause in marital life?", + "src": "Patient: Hello doctor, It is about one of my closely known relative who is of the age of 19 now and has tested her thyroid and USG was done. Her weight is 80 kg and height almost 165 cm. I just want to know two things on the basis of the two reports that I will be attaching here within. Polycystic ovarian pattern was shown in the USG. So will it be harmful to her post-marital life in case of delivery and it was also written less release of eggs? So is it due to her age that is going to get alright after her marriage? Or is it anything serious? If anything such serious, please do prescribe some medication or way to mend it. Her thyroid TSH testing was 3.79. Though it is normal, doctor has prescribed her to have 0.25 power tablets for the sake of not letting it grow further. So is it advisable for her to start with the medicine given? I want your valuable piece of advice in both cases. Her periods are regular. Doctor: Hi. Polycystic ovaries can give problems in conceiving. 50 to 60 females have polycystic ovaries. So right now there is no need to worry and especially if her period is regular. There is no such treatment to take right now. She may require treatment to get pregnant. Otherwise, there is no such problem. If thyroid is normal then there is no need to start medications right away. If you have some doubt then she can repeat the test with fasting blood sample." + }, + { + "id": 5214, + "tgt": "What is the chance of false negative in 260th day HIV test?", + "src": "Patient: Hi doctor, I have negative HIV, ELISA test on 54th day, 108th day, 210th day and 260th days. May be all tests are second or third generation tests. I also have done an HIV test with the help of home test kit which shows result in 10 minutes. The result is negative. My questions are what are the chances of a false negative? Whether I need anymore testing like PCR, RNA/DNA test? Does three months HIV test is considered conclusive? What are the chances of transmission in case of protected sex (no anal or oral sex)? Whether deep kiss or smooch can transmit the virus? Doctor: Hi. I will answer your query specifically. In your case, the chances of false negative are almost nil. Chances of false negative are high during the window period which extends from three weeks to six months. Usually, a person having HIV has detectable antibody levels by a month. Almost 97 percent of people become seropositive by three months. By six months any person having HIV will develop antibodies. Only a few cases have been reported where seroconversion occurred late after a year. As you have done your tests at monthly intervals till six months and the results have been negative, chances of it being false negative are almost negligible. You do not need any other tests. We consider three months as conclusive but prefer to do a test at six months too. If you have used a condom, you need not worry. If only sex is unprotected chances of spreading through single contact are 0-1%. Kissing does not spread infection. I hope this helps." + }, + { + "id": 27637, + "tgt": "Can a high BP cause the nose to bleed?", + "src": "Patient: Hello doctor, My mom is 54 years old. She had a nosebleed two days ago that lasted five to seven minutes.\u00a0Her BP usually never crosses 106/66, but after the nosebleed, her BP is usually 148/99. Since the day of her nosebleed, she is feeling a pressure in her nose and eyes. I wonder if it was a sudden high blood pressure of something else. I think it might be due\u00a0to the weather too since we live in a country that is too hot. But, I still wonder why the BP is high and why does she feel a pressure. The doctor said her CBC and sugar reports are normal too. She is not over weight and has not suffered from any major disease. She had an eye cataract operation about 15 years back. Doctor: Hello. Do follow up with the reports. Take care. Have a nice day. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1449, + "tgt": "How long will it take for permanent incisors to erupt after shedding of milk teeth in a 6-year-old kid?", + "src": "Patient: Hello doctor, This query is for my daughter who is 6 years and 7 months old. She lost her top primary incisor teeth (universal numbering -9) before four months. She still has not got the permanent teeth until now. She however, has lost the other three incisors and got the permanent teeth. Kindly do let me know if the above delay in the growth of these teeth is normal. She is taking Eltroxin 25 mg since birth. Doctor: Hello. As you mentioned your daughter is 6 years and 7 months old. Please confirm if she has lost all her upper primary teeth or lowers where the permanent teeth have come? Other thing is if all the upper four primary incisors are gone and three have come. Generally, we need to see which tooth incisor has not come out of four permanent incisors. If missing tooth is lateral incisor means next to two central incisors then we can wait and watch for another two to three months. Other scenario is if only one upper incisor is lost three to four months ago and the rest of the milk (primary incisors are intact) then we can still wait two to three more months. But if out of four upper permanent incisors, only one that too central permanent incisor has not come out, then it is better to take radiograph IOPA (intraoral periapical radiograph) x-ray first to rule out any hindrance in the eruption of the tooth or any permanent missing tooth. If possible click and share the picture of mouth (oral cavity) with teeth and send it across. Generally, a delay of one year in an eruption of permanent teeth is quite normal. But we need to confirm which tooth is missing and need to see the chronology of other teeth simultaneously to rule out any abnormal changes. Eruption delay if only one primary tooth was lost and counterpart permanent tooth is missing for the past four months. IOPA x-ray of upper front teeth. First need to examine clinically and then if needed IOPA x-ray. And depending on IOPA findings treatments to be planned." + }, + { + "id": 28335, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3590, + "tgt": "Why did my stool appear messy only on Sunday?", + "src": "Patient: Hi doctor, I am always having stomach pain. Every Sunday my stool is extremely messy. But, it happens only on Sunday? What is the reason? I admit that I do not eat right. But, why is it always on the same day? Currently, I am on anti-anxiety medication. Please help. Doctor: Hi. I understood that you have constant mild stomach pain and your stool is messy on Sundays. Revert back after 15 days to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25613, + "tgt": "What could these small bumps on my penis be?", + "src": "Patient: Hello doctor, I am 15 years old and I have these small bumps on my penile shaft. I know they are not STDs or anything like that but I have read that it might be hair follicles. Any recommendations or products that I could use? Also, there will occasionally be red pearly rashes that will appear every once in a while. Please help. Doctor: Hello. I request you to kindly upload a few images of the affected area so that I am able to have a look and guide you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15712, + "tgt": "What is the surgical method used to retract the foreskin of the penis?", + "src": "Patient: Hi doctor, I am 36 years old. I have an extra foreskin in my penis. It is never retracted from my birth. I usually use a lubricant oil while doing intercourse with my partner. I do not have any discomfort due to the nonretractable foreskin. I never had any pain or discomfort during sex. But I am unable to clean below my foreskin. I want to know whether there is any non-surgical method available to retract my foreskin. Doctor: Hi. I have gone through your query and pictures (attachment removed to protect patient identity). You have a condition called as phimosis. It is a condition where you cannot retract the foreskin because the opening will be too narrow. There is no medical treatment available for this condition in adults. Non-surgical dilatation of the opening can be practiced. But it is only for very mild cases. Your treating urologist will determine it after a thorough clinical examination. It should not be tried by yourself, as the foreskin can become stuck behind the head of the penis. It is a hazardous situation. The safest and the most straightforward approach is to get a circumcision done, which is only minor surgery, and it will solve your problem permanently." + }, + { + "id": 19959, + "tgt": "Is it normal to have a neck dissection just by suspicion of malignancy?", + "src": "Patient: Hi doctor, I have 4 enlarged cervical lymph nodes in my neck. Two are cystic and have calcification inside. There are also 3 small nodules on my thyroid. Two are about 2 mm and one is 6 mm. All blood and thyroid tests came back normal. Full body PET-CT showed no abnormal activity in thyroid or lymph nodes or anywhere else in my body. FNA of the largest lymph node came back as suspicious for metastatic papillary thyroid cancer. My ENT wants to do a selective neck dissection, removing the lymph nodes in regions 2-4, have them cold tested and remove my thyroid if positive. My question is, is it normal to have a neck dissection with only suspicion of malignancy? Or should I opt for further testing to confirm cancer before I decide to have the dissection? Doctor: Hi. I have gone through your query and can understand your health concern. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29662, + "tgt": "Should I start taking medicines for thyroid problem?", + "src": "Patient: Hello doctor, I am a 38 year old female. I am having a recent weight gain and\u00a0menstruation flow is very less than normal. I also have hair fall, tiredness and I feel there is something blocking my throat. Sometimes,\u00a0I feel cold than other family members. So, I checked my thyroid levels. T3 was 0.87, T4 was 7.57 and TSH was 4.31. Though the TSH was normal, they told me that I am in the risk category. Should I meet an endocrinologist and start taking medicines? Or should I make lifestyle changes for this problem? Doctor: Hi. Revert back with the details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 5795, + "tgt": "I am getting sharp headache and abrupt vision shift. What does it sound like?", + "src": "Patient: Hi doctor, For a week or two, while walking around, I have had the feeling that I was lightheaded or unsteady on my feet. It was not like the room shifting.\u00a0Today, I have had a sharp headache above one eye. While sitting at my desk, my field of vision shifted abruptly.\u00a0What does that sound like? I have a previous history of migraines, venous varix on vein of Galen. My current medication includes Tylenol and Eletriptan. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10646, + "tgt": "How can chronic body pain associated with movement be tested?", + "src": "Patient: Hello doctor, I am a 44-year-old man with undiagnosed chronic body pain associated with movement. Sed rate and CRP in normal range, uric acid level tested after a bout of kidney stones last year, but that was also in normal range. Is there any tests you could suggest to my attending? Please advise. Doctor: Hello. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have issues like obstructive sleep apnea, impaired glucose tolerance and high blood pressure. Obstructive sleep apnea can present with manifestations like chronic fatigue and chronic body pains among others. If you are known to snore, have apneic spells (spells during sleep where your breathing stops for several seconds intermittently), feel fatigued and sleepy during the daytime, have frequent headaches and irritability, ask your doctor to screen you for obstructive sleep apnea. If present, that may explain your chronic body pains. Even if you do not have symptoms of OSA, losing weight can improve your overall health and prevent development of metabolic diseases like diabetes. If you want to lose weight, I suggest cutting down on carbohydrates and consuming healthy fats. This is a low carbohydrate, high and healthy fat diet (otherwise called ketogenic diet)." + }, + { + "id": 29950, + "tgt": "Is tablet Hepcivir L safe for a heart patient?", + "src": "Patient: Hi doctor, Is tablet Hepcivir L effective for HCV positive patient? Is that safe for a heart patient? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3477, + "tgt": "Please specify the foods that can negatively affect arthritis", + "src": "Patient: Hello doctor, What are the worst foods for your arthritis? Mention the name of the first food and why it can negatively affect or worsen arthritis symptoms? I am hoping to highlight inflammatory foods, foods high in sugar, foods high in saturated and trans fat, and dairy which may be a cause for arthritis for some people due to its casein proteins. Please try to name a specific food (i.e. yogurt) and not a group of foods (i.e. dairy) and reference studies when possible. Please specify the name of the second and third food and why it can negatively affect or worsen arthritis symptoms. Doctor: Hello. There are some lifestyle and nutrition recommendations that can be given to any patient suffering from arthritis that may help reduce the pain. Diet rich in omega-3 and antioxidants. Some studies have shown that omega-3 help decrease swelling or inflammation and the antioxidants help reduce the free radicals in the body. Avoid alcohol and red meat. Some patients suffer from high uric acid levels, which may worsen arthritis symptoms. Red meat contains high levels of purines, which are then metabolized in the kidneys and may affect and increase the uric acid levels. Alcohol dehydrates the body and this makes it even more difficult to eliminate the purines or toxins from the kidneys. The easy way to achieve a healthy weight and include omega-3 and antioxidants in the diet is by a Mediterranean diet. This means cutting back on red meat and eating fish and legumes (beans, lentils, chickpeas) as the protein source. Omega-3 rich foods are healthy fats like avocado, olive oil, nuts, seeds and olives, and also salmon. The Mediterranean diet suggests that you eat lots of vegetables and fruits, which are rich in antioxidants. Stick to natural grains like quinoa or brown rice and avoid processed foods like white bread or pastries." + }, + { + "id": 18573, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5279, + "tgt": "Will taking antiemetics for food poisoning manAge the condition?", + "src": "Patient: Hi doctor, I am aware that vomiting is the body's normal response to certain illnesses but here is the thing. I have emetophobia, which is a phobia of vomiting. This is not just \"oh, yeah no one likes to throw up\". This is a debilitating fear that effects a person's everyday life. Pretty much every second of everyday is spent wondering and fearing that I could possibly throw up, even though this is obviously something that happens rarely. If I ever feel sick this results in me shaking uncontrollably, I get that scared. So, I read online that when one has Norovirus for example, it is the intestines that are infected, and vomiting is just the body's useless response and does not help you get better. I wanted to know if the same goes for food poisoning. Would I be okay if I took antiemetics if I felt sick and knew that I had eaten something bad? What are the consequences of doing this? I know if that ever happens to me I will take them unless it could be deadly or something. I do plan on getting help for my phobia in the future. Until then, I will do this. I have a great deal of self control with the pills and do not take them just because I feel panicky. I have had them for a long time and have yet to take any, and will not unless I know for sure that I am sick. But I want to know this for future reference in case I need them one day. Also I think it is important I mention that I am otherwise healthy adult and have no health issues in the past. Doctor: Hi. First of all I would like to clarify that vomiting is not a useless response of the body. It is body's way of conveying that something wrong is there that needs to be corrected. For example in food poisoning the body vomits so that it throws away all the food that is in the stomach so that the body is free of toxic substance. Also, vomiting can happen in conditions other than gut related like some problem in the brain, eye, liver, pancreas, etc. And sometimes vomiting may be the only sign or clue to detect those problems. So unless the cause for vomiting is diagnosed just suppressing vomit by medication is not right. Like in food poisoning after taking anti-vomiting medicines vomit may stop but not the food poisoning which requires antibiotics. So, my advise is yes you can take antiemetics when you feel sick but you should also consult a doctor to find out what made you sick. But till you consult a doctor you can take antiemetics, no problem with that. I advise you take tablet Ondansetron 4 mg when you feel nauseous. Also as you said take a psychiatric counselling for your phobia." + }, + { + "id": 21678, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22276, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14905, + "tgt": "My mother (80 years old) got hemiparalysis attack. She feels and talks as if she were in her twenties", + "src": "Patient: Dear doctor, My mother (80 years old) got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as she were in her twenties. Kindly diagnose. Doctor: Hi. Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own. Silliness, childishness, and immature behaviors are consistent with mental regression that accompanies depression in elderly people. A prompt evaluation by a psychiatrist followed by antidepressant medication is recommended. One other thing, caregivers of such stroke-afflicted depressed elderly patients are also prone to get depressed." + }, + { + "id": 4374, + "tgt": "C8 radiculopathy confirmed by EMG but not in MRI. Kindly explain", + "src": "Patient: Hello doctor, I am a female, 30 years old. Questions: 1) How and why do I have all symptoms of c8 radiculopathy confirmed by EMG but not reflective of MRI- c7/t1 normal? 2) What else if anything could cause c8 radiculopathy in last 2 digits per my imaging that would explain this medically? 3) What is your final assessment and why? To date: Undergone much PT and recieved facet injections at 2 sites: above and below ACDF. Persistent neck pain into scalpula and upper extremity unilateral hand numbness especially D4, D5. Now with new weakness in opposite hand. History/background/ diagnostics: Former ACDF at c5/6 labeled degenerative disk in mid/late 20's. Resulted in great sucess post-surgery. Several years later- accident occurs: results multiple levels damaged, cervical spondylosis. Imaging reports: MRI findings: no cord/ vertebral lesion and multi DDD below above acdf. C4/5 herniation and degeneration and cord encroachment. C5/C6- bony overgrowth causes cord encroachment. C6/C7 herniation degeneration but without any encroachment. C7/T1- unremarkable. Myelo gram- showed small extradural lesion at C5/6 with thecal sac compression. A spur projecting from posterior border of C6, small ventral defect. EMG- (left- UE) Neuro exam: weakness ADM, APB, 1st D1. Decreased sensation digits 3,4,5 clawing in 5th digit. DTR 1+. NCV: left ulnar sensory nerve decreased conduction veloc (wrist-5th digit, 42/s) Polyphasic Volition 1st D1 and ADM. No acute radiculopathy, plexopathy, peripheral neuropathy. Final: Abnormal test concluded Chronic C8 radiculopathy. Doctor: Hi. You do have chronic C8 radiculopathy from your detailed description. The reason for mismatch between NCV / EMG findings and MRI can be explained on the basis of a pre-fixed or a post-fixed brachial plexus where in the nerve exiting the C7-T1 inter space is actually carrying nerve fibres from the space below; that will show up normal on MRI. The actual C8 fibres are going out at a space above ie C6-C7 or higher where they are getting compressed. Spur and compression exists at a higher level. The second possibility is that there is arachnoiditis but that should show up on MRI, however, I have not seen the MRI myself and have to rely on the report (attachment removed to protect patient identity). The third explanation is possible injuries scarring at the time of ACDF or after less likely as you would have known the temporal sequence of symptoms. By APB you mean adductor and not abductor pollicus brevis - that is median nerve. Appearance of new symptoms and persisting neck pain afert ACDF suggests instability at another level which unfortunately can happen and is a collateral effect of fusion in spine. Get flexion extension X-rays and dynamic contrast MRI." + }, + { + "id": 12672, + "tgt": "Kindly advise about growth spurt and height gain in male", + "src": "Patient: Hello doctor, I am 18 and 5'2\" I think and I am a guy. When will I hit my growth spurt? My mom is 5' and my dad is 5'10\". Grandmother 5'2\" and grandfather 5'10\". Doctor: Hi. Well, I think you are worried about your height. So your growth spurt or as we call puberty should have started already and your height will keep on increasing till 21 but depends on your genes too. As you said your father has a height of 5'10\" you might reach a height of 5'6\" (not sure though) according to the current situation and might get the height as equal to your father (again the genes). Best you can do is eat and exercise and stay healthy. Get enough nutrients through a balanced diet and exercise well. You can get a personal trainer and a dietitian too to get guidance for your growing years' diet and workouts." + }, + { + "id": 6407, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 1445, + "tgt": "My wife's hCG test is positive. Should she continue the same medicines prescribed for conceiving?", + "src": "Patient: Hello doctor, We got married for the past three years. We planned to have a child after one year. We tried to conceive for about a year but were unable to do so. Then we consulted a doctor who conducted many tests such as endometrial lining, hormonal levels, etc. All tests including hormonal levels were normal but the ultrasound as per doctor showed PCO (not PCOS). She prescribed medicines for three months, Duphaston 10 mg from 16th day of period, Feril XT, and M-Fol. At the end of the third month, my wife felt pain similar to menses but nothing happened. We tested with hCG strip which resulted in positive and her last period date is 2nd April. Now the problem is I am now unable to contact the present doctor due to lockdown. I want suggestions regarding, whether to continue the medicines or not? If not will there be a change in medicine? Any specific diet plan? Any exercise, yoga, etc? Will complete bed rest help or can she do some house chores in the initial pregnancy period? Doctor: Hello. If the hCG (human chorionic gonadotropin) strip results positive, it means that your wife is pregnant. Based on her last menstrual date she is 5 weeks and 2 days pregnant. She can take Duphaston for two weeks every day two tablets a day and Folic acid 400 mcg one tablet a day until 12 weeks of pregnancy. She should not take any other medication. Ultrasound." + }, + { + "id": 25343, + "tgt": "How to gain weight and overcome weakness?", + "src": "Patient: Hello doctor,My wife is 48 years, height 156. Her weight range is 40 to 42 kg since her age of 20 years. She wants to gain weight. How to gain? She sometimes feels weakness. Doctor: Hello. Yes, I can understand that weight gain can be difficult for some people - but surely it is possible. Your wife needs to add at least 6 to 7 kg weight. You need to eat the food that you like as this will help you eat more than usual. So, you need to take the kind of food that you like for example spicy food, veg or non-veg diet, etc. The calorie intake has to be higher than what you regularly take - this also means that you need to take greater quantity of food. You need to make a list of foodstuffs that you like and stick it on your refrigerator. For example, bananas, apples, peanuts, milk, chocolates, chips, french fries, ice-cream, almonds. Also, make a list of items for lunch and dinner that you like and cook them frequently. Exercising: If you are doing any high-calorie burning exercises then you need to switch to other exercises for muscle training and less cardio workouts. Dietician: constant follow-ups with your dietician will help you with progress of weight gain - always keep a dietician in the loop. Add-on meal: start intake of one small extra meal other than your regular meals and do this consistently, over two months you will see the difference. Protein supplements: powder protein supplements available in the market needs to be taken twice daily with milk. Do this consistently to see a change. Consistency: is the key to success, so do these things regularly and only then you will see the results. Sleep: you need to sleep for at least eight hours daily for a healthy body, and you can also add on another hour if you like as you do not lose much calories while asleep. Fruits: make it a point to eat one fruit after lunch and one after dinner. They are great add-ons for good calorie intake and this is a great idea and a must. This is only a second opinion platform. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28509, + "tgt": "I get headaches when I go out in the sun. Please suggest some ayurvedic cure", + "src": "Patient: Hello\u00a0doctor, I get headaches, especially when I wash my hair or when I go out in the sun. The climate is really hot here, and I stay indoors. But, I still get headaches, and my nose also pains a bit. I cannot stop washing my hair because of this. Please help. Doctor: Hello. I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8517, + "tgt": "Shall I continue with Normaxin for bloating?", + "src": "Patient: Hi doctor, I\u00a0was diagnosed with erosive gastritis two years back and my latest endoscopy shows that it has been completely treated. But over the course of taking PPI, I noticed undigested stool and a feel of bloating even after taking medication. My doctor prescribed Sibofix, Darolac and Normaxin for a month as he said it might be a case of IBS.\u00a0But, I do not have diarrhea, stomach pain or anything. It is just gas irrespective of empty stomach or after eating. I belch all the time. My endoscopy, stool culture, blood test, T3, T4, TSH, BP and sugar were normal. Can I take Normaxin for two more months as it helps a bit? Please advice regarding my situation. It would be a tremendous help.\u00a0Thank you. Doctor: Hi. I read your query and understood your problem. CBC (complete blood count) and LFT (liver function tests). Dyspepsia (indigestion). 1. Avoid spicy food, cabbage, cauliflower and salad. 2. Avoid stress. Revert back after 15 days to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29248, + "tgt": "My 2 year old daughter has some problem in her front teeth. Please give your suggestion", + "src": "Patient: Hi doctor, My 2 year old baby girl\u00a0has\u00a0some\u00a0problem in her four teeth. Both the upper and lower front teeth is paining now. Please give your suggestion. What can we do now? Doctor: Hi. Sugar and milk. IOPA x-ray of teeth. Early childhood caries. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15378, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7239, + "tgt": "Can herpes from lip be passed to genitals by masturbating using saliva?", + "src": "Patient: Hello doctor, I have had this sore on my lip for a week now. It is drying up but before it was drying I masturbated using my saliva and touched the sore. For certain reasons I am aware, this sore could be herpes. My question is could I have passed it to my genitals by touching and rubbing my penis. Doctor: Hello. Less likely, but it is possible if the sore on your lips is herpes only. But, chances of this happening are less as infection at lip will give you immunity against current infection. So virus will not be able to multiply at other sites. Also, since lesion is drying, the virus contents must be low to cause other infection. So overall, I do not think you will get genital herpes. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20896, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17565, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28628, + "tgt": "Is it safe to use a pacifier for thumb sucking habit?", + "src": "Patient: Hi doctor,My daughter has developed a habit of thumb sucking. The doctor advised for a pacifier. Is that safe to use? I heard that using Pacifier will make my baby not suck breast milk anymore.\u00a0Also, will it lead to misalignment of the front teeth once she grows up?\u00a0Please advise what to do. Is it 100 % safe to use a pacifier? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25319, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6670, + "tgt": "How to treat recurrent MSSA infection on preauricular sinus?", + "src": "Patient: Hello doctor, My nephew is 7 years old. For the last three months, he is suffering from a recurring infection of preauricular sinus on his right ear. His right ear has a small hole since birth. But no infection was there since birth. All started three months back. IV and oral antibiotic of Augmentin were not much effective, although he was under antibiotic treatment for one month. Discharge from a pit near the hole on right ear was regular. Earlier it was painful, but after continuous dressing with Betadine and ointments subsides the pain and pit are drier now and frequency of pus discharge has reduced for last 3 to 4 days. We are doing pressure dressing on daily basis twice to thrice. Recent pus culture shows moderate growth of Methicillin-sensitive staphylococcus aureus (MSSA). The report is uploaded here. How to treat MSSA infection on preauricular sinus of 7 years old boy? Treatment with Augmentin was not successful. Whether we should go for surgery or there is an alternative treatment? Please suggest. Doctor: Hi. Give him Linezolid as per his weight. It is sensitive in your culture sensitivity report and it is safe in the pediatric population. Once the infection resolves, do a fistulogram study and plan for operation for a permanent cure. It is a developmental anomaly and needs surgery." + }, + { + "id": 24192, + "tgt": "What do you do if you are constipated?", + "src": "Patient: Hi doctor, I have serious constipation problems and Dulcolax is the only thing that works in my body. I take a lot of fruits, tea, and fiber supplements. What can I do? Doctor: Hi. At your age, chronic constipation should be thoroughly investigated. Are there any other symptoms like blood in stool, weight loss, or occasional diarrhea alternating with constipation or loss of appetite? I would advise you to get a colonoscopy done as this has become chronic. If there is an underlying factor causing constipation, Laxatives will only provide temporary relief and will not solve it. Hope this helps. For further queries consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17987, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1606, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13701, + "tgt": "How do I use Mifegest kit to abort 8 weeks pregnancy?", + "src": "Patient: Hi doctor, I am 8 weeks pregnant. I got Mifegest kit as I want to discontinue the pregnancy. After taking the first pill today afternoon I would be taking next two pills after 48 hours orally. So, when should I take another two pills? Should I take it orally or vaginally? As bleeding is expected after taking two pills, how should I take the next two pills vaginally? Would it be less effective if I take the third dose orally and not vaginally? Doctor: Hi. Using oral medications after seven weeks of pregnancy may lead to heavy bleeding. Please ensure that you can attend a hospital with blood bank facility in your easy reach if any mishap of such kind happens. The Misoprostol tablets 200 mcg into four tablets should be inserted high inside the vagina after 48 hours of tablet Mifepristone intake. In case, you already start bleeding after Mifepristone (occurs in 30% of cases) ingestion, take two tablets on the third day morning (ie, around 36 hours) and two tablets in the evening. Please take pill Zofer (Ondansetron) before taking the Misoprostol tablets orally, as it may induce vomiting and waste the medicine. The bleeding may stay for 10-14 days." + }, + { + "id": 24116, + "tgt": "Are my muscle fasciculations pointing towards ALS?", + "src": "Patient: Hello doctor,I have some symptoms that worry me a lot. I have been having muscle fasciculations all over my body (hands, arms, feet, legs, chest wall, glutes, knees, and cheek), every day, multiple times, for about half a year. Recently, (for about two weeks) they have worsened and I twitch almost constantly every day. I have noticed that the twitches are not present when I am physically active (for example, when I go for a walk or when I do moderate exercise). But the moment I sit or lay down, they appear again. I have also noticed slight occasional pain in my arms, hands, sometimes legs and feet as well. I have had a few cramps in my feet. My hands also feel slightly weak and tired. I have not noticed, however, signs of atrophy or actual weakness (I am able to do everyday tasks with my hands, etc). I also do not have difficulty breathing or speaking. I have had a blood test done and I do not lack any minerals. Levels of my thyroid hormones are normal. I do not drink coffee and I do not smoke. I get enough hours of sleep every day and I also would not say that I am under an extreme amount of stress. I went to see a neurologist a week and a half ago who performed a quick test to examine my reflexes and strength, stated they were normal and said I probably have BFS (benign fasciculation syndrome). However, I am still worried that I might have motor neuron disease. The fasciculations are extremely annoying and I have no idea what might be causing (and worsening) them and I am also worried because of the newly acquired pain, cramping, and feeling of tiredness in my hands. Not a single day passes by without my muscles twitching. I am female, 21 years old. I do not have a family history of neuromuscular disease. I would like to know whether my symptoms are indicative of ALS (amyotrophic lateral sclerosis). Is it possible to get some tests or examinations that would exclude ALS? I would really like to find out the reason behind my fasciculations as they have started to interfere greatly with my peace of mind. Doctor: Hello. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). Besides, at your age, this diagnosis would be exceptional. I agree with your doctor that benign fasciculation syndrome seems to be the most probable cause of your complaints, considering the fact that all your blood lab tests resulted normal. Anyway, an electromyography coupled with nerve conduction studies would help definitely exclude ALS. I would also recommend checking Vitamin D and B12 plasma levels for the possible deficiency. You should discuss with your doctor on the above tests. I remain at your disposal for any other questions whenever you need. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1910, + "tgt": "My daughter has skin irritation with bleeding in hands. Please suggest solution", + "src": "Patient: Hi doctor, My daughter has skin irritation near hands in the joining area. After itching, she gets blood in that area. And at night time she is having itching on her whole body and she has dry skin. My daughter is 6 years old and she is a thyroid patient. Please suggest solution. Currently, she is on Erythromycin and Lecope. Doctor: Hi. Kindly attach the pictures of the skin problem and old prescription. The picture you sent is that of blood soaked cloth (attachment removed to protect patient identity). How much is her thyroid level? Is she taking Eltroxin? Is she having wheezing or dust allergy? Send me the pictures of the hand and joint." + }, + { + "id": 9900, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17458, + "tgt": "Why did my stomach pain end up in hospital admission?", + "src": "Patient: Hi doctor, I have been admitted in a hospital for three times in a year with a complaint of constipation. I did not poop for four weeks. There was no fecal impaction, but my intestines were not moving. They gave me an NG tube to clean me out. My GI doctor prescribed me so many laxatives, but nothing worked. I had an endoscopy and colonoscopy. They showed nothing, but a very stretched out colon and intestines. My doctor advised me that I can make my colon and intestine, normal with strict diet and laxatives. But still, I cannot produce a bowel movement without laxatives. If I do not take laxatives, then it will result in constipation. I have been diagnosed with IBS-C. I also get random vomiting. I have been on anti-reflux and nausea pills. I am scheduled for small bowel manometry, antroduodenal manometry, motility testing along with an endoscopy and colonoscopy. How long will this testing be? Do you think that another endoscopy and colonoscopy will help my condition? Though I had stomach pain for many years, why it ends up in hospital admission nowadays? Currently, I am on Ondansetron 8 mg, Metronidazole 500 mg, Dicyclomine 20 mg, Promethazine 25 mg and Lansoprazole. Doctor: Hi. Intestine dysmotility. Primary motility disorder of intestine. Supportive medications need to be continued. Avoid constipation, adequate amount of fluid intake and can try semi-solid or crushed diet during active symptoms. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 3721, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4889, + "tgt": "I have skin color bumps that are getting darker. What can it be?", + "src": "Patient: Hi doctor, I got skin color bumps all over my body which are getting darker after going away. I have attached the photos. Please help. Doctor: Hello. I have examined the pictures (attachments removed to protect patient identity) and noted your details. The description matches closely that of superficial folliculitis which is a low grade bacterial infection of the hair follicles and is recurrent in nature. For someone attending with me in my clinic and having a similar profile, I would have taken full history and conducted local and general physical examination, and would have suggested the following measures: It is expected that with above measures, there should be improvement within a week or so. It would be good to keep me updated, so that I can guide you through the recovery process. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30176, + "tgt": "Had a hit on my testicles. Is that the reason for low testosterone?", + "src": "Patient: Hi doctor,Two months ago, I had a hit on my testicles. For first one week, I suffered with pain in the testes during erection. My erection improved after two weeks. But, in general, my erection is slightly weak. I have had a scan done and the doctor said that I have a swollen blood vessel. But, he does not think that it has been caused by trauma. My blood test results have had a low reading of testosterone. Please help. Doctor: Hello. Please relax and do not worry. 1. Serum testosterone levels 2. Serum FSH and LH levels at morning 8 AM 3. Semen examination after three days of abstinence from ejaculation. 4. Sonography of scrotum with color Doppler. Revert back with the reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26807, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16414, + "tgt": "What is the reason for chest pain while sleeping?", + "src": "Patient: Hello doctor, I am 26 years old and have pain in left side of left chest just below the tit. When I touch that place, I feel nothing and it is numb there. When I sleep by keeping the face up I feel someone is pressing my heart and feel pain. When I hold that place and pull out, I feel relax. For four months, I am feeling too much pain when I eat any cold thing. The doctor examined me and said there is no heart problem and gave me Vaserol 20 mg but I did not feel any improvement. Then again I saw the doctor and after X-ray, he said the heart is okay but there is a problem in your chest muscles. He gave me a painkiller. I felt good but when I pulled heavy thing, I again felt pain in my chest and now it has been four months, I have not seen the doctor and have severe pain in chest moving from left to right, up to down. Also, before sleep at night, I am sweating too much. Doctor: Hello. Your symptoms do not seem to be related to any cardiac disorders. A lung disorder or acid reflux could be the cause of your complaints. For this reason, I recommend consulting with your attending physician and performing some tests. A chest X-ray study and pulmonary function tests, complete blood count, PCR, ESR for inflammation, a fibrogastroscopy. If all these tests result are normal, you should consider anxiety as the main cause of your complaints." + }, + { + "id": 2615, + "tgt": "I am trying to conceive with irregular periods and egg problems. Please help", + "src": "Patient: Hello doctor, I have been trying to conceive for one year. I am 30 years old. I have children already. Tracking BBT and LH to determine ovulation days (which I have found my peak). I had lots of irregular periods with 20-day cycles. Last cycle was 26 days. I want to try Clomid because I believe I may be having problems with the release of eggs. Please help. Doctor: Hello. Before opting for ovulation induction in your case, it would be important to learn if your partner's semen analysis is normal on the first hand. Your cycle seems to be regularly irregular, which is often seen in cases of women with estrogen deficiency and the ones with progesterone deficiency. As you have mentioned that your thyroid is normal, but my primary concern with regards to ovulation remains the estradiol levels, FSH, LH, AMH, serum testosterone on day 3 of your cycle and serum progesterone on day 21 of your cycle. Without having these reports handy, it would not be recommended to opt for Clomiphene citrate to induction ovulation. Please share your latest ultrasound pelvis as well to check for your endometrial thickness in proliferative or mid-cycle. Also, app tracker for LH is futile, rather it is suggested if you can opt for LH ovulation kits to actually determine your LH surge during cycle as that would be more objective." + }, + { + "id": 5300, + "tgt": "My first x-ray shows bone plates fusion. Is second x-ray mandatory for confirmation?", + "src": "Patient: Hello doctor, I was wondering whether you think it would be worth it for me getting a second x-ray to confirm if my growth plates have fused? The first one shows no visible plate. Doctor: Hello. I have gone through your query and understood your concerns. To tell you the exact answer we need your age and from your question, I suggest you take an x-ray but not now, wait for some time and then have an x-ray done." + }, + { + "id": 7125, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14857, + "tgt": "Kindly suggest the treatment for homogenous hemianopia due to stroke", + "src": "Patient: Hello doctor,My father aged 54 years had PCA infarction (stroke) two years back. He is suffering from homogenous (right) hemianopia. Is there any treatment for this? Please suggest me. Doctor: Hi. How has the hemianopia fared over these two years? Is it increasing or decreasing? PCA (posterior cerebral artery) is one of the arteries supplying the visual pathway and its lesions usually cause visual field defects. Most of the defects will improve over time as and when the blood supply to the affected part (occipital lobe) will improve, unless of course the main trunk of the PCA is involved, which is known to cause persistent defects. The things which your father still has intact are his central vision, using which he can still read and perform most daily activities. Also his ability to move his eyes will also be working fine. Overtime he will be able to adapt using these two to be able to overcome the hemianopia, that is to say that he will be able to move his eyes and head to make the objects in the hemianopic field come into view. Now, coming to treatments and their results, eye movement exercises or scanning training like I mentioned in just a while ago. Incorporation of prisms into his glasses to enable seeing objects in the hemianopic field while head and eyes are straight, it can be an option in case his neck has a problem and he has problems moving his eyes. Both these treatments are given by orthoptists or optometrists. Regarding their usefulness in hemianopia, I will say that in most studies, patients usually improve and their fields come back to normal soon, so they never got enough time to train the patients with using these methods. Perimetry . Observation, orthoptic measures." + }, + { + "id": 30057, + "tgt": "Though I stopped my Depo injection, I have not got my period. Please advise", + "src": "Patient: Hi doctor, I was on the Depo injection for 4 years.\u00a0I have been off the depo injection for 1 year and 3 months. Also, I have taken any other contraception in the last 1 year. Four months ago, I went to my GP as I have had no bleeding still. She did some hormone test, which came back low and booked me for an internal scan. Internal scan results showed more than 10 follicles on each ovary measuring less than 1 cm and anteverted uterus. She said that the scan shows features of PCOS, but ovaries were normal in size. So, it does not confirm PCOS. I also had a repeat hormone blood test, which were fine. I was advised to come back after three months if no period. I went in last month as my iron was low (8) and explained the reason as periods causing low iron. Obviously, I went crazy and explained her that I have not had a single period in the last 5 years. She did not know what to say and just told me to take iron tablets. Nowadays, I am bleeding after sex. Sometimes it is fresh red blood when I wipe. But, I do not have any symptoms of the period.\u00a0I feel like I am going crazy as I would like to start a family. Can you advise me what to do?\u00a0I have done at least two pregnancy tests every month as I am going insane and always negative. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21273, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23216, + "tgt": "How to use Contractubex combining with SPF 30?", + "src": "Patient: Hello doctor,How to use a product called Contractubex? I bought it but for some reason, it does not come with usage instructions. How do I use this product but combining it with SPF 30? I would like to know how to use it for a fresh surgical scar. Can someone please tell me how to use it with SPF 30, that is how to combine SPF 30 for a surgical scar because Contractubex does not come with instructions on how to use it mixing it with SPF 30. I had surgery on right cheek to remove the black birthmark. Doctor: Hi. Contractubex (Extractum cepae, Heparin, Allantoin) is a topical medication of scars. Apply this gel to the scar in the morning and night after washing your face and you have to massage the gel over scar with clockwise and anticlockwise wise rotatory movements for 4 to 5 minutes. Once all the gel is absorbed, then you can apply sunscreen SPF 30 on top of it for the full face. Use the sunscreen every four hours, because sunscreen protects skin from UV rays for four hours once applied, you need to apply repeatedly every four hours for maximum benefit. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18154, + "tgt": "Is stress chest pain related to heart or GERD?", + "src": "Patient: Hello doctor, I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall? I am taking Cita-S 10 mg and Pantosec. Doctor: Hello. Your pain at your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer which can lead to acid reflux esophagitis. Are you on any form of stress lately? If so please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test. Stress. Echocardiogram. 1. Reflux esophagitis. 2. Hypertensive heart disease. Reflux esophagitis. Adequate rest and antacids. Reduce stress event. Revert back with the echo report to a vascular surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/vascular-surgeon" + }, + { + "id": 13880, + "tgt": "Can fever, sore throat and headache after sex be due to HIV?", + "src": "Patient: Hello doctor, I had sex with my office colleague 15 days back and he looks healthy and happy, but within two weeks of that incident, I got cold, fever 99.8 Farenhite, sore throat, toothache, and severe cough like never before. I am very scared. I got my period four days after sex. I am worried about HIV. I asked him if the condom was intact and not broken he said it was all intact, and I should not be worrying about HIV. Still, I am getting paranoid. Please advise. Doctor: Hi. If the condom was intact, then there is nothing to worry. Nevertheless, you can go for HIV testing at four weeks." + }, + { + "id": 26306, + "tgt": "My little child has fever and low WBC count. Can it be dengue fever?", + "src": "Patient: Hello doctor, My 3 years and 6 months old daughter was suffering from a fever of about 100 to 102 for the past three days. She had rashes throughout her whole body. We had blood tests performed and the results were negative for dengue. But, the WBC and the platelet count reduced gradually in the last two days. Today, her WBC count is 3500 cells/cubic millimeter and her platelet count was 1,30,000 cells/cubic millimeter. She is having normal regular activities. What could be the reason for the reduction in her WBC and her platelet count? I need your help. Doctor: Hello. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 19855, + "tgt": "What should I apply for anal itching?", + "src": "Patient: Hello doctor, I feel very itchy around the anus. It\u00a0feels like I need to press around the periphery for it to stop. There is no pain, just irritation. I have had hemorrhoids once before, but this is not the same. I do not feel any pimples or problems in opening bowel. I tried Glyvenol cream for a few days, but no effect. It does not feel like anything abnormal present there. Even I took a picture and nothing abnormal in it. It feels more like a rash or irritation. What can I do? Doctor: Hello. Revert back with the photographs to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25140, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7880, + "tgt": "I have white vaginal discharge with burning sensation during urination. Please help", + "src": "Patient: Hello doctor, I am 20 years old and just had unprotected sexual intercourse with someone. This will be the second man I have had intercourse with. The intercourse began about a week ago and I am having burning urination and what seems to be white specs in my vaginal area. I am scared that I might have some kind of sexually transmitted infection. What should I do if I am not covered right now with insurance and cannot afford to see a doctor? Doctor: Hello. I have seen the picture attached and it indicates that you could have contracted vaginal candidiasis infection from your partner which is a fungal infection (attachment removed to protect patient identity). Ideally, this shall require a course anti-fungal vaginal pessary for six days to be placed intra-vaginally and also oral antibiotics course considering burning micturition which indicates a secondary urinary tract infection. The itching per vaginum and thick curdy vaginal discharge almost confirm the diagnosis, though the gold standard remains growth of fungus on sabourard's medium post-high vaginal swab culture evaluation. If you cannot afford to see a doctor or buy medicines, then the best thing which can be done in the meantime is at least use of alkaline vaginal wash to clean the intra-vaginal area at least thrice a day (V-Wash) to reduce fungal infection and also to increase citrus fruit intake and water to alkalinise the urine and allow natural cleansing of infection, as much as possible. If the symptoms are not relieved in the next 48 hours, then you may require treatment with antibiotics and antifungals." + }, + { + "id": 4069, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7292, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9511, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9787, + "tgt": "I am pre-diabetic. Can I take malt-based drinks once a day?", + "src": "Patient: Hello doctor,I was diagnosed as\u00a0pre-diabetic six years ago. I have avoided sugar completely since. I would like to know whether I can take malt-based beverages once a day. Doctor: Hello. Thanks and regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1054, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13965, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28332, + "tgt": "My wife is three weeks pregnant. Why is she not showing any signs of pregnancy?", + "src": "Patient: Hello doctor, My wife had a severe cough,\u00a0for which she took antibiotics for a week. She missed her periods the following month, and the home pregnancy test was positive. So, we did a urine pregnancy test in the doctor's office, which was also positive. But, it has been three weeks, still, she is not showing any signs of pregnancy.\u00a0Is there anything abnormal about all this? Please give your suggestions. Doctor: Hello. I do not see any reason for you to be worried about the cough, fever and the antibiotics. Most of the antibiotics and medicines for respiratory infection are safe in pregnancy. Why are you not getting an ultrasound scan done? Why are you stressing yourself waiting for the signs of pregnancy? In this era of great scientific advances, gestational sac and baby's heartbeat can be seen on the scan as early as six weeks, and it will clear all your doubts. It will also tell you the exact size of the baby, number of babies and about any early bleeding problems. Only if the scan is inconclusive, we advise for blood serum hCG (human chorionic gonadotropin). Hope I have clarified your doubt, do write back if you have any more queries. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3890, + "tgt": "What causes severe burning sensation in head with forgetfulness?", + "src": "Patient: Hi doctor, My mom is always complaining of a severe burning sensation in her head. She is 67 years old. She has some problems detected by MRI with a white matter like minute clogs. She started forgetting short term events. She is on medicine but the burning never goes away. Do you have a solution? Thank you. Doctor: Hi. What medications she is on currently? Do you have the MRI report so I could have a look at it? Based on the MRI, we can treat her. Does she have any cardiac issues? Has she tried Clonotril?" + }, + { + "id": 2172, + "tgt": "My professor harassed me. Should I fight for the injustice done?", + "src": "Patient: Hello, For the past nine months I have been suffering from mental trauma, because of a professor.\u00a0I studied in a good college. During my first semester, I did really badly. But, then I improved a lot. As, I failed in the first semester I was told to pass that paper for my promotion to the second year. Many people who had less than me went to second year, but to me every time it was a cold shoulder from management. When I attempted again, unbelievably the questions were much harder. I did my best, but I failed again. The professor harassed me. I am sure I deserved more. Should I stand up and fight for the injustice done? I cannot bear the entire burden. Please help me to understand the problem. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 2927, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 10328, + "tgt": "My T3 and T4 values are normal, but my TSH values is high. Why?", + "src": "Patient: Hello doctor,I am a 44-year-old male with 5ft 4\" in height and 69 kgs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118. Doctor: Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further." + }, + { + "id": 12391, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28174, + "tgt": "I want a chiropractor's opinion about my lower back pain", + "src": "Patient: Hello doctor, I injured my back at work after lifting, pushing, and pulling boxes. The boxes weighed up to 75 lbs. I was diagnosed with sprain or strain of the lower lumbar spine. The pain varies from time to time. It happened a month ago, and I have had physical therapy for three weeks. The pain goes from the lower spine to the right lower part of the back, the abdomen, the\u00a0groin, and leg. At first, the pain shot halfway between the hip and the knee. It got to the point of the knee, and then tonight I felt it go down to my ankle. At first, neither standing nor sitting helped, now sitting helps better. I have had three muscle relaxer injections and two steroid injections since this happened. I was on Ibuprofen 800 mg, thrice for three weeks. I was on Tramadol and Cyclobenzaprine for a week. I was also prescribed Metaxalone 800 mg, for three times a day. For a week, I was prescribed to take it two times a day. I have been prescribed to take extra-strength Tylenol and Gabapentin. I have been using ice and heat as directed since this happened and placed on lifting no more than 30 lbs, push or pull no more than 60 lbs and sitting 50 %. The pain is still present today, so I took my first dose of Gabapentin and Prednisolone. I need a second opinion. Doctor: Hello. I have reviewed your question. I am sorry you are experiencing low back pain. In fact, nearly 80 % people experience back pain at some point in their life. For more information consult a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 23436, + "tgt": "Routine echo shows moderate pulmonary hypertension. What does it mean?", + "src": "Patient: Hello doctor,I had a routine echo done a couple of weeks ago and just got the results yesterday. The sheet says moderate pulmonary hypertension with peak pressure 54 mmHg and central venous pressure of 15.0. Since I only picked up the results no one explained it to me but set up an appointment with lung and heart specialist in six months. What does all this mean? I am a hypertensive and pre-diabetic. Currently, I am on Lisinopril 10 mg. Doctor: Hello. This means pressure in the pulmonary circulation has increased likely due to lung problem (if echo is not showing any abnormalities other than this). Likely this is related to obesity although we need to rule out other causes of pulmonary hypertension by doing CT scan and other few investigations. Do you have shortness of breath, any other symptoms to suggest some cause? You should focus on healthy lifestyle and weight loss. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22033, + "tgt": "Is a biofilm responsible for recurrent vaginosis in me?", + "src": "Patient: Hi doctor, I have been suffering from bacterial vaginosis for around seven years now and I have tried absolutely everything, nothing seems to be working. I have been prescribed multiple antibiotics and they only work whilst I am taking them and after that, the infection comes right back. After doing some research I came across the term biofilms and truly believe I may have a biofilm in my vaginal wall preventing me from curing this horrible infection. I understand antibiotics and other methods are unlikely to cure BV completely if there is an underlying issue such as a biofilm. I am also aware of the fact that biofilm can make bacterial vaginosis reoccur which is what keeps happening to me. It comes right back after taking anything for it. If this is the case what do you advise to get rid of this? I am willing to try anything. Doctor: Hi. Biofilms are sticking of bacteria or infection that remains in the wall of the vagina and cause recurrence of infection. Vagina has its specific pH and it is maintained by bacteria lactobacilli that are normal flora of the vagina. Disbalance of pH occurring by this bacteria has less proportion in comparison to other infective organisms. You have taken treatment many times but this infection recurs due to effect on your normal flora by medications recurrently. My advice to you is to have some natural approach to the problem and less exposure to the medications recurrently to normal flora as it is affecting normal flora of the vagina. Have sitz baths (sit in warm water to relief irritation). Have soft comfortable undergarments, strict hygiene. Use only clean water locally. No products use of any kind. Try to use condoms for some time to reduce transmission of sexually transmitted disease. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9578, + "tgt": "What are the conditions in which the transferrin saturation will be high?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I had a recent blood test and my iron studies from past four years till now has been attached. My main concern is my T Saturation. I have been genetically tested for hemochromatosis, which came back negative. I am also on zero supplements, multivitamins, etc. How can by T saturation be so high? Would I benefit from blood donation, and should I be concerned? What other conditions could it be? I am on no medications, nil symptoms, and having very good health. I would also like to know why my T Ferrin in slightly slow does this number decrease in correlation to saturation increase? Kindly help. Doctor: Hello, Welcome to the icliniq.com. I have read your question and report (attachment removed to protect patient identity). Your transferrin saturation is slightly high. It is usually high in case of hemochromatosis in which iron overload occurs. But serum ferritin is within range and not elevated. Serum ferritin reflects iron store if it is within limit like in your case than not suggestive towards iron overload. So your elevated transferrin saturation finding can be non-specific. However, to give a detailed comment regarding phlebotomy needed or not can be provided only after checking full CBC (complete blood count). So kindly attach your CBC report as well. I hope I have answered your question." + }, + { + "id": 1604, + "tgt": "I have increased urinary frequency and thirst with HIIT exercise. Please help", + "src": "Patient: Hello doctor, The frequency of urination and thirst has increased from the last two to three days all of a sudden. Sometimes it is two to three times even in an hour. I am a 29-year-old male. I regularly do HIIT exercises two times a day. Doctor: Hello. As you described the complaints, you seemed convinced that it is due to HIIT (high-intensity interval training) only. But there could be many more factors associated with it. To know the cause and prescribing further treatment I need to evaluate your case better. How much is your daily fluid intake approximately and what is your regular dietary routine for your HIIT? Since when you are doing HIIT? Do you feel heat in the sole? Any difficulty in urination? Any symptoms of headache or any other condition? Let me know in the follow up about the above questions." + }, + { + "id": 3452, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16208, + "tgt": "What are the medicines prescribed for allergic nose block?", + "src": "Patient: Hello doctor, I have one side nose block due to my allergy. The doctor gave me these medicines. I want to know what he has mentioned in this prescription. Doctor: Hi. He has given you a nasal spray Fluticasone. It has to be used twice daily two puffs in each nostril after holding your breath. The next he has given you Odimont LC which is an antihistaminic with Leukotriene inhibitor. Additionally, he has given you a cough syrup Ascoril C (Codeine and Chlorpheniramine) and a painkiller Doser D. The painkiller has some anti-inflammatory action also. Do you have any other queries regarding these? The former two to be taken for 15 days and latter two for three days. He has asked to review on the date mentioned." + }, + { + "id": 34, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30593, + "tgt": "What treatment should I get according to my blood smear report?", + "src": "Patient: Hi doctor, My blood smear result showed RBC - microcytic normochromic with anisocytosis and poikilocytosis, WBC - normal with neutrophilic predominance. What treatment should I get? Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24976, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16640, + "tgt": "Why am I having indigestion, incomplete stool evacuation and abdomen swelling?", + "src": "Patient: Hello doctor, I am 28 years old male and unmarried. For the last two months, I feel some gastric problems which include incomplete evacuation of stool at morning properly, abdomen swelling, numbness in feet, low energy in legs, low hunger, food not digested properly, slight pain in right side under ribs, and very rarely heart side. I have also gone through ECG but the doctor told that it is perfectly fine in ECG. So, I took some Probiotics, antibiotics like Ofloxacin, Ciprofloxacin, and Librax, but did not solve my problem entirely. Then I consulted a doctor. He told me that I have liver enlargement and told me some medical tests and ultrasound. Then I found liver enlarged, high cholesterol, and some other issues. I used to drink alcohol for four years very much, then moderate. I started smoking eight years back. I masturbate a lot, which I think make my body weak. I tried to control very much but I think I am addicted to it now. I have strong will power but my strong urge and anxiety lead again towards it. I used my type multivitamin for some time which includes Revital mainly. I used to drink water a lot nearly 6 to 7 liters daily. A few months back, I came to know my vitamin D is also low. I am a vegetarian. I have multiple kidney stones (5 to 6) in both sides. This is the fourth time of formation. In the LFT test, OT and PT are very high. Please prescribe some medicine for fatty liver, cholesterol and other problems you find from my history and blood test. Doctor: Hi. You need to modify your diet and lifestyle consistently and avoid all medicines and foods which can potentially damage the liver. You need to be on a diet high in protein and low in fat or carbohydrates. You should have regular physical activity. Regarding medicines, I need to see the liver function tests to comment. Can you give the exact SGOT and SGPT values?" + }, + { + "id": 30334, + "tgt": "Took urine pregnancy test on the 1st day of missed periods. Is that right?", + "src": "Patient: Hello doctor, I have got a very regular 28 day cycle. I got my periods for three days in the last month with a heavy flow. So, my due would be today for this month. But, last three days I got very little bleeding and the color was light watery red and sometimes brownish. I did not have any physiological and systemic disease so far. I took a home pregnancy test on the first day of my missed period that is today, but the result was negative. I also have slight cramps on my lower abdomen. Please advice the reason. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4744, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27011, + "tgt": "I feel bloated whenever I eat. Kindly advice", + "src": "Patient: Hello doctor,My problem started two months back when I suddenly had diarrhea. I took Flagyl for a week but all in vain. Then I visited a physician, he prescribed me Rifagut 400 thrice a day for seven days, Pantocid 20 twice a day for five days and probiotic twice a day for five\u00a0days. I got relief immediately but again after a few days, my bowel motion turned into loose stools two to three times a day. I waited for about 20 days for my situation to improve\u00a0but, in vain. Then I again visited my doctor and he prescribed the same medications. This time, the effect of the medication was not imminent and whenever I ate, I feel bloated. Now, I have a shifting pain in my stomach. I am attaching my test reports. Kindly advice as to what can be done in my case. Doctor: Hello. I went through your query as well as the investigations (attachment removed to protect patient identity). Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 319, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8064, + "tgt": "Is it advisable to eat before you workout?", + "src": "Patient: Hello doctor, Should I always eat before workout? Why is it good to eat before you work out? What should I have? Doctor: Hello. Usually, food is recommended to consume 2 to 3 hours before a workout. If workout will start in less than two hours, should consume easy to digest carbohydrates and protein such as protein smoothies, whole grains or oatmeal. If it will start in less than an hour, then Greek yogurt, piece of fruit such as banana, apple, orange." + }, + { + "id": 20938, + "tgt": "How can I locate PC muscle for exercise?", + "src": "Patient: Hello doctor, I want to perform PC muscle exercises. Will you guide me on how to locate it? Doctor: Hello. PC exercises (pubococcygeus muscle) are performed basically to improve the sexual performance in men, to delay the ejaculation. To locate PC muscle, it is located in the perineum area behind the scrotum and in front of the anus. It is deep to skin and soft tissue, and urethra passes through this muscle. Hence contraction of this muscle helps to delay ejaculation by compressing urethra. The exercises for the PC muscles includes sitting with a straight back, both hands on lap. Squeeze in the anus as if trying to hold bowel while defecating. Hold and count to 10 and then slowly release the muscle. Do this for 6 to 10 times per sitting. Every day you can have 4 to 5 such sittings. While passing urine, what you can do is hold urine for 1 to 2 seconds, then, pass it, then again hold. This hold-pass can be done 3 to 4 times every time you go for a pee. Both these measures help in strengthening the PC muscle. All you need is to have patience. It will need time to show results." + }, + { + "id": 2374, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22744, + "tgt": "Can I take Tenofovir or Entecavir for my hepatitis B?", + "src": "Patient: Hi doctor, I was diagnosed with hepatitis B about a year and a half ago. Can I take Tenofovir or Entecavir for it? Are there any antiviral prescriptions for me? The associated symptoms are extreme fatigue and dizziness. Doctor: Hello. You have been diagnosed with hepatitis B around one and a half years ago. Now, you have to repeat HBsAg, ELISA testing to check whether you are HBsAg positive. If still HBsAg is positive, then you can be a carrier of it. Further tests need to be done as follows: According to these reports, further management can be done. There is no need of antiviral drug for HBsAg positive without active phase. Revert back after doing these tests. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24855, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10703, + "tgt": "There is white tongue with swollen lymphnodes. Why?", + "src": "Patient: Hello doctor, My friend has white tongue since 20 days, used probiotics from 10 days but problem did not solve. But no sore throat and no discomfort while eating anything. He feels lymph nodes near right side of neck, back side of ear and near arm ankle from last one week. Got some pimples on his face and one or two on chest and stomach. Fourth generation HIV duo tests (p24 and antibody) done on 6th, 20th and 35th day and came as non-reactive. He is in a little worry as symptoms are still there (white tongue and nodes). A kid kissed on his blood wetty pimple of him, did that kid get infected? It was done 24 hours back. Is it good to go for PeP? Please suggest. Doctor: Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child's mouth through which the virus can gain entry." + }, + { + "id": 1186, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24586, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16313, + "tgt": "Postprandial glucose 200 despite diet control and exercise. What to do?", + "src": "Patient: Hello doctor, I am a 32-year-old, male, 105 kg, 6 feet in height. Recently, I have been diagnosed with diabetes. I am not on any medication. I am strictly controlling food and doing regular aerobic exercises. My one hour postprandial BG is always around 200. Doctor: Hi. Please update your FBS (fasting blood sugar) and HbA1c (glycosylated hemoglobin). Anyway, your sugar values are high. So, you have to take the necessary precautions to prevent the progression of the disease. First is adequate exercise. Daily do aerobic exercise for at least 30 minutes, then comes diet control. Small frequent low carbohydrate meals. Avoid oily food. Increase amount of leafy vegetables. Reduce salt intake. It is better to add drugs like Metformin or SGLT2 inhibitors to reduce your sugar values. These drugs will help you to reduce your weight too. Check your lipid profile and thyroid status." + }, + { + "id": 9288, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30917, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28218, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3880, + "tgt": "What are the treatment options for intertrochanteric fracture?", + "src": "Patient: Hello doctor, My father is 93 years old with several comorbidities. He fell suddenly and this happens to be his first fracture. High blood pressure and diabetes both are under control with medication. He also has two stents and a bioprosthetic valve. He suffered a fractured hip. It appears to be intertrochanteric fracture. He is taking beta blockers, blood thinners, Insulin and diuretics. What treatment options are available? Is minimally invasive partial hip replacement possible? Please advise. Doctor: Hi. The images attached have very poor quality (attachment removed to protect patient identity). Revert back with clear photos to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12702, + "tgt": "What is causing decreasing platelet count after a fever episode?", + "src": "Patient: Hello doctor, I had fever and my platelet count became low (91000) 10 months back and after taking medicines platelet count became normal. And now my platelet count decreases day by day and after a month, it was 1,40000 and two days after again I checked it becomes (1,30000). Now, I have only 1,25000 platelets in the blood. Is this a serious issue? Doctor: Hello. Normally, you have anywhere from 150,000 to 450,000 platelets per microliter of circulating blood. Platelets are produced in your bone marrow. Factors that can decrease platelet production include some types of anemia, viral infections, chemotherapy drugs, heavy alcohol consumption, dangerous internal bleeding can occur when your platelet count falls below 10,000 platelets. Nothing to get fear unless you do develop a complication bleeding, most often from the gums or nose. Red, flat spots on your skin, about the size of a pinhead." + }, + { + "id": 9637, + "tgt": "Blood is mixed in stools. Is colonoscopy mandatory?", + "src": "Patient: Hello doctor, Blood mixed in the stool, passing stool three to four times in a day little pain while passing stool. The investigation done are CBC, C-reactive protein, serum creatinine, sugar, and all are normal. Procedure advised is a colonoscopy. I do not want to undergo this procedure. Any other blood or scan test to detect the problem or is colonoscopy necessary? Please help. Doctor: Hello. How long you have suffered from this problem? Do you have any night time symptoms?" + }, + { + "id": 10543, + "tgt": "I feel that there is water in my ear after cold exposure. Please help", + "src": "Patient: 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? Doctor: Hi. Do you have pain or decreased hearing? Did he rule out wax and outer ear infection? Could he see the ear drum?" + }, + { + "id": 17322, + "tgt": "What could this mass on top of the intestine be?", + "src": "Patient: Hello doctor,There was something found on top of the intestine that measured 17 x 4 cm. We would like to receive a diagnosis from your doctors. We have attached the reports for your reference. We have known about this diagnosis for about four days. The patient experienced pain in his back, so he went to the hospital. They told him that he has very, very small kidney stones that have passed successfully.But, at the same time, they found this 17 x 4 cm mass on top of his intestine. So, they told him to perform a CT scan. Appendectomy was performed in 1985. He is currently on Aspirin. Please help. Doctor: Hello. I evaluated your CT (computed tomography) images (attachment removed to protect patient identity) and found this thin-walled cystic lesion in the right iliac fossa with curvilinear as well as chunky wall calcification arising likely from the ileocecal junction. Probable cause could be postoperative changes and complications. Differential diagnoses include mucocele from an appendicular stump and mucinous cystadenoma of the appendicular stump. It is elevating the right kidney and indenting the right psoas muscle; however, the fat planes appear well preserved. Above findings indicate a benign process more likely than a malignant one. I would require the coronal and sagittal plane images for localization of the lesion and then only I can provide the possible diagnosis. This professional advice provided by me stands subject to the actual examination of report and image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 16959, + "tgt": "How to bring down my BP to normal?Taking Concor Cor 2. 5 and Cilaheart 10 for High BP", + "src": "Patient: Hi doctor, I am a 23 year old obese guy. I am suffering with high BP for five to six months. Earlier, I had 140/90 mmHg and then 150/90 mmHg. Now, It is 160/90 mmHg. I am taking Cilaheart 10 mg in the morning and Concor Cor 2.5 mg in the afternoon. I am doing exercise also to control weight gain and also following a diet. I want to get rid of the high BP. Please help. Doctor: Hi. We are here to help you. At the age of 23 to 24 years, if you have high blood pressure, then we need to first of all evaluate you for secondary hypertension. My strong recommendations would be to go for, Getting blood pressure normal on medicines is not at all an issue, but we should make sure that there is no other cause that is causing the high blood pressure. So, first of all get these investigations done and write back to me with the reports. Revert back with the reports to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18972, + "tgt": "My 16 year old daughter's baby teeth have not fallen off still. Why?", + "src": "Patient: Hello doctor, My daughter\u00a0is 16 years old, and her baby teeth have still not fallen off. Just in the past two years, it had slowly started to be pushed out and now the permanent teeth are finally erupting. It seems red in the middle, but there is no pain or discomfort. Will the teeth eventually come out on its own? Doctor: Hi. Thanks for the query. Hope this helps. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24784, + "tgt": "My last HIV risk exposure was three to four years back. Am I safe now?", + "src": "Patient: Hello doctor, I am a 65-year-old white male and tested negative for HIV 1 and 2 in a one-time test three to four years ago. I am not sure if it was a third or fourth generation test. I tested negative with a fourth generation test four months back because I thought I might be having some symptoms. And I remembered the flu-like illness about six months after exposure. I weighed 204 kg three months back and now I weigh 191 kg. I have worried a lot (pacing the floor, sleep loss) for past five months, took Paxil, and realized my worry could account for some weight loss. Shortly, after the test, I had the following symptoms: I started having a small patch of 8 to 10 pinpoint sized pink-light red dots under the skin of my left wrist that have been there for two to three weeks. I also had a smooth, flat spot about 3/8 inch in diameter that appeared on the back of my right hand about a week ago, that has now faded to a pinkish brown. I have read about Kaposi sarcoma being a definer of AIDS, but do not understand how that could happen with a non-reactive fourth generation test four months back. Three months back, I had sinus type headaches multiple times that would sometimes be severe. After three rounds of antibiotics and a CT scan two months back that showed shadowing in a sinus, my ENT doctor just told me this week that there is something in my sphenoid sinus. He is treating it with a rinse for inflammation for three weeks before I see him again. I have had blood in my mucous from my nose for past three months. It dries out in my nose and causes blood almost every time I pick at it. The ENT doctor said that the lining of my nose had been worn down from this, but did not seem concerned about it. I do mess with it a lot, and blow my nose a lot. My PSA elevated quickly in the last six months, going from 1.2 to 3.5. A biopsy two months back showed an early cancer in one of the 12 regions biopsied. I had a lithotripsy on an 8 mm kidney stone this month and I am still passing dark urine. I was told that I do have several small stones still in each kidney. I have had multiple stones over the years. I have a swelling sensation all the way around my waist down into my groin at times that has been there for about two months, but no noticeable swelling. Several doctors have felt in my abdomen and detected nothing abnormal. A CT scan with no contrast 10 days ago showed no abnormalities other than a little swelling in the right kidney where the 8 mm stone was blocking the passage into the ureter. A CT with contrast five months back was normal except for showing stones. But I have microscopic blood in my urine since then. My vital signs have consistently been normal for past five months, including temperature, BP and oxygen. I know I am getting old and some of these symptoms happen with age. But it is driving me crazy that so much has happened since my negative fourth generation test which is supposed to detect antibodies may not be conclusive after three to four years of exposure. I had Zoloft 100 mg daily earlier but currently, on Paxil 40 mg and Propranolol 60 mg daily. After nearly four years of exposure and a negative antibody test four months back, would that test have detected antibodies if I were in a stage of HIV or AIDS? Do you think it was conclusive? Or is there another test I should have done? I have read about an HIV RNA test, but it says early detection. I understand that it detects more than the antibodies. What are your thoughts on my next step? Doctor: Hi. Your test done before four months is certainly conclusive and final. A three months intervening period/window period between risk exposure and a fourth generation HIV screening test is good enough for it to be considered conclusive. 95 % of those infected with HIV will have detectable antibodies by four weeks and by 12 weeks, or three months 100 % of HIV infected individual will have detectable antibodies. Antibodies once formed will remain detectable by screening tests. In fact, antibody based HIV screening tests are the gold standard tests for the diagnosis of infection whereas an HIV RNA PCR test is more commonly utilized as a measure of response to antiretroviral therapy in HIV AIDS patients rather than as a diagnostic or screening test. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30617, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 252, + "tgt": "I am feeling feverish due to abdominal pain, stomach burn and headache. Please help", + "src": "Patient: Hi doctor, I am suffering from abdominal pain for the past two months. I have done tests like CT scan, stool test, and blood test. Now I am feeling feverish, headache, stomach burn, and severe pain. Doctor: Hello. It would have been great if you could have shared the report of CT scan and blood tests to tell you about your problem. The symptoms you mentioned can be due to various causes namely peptic ulcer disease, irritable bowel syndrome, small intestinal bacterial overgrowth, and many others. For now, I suggest you to take capsule Esomeprazole 40 mg once daily before breakfast since you have pain, which seem to be secondary to peptic ulcer disease or acidity." + }, + { + "id": 8749, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7511, + "tgt": "My butt hurts after anal sex. I am not even able to sit. Please help", + "src": "Patient: Hello doctor, I had anal sex and now my butt has been hurting\u00a0all day for six days now. And\u00a0every time\u00a0I have to poop or wipe it, it is very painful. It is very uncomfortable when I sit or lay on my butt. Doctor: Hello. There might be a small tear in the anal region, which is commonly called as an anal fissure. Even a small fissure can be really painful as it causes a spasm of the anal opening. It heals slowly, as it gets irritated repeatedly during the bowel movement. You might even notice blood on the toilet paper or in the stools. I suggest you get examined by a physician. Warm water sitz bath, which involves sitting in a tub warm of water, to soak the painful anal area, helps a lot in this condition. The other recommendation is to take a high fiber diet. Your physician, after an examination, can prescribe you analgesics and a stool softener. Hold off on more anal sex until you recover from the current problem. Hope your query is answered. Best wishes. For more information consult an HIV/AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11989, + "tgt": "Why is there bleeding for over 24 hours after wisdom tooth removal?", + "src": "Patient: Hi doctor, I have got my wisdom teeth out yesterday and they have been bleeding for over 24 hours. Is this normal? Doctor: Hi. Yes, it is normal. You just keep a cold cotton pack for the next two hours at the socket. This will make the clot. Then start with saline water mouthrinses five times a day for the next whole week. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses. It will heal up your socket fast. Stay happy and blessed." + }, + { + "id": 11192, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 23364, + "tgt": "I have a sore that crusts over, then falls off and weeps. Is it carcinoma?", + "src": "Patient: Hello doctor,I think I have cell carcinoma. It started a year ago. Tried antibiotic cream, antiseptic cream, fungi cream, etc. In the last two weeks, it has spread. It crusts over, then falls off, and then weeps or bleeds. Very sore and itchy. Doctor: Hi. I have gone through your case (attachment removed to protect patient identity). Right now, your lesion has taken the shape of a scar. The diagnosis of carcinoma can only be made on biopsy and you are already on a dermatologist's list. So, do not panic and be patient. In my opinion, it is just a local spread which has occurred during the last two weeks. And this is because, whenever we itch harshly, any lesion can ooze and form the crust which is beyond the lesion margin as blood spreads easily and crust is dried up blood and pus. So, it seems to you that it is spreading. However, from the above explanation, the diagnosis of carcinoma cannot be excluded as it is based only on biopsy. Be patient. Suggest you keep on applying Sudocrem (Antiseptic cream). Do not apply anything else until you see a doctor. Moreover, it does not look to be an aggressive lesion, so relax. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14036, + "tgt": "There are red spots on my thigh. What could it be?", + "src": "Patient: Hello doctor, I found 8-10 red spots on my upper right thigh and a few weaker spots on the right and left leg. They are not itchy. I noticed them just this morning.The spots are red in color. Their size is about 1/16\" to 1/8\" diameter. I am taking Flonase since last week. Should I quit taking it? What could it be? Doctor: Hi. I have viewed the pictures (attachment removed to protect patient identity) It is a case of papular urticaria, a type of insect hypersensitivity reaction with irritant dermatitis. It is a very common problem and harmless too. It has nothing to do with Flonase (Fluticasone propionate). So, if you are using it for any other indication you can safely go for it. Just apply Mupirocin ointment twice daily. The spots will completely subside in 1 week. Please let me know if any new lesions are continuously appearing, as in that case you may need oral medication." + }, + { + "id": 5051, + "tgt": "Can PCOD cause problems in getting pregnant?", + "src": "Patient: Hi doctor, We have been married for 9 years but yet to conceive. I have PCOD but my husband's sperm count are good. Have gone through 3 IUI cycle. Kindly help. Doctor: Hi. Take Aloes compounds tablet - 2 morning, and 2 night. Vaan kumari legium - 1 gm (1 spoon), three times daily. Casule siddhadhi ennai - 7 capsules together during second or third day of periods starting. Take at 6 AM, drink only warm water untill three diarrhoea. Then consume lemon salt juice, tender coconut water and buttermilk, these are unlimited. Lunch and dinner is curd rice. No breakfast. This day take rest in home. Continue this therapy for three months. By the time you can try for conception during 14, 15 days. Daily consume ulunthu kazhi at evening time or morning time. These will make higher chances of pregnancy by natural or IUI. Your husband may consume rathina purush capsule daily one night, till pregnancy is confirmed. Maximum try these above methods for 6 months. If pregnancy is not successful, then go for IVF." + }, + { + "id": 8884, + "tgt": "Does negative HIV 2 DNA and RNA PCR tests three months after exposure mean I am safe?", + "src": "Patient: Hi doctor, Do you have any experience in HIV 2? I have done my HIV 2 DNA/RNA PCR test and antibody test which came back both negative after three months. What I am worried is HIV 2 is a slowly replicating virus and worry that HIV 2 DNA/RNA PCR test cannot pick up even after three months. Is it true? Am I negative for HIV 2 if both tests comes negative after three months of exposure? Please advise. Doctor: Hi. The replication of the virus has no relationship in the detection of the virus. If the virus is present in the body, the immune system will detect it, and start defending the body by producing antibodies. This procedure does not need any replication of the virus. It just needs a virus in the body. So, if the fourth-generation test is negative by three months and six months, then you are negative. No need to worry about them." + }, + { + "id": 17755, + "tgt": "Why is Chlorhexidine mouthwash used only twice daily?", + "src": "Patient: Hello doctor, Why is Chlorhexidine mouthwash used only twice and not thrice daily? Doctor: Hello. Chlorhexidine mouthwash is only used twice daily because of the following reasons: Wish you good health and happiness. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14507, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23879, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28720, + "tgt": "Will peanuts and cashews cause excessive fat deposition?", + "src": "Patient: Hi doctor, With intake of 10 to 12 peanuts or 5 to 6 cashews daily, we get sufficient amount of energy, but does excessive fat also get consumed in our body? Are they saturated or unsaturated? I would like to know some common fibrous foods. Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 4799, + "tgt": "How to help a teenager with mood swings and hallucinatory thoughts?", + "src": "Patient: Hello doctor, I would like to discuss about one of my family members. He is a teenager and he is 14 years old. I want to discuss his up and down moods. Is it just because he is a teen? His mood is very strange I think so when he is really happy or high I call it, he does stuff like he has enough energy to last forever and he has these ambitious plans and ideas he wants to do. When he is like, I say he is losing touch of reality cause he says he sees stuff that are not there and sometimes he feels like a religious person like \"God\". And sometimes there are voices in his head to tell him to jump off the bridge for fun or something like that and I know off these episodes only last about a day or two or even a week, but I know he has depression. But anyways when he is depressed he tends to have no energy at all to do anything at all and he is always tired and he becomes suicidal. What in your opinion he has? Please tell me the cause. I know he is depressed but why does he tend to be high? Doctor: Hi. As per your history, I find that the patient sometimes is high and sometimes depressed. Though some more details about the symptoms are required, however, I may say that the patient is suffering from bipolar affective disorder. As the name suggests it has two poles. The first pole is depression which is very common where the patient feels sad, has decreased energy and pleasure and can have suicidal ideas. The second pole being mania where the patient appears high, they talk continuously, talk high things about themselves, highly energetic. Sometimes they have psychosis associated when they hear some unusual voices in their ears called hallucinations. This condition requires urgent psychiatric intervention." + }, + { + "id": 8578, + "tgt": "I have pain while retracting foreskin. Please help", + "src": "Patient: Hello doctor, I am 26 years old. I have retracted my foreskin before just once when flaccid by applying much pressure. I have never had sex before or have tried to retract the foreskin. I have no problem with masturbation. I have also not tried any stretching or any exercises. Now, I am slightly nervous because I may get married soon and I wanted to know if everything is fine. Doctor: Hi. The foreskin retracts itself on erection and if you had no problem for masturbation, there will not be any problem for sex as well. Foreskin never comes in the way of sex. Hence, you need not be anxious. Basically, the foreskin slides easily during sex and one should not forget to pull it back after sex. So in essence, retractability of foreskin is not a deciding factor for sex. Do not worry and just enjoy." + }, + { + "id": 25546, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5477, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22722, + "tgt": "They could not find a single sperm in my testes. Should I look for a sperm donor?", + "src": "Patient: Hi doctor, I am a 33 year old male. Today, I had a surgical sperm retrieval procedure at a reputable fertility clinic here. They could not find a single sperm anywhere, motile or otherwise, in my testes, and they said I simply was not producing sperm, for reasons unknown. Before my wife and I give up and start looking for a sperm donor, I wanted to get a second opinion. Is that truly the final word or is there some next step I could take, however unlikely the odds of success? I eat mostly fruits and vegetables, work out every other day, have no history of trauma to the groin or exposure to extreme environmental toxins. Testicle size and firmness, as well as hormone (testosterone, prolactin, and thyroid function) levels, were all normal. Is it even remotely possible to go from producing zero sperm to producing some sperm? Thanks in advance for your help. Doctor: Hi. I have gone through your query. I would like to know a few more details to answer your query better. Were your serum gonadotropin levels measured during the evaluation? What was the exact procedure performed? The chances of sperms appearing naturally in semen is next to impossible. If just a normal testicular biopsy has been performed, an intra-op microscopic testicular biopsy may give you an additional chance of finding sperms. If it has been already performed, then a sperm donor will be the next choice for you. Hope this was helpful. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 3645, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8286, + "tgt": "Can frequent masturbation cause problems while urinating?", + "src": "Patient: Hello doctor, I am a 27 year old unmarried male. I have a problem while urinating from past two years. \u00a0I have consulted my urologist, and we did many tests like urine culture, serum creatinine, and ultrasound KUB. After all these tests my doctor said there is no problem in my urinary tract.\u00a0A few months later, I\u00a0visited the same doctor, and he asked me to do thyroid\u00a0profile test and uroflowmetry, but there was no problem with those test results. Finally, because of my frequent visits, my doctor did a cystoscopy, and he said everything in normal. Sometimes,\u00a0I\u00a0get a burning sensation in my\u00a0penis when I urinate,\u00a0from the past two years. I do not see any significant change in urine color. And sometimes I see some\u00a0fluid in end of my penis; maybe it is prostate fluid. I frequently masturbate, minimum three times a day, from many years. I\u00a0noticed that I get aroused without sexual stimulation. I also have little pain after ejaculation, and I\u00a0feel that there is nothing wrong with the urinary system. I\u00a0need to give more pressure to urinate, and I\u00a0feel the penis does not carry the fluid properly. Can masturbation be the reason for all this? I\u00a0am going to get married next year. Please help. Doctor: Hi. I am sorry to know about your problem. For further queries consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 11555, + "tgt": "I am under treatment for stable angina. Do I need a cardiac MRI to gain the status of my disease?", + "src": "Patient: Hello doctor, I am a 70-year-old male. I am under treatment for stable angina for the past three years. 80 % small artery blockage, and 50 % large in certain areas. I am taking Clopidogrel, Nitrates, Amlodipine, etc., with tiny sublingual Nitro, averaged 25 Nitro pills over three months. Occasional episodes of twinges occur, but then they remit. I feel there is a need for cardiac MRI to gain a current picture or status of my disease. I feel occasional chest tightness and dull pain but I also have acid reflux disease. What could it be? Doctor: Hello. You have stable ischemic heart disease for the last three years. You are taking medicines and want to know about the heart in detail for which you want cardiac MRI. You have 50 % blockage in the major coronary artery. As far as your heart condition is concerned, it only needs detailed echocardiography to know the function of left and right side of heart, structures of valves and other structures. MRI is only done in case when comprehensive echocardiography is unable to provide information which cardiologist wants to know. Stable ischemic heart disease is treated with lifestyle modifications and medicines. If signs or symptoms remain stable, these are continued without intervention such as angioplasty or bypass. When symptoms are out of control despite maximum medicines and lifestyle modifications, then revascularization is done. I hope your cardiologist got complete information about your heart from angiography and echocardiography. So there is no need of cardiac MRI. MRI is required when there is congenital heart disease, any infiltrative disease whose complete details are not evident on echocardiography. I am sorry I could not promote your views about having cardiac MRI, yet you may ask your cardiologist to tell you the benefits of cardiac MRI over echocardiography, and then you may ask about undergoing MRI in your case. Remember, in most patients, MRI does not provide any additional information that may aid in planning medicines and treatment plan beyond echocardiography and angiography. I would advise you to adhere to a healthy lifestyle, medications, and follow the advice of your cardiologist. Moreover, you may send your reports to me, so that I may guide you more accordingly." + }, + { + "id": 24731, + "tgt": "Please check my reports and tell me if I am diabetic or pre-diabetic?", + "src": "Patient: Hello doctor,I just had my liver profile test and also I have very fatty liver and I am trying to reduce weight. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity) and understand your concerns. Your SGPT (serum glutamic pyruvic transaminase) is mildly elevated. This could be due to many conditions or increased alcohol intake. You should reduce your weight by following exercise and diet regime. Your ideal BMI is below 24.5. Please send me the other lab test values in the follow-up feedback. Hope I answered your questions. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1931, + "tgt": "My mother has 50% hearing loss after exposed to loud noise. Will Hearing loss pills help?", + "src": "Patient: Hello doctor, My mom is 67 years old. She got exposed to a sudden loud noise from fireworks about a month ago, and it caused loss of hearing to about 50% (audiometry). She started taking Prednisolone three days after the incident, and also some multivitamin pills, but no improvement yet. Mixed voices or phone calls teases her ears, and she can stand only for a few minutes. I wanted to know if you have any recommendations? Are hearing loss pills or Hear All pills effective? Doctor: Hi, Welcome to icliniq.com. With age, the hearing ability reduces for all, no partiality. That is called presbycusis in medical term. Moreover, the loud noise added to the process of deterioration. If she is diabetic and hypertensive those factors will add on to the deterioration process. Now coming to the point of using medicines, please get it very clear these medicines can help 5% improvement in hearing, but that has no visible effect. Whether it is 50 dB loss or 45 dB loss, the problem is all most the same right? So without wasting further time, kindly (with the report) go the audiologist and fit her with digital programmable hearing aids (if both the ears are affected then both ears should be fitted to have balance hearing and to make hearing areas of the brain active in both sides of the brain)." + }, + { + "id": 21395, + "tgt": "Does my ultrasound show any possible indications of early pregnancy?", + "src": "Patient: Hello doctor, I wanted to know if you see any possible indications of an early pregnancy on my ultrasound pictures. I had spotting to a very light flow for five days. My periods are normally light for 1 to 2 days increasing to a heavy flow for two days and tapers off for another two days. I normally have dark red blood with clots and painful cramps. This month when I had the spotting bit was light pink to light red, no cramps and never became heavy. My cycle is normally 35 days. I am currently on Vasceppa 4 g per day, Metformin 2000 mg per day, Fenofibrate 160 mg per day, Prenatal Vitamin. Doctor: Hello. I have gone through all the pictures of ultrasound sent by you (attachment removed to protect patient identity). There is endometrial thickening evident but there is no apparent evidence of any early gestational sac in situ which would indicate any pregnancy. Even if you are suspecting so or expecting as on date, the best way to rule out or confirm pregnancy in such early cases (if it is so) is to get a serum beta hCG test done, which is a blood-based test. It has a sensitivity of detecting pregnancy after seven days post intercourse. If the hCG levels are more than 5 mIU then you are pregnant for sure, else you are not. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28516, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28, + "tgt": "My 2. 5 month old kid has tongue tremors. Is this due to SMA?", + "src": "Patient: Hello doctor, I have a 2.5-month-old who I recently noticed developed a tongue tremor. I looked up online for the causes and found them as SMA. She has great motor control, we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement. My doctor believes it is benign tongue tremor, unfortunately, we had a telehealth appointment due to COVID so he was unable to see her but he told me not to worry and to keep an eye if things get worse. I am so scared it is SMA, what else should I be looking for? Doctor: Hello, Welcome to icliniq.com. History noted as above, your 2.5-month-old has developed tongue tremors. Please provide me more detailed history such as preterm or full term, birth weight, normal delivery or LSCS. How is her weight? Is she gaining weight and let me know more about family history or any other in the family suffering from SMA (spinal muscular atrophy). SMA is confirmed only by Genetic testing or by muscle study. There are many types of SMA some of them develop symptoms later in life and a few develop in early life. Keep a watch on her development like head holds muscle tone and power and let me know me know if tongue fasciculation increases and the child becomes more hypotonic." + }, + { + "id": 30439, + "tgt": "Kindly suggest a treatment for dry eyes", + "src": "Patient: Hi doctor, I spend nine hours daily in front of a computer for the last five years. I have developed dry eye problem before two years and consulted a doctor. The doctor suggested Omega 369 tablets (Fultos 369) for 15 days and an eye drop (Softdrops) daily. The dry eye problem cured after taking tablets and has been using the same eye drop daily for around four to five\u00a0times since then. My eyesight was tested and fine that time. I use transparent lens and glasses while working because without that it feels the moisture is getting evaporated from eyes. I also use an eye mask after keeping in freezer to relax eyes for some time. In the last month, I again started feeling some burning sensation in eyes like earlier due to dry eye. I started taking Omega 369 tablets (Well 369) for 10 days and the eye burning problem almost stopped. Now, I am feeling the same burning problem in the eyes. These are some specific queries on this issue.\u00a0How much dosage of Omega 369 can be taken for dry eye this time?\u00a0What are the best medicines having Omega 369?\u00a0Is there any side effect of having Omega 369 for a long time?\u00a0Which foods are the best supplements of Omega 369 in this case?\u00a0Is there any side effect of using eye drop for a long time? I put 2 drops in each eye for four to five times daily.\u00a0Is there any alternative treatment or medicine for dry eye problem? I am looking forward your reply. Thank you. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26707, + "tgt": "My WBC count increased after an exposure. Is it an indication of HIV?", + "src": "Patient: Hello doctor, I am a 28 year old male. I had an exposure with an unknown girl 43 days ago and the condom tore when my penis was still inside her vagina. The next morning, I saw a red mark on the tip of my penis. It disappeared in three days. I do not know the HIV status of the girl. I had done HIV 1 and 2 antibody and p24 antigen test 31 days after the of exposure and the\u00a0results were\u00a0non-reactive. I have a low viral fever from the last five days and my WBC count was 12,500. What are the chances of being infected? Is this test conclusive after 31 days? Also, I have a stuffy nose since 20 days and a pain in my legs and foot from the past five days. There is no rash, headache or sore throat. Are these the symptoms of early HIV infection? Doctor: Hello. I have noted your concern. Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 9856, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22300, + "tgt": "I have difficulty going to the restroom. What can be done?", + "src": "Patient: Hello doctor,Since two days my ass hurts. I feel something is wrong. Doctor: Hello. I went through the images (attachment removed to protect patient identity). It seems to be hemorrhoids which signify a mass descending from the rectum. Was the mass or swelling of the same size since it started or is it increasing? Is there any blood in the motion or any kind of constipation? I suggest the local application of ointment Anobliss (Lidocaine Topical and Nifedipine Topical) to relieve pain. If constipation is present kindly start using a laxative and try to avoid straining while passing stools. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5977, + "tgt": "I have work tension and has no interest in sex. How to deal with it?", + "src": "Patient: Hello doctor, I am a 34 years old woman. I have been working in an IT industry for more than 10 years. Earlier I was very confident, proud of my work and job. But now it seems like I am developing negative confidence, building tensions every few seconds, will cry out of tension, will blame myself for why I am still doing IT job but later I cool down by thinking I like IT job and I need to work. My personal life has become hell due to this tension. I used to be proud but now I am afraid. I have recently joined a new job which has offered me a position above my expectations. I am very worried if I can keep up to this new position, I am always in tension. I love my kind of job but getting worried and tension every time thinking if I can meet my manager's expectation. If I can work going beyond my level and work. All my peers are enjoying their job and personal life. I have also messed up my sexual life with no interest in sex and I am not able to. Please help. Doctor: Hello. From your description, it appears to me that you are suffering from depression and you require treatment with antidepressants. Other than that, I would suggest some other things which might prove helpful to you: 1. Manage your time. Set up a fixed schedule and work according to that. Initially it might appear difficult but stick to it. 2. Set your goals for the day, that is, short-term goals. Once you start achieving the smaller daily goals, then you can increase your limits slowly. 3. Devote time to yourself. Go for morning walk, yoga, etc. 4. Take proper sleep and eat green vegetables. They increase body serotonin. 5. Share your emotions (happy or sad) with your beloved ones. I hope this helps." + }, + { + "id": 21278, + "tgt": "Will Sinarest help in throat infection?", + "src": "Patient: Hi doctor, I have a bad throat and unable to speak. I have started Augmentin 625 since yesterday with no relief so far. Doctor: Hi. Antibiotics usually take some time to show their effect. Since you have been started on antibiotics and anti-inflammatory medication from yesterday, finish the course as directed and you will be fine. If you feel ill after completion of course, then we will go for a chest x-ray and throat swab culture and sensitivity test for specific antibiotics to treat your infection. As such, Augmentin is a broad spectrum antibiotic (combination of Amoxicillin and Clavulanic acid). It will take care of your throat infection. Meanwhile, do salt water gargling two to three times a day. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9931, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 12268, + "tgt": "What are the treatment options available for pilonidal sinus?", + "src": "Patient: Hello doctor, I have a pilonidal sinus, that is 20 mm long. I consulted the surgeon and he suggested surgery. Is it mandatory to get the surgery done now itself or can I wait for three to four months? Doctor: Hello. A pilonidal sinus is more common among men who: 1. Have more hard body hair. 2. Have long working hours (sitting down). 3. Obese. Unfortunately, surgery is the best option for you in going forward. However, as the recovery period can be a lengthy one, you may hold off on surgery for a few months provided the discharge from the sinus is not bothering you too much and is not painful. Whilst you decide on when to get it operated, you should continue to maintain local hygiene, keep the area as dry as possible, and remove any hair in the area. That being said, the longer you leave it, the more problematic it might become due to infection, and worsening of the sinus. If you do not wish to undergo a surgical procedure, there is the option of opting for laser treatment or trying various creams. I should warn you that either of these is less successful than treating it surgically. Sinogram. Maintain local hygiene, Shave hair from the region. Keep the area dry." + }, + { + "id": 30655, + "tgt": "Can we have sex during pregnancy?", + "src": "Patient: Hi doctor, I got married before four months and now, my wife is pregnant.\u00a0She has CRL of 6 weeks.\u00a0Can you please suggest whether we can continue to have sex? If so, then till what time we can have? Can it be unprotected or protected? Doctor: Hi. I have read your problem. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11859, + "tgt": "Why does my seminal fluid leak out soon?", + "src": "Patient: Hi doctor, Over a year we are trying for a baby. But, my wife is not getting pregnant. She underwent thyroid test also and the result was negative. I think the issue is with me. So what to do? While having sex my semen leaks out early and it does not stay for long. Do I need to take any medicine? Please suggest. Doctor: Hello. If you have been trying for last one year and not conceived yet then a semen analysis is necessary, which should evaluate the sperm count and morphology. If the results are normal, then your wife can be further evaluated with an ultrasound pelvis and a hormonal profile to rule out PCOS or any organic causes of uterus like endometriosis or polyp. So, please get a review with semen analysis report, as medicines can be started later on if needed." + }, + { + "id": 24793, + "tgt": "Whenever it is cold, I cough. Can you tell me what the problem is?", + "src": "Patient: Hello doctor, I am 26. I had dry cough from the 10th of last month and it did not go away completely. I was a smoker until the 2nd of last month and then gave up. I smoked for five years. Within the last few weeks, I must have smoked 10 cigarettes. My issue is whenever the temperature is cold, I cough and when it is sunny, I would not. I do not cough too much. It is once or twice in the morning and whole day nothing. Clear mucus and no medicine is required. I just drink hot water and everything becomes fine. Can you tell me what the problem is? I have no chest pain or throat discomfort. No weight loss. Whenever my stomach is gassy, I cough. Please help. I have smoked for five years. What is my cancer chance? Doctor: Hello. As you said that you have been smoking for five years and now have cough with clear mucus expectoration, it is most likely due to bronchitis. It is very common to have cough if you smoke more than five cigarettes per day. Also, because of cold weather, it gets aggravated and takes longer to heal. So, better is to stop smoking as you did rightly and take a good expectorant like syrup TusQ-X 10 ml (combination of Ambroxol, Guaifenesin, and Terbutaline) three times a day. Continue with salt water gargles and steam. It will help to loosen and liquefy the cough. If there is no relief even after seven days, better get your chest X-ray done from your family doctor and get treated accordingly. Usually smoking for five years at this age does not cause lung cancer but you should stop smoking. Smokers' cough because of bronchitis is very common. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 20859, + "tgt": "How can headaches and back pain be treated in a young kid with epilepsy?", + "src": "Patient: Hello doctor, My 3-year-old son has been complaining of headaches and back pain. He also has epilepsy and had two spinal taps. He has been diagnosed with epilepsy since he was two weeks old. In the past, he has been on Phenobarbital. Please help. Doctor: Hello. Lumbar puncture or spinal tap causes a headache and back pain in almost all kids. If the spinal tap was done due to a headache then it is to rule out meningitis. You can just give any painkiller for relief until the investigations are done. If it is persisting, the ENT (ear, nose, and throat) and ophthalmology opinions should also be taken regarding a headache. MRI of the brain would be recommended. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2532, + "tgt": "Is it normal to have fluctuating thyroid level after delivery?", + "src": "Patient: Hi doctor, I had postpartum thyroiditis with my first child and it presented again with second child at 7 months postpartum. I am dealing with anxiety, higher than normal heart rate, fatigue and trouble sleeping. During previous PPT, I could not tolerate medicines and it resolved when my child was 13 months old.\u00a0Is it normal to cycle back and forth between hyper and hypo cycles, numerous times with postpartum thyroiditis?\u00a0Is it fine to not treat it since it is cycling back and forth? If it should be treated what would be the proper treatment since the levels fluctuate so rapidly? My three months consecutive TSH levels are 2.85, 7.00 and 4.4 respectively. Also, TPoAb 96 (high) and TSI 53, within normal limits. My current medications include prenatal vitamin - still nursing, Probiotic, Vitamin D and Moducare. Doctor: Hi. For further information consult an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 19328, + "tgt": "Please suggest some medicine for pimples on my back?", + "src": "Patient: Hi doctor, I am 21 years old. I have\u00a0pimples with some sort of rash and redness on my back. I am having these for more than two months now. When I use anti-fungal powder, they will dry but comes again. They are present only on the back, not anywhere else. I have attached my photos with this. Please suggest some medicine. Thank\u00a0you. Doctor: Hi,\u00a0 Welcome to icliniq.com. Hormonal imbalance and seborrhea. 1. Lipid profile. 2. Liver function tests. Pityrosporum folliculitis. Truncal acne. Revert back after six weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8280, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28207, + "tgt": "Why do I stress and get anxious over minor things?", + "src": "Patient: Hello doctor, When I am in a quiet room and concentrate sometimes I hear very low sound in my ear. I have observed that this is the same sound we get when we cover our ears with finger or hand. I thought\u00a0it was because of wax build-up, so I got many ear tests done, which all came back normal. Is this because I am anxious and stressed sometimes? I concentrate a lot on such minor stuff. Sometimes, I concentrate on a dark surface and see certain things moving, but my eye tests also came back normal. Am I too anxious? Doctor: Hi. Do consult a psychiatrist and take counseling, it will help you for sure. For further queries consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7102, + "tgt": "What is the treatment for tooth decay along the gum line?", + "src": "Patient: Hello doctor, My tooth is rotting away below the gum line. I have not been to a dentist because I could never afford it, but now I think I might need one really bad, so what should I do? Doctor: Hello. Your thought is exactly right. It is high time you visited a dentist. Tooth rotting below the gum line is not a good sign. The dentist would tell you to take an X-ray. If it is non-painful and if the x-ray reveals that the infection has not touched the pulp, you can go for a filling. It is advised that you see the dentist as soon as possible because once the infection spreads deep into the roots, even a root canal treatment would not be possible. In that kind of a scenario, removal of the tooth becomes the only option. Basic procedures cost is less. The expenses of treatment increases if not treated in time. Periodic visits to a dentist for a general check-up will address those concerns. I hope this answers your query." + }, + { + "id": 11658, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8249, + "tgt": "Will taking antibiotics impact blood test results?", + "src": "Patient: Hello doctor,Does having an upper respiratory infection and taking an antibiotic for it impact blood tests for IgG, IgA, gamma globulin, etc.? Should I wait a month before these blood tests? Doctor: Hello. Protection in the respiratory tract is mainly by IgA which provides mucosal immunity. In respiratory tract infection, the level of IgA has been shown to be increased. IgG levels are generally increased long after the infection first occurs. It would be better to wait for a month so that the IgA levels return to normal after the infection subsides. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 28315, + "tgt": "Why am I experiencing pregnancy symptoms, three years after placing a contraceptive implant?", + "src": "Patient: Hi doctor, I am a 22 year old\u00a0female, who has a 2 years old son. After he was born, I got a contraceptive implant. At first, the bleeding was not stopping, so the doctor made me take contraceptive pills, which helped stop\u00a0the bleeding. The bleeding stopped for eight months, then when I started getting my periods, it would last for 10 to 17 days at a time. After a few months, it became regular and normal, lasting only for seven days. This is where my concern comes in, I am due to get the implant removed next month, as it has been three years. But this month, my period was ten days late, and I have all pregnancy symptoms. During this ten days, I experienced white vaginal discharge, and then after ten days of my period, I had a red blood spot which soaked into my underwear. A few hours later, I had a mucus discharge filled with pink and brownish blood and a red spot. After that, I started bleeding way lighter than normal. The bleeding got heavier yesterday, and I felt sharp cramps in my pelvic area. And when I peed, a large tissue like clot was expelled. Please help, I do not know what is wrong with me. Doctor: Hi. How are you doing? Hope I have clarified your queries, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22789, + "tgt": "Why am I having chills, vomiting and diarrhea along with stomach ache?", + "src": "Patient: Hello doctor, My 64-year-old husband has chills, vomiting, and diarrhea. It started with a stomach ache for a couple of days, and these new symptoms started today with nausea and progressed until about 6.30 pm when the vomiting, chills, and diarrhea began. He had a stomach ache last week and is disabled. Currently, he is on blood thinners, blood pressure medicines, opioids for chronic pain, baby Aspirin and an inhaler for COPD. Kindly help. Doctor: Hi. The symptoms are highly suggestive of an infection. Please consider visiting your nearest hospital for admission for IV antibiotics, probiotics and IV fluids. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6236, + "tgt": "I have sore throat and cough with tempurature 94 degree. what to do for relief?", + "src": "Patient: Hello doctor, I am a 13-year-old male. I have been recently struggling with sickness, yet, I do not know which one. I have 94\u00b0 F, sore throat, and it hurts while swallowing. I can not breathe without coughing, and I blink a lot. Please give an opinion about my problem. Doctor: Hello. First of all, is your temperature reading correct? You have written 94\u00b0 F that is very low, and we call such low temperature as Hypothermia. If that is your temperature, you need to keep yourself warm. Drink hot coffee or hot soup. As your other symptoms are concerned, it seems like a throat infection with probable tonsillitis. I advise you do salt water gargling three to four times a day. Also, you can take tablet Aceclofenac 50 mg three times a day and Paracetamol 500 mg three times a day. If your cough is dry, you can take syrup Reswas (Levodropropizine and Chlorpheniramine maleate) 10 ml three times a day, or if it is a wet cough, you can take syrup Tus-Q-X (Ambroxyl Hydrochloride) 10 ml three times a day. If symptoms persist, revert back." + }, + { + "id": 23289, + "tgt": "Can you recommend natural supplements to help treat depression?", + "src": "Patient: Hello doctor, My 17-year-old son is mildly depressed. This is not a surprise since I have been suffering with depression for 40 years. Can you recommend natural supplements that he could take to boost his mood and energy? Doctor: Hello. Hope this helps you. Thanks and regards. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1376, + "tgt": "Is CRTD good for heart patient with acute heart failure and MI?", + "src": "Patient: Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block. He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him? Doctor: Hi. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP drops that need medicines to raise it, then the option is left ventricular assist device (LVAD) or total artificial heart (TAH) or heart transplantation (subject to availability of facilities). First thing is to assess for revascularization if there is viable heart muscle. I hope this helps." + }, + { + "id": 12810, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17842, + "tgt": "Why is the opening of my penis not at the tip?", + "src": "Patient: Hi doctor, I am 27 years old, and I have an embarrassing problem with my penis. The opening of my penis, from where\u00a0the urine comes out is not at the tip, and it is slightly\u00a0lower.\u00a0I am still a\u00a0virgin. Will it be a problem for my sex life? Is it a major problem? Doctor: Hello. Good that you have come out with your issue. If there is a cosmetic concern, then you may get it corrected. But I can comment on the overall scenario only after looking at the picture. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16005, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4745, + "tgt": "I was diagnosed with positive ANA when tested for eczema. Could it be false positive?", + "src": "Patient: Hello doctor, I am a 50-year-old male. I was having photosensitivity (not too bad), went to a dermatologist, had a blood test and tested positive for ANA 1:160. I was getting eczema on my hands and feet with the sun at the beach (tiny tiny little itchy blisters), but my forearms and calves start to itch with a very slight rash. I was told I essentially had very dry skin. He was not even going to order a blood test but did it just to make sure of blood count. I showed him a picture of a slight rash. The ANA then tested positive. I have to go see a rheumatologist now. I do not have any other symptoms of joint pain, etc. I am pretty healthy. I work out five times a week. I take Atorvastatin for cholesterol, Baby Asprin, Ezetimibe, and Vitamin D. I also have a vitamin D deficiency. I also had a physical four months ago and everything else was fine with the blood work. Everyone told me not to worry, that there are a lot of false positives. I can have an early stage of something and it needs to be monitored. But what am I most likely realistically looking at? How quickly does this get assigned? Doctor: Hello. According to history it looks more like the skin is the only one troubling you. I would like to ask you a few more queries. Did your rash resolve after the sun exposure was removed? Do you experience it on a daily basis when exposed to the sun or was it just due to prolonged exposure? How about your other blood test like complete blood count, ESR (erythrocyte sedimentation rate) and liver function test. Yes, it is true that ANA (antinuclear antibody) can be a false positive in a lot of people. But we need to be sure that it is not the start of a disease. So only ANA does not give us answers. We need to see if it is causing inflammation in the blood which will be clear from other tests. As per history, it sounds more like a polymorphous light eruption which usually should improve itself. But yes, if your skin is sensitive you should avoid getting prolonged exposures like tat as they can be harmful to the skin." + }, + { + "id": 30635, + "tgt": "Kindly see the MRI report of my relative and guide us", + "src": "Patient: Hello doctor, This is regarding my relative. My relative had a seizure attack and fits before a year. We consulted a doctor and started medicine. During the course, the patient reported some slight pain in his head. A week later he started complaining of severe headache with vomiting. So, a CT scan has been done. I consulted a neurologist here in icliniq with the reports and his answer is as follows. CT scan shows a mass lesion in the right parietal lobe. To find out the nature of this mass and to decide the course of treatment, we need to do an MRI.\u00a0If the mass turns out to be venous infarct, then that can be managed with medical management. But, if the mass turns out to be a tumor, then surgery may be needed. Now, he had an MRI of the brain. We would be happy if you could take a look. Thanks in advance. Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist\u00a0" + }, + { + "id": 14235, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3938, + "tgt": "How can I stop the symptoms of bloating stomach and loose stools in IBS?", + "src": "Patient: Hi doctor, I am 51 years old with a complaint of bloating, loose stools, burning sensation in the abdomen 15 years back. I managed two years without medicine. I was advised to use Rabeprazole to which my symptoms subsided a little bit. From then I cannot tolerate spicy foods, fruits, caffeinated drinks, and curd. If I take these foods my stomach starts bloating with loose stools, burning sensation in the abdomen. At times, I get pains in the hands and feet, burning sensation and pain in the back of the head and breathlessness. These symptoms subside by passing flatus and belching and on using medication. I was evaluated and diagnosed as a case of IBS. I am uploading my complete details. Please find attachment. Doctor: Hi. I reviewed all your medical reports (attachment removed to protect patient identity) and I can say as follows: First of all, you need to be examined with upper endoscopy and colonoscopy plus abdominal ultrasound. Your symptoms may be related with Gerd and hiatal hernia or gastritis, stomach ulcer. In the meantime, I would suggest using PPI's (proton pump inhibitors) and antacid to improve your symptoms. After completing the exams mentioned above I will give you a more accurate opinion regarding your possible diagnosis." + }, + { + "id": 875, + "tgt": "My 8th week ultrasound shows irregular gestational sac. Please explain my condition", + "src": "Patient: Hello doctor, My 8 weeks ultrasound showed an irregular gestational sack. It is mostly round but sort of pointed in one location. What does this mean? Fetal pole 158, measuring 8 weeks and 1 day gestational age. Please explain. Doctor: Hi. If fetal cardiac activity is present and pregnancy is 8 weeks on ultrasound. If you do not have any pain or bleeding per vaginal than there is more chance that with medicines pregnancy has more chance for growth. Irregular gestational sac sometimes can be due to uterine contraction which can be present throughout pregnancy. If this is the case then there is more chance that pregnancy is good and there is more chance for growth. One more reason of irregular sac is also a sign of early abortion. But we can do only these things. Do take complete bed rest. Do minimum activity. Take small frequent meals. Take micronized Progesterone for 2 to 4 times a day 200 mg, Folic acid tablet, and Thiamine or multivitamin tablet. All these will be helpful for growing pregnancy. And repeat ultrasound after 10 to 15 days. Do drink more water." + }, + { + "id": 22229, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6007, + "tgt": "My 18 month old baby is not sleeping throughout the night. What to do?", + "src": "Patient: Hello doctor, My 18 month old baby is not sleeping throughout the night. How do I get him to sleep through the night? Also how do I get him to stop breastfeeding? Doctor: Hello. It seems your baby has not yet developed day and night cycle, or she might get hungry at night and gets up for feeds. I hope she is growing well and must have attained her normal mile stones for the age. No medication is required to make her sleep. You can continue breast feeding up to 2 years of age as recommended. Develop a routine for food and breast feeding. At this stage, baby needs four meals and three to four times breast feeding. Make an alternate, give breast feeding when she wakes up, after two to three hours give breakfast, like that. If she sleeps for good hours during day time then, you need to make her engage in some play to reduce day time sleep. It will take time, but slowly, she will develop a proper cycle. I am sure things will change." + }, + { + "id": 4082, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2711, + "tgt": "I feel like something is blocking my hearing in the right ear. Please help", + "src": "Patient: my ear(right ear) its like something is there something blocking i cant hear Doctor:" + }, + { + "id": 10674, + "tgt": "I used hydrogen peroxide for my clogged ears and now it is stuck. Please advise", + "src": "Patient: Hello doctor, I woke up five days ago with clogging in my ears. Stupidly, I went with one of the first solutions I found online and poured hydrogen peroxide in my ear. It is now stuck in my ear canal and I cannot get it out. I have tried Swim-ear drops, ear candle, wax removal kit and shaking my head violently. It is so annoying. I do not want to get an infection, that could lead to hearing loss in my left ear. I have no insurance and I am a young guy struggling to make it. I am in need of some advise. Please help me. Doctor: Hello. I hope this helps you. Do not worry. It is most likely to be impacted wax. For further queries consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1170, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15874, + "tgt": "Why am I getting recurrent cold attack in the last 3 years?", + "src": "Patient: Hello doctor, I am suffering from a cold for three years until now. I think it is due to a dust allergy. Please help me. Doctor: Hello. The long-term cold is suggestive of allergic respiratory tract infection. You need to investigate with allergic testing for further work up. The causative allergen needs to be avoided like dust, mite, pollen exposure, cold atmosphere, etc. The Levocetirizine or Fexofenadine like anti-allergic medication can be prescribed for your case. Immunotherapy is also beneficial in such cases." + }, + { + "id": 5956, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 293, + "tgt": "Please check my blood report and advise if any medicine is required", + "src": "Patient: Hi doctor, I am a 45 year old male. I have been on Omeprazole 20 mg and Thyroxine 50 mcg for the last four years. My height is 5'10\" height and weight is 70 kg. I have hyperacidity and little vertigo. I am attaching herewith my latest blood report. Please advise whether any medicine is required. Doctor: Hello. I have gone through all the data posted. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24939, + "tgt": "Why the bilirubin level is not decreasing after jaundice attack?", + "src": "Patient: Hello doctor, My father is 72 years old and he is suffering from jaundice. Initially, he was admitted to hospital five months back due to dengue and his platelet count had dropped down to 15,000. Now, he has recovered from dengue but his bilirubin is not decreasing. While getting discharged from the hospital, the bilirubin count was 17.64 mg/dl. It had dropped down to 8.33 but later, it got increased to 10.33 and the current count is 9.74. The doctor has prescribed him Silymarin 140 mg, Ursocol 300 mg, Pantocid 40 mg, A-Z vitamin and Duphalac. How can I help my father to recover quickly from jaundice? Doctor: Hello. I saw the report (attachment removed to protect patient identity), and in your history, you did not mention about alcoholic history of your father. Is he hypertensive? Is he on any drugs? What about hepatitis A, B and E status? What about ultrasound abdomen status and urine examination? The possibilities are: It will take time to recover in old age with anemia. It may decrease immunity status and thus, will take more time to recover. Continue the above medications and get ultrasound abdomen, serum LDH (lactate dehydrogenase), Hb and viral markers status tests done. Please consult your doctor. He will examine and treat you accordingly. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3849, + "tgt": "What can I do to overcome oily face?", + "src": "Patient: Hi doctor, I am a 23 year old male. I am facing a few issues for which I seek your help.\u00a0I have oily face, but a very dry body skin. Please advise what I can do to overcome this.\u00a0I stay in a joint family and as a result have to masturbate very privately most of the times. Also, most of the times I end up masturbating with my underwear\u00a0and cum remains trapped in the foreskin of the penis as I do not get an opportunity to freely ejaculate. I would like to know whether this will result in any infection or other health issue.\u00a0At times I wake up with early morning erections which are embarrassing. Please help. Doctor: Hi. I would like to reply it in pointwise: For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 21097, + "tgt": "I want to start regular birth control pill for one month. Please advice", + "src": "Patient: Hello doctor, I am 21 years old female and interested in starting birth control pills. I have done all my checkups and everything was okay for me to start them when I get a period. But my periods became light and irregular and I could never predict when I am going to have one, so it has been a conflict when I should start the pills. Also, I want to become sexually active, but I do not know whether the pills will protect me from pregnancy if I take them on any day of the cycle. I want to protect myself this coming month but I do not know will and how much would they be effective if I did not start them on my period? And is it okay to stop birth control after the first pack, due to the fact I have a long distance relationship and do not need to be constantly protected? Doctor: Hello. Ideally, birth control should be started from day 3 of your cycle regularly to stay protected. It is mandatory to start the pack in the proliferative phase. However, if started by seventh or eighth day, then an additional barrier contraceptive is advised to allow the effect of the pill to ensure thereby preventing pregnancy." + }, + { + "id": 22115, + "tgt": "Does Salmonella infection spread through kiss or sex?", + "src": "Patient: Hi doctor, I have only diarrhea. If I have Salmonella then how long will it last? Can I kiss or have sex? Could it be on the blood? Doctor: Hello. Revert back with more details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1322, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28718, + "tgt": "I end up crying a lot for every little thing. Why?", + "src": "Patient: Hi doctor,I have not been through anything bad, but I end up crying a lot for every little thing. All my emotions hit me at once, and I cannot stop crying. I am 18 years old. I am in a relationship with a guy, and things are not smooth. I have trouble sleeping. What do you suggest? Doctor: Hi. I can understand your concern regarding your low mood and emotional outbreaks. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9730, + "tgt": "My 2. 5 years old baby has fever with low WBC count. Please advice", + "src": "Patient: Hello doctor, My 2.5 years old baby had a high fever for a day. The second day we did an FBC test (full blood count). It shows WBC 4000 mm, and platelets count is 140000. But the baby had no fever on the second day. He was very active, nothing rash or other symptoms. He was playing as usual. But second day night he got again fever not exceeding 99.5 F. Third day morning again we did a FBC. It shows WBC 5000 mm and platelets reduced to 136000. The baby had no fever since last night. He is very active as usual. I want to whether he has a problem or not. His Hb level is 13.2. Others are according to the reference range. Doctor: Hello. Most probably it is an upper respiratory tract infection due to a virus, which is very common in children less than 5 years old. As the child is active, playful, and I assume he is eating well. The normal WBC count is from 4000 to 11000 and platelets from 1.5 to 4 lacs. It is slightly below normal in your child. If he is having other symptoms like excessive cry, irritability, vomiting, shivering, it is better to rule out malaria and dengue as these can be severe in children below five years. If there are no symptoms, I mentioned you could wait and watch for a couple of days. If fever is not subsiding, it requires complete evaluation by a pediatrician. However, as long as the kid is active, playful, and eating well, no need to worry. I hope this information helps." + }, + { + "id": 27649, + "tgt": "My routine urine examination showed 30 mg/L protein. Should I be worried?", + "src": "Patient: Hi doctor, I am a 66 year male, who is diabetic and hypertensive from the last 15 years. I am on Tazloc H, Cresar AM, Metformin, and Amaryl. Routine urine exam showed proteins 30 mg/L, micro albumin 94.97 mg/L, and pus cells 4 to 5 cells. What is the inference and advise? Doctor: Hi. For more information consult a\u00a0nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 7501, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12013, + "tgt": "What causes shocking sensation in arms in an IV drug user?", + "src": "Patient: Hello doctor, I am an IV drug user, street-level Fentanyl and Carfentanyl specifically and I am getting big deep scabby like sores all over my arms where I am using IV. Now I am noticing electrical currents shocking my arms both at exactly the same time, especially when I take deeper breaths I have noticed. Doctor: Hello. I am really sorry to know that you are an IV drug user. I hope you will start quitting the drug, life is a beautiful gift, so do not throw it away like this. Get helped by family or friends or even by a specialist to be drug-free. You deserve a better life, but not like this. The problems with deep breathing electrical currents when injecting drug is due to drugs injected. Perhaps the dose was higher than normal or not injected inside the vein. Or injection speed was fast, in other words, is due to the drug injected. Plus, sores all over your arms are infected, need to keep well clean, wash with warm water and soap, rinse well, dry well. Then, apply alcoholic swab, plus Betadine on the sores followed by triple antibiotic ointment. If no improvement, you should consult further with your physician." + }, + { + "id": 14449, + "tgt": "Can jaw pain with popping and locking indicate TMJ problem?", + "src": "Patient: Hello doctor, I am an 18-year-old female and for about nine months I have had severe jaw pain and it hurts when I chew and sometimes it pops and locks into place. My parents brought it up to my dentist about two months after it started but without looking at my jaw or even asking me about it they said it is growing pain and they will not worry about it unless I still have it when I am little older but I am also getting way more headaches than I used to and sometimes the pain is so severe it makes me cry. Sometimes, it is getting way worse to the point where I suddenly have to stop talking sometimes because my jaw locks in place. Please help. Doctor: Hi. I have read through your complaint and the relevant details. Lock jaw, clicking sound are one of the classic symptoms of TMJ disorders. TMJ stands for temperomandibular joint which is the joint that moves the mandible up, down and sideways. If there is a lack of cushion effect, the mandible head slides through the other bone surface giving this kind of sounds and pain. It cannot be a growing thing. If this continues, it might lead to loss of bone in the joint or even fracture at some point. Addressing at an early stage can be of massive help. You should be given a custom fabricated mouth guard to be worn daily specially during night times. This mouth guard is a flexible one which can be used easily by yourself and maintained clean. This is the initial treatment approach in such a scenario. You will definitely see a huge difference in 3 to 6 months. I request you to visit the dentist again and stress in your complaint so that the right treatment approach is given to you. TMJ X-ray. Mouth guard fabrication. 1.Avoid chewing in one side. 2.Also, avoid biting hard food." + }, + { + "id": 15532, + "tgt": "Is it possible to have a baby after hernia treatment?", + "src": "Patient: Hello doctor, I had a hernia last time and now it is treated. I am fine now. My question is that can I still produce a baby? Doctor: Hello. A hernia is a term used to describe any abnormal protrusion of any organ (most commonly bowel) from the cavity that covers the organ. First of all, what do you mean by a hernia? A hernia can be inguinal or femoral or hiatal, obturator, etc. You have not described the site of the hernia. But you are worried regarding your sexual function, so I am guessing you had an inguinal hernia with extension into the scrotal sac. Rest assured, if the hernia has been repaired properly by an experienced surgeon, it can never affect your reproductive health." + }, + { + "id": 18734, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30844, + "tgt": "Please explain the treatment based on my MRI report", + "src": "Patient: Hi doctor, My MRI report is as follows. Diffuse marrow edema involving scaphoid bone with a thin layer of fluid within adjacent dorsal intercarpal joint space. No obvious cortical break seen at present. Articular surfaces around wrist shows intact cortices with normal marrow intensity. Please explain the treatment for this. Doctor: Hi. Scaphoid marrow edema. Revert back with MRI report and detailed history to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22073, + "tgt": "There is an echogenic focus on the left ventricle of fetal heart. Please suggest", + "src": "Patient: Hello doctor, In sonography of the baby's heart, there is an echogenic focus on the left ventricle of the heart. Please suggest. Doctor: Hello. Intracardiac echogenic foci in the left ventricles are due to papillary muscle injury/insult and most often resolve spontaneously but they hint at the underlying chromosomal abnormality. I would highly recommend an early anomaly scan this week itself instead of 20 weeks so that if other abnormality is detected, you get some time in hand to decide the next step. If the anomaly scan is done at 20 weeks, you would not get any time to decide and also no action could be taken. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 11072, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 7221, + "tgt": "What is the procedure for implant in a 47-year-old?", + "src": "Patient: Hello doctor, I am here for my mom's dental implants. We want information about dental implant. She is 47-years-old, and her nine teeth are missing. She requires implantation for nine teeth. So please guide us on how we can do her treatment. What is the procedure needed and required cost? Doctor: Hello. For your mother, we need to know some health information like her history of blood pressure, recent surgery, diabetes, or any history of blood disorders. For implants, they are actually of two types. 1. Basic implants. 2. Advanced implants. Both are imported implants, basic and advanced. Well, the cost of a basic implant starts from 10 k per implant, and advance implant starts with 25 k per implant. Apart from this, there will be a separate package of teeth that she will choose. The price can differ according to region and reputation and experience of clinician and material costs. For her basic implant will be best. All implants have warranty mostly for the same duration. The treatment will take a long time. In the first stage, we operate mouth to place the implant (as your mother has nine missing teeth). Then there will be a gap for healing bone for three months. After three months, the impression will be taken, and then fixed teeth will be placed in about a month. For a better and economical option, you can opt for fixed dentures that will exactly look like original teeth and will be placed in a month. I wish your mother good health and happiness. Keep me updated with the improvements." + }, + { + "id": 28526, + "tgt": "After pacemaker, the patient suffers from insomnia, weight gain, swelling, etc. Why?", + "src": "Patient: Hi doctor, The patient is a 38 years old female. She has a medical history of congenital heart disease. Her heart rate usually ranges between 50 and 55 bpm. Before two months, she had a pacemaker implantation. After pacemaker implantation, her heart rate is 70 to 80 bpm. Now, the\u00a0patient is suffering from insomnia, sudden increased weight and abdomen, swelling of the face and both legs, scanty urine for the last two to three weeks and mentally disturbed. I\u00a0want your help\u00a0to know what has happened to her. Please help. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 403, + "tgt": "I had three anxiety attacks last night because of ringing sound in my ears. Please help", + "src": "Patient: Good day My situation started yesterday after taking a shower yesterday. I climbed out of the shower and noticed I had this high pitched ringing sound in my ears. This sound is really causing me to panic ; last night I has 3 anxiety attacks because of it and I took 50mg Sressam tablet but it did not work. I still have the ringing in my ears today and I've taken another stressam about 1 and a half hours ago but it's not seeming to work. I'm afraid I might have an anxiety attack again tonight because of it. I've recently been placed on Acnetret for my Ance (7 days ago) but my Dr told me to stop it for a few days because I have been experiencing extreme back pain which I am still experiencing right now. I have been off the tablets for about 2 or 3 days and I dont know If this could be causing the high pitch (silence sort of noise) in my ears. Its causing extreme anxiety and unfortunately all Dr's rooms are closed right now. Age: 15 Male 176 cm 164.8 kg Doctor: Hello First of all, please know that ringing sensation is very common and prevalent. There are many suspected causes for ringing sensation in the ear. The most common ones being - wax impinging on the ear-drum, sudden, loud noise, moving into a quiet room from a noisy environment and so on. You say it started after a bath. Even water, soap, hair follicles within your ear, when come in contact with the ear-drum can cause such ringing sensation, although for a short duration. This might have even attracted your attention to a symptom which might have been there even before, but was not noticeable. Sometimes, the medications you are on also can cause this ringing sensation. To be honest, there are lots of causes but no sure way of evaluating it. So, my suggestion - try diverting your thoughts away from this and try concentrating on some other work. When your thoughts are deeply immersed in something else, you will realise that you can hear the ringing sensation only if you think about it. You can also listen to music with ear-phones, with the volume of your device between 30-60% to get your mind off it. But please don\u2019t do this all day. Give a gap of atleast an hour after listening for about 30 minutes. Also, it will probably not bother you when you are involved in a conversation with somebody, keeping your mind off it. All said, there are certain rare causes also, which require systematic treatment, but I wouldn\u2019t want you to worry about them right away. This symptom of yours has started all of a sudden and in all probability might disappear spontaneously as well. Do not get anxious reading about all the causes of ringing sensation on the Internet as it is bound to frighten you. Try the above methods and tell me after 24 hours if there was any improvement at all." + }, + { + "id": 9752, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 9127, + "tgt": "I am suffering from excessive crackling in both the ears while swallowing or talking. Please help", + "src": "Patient: Hello doctor, Excessive crackling in both ears while swallowing or sometimes talking. Also, have extreme ringing in the ears and feels like pressure in ears. Had my ears checked by an audiologist and said hearing is perfect and did not sense any negative pressure with the test. Doctor: Hello. Do you have any nose block or headache or throat pain or jaw pain? Your ear problem can be secondary to these problems." + }, + { + "id": 17710, + "tgt": "After using MTP kit, how long will the bleeding continue?", + "src": "Patient: Hi doctor, My LMP test came positive and so I used\u00a0MTP kit. Over last\u00a0six days, I am using lever. I was bleeding for around six days and now again with a gap of five days I am\u00a0bleeding with blood lumps.\u00a0Please help. Doctor: Hi. I have gone through your medical history and understand your concern. Revert back with the answers for the above questions to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26148, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28701, + "tgt": "I have been suffering from headache and eye twitching. Are they interrelated?", + "src": "Patient: Hi doctor, I am 22 years old. My height is 5'9\" and weight is 205 pounds. For the past 10 days, my right eye has been twitching non-stop. It is almost like a pulse where the bag of my eye is. When I blink really fast, it usually stops for about a minute and then starts again. My head started to hurt on the right side on day 8 and the mild headache comes and goes. Might the headache be due to messing with my eye so often? I had allergies and had a brain scan twice before. I am also suffering from a migraine. I have tried Benadryl, warm compression, and getting more sleep. But, it has not helped. My eyes have also been both dry and watery. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14385, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21945, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12424, + "tgt": "Do I need to stay on Metocard and Pradaxa lifelong?", + "src": "Patient: Hi doctor, I am a non-diabetic 52 years old male. I was diagnosed with Afib one year ago and since then I have been taking Metocard-XL 100 mg od, Pradaxa 150 mg twice daily, Valzaar SM for hypertension. I have been taking various medicines for BP over the last 10 years. After taking Metocard for about a month my symptoms vanished, but still I am continuing with the medicines over 11 months now. Please see my Holter reports both old and recent and give your opinion if I need to be on Metoprolol and Pradaxa lifelong. I think my heart has returned sinus rhythm on its own and may be the drugs can we weaned off. Doctor: Hi. I have read your query and seen the reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11536, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3232, + "tgt": "How to cure spinal deformity?", + "src": "Patient: Hi doctor, I would like to know which avenue to go down to treat my issues. I believe I have something wrong with my legs which cause my body to strain. The first memory I can remember was having very excruciating pain in my legs at night when I was a young teenager. As I got older my knees started to ache regularly. The impact of walking and running has been very painful. I cannot walk up a steep hill or even jog downhill or run without getting shin splints. I am getting severe shin and ankle pain for many days. Even if it is only five minutes of jogging downhill the impact is severe. I have tried exercise such as running on a treadmill and then my ankles became very red, itchy and visibly swollen. I have never had visible calf muscles and I am a thin build. I have been active most of my life although I have never been able to build natural muscle in the bottom half of my legs. Most season of the year I get cold. My ankles and feet will stay cold and no blankets or socks can warm them up as the cold feeling is internal. In winter it becomes very painful and I become immobile because of the feeling. My ankles and feet feel like a bag of ice. I have had other problems like pinched nerves in my neck and severe tension headaches. After seeing a chiropractor it was visible that my spine has become out of alignment in my neck and in my lower back. A bone now protrudes on the left side of my buttocks and has been painful to sit on. These problems have existed for a long time and progressed to further issues mentioned. No doctor has been able to give me solid advice as there are many factors. The doctors have not been patient enough to listen to my issues. Thank you if you can help me in any way possible. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14671, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8393, + "tgt": "Will Ashwagandha interfere with anesthesia during lymph node removal surgery?", + "src": "Patient: Hello doctor, I did not realize my surgery would be so soon. I have been taking Ashwagandha and an Omega 3 supplement. I am having an enlarged lymph node removed in my neck under general anesthesia as an outpatient procedure. Will it be safe to undergo this procedure under anesthesia in a few days? I heard this might interfere with the effectiveness of the anesthesia. Doctor: Hi. Removal of a lymph node is not an extensive surgery. So, no need to worry much. As far as anesthetic risk is concerned, you may face the following problems because of your high BMI (body mass index). As far as Omega-3 supplement is concerned, it has nothing to do with anesthesia drug. Ashwagandha is a herbal drug, it also has no significant interaction with drugs used to give general anesthesia. So, keep yourself motivated and anxiety-free. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 4474, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 911, + "tgt": "I get pale clear fluid from both ears. Please help", + "src": "Patient: Hello doctor, I have a problem of fluid coming from both ears. What is the cause? There is no blood and foul smell and it is pale and clear. Please help. Doctor: Hello. Since how many days are you having this problem? Any hearing loss or cold or nose block?" + }, + { + "id": 24246, + "tgt": "My heart beats faster when I rest. When I am active, no issues. Why?", + "src": "Patient: Hello doctor,When I am under rest, my heart beats faster than normal. Nearly, it beats around 90 and above. I could not sleep at night. When I am active no issues. I am not able to breathe normally when lying. Please provide any suggestions. Doctor: Hello. You are having a condition called sinus tachycardia which means your heartbeat is faster than normal but do not have arrhythmia. The reason is sympathetic overdrive which means you are more anxious than other people. I suggest taking tablet Metocard XL (Metoprolol) 50 mg one tablet at 8 AM daily. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Please send me a copy of your recent ECG for evaluation. Good day to you. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 12459, + "tgt": "Will I get rabies infection years after dog bite?", + "src": "Patient: Hello doctor, A dog had bit me in my finger eight years back. At that time I did not take any vaccine or treatment. Is it possible that I can get affected with rabies in the future? What is the diagnosis system of rabies? If I get diagnosed with rabies then what I have to do? Doctor: Hello. No need to get panicky over the dog bite. You are fine. Rabies testing on humans is performed on samples of saliva, serum. Saliva can be tested by virus isolation or reverse transcription followed by polymerase chain reaction (RT-PCR). Serum and spinal fluid are tested for antibodies to rabies virus. In animals suspected of rabies, they have to be killed and their brains are examined for the presence of this rabies virus. Rabies is usually fatal. So the best thing is prevention. So if you have a pet dog get it vaccinated." + }, + { + "id": 644, + "tgt": "My period has got delayed for 12 days for the first time. Why does it happen?", + "src": "Patient: Hello doctor, I generally have regular periods and for the first time I had my period 12 days earlier this month and it is continuing for more than 10 days. I am currently on Sepia 200. Kindly help. Doctor: Hello. Before we could determine the exact cause for this prolonged bleeding, I would like to know a little more details about your previous cycles. As you said you always had regular cycles, just wanted to know if your previous period was on time and had a normal pattern of bleeding or was it scanty. Also, whether you are a sexually active individual, and if so whether any chances of pregnancy could be there? If there is any such doubt, it would be advisable to take a home pregnancy test. Sometimes the scanty flow of implantation hemorrhage could be confused with a normal period and the actual bleeding could be a sign of threatened miscarriage. If pregnancy is ruled out (by checking urine pregnancy test or if not sexually active), the hormonal disturbances of thyroid or prolactin hormones, and sometimes lifestyle-related problem that is PCOS also can cause such irregularities in periods. Also, stress can be one of the reason for hormonal changes and thus causing disturbances in menstrual patterns. Basically, this is suggestive of anovulatory cycles. So to find out these, you need to take certain blood tests. I would like to know if you had any recent weight loss, or do you face frequent acne and unwanted facial hair growth problems, any headaches or visual problems? These symptoms may provide some clues to the underlying problem which is causing a delay in periods for you. Please revert back to me with the necessary details for discussion, so as to find the appropriate cause for your problem and start the necessary treatment to control the bleeding. Ultrasound abdomen and pelvis. Home pregnancy test (if sexually active). ? Thyroid hormone disturbances, ? PCOS, ? Submucosal fibroids, ? Polyps, ? Incomplete miscarriage. After discussion and evaluation." + }, + { + "id": 6076, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23515, + "tgt": "Few of my tests are abnormal. How to make them normal again?", + "src": "Patient: Hi doctor, Kindly check my reports. A few tests are showing some varied results. So, kindly give me suggestions to make them normal again. Doctor: Hello. I went through your reports (attachment removed to protect patient identity). Your tests can be back to normal just by some dietary and lifestyle modifications. I hope you find this helpful. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10240, + "tgt": "What is the home remedy for burning sensation of the anus?", + "src": "Patient: Hi doctor, What are some of the home remedies for burning sensation of the Anus? What is the reason for this burning sensation? It happens whenever I eat outside food. Though I did not eat more spicy food, why it is happening. Doctor: Hi. The following are the causes for burning sensation in the anus. Here are some home remedies for curing the burning sensation of the anus." + }, + { + "id": 22301, + "tgt": "I cannot stop my suicidal thoughts although I take antidepressants. Please help me", + "src": "Patient: Hello doctor, I am a 47 year old, unmarried, diabetic type-2, male without a career. I am taking Stalopan 10 mg and 20 mg and Lonazep 0.25 at night for depression for the past 20 and 15 days. I am feeling very tired and sleepy in the daytime but cannot stop my suicidal thoughts. Please help me. Doctor: Hello, Wellcome to icliniq.com. You must visit a nearby psychiatrist for suicidal thoughts. Do not stay alone. The medicine will take four to six weeks for full effect. You can stop Lonazep if you have daytime sleepiness. Lonazep is used for sleep disturbance. And even depression causes sleepiness and tiredness. It will improve as medication starts to take effect. Do daily exercise for 30 to 40 minutes, do meditation for 15 minutes, do what you like for 20 minutes like give time for your hobbies, read good books, painting, write journals, take good healthy foods, avoid junk food, get sound sleep for seven to eight hours, spend quality time with family and friends. Live life. Find a reason to live. Being jobless is not the end of life. Do something new. Start your new life. TSH (thyroid-stimulating hormone) and vitamin B12 level need to be checked to rule out thyroid disorder or B12 deficiency because both cause depressive disorder. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11913, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30763, + "tgt": "What shall I do for unbearable itching of wound?", + "src": "Patient: Hello doctor, I got a grafting surgery on my chest for which a skin was removed partially from my leg. The problem is in my leg from where the skin was extracted. It has converted to an infection with small red bumps, pimple and unbearable itching. I am attaching the picture. It has been like this for the past 45 days. But, the itchiness is unbearable. Please recommend something for this extreme itching. It also gets worse in humid condition with temporary relief in cool places. I had breast cancer and got treatment. I had Teczine for itching, but stopped it due to dizziness. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27735, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2201, + "tgt": "My periods while on OCP since the IUD removal has been extremely light. Will it affect my fertility?", + "src": "Patient: Hi, I had my IUD (Mirena) removed 2 months ago as I\u2019m planning to start trying to conceive soon. I am 33, no prior pregnancies, and otherwise healthy. I have been taking an oral contraceptive pill since the IUD removal as I didn\u2019t want to become pregnant immediately, but I am concerned now that both periods I have had while on the pill since the IUD removal have been extremely light. Both have only lasted one day, and only needed 2 tampons total. My periods were typical prior to the IUD, and stopped completely while the IUD was in for 3 years. Before that I was on an OCP so periods were regular, but I\u2019ve been using hormonal contraception since I was a teenager so I\u2019m not sure if my physiologic periods would be regular or not. I am a Pediatrician, so please feel free to use medical language. I am concerned that these very light periods indicate abnormal endometrial function or some other abnormality that may affect my fertility, and I\u2019d be very grateful for any insight you have. Thanks, Roisin Doctor: Hello doc Welcome to icliniq i will explain you a little bit how estrogen progestin contraceptive and a levonogestrel DIU effect fertility : Combination of OCs suppress basal FSh and LH They diminish the ability of pituitary gland to synthesize gonadotropins when it is stimulated by hipothalamic GnRH.Ovarian follicles do not mature ,little estradiol is produced and there is no midcycle LH surge .Ovulation does not occur ,corpus luteum does not form and progesteron is not produced .This means that interferes ,and block negative and positive feedback of HHO axis . Also the IUD (Mirena ) which contains levonogestrel reduced the FSH ,there is less follicular activity ,less estradiol production and no LH surge also cause an local inflamatory rection inside the uterine cavity . The blocage of HHO is revesible ,as far as you interrup the coc pills,the estrogen and progesteron levels will fall (may be it will take a few months) ,so HHO axis will start to functionate normally ,and the cycle will be ovulatory again . So the change of the quantity of bleeding isn't so inportant ,if your cycle arw ovulatory . Only if you have amenorrhea more than 6 months after discontinuation of OCs pills shoyud undergo evaluation. So it' normal to experience change of menstrual cycle after IUD . I hope, I 've been helpful . Kinds regards" + }, + { + "id": 8235, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24819, + "tgt": "How can I cure erectile dysfunction?", + "src": "Patient: Hello doctor, I have erectile dysfunction with no apparent cause. Blood test and ECG are fine. I have never had ED. My sex drive is usually not even too much. For the past eight months, my sex drive is non-existent. I also have no morning erections. Factors that play a role are that I broke up with my wife and also eight months ago, I had serious accessory nerve operation that failed to fix my trapezius palsy, but I think these areas are physically too far apart. But maybe depression? I have not been able to think myself to be turned on. I have tried Zinc, Magnesium ZMA vitamin supplements which seemed to help for one week and I got hard morning erections. However, it stopped working. I have also tried Ginseng which does work as well as Tadalafil prescription works too. I can stimulate the penis with no medication too and ejaculate, but I usually have to look at porn (which I do not do often do because I have no libido, whatsoever). I have failed to have sex with three girls now because of lack of desire. I want to physically get it up, but it does not get up. I have ED, and I simply cannot get it up to beautiful women which is horrible. I have slight pain in both testicles which is I think because I have not masturbated. Feels like blue balls which are there when a man gets turned on but does not cum, so it hurts a little. No lumps are there on or in the testicles or anywhere else. No STDs of which I am sure because I had only five partners of which my ex-wife now was for last four years. All were protected sex. All tests came back normal. Only ECG said signs of hypertrophy but compared to ECG three years ago, not with any significant change so I doubt this is a reason. Also, note that the testosterone levels are fine. I usually get my eight hours of sleep but this may be because of sleep apnea. I never feel too rested. Doctor: Hello. Relax and do not worry. ED (erectile dysfunction) can be because of mainly two causes: Basically, we need to differentiate between the two as treatments for both are different. Your reports are fine (attachment removed to protect patient identity) They do not suggest any hormonal problems. I would like to have you one more test which is penile doppler with vasoactive substance injection (Papaverine). This will test whether the flow of blood in your penis is adequate or not. I feel you have a psychological cause because of your relationship with your wife and other stressful events. Moreover, it has formed a loop as now you are in the fear that every time it will not erect. So, I feel it is basically a psychological cause. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18396, + "tgt": "Are Bosniak 2F complex cysts benign?", + "src": "Patient: Hello doctor,I had an MRI of my back, and they saw cysts in my kidneys. I had a follow-up ultrasound, and one found to be complex and then a follow-up kidney MRI. In the right inferior pole, there is a complex cyst measuring 2.2 x 1.5 x 2.0 cm with multiple thick septations. Twinkle artifact is seen within a portion of the cyst, which may represent milk of calcium or wall calcification. There is no flow within septations. They said it was an IIF complex cyst and to just follow-up. Are these cysts usually benign and what do they look for on the follow-up MRI's? Currently, I am on Zoloft and birth control. Doctor: Hello. Relax and do not worry. Bosniak 2F cyst is usually benign. You just need to follow-up regularly. In follow-up, they see any change to grade 3 or 4. If change is present, then you need to get it removed. So, follow up is must at the prescribed schedule. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19352, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18799, + "tgt": "I was on Nexplanon and I did not get last three months period. What to do?", + "src": "Patient: Hi doctor, I had Nexplanon in for six months and had a period on it for three months straight. But, I did not get period for the last three months. I had it removed before 20 days and no period still. While on it, I would throw up and even after having it removed, I puked. Since being removed, my nipples have been super hard and sore all the time. I just feel off. Could I be pregnant? Or is it just the left over birth control? Before three months, I had a pregnancy test while on birth control and it was negative. The period I had while on it was light pink, then brown and then red. It only showed when I wiped. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18770, + "tgt": "I think I have a liver damage. Should I get tested for hepatitis A and B?", + "src": "Patient: Hello doctor, I just got my blood results, which I have uploaded. There are two files. One is about three months old and the other one is from today. I am afraid that I have a liver damage. Should I get tested for hepatitis A, B and C? I had donated blood four months ago and that time there was no problem. I got an ultrasound scan done five months ago along with other every other checkups. I drink two to three beers every day and sometimes, I drink wine. My weight is 83 kg with a waist size of 94 cm and my height is 183 cm.\u00a0I would appreciate any advice you can give me. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7689, + "tgt": "Does heart rate increase normally at night?", + "src": "Patient: Hello doctor, I have a question about my heart rate when I have been sleeping. I will occasionally see on my heart rate tracker that my heart rate will spike at night to average around 130 to 160 a lot during the night. But I am still sleeping, and it does not wake me up, and I am worried something is up. Kindly explain. Doctor: Hello. Are you overweight? Do you snore or have obstructive sleep apnea? Now we have to investigate whether this elevation in heart rate shown by a device is sinus tachycardia, artifacts or cardiac arrhythmia. So, you need further evaluation to diagnose. Cardiac arrhythmia without any symptoms and only during symptoms is a less likely possibility. So, either you get Holter attached which is 24 hour ECG monitoring or Alivecor kardia monitor which also shows ECG tracing. Either of these will help us to reach some conclusions. I hope this helps you and get back if you have any doubts." + }, + { + "id": 24772, + "tgt": "Should I take PEP if I had protected sex with a sex worker?", + "src": "Patient: Hello\u00a0doctor, I feel so stupid. I got drunk and ended up having sex with a CSW. She gave me oral sex and then we had vaginal sex. I did not touch her vagina with my fingers. Earlier in the evening, I had trimmed myself in my pubic area and had a slight abrasion, but there was no bleeding. I used a condom with her, and she even checked to see if it was intact, it was. Immediately after sex, she wiped me down toward the tip of my penis. I then went to the bathroom and urinated. Now, I am scared that I caught something. All this happened about 90 minutes ago. What are my chances of having caught a disease or HIV? Should I go see a doctor to get a short course of antiretrovirals as prophylaxis? I am very worried. What should I do? Doctor: Hello. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16317, + "tgt": "Kindly tell me about the cut in the mouth of a patient with lichen planus", + "src": "Patient: Hi doctor, I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male. Doctor: Hello. The cut you are referring to seems to be due to cheek bite (attachment removed to protect patient identity). I need to know if there is any pain in the cut or pain on taking any specific food or liquid. I need to know when where you diagnosed with lichen planus. And have you been taking any medicine for that? The whiteness around the cut seems the keratinization that usually occurs due to the cell growth around the cut and that is normal. I would advise you to maintain good oral hygiene and if you have pain, apply some analgesic ointment on the cut. I would also advise you to have a visit to your nearest dentist in order to rule out any other disorder." + }, + { + "id": 16126, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2093, + "tgt": "I get occasional muscle twitches and I forget to swallow. Are these symptoms of ALS?", + "src": "Patient: Hello doctor, I am a 42-year-old female, in good health aside from anxiety (currently taking 5 mg Citalopram). A month ago, I suddenly experienced muscle twitching all over both legs and this went on for two weeks. I took magnesium and it subsided and has not really returned except for an occasional twitch here or there. I am extremely concerned because over the course of the month, I have had three episodes where I forgot how to swallow for a second. It was scary and now I am afraid I have the onset of ALS. I do also have a long time habit of throat clearing. Although I have not experienced any muscle weakness, are those symptoms indicative of ALS? Doctor: Hi. Twitching of muscles can be due to anxiety as well as Citalopram. What is important is that you mention having them before initiating Citalopram. So it is unlikely to be due to the drug. If it is occasional then you should rather not bother yourself because twitching intermittently is there even in an otherwise healthy individuals. What is important is your sensation of forgetting to swallow. This is drug-induced akathisia or abnormal movement. Citalopram is known to have abnormal sensation restricted to tongue also. Hence, if you feel that this is bothersome and progressing then you may change the medicine. But my experience is that 5 mg is a very small dose to be causing side effects. These symptoms are due to your anxiety. As twitching was there before too and improved with magnesium. Your habit of throat clearing along with anxiety may be the cause of your feeling of forgetting how to swallow. I have personally seen people having this because of acidity with reflux, people with a habit of gulping food, etc., in many simple life situations. I would rather like you to assure and to get relaxed with behavioral techniques and meditation if possible. If it still persists then change of medications may be considered. As far as ALS (amyotrophic lateral sclerosis) is considered I can only say that it requires NCV (nerve conduction test), EMG (electromyography) and MRI (magnetic resonance imaging) for definitive diagnosis. About 5% have a family history. But one should get thyroid function, parathormone and Vitamin B1 tested. Because these are common and mimics ALS. Twitching if reduced should be a reassurance against ALS. I hope this helps." + }, + { + "id": 11439, + "tgt": "After laser treatment of penile papules, my penis has become dark. Is it normal?", + "src": "Patient: Hi doctor, I am 24 years old. I had pearly papules on my glans penis a long time ago. I got them removed three months ago by a dermatologist with CO2 laser. Now, bottom of the\u00a0glans penis is very dark purple in color. I have tried to put some gels on it, but had no success with that. I will attach the picture of my glans. Is this normal? Please tell me your professional opinion. Doctor: Hi. I have gone through the attached picture and provided details (attachment removed to protect patient identity). For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21749, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1072, + "tgt": "Ramipril is causing dry cough and my doctor replaced it with Amlovas. Is it safe drug?", + "src": "Patient: Hello doctor, I am a 54-year-old hypertension patient and in control with medicines Ramipril 10 mg, Natrilix 2.5 suspense release and Rosuvastatin 10 mg. Ramipril was causing dry cough and was nanaging until recently. But now cough becomes very sensitive due to current COVID 19 situation and so visited another clinic for an opinion and the doctor changed to Concor 5mg and Amaasc 5 mg at least for three months until the current situation improves as constant cough due to Ramipril concerns me and others as well. Doctor asked to reduce the dose of Rosuvastatin or to take on alternate days. My question, Are the prescribed medicines safe? I read Concor does affect the sexual drive to some extent? Although with my age not so active, but with Ramipril there was no issue on this ground. Even otherwise will the combination prescribe now benefit? Doctor: Hi. I read and understand that your concern is about the side effects of the newly prescribed drugs. Reduction of sexual drive is one of the side effects of beta-blocker group of drugs. Concor contains Bisoprolol which is a cardioselective beta-blocker. The systemic side effects of cardioselective beta-blockers are less compared to the general beta-blockers. So the effect of Concor on the sexual drive would not be that significant to affect your usual life. And the combination prescribed is safe to take. There are no significant drug-drug interactions between these group of drugs." + }, + { + "id": 18096, + "tgt": "ECG report shows some abnormality. What is the problem?", + "src": "Patient: Hello doctor,The ECG report of my father shows some abnormality. Please tell me what is the actual problem. BP 160/100. Age 65. Doctor: Hello. You have not attached the ECG here. So, please attach it so that I can interpret it. Otherwise, for hypertension, he should be on medicine so as to keep his BP less than 140/90 mmHg. So, also let me know if he is receiving the antihypertensive medicine. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5511, + "tgt": "How can I overcome the guilt of masturbating in a new place?", + "src": "Patient: Hello doctor, Three weeks ago we had a problem with water in my apartment, so the owner gave us a second apartment to use the water while they fix the issue. What happened is that day I felt the urge to masturbate but what happened on that day is that I felt ashamed because I felt that I really dirtied the place (because of masturbation) and that the apartment was not mine for me to use it that way. That made me feel shame and telling someone did not solve it. I feel this deep shame whenever I meet anyone because I feel like nobody has ever done this in such a way in such a sequence by sort of taking advantage of the place you were given just because you did not have water which makes what I did bad and I felt if someone knew about it then they would laugh at how I took advantage of this apartment situation, etc. I felt that if I stayed there then maybe it would be something common and no shame would be present. I still have the feeling that because it is scarce that I did something bad and that I am hiding that whenever I speak to any person and that they do not know I did that because it is a taboo. P.S: I do not have problem with that act, I just feel ashamed from the situation of which it happened that is uncommon and cannot shake off remembering what happened and feeling ashamed as a person in my all to day life. Since I started discovering these sexual traits as a child, I always regarded semen as an unclean thing and tend to overwash after masturbation and regard masturbation as something that everyone hides, therefore, it is bad. What can I do to get it out of my head and not feel shame anymore? Because the thing that is bothering me is how it happened like nobody gets to get another apartment and do such a thing and that is always messing with my mind. I tried accepting it but it is just not going away and causing me heavy stress and interrupting my everyday life and happiness. Doctor: Hello. It looks like you are having obsessive thoughts, as you also have history of OCD. I would suggest you to talk to a therapist and take cognitive behavioral therapy. It would be helpful for you to have control over your obsession. You can find a local therapist or we can start counseling therapy session online via video consultation." + }, + { + "id": 17592, + "tgt": "Can I grow any longer by taking HGH?", + "src": "Patient: Hi doctor, Can I grow any longer? I am 16 years old. My parents' heights are about 5'5\" and 5'0\" and my sister is 5'1\". I had my knee's and hand's X-ray and both of them are fused. Since then I have grown only an inch or two. I was 5'1\" back then now I am like 5'3\" or 5'4\" in morning. I have been taking Vitamin D supplements along with Vitamin A, Zinc, and Magnesium. Doing yoga on regular basis and body weight exercises like push-ups, chin-ups, pull-ups, and dips. I have been sprinting and skipping rope and my diet is full of protein (junk food only on Sunday). I do not know how I stunted my growth. Maybe late night cravings with junk food and also bad sleeping habits might have contributed to my short stature. I have heard men do not stop growing until the age of 21 or 25. When I compare my legs to my friends we have the same length, maybe an inch or two difference but they are like 5'10\" or 5'11\". I have hairs on my legs from a year an a half. I have little facial hair (not too much). My genitals are not fully grown but I have pubic hairs. I want to be at least 5'7\" or 5'8\". Since taking HGH will not affect my legs (growth plates ossified) but will it affect my spine? I feel like my torso is very short compared to my dad too. If I can get prescription for HGH, will taking it lengthen my spine or harden the long bones which will result in growth (2-3 inches)? I have been looking for answers online but I found none relating to spine growth from HGH. As far as I have seen in gigantism most of their height comes from their torso. If I take HGH will my spine grow like theirs too? Since I am only 16 and not fully matured. I do not want to do the leg lengthening surgery (will affect my athletic performance) and also I forgot to mention I have never got a growth spurt in my life. All my height growth has been gradual. When I looked at my friends after a long summer they shot up to 4 to 5 inches. Whereas I stayed the same. Please tell me if I can do anything regarding my height. Doctor: Hello. I just read your query and from what you have mentioned it appears that you would like to grow taller. Well, your predicted height according to your parents' height is expected to be 5'5\". Even if your X-ray shows that your bones have fused it is still possible for you to grow naturally taller until 21 years of age. Human growth hormone does not work unless a person is actually deficient in it. And, no you cannot have a targeted growth by taking it. You might cause more harm to your self than good. Your habits are good but you need to start doing more of cardiovascular exercises like cycling and playing sports like basketball which involves jumping and stretching more. Every single person is different as to when they can achieve a growth spurt. Of prime importance is proper sleep as natural secretion of growth hormone occurs at night time.So, be positive and keep up the good work. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14794, + "tgt": "I have severe pain after wisdom teeth removal. Why?", + "src": "Patient: Hello doctor, I had just gotten all four of my wisdom teeth taken out a few days back and I have bad toothaches on my left lower jaw. I have done everything. I am supposed to get the right side done too. I have been rinsing my mouth out and have not been aggressive with it or spitting it out. I have been brushing my teeth gently. I do not know why I have pain in just that one area. All the other sides are fine. Doctor: Hello. Post-extraction pain for the injury site is normal for a couple of days. The pain if persists after 3 to 4 days can be due to many reasons including some infections also. It may be due to the large unhealed wound because the third molar generally requires a surgical intervention or it may be because of a dry socket (but that is highly unlikely as you mentioned you have followed the instructions properly, but it cannot be ruled out completely). I would like you to have a visit to the same dentist for the said tooth socket in order to rule out ay other cause. I would also advise you to follow the same instructions given by the dentist after the teeth removal for the coming five days again. Maintain good oral hygiene and avoid touching the injury site with finger or tongue." + }, + { + "id": 23704, + "tgt": "My wife is recovering from postpartum cardiomyopathy. How to take care of her?", + "src": "Patient: Hello doctor,Recently my wife survived after having an attack of postpartum cardiomyopathy. She is 26 and her EF was reduced to 20 % when she was admitted. She had an attack of repetitive convulsion and her lungs got filled with gastric juice. Now after remaining hospitalized for more than two weeks (more than five days in the\u00a0ICU), she has been discharged. Now her EF is 55 %. But still, I am very worried how to manage her situation. I mean what will be the restrictions on diet, whereabouts, etc. Even now, her pulse is on the higher side (> 100) although the BP is fine. Kindly suggest. Doctor: Hello. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 5959, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13079, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26873, + "tgt": "Can I get pregnant after my ovulation dates?", + "src": "Patient: Hello doctor,My partner and I had sex on the 28th of last month. We used a condom, but I still have some doubts. The expected date of my periods is on the eighth of this month and I had sex two weeks ago. But from the last two days, I have\u00a0body ache and pain in my belly. Also, I am feeling sleepy during the day. Since I never felt like this before my periods earlier, I am worried I could be pregnant. Doctor: Hello. The symptoms you are describing could also be due to the premenstrual syndrome (PMS) which is caused by the influence of the progesterone hormone post-ovulation which can mimic pregnancy to a small extent. Although you had intercourse around the time of your ovulation, as you had a protected intercourse the chances of getting pregnant is less. So, if there is a delay in your periods, the best thing to do is take a urine pregnancy test with an early morning urine sample. That will clear off your doubts if you are pregnant or not. If it is negative, you can stay assured. And if it is positive, you can take necessary action accordingly. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25923, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15164, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10160, + "tgt": "Can knee arthroscopy cause scoliosis and pain?", + "src": "Patient: Hello doctor,I have mild scoliosis convex to the left and was wondering if a left knee arthroscopy can be the cause of my posture and/or pain issues. For example, sitting, standing. Also, having scoliosis, would that cause a blood clot (pulmonary embolism) after this surgery? With being a severe asthmatic. Doctor: Hello. Scoliosis is a structural problem and knee pain will not cause this. Arthroscopy can rarely lead to a clot formation but is not necessarily a known risk factor for DVT (deep vein thrombosis) as you are likely to mobilize very quickly and the procedure is usually short. Scoliosis does not add to the risks either. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8137, + "tgt": "My period is 3 weeks late and I have been having lower abdominal pain. Do you have any idea of what could it be?", + "src": "Patient: Hello doctor, My period is approximately 3 weeks late, and I have been having sharp lower abdominal pain on the right side. Do you have any idea of what could it be? Thank you! Doctor: Hello. If your menses have been delayed for over a week now and if it had been regular all this while, then the first thing which needs to be done is to rule out pregnancy. A urine pregnancy test will help you rule out pregnancy. If the pregnancy is ruled out, then the likely cause of sudden sharp shooting pain in the right iliac fossa could be: Both shall require an ultrasound pelvis with Doppler studies to establish the diagnosis, and both are emergencies and would necessitate surgical intervention. Another possibility is if the urine pregnancy test is positive, but no signs of pregnancy in the uterus, in that case, an ectopic pregnancy would have to be ruled out, and serum beta-hCG levels shall be required to confirm the viability of the pregnancy. If all ultrasound reports and pregnancy tests are negative, then this lower abdominal cramps can be associated with premenstrual syndrome or PMS indicating that probably your menses shall ensue in the next few days." + }, + { + "id": 2488, + "tgt": "Why is there a continuous ringing and sometimes pain in my right ear?", + "src": "Patient: Hello sir i am a student. Age 23. Five days ago i had a severe feeling of vertigo (severe headache, moderate fever, nausea, vomiting, loss of balance). This symptom started every evening and after sleeping i was totally freesh in morning. Here, due to corona pandemic i could not go to hospital. I have a chronic of history of infection in this (right ear). I hadn't vetigo in past. But have a history of fungal and pseudomonas infection. Was prescribed otosporin a lot. Eardrum was fine according to previous diagnoses. I used drop of dexcip for two days feeling of vertigo are not there now, but still some dizziness is. And there is a continuous ringing and sometimes pain and allergy in my right ear. Left ear is fine Doctor: Hello. Good to hear from you. I understand your scenario. Is your ear discharging frequently.? As per your complaints, it is suggestive towards a chronic supportive otitis media(CSOM). Are you sure your membrane is intact and normal.? Have you seen an endoscopic picture.? I understand you cannot go to a hospital now. So for the time being, start yourself not the following medication: 1. Tab amoxicillin 500 mg twice daily after food for 5 days 2. Tab montac lc once daily before sleep for 7 days 3. Tab pantop dsr once daily before breakfast for 5 days 3. Ciplox d ear drops thrice daily 4. Tab betahistine 24mg sos. Keep your ear dry at all times. Get an endoscopy done for the eat and get the discharge cleaned at the same time once you have access to an ent doctor. Infection Endoscopic ear examination, x Ray both mastoids Otitis Externa CSOM RT Medical Keep ear dry After medication" + }, + { + "id": 17309, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17469, + "tgt": "Does hair fall stop immediately with the use of Proscar?", + "src": "Patient: Hi doctor,I have been on Rogaine for 6 years and now on Proscar for 10 days. I had used it before, but went off. I cannot tell if I am still losing hair or not.\u00a0Does hair loss stop immediately once Proscar is used? Doctor: Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24406, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 37, + "tgt": "Why do I have blurring of vision even after treating viral conjunctivitis?", + "src": "Patient: Hi doctor, I am 24 years old. Three months ago, I got viral conjuctivitis after two weeks everything was fine but eyes got blurred then my doctor recommended me Tobramycin + Fluorometholone acetate suspension and Tear Naturale Forte. Then after using it for one month my vision was clear but then doctor changed eye drops to Tobarest-F and Tear Naturale Forte. Now my vision is getting blurred again. What should I do? Now I have no other problem such as redness, itching, etc., just blurry vision is there. Please help. Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). You are having post-viral SPK (superficial punctuate keratitis) in your eyes. It is a very common condition after viral conjunctivitis. It is that small whitish scar marks on the cornea which leads to blurred vision. It will take time to resolve. You have to continue drops which have been prescribed by your doctor that is perfect drops only. So no need to worry. It can take three to six months or sometimes one year to resolve. Just continue drops which you are using right now both you should use it daily for at least a month. Then you can taper the frequency of it and slowly you can stop it. Slowly your vision will improve as lesions on the cornea will get resolved." + }, + { + "id": 6201, + "tgt": "My vomit was yellow after I drank alcohol. Is it a sign of permanent liver damage?", + "src": "Patient: Hello doctor, I am 44 years old. I consumed alcohol (whiskey) last Friday, about 20 ounces over 5 hours. I do not drink often. I had my dinner after taking alcohol. The next day morning I vomited, it was yellow and no food. An hour later, I vomited again, it was green and no food. I have no diarrhea, no jaundice, no bloodshot eyes. Three days later, I have no appetite. Still, I am eating and having bowel movements. I am having an unpleasant odor in my underarms and having mild sweat constantly. Did I permanantly damaged my liver? Doctor: Hello. You consumed a lot of alcohol, very close to the toxic level, and hence you have developed alcohol-induced gastritis. You cannot permanently damage your liver by binge drinking once. However, if you keep drinking frequently, you will develop fatty liver which later on will progress to liver cirrhosis. So try to reduce your drink in the future. This recovery will take a few days. I will advise you the following medicines. If you do not get better in two to three days, then you can consult a doctor and he will suggest some tests. 1) Pan 40 (Pantoprazole), one tablet in the morning before breakfast for seven days. 2) Sucralfate syrup 15 ml twice daily after food. 3) Any multivitamin which has B6, and B12 mainly. 4) Syrup Silymarin two teaspoons once daily before sleeping. This will help in improving your liver function. I hope this helps." + }, + { + "id": 15987, + "tgt": "Will congenital deafness get transferred to future generation?", + "src": "Patient: Hello doctor, Girl's father is dumb and deaf affected. If I marry that girl (affected person's daughter), will the child born to us also be affected? And I am not dumb and deaf. Please help me to decide to marry her or not. Doctor: Hi. I understand your concern. Congenital deafness and mutism has a genetic effect and may pass to future generation but incidences are very less as compared to other congenital and genetic diseases. You may marry with girls concern. Deafness and mutism in the next generation are due to so many factors. So deafness of father should not be criteria for rejection of daughter for marriage. Now a days deaf and mutism is very easily managed by cochlear implants and few agencies are sponsoring the surgical costs as well. So need not worry and go ahead." + }, + { + "id": 23510, + "tgt": "Can tubal blockage cause infertility?", + "src": "Patient: Hi doctor, I am 33 years old. For the\u00a0past six months I am suffering from primary infertility, PCOS and diagnostic laparoscopy tubal block at right isthmus. Also, laboratory tests like Mantoux (positive), HBsAg (positive), ANA (positive) and LFT raised tests are done. The IUI done twice and my current medication is Metformin and Folic acid. Please suggest me. Doctor: Hello. Tubal blockage or fallopian tube obstruction is a major cause of female infertility. Blocked fallopian tubes will not let a sperm and ovum to unite thus interfering with fertilization. The primary and the very first step for pregnancy is the formation of zygote followed by embryo and its implantation. This step is interrupted in tubal blockage. I suggest you that if both the tubes are blocked, then there is no point in going for intrauterine insemination (IUI) and you need to go for IVF -in vitro fertilization. Before that I suggest you that you need to go for hormonal profile, D2 or D3 luteinizing hormone (LH), follicle-stimulating hormone, estradiol, prolactin, AMH (anti-mullerian hormones) and thyroid profile. After this IVF can be commenced like oocyte retrieval, spermicide collection, in vitro fertilization and embryo transfer are the steps. You need not worry about being HBsAg positive as a transfer to the baby can be prevented by giving Hepatitis B immune globulin (HBIG) and Hepatitis B virus (HBV) vaccination as per recommendation soon after the delivery. Your LFTs (liver function test) are raised and that is of concern as this may be a marker of acute viral hepatitis. I suggest you to go for HBeAg, HBV DNA and anti HBcAg-hepatitis B core antigen to know the viral replication. Being ANA (antinuclear antibody test) positive may lead to pregnancy difficulties like miscarriages due to immune rejection. This may need immunosuppressive therapy with steroids and progesterone supposition. Revert back with answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2441, + "tgt": "What is the reason for swelling around my last tooth?", + "src": "Patient: Hi doctor, I am having a swelling around my tooth. Also, one side of the wisdom tooth is infected. I feel pain over the area. What to do? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26695, + "tgt": "My physician says I am normal. But, I feel otherwise. Please guide me", + "src": "Patient: Hi doctor, I am a 34 year old male. I recently had blood work done at a hospital\u00a0near me. My\u00a0physician says I am normal and that nothing is wrong. But, the following are troubling to me: My testosterone levels are at the lower end of the normal spectrum which does not seem good considering my age and activity levels. Are not men supposed to have the most testosterone during their late 20's and early 30's? The same with my HDL. I exercise (pilates, physical therapy, and cycling) for at least an hour five times a week and often walk at least a few miles per day in my daily activities. Also, my TSH and T3 levels are at the lower end of the normal range and my T4 level is below normal levels. After doing research, I found that low T4 with low or normal T3 and low to normal TSH can be indicative of secondary hypothyroidism relating to problems with the pituitary gland or hypothalamus. I have multiple symptoms that are indicative of hypothyroidism: depression, weight gain, weakness, fatigue, low pulse rate, very low basal body temperature, cold intolerance, joint and muscle pain. My vitamin D levels are low even though I take a vitamin D supplement daily. I am currently on Sertraline, Meloxicam, and Methocarbamol. Doctor: Hello. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 25888, + "tgt": "Why is my serum creatinine level fluctuating?", + "src": "Patient: Hello doctor, I am 25 years old. My serum creatinine is now 1.3, which was 0.98 one year ago and 1.2 before six months. Do I need to be worried? Doctor: Hi. Welcome to icliniq.com. We are here to help you. Revert back with the asked details to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 16544, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7548, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 1300, + "tgt": "My brother is on Tagrisso and has persistent vomiting while eating grains. Please help", + "src": "Patient: Hello doctor, My brother os recently on Tagrisso. His recent scan is attached which shows improvement. He is vomiting while eating grains. What is the reason for vomiting and what can be done for this? Please tell me about this response to Tagrisso. If it is good? How much time does Tagrisso take for the remission if it works like this? What is the average duration for Tagrisso to become resistant? Please clear my doubts. Doctor: Hi, Welcome to icliniq.com. In reply to your question for Osimertinib (Tagrisso), Osimertinib demonstrated improvement in PFS (18.9 versus 10.2 months, HR 0.46, 95% CI 0.37-0.57) and duration of response (17.2 versus 8.5 months) relative to other TKI. The PFS (progression-free survival) benefit was consistent across subgroups, including either patient with or without brain metastases. Response rates for Osimertinib is around 80 %. To put it to simple terms, the disease is controlled for more than 1.5 years with Osimertinib. Treatment with an EGFR TKI is generally continued until there is disease progression. If there is persistent vomiting, we need to do more tests to confirm whether it is leptomeningeal (LM) disease which is diagnosed in approximately 5 percent of patients with metastatic cancer. The most common solid tumors giving rise to LM are breast cancer (12 to 35 percent), lung cancer (10 to 26 percent), melanoma (5 to 25 percent). Headache is the most common initial symptom of LM, present in 30 to 50 percent of patients with symptoms of confusion, forgetfulness, disorientation, subtle personality changes, and/or lethargy collectively referred to as encephalopathy or altered mental status, are common in patients with LM. I would request to do Gadolinium-enhanced magnetic resonance imaging (MRI) of the brain and spine which often provides important evidence of LM. The definitive diagnostic finding for LM is the cytologic identification of malignant cells within the CSF (cerebrospinal fluid)." + }, + { + "id": 26871, + "tgt": "What precautions should I take if I tested positive for swine flu?", + "src": "Patient: Hello doctor, I have a very severe cold with a\u00a0runny nose and a lot of cough and sneezing. I am taking Amoxicillin with Ibugesic plus for fever. Now, can I take any over-the-counter nasal spray which can give instant relief? Doctor: Hello. Get well soon. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22127, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18562, + "tgt": "Bleeding with clots and tissues,due to low-lying placenta. Is this placenta previa?", + "src": "Patient: Hello doctor, My wife is 35 years old and first time pregnant. She got pregnant naturally. She is running into 18 weeks and five days as of today. No history of any fertility treatment ever. Last week, she had bleeding with clots and tissues (one pad soaked each time) twice in four days interval. We consulted a local doctor and had a 4D ultrasound scan. The fetus is without anomaly but she has low-lying placenta covering the os and a 14x8 mm retroplacental clot was observed. She also has cervical polyp but the local doctor observed bleeding is not due to the polyp. Along with total bed rest, the local doctor prescribed the following: Injection Proluton (once so far), Tablet Miprogen 200 mg twice a day for five days. Tablet Texakind 500 mg thrice a day for five days. Tablet Duvaldin retard twice a day. She has a tendency of sinus and recently had cough. Hence, the doctor prescribed antibiotics also. Questions: She is still bleeding, though lesser in quantity (maybe 20-30 drops). Is the above medication enough? Do you recommend any change? Is this officially placenta previa situation? We want to fly back home on the 25th having one and a half hours flight journey. Is this safe? I read contradictory views on cabin pressure factor. Are coughing and sneezing creating jerks contributing to bleeding? Since last USG mentioned \"covering the os\", does it mean there is a very slim chance of placenta moving away from cervix os in the coming weeks? Is this small but frequent bleeding fatal to the fetus? How to determine if it is time for blood transfusion? Sorry for the long post. This is our first time and we are very anxious due to ongoing issues. Please guide us. Thanks. Doctor: Hello. Yes, the above medication will be effective and safe. The minimal bleeding will also settle down soon. Since it has been detected by scan, then definitely it is placenta previa. At this point of time, it is better to avoid journey as it may increase the amount of bleeding. The placenta will definitely move up slowly as the pregnancy advances. Since the bleeding has reduced, it will not have any fatal effects on the baby. Regular timely scans will help to know when intervention is required and your gynecologist is the right person to decide. So relax and do not worry. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12830, + "tgt": "I have twitching in the upper left chest. Is it a matter of concern?", + "src": "Patient: Hi doctor, I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the lack of sleep and the Aderall are the cause. Is there any reason for concern? It is annoying but there is no chest pain or angina. As of my last heart checkup about six months ago, I have a healthy heart. 34 years old and active but this fluttering or spasm thing is annoying and just want to make sure it is not the coronary artery or something like that. Doctor: Hello. I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possibile water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) intake. I recommend checking your blood electrolytes level together with acid-base disorders. Trying some physical procedures, like warm massage over the affected area, in addition to any anti-inflammatory drug could be of value like Naproxen. Also, checking your ECG would be necessary for excluding any arrhythmic events or any feature that would indicate any hydro-electrolytic imbalances that may trigger the above symptoms. Sleeping not-well is an important contributor for generating muscle twitching and other issues. You should be careful with the drug intake and periodically check ECG and blood parameters to timely prevent further homeostatic abnormalities. You should discuss with your attending doctor on the above-mentioned issues." + }, + { + "id": 17533, + "tgt": "My BP fluctuates often. What should I do?", + "src": "Patient: Hi doctor, I am a 29 year old male. A year ago, I had severe headache, heaviness of head and tension. When I consulted a cardiologist, he conducted all tests and diagnosed me with high BP 150/90. He prescribed me Sartel 40 mg and Amlogard 2.5 mg for high BP. I had tablets for 15 days and then checked my BP and found it normal. So, I stopped using those tablets. While taking those tablets I felt like losing balance while walking. Over few\u00a0months frequently I have been feeling burning eyes, intense heart beat and blood gets pumped with more pressure into head and body. I have some burning sensation in the bottom of the foot too. Due to this tension, I am unable to get a sound sleep. I have consulted two doctors. They said my BP is normal and sometimes higher at 130/90. How should I proceed now? Doctor: Hi. I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your blood pressure (BP) was high in the first place and they started you on medicines for high BP. I like to add that this is still not normal for your age and it will definitely go high in the years to come. My advice to my patient at this young age is based primarily on the lifestyle changes and modification of habits based on the clinical scenario they have. I will put you on diet and exercise plan and a mild antihypertensive, if needed. We will slowly shift from medicine to lifestyle change only and your health will be under control forever regarding this issue. You need medicine, but if I put you simply on medicine and that is too in such a young age, you have to take the medicine life-long. What I expect from patients like you is a complete history. Revert back with the complete history to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2469, + "tgt": "I get throat pain 10 days after visiting a mall with no fever or other symptoms. Is this Covid-19?", + "src": "Patient: Hello doctor, I am a 32-year-old female. And I have got throat pain on 22nd and met a doctor on 26th for the same. He gave me Azee 250 mg and one multivitamin for five days and I have taken it till 30th. From that day I am doing basic gargling and taking milk with pepper and haldi in the night. But yesterday I got the message that whoever visited one mall from the date 10th -17th and having any symptoms of Covid-19 should seek medical support. I visited that mall on 12th and after that, I got throat pain but it is already 22 days since I visited that mall and almost 10 days I have this throat pain. Should I consider this throat pain as a symptom? I do not have any temperature or any other problem. I called the helpline and told them that I visited the mall on 12th March but not that particular shop and told me about my current situation and the person told me to take the Azee tablet for two more days if I still have mild throat pain. I want to know since it is already 22 days I visited the mall and also my throat pain is already there for almost 10 days, do I need to worry about anything? I am very scared and panicked after seeing that news. Please help me with your suggestion. Doctor: Hi. Is there any cough or breathing difficulty or wheezing? Does anyone else in your family have similar symptoms? Is there any nasal congestion or discharge or block? Can you please take a picture of the back of the throat with open mouth showing details of the affected area and send it to me?" + }, + { + "id": 22652, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16068, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20495, + "tgt": "Kindly advise management for erectile dysfunction and itchy scrotum", + "src": "Patient: Hello doctor, As I have been suffering from an itchy scrotum and erectile dysfunction for more than two years now, I was wondering if I could receive a consultation for solving my problem. Often it could get painful and very scratchy. Doctor: Hi. I have gone through your query. From the symptoms described, I feel that the itchy scrotum and the erectile dysfunction are most likely not related to each other. Firstly, about the erectile dysfunction, was it sudden in onset or did you notice a gradual decline in the erections? Do you have erections early in the mornings? Are you able to have a penetrative intercourse? Are you a diabetic or have any other medical illness? At 35 years, the erectile dysfunction is unlikely to be anything related to the blood flow to the penis. But a doppler study with erectile drugs will be able to confirm that. If the blood supply is normal you can be prescribed drugs to enhance erections, though I would also advise a psychological evaluation to rule out the stress-induced erectile dysfunction. Secondly, the itchy scrotum will require a clinical examination to see if there are any identifiable lesions. The most likely reason is a fungal infection which can sometimes be persistent or recurrent. Your local dermatologist will be able to take some skin scrapings and confirm that. The chance of STDs (sexually transmitted diseases) causing scrotal itching is less likely. Another possibility could be intestinal parasites which can sometimes cause itching in the perineal region. Again a clinical exam to check the region around your back passage and a stool examination will help." + }, + { + "id": 13147, + "tgt": "How can wrinkles and dark spots be removed from the neck?", + "src": "Patient: Hi doctor, I have these dark spots and wrinkles behind my neck. I am a little chubby but what should I do to remove them? It does not burn or anything. I have had KT for more than two years. Is there a way to remove the wrinkles and the dark spots? Doctor: Hi. Kindly let me know your age. With increasing body weight there is an increase in pigmentation in body folds plus wrinkles as you are saying. Try to maintain your body weight in good and healthy limits. It will improve dark spots and wrinkles. For dark spots apply Vitamin C cream at one time and Retinoid cream at night time. Adapalene gel applies at alternate nights on the neck area. Apply Vitamin C cream BD (morning and evening). Use sunblock of 60. Protection from sunlight." + }, + { + "id": 16428, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9058, + "tgt": "I am 15 weeks pregnant and I have clinical depression. Is it safe to continue Valdoxan?", + "src": "Patient: Hello doctor,I am diagnosed with clinical depression. I am 15 weeks pregnant with a second child, no issues in either pregnancy and no health problems, exercise daily, healthy diet, etc. Can I continue taking my Valdoxan? I ceased taking it (under GP advice) and have been prescribed other antidepressants. Non have been effective. The only medication that has helped with my symptoms has been Valdoxan. Without it, I am moody, anxious, irritable, upset, easily stressed, and a mess. Will see GP again, and psychologist booked but need input from a psychiatrist. Doctor: Hello. I have gone through your problem and understand your concern. As of now, Valdoxan (Agomelatine) is a category B drug for pregnancy, which means this drug did not cause any adverse events on animal studies, but there are no adequate data for human use. There are only limited data of this drug during pregnancy, however considering the effect and side effects this drug can be used in pregnancy. As you have 15-week pregnancy, so the chance of fetal malformations is unlikely as the period of fetal organogenesis is over, so this drug can be used with frequent visits to treating psychiatrist and gynecology to detect early any adverse effects. I hope this helps you." + }, + { + "id": 11743, + "tgt": "Kindly suggest management for scalp itching", + "src": "Patient: Hello doctor, I had severe itching on the part of my scalp with some blackish color on the area during last month. I applied Eberclin M cream to get relief of the itching, although the cream was not supposed to be applied on the scalp. But after applying just for two days, all the hairs surrounding the area where I used the cream have gone. Surprisingly, the hairs of the main itching area where I applied the cream was not that affected. I consulted a local physician, and he told me that it might be due to the strong tendency of the cream which burnt the area or it might also be due to alopecia areata. He prescribed me a daily shampoo, R89 drops, B and T Zauberol Premium hair oil. For the past week, I am going with these medicines. However yesterday I noticed that one or two hairs here and there are regrowing in the area, but not all the hairs. I am also losing my hair on both sides of the front (forehead), in the last couple of years. Please suggest on both the matters and will it be possible to get back my hairs. Doctor: Hello. The side effects of the Eberclin M cream (Eberconazole+Mometasone) are skin thinning and dermatitis. Please do as I say. 1. Externally apply hibiscus flower oil to the scalp (or) rub the flower directly on the affected area daily, if possible. 2. Internally take homeopathic medicine, Graphites 30, two doses at bedtime, One today and second on the fourth day. One dose means ten pills. Just chew the medicine, no need to take water along with medication. Stop all other medication. Please inform me about your life next time. Are you under any stress or personal loss, etc? Alopecia areata. No combing on wet hair. Please inform me after seven days." + }, + { + "id": 15325, + "tgt": "What is the reason for abnormal sugar levels even after taking medicines?", + "src": "Patient: Hello doctor, My fasting sugar is 180 and postprandial is 165. I am diabetic and take one tablet Janumet before breakfast and another after dinner. Why is this abnormal? Kindly suggest. Doctor: Hello. The blood sugar levels are still raised as your dosage must be insufficient. I would like to advise you to tell me the dosage of tablet Janumet that you are taking along with tablet Gluconorm. According to your fasting and postprandial blood sugar, I would then be able to adjust a proper medication and dosage for you. If you have any issues following up with me, you can meet your nearest physician or your family doctor, who can do it for you. Also, you should know that exercising and diet restrictions have an important role in maintaining your blood sugars and you should follow them religiously. There are two reasons to develop diabetes. One, because of pancreas not secreting enough insulin and two, our body tissues becoming non-responsive to the circulating insulin, because of a sedentary exercise less high-calorie diet that we follow for years together. That is why exercise is seen to improve insulin action in many patients and has helped us to keep the dosage to a bare minimum. Since you are overweight, I feel you should concentrate on losing weight by doing regular exercise and following a strict diabetic diet. It may help you to get off the medications or at least not let your present situation progress. Take care." + }, + { + "id": 15790, + "tgt": "Ever since I had shoulder surgery, I have been unable to sleep like earlier. Please help", + "src": "Patient: Hello doctor, I am a 31 year old male. Avid weightlifter and I currently weigh about 208 lbs. Ever since I had shoulder surgery, I have been unable to sleep like earlier. I used to fall asleep wherever I was and stay asleep until multiple alarms would go off. These days, I am not able to sleep properly. I sleep for about one to two hours at a time, then wake up and then again sleep. I do this the whole night. It makes me quite tired the next day. I have had multiple sleep studies done and there is no apnea or lack of oxygen. I have also tried tablet Ambien 12.5 mg and that gets me to three to four hours of sleep without waking up. But, I take that only on those days I know I can stay in bed for more than eight hours to make sure I am not groggy. It does not truly knock me out/make me sleep. I have also tried Melatonin and Benadryl which showed no effects. I have also tried Buspar to see if that helped. No real effect either. I am getting stumped as to why my sleep cycle has changed and why nothing is working. Please help. Doctor: Hi. Sleep problems are mainly due to either psychological issues or actual physical problems in the body. Before actually going to the causes of physical problems, I need to know if there are any psychological issue bothering you. Start taking capsule Omeprazole 20 mg every night half an hour before your dinner for two weeks and observe the response (this is an antacid medication and not a sleeping pill). You had mentioned about your shoulder surgery. Are you on any medications for that? Or any other pain medicines? Also, you can ask your doctor for a prescription of tablet Zolpidem 10 mg every night which will give you a good sleep. But again, this is a temporary fix. We need to find the root cause to cure it. Kindly revert back with the details. Feel free to ask." + }, + { + "id": 8232, + "tgt": "What causes recurrent tonsillitis?", + "src": "Patient: Hi doctor, I am having fever and cold for the past few days. I take medicine Nimsulide Plus. The fever has gone. But the problem is that I am having tonsillitis and it is treated by many doctors but I do not know why but after sometime of treatment they happened to me again. I do not know why. Please help me. Doctor: Hello. The tonsil is at the entrance of your pharynx. So it traps most of the bacteria and viruses. So pharyngitis including tonsilitis could be due to streptococcus like bacteria or influenza like viral infection. The symptomatic management need to be done with decongestant tablet like Phenylephrine or Levocetirizine. Salt water gargle or dilute Betadine gargle is having great effect in relieving sore throat. Do not take excess spicy foods. Drink more water. If your tonsil remains enlarged then throat swab culture should be done to check for causative organism and treatment accordingly. If needed, you can consult otorhinolaryngologist for detailed posterior pharynx examination." + }, + { + "id": 14350, + "tgt": "Do people who have spina bifida develop fertility issues?", + "src": "Patient: Hello doctor, Do people who have spina bifida and have urinary and bowel incontinence also have fertility issues? Doctor: Hi. I understand that you are inquiring about spina bifida causing fertility related problems in humans. The nerve damage in spina bifida that affects urinary and bowel functions may also affect sexual functioning. It has been found that most males and females with spina bifida are fertile. Many of the issues surrounding reduced fertility in spina bifida are due to mechanical and anatomical reasons. 75% of men with spina bifida achieve erections, but maintaining erections is a problem, and some may be merely reflexive in nature. Most of these men show marked improvement with Sildenafil though ejaculation may not occur in all men. Most of the women with spina bifida are fertile." + }, + { + "id": 6394, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13907, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7894, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15054, + "tgt": "Bled after Postpone 72, but experiencing temperature and vomiting. Does it indicate pregnancy?", + "src": "Patient: Hi doctor, I had sex with my partner before ten days. She took Postpone 72 on the next day. She had bleeding after a week for four days. Now, she has temperature and vomiting for a week. Is she pregnant? Doctor: Hi. Just do a urine pregnancy test, if you think, that she is pregnant. But mostly it will be negative. Now, she has temperature and vomiting mostly due to something other reason. It could be due to gastroenteritis if she ate food from outside. Consult a nearby physician. You may require to do CBC or urine routine test. Taking oral antibiotics and Paracetamol will help. You have to consult a gynecologist to know whether she has a vaginal infection. We need to find the source of the infection and have to treat it accordingly. Mostly, it is due to a stomach infection. Drink more water. The periods can be irregular for two to three months due to the tablet Postpone." + }, + { + "id": 7711, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1176, + "tgt": "Does this root canal treated tooth of mine require a post?", + "src": "Patient: Hi,Could you please review the attached photos and x-ray taken before treatment, post root canal and post temporary filing. Please let me know whether a post is required. Or is core filling with crown sufficient? Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29252, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21567, + "tgt": "Why is there heart beat below my throat after drinking hot?", + "src": "Patient: Hi doctor, Before a month, I had a feeling of heart palpitation and some beats below my throat after having a party meal. I am a vegetarian. So after checking ECG, I started taking Pan IT in the morning and evening, Gaviscon and Ciplar for ten days. My heartburn has gone. But I have a little bit of throat pain when I yawn or swallow food. I have lost two to five kilograms weight in one month. I changed my lifestyle. I had foamy poop thrice in these days. Is it because of antacids? How long is the course of Pan IT safe? Doctor: Hi. It is safe for a short-term period, for a month or two. But if necessary then the long-term is also continued as the side effects are not very serious. So I would suggest that you have it for a week. Then make it once a day and then take in a week or two. Most probably it is due to acidity and gastritis. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food intake, sour water feeling in throat or chest burning? These are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any. If not adequately relieved, then you should add Syrup Sucral O (Sucralfate with Oxetacaine) or Gelusil (Aluminum hydroxide, Magnesium hydroxide, and Simethicone) two teaspoons three times a day for a week. Elevate the head end of the bed or use pillows during sleep and rest. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 8662, + "tgt": "I am pregnant and I have severe tooth pain. What can be done?", + "src": "Patient: Hello doctor,I am five months pregnant and I am having severe pain in my teeth since morning. I have taken Dolo 650 but the pain is the same. Doctor: Hi. Even though you are pregnant, it is completely safe to do any dental treatment in this trimester (four to six months). It is also safe to take X-rays in this trimester. Dolo 650 is basically a Paracetamol tablet which is a very mild painkiller. It can only relieve pain for less than four hours and cannot completely cure a toothache. And, other high dose painkillers and antibiotics are not advisable for you now. So, I advise you to visit a dentist immediately and get it sorted. Active dental treatment will only help in this situation. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11566, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16758, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17817, + "tgt": "I am having heel pain and inflammation from stepping on a nail head. Is this due to a bone contusion or did I damage any ligaments?", + "src": "Patient: Hello doctor, I stepped on the head of a nail\u00a0a week ago. Now, every time I step on that part of my heel, I get this\u00a0sharp, searing and burning feeling. Is this a bone contusion or did I damage any ligaments? What happened? Thank you for giving me an audience; it's extremely appreciated. Doctor: Hello and welcome to icliniq.com. Thank you for contacting us. Wishing you excellent health. If you have any further questions, consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27040, + "tgt": "Typing on the keyboard causes a shoulder pain from three years. Please help", + "src": "Patient: Hello\u00a0doctor, I have been using the\u00a0computer every day\u00a0for ten years and have developed a\u00a0right shoulder pain in the last three years. I spend seven to eight hours with the\u00a0computer and use the\u00a0right hand for the mouse and keyboard. Now, I have to use the\u00a0mouse\u00a0with my left hand due to frequent pain in the\u00a0right shoulder. If sometimes, I\u00a0use the\u00a0right hand for typing in the keyboard or mobile, then I feel a pain. I take Voveran tablet and use Voveran gel to reduce the pain. I do shoulder exercise sometimes. All these give temporary relief, but the pain starts again while using my right hand to type. I need your help in the following queries in this regard.\u00a0Has my\u00a0shoulder\u00a0got damaged due to computer use?\u00a0Is this a nerve pain or muscular pain?\u00a0What medicines should I\u00a0take for pain relief?\u00a0Can there be any permanent cure to this pain?\u00a0Looking forward to your reply. Doctor: Hello. I went through your\u00a0query. Regards. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6659, + "tgt": "I am having back pain due to physical exertion and trauma. How to deal with it?", + "src": "Patient: Hello doctor, I was practicing sports last sunday and did a flip. I kind of landed short, and the impact from my feet hurt my back. It was difficult to walk, and my back was paining, I could barely walk, and could not bend forward at all. I went to the ER, and all they did was an X-ray on my lumbar. It was clear and said it was a back strain, but I feel as if it is something more. The reason I say this is because when I first landed, it felt like something was not in place. I confirmed it when I was driving two days ago, and my Motrin 800 wore off and I could barely put weight in my seat. Pain radiated down to my leg and my butt on one side, and my tailbone felt displaced. I have been taking Motrin 800 which helps for the constant ache, but not with mobility. Doctor: Hello. Back pain following physical exertion or trauma may be due to injury to tendons, ligaments, muscles, disc, bones or vertebre, and local nerves.Any undue stress or twisting movement leads to muscle or ligament sprain leading to low backache, which is excruciating and is associated with restriction of movement. Here are a few signs that indicate significant cause that needs to be ruled out: Any bladder or bowel problems as difficulty in passing or sensing urine. Pain radiating to lower limbs. Tingling and numbness in the feet. Weakness in the lower limbs, difficulty in climbing stairs, or raising limbs due to weakness and not due to pain. If you have the above-mentioned symptoms consult a neurosurgeon, get the MRI (magnetic resonance imaging) spine done for further management. I suggest wearing a back belt or a brace to support your back. Try heat therapy by placing hot bags over the area. I suggest taking skeletal muscle relaxants like tablet Flex P (Aceclofenac and Paracetamol) 15 mg once daily for relief for not more than one week to ten days. The best treatment for low back pain is bed rest." + }, + { + "id": 974, + "tgt": "Why are baby's stools green in color?", + "src": "Patient: Hi doctor, I have attached the laboratory reports of my wife. And the baby's stools are green in color.\u00a0Please explain whether there is any chance for the baby to get jaundice. Doctor: Hi. I have seen the reports (attachment removed to protect patient identity). For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17178, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6150, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16570, + "tgt": "I got internal hemorrhoids and now bleeding on passing stools. Please help", + "src": "Patient: Hi doctor,I am in a situation that I cannot go to any hospital for the next three weeks. That is why I am seeking help from online. I am a 27 year old female and I got internal hemorrhoids and a small grape-like clump on my bum which I got long, long ago. A month ago I got constipation and this led to new fissures and was bleeding while passing stools. And there was too much pain while passing stools. Now things have become worse that even when the stool is softer I am feeling pain while passing stools. And even while urinating blood drops from my anus. There is continuous mild to moderate pain in my inner walls of the rectum. Please do help. Please doctor. Doctor: Hello. In addition to stool softeners, apply Xylocaine jelly 2 percent in the perianal area two times a day and also before and after passing stools. Take a tubful of lukewarm water and sit in it two times a day. That will help. If it does not help visit a surgeon as soon as possible. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 23247, + "tgt": "Is there any ayurvedic treatment for minor attack and heart blockage?", + "src": "Patient: Hi doctor, Please let me know if there is any ayurvedic treatment for minor attack and heart blockage. If so, what would be the treatment like? As my dad is suffering from a heart blockage and also had a minor attack recently. Doctor: Hi. I have read your complaints carefully and understand your concern. There are several causes for coronary artery blockage. But stress, anxiety, and depression are the major causes for this. They are further responsible for abnormal lipid profile and other values. There is a need to correct their lifestyle and food habits along with medicines and Yoga practices. There are some remedies which might be helpful to him. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1518, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24664, + "tgt": "I have fluctuating sugar levels. Am I diabetic?", + "src": "Patient: Hello doctor, No one is diabetic in my whole family. My sugar levels are fluctuating. My sugar levels in the past three months were 110 mg/dl, 107 mg/dl and 122 mg/dl for pre-lunch and post-lunch were 83 mg/dl, 120 mg/dl and 172 mg/dl respectively. I have never taken any medicine for diabetes. Doctor: Hello. You are not a diabetic, but some of your reports need further follow up. You seem to be in a healthy weight range. A better indicator of your blood sugar levels will be glycosylated hemoglobin (HbA1C). This is a blood test and can be done at any time of the day. This will give us a good overview of your sugar control in the last three months. I suggest you go to a reputed laboratory for your tests because laboratory errors are very common. Kindly come back and follow up with your HbA1C levels, then we can discuss further. In the meantime, do not forget to eat healthily and exercise regularly. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 12857, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16848, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20216, + "tgt": "I poop more than four times a day. Please help", + "src": "Patient: Hi doctor, My age is 22. I poop four times every day. Sometime, it increases to five or six. I feel bad with this issue. Kindly provide a solution. Thanks in advance. Doctor: Hi. There are few things that you need to note. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28098, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26615, + "tgt": "I have repeated episodes of sore throat. Why?", + "src": "Patient: Hello\u00a0doctor, I am a 25 year old female. I have been suffering from repeated episodes of a sore throat that includes nasal obstruction and pain in the throat. I was diagnosed by the treating doctor to have a DNS for left (on the basis of a CT scan) and now granular pharyngitis has been added. The frequency of these issues ranges between two to four months. I have been visiting specialists, but getting only temporary relief. The last treatment was taken six months ago and included M-cin 400 OD for five days, Dolonex DT OD for five days, Xyzal M for two\u00a0weeks, Montek 10 mg for three weeks, and capsule Rabonik DSR OD for four weeks. Now again, the episode has recurred. My chest X-ray, PFT etc. are all normal. Is there any permanent solution to the problem? The problem is more than seven to eight years old. What are the reasons for the frequent episodes? Doctor: Hello. Can you please share your CT scan reports here? If you have sinusitis, you will have a recurrent throat infection. Do revert back. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22480, + "tgt": "Why am I having a small lump in anus area and pain in abdomen?", + "src": "Patient: Hello doctor,One year before appendix surgery was done to me. Now, I have to face a problem. Two days before a small lump was found in my anus area and now left side lower abdomen has light pain. I want to know what is the problem. Doctor: Hello. I just read your query. See the pain in left side of abdomen and lump in the anal area has nothing to do with your previous anal surgery. Left sided abdominal pain may have many causes like minor causes as gas or acidity or some major issues too like kidney stones, etc. So I advise you to visit a nearby reputed surgeon so that he can examine you properly and rule out the exact problem. Once the proper cause is ruled out, take treatment accordingly. Also, he will examine your anal lump. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15518, + "tgt": "I have polymyosistis. Shall I follow my regular exercise plan?", + "src": "Patient: Hello doctor, I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5'9\". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan? Doctor: Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. Drink enough water before the workout. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period." + }, + { + "id": 30989, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1692, + "tgt": "I am facing erectile dysfunction problems for a few months now. What to do?", + "src": "Patient: Hi doctor, I am a 37-year-old male. My weight is 77.7 kg. I am facing erectile dysfunction problems. It has been going on for a few months now. I am consulting for the first time regarding my erection issue. Doctor: Hi. I hope you are doing well. Kindly let me know a little more information to guide you better. For how long you are having this complaint? Do you have a problem while masturbation or only during intercourse? Are you able to ejaculate and penetrate into the vagina? Are you a diabetic or hypertensive and on any medications? Do you consume alcohol or smoke?" + }, + { + "id": 3375, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26113, + "tgt": "I have tightness and pressure on the chest. How to overcome that naturally?", + "src": "Patient: Hello\u00a0doctor,I have chest tightness and pressure on the chest, some steep pain on the ribs and a stiffness on the upper back and sometimes I feel pain on that stiffness. How do I overcome it naturally? Doctor: Hello. I hope this helps you further. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 17550, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11327, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 11871, + "tgt": "Why am I having elevated lymphocytes?", + "src": "Patient: Hello doctor, For the past five years, my absolute lymphocytes have been 4.2 to 4.9 range, never going over 5 (I have had multiple CBC's and every single one of my absolute lymphocytes is elevated). However, they have been continually elevated to the point that I was recently sent to a hematologist who initially thought I had CLL, but the flow cytometry test came back negative, then he did a T-cell gamma rearrangement test, also negative. At that point, he decided it must be autoimmune and sent me back to my PCP. Several years earlier when all this started, I woke up with joint pain, swelling and was sent to a Rheumatologist who decided I had RA despite every RA test being negative, and the joint swelling is not following what is clinically seen in RA (my joints were not bilaterally swollen, red, or hot. They were randomly swelling in my hands, feet and were really painful). So, I refused to take Methotrexate because I had no positive RA tests and after about a year, the swelling went down, the pain faded away and I have had no other flares since that time. So, my question is, should I try to get to the bottom of my chronically elevated absolute lymphocyte and if so, are there any other tests I should have my PCP pursue? I do not want to blame it on the RA when there is no proof I ever had RA but at this point, five years of elevated absolute lymphocytes are concerning to me and I feel like it is indicative of something, but I do not know what. Doctor: Hello. If you have any type of leukemia especially CLL (chronic lymphocytic leukemia) or MBL (monoclonal B-cell lymphocytosis) then it could have been reflected in the peripheral smear examination report or in flow cytometry investigation. Your flow cytometry report is negative and hence it suggestive of non-leukemia condition. Autoimmune disease chances can be there. So for that, you need to investigate with serum ANA estimation, ESR estimation and then if needed full autoimmune cell panel can be run to exclude any possibility of autoimmune disorder. If you have chronic cold symptoms then also it can be causative for high lymphocytes." + }, + { + "id": 10071, + "tgt": "A 10-year-old girl obsess spanking frequently. Is this due to Asperger's syndrome?", + "src": "Patient: Hello doctor, I am afraid that my 10-year-old daughter might have Asperger's syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger's? Is this a symptom of it or something? Doctor: Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up." + }, + { + "id": 24678, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19256, + "tgt": "Ayurveda medicines to increase the Immunity?", + "src": "Patient: Hi doctor, I am a mother of a 3 year old. My son is suffering from cold and cough. He gets vomiting whenever he coughs continuously. Also, he gets cold and coughs very often in the last one year. Until 15 months of age, he did not\u00a0get even a single episode of cold or a cough. I am so worried about him now. His cough is very severe at night, and he did not sleep yesterday due to a constant cough. He never gets a runny nose, and I am very much concerned about this. This time, he had fever and cold initially, and his cough started after four days. Also, he lost weight due to a cough. He maintained good weight till 1.5 years of age and nowadays, it is very hard for him to gain weight. He had the same type of a cough before six months, and it was diagnosed as viral fever and cough. For a cough, I gave Ascoril-D for two days. Then started with tulsi, betel leaves, cumin and honey kashaya\u00a0once in the morning and once at night. Kindly tell me some remedy for his cough. Also, how to increase his immunity as well as weight? Doctor: Hi. To improve his immunity, please follow the below advice: For further information consult an ayurveda specialist online -->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13020, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30451, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24133, + "tgt": "I get anxious with the thought that I am infected with rabies. What can I do?", + "src": "Patient: Hello doctor, I have been anxious since I thought I was bitten by a cat last year. I am pretty sure that I am immune to rabies because I was not bitten but the problem is, every time I feel something in my body, I get really anxious because of the thought that the illness was caused by rabies. My mind thinks I am infected but I am really not. Is there something I can do? Doctor: Hi. You seem to have a phobia about rabies. You could benefit from counselling. If that does not work, then you might need anti-anxiety drugs. Practicing meditation can also take your mind off it. Basically, you need to divert your mind elsewhere. The less you think about it, the less it will bother you. In a few weeks, you will see that the intensity of the phobia has significantly decreased. The key is to ignore these thoughts, however pressing they may seem. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19462, + "tgt": "In frozen embryo procedure, are shots necessary or will suppositories do?", + "src": "Patient: Hello doctor, When doing a frozen embryo transfer cycle, is it absolutely necessary to use progesterone in oil shots or will the suppositories work the same? Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back. All the best. For more information consult an infertility specialist online --> https://icliniq.com./ask-a-doctor-online/infertility-specialist" + }, + { + "id": 18672, + "tgt": "How long will it take for my father to recover from TB?", + "src": "Patient: Hi doctor, My father aged 74 is suffering from TB and is under medication for the same since 15 days. There was a bronchoscopy done, which diagnosed the ailment. It has been two weeks since he has the medicines, but he is still feeling very weak. His appetite is very low. Also, he makes a sound while breathing and feels breathless when he is served food. He is unable to sit for more than 5 minutes and always lies down. He has chills and sweats too. I wish to know when he can get rid of these symptoms as his medication is already started. The improvement I see is only minimal. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 6148, + "tgt": "What are these bumps on my tonsil?", + "src": "Patient: Hi doctor, I have two yellowish tint flesh colored bumps are connected on my tonsil. They form an alphabet \"B\" if you look at the side of them. They do not hurt and it is smooth with no irritation. I have had allergies and stuffiness for months now. I am really scared of HPV. I am a hypochondriac. I do not know when they showed, but I noticed them recently. I am currently on birth control pills and Claritin. I went to a dentist and he did not think that it is related to HPV. Please give your opinion. Doctor: Hi. Revert back with the answers to the above questions to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12230, + "tgt": "Is brown discharge during pregnancy a reason to panic about miscarriage?", + "src": "Patient: Hi doctor, I am 36 years old female, who is 6 weeks and 4 days pregnant. I take Gestofit 300 once daily and Fertigyn 5000 twice a week.\u00a0I am on complete bed rest. I get a slight amount of brown discharge occasionally. Should I panic about miscarriage? I am afraid because I had two miscarriages, one at 7 weeks and the other at 11 weeks last year. Please help. Doctor: Hi. At 6 weeks 4 days, you can have a scan, if it is still not done, to confirm the fetal heartbeat, as the baby's heartbeat only can confirm the health of the baby and to see the decidual reaction. Brown discharge only means that it is old blood and implantation bleeding. When the embryo bores into the decidual lining of the uterus, it causes few drops of blood to come out. This blood comes out of uterus a few days later as brown discharge. It is normal and nothing to worry. Do not worry about the history of miscarriages, the chances of repeated miscarriages are only 3 %, which means 97 % chances of healthy pregnancy. For your information, bed rest is not needed. No matter what history you had, the baby does not get attached to uterus mechanically, rather by chemical attachment. So, whatever you do, the baby will stay attached to the uterus. Pregnancy is not an illness, so enjoy every moment of pregnancy with good health and lots of prayers. Baby will do fine. Medicines are fine, Gestofit (Progesterone) makes the uterus relaxed and reduces the likelihood of bleeding from the decidual layer. The best method would be to insert the capsule Gestofit 200 mg or 300 mg vaginally twice a day, as the dose reaching the uterus will be the highest with no side effects of the hormone. Injection Fertigyn (Human chorionic gonadotropin) improves the decidual implantation of the embryo. If you already had a scan and health of pregnancy has been confirmed, I suggest you try Proluton depot (Hydroxyprogesterone caproate) 500 mg injection, intramuscularly once in every two weeks until 12 weeks of gestation. It will not allow any further bleeding from the uterus. Consult your specialist doctor, discuss with him or her and take medicine with their consent. Hope I have clarified your doubt, do write back if you have any more queries. All the best. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21203, + "tgt": "I got pregnant outside marriage and feel ashamed. How can I deal with this?", + "src": "Patient: Hello doctor, I am pregnant without being married. My boyfriend cheated me. I cannot contact him as he blocked me. I feel so ashamed to see my family. Until now, I never told them that I am pregnant. I want to die. I am mentally disturbed. What should I do now? Doctor: Hello. You do not need to die. Be bold and confident. Take a decision for your pregnancy/child. If you are not enough ready to take responsibility of your child, then go for medical abortion. You do not need to ask anyone for it. Take an appointment with your gynecologist. Talk to your close friend or any close family member. Do not be afraid to take help from a close one. It may be possible they may get angry at you but they will surely support you. Suicide is not a solution to your problem. Fight with your situation. Learn from this for your better future. Next time, use proper contraception or do not trust blindly. Every problem has a solution. We just have to work on it. Do not fear to talk. There is a beautiful life ahead to live. You have to talk and do. Take help from a gynecologist and meet her personally." + }, + { + "id": 15734, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19715, + "tgt": "Is it possible to maintain pregnancy by increasing thyroid tablet dosage?", + "src": "Patient: Hello doctor, I am pregnant of seven days after the last period date. I am using 50 mg of thyroid tablet at present and I did the thyroid test three days back due to faint line UPT and beta hCG is 306 mil. The thyroid test result is TSH is 8.3 and T3 and T4 are normal. What can I do? Is it possible to maintain the pregnancy by increasing the dosage of thyroid tablet and any ingestion taken for carrying the pregnancy? Please help. Is there any Ayurveda medicine for reducing TSH? Doctor: Hello doctor, I just read your query. See pregnancy is a very crucial phase of life. First of all, do not self-medicate. Increase or decrease of medicine should be left on your doctor. Pregnancy with hypothyroidism can be maintained accurately under the supervision of the doctor. At this point, do not try any other medicine or any home remedies. Just keep on taking your thyroid medication regularly according to your physician's advise because fluctuated level can affect the health of mother and baby. Go for regular check-ups to your gynecologist and enjoy this phase. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18186, + "tgt": "What can be done for atrial fibrillation in a patient with stent?", + "src": "Patient: Hello doctor, My grandfather is experiencing atrial fibrillation. He got stents 20 years back. Doctor: Hello. There is nothing to worry about it. It is common in elders and heart patients. There are two aspects of treatment, one is to control the heart, which is already controlled in ECG report (attachment removed to protect patient identity) and another is to have blood thinners to avoid the risk of stroke. So, he has to be started on blood thinners like Dabigatran or Rivaroxaban to prevent stroke. This is an addition to other blood thinners like Aspirin. Also, his ECG printed report is showing a slow ventricular rate, so his drug should be modified to achieve a heart rate between 60 to 70 per minute. Otherwise, he may get dizziness if the heart rate is very low. So, discuss these issues with your local doctor. Overall, with medicines, this is not worrisome usually." + }, + { + "id": 16743, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15315, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18234, + "tgt": "Why are there calcified plaques in the coronary arteries?", + "src": "Patient: Hello doctor, My father had a stent surgery two months back. After that, he has been feeling a burning sensation and deep coughing. Yesterday at his CT scan, the left anterior descending artery had a calcified plaque with proximal LAD of moderate intensity of more than 70%, and also a densely calcified plaque was noted. Calcified plaques were noted at the ostium. The left circumflex artery was noted between 50% to 70%. The obtuse marginal plaque was noted with 40% to 50% stenosis. Kindly suggest the severity of the disease. Doctor: Hello. If the patient had a stent surgery then why he is only on aspirin? He should be on dual antiplatelet, high dose statin, ACE (angiotensin-converting enzyme) inhibitor and a beta blocker. Please revise the medication chart. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. A coronary angiogram only tells us that disease is present in a specific artery and does not tell the extent of the disease. If the patient is symptomatic then he should check angiography to assess the extent of the of disease present. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30710, + "tgt": "Can I-pill mess up menstrual cycle?", + "src": "Patient: Hi doctor, I had unprotected sex two days before my periods due date and consumed an I-pill within 24 hours. Now my period is five days late. I have tested using a home pregnancy kit and the result was negative. I am getting a clear vaginal discharge. What are the chances of me being pregnant? Should I repeat the test? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10578, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16893, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10533, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 793, + "tgt": "Kindly explain about the symptoms of autism", + "src": "Patient: Hello doctor, I have been to a councellor before at my high school about symptoms of anxiety and she told my mother that I may have symptoms of an autism disorder. I do not really know what to look for symptom-wise but I have done a little research and so far this is what I experience (almost daily); being easily irritated, I do not like doing things spontaneously. I need to plan it out beforehand, I much prefer to work alone than in groups, I fidget a lot, I have always been overly emotional, being extremely sensitive to criticism, daydreaming/zoning out especially in school, and excessive talking. I am 18 and female, also sorry about the long list. Doctor: Hello. Firstly please do not feel sorry about the long list, Please relax. This does not sound like autism to me. In autism, there are issues with social communication, verbal communication, repeated stereotypic behaviours which I do no\u2019t see in your description. What it looks like is that you have issues in managing your emotions and possibly relationships. I suggest you to maintain a journal where you document about the events which have been troubling you and then you can discuss with me about specific events so that psychotherapy can be started to help you." + }, + { + "id": 15256, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6371, + "tgt": "Can enlarged lymphnode cause change in basophil count?", + "src": "Patient: Hello doctor, I have been having multiple issues for one year now. Mostly around lack of energy, feeling spaced out, feeling faint, weight loss and stomach. For 8 weeks, my occipital lymph node is hard maybe about 1 cm in size. It is in line with my left ear lobe and on the hairline. So not right behind my ear but more towards the back of my head. I have been having strange on and off headaches, shoulder aches or flu like symptoms but without fever. I can feel good for a week then I am just whacked out tired and low for a week. Physical activities just makes me feel weak and shaky. Last night I woke up in the night with random face, ear, neck itching but not all over. It would be pin point and changes position. Never had this in my life. I also have low testosterone and using Testogel for nine months. My last two blood controls showed all bloods to be normal with basophils at 1 % but the absolute basophils were 120 ul (normal range states 10 to 70 ul). The second control from one week ago showed same results. Bloods from one year ago showed normal absolute results and a lower basophilia percentage at 0.7 %. Sometimes, I am also having episodes where it is like an allergic reaction and I cannot breathe so good or my throat is closing. This is quite frightening and I get panic. Usually sleep helps this. So I am wondering if there is a link between the node and the absolute basophils. Do I need to get any further tests? Doctor: Hello. I have read your concern and below is my opinion for your case. The itching, headache, flu like symptoms and throat blockage are suggestive of some form of allergic inflammation of upper respiratory tract. The basophils count is also slightly high, so allergic inflammation seems most likely (attachment removed to protect patient identity). During that allergic episode you can be prescribed Levocetirizine plus Montelukast combination for five to seven days. The allergic inflammation can cause fatigue as well. If your fatigue is persistent than investigate further with calcium estimation, serum TSH estimation for further work up to exclude any low calcium and hypothyroid problem. For allergy, you can be investigated for allergy testing by allergy specialist doctor to find out causative allergen. The enlarged lymph node can be reactive enlargement of lymph node. But if it is persistently enlarged, then investigate further with FNAC for further work up to rule out nature of enlarged node. The node can be enlarged due to allergic inflammation as well. So it can be related to high Basophil. Your cholesterol value is also slightly high. So, you need to control fat intake in diet and do regular exercise. If you are obese, then lose weight by diet and exercise. Finally, let me tell you that anxiety and chronic depression also can cause weakness. So if any such history is present then let me know about that." + }, + { + "id": 822, + "tgt": "What to do for puffy nipples after liposuction?", + "src": "Patient: Hi doctor, I am an 18 year old male. I had liposuction a year before for gynecomastia. I have been in perfect shape for a while. I have gained a bit of weight recently and noticed the development of puffy nipples. This is bothering me very much. I need some guidance. Please help. Doctor: Hi. For further doubts consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 11751, + "tgt": "Will overthinking make a person anxious during intercourse?", + "src": "Patient: Hello doctor, My wife and I had some argument about my past. I had lied to her about the number of sex partners I had. That hurts her because she explained that her perception of me was built on the fact that she knew that I only had a few sex partners. We have been discussing this for months, but now after having these discussions and arguments, I realize that when we are to have sex, I get anxious. I will get an erection, but when its time to enter, it falls. I want to know, how to get my mind to a place of not over thinking so that I am not distracted. Kindly help. Doctor: Hello. I am happy that you did understand that the problem behind your erection is, the problem is related to stress and anxiety which is stemmed out of the differences between you and your partner. That itself is the first step of the problem solver. Now the remedial measures are, 1. Do not attempt to have sex when you have the thought and related stress in your mind. 2. Start relaxation breathing for 10 minutes at least once per day. 3. Start physical exercise for one hour daily 4. Write down the cause and effect of the problem you are now facing with all the details. Then clear it logically alongside what you wrote. You may have to write this for two weeks to get the desired result. Take care." + }, + { + "id": 12955, + "tgt": "Is it normal to have a lot of vaginal discharge?", + "src": "Patient: Hello doctor, I am producing a lot of vaginal discharge. The discharge does have a smell but it is not fishy, kind of smells sweet. I am not sure how to describe it. There is no burning or itchy feeling. It is just uncomfortable with how much I produce and I can smell it. It is also white and clear. Doctor: Hello. Sometimes, increased discharge is normal and is associated with the cycle. During mid-cycle discharge increases and it is clear and watery and non-odorous. If it is not itchy and does not have a smell like fishy odor then it can be observed for a few days. Otherwise, you can take tablet Metronidazole 400 mg three times a day for five days to get relief. Also, avoid nylon undergarments and ensure good personal hygiene." + }, + { + "id": 5217, + "tgt": "My TSH level is 18. Is it necessary to take medicine continuously?", + "src": "Patient: Hello doctor, Four months before I found that I have thyroid with high TSH 18. Then I put off some weight and did morning walk and running, then it decreases to 14. Now I left the exercise because I met with an accident. Now I have done my test again it was 18 again. Now I consulted the doctor but he said that I have to take medicines lifelong. It was really shocking for me and he prescribed me Thyrox 50 mg and Pure D3 60000 iu for four weeks and Rabeprazole 20 mg. But I am nervous and confused about taking this drug because I read somewhere that once you started taking this drug it will replace your thyroid hormones. Then you have to take the medicines life long. My weight is 80 kg, BP 110/180 mmHg, T3-0.98, T4-7.62 and TSH 15.98. Now kindly suggest me what should I do? Is it necessary to take the drug or is there any alternative? Please help. Doctor: Hello. First of all, you must have to understand the problem. You are suffering from medical condition called hypothyroidism. In this condition, the thyroid hormone production decreases. Thyroid hormone is necessary for the metabolism of the body and in the absence of this hormone body metabolic rate reduces and the person starts gaining weight. When thyroxine hormone decreases, TSH (thyroid-stimulating hormone) increases which trigger the thyroid gland to produce more thyroid hormone (T3, T4), and raised TSH level in the blood is a diagnostic factor, this is raised in your case. Management: We have to give thyroid hormone preparation in the form of thyroxine which comes under various brand names like Thyrox and this is necessary for body metabolism. Otherwise, you will have to suffer from some other medical problems, so it is advisable to continue this medicine as advised by your doctor until your TSH level become normal. Then you can again consult your treating doctor or us for further plans until then you must take it. Frankly speaking, there is no alternative to this. Here I noticed that your BP (blood pressure) is 110/180 mmHg. It is surprising that the diastolic is more than systolic. I think there is some typing error so again check your BP and tell, as this is suggestive of that you are hypertensive too, so you must start some anti-hypertensive medications. Rabeprazole is medicine for hyper-acidity. Advise: Weight reduction and salt restriction." + }, + { + "id": 2566, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16179, + "tgt": "I want to delay my periods as I will be travelling. When to start taking the pills?", + "src": "Patient: Hi doctor, I am 21 years old. My date of period is 16th and it got over on 20th. I need to travel. If I start taking pills 15 days prior to my date, will it delay my periods? Doctor: Hi. In case you want to postpone your periods, then start taking the medication a week before your scheduled periods and then you can postpone the periods. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22341, + "tgt": "Why am I suffering from fever and cough after protected intercourse?", + "src": "Patient: Hi doctor, A few days ago I just had sex like thing. It means my penis touched vagina and proper sex did not happen. My sperm came out but my penis was covered with a double layered condom. Now, I am suffering from fever and cough. Doctor: Hello. Went through your post, as you have mentioned that you had used a condom, it is not possible that you could get an infection that is related to that sexual encounter. Do you have anything like cold, sore throat, cough or loose motions, abdominal pain which could cause fever? For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5585, + "tgt": "I have white spots on the left side of the gum and a small lump on my left chin. What to do?", + "src": "Patient: Hello doctor, I have white spots on the left side of my gum and it hurts really bad. I have a sore throat and a small lump on my left side of my chin that hurts when I touch it. What do you think this is? Doctor: Hello, Welcome to icliniq.com. Regarding your short history, it seems that you may be having a gingival abscess or pericoronitis (if the last erupting tooth is involved). However, the picture of the lesion would have made things clear as to which site is involved and the state of the tooth involved (if it is carious or not). Still, it seems that you are having an infection and the lymph nodes are involved which relates the lump on the left side. The sore on the gum may be an aphthous ulcer or sinus opening as both are white, but sinus opening might be somewhat eruptive (nodule like). The sore throat is due to the infectious condition. So I think it might be a gingival abscess. The treatment requires a regime of antibiotics, analgesics and mouth wash. You can take Amoxycillin 500 mg and Clavulanic acid 125 mg two times (BD) for five days. Ibugesic acid (Ibuprofen and Paracetamol) 400 mg twice daily for five days and Chlorhexidine mouth wash thrice daily for two weeks. IOPA (intraoral periapical radiograph) to related tooth. Pericoronitis, gingival abscess, periodontitis. As mentioned above. Upload a picture for proper diagnosis and treatment." + }, + { + "id": 12221, + "tgt": "What is the treatment for soreness in penile shaft?", + "src": "Patient: Hello doctor, I have a sore at the middle of my penile shaft. I believe this was due to excessive masturbation and having sex when it was sore and hurting, to begin with. It seems like it is healing up, but I want to make sure. There has not been pus, discharge or pain from peeing. Just the irritated spot has been sore. The skin has turned dark there as it is healing I presume? I have been having sex with the same person for over two years so I do not think it is anything she gave to me as she is clean. I am just hoping this is not some sort of STI. Doctor: Hello Welcome to icliniq.com. Usually, whenever soreness is present over the penis we have to rule out herpes or syphilis. But I have seen attached image (attachment removed to protect patient identity). It does not look like any sexually transmitted illness. For a few days, it is advisable to stop masturbation and you can apply topical antibiotic cream over that. If no improvement, then you have to consult a dermatologist for detailed evaluation." + }, + { + "id": 10485, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 835, + "tgt": "Please suggest some siddha medicine for PCOD and hirsutism", + "src": "Patient: Hi doctor, I have symptoms of pcod. I have excess facial and body hair along with acne and irregular menstrual cycle. It takes two to three months between a cycle. When menstruation occurs, it will last for up to two weeks. Please suggest me some siddha medicine and diet to cure the pcod problem and hirsutism. Thank you. Doctor: Hi. First of all you must take purgation for PCOD (polycystic ovarian disease) and hirsutism after that you should start with medication. All siddha medications are not practically available. Some medicines are mixed in combination and are prepared by ourselves for better efficacy. I suggest tablet Abhyathimotak two tablets for one day only for purgation. Then, continue Kumari legiyam 5 g twice daily. I also suggest Syrup Meryton 10 mL twice daily and tablet Meryton two tablets thrice a day for 15 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a siddha medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 2577, + "tgt": "Based on my brother's MRI report, is stenting required for pancreatitis?", + "src": "Patient: Hello Doctor , My brother (age 22) is having severe abdominal pain and he has history of pancreatitis . He is currently in the hospital and yesterday MRI was done. Below is the highlight of MRI Report Reports : \" Pancreatic body and tail appear mild atrophy with peripancreatic fat streakiness .Accessory Pancreatic duct draining the body and tail region , appear dilated ~4.2mm with irregular wall and drain separately into minor papilla. Main Pancreatic duct is dilated ~9.6mm and joint to CBD forming common channel of length ~17mm before drain into duodelenum. Distal end of common duct show a hypnointense calculus of size 6.4mm. A hypnointense calculus is also seen at proximal part of main pancreatic duct. Liver appears normal in size , Portal venous system appears normal . Gall Bladder appears normal in appearance and wall thickness. No e/o calculi detected, CBD is dilated ~11mm with dilated IHBR. Spleen appear normal in size Visualised portions of B/L kidneys appear normal in size.\" Now doctors are saying we need to do stenting. I wanted to know why stenting is required and is it necessary at this stage? what will be the complications after stenting ? What if we don't do stenting now? what are the alternatives for stenting ? Doctor:" + }, + { + "id": 30429, + "tgt": "My wife was given different opinions from two doctors. What shall we do?", + "src": "Patient: Hi doctor, My wife, who is 23 years old, has autoantibodies SSA strong positive 3+, SSB borderline positive and RO52 strong positive 3+. She lost her first pregnancy last year, because CHB was found on fetus by TIFFA at 19 weeks with fetal hydrops bradycardia. Now, she is\u00a08 weeks pregnant. Our obstetrician planned the treatment as Aspirin 75 mg once daily, Enoxaparin 20 mg daily, Progesterone\u00a0200 mg tablet once daily and Dailyfol. She also planned to start fluorinated steroids from 12th week and immunoglobulin from 16th week. When we went for a second opinion two days back, fetal medicine specialist found large subchorionic hemorrhage and advised just to stop Enoxaparin. She advised us to come back again after a month as it is a high risk pregnancy. Why did she say so? Later, we consulted our obstetrician and she also advised to stop Enoxaparin temporarily because it is necessary for controlling antibodies. She advised Duphaston 10 mg twice daily, Xamic 500 mg twice daily\u00a0in addition to the above and asked us to have a review after three days. We need a clear direction now. Can we prevent CHB with the above medication? Is really\u00a0there a need for Enoxaparin? Who is the right person to follow? Should she get steroids for prevention of CHB? She has morning sickness and back pain from the beginning of pregnancy. Doctor: Hi. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 10048, + "tgt": "What are the causes of brown discoloration of the skin around the fingertips?", + "src": "Patient: Hello doctor, I have a brown discoloration of the skin around my fingertips. What is the reason? Doctor: Hi. Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 24034, + "tgt": "CALR Exon 9 mutation is detected. Do I have to worry?", + "src": "Patient: Hello doctor,I am a 46-year-old male. A month ago, I had a heart stroke and underwent angio for blood clotting thrombus. My CBC report at that time shows a platelet count at 24 lakhs. I received CALR Exon 9 mutation analysis report today. It reads \"CALR Exon 9 mutation is detected by PCR amplification of Exon 9 of CALR, followed by sequencing of coding and junctional region of the Exon. The sequence is compared with the reference sequence NM-004343 for the analysis of mutations.\" Hematologist prescribed me Anagrelide 0.5 mg. Do I have to worry? Can it be cured by medication? Doctor: Hello. You have very high levels of platelets which are called 'primary thrombocytosis' or 'essential thrombocytosis', which was confirmed by CALR Gene mutation test. This condition will results in either clots or sometimes bleeding in any part of the body. There are few treatment options available to control the disease, Anagrelide is one of them, which is supposed to be taken along with Aspirin. Please consult a hematologist who will monitor the condition and give you treatment. Please discuss with the hematologist if you can be tried on Hydroxyurea instead of Anagrelide which is a better drug. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26370, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7500, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 286, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 29755, + "tgt": "My sister's seizure is almost 80% under control. Is it still necessary to take high dose medicine?", + "src": "Patient: Hi doctor, I would like to start by thanking you for the advice you may provide. This is regarding my sister, who is 16 years old. When she was younger, we noticed she would have these moments where she would just blank out. There were no body movements or other concerns, she would just zone out for a few seconds. When we told her PTP these concerns, he played it off as her just being a kid and zoning us out. But as time went on, we knew it was not that. We found her a new PTP and he did refer us out to a neurologist. Before four months, we were told that she had petit mal seizures. We did notice that when she had a seizure she would say huh and what. But, that was all that changed and she would sometimes just zone out and just repeat this even if nobody was talking to her.\u00a0The doctor wanted to start her with Ethosuximide 250 mg pill one in the morning and one at night. We noticed a great improvement. She still had the small seizures, but they were greatly cut down. But, she began to feel very tired, sleepy and would get headaches. On her next visit the doctor was not satisfied with the results. He said we would have to keep raising the amount of pills until she was 100% seizure free. But, I have read that some neurons are fine with an 80% improvement. Which is correct? I told him about her side effects, but he said it was normal. It would now be two pills in the morning and one at night.\u00a0This is where we came to see some trouble. Her headaches began to make her cry. She started to fall asleep in class and would get just want to be left alone. We called the doctor, but we just got the nurses who said they will leave a note for him and get back to us. He never calls and would talk to us during her next appointment. As we could not like seeing her suffering, my mom told her to just go back to her one pill in the morning and one at night. She is still sleepy, but was not crying over headaches. On her next visit the doctor was under the assumption that she had continued taking the three pills. His concern was if that had eliminated her seizures, which had not. Just like when she was taking two pills, in the beginning, the seizures were drastically cut back, but they were still there. He decided to put her in Lamotrigine 25 mg. He said to go back to two Ethosuximide pills and when she finished what she had left to start on Lamotrigine. Then, her finals week came along. She was sleeping less and was always studying. One day, with everything going on she forgot to take her medication. The next morning at around 9, she still had not had the chance to take her morning pill when she had her first ever tonic-clonic seizure. Can this happen from not taking medication for one day?\u00a0We took her to the ER. They ran some test and was told everything was fine and asked her to follow-up with her neurologist. I called the doctor and once again got the nurse. And was told while reading the notes, it seemed like he had wanted her to start her Lamotrigine pills while still finishing up on her Ethosuximide. They said they started her with 25 mg of Lamotrigine just to see if she did not develop a dangerous rash, but if not they would up her Lamotrigine dose. She had to take Ethosuximide until she ran out and would just continue taking Lamotrigine. She would be eliminating two 250 mg of Ethosuximide for one 25 mg of Lamotrigine. Will randomly cutting two Ethosuximide do her any harm?\u00a0When I told my sister this she refused to even touch Lamotrigine. She has pretty worked up from the ER scare and says she does not want to go back if she gets the dangerous rash. She is currently taking two Ethosuximide. I have noticed we are back to about one small seizure throughout the course of a day or two. Since the neurologist told us she had to be 100 perfect seizure free, my mom was thinking of following the neurologist's request to have her take three pills, since with two she is still getting some seizures. But, she was wondering if instead of two in the morning and one at night can she take one in the morning and two at night? This way, if she feels sleepy she is at home and not school and can go to sleep. My dad also read Omega 3 is good. But he got supplements at claim to have 2,000 mg. Is that too much? I know this is a lot of information, but I really need some sort of guidance. This situation is stressing our whole family. Once again thank you for everything. Doctor: Hi. I read your query and understand your concerns. Revert back with the details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27947, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18026, + "tgt": "I had bleeding after taking morning-after pill. Does that mean I am not pregnant?", + "src": "Patient: Hi doctor, If I had unprotected sex on the 29th of last\u00a0month, took the morning-after pill a few hours later, and today on the 14th, got my regular period which was due today, does that mean I am 100 % not pregnant? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4359, + "tgt": "My acute gastritis pain recur after stopping the medicine. Why?", + "src": "Patient: Hello doctor, I was diagnosed with acute gastritis a few weeks ago. There was no pain while taking the pills but now they are over, the pain has started again. The doctors said that I do not need to be on them anymore. Is it possible that the pain is related to gastritis? Doctor: Hello. Acute gastritis pain usually subsides as the infection subsides. Is there any post-prandial fullness, early satiety, burning or pain? I hope there are no alarm symptoms like difficulty or pain during swallowing, weight loss, excessive vomiting, or any family history of upper GI (gastrointestinal) malignancy. At your age, the above symptoms are highly unlikely. At this stage, according to recommendations you can either continue Omeprazole 20 mg twice daily (or any other PPI) for four to six weeks or get yourself evaluated for H.Pylori antigen (by non-invasive means), or get an initial upper GI endoscopy done to rule out peptic ulcer disease. What I would suggest is to wait for some time and continue Omeprazole 20 mg twice daily (or any other PPI) for four to six weeks. If still continues you might need to get an H.Pylori screen test or upper GI endoscopy done. You can also try some lifestyle modifications like eating smaller, more frequent meals, avoid high fat and capsaicin containing diets. Eat less spicy food, stop smoking and alcohol if you do. Avoid Aspirin or other pain medicines. You can also limit your coffee intake as it may aggravate your symptoms. I hope this helps." + }, + { + "id": 27371, + "tgt": "Can I give regular multivitamin along with cough syrup to my 3 year old son?", + "src": "Patient: Hi doctor, My 3 year old\u00a0son is suffering from cold and cough. His\u00a0doctor prescribed Rapitus plus along with Levolin inhaler for three days, Foracort inhaler two puffs daily (once in the morning and once at night) for three months. I am giving him Zincovit, Immuno Bliss and Septilin regularly. Can I give the regular multivitamin supplement\u00a0along with Rapitus\u00a0plus? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1687, + "tgt": "I have severe tooth pain with large tooth cavity. Please suggest solution", + "src": "Patient: Hi doctor, I have a severe toothache that prevents me from sleeping and eating, and there is a big hole in my teeth. I am currently using Tylenol. Doctor: Hi. Thanks for describing your dental pain. It clearly indicates that the tooth is visibly decayed and gone deeper to involve the nerves and blood vessels of that particular tooth. Ideally, there will be sensitivity if the first two layers of the tooth are affected (enamel and dentin). If the third layer (pulp) is involved and further the bugs percolate inside the length of the teeth, then the symptoms you feel would be there. Now the situation looks like you must visit a nearby dentist for either root canal treatment or extraction depending on your preference. The steps involved would be an x-ray first to check the shape of the roots of the tooth (two or three roots if it is a molar tooth). You sound like an emergency, please visit the hospital or ring the dental practices who attend patients with an emergency during the COVID-19 times. Also, adding that pain killers will not help you come out of this for not more than three hours. I highly recommend you to visit the dentist closely." + }, + { + "id": 30193, + "tgt": "What are the side effects of barium poisoning?", + "src": "Patient: Hi doctor, My barium level shows greater than 50. I do not drink or smoke. Currently, I am on Winolap for urticaria. I need some help on this. Thank you. Doctor: Hi. Revert back with the answer to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25900, + "tgt": "What medicines can treat an intermittent cough and cold in a kid?", + "src": "Patient: Hello doctor, My 2-year and 8-month-old daughter is having a cold and cough for the last two weeks. Earlier I gave her Maxtra and Levolin for five days. She had a cough for two to three days and it got settled. But, the cold was still there. So, I gave her Xyzal for three days with improvement in the cold and now again the cough has started. She is coughing in every 30-minute interval. What shall I do? Previously, she was down with typhoid fever one year ago and the immunity is very low now. Doctor: Hello. A frequent cough and cold are common in children in this age group unless it is associated with a high-grade fever. Do not panic. I suggest you give her some Mucolitic (Carbocisteine) syrup and an antiallergic or an antihistaminic syrup. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. In case there is an associated fever, consider an evaluation with a pediatrician before starting any antibiotics. For more information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 13664, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4837, + "tgt": "Will masturbation cause weak handgrip?", + "src": "Patient: Hello doctor, I am 26 years old. For the last 10 years, I am suffering from very weak hand grip strength. At the age of 16 it started and grip strength was negligible for like four years. Then I started working out with hand grippers and the condition has improved a lot. There is no pain or numbness but still, at times, I feel my gripping strength is very weak and when I perform exercise it improves for the time being as I can feel the blood rushing inside the hands. My query is that does masturbation has any link with this because I have noticed often that after performing the act the situation starts getting worse as in there is very less blood flow in hands and I feel very low gripping strength. I have no issue in lifting weights eg. bench press and there is no pain while doing any kind of lifts. Please guide me on my condition. Doctor: Hello. There is no link between masturbation and handgrip weakness. The cause of your hand grip weakness needs to evaluate further. You need an in-person neurologist consultation face to face because we need to examine your strength, reflexes, sensations of your hands. Is the weakness is more on the right or left? Do legs are involved or not? After a thorough physical examination only we can advise MRI (magnetic resonance imaging) cervical spine or nerve conduction study. But as a neurologist, I can definitely guide you that there is no link between masturbation and hand weakness." + }, + { + "id": 8692, + "tgt": "Please provide some health tips that every women should follow", + "src": "Patient: Hello doctor, Kindly provide some health tips that every woman should know. Doctor: Hello. 1. Eat a healthy diet. Women are always conscious about their food. But dieting does not mean you cannot eat fat or carbohydrates. Fats and carbohydrates are also necessary for the body. Women should take healthy fats and carbohydrates in proper amount along with proteins and fiber. 2. Do exercise daily. Women believe that as they do household works, they do not need any exercise. But that is not the truth. Exercise is essential to prevent obesity, heart disease, diabetes, etc. 3. Along with physical health, they should also take care of their mental health. Which means if they have any issue related to stress, anxiety or depression, etc. they should seek professional help. 4. Women should be aware of breast cancer, and if they feel any lump in breast or nodes around the chest, they should consult their gynecologist. 5. Women between 21 to 60 years of age should perform a test for HPV and pap smear test regularly after discussing it with their gynecologist. 6. Do not consume alcohol and avoid smoking as it affects fertility and also leads to other health issues. 7. After the age of 40, women should be careful about their bone health, but that does not mean take calcium supplements excessively because that may also lead to other problems. 8. Do not avoid health issues even if it is mild because it can lead to other problems in the future. Like high cholesterol level may lead to high blood pressure and heart problem in the future. 9. Always keep an eye on the menstrual cycle and if it is not regular, consult your gynecologist because a normal period is essential for female health. 10. Sleep adequately at least for six to eight hours a day because good sleep is essential for good health." + }, + { + "id": 19453, + "tgt": "What can be done for receding gums in an 18-year-old?", + "src": "Patient: Hello doctor, I am 18 years old and my gums have been reversing. I brush every day and ever since I noticed my gums receding I tried to brush softer like barely touch the teeth soft. I floss my teeth every day too. I tried telling my father about this but he thought nothing about this. It has become so bad that my two bottom front teeth gums are almost at the bottom of the teeth. I do not know what else to do. I do not have many materials to go off of because my mother does not believe in-joke remedies. My teeth do not bother me when I eat and they are not extra sensitive. The gum receding is going all around my mouth but it is the worse on two bottom teeth. I am not on my period. I just want help. I visited my friend's house where everyone in his household smokes a month and a half ago. Then two weeks ago his mother picked me and him up from school and she was smoking. No one in my family smokes. Doctor: Hello. How are you doing? The image is not much clear (attachment removed to protect patient identity), but based on what I could appreciate, it looks like gingivitis. Hence, your gums look shiny and swollen. The reason could be deposits (though not much seen in the image), or puberty associated. Just do lukewarm salt water gargling as many times as possible. Use a soft bristles brush and follow bass sulcular brushing method. Brush once in 12 hours. Gargle after every meal. You can get scaling (professional cleaning of teeth) done by your dentist. Do not worry. It is a very common dental condition and can be cured. And, your gums are not receded, they are just swollen. Do you have pain, bleeding of gums or tooth mobility? And what medication are you taking? Also, do you have any medical condition? As this can change the diagnosis and treatment plan. You will be totally fine. Relax. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12344, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1325, + "tgt": "I got swollen and painful lump in my armpit post influenza vaccination. Why?", + "src": "Patient: Hello doctor, I got the influenza vaccination about a week ago and have a swollen and painful lump in my armpit. Doctor: Hi. I understand your concern. You are having lymph node swelling axillary post influenza vaccination. Influenza vaccine is a very safe vaccine. Although some may have local pain, swelling, and fever. Some may have local lymphadenopathy. Lymphadenopathy is a swelling of lymph node (normal gland present in our body, which function as clearing harmful substances and providing immunity). Local and systemic reactions mostly began between day 1 and day 2. When a lymph node rapidly increases in size, its capsule stretches and causes pain. Pain is usually the result of an inflammatory process. It is a reactive response of the lymph node to the vaccination. So no need to worry. It can be managed by simple Paracetamol or anti-inflammatory medication such as Serratiopeptidase. It should resolve within a week. If it is associated with fever or any other site enlargement of lymph node you can visit your physician. I hope this helps. Reactive lymphadenitis. CBC (complete blood count), ESR (erythrocyte sedimentation rate), USG (ultrasound) axillary lymph node. Lymphadenopathy. anti-inflammatory Paracetamol 500 mg twice or thrice daily or Aceclofenac, Paracetamol, and Serratiopeptidase combination tablet twice daily for three days. Follow up after three days." + }, + { + "id": 11494, + "tgt": "My friend is disturbing me and I cannot study or work. What to do?", + "src": "Patient: Hello doctor,I am preparing for my entrance exam. I am not able to concentrate on my studies since four months. I got shifted to a different hostel with my friend before four months. In the beginning, all was good and he is very much talkative and creepy. He always used to sit in my room and talk about movies and games. Regularly, we together will go for movies and to a restaurant for food. I started skipping my homework in his company. A couple of months ago, I came to realize that I\u00a0am wasting my time. So, I started ignoring him. I did not let him enter my room. But, I do not know what type of person he is. After all this, he always comes to me and whenever I\u00a0see him I get disturbed. His room is just next to me and whenever I come out of my room he also comes and starts talking and making mischiefs. I am ignoring him and I think he has also released that. But, he is not leaving me alone. He came\u00a0to my room checks my homework copy, my cupboard and used to take my book unnecessarily to his room so that I could go to his room. I do not know what to do. I have a choice to shift to another floor of the hostel. But, if I do so, then he will feel bad as he is my only friend in the hostel. But, because of him, I am not able to concentrate on my work. I need some privacy. Please give me some solution. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 11375, + "tgt": "What can I do to treat the red itchy patches on my foreskin?", + "src": "Patient: Hi doctor, I have been suffering from itchy skin since early this year. My doctor does not know the reason for this itching. I had a blood test a few weeks ago, which came back fine. It is mostly itchy on my scalp, upper arms and back. I have been on Telfast to help with the itching and Daktacort to help with a red patch on my foreskin that my doctor said was thrush. Also, he thinks that the thrush may be the root cause of itchiness. The Daktacort has taken this patch down and almost goes away within a week but if I stop using the Daktacort the patch comes back. I have also developed a red spot on the tip of my foreskin, as well as two on the inside of my penis on the shaft. These are not itchy or sore but are just worrying to see as I am generally a healthy person. I also recently had an STI test which came back negative. My partner also had an STI test done and this came back negative as well. Any help would be great! Doctor: Hi. Please send the photographs of other affected areas too to help you better. Thank you." + }, + { + "id": 4518, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 6193, + "tgt": "I am 50 years old. How can I reduce pigmentation using natural elements?", + "src": "Patient: Hello doctor, How can a 50-year-old person reduce the pigmentation by using natural elements? Doctor: Hello, Welcome to icliniq.com. I assume you are referring to hyper-pigmentation, most often caused by UV rays exposure, and hormonal imbalances. Laser treatment can be very beneficial, but it is expensive. There are natural solutions, which can be quite effective. It is best to try a little bit on an area of skin that is not usually exposed to make sure that it does not cause too much irritation or an allergic reaction. Test it before you apply it to your face or other exposed areas that are pigmented. Here are some suggestions you can try, one at a time: 1. Apply a homemade face mask made with milk and honey, and leave it on the face for 30 minutes, then rinse off with warm water. 2. Lemon is amazing at lightening the skin. Dab it on the skin and leave on for 10 minutes, twice daily, then rinse. If you can find licorice root or a skin cream containing licorice, that is also beneficial to rub on with the lemon. 3. Raw potato is used often, grated and mixed with lemon, apply for 20 minutes twice daily for a month. 4. Mix apple cider vinegar and water in equal portions, apply for two minutes, then rinse. 5. Many skin creams use pure vitamin C for discoloration. Look at your store for a vitamin c serum, you could apply to your skin. 6. Rub vitamin E on your face at night. Natural supplements that you can take to decrease the pigmentation are: 1. Turmeric 500 mg three times a day with food. 2. Vitamin B complex, taken daily with food. You can eat strawberries, cherries and especially pomegranate fruits, which decrease the melanin production which causes pigmentation. Try to stay out of the sun. Wear hats, and sunglasses, and use a good sunscreen with at least 30 SPF (sun protection factor). I hope that helps." + }, + { + "id": 16796, + "tgt": "Kindly give your suggestion on vitamin supplements for a 15 months old", + "src": "Patient: Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm.\u00a0One of the Pediatricians suggested me to give two supplements to her as follows.\u00a0Osteocalcium 5 mL per day, which contains Vitamin D3, Vitamin B12 and Calcium phosphate and\u00a0JusDee 60K granules one sachet per month, 1 sachet = 60000 IU. Is it fine\u00a0to give? Instead of Jusdee 60K sachet can I give JusDee 400 drops per day? If yes, how much can I give per day? Also, recently, I have noticed that my daughter's first four upper teeth having some white discoloration of enamel during demineralization. Could you please provide your valuable suggestions on it? Thank you. Doctor: Hello. Undernutrition. JusDee drops, 1 mL once a day for a month. Continue the other as prescribed. For further information consult a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29398, + "tgt": "My son slept near my mobile overnight. Would this cause any harm to him?", + "src": "Patient: Hi doctor,My 3 year old sleeps beside me all the time. I was using my phone while in bed last night. I accidently fell asleep and left the phone down. I normally leave the phone on my bedside locker. I woke this morning, and my son was lying right beside my phone. His head was on top of it. Would this do him any harm? I know about the radiation from the mobile phone is not good. He has a severe speech delay, so cannot tell me if he has a headache. Doctor: Hi. I read your query and understand your concerns. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7214, + "tgt": "I was diagnosed with sinus arrhythmia. Should I be worried?", + "src": "Patient: Hello doctor, I am 21 years old and never had any issues of bad health. I recently woke up a few days ago with an irregular heartbeat, and it felt weird. Like 1-2-1-2-123-1-2 so on. So I went to the doctor. I had an ECG done, and the doctor told me it was sinus arrhythmia, and he was not at all worried about it, and it is common. I feel fine. So I had bloodwork done. Everything came back normal. Except for high red blood cell count 5.54. They did not say anything about that, though. Should I be worried about this becoming something more serious? Sometimes my left arm is colder than my right. I am a hypochondriac lol, so please let me know about all of this. Doctor: Hello. An irregular heartbeat can be very much normal in healthy people and also sometimes abnormal. Premature ventricular contractions (PVCs) are normal sometimes. On the other hand, paroxysmal atrial fibrillation is abnormal rhythm, that has long term complications. These are the two most common reasons for an irregular heartbeat. If you again develop such heartbeats, then long term ECG monitoring (Holter monitoring for 48 hours or event monitor) may be done to diagnose abnormal rhythm. Sinus arrhythmia is almost never felt. Avoid alcohol, smoking, caffeine, and stress. Follow-up if you again have any such complaint." + }, + { + "id": 16773, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22580, + "tgt": "For the last six months I am having fast heart rates. Is it serious?", + "src": "Patient: Hello doctor,The last six months I have been experiencing fast heart rates. Just by walking my heart goes 130 to 150. I have no symptoms at all, no dizziness, no shortness of breath, no tiredness. Even by sneezing my heart goes at 150. I do not even know it till I check my pulse or put my hand in my chest and I see my heart is racing. I have done three EKG and three echoes by different doctors and all were fine. In rest, my heart is in 60 to 90. I am taking 10 to 20 mg Propanolol every day. If I miss a dose my heart goes fast even during rest. I had a very sedentary life during the last year, which is changing now. But my heart rate is still the same. Is this something to worry about? Doctor: Hi. It appears you are suffering from what is known as inappropriate sinus tachycardia. Of course, we have to see the ECG during palpitations to confirm that. I would also suggest a thyroid function test to rule out thyroid disease. It is good to exercise daily as that itself can regulate the rate. Also, continue Propranolol as having constant tachycardia can cause heart pumping to become weak. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10265, + "tgt": "I am having mild umbilical hernia after C-section. Is it curable in Ayurveda?", + "src": "Patient: Hello doctor, I had C-section three years ago. My stomach started bulging, so I visited a doctor and had sonography. So came to know that I have mild umbilical hernia 0.7. If I do proper exercise and follow ayurvedic medicine suggested by you, then is this mild hernia curable? Please help me with this. Also, can I climb stairs in mild hernia? Doctor: Hello. I understand your concern. Since you had C-section, you are likely to develop incisional hernia which is a common issue faced post C-sections if proper care is not taken during wound healing. It is not curable with only medicines but it can be preventable from reaching further stages. If you find and center close by which practices post partum care in Ayurveda then get the following done. Apply Dhanvantara taila followed by veshta bandhana (abdominal binder). Avoid lifting weights and too much physical exertion." + }, + { + "id": 28830, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2638, + "tgt": "Are mild sore throat with mild temperature symptoms of Covid-19?", + "src": "Patient: Hello doctor, I had a mild sore throat last Friday and started to take Strepsils then the pain gone last Sunday. But early morning today at around 2 AM I had chills until the morning. I took Paracetamol right away. My body temperature is 37.2 currently. Should I go to the hospital? Are my symptoms same as the Covid-19? Doctor: Hello. Viral infections produce similar symptoms. Common cold or seasonal flu produces similar symptoms as does Coronavirus. However, it is the severity of symptoms that are worrying in Coronavirus and the body's response to contain the virus. There is no need to panic right now. Just take precautionary measures like proper hand hygiene and proper respiratory etiquette and maintain a sort of isolation. Take plenty of fluids and other supportive measures as required. If symptoms do not improve or worsen over a couple of days you can visit a health facility. However, if there is any history of contact or presumed contact with someone with suspicious symptoms or a travel history then it is better to report." + }, + { + "id": 7956, + "tgt": "Kindly explain my blood test report taken in fasting", + "src": "Patient: Hi doctor, I had done blood test in fasting and my result is as follows: Plasma glucose fasting\t98 mg/dl, lipid profile tests (serum), cholesterol (serum)\t288 mg/dL, triglycerides (serum)\t242 mg/dL, HDL C (serum) 36 mg/dL, LDL- C (serum) 220 mg/dL, VLDL- C (serum) 32 mg/dL, CHOL/HDL ratio 8.0, LDL/HDL ratio 6.1. Please advise. Doctor: Hello. Yes, lipid profile is very much deranged especially LDL cholesterol part which is bad cholesterol. The reason for this is likely genetic with some component of lifestyle. This will need regular monitoring, and control should be strict in order to avoid the development of heart blockages. So, you need to start medicines as well as have a healthy lifestyle. You need to have a healthy lifestyle like avoiding fatty oily and a high-calorie diet. Have regular exercises like brisk walking or running according to capacity. You should also get your BP checked. And if you have a family history of heart diseases or any chest pain then also other routine tests like echo and TMT should be obtained. In medicine, you should get prescribed tablet Rosulip 10 mg once daily bedtime after meals for eight weeks if tolerated well without side-effects. Repeat lipid profile after eight weeks to see the response." + }, + { + "id": 18859, + "tgt": "Can I-pill cause headache, irritation and body pain?", + "src": "Patient: Hi doctor, I had unprotected sex with my wife on the fourth day of her menses and she took I-pill within 24 hours. The next day also we had unprotected sex and she again took an I-pill. After eight\u00a0days, she bled and eight days later again she bled. She should get her menses by now, but still she did not get.\u00a0We checked home pregnancy kit and it was negative. What could be the reason for delayed menses? Doctor: Hi. She has already bled twice this month and that means to say that she has already done with her periods, though before actual date. So, now she will not have her periods. Moreover, you said that the urine pregnancy test is negative and so there is nothing to worry about. Just wait for the next month periods. Do not hurry and take any further medications. She will be alright. One more thing I would like to suggest you. If you have intercourse within 10 days of periods, then you need not take emergency pills as it is the safe period where there are no chances of pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22529, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5638, + "tgt": "Sugar is 390 after food. Kindly tell the reason and how to reduce it", + "src": "Patient: Hello doctor,My sugar level is not reducing even after I take human Actrapid 24 in the morning, 20 in the noon and Insugen (30/70) 14 dose past 15 days. Sugar is 390 after food. Kindly tell the reason and how to reduce it. Doctor: Hello. It is important to understand how much your sugar level was 15 days ago (before you started insulin therapy). If there is a decrease in your sugar level compared to the earlier value, then you are definitely on the right track. All you need would be a change in the dosage of insulin (the decision would be made by your consulting physician). Please remember that you should not just rely on treatment, you should also be making lifestyle changes - a healthy balanced diet and regular exercise. You might already be aware that you should avoid all forms of processed sugar until your blood sugar stabilizes. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 25985, + "tgt": "Why have not I got my periods for three months after taking the I-pill?", + "src": "Patient: Hello doctor, I have not got my periods for three months after taking the i-pill. I am not pregnant. Please suggest what is wrong with my health. I have PCOS too. Is this the cause of a missed period? Doctor: Hello. Have you checked the pregnancy test? If it is negative then PCOD (polycystic ovary disease) might be the most probable cause. PCOD causes irregular periods along with some hair growth. You can confirm it by the ultrasonography. Even thyroid problems can cause irregular cycles. So, get your TSH (thyroid-stimulating hormone) checked. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16992, + "tgt": "I am in dire need to reduce my eye power to be declared fit for my recruitment. Please explain the treatment options and potential risks involved", + "src": "Patient: Hello doctor, I had retinal vasculitis 8 years ago (no recent activity confirmed by doctors). I am 23 years old and my eye power has been constant in the last 4 years (-8D). I am in dire need to reduce my eye power to be declared fit for my recruitment. Please explain the treatment options and potential risks involved. Doctor: Hello. I reviewed your history. Hope this information is helpful to you. Revert back to an eye care\u00a0ophthalmologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 4166, + "tgt": "Are bulging discs the worst symptom of fibromyalgia?", + "src": "Patient: Hello doctor, I just want to confirm with you that fibromyalgia does not cause bulging discs. My workman's company blamed my fibromyalgia for disc bulging because in the past I have had headaches and neck pain with my fibro. The bulging disc pain was within three hours (numb, hurting, tingling arm all the way down) after helping a coworker shovel and then running a big vibrating roller. It was different than bursitis I have ever experienced. I developed a headache after the pain in my arm calmed down. The headache was in the front left of my forehead. Definitely not a tension fibro headache (I also have occipital neuralgia that came with the fibro in the back of my scalp). After hearing that it can happen while doing anything was when I came to the conclusion that that is the only thing I did differently that day. I feel like no matter what happens to me the fibromyalgia will get the blame. After researching degenerative disc disease, almost everyone has it. I do not think this is a well known fact. It happens as you age and can be as early as your teens and 20's. People also want to blame things on that as a pre-existing condition, yet if they had an MRI they would have it too. Otherwise, my spine is beautiful according to my doctor. I am 51 years old and was a heavy equipment operator and a PCA for my aunt at the same time while having three teenagers at home. The fibromyalgia and stress is really getting to me now though and I am having a tough time even working eight hours a week as a PCA. Just so tired and fed up with misconceptions and lack of doctor and public awareness. I hope this post and your answer will help other fibromyalgia patients because I know I am not the only one dealing with this. Doctor: Hi. I have read through your query in detail. Please find my observations below. Fibromyalgia is still a less understood illness with pain and discomfort involving muscles and bones and the main feature includes that it is puzzling or difficult to identify. It is elusive and is a diagnosis. The diagnosis is made on the elimination of known conditions which might cause similar symptoms after using standard diagnostic tests and investigations. Therefore, if a patient is known to have bulging discs then it has to differ from fibromyalgia. In other words, you might have had fibromyalgia if there is no particular finding in the MRI (magnetic resonance imaging) scan. Therefore it is important to document MRI scan findings and then the diagnosis of fibromyalgia might be set aside and changed to include degenerative disc disease following the proof of bulging discs. The problem is that probably earlier investigations have led your employers to believe that you have fibromyalgia. However, a single incident has changed things for you and they refuse to accept it. The best way out will be to have evidence-based medical diagnosis and take suggested treatment. I agree that there is a lot of miscommunication about fibromyalgia and people with real problems are often labeled wrongly considering an earlier diagnosis which was made months to years back. In conclusion, fibromyalgia is not concerned with bulging discs and if your MRI scan shows bulging discs which might be related to your pain and discomfort symptoms then you have the option of making a point with the workman comp authority. Hope this answers your question." + }, + { + "id": 27826, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6712, + "tgt": "Should I worry about increased monocyte, eosinophil and triglyceride value?", + "src": "Patient: Hello doctor, I am a 64 years old male. I am concerned about the values of monocytes, eosinophils, triglycerides, cholesterol, sex hormones bind globulin. With age, the numbers are getting worse. Do you need any additional information or test? Doctor: Hello. Slightly increased monocytes do not need treatment at the moment; you can repeat the test after one month. Need observation for increased eosinophils count, need anti-allergic medicine if allergy symptoms present. Otherwise, no treatment needed. For increased triglycerides, needed anti triglycerides medicine, and for increased sex hormonal binding, you should get an ultrasound abdomen done, including testes, to look for any cause. Also, get AFP (Alpha-fetoprotein), Beta hCG (Human Chorionic Gonadotropin), and LDH (lactic acid dehydrogenase) for increased sex hormone value." + }, + { + "id": 17143, + "tgt": "24 year old Male. How to perform Kegel exercise to improve my sexual life?", + "src": "Patient: Hello doctor, I am 24 years old male. I weigh\u00a043 kg and I\u00a0have problem in having sex. How do I improve my sexual life? Doctor: Hi. I would like to ask you a few questions.\u00a0Since how long have you been suffering from this problem?\u00a0What kind of sex problem do you have, erection problem or premature ejaculation?\u00a0Do you have nightfall too? Is there any kind of stress in your life? Are you a smoker or non-smoker? Do have any kind or drug addiction Are\u00a0you\u00a0taking\u00a0any medicines? Well, it could be due to psychological reasons also.You are advised to:\u00a0 I also advise you to do\u00a0Kegel exercise\u00a0which will help you in getting intense and prolonged erection and prevent premature ejaculation(PE). The Kegel Exercise: Kegel Exercise\u00a0is meant to strengthen the pelvic floor muscles and treat premature ejaculation and impotency.\u00a0 You can do this exercise anywhere in sitting position either in a class room, office, or even in a public place and nobody will come to know that you are doing it.\u00a0 Before you start doing it, you must know the significance of this to the pelvic floor region. Around anus there are a group of muscles know as pubo-coccygeus muscles which control our urination and defecation process. We have to strengthen them by contracting and relaxing alternatively to achieve strong and intense erection of penis.\u00a0 The Procedure\u00a0:- By doing this, your pelvic floor muscles will become strong and will help you in attaining an intense erection for a longer duration.\u00a0You can strengthen these muscles and some other group of muscles also by doing this exercise, but in a different way: \u00a0 These two methods of contracting and relaxing pubo-coccygeus muscle will make them strong and will be helpful in improving your sex life. Follow up with the required details to a sexologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7957, + "tgt": "What causes lumps under jaw, ear, and neck?", + "src": "Patient: Hello doctor, I feel one lump under my jaw and one on neck. They are movable and shape of them is round in size, may be to my fingers tip and one more lump behind my ear, it is hard. All three do not cause any pain and I have not checked with any doctor. I am worried I am suffering from any serious illness. Doctor: Hi. I have read your query carefully as you told that you have movable fingertip-sized lumps and it does not cause pain, please do not worry about that. It does not look like a serious matter although if you want to be 100 % sure then you should go for a test called FNAC test otherwise according to my knowledge these are normal sebaceous cyst or lipoma." + }, + { + "id": 13009, + "tgt": "I have enlarged breast and less facial hair. Will it lead to infertility?", + "src": "Patient: Hello doctor, I am a 25 year old male. My weight is 65 kg and height is 5'5\". I am having enlarged breast and very less facial hair. Will this lead to infertility? I am not taking any medicine. I have consulted an endocrinologist regarding this. He examined my chest and suggested me to get a hormone analysis and ultrasound of breasts. My hormone levels found in the analysis are as follows. My serum beta-hCG is <0.100 mIU/mL, total testosterone level is 4.14 ng/mL, TSH level is 4.02 uIU/mL, free T4 is 1.21 ng/dL, LH is 9.23 mIU/mL, prolactin level is 19.79 ng/mL, and estradiol (E2) is 32.43 pg/mL. I would like to know, are these hormone levels normal for an adult male? As suggested, I got my ultrasonogram done for my breasts and the reports are as follows. Nipple and subareolar tissue are normal. There is no retraction or skin thickening, no abnormal calcification and no axillary lymph nodes seen. The pectoralis and retromammary space appears normal. No focal or diffused lesions observed. Looking into my results, doctor told me that there are no abnormalities seen in both the breasts. In addition to all this, doctor asked me to try few exercise and check if there is any reduction in the size of the breast. In spite of trying everything, if the breast size did not reduce the he told me to get them removed. Now my question is that, will enlarged breast affect my marriage life? Beard hair growth is fine, but the mustache hair is very less. Is there any medicine that can cure my problem? Please help. Doctor: Hi. I can understand your concern and what you are going through from your report (attachment removed to protect patient identity), there is nothing to worry since it is not a major problem. Your condition is false gynecomastia. There is excess fat in your breast area and no extra breast tissue formation. Do not get depressed by thinking about it. Relax, stay calm and move according to my advice which is as follows." + }, + { + "id": 7872, + "tgt": "PTSD following domestic and sexual abuse. How to come out of it?", + "src": "Patient: Hi doctor, PTSD is controlling my life. I was raped six to seven times and faced domestic abuse for four months until I escaped. Each time sex has been hard for me. After the domestic abuse, it is so bad that I have to stop in some strokes and if not then I will throw up on them.Sometimes it happens with just fingers in me. Though I remind myself that I am safe, my body cannot understand it. Why is it like this? It has been happening for years. Does that mean it will happen forever? Please help. Doctor: Hi. Thank you for sharing your concern with me. I can understand your situation and feelings. I can assure you that this is not going to be with you forever. You would benefit from counseling and therapeutic techniques such as cognitive behavior therapy (CBT) by a clinical psychologist experienced in handling of PTSD (post-traumatic stress disorder) following sexual trauma. I am sure you may have gone through some self-help resources and may have got in touch with support groups. If you did not, then please do so. Some groups can prove really helpful. A commonly followed helpful technique is to write down the whole traumatic experiences several times (and read them aloud to yourself in privacy, and of course destroy the papers immediately). This can be very painful in the first one or two instances, but soon the pain recedes and you will feel much much better with each rewriting episode. Do this until you no longer experience that intense stress. And every moment, keep in mind that its not your fault and its those who perpetrated that should be guilty. With counseling and therapy you will find positive changes sooner and would be able to improve the quality of life. My best wishes to you." + }, + { + "id": 4424, + "tgt": "Why am I having muscle tightness in both feet while sleeping?", + "src": "Patient: Hello doctor, I am a 35 year old male. For the past two years, I am suffering from muscle pain near ankle and also have muscle tightness in both feet while sleeping. Please help. Doctor: Hi. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 305, + "tgt": "I have pain, redness and swelling in eyes for the past one week. Please help", + "src": "Patient: Hello doctor, My eye is paining since Sunday. My eye is red now, it is paining while moving also when the light comes. I am felling a little swelling as well. Doctor: Hello. Thank you for sending the image (attachment removed to protect patient identity) so that I can get an idea about it. For me it is looking like an infection. I can prescribe you medicine so that you can get rid of these symptoms. But in the first image, there is something whitish area on your cornea. So I just want to know that it is really there or its reflection which is visible in the photo. Just answer me one question because treatment is different for both conditions. So I should confirm it from you and then I will give you a prescription of drops. That you have to use and you will be completely all right." + }, + { + "id": 4004, + "tgt": "There are lumps at segmented levels with back pain. Why?", + "src": "Patient: Hi doctor,I saw a sports injury doctor with mid back pain at night. The first MRI scan was poor quality, so a second was carried out, and that noted elliptical bilateral lumps at segmented levels. I have been referred to a neurologist who is examining the scans. I am seeking clarification that the description in the report does not indicate malignant disease. I only have the reports and not the scans. I had nocturnal mid back pain for four weeks and getting slightly better now. Doctor: Hi. Your MRI report (attachment removed to protect patient identity) indicates neurofibromas in your dorsal spine, which is a benign growth originating from nerve sheath cells. Often it is symptomless, but at times can give discomfort to the patient due to mass effect and pressure in the surrounding structures. This growth is usually benign but may rarely turn malignant over a period of time. Your doctor may suggest a biopsy for the same to confirm the cell type. If you have any more doubts, please feel free to discuss. Thank you." + }, + { + "id": 7609, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4439, + "tgt": "My wife had a natural vaginal miscarriage. When can we have sex?", + "src": "Patient: Hi doctor, My wife had a miscarriage at 22 weeks. It was our first baby. Evacuation was normal delivery. After how long can we have sex? She has completed her two periods. Please guide. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7089, + "tgt": "What is the test and medication available for wheezing in a 5-year-old?", + "src": "Patient: Hello doctor,My 5-year-old daughter often gets cold, cough, and end up with a fever and slight wheezing. No history of wheezing in the family. What test and medication have to be done for wheezing? Doctor: Hello. Your child may be tending to develop asthma and allergy. When investigating the child with wheezing, it is better to get her clinically examined by the pediatrician or a pediatric pulmonologist. The tests required include a chest x-ray and complete blood count in most cases. Medication is to be given after confirming the condition and might include bronchodilators, inhaled steroids, anti-allergic preparations, and nebulization when needed. Please keep the child away from dust pollution and allergic plants. Allergy and asthma. Chest x-ray, complete blood count. Eosinophilia. Asthma. Bronchodilators, inhaled steroids, anti-allergic preparations, and nebulization Protect from dust and pollution." + }, + { + "id": 5646, + "tgt": "Is my platelet count acceptable to go ahead for surgery?", + "src": "Patient: Hi doctor, I am a 73 year old male and scheduled for a co-surgery. Da Vinci prostatectomy for PC and double hernia repair with patches.\u00a0My platelet count is 92 x 10^3 per microliter. I have had this for over 17 years.\u00a0I had a bone marrow biopsy before 16 years and also, had a recent one before 3 years. Both were negative.\u00a0Everything else is in the normal range in my CBC. My\u00a0PT 13.8 seconds,\u00a0PT INR 1.1 and\u00a0PTT 30 seconds.\u00a0Is the platelet count acceptable for the procedure? Is there any risk of increasing the platelet count by infusion?\u00a0Why should it be increased at all, when one of the dangers after the operation is clot formation?\u00a0Could I sign a waiver, if the surgeon is reluctant to go ahead with the procedure with this platelet count?\u00a0Thank you. Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10382, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 7949, + "tgt": "What causes joint pain with stiffness?", + "src": "Patient: Hello doctor, My height is 169 cm and weight is 95 kg. I am 50 years old, male. For the past three months, I am experiencing stiff fingers joint and pain in the outer ridge of the foot in the morning when I get up. Fingers become fine after some time but pain stays in the foot. This is coming on and off and frequency is increasing now. My work involves mostly working on computer and sitting job. Please advice future course of action and if any diagnosis is suggested? What it could be? Doctor: Hi. Well for fingers, it could be osteoarthritis because at your age this is something which is most common and it also has morning stiffness. In your foot, it is plantar fascitis. So for treatment, you have to do finger gripping exercises. For that, you can buy a smiley ball and do exercises 15 minutes twice a day. Along with that take tablet Cartigen Forte 1 tablet twice a day for three months. For foot, get ultrasonic therapy done from any nearby physiotherapy center. Do plantar fascia stretching exercises. Hot fomentation. Hopefully, it will get better in 4 to 6 weeks." + }, + { + "id": 27038, + "tgt": "Will surgery for BPH prevent prostate cancer?", + "src": "Patient: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of his\u00a0abdomen and pelvis showed a\u00a0third-degree prostatomegaly. He does not have any obstructive symptoms other than getting up in the night to urinate. His uroflowmetry also showed normal urine flow.\u00a0My query is, when should he do his next screening for PSA and DRE, the\u00a0last one being eight months back. Also, should he go for a surgery? Will the surgery provide any protection against prostate cancer? Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 2214, + "tgt": "I have sharp pain in chest with breathing difficulty and history of heart disease. Please help", + "src": "Patient: Hi doctor, I am a 20-year-old female. My height is 5'1\" and weighs around 160 pounds. I am having sharp burning pain in my chest and back in the mid to left side between the shoulder blades and under the breast bone. It lasts between 30 minutes and a few hours of this sharp pain. Usually, it becomes difficult to breathe or move my upper body until it goes away. As a kid, we visited a doctor for some chest pains, but the doctor said they could not say anything wrong other than a possible heart murmur. There is a history of heart disease in my family. Doctor: Hello. I have gone through your query. I would like to know some more details about your present complaint. What type of murmur has your doctor described? History of which heart disease your family has and who has it? Is your chest pain associated with any other symptoms like breathing difficulty, palpitations, giddiness? Does this pain gets aggravated on movement or on exertion? Is it localized or diffuse? Is there any tenderness i.e. pain increases on pressing with the hand? Any reddish discoloration on localized area of pain? Since when you are having this pain? If possible attach all the available reports like ECG, echo and any other reports. Kindly get back with the above details for further discussion and management." + }, + { + "id": 12823, + "tgt": "What can be done to treat memory and concentration issues with sensation loss?", + "src": "Patient: Hello doctor, I was in the hospital and thought I may have had a small stroke. But I did not. The MRI showed some white tissue changes. Since I got out three weeks ago I have had problems with dull senses and memory and concentration issues. It is causing a lot of anxiety. In the evenings I do seem to feel better. But it seems like my nerves are not properly responding to the sensations they are feeling. I am really worried. Is this temporary or should I be doing something? I have been in the emergency room twice in the three weeks. Doctor: Hello. I understand your concern and would explain that your symptoms do not seem to be related to a stroke. Low blood perfusion to the brain could mimic this clinical situation. Anxiety too. White matter changes could be related to different possible causes: chronic arterial hypertension, vasculitis, migraines, etc. Coming to this point, I would recommend performing further tests to investigate for possible causes like inflammation tests (complete blood count PCR, ESR), thyroid hormone levels for thyroid dysfunction, a Doppler ultrasound of the carotid arteries to investigate for possible narrowing, an ECG Holter monitoring in order to investigate for possible cardiac arrhythmia. In the meantime, I would recommend taking Piracetam, Ginkgo supplements, and baby Aspirin daily." + }, + { + "id": 11653, + "tgt": "Is it normal for a 2-year-old to not speak properly?", + "src": "Patient: Hello doctor, My daughter is 2 years old. Now, she is speaking only 3 to 4 words. She is not talking like other children. Please tell me if she has any kind of disorder. I have been to the doctor once and he told nothing to worry. After 2 years only they can speak. But my elder daughter spoke when she was 1.5 years old. I am so worried about her. Please tell me what to do. Her birth weight is 3.2 and now she is around 9 I think. Doctor: Hello. I got your concern. Based on the above history, my comments are: 1. I think she can listen and understand but there is a problem with expression. 2. Her weight is low according to age, so give her more energy rich food to gain weight. 3. Let her play with same age children, day care center or neighborhood children. 4. Do not confuse her with multiple language if you are speaking multiple language at home. 5. Sometimes, some children learn to speak late. So do not worry. Just be vigilant. Watch her behavior. Follow up after one month. Isolated speech delay." + }, + { + "id": 13864, + "tgt": "Is getting a blood clot after taking Mifepristone for missed period normal?", + "src": "Patient: Hi doctor, I am 25 years old and unmarried. My last period was a month back. After that, I had unprotected intercourse. This month I missed my periods and found positive results on the test kit twice. I took Mifegest kit's Mifepristone tablet yesterday night at 8.30 PM. After that, today morning I just saw a small blood clot like as of periods, later I got none of the symptoms, neither any other symptom. Just sometimes a bit abdominal cramps as experienced at the time of periods. Is everything normal? Is the medicine working? Please help and give me a further suggestion. Doctor: Hi. First of all, have you done a USG pelvis to know about the size and site of pregnancy? Once intrauterine pregnancy less than seven weeks is confirmed, only then you should use Mifegest kit, otherwise, it may cause you serious bleeding, with a need of hospitalization and blood transfusion. You need to complete the course first, that is, four Misoprostol tablets to be taken after 48 hours of Mifepristone. The final result can be known only after USG after 14 days." + }, + { + "id": 3407, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 20833, + "tgt": "How to keep breath fresh all day?", + "src": "Patient: Hello doctor, I do not have any dental issues. I have been getting regular dental checks. How do I keep my breath fresh all day? Doctor: Hi. It is good to know that you go for regular dental check-ups. Breath can be kept fresh by maintaining oral hygiene. The basic oral hygiene maintenance is more than enough to keep you healthy and fresh. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 30408, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 10141, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8999, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11945, + "tgt": "Stress echo test was taken for chest pain. Kindly explain", + "src": "Patient: Hello doctor, For the past few weeks, my mother aged 65 is experiencing chest pain or slight discomfort only when she walked for a while. We consulted the medicine doctor and he recommended the stress echo test which we got done. The test comes out to be positive but not strongly positive. We need another opinion on the report that comes out. Doctor: Hello. If she is having consistent chest pain or heaviness or discomfort on exertion, then it suggests the possibility of blockages. And stress echo additionally supports this possibility. It shows hypokinesia with stress which is suggestive of blockages in heart vessels. So, she should be on medicines like Aspirin, statins like Atorvastatin and nitrates, and these medicines are the most important part of her management. And she should also undergo angiography for confirmation of blockages and further treatment. So she should at least have medicines regularly till angiography is done." + }, + { + "id": 26714, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6728, + "tgt": "I found a tiny painless protrusion in the gum above my left canine tooth. What is that?", + "src": "Patient: Hello doctor, Just above my upper left canine tooth, in the gum, a tiny protrusion of tooth or bone (painless) can be felt with the finger. The gum surrounding the protrusion is slightly raised, but the whole thing is only about 2 mm in diameter. No other symptoms or visual abnormalities. I have not had a tooth extraction. Doctor: Hello. I would like to know if you remember any history of injury to the site? And how long have you been noticing this? Did it increase or decrease in size or observed any color change? There are 2-3 probabilities in your case as much I can make out from photograph/your attachment: (attachment removed to protect patient's identity). 1. This can be a pyogenic granuloma. 2. It can be a cyst. 3. Can be simply an infection. I would suggest you consult a dentist if there is associated pain or any discharge from the site. For now, I would suggest you to keep the area clean, do warm water and salt rinse three to four times daily, and not to hurt the area with a toothbrush or anything. Follow up after a week." + }, + { + "id": 17718, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 375, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19183, + "tgt": "Should I give Meftal-P if fever persists even after P-250?", + "src": "Patient: Hello doctor, My son has got a fever from the morning and I have started with P-250 with 6 ml as his dosage. He is 6 years old weighing 20.4 kg. I have completed the fourth dosage for the day at 11.30 AM. His current temperature shows 102.7 F. Should I go ahead with Meftal-P 60 ml suspension if the high temp persists? If yes, then what time should I give him that and what would be the right dosage for him? Doctor: Hello. Most of the kids do not respond to Paracetamol alone which is present in P-250. I suggest giving syrup Ibugesic plus (Ibuprofen and Paracetamol) 12 ml which is required for his weight. And this should be repeated every six hours. If the child has a fever between those six hours, you can give Meftal P 8 ml. This can be repeated every eight hours. Always wait at least two hours after every medication for the fever to reduce. If it does not reduce, then you can give the second medicine. Also, always do tepid sponging of the whole body 30 minutes after giving medicine in case of high fever to dissipate heat faster. If the child develops any other symptoms like cold or cough give symptomatic medication for it. It looks like a viral fever as of now. Hope this has answered your question. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26137, + "tgt": "Is it normal for hCG result to be more than 0 in a non-pregnant woman?", + "src": "Patient: Hello doctor, My partner's LMP was on 19th. It is eight days past her periods' due date. We had protected sex on 22nd nd 29th. She now has cramps in her lower abdomen and also a pain in her thighs. But she is not getting her periods. We did HPT for the last four days and all of them came negative. Today, we did a beta-hCG serum test and it came that she has hCG level < 2 mIU/ml. We are concerned about this result. Is she pregnant and if not, why the hCG level came as < 2? We thought for a non-pregnant woman, it would always be 0. She is on medications for thyroid. Doctor: Hello. Thanks. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22837, + "tgt": "I took emergency contraceptive in the morning after sex. Will I get pregnant?", + "src": "Patient: Hello doctor, I had a miscarriage two months back and got my first periods last month. Ten days back I had sex with my husband with a condom but I wonder it leaked perhaps. I took emergency contraceptive next morning. Now I am worried when will I have my periods? I do not want to get pregnant so soon. Doctor: Hi. You have already had emergency contraceptive pills. So you might have this hormonal pills effects for few weeks as these interfere normal menstrual cycle and prevent fertilization and pregnancy. Mostly after taking pills, there is withdrawal bleeding in 1 to 2 weeks and then there are some irregularities in periods for some time like unscheduled bleeding, spotting or delay in early periods. In this case, for your satisfaction, you can have serum beta hCG (blood pregnancy test) to know your status of pregnancy. But here as you said you took an emergency contraceptive pill (if taken within 72 hours of unprotected sex), then less chance of pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4512, + "tgt": "How to improve vision with eye floaters?", + "src": "Patient: Hello doctor, My grandmother is 65 years old. She has a problem with eye flashes for four years. She complaints of getting lights in her eyes in various shapes like stars, sparks, and pictures of various colors. She is left with only 5% eyesight. Please recommend the best medicine and eye drops for this problem of eye flashes. She is currently using ayurvedic eye drops. She underwent laser treatment. Doctor: Hi. Flashes are usually due to retinal problems like retinal tears, or detachment. Floaters in diabetics can be due to blood in the vitreous. These have to be treated with lasers, retinal surgeries and/or intravitreal Avastin injections. As she is left with only 5% of vision these are the only options. Strict control of diabetes is a must. Please give the history of any eye surgeries, past eye treatments, present vision in both eyes. Kindly send pictures of old records for more details." + }, + { + "id": 9027, + "tgt": "In ALS, are symptoms present on both sides of the body?", + "src": "Patient: Hello doctor, I am a 45 years\u00a0old female. I first experienced my symptom 18 years ago, which was left-hand side symptom. I have seen two neurologists since the last visit along with MRI was seven years back. My main concern back then was MS, but the\u00a0last neurologist said it is not MS. I raised my concerns of ALS, but my MRI was normal. I have again got symptoms back and have had a fall, in which the left leg just gave away a few weeks ago. However, this time, l also seem to have muscle spasms on right side and right thumb twitching. I am extremely anxious and waiting to see a neurologist again. I have had an MRI done again a few days ago, and my GP said my report came back as 'no significant abnormalities.' Can ALS present with symptoms for this many years but still not show on an MRI? And with ALS, do symptoms present on both sides of the\u00a0body? My GP said l have somatization disorder, which was diagnosed after the last neurologist visit. I would greatly appreciate your input. Doctor: Hi. I read your query and understand your concerns. I hope this answers you.\u00a0Feel free to write back to me if you have more questions.\u00a0Thanks and regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7141, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9934, + "tgt": "I have attached my nuchal translucency scan and double marker test reports. Kindly explain", + "src": "Patient: Hello, Welcome to icliniq.com. Kindly explain my nuchal translucency scan and double marker blood test reports in details. I am very worried due to in NT scan nasal bone could not be discretely seen. Gestational Age (as per USG) is 12 weeks and three days. All report attached here for your guidance and suggestions. Kindly help. Doctor: Hello. I do not see any problem in your reports (attachment removed to protect patient identity). Your blood reports and scan are within normal limits.Ultrasound scan is done at this 11 to 14 weeks to find out the most common genetic abnormality of the baby- Down syndrome. 1. Your age first diagnoses this, usually, as you cross 35 years the risk increases. For your age of 25 years, the risk is, very low. It has been mentioned in your report too. 2. The Nuchal translucency is the skin thickness of the baby's neck. In babies with Down syndrome, there is increased thickness. Up to around 3.5 mm is normal. Your level is normal. 3. Blood tests are the serum levels of PAPP-A and beta hCG. They are altered in the Down syndrome. As you see the risk of these above 1:250 is normal. As your values are above 4000, chances of any abnormality is next to impossible. Even the blood flow in the essential vessels are normal, which rules out Down syndrome (also called Trisomy 21). The only problem is nasal bone is not seen, and this could be ignored. If you want you can have repeat scan seven days later, by a doctor specialized in high-risk obstetrics. But I do not think that single finding needs to be worried about. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 17919, + "tgt": "My HIV tests are negative 145 days after exposure. Do I need any more tests?", + "src": "Patient: Hello doctor, My query is regarding HIV and AIDS. I had unsafe sex with a girl. After 40 days of exposure, I did anti-HIV CMIA test which was non-reactive and the value was 0.24 (non-reactive). Then, after 145 days of exposure, I did HIV 1 and 2 screening test which was also non-reactive having result 0.17 (non-reactive). Now, it is almost 250 days of my exposure. I feel my body is becoming thin. I am worried about HIV because I am losing weight which is a symptom of HIV. Do I need more tests? Is there a chance of HIV later as I did the test after 145 days of exposure and it was non-reactive. No other symptom is present in my body. Only that I lost 3 to 4 kg weight after the exposure. And, also tell what is the accuracy level of the above tests I had. Doctor: Hello. I have noted your concern. Regards. For more information consult an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16336, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23787, + "tgt": "We were not successful in sex even three years after marriage. Please help", + "src": "Patient: Hello doctor,We have been married for three years but till now we did not have successful sex. When my husband tries to insert, I get so scared and never allowed him to penetrate. Even though we tried from different positions, it still does not work. He is very understanding. We only enjoy foreplay. Recently, I got to know I have septate hymen which can be 4 to 5 mm and I have heard with a septate hymen, intercourse is very painful and that makes me more scared. I want to enjoy sex and get pregnant as soon as possible. We both are very upset about this. Is there any medicine where there will be no pain during intercourse? Please help me. I am having a very bad time.We had visited a sexologist. After consultation and some tests, he has given medicine for both of us. For me, it is two medicines - one for reducing anxiety (Bupron SR 150) and another one for making mood (Etilaam MD 0.5) and for my husband to increase testosterone level (testostone supplement) and Tadgo 10 mg (before intercourse) but till now it is not working at all. We are following this for 10 days. Also, my husband has severe pain in the lower body till feet after using Tadgo. Now, he has suggested sex therapy, which we are not aware of that what exactly it is and how beneficial it is. Please let us know what should we do and suggest something which will solve our issues?Summarizing my questions as follows:Which medicine and gel which will reduce pain while intercourse?What medicine to take which will arise sex drive in both of us?How to increase testosterone level as my husband's erection is not lasting too long?Some overview of sex therapy.For my septate hymen, do I require any surgery? Doctor: Hello. I have gone through your problem and understand your concern. The drugs you are currently taking is quite helpful in some cases and not in few cases. From the description provided, it appears that because of one or other reason you never actually allowed your husband to do penetrations, it may be possible that either you have vaginismus or afraid excessively of sex that it may be very painful. In reality, sex is not painful. So, during sex therapy, the couple is helped by explaining the details of anatomy and how you can enjoy normal sex without too much worry and sometimes with help of some models or technique described by Masters and Johnson. Medicine or gel such as Lignocaine gel can be applied to the genitals, that reduces the pain sensation. Medicines other than what you are taking, like aphrodisiac or supplement such as Nanoleo total or Tetrafol plus, are helpful to some extent. Testosterone can be taken as a tablet or as an injection to increase its concentration by supplements. If the septate hymen is too thick and does not allow either finger or any other objects then surgery is advised. There are few instruments available in different sizes, they are used to dilate vagina by inserting them in the vagina, beginning from small size to larger size, in step by step. You can consider them as well. Feel free to ask if you have any questions. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29245, + "tgt": "Accidentally, had a hit in my fractured arm. What to do?", + "src": "Patient: Hi doctor, I have a plate in my right ulna from a previous injury. I have had one plate snap on me and had to have it replaced last month. It was a hard heal. As there was a 3 mm gap between both sides of the ulna, they decided to put synthetic bone graft around it. Tonight, I accidentally had a hit in my arm in the area of the break and plate. It is now a few hours later, and I am in some pain. When I feel around the plate and trace the edge, where the door hit my arm, it feels squishy, and there is a bit of a bump if I feel around the plate or bone. I am unsure if it is just bruised or if I should get it checked. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20916, + "tgt": "My teeth are black. I dont want to lose any teeth. Please advise", + "src": "Patient: Hello doctor, My teeth are black. It looks like it is in the starting stage of tooth decay. I do not want to lose any teeth. Please advise. Doctor: Hi. Black spots on the teeth are indicative of initial stages of teeth decay. But you need not worry since this stage is repairable. There are no chances of losing your teeth at this stage. For healthier teeth and to prevent tooth decay try to follow these suggestions: If there is any food lodgement in the tooth associated with the color change, it should be treated as early as possible because decay might spread deeper leading to a toothache." + }, + { + "id": 30626, + "tgt": "Why do I have blurred vision while using contact lens?", + "src": "Patient: Hi doctor, My eye power for the glass on the left eye is cyl - 0.75 with 10 axis and on the right eye is cyl - 2 with 170 axis. I am using contact lenses. But, I have a problem when I insert the lenses. I feel blurred vision in the left eye. I am using contact lens with power cyl - 1.75 with 170 axis of the left eye.\u00a0Please get me a solution. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 894, + "tgt": "I am on Levetiracetam for epilepsy and experiencing mood changes. Is it the side effect of that drug?", + "src": "Patient: Hello doctor, I was diagnosed with epilepsy in late 2016, and have been taking Levetiracetam since then (500 mg twice a day). I have been concerned that it is affecting my mental health. I have been experiencing anxiety, depression, irritability, and anger which is very out of character for me. It has taken some time to pinpoint, but it seems like these behavioral changes may correlate with when I began taking the medication. Prior to starting Levetiracetam, I had two grand mal seizures about 12-15 months apart. I frequently had what were diagnoses as epilepsy-related auras. Since I have been taking Levetiracetam, I have not had any more seizures or auras. I am happy the medication is working, but I am interested in advice about other possible medications or non-prescription treatments. Doctor: Hi. Your assumption is right, Levetiracetam causes behavioral disturbance as a side effect. There are two options now, 1. To taper off the Levetiracetam - if you have not experienced any seizure or aura in the last four years then we can go straight away with gradual tapering of the medicine, for that we need to know the last seizure/ aura episode, but with this, there is a risk of recurrence, you need to be cautious and under the watch of someone for few months. 2. Substitute Levetiracetam with Sodium valproate - in this risk of seizure is less, but still, it is there, on the fact the Sodium valproate is a mood stabilizer. Please do not do any of the above by self, you can consult a neurologist locally let him manage or get a telephonic consultation." + }, + { + "id": 15932, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13502, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26802, + "tgt": "After taking Festone kit, I bled for few hours only. How to confirm abortion?", + "src": "Patient: Hello doctor, I took a Festone kit 1+4 after 40 days from LMP.\u00a0Bleeding started within an hour, but it lasted for just few hours. How to confirm my abortion? Doctor: Hello. If your bleeding has stopped in just few hours, one cannot be sure if the abortion process has completed or not, unless an ultrasound confirmation is made. I hope you took the kit under a gynecologist advice after confirmation of an intrauterine pregnancy or after confirming pregnancy with a urine pregnancy test. Usually the bleeding will last for five to seven days. If pregnant, then a gestational sac will be passed with pain and bleeding will stop. So, you are requested to get an ultrasound done to check whether the abortion process has completed. Revert back after the ultrasound scan to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15002, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5070, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26222, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 13191, + "tgt": "Why have I got dermatitis after rhinoplasty?", + "src": "Patient: Hello doctor, I had a rhinoplasty performed 3.5 weeks ago. About a week after the surgery, I developed some form of dermatitis on my nostrils. My surgeon prescribed me with antibiotics and steroid cream. It helped and cleared up temporarily. He advised me to use Vaseline on the area to help wound healing. Although three days later, dermatitis has flared up again. I am very concerned. Doctor: Hi. It seems like post inflammatory erythema and few follicular papules over your nasal area (attachment removed to protect patient identity). A simple bacterial infection could be the cause that can happen after surgery. Please avoid using steroid like Hydrocortisone preparation over the area. Rather use an oral antibiotic. Did you notice any fluid-filled lesion over nostril? I mean blister? You will get better with an oral and topical antibiotic. Do not worry. Bacterial infection, post inflammatory erythema. Tablet Co-Amoxiclav 1 gm BD for one week, apply Fusidic acid ointment BD, take antihistamine tablet OD. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants." + }, + { + "id": 2790, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22820, + "tgt": "Is it a bad idea to sleep with a pool noodle along your spine?", + "src": "Patient: Hello doctor, Is it a bad idea to sleep with a pool noodle along your spine? I am trying to work on my posture since I am getting arm pains. I am doing lots of stretching, exercises, and foam rolling. The foam rolling made me think about sleeping on something similar to get extra benefit. A pool noodle is softer, can be cut to any size and can even be taped to a T-shirt so it does not roll around. I could then offset my neck by just using a thicker pillow. I am not too sure about the lower back area, perhaps another pillow or I can taper the edge of the noodle? I thought I would ask a professional before I went out and did something possibly very silly. Doctor: Hello. Do not try unusual methods as sleeping for six to eight hours in an unusual position may be more harmful and cannot be equated to a foam roller as its use is controlled and for a short duration. The pool noodle, being softer, will not provide the deep tissue massage that a foam roller does. For more information consult a physiotherapist online.-->https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 23959, + "tgt": "Does beta hCG of 2 indicate pregnancy?", + "src": "Patient: Hello doctor,I had my beta hCG done yesterday. It came as 2.00. I had sex recently. Eight months ago, when I had done the same test, my beta hCG was less than 0.1. Why this increase from 0.1 to 2? Is it because I can be pregnant and the hCG is increasing gradually? Or there are other reasons as well which increases it? I wanted to ask this because I am also experiencing early pregnancy symptoms like morning sickness, vomiting, a bit of back pain as well. My appetite is down. Doctor: Hello. A beta hCG level which is increased indicates a possibility of pregnancy. You need to do a USG scan to look for evidence of fetus in the uterus. Also, you need to repeat a beta hCG level after a week from the date of first test increasing levels definitely are significant. Meet a gynecologist at the earliest. Do not use any home remedies or emergency contraception pills as they can cause serious side effects. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16652, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24631, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7320, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14500, + "tgt": "Is it normal to have cough, stuffed nose and headache after taking Apixaban?", + "src": "Patient: Hello doctor, I cannot get to sleep due to a racking cough and have stuffy nose and headache as I take Apixaban blood thinner. I do not know what medication to take to treat this. Currently taking Apixaban, Bisoprolol, and Amlodipine. Doctor: Hello. This is likely a result of upper respiratory infection or allergic manifestations. Firstly, it is better to get examined by a local practitioner for throat and nose examination for signs of infection. You will need and should get prescribed antibiotic like capsule Augmentin 625 mg thrice a day along with some antacid like tablet Pantoprazole 40 mg once a day before breakfast for five days. For symptomatic relief, antiallergic medicine like tablet Allegra 120 mg once a day preferably bedtime till this resolves. Also, for cough syrup like Alex 2 teaspoon SOS will be helpful. For a stuffy nose, you may use Xylometazoline nasal drops, a drop in each nostril SOS. Also, avoid using over-the-counter other than Paracetamol like Ibuprofen, Diclofenac. Paracetamol may be used 650 mg three times a day accordingly." + }, + { + "id": 1206, + "tgt": "I am having severe pain in rightside back lower body with rashes. How can it be treated?", + "src": "Patient: Hello doctor, Having severe pain in rightside back lower body with rashes. I will attach photos. Doctor: Hi. You have got herpes zoster (attachment removed to protect patient identity). It is caused by Varicella zoster virus. Very painful blisters will be there. Must be started on antivirals at earliest. Tablet Acyclovir 800 mg 5 times a day or other equivalent. For pain Paracetamol, apply Calamine lotion to the spots. If not available OTC please meet your doctor. Take care. Do not break the blisters." + }, + { + "id": 8006, + "tgt": "I am feeling pain after root canal treatment. Why?", + "src": "Patient: Hi doctor, I had minor tooth pain before and got a composite filling. Then, I had extreme pain and opted for root canal treatment.\u00a0I had a root canal before three days.\u00a0I feel extreme pain and my tooth is still sensitive to cold. Is it possible that the nerve was not completely removed? Also, it hurts with cold liquid. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 24040, + "tgt": "Why am I having back pain and urinary problem?", + "src": "Patient: Hi doctor, I am 28 years old. Lately, from the past four days, I am having a urinary problem. I would pee normally but would still feel bladder is not empty. I tried a home remedy and from the past two days, my back has started to hurt a lot. I am currently on an antibiotic (Zenflox UTI). My urinary problem has gone once I started taking antibiotic but I still do have back pain. I got my urine examination done today. I am attaching the report. Today I had slight vaginal bleeding when I wiped. Doctor: Hi. I have gone through your query. I would like to know a few more details. Is this the first time you have had a urinary tract infection or has it happened in the past? If so, is it frequent? Are you married, had any children? A single episode of UTI (urinary tract infection) in women is not a cause for concern. If you have repeated infections then it needs to be evaluated. Since you are symptomatically improving on antibiotics, I would suggest you to continue the same. If you still have symptoms after 72 hours of medication, then you would need further evaluation. Your urinalysis (attachment removed to protect patient identity) shows evidence of infection, but the specimen has been contaminated with vaginal secretions, so it is hard to say with certainty. I would ask you not to worry as in 90 percent cases uncomplicated UTI such as yours resolve with antibiotics in three to four days. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11187, + "tgt": "How to get rid of the chickenpox scars?", + "src": "Patient: Hello doctor, I am suffering from chickenpox scars since childhood as it left so many marks and holes on my face. I need some suggestions to get rid of it. Please help. Doctor: Hello. I understand that the chickenpox scars have been disconcerting to you. The treatment approach would depend on the depth of the wounds. Very deep scars would need a procedure like dermabrasion. For superficial scars, you can try Tretin 0.025 (Tretionin) cream daily night. Apply it in small amounts and very lightly over the scars, daily night for two months. It will not lead to a 100 % reduction in the scars, but it would gradually make the scars less visible by tightening the skin. If you are not satisfied with the results after two months, consult a local dermatologist for dermabrasion." + }, + { + "id": 4934, + "tgt": "How do antidepressants affect the fetus?", + "src": "Patient: Hello doctor, I am a-20-year-old female. I am pregnant and suffering from depression and my main 'trigger' is lack of sleep and tiredness. I am aware that I am having a child. I am signing up for sleepless nights so my main concern is antidepressants and the effect they might have while breastfeeding. Doctor: Hi. I have read your post thoroughly and I have to tell you that depression during pregnancy must be dealt with carefully. Pregnancy itself causes mood swings and there are episodes of depression, as a consequence of hormonal fluctuation. The best ways to deal with this during pregnancy vary from patient to patient depending on their level of depression. Provided your history with this and the suicidal attempts, you may need to be on antidepressants, which even though are generally considered unsafe for the fetus, a few are of pregnancy safety category C. Meaning, category C drugs may be given when benefits outweigh the risks in your case. Needless to say, these are prescription medications and I recommend you to see a psychiatrist who can evaluate your present situation and decide on that. Please note, that if you ever feel like you need medication during pregnancy, do not hesitate to consider the safer options because harboring something like depression can make it worse and cause more harm to the fetus than the drug itself. I hope this is helpful." + }, + { + "id": 16730, + "tgt": "What is the infection on the outside of penis with white, flaky spots?", + "src": "Patient: Hi doctor, I have developed some sort of an infection on the outside of my penis. It has been a little over a week and there are white, flaky spots now. Can you please advice? Doctor: Hi. I request you to kindly upload a few images of the affected area so that I can have a look and guide you better. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11973, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23317, + "tgt": "Is clicking sound in knee a symptom of any big disease in an 18-year-old?", + "src": "Patient: Hi doctor,I am a boy, 18 years old. My right knee has clicking sound without any pain. Please help me out of this. Is this symptom of any big disease? Tell me some things to cure this. Doctor: Hello. You have what sounds like Chondromalacia patella which in itself is not a major problem and commonly seen in young adults who are still growing. You will need to do a regular exercise of the knee and stretches of the hamstrings and most problems resolve once you stop growing. No need to get tensed up. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 16518, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29116, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14566, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20368, + "tgt": "How can I decide the power of glasses?", + "src": "Patient: Hi doctor, I have visited three ophthalmologists, and all of them have prescribed me a different CYL and SPH powers for both the left and right eye. I am confused. I do not know which one is correct. How can I decide the power of the glasses? Please help me. Doctor: Hi. I understand your problem. You are having a problem in deciding the power of glasses to be made. I can give you the following suggestions. Choose the power which is felt the best when you are undergoing testing. Choose the power which has the most precise vision, with no distortions, with no variations in the size of objects, and there is no eye strain. Most patients will get satisfied with this power. Choose the power which was given to you after verification using dilating eye drops. This test involves instilling dilating eye drops which blurs your vision. You are usually asked to come back to recheck on another day or sometimes prescribed glasses on the same day. This verification decreases the chances of error. An error of 0.25 diopter and an axis shift of less than 5 degrees is not noticeable in most circumstances. So if your glasses differ from each other by only small degrees, you can choose any one of them." + }, + { + "id": 9001, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 19225, + "tgt": "Why do I have shooting pain in my calves after walking?", + "src": "Patient: Hello doctor, I am a 60 year old known diabetic. Since two years, I am having severe leg pain when I walk even for a small distance. I have shooting pain in my calves after just 10 minutes of walk. Doctors have diagnosed it as calcification of nerves. I have attached my reports for your reference. Please help. Doctor: Hi. You are having intermittent claudication due to a peripheral arterial disease as demonstrated by your arterial ultrasound (attachment removed to protect patient identity). I am hoping it is a Doppler ultrasound. It appears that your diabetes is under control and you do not have heart failure. I understand that you have no history of heart attack either. Peripheral vascular disease, less likely but sciatica is also possible. You have normal EMG, but there is no MRI and nerve conduction study available. If ankle-brachial index is normal, then nerve conduction study has to be taken. Peripheral vascular disease. 1. Increase the Cilostazol to 100 mg twice daily if there is no history of heart failure, heart attack and not taking two blood thinner agents together. 2. If taking Aspirin only, then it is safe to increase the dose to 100 mg twice daily. 3. I would encourage you to take 81 mg of Aspirin daily. 4. Also, do exercise grading. It is a three month program that will gradually build your exercise tolerance. Follow up in a month to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5483, + "tgt": "I have back pain, stiffness in elbows, shoulders and knees. Is it due to scoliosis?", + "src": "Patient: Hello doctor, I am a 15-year-old cheerleader who experiences bad back pain. I was diagnosed with scoliosis at the age of 10, but everyone that I have met with scoliosis did not have pain like me. I have tightness and pain in my elbows, shoulders, ankles, knees, and hips but the back pain is excruciating. I wake up at least two times every night in pain, sometimes in tears. I cannot take this pain anymore. I have been experiencing it for as long as I can remember. I used to be insanely flexible but now I cannot arch my back without getting lightheaded. Last year, I consulted a doctor to find out what was wrong with me and the doctor did not believe my pain. Please tell me whats wrong with me. Doctor: Hello doctor, Sorry to hear that you have pain for such a long time. I am sure you understand that I cannot fully answer your queries without seeing you and examining you. But it sounds as though you have joint hypermobility with scoliosis. This can cause severe pain because your muscles have to work much harder than people without hypermobility to keep your joints in the correct position. So your muscles become tired much more quickly than other people. You have probably already researched hypermobility but a good source of information is the Arthritis Research UK website. The good news is that the condition is benign and does not lead to arthritis in later life. It sounds as though you need a comprehensive physiotherapy program with someone who understands hypermobility and scoliosis. You may also need an MRI (magnetic resonance imaging) scan of your back to ensure there are no nerves being pressed on the back, and finally, perhaps you need to take some painkillers such as anti-inflammatories, Paracetamol or a neuromodulator such as Amitriptyline. You will always need to pace your activities more than other people to prevent excess muscle fatigue. I hope this helps." + }, + { + "id": 24826, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13981, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14293, + "tgt": "What can be done for pain in neck, hand, and weakness due to degenerative changes?", + "src": "Patient: Hello doctor, I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it. Doctor: Hi. I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you. Age-related changes. Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium. Cervical arthropathy due to RA or TB. Degenerative cervical spine disease. Pain medications, NSAID and Gabapentin. Exercises and rehabilitative medicine, physical therapy." + }, + { + "id": 20605, + "tgt": "How to proceed when we receive the semen analysis result as azoospermia?", + "src": "Patient: Hi doctor, My husband's semen analysis result shows azoospermia. We done it twice and the result remains the same. What shall we do? Doctor: Hi. Azoospermia was confirmed by two reports. So, kindly have him examined by an andrologist. He has to be examined for secondary sexual features, testes size and presence of gas. His FSH levels (follicle-stimulating hormone) must be checked too. By doing these we would be able to differentiate whether he has an obstructive or non obstructive azoospermia. If testes size is normal and FSH levels are normal, then obstructive azoospermia is likely. In such a case, needle aspiration from epididymis or testes may have sperms and shall be used for ICSI (intracytoplasmic sperm injection)." + }, + { + "id": 15580, + "tgt": "My fasting blood sugar level is 8. 3. Is it indicative of diabetes?", + "src": "Patient: Hello doctor, I have a blood sugar level of 8.3 mmol/l during fasting. Is this diabetic or still at the pre-diabetic stage? Can I reduce the sugar level without medication? Doctor: Hello. This falls in diabetic range. You should also get post-lunch sugar done. You will eventually need medicine. However, you can try a healthy lifestyle for some time period. You should have a healthy lifestyle like avoiding fatty, oily, sweet, and high-calorie diet. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Try to achieve weight loss which is important. Repeat fasting and post lunch sugar after two weeks to look for the response. All the best." + }, + { + "id": 19727, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26014, + "tgt": "Had sex from 13th to 18th day of my cycle. Will I get pregnant?", + "src": "Patient: Hi doctor, I got married before three and a half years and before three months decided to have baby. Last month consulted a gynecologist. She did some test both for me and my husband. Everything is normal except that I am hypothyroid. Doctor prescribed me Thyronorm for three months. Again I her on my 2nd day of period and she suggested me to take CCQ 100 tablet. I had fertility injection\u00a0on 13th day of this cycle and had intercourse on the next five days.\u00a0Is there chance to get pregnant? I am just desperately waiting to get pregnant. Kindly suggest the best thing to do. Doctor: Hi. I have read your problem. You have mentioned that all tests were normal. By chance if you have not done any of the following tests, please do it. Check the following blood tests: Blood sugar PP (postprandial), TSH (thyroid stimulating hormone), prolactin, testosterone, Hb (hemoglobin), TC (total count), DC levels (differential count), ultrasound of pelvis and your husband\u2019s semen analysis. If all these are normal then HSG x-ray (hysterosalpingogram) to see the tubes. This you can do after six months of treatment. Best wishes. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20863, + "tgt": "Why are my lymphocytes and eosinophils count slightly raised?", + "src": "Patient: Hi doctor, I did a recent blood test, where my CBC, TLC, ALC are normal and looks fine but under DLC (differential leucocytic count) my lymphocyte is 41.2 (range 20 to 40), eosinophil is 6.6 (range 1 to 6). What does this mean? I have a very slight cold for some time and sometimes when I lift anything, my upper right arm closer to my elbow feels stressed and it hurts and the same hand between my palm and wrist space below my wrist it hurts. No stiffness. I can do all the activities. I can feel a kind of a pain in these two spots. My height is 5'4\", weight is 69.2 kg. This blood test was done exactly five days after my periods. Doctor: Hello. Your complete blood count report shows borderline lymphocytes and eosinophil. But that can be from the cold that you already have. I need to know your full CBC to check absolute lymphocytes count and absolute eosinophil count. So you can attach your reports. For bone pain at two spots, investigate with serum 25 (OH-hydroxy) vitamin D estimation and serum-free ionized calcium estimation. You can provide that reports once done. Bursa or tendon inflammation also can be possible in your case. It happens if we overuse a particular portion of the body. You can be prescribed course of nonsteroidal anti-inflammatory drugs like Paracetamol and Serratiopeptidase combination." + }, + { + "id": 21393, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30452, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28117, + "tgt": "I have to undergo an extraction today, and I am panicking. Please help", + "src": "Patient: Hello doctor, I got braces on the upper front teeth, about a month ago. They need to be on for the next 30 months. However, before the treatment can continue, my orthodontist wants to remove two upper premolars because he says that my jaw is a little too small, and my teeth are a little too big. He will then put in spacers. I can understand what he means, and I was fine with it. But, today is the extraction, and I am panicking. I have not been able to sleep since 2 AM, and I am considering rescheduling the appointment at the last minute, even though there would not be another one\u00a0available for four weeks. There are horror stories online of people's profiles becoming flat after extractions. I would feel much better getting a specialist's opinion on it, even if you have the same thing to tell me. Losing teeth is scary. But I am fine with having it done to make them straight. Here are my x-rays and a photo. Sorry about the quality of the images. Thanks for your time. Doctor: Hello. I have looked at your pictures and x-rays (attachment removed to protect patient identity). For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 4048, + "tgt": "How long will Suhagra help in erectile dysfunction?", + "src": "Patient: Hello doctor, I am a 38-year-old male. My height is 5 feet 10 inches and weighs about 90 kg. I am a non-alcoholic and non-smoking person. I have two children. Now I am facing erectile dysfunction problem. First time I used Suhagra 25 mg and I enjoyed successfully. How long I have to use this tablet for natural erections? And what are the habits to overcome this problem? Doctor: Hi, Welcome to icliniq.com. You can use this tablet for the long term as this tablet does not cure your erectile dysfunction. It works when you use it and its effect lasts for few hours to days. Now coming to the habit to overcome this includes daily exercise or morning walk for at least 40 minutes. Avoid too much oily food. Consume low fat diet, whole grain foods, fruits, and vegetables will be useful. If having diabetes or hypertension then manage them effectively with the help of drugs and exercise." + }, + { + "id": 28787, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16172, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17336, + "tgt": "Can a viral infection increase the ESR level?", + "src": "Patient: Hello doctor, I am 30 years old male. My recent blood report shows high ESR level (48 mm/hr). I am having a\u00a0cough, fever, and a headache since eight days. The doctor told me that I have a viral infection, and has given me antibiotics and a cough syrup. Please guide. Doctor: Hi. Consult your physician, with keeping all this in mind. Revert with more information to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21460, + "tgt": "Please explain if there are any abnormalities in my master health check-up reports", + "src": "Patient: Hello doctor, Can you please go through the master health check-up reports results and advise me of any abnormalities, deviations, and any detailed follow up that I should take up. I can note vitamin b12 deficiency. Can you please prescribe any medication for this? Otherwise, I am feeling healthy and normal, and it was just a routine preventive test. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). I have noted the following abnormalities: Rest of your reports are fine. So overall, there are minor derangements which I mentioned above. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5929, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28227, + "tgt": "How long does it take for the endometrium lining to grow?", + "src": "Patient: Hello doctor, I am trying to conceive. My endometrium lining is showing as 1.8 mm\u00a0and follicles of left ovary is 9.4 mm on 8th day and 16.1 mm on 10th day of my menses. I would like to know why has my endometrium lining decreased to this extent? Nine months back, I was pregnant but it led to a missed abortion due to rubella, so I got miscarriage in the 2nd month after which I had MTP and later also underwent D and C as the first attempt of MTP was not successful in removing the fetus. During this pregnancy my endometrium thickness was 8 to 9 mm. I also have PCOD because of which I had taken Ubiphene which helped me ovulate for that pregnancy. Now, it has been 5 to 6 months since the miscarriage and I was suggested Clofert 50 mg for inducing ovulation for 5 days. Since 2nd day of my last menses I am taking that and went for follicular study. On 8th day of my period the endometrium thickness was 1.8 mm and then again I went two days later and still endometrium thickness was 1.8 mm. I was advised to take Progynova once a day. Still my endometrium lining has not increased. Could you please tell me the natural ways to increase my endometrium thickness. I would really appreciate your guidance. Doctor: Hi. I have read and understood your problem. You have PCOS (Polycystic ovarian syndrome) so your ovaries might be producing less of estrogen and more of testosterone. Also you may have other hormone problems. You need to do blood tests Hb (hemoglobin), fasting sugar, prolactin, TSH (thyroid stimulating hormone) and testosterone. Follicles of left ovary if 16.1 mm on 10th day is good. Progynova increase endometrial thickness. Soy food products will naturally increase estrogenic effects. Revert back after the investigations to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1102, + "tgt": "I experience hip, knee and back pain due to frequent masturbation. Please help", + "src": "Patient: Hello doctor, I am a 22-year-old male. I have been getting hips, legs, knees, and back pain issues when masturbating. I usually masturbate four to five times a week, sometimes I can go two to three days without masturbating. I have cracking noises in my hips and knees and my quad muscles feel over stretched and tight. This problem has affected me and I am very limited in performing any activities such as sports. I am not physically active anymore, I used to play sports regularly but since I started having so many problems from the waist down, I stopped. Also, I get pain even when I am standing, sitting, or driving and get pain in the morning after waking up. I live abroad and to get any medical attention requires months of waiting. I currently have an MRI booked in five months but my symptoms are getting worse day by day and I do not have the patience to wait until then. Is masturbation the reason for my problems? How can I fix these issues and get my life back to normal? Is MRI necessary? If not, what do I need instead? Please help. Doctor: Hello. Sorry about your health condition. Masturbation usually may not cause weakness or muscle problems. So do not worry, the possible causes for your problem is 1. Panic attacks or anxiety which lead to increased tension in muscles. 2. Hypocalcemia. 3. Fibromyalgia. 4. Hypothyroidism. 5. Vitamin D deficiency. 6. Rheumatoid arthritis. 7. Myositis. Still, many possibilities are there. So use vitamin E capsule like Evion 400 mg twice a day for two weeks. Use tablet Aceclofenac 100 + Thiocolchicoside 4 mg twice a day for five days. Avoid excessive masturbation as it may lead to penile mucosal injuries, lack of sex drive, etc. Eat more green leafy vegetables and fruits. Do yoga and meditation regularly to release your muscle tension. Get done hemoglobin level, thyroid profile, serum calcium, and vitamin D levels. Also, do RA (rheumatoid factor) factor, ANA (antinuclear antibody), ASO (antistreptolysin) are also useful. If symptoms are not improved please consult with your physician or rheumatologist, he will examine and treat you accordingly." + }, + { + "id": 22443, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21224, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14886, + "tgt": "Suffering from sore throat with post nasal drip and lymph node enlargement. What is causing it?", + "src": "Patient: Hi doctor, I am 19 years old and from the last two years, my sore throat is not going away. I am having a lot of post nasal drip. I tried taking OTC anti-histamines, nothing helped. Today I noticed a hard lump under the chin at right side right at the point where throat begins. What is causing it? Doctor: Hello. The symptoms listed by you point to chronic tonsillopharyngitis mostly secondary to the post nasal drip. Delving into the details, the constant post nasal drip is causing inflammation of the posterior pharyngeal wall and the tonsils in the throat. When these get infected the adjacent lymph node (the jugulodigastric node), palpable under the angle of the jaw where the throat begins, gets swollen. I checked the picture you have sent. It shows enlarged tonsils with granular congestion of posterior pharyngeal wall. We need to investigate you as to why there is chronic tonsillopharyngitis. We must evaluate the cause for post nasal drip. Most probably the post nasal drip could be due to some inflammation inside the sinuses. To rule out the same we must do a non-contrast CT scan of paranasal sinuses. At the same time, it will be prudent to get a monospot and streptoccal test done for the throat. Routine blood investigations will be helpful to check for agranulocytosis, infectious mononucleosis, lymphocytosis, anemia, etc. In the meantime, avoid spicy and cold food products. Desist from smoking and drinking. Drink plenty of fluids. I suggest you take a course of anti-inflammatory medicines, Chymotrypsin-Trypsin-Bromelain, taken twice daily in empty stomach for five days. I would also suggest taking Omeprazole 40 mg twice daily before meals for 10 days. In the meantime, you would get the tests done and get back to us with the reports. If the diagnosis is in the lines that I have thought, you would require treatment for the sinusitis which would remove the causative factor for chronic tonsillitis. In any case, the investigations will help us arrive at the most decisive diagnosis. Do revert back for further support and help." + }, + { + "id": 1340, + "tgt": "I have a fatty liver and feel pain on the right side of my stomach. Please advise", + "src": "Patient: Hi. Good Evening. I have fatty lever and feel pain at right side of my stomatch. When I touch with hand it give warm pain and I feel it warm touch incide. Currently taking two times Liv. 52 DS from fee days. The same medicine I was taking 2 to 3 months before then I stopped. From almost a month, I am not walking and doing exercise. Colistrol is under control due to use of Ateroz 10 mg tablets. Please advise. Thank you. Doctor: Hi. I understand your problem. It seem the pain over your part of stomach i secondary to increase gas production as well as increase acid production. As far as given no weight loss in these last 6 months- I reassure you that it is not some serious problem. There are many factors which could abnormally increase gas and acid production. the common of which are stress, anxiety and sleeplessness and if someone putting on weight. There is one safe antibiotic to be taken for at least 3 weeks to show good results. Tab Rifxamin 200 mg thrice daily for 3 weeks If your symptoms dont resolve see me in 2 weeks we can consider testing it with investigations. For fatty liver there are no approved medication. so there is no use or Liv 52 if you are taking for fatty liver. It is only weight reduction of around 10% of your current body weight which can help to improve your fatty liver. Uninvestigated dyspepsia and Fatty liver disease LIVER FUNCTION TESTS FIBROSCAN see me in 2 weeks time if symptoms does not get better" + }, + { + "id": 9072, + "tgt": "Why do I have back and stomach pain and no periods from the last six months?", + "src": "Patient: Hello doctor,I have a 28-day cycle my last menstrual was six months before. I have been having lower stomach cramps, lower back cramps in thighs and calf cramps. My husband ejaculated in me on the very next month, kindly tell me what is going on? Doctor: Hello. First of all, please rule out urinary tract infection by doing urine routine examination and culture sensitivity. There may be many other causes of chronic pelvic pain. 1. Ovulation pain occurs mid-cycle but self-limiting. 2. Endometriosis may cause severe painful periods. 3. Vaginal infection, vaginal discharge, foul-smelling discharge. 4. Pelvic congestion, constant pain throughout starting from a mid-cycle, may stay till periods, reduce after periods. 5. Irritable bowel syndrome, relation with bowel motions. 6. Interstitial cystitis, increased frequency of urine, pain fluctuates with urination. Please consider doing a urine pregnancy test, if you miss your next periods. You can also do blood for pregnancy (hCG) test, after two weeks of unprotected intercourse." + }, + { + "id": 11999, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18822, + "tgt": "Could you suggest me a supplement for low vitamin D?", + "src": "Patient: Hi doctor, I am a 33 year old male. I was diagnosed to have low vitamin D thrice over a span of 5 years. My current level is 17 ng/mL, which I understand is below normal. My lifestyle does not permit me to have enough sun exposure. Hence, I think that the supplements are the only option. Could you please suggest me the supplements? One gentleman from the medical fraternity suggested Calciferol sachet once a month for six months. Is it safe? I would not prefer the one with serious side effects. Please review the attached report and let me know your comments. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 5024, + "tgt": "I get unusual headaches and vertigo with migraine. Is CT or MRI required for further diagnosis?", + "src": "Patient: Hello doctor, For the past eight months or so, I have had some problems with unusual headaches and sort of momentary feelings of lightheadedness, vertigo but it is like everything just shifts for a second instead of spinning. I have a background of stable migraine headache. I have had some face pressure as well and some momentary stabbing headaches. Some chronic low-grade nausea that can disappear for weeks at a time and is not usually accompanied by a headache. I went through the gamut with GP, he then referred me to an ENT, and then to a neurologist. I am still getting some headaches but have had a clear CT scan of sinuses. A full neurological exam was done and that was normal, and the neurologist did not seem to think that additional imaging (MRI) was needed because my exam was normal. Even though it was a CT scan of the sinuses, they would have seen the brain (particularly frontal lobe) and notified of any abnormalities they could see. I had a clear MRI approximately one year ago for some twitching and muscle pain. Do you agree that further examination is not warranted? In other words, with the above information is a structural problem unlikely? Doctor: Hello. You have been elaborate in providing your medical history and that always helps to form an opinion. Coming to your straightforward query, I really do not see any indication for a fresh brain imaging study like CT (computed tomography) or MRI (magnetic resonance imaging) in view of your transient, very short lasting symptoms and a normal MRI brain, just one year back. Instead, I would suggest here to get one electroencephalogram (EEG) done to look for abnormal electrical discharges in the brain during those episodes. EEG done during the time frame when you are frequently having those episodes will be more rewarding in terms of diagnostic importance. With a normal neurological examination and normal MRI, you should stay calm and assured that it is nothing serious. Lastly and importantly, anxiety is the commonest cause of such symptoms. Please start doing mental relaxation exercises, meditation, yoga and observe for improvement. I hope this helps." + }, + { + "id": 23205, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3302, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15423, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1730, + "tgt": "I have shallow breathing and wheezing with a history of smoking. Please help", + "src": "Patient: Hello doctor, I have shallow and fast breathing, usually bubbling and wheezing at bedtime along with nasal congestion and post nasal drip. My mucus is low and clear with a little cough. I have these symptoms for the past three months. I used Mucinex nasal spray, salt water spray, and Benadryl. I am a smoker for 30 years. I did not get any health problems so far. I have no fever but a little pain in chest with heart palpitations. Doctor: Hi. I can understand your concern. By your history and description, the possibility of bronchitis is more likely. It is commonly seen with smokers. It is the inflammation of airways. This inflammation causes bronchospasm which inturn causes wheezing, breathlessness, mucus production, etc. So please let me know, how many cigarettes you smoke in a day? Have you ever undergone a chest x-ray and PFT (pulmonary function test)?" + }, + { + "id": 29568, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 15140, + "tgt": "Is it possible to get pregnant after oral sex?", + "src": "Patient: Hi doctor, I have a lot of stress going on right now and most of my anxiety is coming back on having oral intercourse with a guy but he did not ejaculate, there was precum though. I am on birth control but after doing the oral intercourse two days later I started my period that was a week early and lasted 14 days. Can I get pregnant? Doctor: Hello. No, you can never get pregnant with oral intercourse only. Vaginal intercourse without precaution would lead to pregnancy during the fertile period. And the periods you are having is not because of pregnancy but may be because of hormonal imbalance. Get your thyroid profile and serum prolactin and fasting insulin FBS. Plus ultrasound to know the endometrial thickness. The birth control pill if you are taking, may result in this if taken irregularly." + }, + { + "id": 29370, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4315, + "tgt": "Will Zopiclone prescribed for sleep intervene with birth control medication?", + "src": "Patient: Hello doctor, I am a master's student currently writing a thesis. As this is a stressful time for me, my sleep is the first thing being affected. For the past two to three weeks, I have had sleepless nights, restless sleep, and waking up in the middle of the night averaging about two to three hours of proper sleep per night. During that time I had been taking Valerian root to help me sleep, except recently, it seems its potency has worn off, or my body has become used to its effects. A doctor prescribed me Zimovane (Zopiclone) for sleep but did not ask about prescriptions I am currently taking. Does Zopiclone have any effects on birth control prescriptions? Particularly Rigevidon? Doctor: Hello. Zopiclone is a nonbenzodiazepine hypnotic agent, helps in maintaining sleep, long acting, reduces the number of awakenings, improves the quality of sleep and has minimal abuse potential. The usual dose is 7.5 mg 15-20 minutes before sleeping, and should not be used for more than four weeks. As such Zopiclone has no metabolic interaction with birth control pills, so you can continue to have them even on Zopiclone. However, if you want to conceive, then you should not take Zopiclone, as it can lead to withdrawal symptoms in neonates. Hence if on birth control pills, you can continue to have Zopiclone for about four weeks, after which you should seek an opinion from a concerned psychiatrist. Burnout. Insomnia (primary). Zopiclone 7.5 mg. Sleep hygiene. Avoid stimulants at late night. Follow up after two weeks. Take oral medications continuously." + }, + { + "id": 23865, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 647, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9048, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2849, + "tgt": "Will Norfloxacin cause any birth defect?", + "src": "Patient: Hi doctor,I have just tested positive by preganews. But, I am suffering from diarrhea and consumed a tablet of Norflox and Pan D. Will it cause any effect on my baby? Please inform me. Thank you. Doctor: Hello. Firstly congratulations for having conceived. For further doubts consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3797, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13033, + "tgt": "Does variation in TMT indicate anything serious?", + "src": "Patient: Hi doctor, My father has undergone angioplasty last year. He went for TMT review last week. His TMT report shows variations, but he has no symptoms. His blood profile is normal for blood sugar and cholesterol. He is currently taking the following drugs, Deplatt 75 mg (0-1-0), Rozat 5 mg (0-0-1) and Envas 2.5 mg (0-0-1). He is in proper regular diet. Does this indicate anything serious? Please say any further angiography is needed. The doctor has added tablet Starcad 12.5 mg and tablet Flavedon MR after the TMT report. Doctor: Hi. I have read your query in detail and I understand your concern. I need to know a few more details to help you better." + }, + { + "id": 5230, + "tgt": "My father is having bipolar disorder and is restless even after medication. Why?", + "src": "Patient: Hello doctor, My father is 60 years old. He is having a psychological problem of bipolar disorder as termed by his doctor. For the last fifteen days, he is feeling restless all day long. He gets relief when he sleeps. So all the day he sleeps or just layover. He is depressed and does not talk much. He is also diabetic and having high blood pressure but both are under control. His current medication are as follows: Lamex OD 50 one tablet at night. Rexipra 10 one tablet day and night. Zona 0.25 two tablets three times a day. Dimax OD 250 one tablet at night. Along with regular medicines of diabetes and hypertension. These medicines are on for last 15 days, but he is not getting relief from restlessness. Please advise. Doctor: Hello. The first thing I like to tell you that as per my knowledge there is no Dimax 250 mg and Lamex 50 mg. I am assuming that Dimax in query stands for Diamox (Acetazolamide) 250 mg and Lamex 50 mg stands for Lamex (Levofloxacin) 500 mg. The problem you described is very much inadequate to make any conclusion, but I will try my best to map out the problem for your father. Feeling restless, feeling depressed and not talking much are indicative of depression. It can be labeled as a bipolar disorder if he has an episode of irritable or elevated mood, decreased need for sleep, over talkativeness, pressure of speech and expansive behavior in the past lasting for at least four days in a single stretch. If he had features of both these things described above at the same time then there is also a possibility of bipolar disorder. I would like to inform you that a pure psychological kind of bipolar disorder is very rare after the age of 50. If his first problem started after 50 years of age then the possibility of organic bipolar disorder is very high when compared to psychological bipolar disorder. The other possibility in his case is delirium. This is a kind of confusional state in which patient has difficulty identifying family members, name and detail of place where they are placed along with disorientation to time leading to the reversal of sleep-wake cycle (sleep in day and remain awake in the night). Many patients with delirium also reports the presence of objects that are not visible to others. The cause of delirium in your father may be preexisting diabetes and hypertension, medication, overt infection or electrolyte disturbance. The third possibility is of stroke as he is having multiple risk factors including age, hypertension and diabetes. At this stage, I have a few suggestions for you. 1. Stop the Zona from today itself. 2. Get his electrolyte done including serum sodium, chloride, magnesium and potassium. If any abnormality found report back with details. 3. If CT scan or MRI not done till date this is high time to get it done. If already done please send the report along with the next query. 4, Do the blood sugar monitoring every four hours. At this moment he needs detailed evaluation along with proper history. For the same, you need to present the other data so a firm conclusion can be made and future management of patient can be decided." + }, + { + "id": 21824, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4387, + "tgt": "I have back pain in L5-S1 region which aggravates on sitting. Please interpret my MRI findings", + "src": "Patient: Hello doctor, I have my MRI pictures for back-pain. Could you comment by looking at the pictures? Doctor: Hello. I have gone through your MRI pictures (attachment removed to protect patient identity) and to me, it looks quite pristine. Can you kindly tell me your age and a brief description of your symptoms? The intensity of back pain on a scale of 1-10? Is there any associated leg pain, numbness, weakness in your lower limbs, paresthesias (burning or electrical shock like sensations in limbs), etc? If you have already consulted a doctor who might have prescribed you this scan, please send me his prescription paper so that I can see your exact neurology and other clinical findings. I need all this information because normally we have to correlate the MRI (magnetic resonance imaging) scans with patient's clinical findings so that a diagnosis can be arrived at. So if you can send me all these details, I should be able to see them and advise you accordingly. If you just want information on how these scans look like, they appear fine to me with good disc heights and no obvious foramen compression of any nerve roots." + }, + { + "id": 29127, + "tgt": "What is the first aid for heart attack?", + "src": "Patient: Hello doctor, What is the first aid for heart attack, in case of I am alone at home? Doctor: Hi. Before giving the first aid for heart attack, you should know the symptoms of heart attack. The symptoms of heart attack are: The First Aid for Heart Attack are as follows: Based on the available guidelines, the golden period for revascularization is around 6 hours within after the onset of heart attack. Hope this helps. Wish you good health. Consult a cardiologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20469, + "tgt": "Does missing period for more than two months mean pregnancy?", + "src": "Patient: Hello doctor, I am late on my period. My last period was two months back. Generally, my period is late, irregular and maximum it goes for 45 days. I have never been late so much. It is almost 50 days. I have a kid of 2 yrs and do not want to have another one. I did the pregnancy test at home twice and it came negative. I am not sure whether I am pregnant or not. If yes, then is it a safe time for abortion? For my first kid, the pregnancy test at home used to be always positive. So, I am not sure what to do. I have booked an appointment next week with a gynecologist. I have heard that medical abortion is only possible within 7 weeks. So, what will happen in my case? Doctor: Hi. If the pregnancy test is negative, then the chance of pregnancy is almost nil. The period may be late due to many reasons including anxiety and stress. Pregnancy test becomes positive by the fifth week. So, you will be able to get abortion two weeks after the test becomes positive, if by chance. So, you have time to check with the gynecologist. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2801, + "tgt": "CT scan shows non-growing lung nodules with scars. What does it suggest?", + "src": "Patient: Hi doctor, Six years ago, I had a CT scan that incidentally found three small lung nodules. I had a follow-up scan six months later and they were the same and resembled scars. I just started worrying about them as I have been a bit tight chested for a couple of days (I do have asthma every now and then) and I am worrying that what if they were cancer back then and are now grown into masses and are causing symptoms. Am I right in thinking that if they were malignant back then that I would have had serious symptoms before now? I have attached my report. Doctor: Hi. The nodules found six years back would have manifested into multiple lesions by now if there were cancer and you are right in your thoughts. Usually, cancer nodules double in 30 to 180 days time and if the nodules did not change in six months then cancer is not a likely possibility. An annual chest x-ray is a recommended test to keep track and for a general check-up purpose." + }, + { + "id": 25854, + "tgt": "Can Doxy and Flavospas cause fat loss from the body?", + "src": "Patient: Hello doctor, I had unprotected sexual exposure around four months ago and after that I found a swelling in my right scrotum (after scanning found benign) and consulted a urologist and told him about my exposure and he prescribed Azhithral injections but I was unable to take as it became allergic in the test dose and then he gave me Doxy LDR1 forte (14 no.s) and Flavospas 200 mg for one week. When I was consuming this, I got heavy pain in my body and after some days I found that fat under my thighs, palms, hands, legs, chest, feet and soles has been lost (it is still continuing). A swollen lymph node in neck appeared and my left parotid gland became swollen. I consulted an ENT. He prescribed Moxclav 625. The swelling in the parotid gland subsided and again after some days there was swelling and the doctor gave me Piroxicam. Again it subsided and then after some days again the same problem raised and the doctor gave me Claribid 500 for five days and it subsided. A scan was done on my neck and the result showed: Enlarged left parotid gland with diffuse decrease in echogenicity possibly parotitis. Cervical lymphadenitis: Enlarged lymph nodes noted in the left posterior cervical, submandibular and upper jugular group. They show maintained fatty hilum and ovoid shape. Maximum short axis diameter is 5 mm.Still, I am losing fat from thighs, glute, legs, hands, chest, palms, and soles of the feet, etc. I have a burning and tingling sensation all over the body and in the night inside of both palms become red and veins become enlarged. The following tests I did for HIV and other STDs after the above-mentioned exposure: P24 antigen - 28th day. ELISA - 42nd day. CMIA DUO test - 75th day. ELISA - 92nd day. Hep B, HCV, and VDRL - 99th day. All the above tests were negative. And doctors said that HIV test after 90th day is conclusive that I do not have HIV. Then please analysis my case and give me your valuable suggestions. Doctor: Hello. I need to know some more information such as how much weight have you lost in the last four to six months, the presence of any other symptoms like fever, diarrhea, joints pain, recurrent oral or genital ulcer. Was there any ulcer over the scrotum during the swelling? The symptoms which you have are very non-specific and can be associated with any chronic illness. So further tests will be guided by your symptoms. Are you in touch with the lady, if yes does she have any particular illness? Firstly, there is very less likelihood of HIV, almost nil. At this stage, the possibilities I would keep are of syphilis. However, your VDRL is negative. Orit may just be a psychological issue due to overthinking about that exposure. Anyway, you will need some more investigations like complete hemogram with ESR and CRP, liver and renal function test, ANA antibody test, chest X-ray. For syphilis, you will need other tests like FTA-ABS or TPPA or MHA TP. If none of the above are informative, we may need a CT scan of the neck, chest, and abdomen. So, get back with some information, and answers to my questions. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25082, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17898, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5128, + "tgt": "Why am I facing difficulty in thinking properly?", + "src": "Patient: Hi doctor, I am a 48 year old male. My height is 5'6\" and I weigh 66 kg. I have light stomach pain always and I have no hunger. I cannot think properly and have no fun in life,\u00a0feel like mind is tied with rope or something else. Please help me. Doctor: Hi. Revert back with the asked details to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27156, + "tgt": "I have an upper jaw pain and cannot close my mouth. What could be the reason?", + "src": "Patient: Hello doctor,From my left front tooth, all the way to the back of my teeth on top hurt. I cannot close my mouth and it feels like the pain is going up into the bone under my nose. What could that possibly be? Doctor: Hello. For further queries consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 14712, + "tgt": "I had a toenail injury. The doctor told me that the nail will have to be removed. I am hesitant. Please help", + "src": "Patient: Hi doctor, I have a question here. I had a toenail injury last month (cause: fell down, toe landing first onto the floor, which made the nail get loosened). I did go to the hospital to get it treated. The doctor cut off half of my nail, cleaned and dressed it, and kept re-visiting to get the dressing changed. The doctor said that I could stop re-visiting. And then she told me that the nail would have to be removed again after it grows back fully. But, I am hesitant and kind of rejecting to do so. After a month, the nail is not loose anymore, but the nail seems to be growing outwards, and between the nail and the nail bed, there is a gap (kind of like a hollow gap inside). Should I just wait until the nail fully grows back? Should I cut it? What should I do? I am really worried that it will not grow and it will completely fall off once I start wearing shoes. Please note: I am going on a horse riding and hiking camp the next month. Just in case if it does not grow back by then, what should I do or wear to protect it? Doctor: Hi. I understand your worry. I think you need to follow your doctor's advice (get the nail removed surgically), as it seems that the nail is detached from its bed. But get the procedure done only by a surgeon or a dermatologist. And get it done as soon as possible, because the earlier you get it done, the more the chances are that your nail will grow back before next month. If the nail has not grown back completely before then, do a good sterile dressing during camping. Hope this helps. Take care." + }, + { + "id": 27409, + "tgt": "Is viral hepatitis a sexually transmitted disease?", + "src": "Patient: Hello doctor, My 26 year old cousin is suffering from viral hepatitis since the last two years. If he marries, will he transfer the disease to his wife even if she is already vaccinated against hepatitis? Doctor: Hello. I hope that helps. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26429, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15821, + "tgt": "What is the reason for bad smell from nose while breathing?", + "src": "Patient: Hello doctor, I have had this problem for years where a bad smell comes from my nose when I breathe. I am desperate for any type of help. It started after I got sick in high school. My tonsils were infected and enlarged. The infection came back a few more times until I was unable to get sick again. I have not gotten sick in a couple years, but I still get infections sometimes. Doctor: Hi. Do you smell the bad odor? Or the others only smell this odor? Please capture a photo of your throat using your mobile phone camera and send it to me. If you do not smell the bad odor, you may have atrophic rhinitis. If you can smell the bad odor, the problem can be in your throat or mouth. So I need a picture of your throat. Tell me about any other symptoms you have and your medical history as any chronic diseases. Chronic sinusitis can cause the bad smell too. Chronic sinusitis is characterized by a persistent headache, head heaviness, and persistent postnasal discharge." + }, + { + "id": 18865, + "tgt": "My mother's oxygen level is 70 % even after treatment. What to do?", + "src": "Patient: Hello doctor, My mother is 63 years old. She is having severe cough from more than a year, and last year, she was admitted to the\u00a0hospital. The doctors gave O2\u00a0therapy and BiPAP for four months, and she was fine for few months. Again, the severe cough along with sputum started.\u00a0Recently, the doctor did some tests and gave medication, but she still has a\u00a0cough and water collection in her legs. It seems that there is some problem with her heart as well.\u00a0I have attached the current medication along with recent reports. Her oxygen levels are around 70, and BP is around 150 to 160 mmHg. Her sugar levels are under control.\u00a0Currently, we are giving oxygen by using the concentrator machine. Her condition is still not getting improved.\u00a0Please let me know her prognosis. How to get her cured? Thank you. Doctor: Hi. I have seen all her reports (attachment removed to protect patient identity). For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 20496, + "tgt": "Are my moles normal or suggestive of any disease?", + "src": "Patient: Hello doctor, I have two moles that seem kind of weird. One is a small mole and the other one is like a wart but very small. Even though they are small, I am always thinking the worst, so probably I am overreacting. Can you help me find out if it looks bad or not? Doctor: Hello. The moles look pretty benign to me (attachment removed to protect patient identity). One is a flat one whereas the other one is raised. The flat one is usually a junctional nervous (superficial nevus) whereas the raised one is usually a compound nevus (has both epidermal and dermal component). Both are well defined, uniformly colored, symmetrical and small in size and look pretty benign. Take care." + }, + { + "id": 24936, + "tgt": "Why is there bleeding after five days of taking an i-pill?", + "src": "Patient: Hello doctor, I took an i-pill eight days before my menstrual period was due and after five days of taking it, I started bleeding. The bleeding lasted for three to four days with\u00a0light spotting towards the end. But, now I have again started to bleed\u00a0much ahead of my menstrual period. This does not happen usually. It is slightly accompanied with pain in the stomach and back. What could be the reason? Is there\u00a0anything wrong? I am a type 1 diabetic for the past 14 years and I am insulin dependent, but my blood glucose level remains in control. Please advise. Doctor: Hello. Get one gynecologic ultrasound and a routine urine exam done to rule out the cause. Most likely, the symptoms are because of hormonal imbalance because of the i-pill. I suggest you start a combination of the Tranexamic acid with Mefenamic acid 500 mg two to three times a day. I suggest you be on regular oral contraceptive pills rather than being on an emergency pill. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. Follow up with the ultrasound report. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22143, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30485, + "tgt": "Which medicine should we use for bloodshot eye?", + "src": "Patient: Hello doctor, My husband has a bloodshot eye for a several days already and it is getting worse. We tried to use some drops, but that does not help. What we should do? He said that his vision has become blurred. Doctor: Hello. Revert back with the photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 22904, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17225, + "tgt": "What is the treatment for itchy face?", + "src": "Patient: Hi doctor, I am suffering from itching on my face for the last two years. I took Levocetirizine, Fluconazole and some ointment. My doctor also advised me to use soft soap. But, my problem continues. Please help. Doctor: Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). Revert back with the answers to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13438, + "tgt": "Why is there a lump on testicle with pain while urination?", + "src": "Patient: Hello doctor, I have pain while urinating. I had a white clear discharge from the penis. Now gone. Yesterday I found a small lump on the testicle. I went to the clinic before getting the lump. Tested clear for HIV, syphilis, gonorrhea, chlamydia, and microplasma. Given antibiotics which cleared the discharge but not the irritation when peeing. Found a small lump or spot on testicle yesterday. What is the cause of this? Doctor: Hi. I have gone through your query, I would like to know a few more details. When was your last sexual contact, and after how many days did you get yourself tested? Is the burning sensation during peeing, throughout urination or just stay the start? Do you have to strain to pass urine or have frequent urination? Is there any pain around the lump you noticed and is it painful to touch? Do you clip your scrotal hair or shave them? Looking at the picture (attachment removed to protect patient identity), the redness surrounding the lump, it appears to be some inflammation of the hair follicle involving only the skin. It usually subsides with mild antibiotics, and as you are already on them, you do not have to do anything additional. I would, however, urge you to visit your local dermatologist or urologist for a visit, as a clinical exam is necessary to confirm the diagnosis. Regarding your burning sensation during urination, I would suggest you wait till you finish your antibiotics and if it persists, a urine examination would help to identify if there is any urinary tract infection." + }, + { + "id": 26872, + "tgt": "My husband is caring for a swine flu patient. Should he take preventive care?", + "src": "Patient: Hello doctor, My 46 year old husband is caring for a sick relative who is in the hospital. As per the reports received today, the relative has been diagnosed with H1N1. Should my husband take any preventive medicines so that he does not get the virus? I heard that Tamiflu can be taken as a preventive medicine. What is the dosage and duration of this drug when it is used for prevention purpose? Doctor: Hello. Thanks. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 19195, + "tgt": "My wife is very abusive, and she does not like my parents and sister. What to do?", + "src": "Patient: Hello doctor, My wife is very abusive and says the wrong things sometimes. Her mood goes off, and she remains like that for 2 to 3 days. After which, I have to make a lot of efforts by saying sorry so many times, and then she would become normal. During such a\u00a0period, she will not talk or talk only through\u00a0messages or talk in an\u00a0angry way, and she behaves very angrily. Then she says anything and becomes very angry, and she starts shouting. She has mood swing issues.\u00a0When she was a month and a half pregnant, her mood was bad for seven straight days. She does not like my parents and sister and does not want them staying with us. A\u00a0month back, when my son was born, my parents had come to see the baby. She did not like them visiting and wanted to send them out. But, she could not succeed in sending my parents back, so she forced me to drop her and our son to her parent's place. She does not want to come back, and she says that my mom and sister are doing black magic, and I support them. She is threatening for divorce now. Earlier, she told me that during her childhood, her father used to beat her mother and used abusive words. She is very fond of her mother and wants to stay with her mother and does not want to come back. What should I do? Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Thanks and regards. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 5872, + "tgt": "I have cough, cold and feeling ill for the past two days. Please suggest a medicine", + "src": "Patient: Hello doctor, I have a cold, cough and I am ill for the past two days. Please suggest any medication because I am having my exams. Doctor: Hello. lt is the body's mechanism to fight off the infection thats why we get cough and sneeze to expel the infection and it is not the medicine that could help you for the exam. Purchase a steamer or dehumidifier, pour in camphor oil or karvol vapocap cut it, and pour its oily content in the water and take its steam. I assure you nothing will help you better and quicker than this. After that try studying, taking the help of a spectacle (zero power). At night when you are going to sleep take a tablet of Montair-LC (Montelukast and Cetirizine) and cough syrup Alex (Phenylephrine hydrochloride and Chlorpheniramine maleate). Take karvol steam thrice daily and continue Montair-LC once daily for three days. It will be alright soon." + }, + { + "id": 12685, + "tgt": "What is the treatment for fracture of fifth metatarsal bone?", + "src": "Patient: Hi doctor, I twisted my leg and got an x-ray done. The report showed fracture at the base of the 5th metatarsal bone. How to proceed with the treatment? Thank you in advance. Doctor: Hi. Sorry to hear about your injury. I had looked at the x-rays (attachment removed to protect patient identity) you seem to be having a pseudo-Jones fracture. Mostly, this fracture can heal without any surgical intervention. You will have to use either a walking cast or an orthopedic boot. If it is painless, then weight bearing by the cast or boot will be fine. This part does not bear any pressure. Few fractures though healed, may be associated with some amount of pain. In your case, the fracture line is entering into the cuboid-metatarsal joint. Hence, some pain may be present. I would like to have a look at the lateral view x-rays of your foot as well your knee to check for any injury associated with other tarsometatarsal joints. Pseudo-Jones fracture. 1. Walking with below knee cast or splint. 2. Walking with orthopedic boot for six weeks with weight as bearable." + }, + { + "id": 23968, + "tgt": "Is it possible to have lower back pain when MRI test is clear?", + "src": "Patient: Hello doctor, Is this possible that person has normal BP and after that, when he stands more than 10 minutes or sits on a chair for more than 10 minutes, his mind becomes weighted (means not proper attentive)? Is this situation possible in lower back pain whereas the MRI test is clear? Guide me what is the matter. Doctor: Hello. Firstly, I would like to let you know that the history you have provided is insufficient and not clear. Having said that, I would like to assure you that, yes, it is possible to have lower back ache with a normal MRI report. A lower backache is caused due to multiple reasons: In your case, since MRI was fortunately clear, It is most likely just a muscle strain. You do not have to worry about it. As of now, I suggest: Follow the above advice and you will be totally fine. Do not worry. Do follow up with a more elaborate history as the query regarding BP was not clear. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3150, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5312, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16530, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10516, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30653, + "tgt": "Please suggest a good diet to improve the immunity of a 9 months old baby?", + "src": "Patient: Hi doctor, My daughter is almost 9 months now. She is gaining good weight and height. What should I include in her diet chart to boost immunity, height and make her complexion bright?\u00a0Please provide a good dietary solution. Doctor: Hello. Congratulations for having the little miracle. I guess she is breastfed. If that is correct, then she got plenty from her mom. Regarding the diet, the important point is to make sure that she gets all essential nutrients. Add diet rich in vitamin C, E and A, fruits like strawberries, blueberries, banana, dates, peaches and mangoes. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20849, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26338, + "tgt": "I have sudden onset left-sided chest pain. What can be done?", + "src": "Patient: Hello doctor, I am a 41-year-old male. I have started experiencing sudden onset chest pain on the left side as well as pain in my left shoulder blade. The pain has been constant for the last hour. What should be done? Doctor: Hello. Regards. For more information consult a\u00a0cardiologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 30453, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 5837, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 5382, + "tgt": "I have body pain and loose stools even after taking medication for vitamin D deficiency. Why?", + "src": "Patient: Hello doctor, I found I am vitamin D deficient for the past five months. My vitamin D3 level was 7.04 (too low). So the doctor prescribed DV 60K once a week for two months and then once in a month. I am having this medicine for three months. I was fine and had no pain. Now already I took 15 pills in a period of three months. Now I am having pain all over the body. Hand pain, joint pain, and lower leg pain, even I took rest but it is still there. I did blood work. Everything looks fine and within normal range except high cholesterol. My calcium level is good 10.1 mg/dl. I feel tired and fatigued all the time. I got watery stools for the past three months, I know this is not diarrhea. My stool is clear and no WBC in it. My urine is clear. I got a gland on the floor of teeth and a small lymph node in the neck. I completed an antibiotic course for it, but they are not going to its original size. My question is why am I having pain all the over the body even when I am having a high dose of vitamin D (DV 60K)? My calcium level is good but why I feel bone pain? Why I am having watery stools? I am vitamin D deficient so do I have cancer? Doctor: Hi. See muscle pain or joint pains, watery motions are some of the side effects of vitamin D. These symptoms can also be seen in thyroid problems or diabetes. You have mentioned that your blood reports are fine, but have you been tested for thyroid and diabetes? No, definitely it is not cancer so relax. My advice to you is to take vitamin D once in two months instead of monthly once. Get exposed to bright sunlight. Repeat vitamin D test after two months." + }, + { + "id": 6338, + "tgt": "I am suffering from halitosis for the past 15 years. Kindly suggest a solution", + "src": "Patient: Hello doctor, I am a 26-year-old female. I am suffering from halitosis for the past 15 years. Consulted many doctors and they could not find out the reason. Please help me. Doctor: Hello. If it is such a long history, it will surely need good investigation, medication and regular check-ups. And as you are saying it is not possible in your area I can only give you oral home remedies which may or may not work without timely scaling. This condition can either be related to your mouth or to your stomach even. Many a times this may be due to stomach conditions, upsets or poor oral hygiene. For now I would suggest you to get a full mouth scaling and root planning done if possible in your area, after that follow these: Drink plenty of water. Avoid things like raw garlic, onion. Take more fresh fruits and vegetables. Chew parsley, it helps. Clean your tongue after you are done with tooth brushing. Floss at least once daily. Rinse off properly after every meal and clean your teeth with fingers. Do warm water and salt rinse three to four times daily. Do not take in more of sugary things as they stay for longer time in your oral cavity and cause bad breath. Keep clove in your mouth. I hope this helps." + }, + { + "id": 30470, + "tgt": "What is the reason behind neutropenia in an infant?", + "src": "Patient: Hello doctor, My baby boy is 3.5 months old. When he was 38 days old, he got a fever. I went to the hospital and the doctor said any infant who has fever without any other symptoms may have meningitis and so lumbar puncture was performed. It was positive and the WBC was 570 (clear), monomorph 80% and polymorph 20%. Though the culture of CSF was negative, no bacteria found. He was put on Penicillin and Cefotaxime for two days, but the fever did not settle down. Then, Penicillin was replaced with Vancomycin and the fever finally went away. He was on Cefotaxime and Vancomycin for 14 days. Then, CBC and differential had been tested and the neutrophils were low. It read 0.6. The next day before my baby was discharged it read 0.7. The doctor said that as long as it kept raising there was nothing to worry about. A week later the same test was done and the neutrophils were 0.9. Two weeks later it read 0.6 and then 0.9 and 0.6 in an interval of every two weeks. It kept raising and decreasing, but overall it is still very low. I have not noticed any viral infection other than sometimes he gets red eyelid and teary eyes, but it disappears within a few hours. He usually rubs his face, eyes, nose and ears, especially when he wants to sleep. When he was in the hospital, I found a soft lump on his head. We did an MRI and the doctor said it is just a hematoma. He was born by an emergency C-section. I\u00a0visited a pediatrician today who encouraged me to meet a hematologist.\u00a0What is the reason behind neutropenia? Also, he has high lymphocytes of 7.70, lymphocytosis. Could it be something serious?\u00a0I have attached his final test reports. Can you see anything else? Please help us. Doctor: Hi. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Routine evaluation is not necessary. Repeat complete blood count after three months or if there is any infection. Continue the same. Near normal range and variations are normal. For further information consult a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30279, + "tgt": "Why do I need MRI for depression, headache and double vision?", + "src": "Patient: Hi doctor, I have headaches and double vision. I am in depression, crying at any time and not concentrating on things. I visited a psychiatrist and she advised me to get an MRI of the brain.\u00a0Is her advise right? Is it necessary to get an MRI? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27363, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15527, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23556, + "tgt": "Why do some women put on a lot of weight after an abortion?", + "src": "Patient: Hello doctor,Please tell me. What are the reasons for some girls to put on weight after they have an abortion? Also, is it common for all women? Doctor: Hello. Hope you find my advice beneficial. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 25484, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6541, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20973, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2436, + "tgt": "What is the specific treatment for compressive spine fracture?", + "src": "Patient: Hello doctor, I\u00a0have a case of a 47 year old man, who went through a car accident. The scan showed a compressive fracture of T12 wth predominance into the canal 7 mm. The patient was told to stay in bed with a plastic corsage around his waist to prevent sudden movements. Around two to three months later the patient was able to sit and stand, but he did not remove the plastic corsage. Then five months later, which is two weeks ago, the patient could not move his right leg and he could barely feel his right arm. He did a scan and the result as follows. Multiple subcortical and periventricular hypo dense lesions on both hemispheres. Calcified arteriosclerotic plates on arteria vertebralis dexter.\u00a0No distinguishable lesions on posterior cranial fossa. Free basal cisterns. Free paranasal sinuses. Overall, it says that the multiple ischemic lesions lead towards vasculitis. I must include that the patient suffers from heart pressure and diabetes. Can you lead me to a specific path of treatment? How dangerous is this diagnosis? Doctor: Hi.I have read your question with care and understood the concern. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9337, + "tgt": "Can masturbation lead to pregnancy?", + "src": "Patient: Hi doctor, I am 18 years old and I have a question. Can masturbation lead to pregnancy? I am worried about a situation like when I masturbate in my pants and if my partner touches my pant with her hands and then she goes to the washroom to do female masturbation which means that now she has my semen on her hands and that semen might enter her vagina and make her pregnant? I am not sure if sperm will survive or die and it is really a matter of concern to me. My mind is full of what if it happens. Please share your knowledge and also if there is a chance of spreading STD/STI /HIV/AIDS in this situation. Doctor: Hi. Outside of the body, sperm may die quickly when they are exposed to the air. The length of time they stay alive has a lot to do with environmental factors and how fast they dry up. So it is very unlikely for her to get pregnant if she touches your pants and do masturbation. Infections are usually transmitted because of direct skin to skin contact or else with unprotected sexual intercourse unless the partner had any particular sexually transmitted infection. For more information consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10713, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14822, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16731, + "tgt": "Can there be fever and chills in the postpartum period?", + "src": "Patient: Hi doctor, My wife aged 24, has fever, cough and severe chill\u00a0from last 2 weeks. We had all the tests done namely typhoid, dengue, blood tests and urine test including x-ray. Everything seems normal in her reports. Yet, she has all the above mentioned symptoms. We repeated urine and blood test and found some infection in urine. I have attached the reports for your reference.\u00a0We consulted a doctor here, who suggested it as a respiratory tract infection and urine infection is causing this fever, chills and cough. Her\u00a0main symptoms are lot of cough with sputum,\u00a0body temperature in range of 99 to 102. She sweats and temperature reduces to 99.\u00a0From last two days, she has vomiting in the morning.\u00a0She is a lactating mother, having a baby of 2 months old.\u00a0No change in fever/chills and cough from last 2 weeks. My doubts are why fever is not reducing despite antibiotics and medicine like Relent syrup for cough? What can be the further course of diagnosis and treatment? Her period is due in next 2 days. Since she is vomiting, is it a sign of pregnancy? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19192, + "tgt": "I have a family history of HOCM. Is this something to worry?", + "src": "Patient: Hi doctor, I am a 25 year old woman.\u00a0About three months ago, I started having ectopic beats and palpitations. It made me quite worried, because they were definitely something new.\u00a0I have a family history of sudden death from hypertrophic cardiomyopathy. So, I decided to have an echo and a 24 hour Holter monitor. The echo showed that structurally my heart is fine and according to the\u00a0Holter monitor results I had dozens of PVCs (some of them were couplets), a few PACs and sinus tachycardia. My blood test results were normal, too. A couple of days later\u00a0PVCs began to occur not only during rest, but also during exercise, which really scared me. One day while walking home, I had some kind of bigeminy (every other beat was abnormal) that almost took my breath away. Therefore, I wanted to get a stress test on a stationary bicycle\u00a0just in case.\u00a0I had some singular PVCs\u00a0at an intensity level\u00a0of 120 watts with the heart rate of 164. Is this something to worry about? My cardiologist said that the\u00a0results do not suggest any heart disease, but I am still afraid to exercise anymore.\u00a0What about multifocal PVCs, ventricular couplets and bigeminy in a structurally normal heart? Are they dangerous? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3216, + "tgt": "There is blood in urine and the urine dip test shows blood and leukocytes. Please help", + "src": "Patient: Hello doctor, I have been having severe pain in my left side for a few months now. I have been to the doctors who told me it was nothing to worry about but the other day I went to the toilet and I was urinating blood. I went back to the doctor who did a urine dip test and I have leukocytes 500, blood 200 and SG 1.025. I am worried as that is a lot of blood in my urine it is the highest mark. I have been given Ciprofloxacin 500 mg for seven days. I am scared in case this does not clear up I am worried sick as I have MS (multiple sclerosis). Doctor: Hello, Welcome to icliniq.com. I have gone through your queries. You are having hematuria (blood in urine). When someone gets hematuria, it has to be taken seriously and has to be investigated in detail. Please undergo the following investigations. 1. USG KUB AND PVR (ultrasound kidney, ureter and bladder, and post voidal residue). 2. Urine CS (culture test). 3. Urinalysis. 4. Urine for malignant cells for three days. 5. Serum creatinine. But do not get worried as you are young and the possibility of benign conditions as a cause of hematuria is more in your case. Meanwhile, you continue with the course of antibiotics." + }, + { + "id": 2495, + "tgt": "I have breathing difficulties due to thick mucus in the chest. Kindly help", + "src": "Patient: Too much mucus on chest not allowing to breath. Breathing difficulties due to thick mucus in chest. Couldn\u2019t get rid of this by coughing or medicine or nebulisers. Have GERD. Seasonally catches cold and thus use Montek LC regularly. Last 2 months gradually getting this breathing difficulty. Some times before coughing or sneezing gets mucus out the of the lungs and then I can sleep properly. Now last 2 months finding very difficult to remove the mucus out. I am currently taking Yes. Azithro 500mg, Allegra 120 mg,Antiflu75mg, deriphyllin r 150 mg, foracort inhaler. Thick mucus formed which doesn\u2019t allow to breath. Kindly find the test done and medicines taken presently Doctor:" + }, + { + "id": 30503, + "tgt": "What is causing my sneezing problem, climate change or allergy?", + "src": "Patient: Hi doctor, I am living in a tropical coastal area. I used to travel always. When I am outside my place or abroad, I do not have any problem. But, when I enter my place and as soon as I enter my house, I will start sneezing and then after sometime my nose will start dripping. This happens only in my place. When I go outside even for six months I do not get fever or cold. But, in my place every day morning I will start sneezing. I do not know what is happening. Is this because of the climate or dust allergy? What all tests should I do? Which doctor do I need to consult? Doctor: Hi. Check Eosinophil level. Hypersensitivity. Revert back with the reports to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2401, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23128, + "tgt": "Certain fluid is coming out of vagina after unprotected sex. Is I-pill required?", + "src": "Patient: Hello doctor,I had unprotected sex yesterday but my partner is not sure if he withdrew on time. Today morning I felt certain fluid coming out of my vagina. Should I take an I-pill to avoid pregnancy? Will it cause any side effects in later stages? My menstrual date is around 7th of each month. Also, I have PCOD so will the contraceptive pill cause any problem? Please advice. Doctor: Hello. It would be better if you take regular cyclic contraceptives instead of emergency for few months generally. At present emergency contraceptive pills to be taken to be on safe side as millions of sperms in 1 to 2 most of semen and only one sperm enough to give pregnancy, if things go well at each step. Emergency and hormonal contraceptives have hormones so every hormone have its effects and it is not necessary that body get all side effect for every individual. It might be possible you would have irregular, unscheduled bleeding for some time. After taking emergency pills, withdrawal bleeding after 1 to 2 weeks is most commonly observed. In addition, mood variations, breast tenderness, abdominal fullness can be observed. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17042, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 839, + "tgt": "How to get relief from heel spurs?", + "src": "Patient: Hello doctor, My mom, who is 52 years old, has developed a heel spur on both legs, which was discovered 6 months ago. \u00a0Sometimes, it pains a lot. She is currently on Proxym 200, Pantosec and Zelac-B. I have attached her x-ray for your reference. Please advise how to get relief and if any treatment needed. Doctor: Hi. Revert back with the test reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 9594, + "tgt": "I am diagnosed with left tubo-ovarian mass. Is this cancerous?", + "src": "Patient: Hello doctor,I am a 31-year-old. I was asked by my doctor to go for a USG for irregular periods. In the report it is mentioned as, a well defined oval hypoechoic lesion with mild intralesional vascularity measuring 48\u00d744 mm is noted in the left adnexa, could be suggestive as left tubo ovarian mass. Can you please tell me is this dangerous and can be cancerous? Doctor: Hello. There could be various differentials for tubo-ovarian mass-like lesions of infectious origin, such as a hydrosalpinx or tubo-ovarian abscess caused by pelvic inflammatory disease, physiologic or functional cysts, and endometriomas. The next best would be a per vaginal examination to rule out PID (pelvic inflammatory disease) first and then a course of antibiotics and if still, the TO-mass persists then diagnostic laparoscopy and removal of the mass and then sent for histopathology to establish the diagnosis." + }, + { + "id": 13284, + "tgt": "Which medicine can be used to cure diarrhea in a baby?", + "src": "Patient: Hello doctor,I have 10 months old baby. Since yesterday, she is suffering from diarrhea. Yesterday five times, today three times, and I have not used any medication for this. Can you please suggest any medications? Doctor: Hi. Diarrhea is most viral in nature in children. Requires symptomatic treatment. Replace fluid loss with ORS. Add Zinc supplement (2 mg/kg) for 14 days. Watch for urine output. Give syrup Vizylac 2.5 ml BD as probiotics. If severe dehydration, visit the hospital. Any episode of vomiting?" + }, + { + "id": 789, + "tgt": "I have chest tightness, throat itchiness, and feel like something is stuck at my throat. Please help", + "src": "Patient: I'm a 23 years old female. For almost a month i've been experiencing thightness of chest, itchiness of throat and i feel there is something stuck at my throat. I am currently taking zykast for the itchiness of the throat. I also have a health history of asthma and allergies. Doctor: Hello, Welcome to icliniq. As you have mentioned, you are worried about your symptoms. Considering your history and previous symptoms, you may be having asthma as well as pharyngitis, at present. I would still advise you some investigations to confirm the diagnosis. And, if you are suffering from asthma, I would have prescribed you inhalational medication, because they are the best possible medication available for the treatment of Asthma. Also, I would like to know,if there are any factors resulting in increase in your symptoms. I hope this helps. Take Care. X-ray chest PA view, Spirometry with bronchodilator reversibility testing. Bronchial Asthma (Formoterol 6 mcg + Budesonide 200 mcg) Inahaler with spacer 2 puffs twice daily and can be taken up to 4 times daily if required. Continue Zycast. Avoid exposure to allergens and smoking. Take nutritious diet and adequate rest. PEFR monitoring. Follow up with investigations and then whenever required." + }, + { + "id": 25509, + "tgt": "Why has the infant not defecated for a few days?", + "src": "Patient: Hello doctor, My 45-day-old nephew has not defecated for the last two days. Today is the third day. He is taking his feeds well and having a sound sleep. His urine output is good. Also, he is leaving gas as usual. Kindly help. Doctor: Hello. This is one of the common complaints received. It is absolutely normal for an infant to pass stool once in a week or 20 times a day in whatever consistency. As long as the baby is active, is feeding well and is passing adequate urine there is nothing to worry. Continue breastfeeding every two hours and keep baby warm. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20095, + "tgt": "How can I get relief from pain after painful sex?", + "src": "Patient: Hi doctor, For the past two days, I had painful sex. It feels like it is going to tear down there. It became unbearable, and it is hurting a lot. Doctor: Hi. It seems like you have some vaginal infection or lack of lubrication or foreplay which is causing the problem. Proper foreplay and adequate lubrication will help you get relief from the pain. However, if you have a doubt then get yourself checked by a gynecologist and get a vaginal swab test done. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time when you use a washroom. Avoid using vaginal douches and creams. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23181, + "tgt": "I am having a lot of gas after having outside food. What should I do?", + "src": "Patient: Hello doctor, I had chicken last night at an outside restaurant. Since then I am having too much of gas and little constipation. Also, my head is heavy and I feel like there is a stomach infection. But, until now I did not get loose stools. What should I do now? Doctor: Hello. You seem to have developed acidity following chicken consumption. At this time I would recommend you take a combination of Pantoprazole and Domperidone once daily for three days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to take a soft and bland diet. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 21719, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7328, + "tgt": "I have a doubt in the alignment of my fracture healing. Kindly advice", + "src": "Patient: Hello doctor,Please see my attached files and advised me that my radius bone is healing in alignment or not. My fracture is 20 days old, and plaster is opened swelling and pain in these areas. I doubt that my bone is not in alignment. Doctor: Hello. You are right, and the radius is out of alignment. The dorsal angulation appears to be 15 degrees. This is eyeballing, and I may be off by a few degrees, but the position is not acceptable in a young person, again I am assuming that you are less than 40 years of age and this is your right hand. Secondly, in the AP view the radial translation is acceptable, and so is the shortening. Clinically the wrist may look unshapely when compared with the opposite side if this is obvious and now 20 days down the line it can still be manipulated and put into a molded plaster as further delay will mean that the fracture will need a surgical procedure to improve alignment. I do not know why did they remove the plaster at 20 days as the plaster should be on for at least four to five weeks." + }, + { + "id": 4399, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22499, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24580, + "tgt": "Please explain the MRI report for abdominal discomfort", + "src": "Patient: Hi doctor, I need a detailed MRI review and report for my problem. Is that possible? Doctor: Hi. Sure, you can upload your scan with a proper history. Also, mention the areas of concern and re-evaluation regarding which aspect of the scan you want to know. That would ultimately benefit you. For more information consult a radiodiagnosis physician online --> https://www.icliniq.com/ask-a-doctor-online/radiodiagnosis-physician" + }, + { + "id": 16794, + "tgt": "I have a painful nodule on my breast. What is it?", + "src": "Patient: Hi doctor, I have a nodule on my breast. It is present for more than two years. I feel pain on touching the nodule. I had an ultrasound of the breast nodule and attached the same for your reference. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 27551, + "tgt": "Can you please let me know the treatment for thrombosed hemorrhoid?", + "src": "Patient: Hello doctor, I am a male, and from the past two days, I have pain and itching around the\u00a0anus. The doctor checked and told that it is a thrombosed hemorrhoid. Can you please let me know the treatment for this? Can it be solved by using conservative methods or do I need any surgery?\u00a0Thanks in advance.\u00a0Regards. Doctor: Hi. It would be best if you can upload the pictures of the problem before I can comment and recommend anything definitive and specific to you. If I assume that your doctor rightly diagnosed the problem as a thrombosed hemorrhoid, then I suggest you try doing the following: Hope that information helps you to decide the best option for yourself. Revert with more information to a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 10952, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 3019, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30575, + "tgt": "Please help with my headache, lower back pain and knee pain", + "src": "Patient: Hi doctor, Two months ago, I started experiencing very bad lower back pain followed with knee pain. Initially, I felt the pain only when I walk, but now I feel it all the time. Three days ago, my stomach hurt so bad that I had to go home early. The same night, I got an excruciating headache. I went to bed by 8 PM and I woke up in the middle of the night with hot flashes. The headache came back the next morning and I am feeling it till now. I have tried Ibuprofen, Advil and Tylenol, but nothing worked. I have been very dizzy and fatigue followed by nausea. My menstrual blood is also black. My friend died of ovarian cancer and I thought this might be related. Please clarify. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18954, + "tgt": "How to correct vitamin B12 deficiency?", + "src": "Patient: Hi doctor, I had vitamin B12 deficiency. My doctor advised me to have 10 injections. Now, my vitamin B12 is more than 2000. What should I do? Doctor: Hello. I had gone through all the data posted. Revert back with further doubts to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18082, + "tgt": "Are corneal thickness and stromal thickness the same?", + "src": "Patient: Hi doctor, What is corneal stromal thickness? I got LASIK done. I got pentacam and my cornea thickness is 465 microns. Is it same as corneal stromal thickness? Please explain me. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 9965, + "tgt": "Why are my total and free testosterone levels so high?", + "src": "Patient: Hello doctor, I am a 36 year old male. I suddenly developed sexual dysfunction, I have reduced interest, arousal, plateau, and orgasm. The triggering event seems to be the discontinuation of 150 mg Bupropion because of adverse effects. I switched to 20 mg Citalopram, and over the course of six months, I reduced Citalopram to less than 1.5 mg. However, the sexual dysfunction has remained unchanged. I previously took Citalopram in doses ranging from 10 to 20 mg, depending on the external stress, for six years, and this did not cause significant sexual side effects, except delayed orgasm. While on Bupropion, my semen production stopped, but there were no marked changes in sexual desire, arousal, or behavior. The Citalopram and Bupropion had been prescribed for anxiety and depression, which have been well controlled for many years. Six months after the onset of the sexual dysfunction, a testosterone test revealed total testosterone in the 400s and free testosterone\u00a0beyond the laboratory's ability to measure it (highly elevated >100). I do not use androgen supplements\u00a0and illegal or recreational drug. There is no history of alcohol addiction or nicotine use. There is no neurological history, history of an endocrine disease, or surgery. I currently take Fexofenadine, antihistamines, and steroid nasal sprays. Doctor: Hello. Do get back to me after you have done these.\u00a0Hope my advice is of some benefit to you. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 3441, + "tgt": "My FBS is 140 mg/dL, whereas my PPBS level drops to 72 mg/dL after taking medication. Why?", + "src": "Patient: Hello doctor, I am diabetic and hypertensive. I also have arthritis. I am taking Gemer-1, Folvite, Febituz, Methotrex weekly once, Ecosporin and Repace 25. My fasting blood sugar level is 140 mg/dL and on taking Gemer-1 my postprandial blood sugar is 72 mg/dL. Why this happens? Doctor: Hello. Yes, it happens. In a diabetic, fasting blood sugar usually results from a combination of factors, the two most important being, 1) What you ate the day (or night) before and how high your blood sugar spiked. If you have very high blood sugar the night before, you should expect your fasting blood sugar to be elevated. Sometimes an eight-hour fast is just not long enough to bring down the blood sugar. 2) Dawn Phenomenon is common in diabetics, and it is when hormones that you produce in the morning cause your liver to release more glucose for energy. Either way, higher fasting levels result. Often Dawn phenomenon and high blood sugar from the day or night before work with each other. When you eat, the liver stops pumping out so much glucose, and postprandial blood sugar can drop, which is what happened to you. My suggestion is to do a pre-dinner sugar and see what is your blood glucose level before dinner. If it is high (>130), we have to alter the drugs and dosage. I hope this helps." + }, + { + "id": 14432, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29362, + "tgt": "From the reports of my father, can you explain his health issue?", + "src": "Patient: Hi doctor, There is a health issue for my father. We did an MRI brain scan of his head. He is on Oxetol 300 mg from yesterday. Doctor: Hello. Revert with the reports to a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 29324, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6055, + "tgt": "What are the ways to maintain flexibility after 20s and 30s?", + "src": "Patient: Hello doctor, Why we lose flexibility in our 20s and 30s and how to keep it or get it back? 1. What is peak flexibility age? At what age do we start losing flexibility? Is it related to growth spurts in puberty? 2. What is a good measure of flexibility or does it depend on the individual? 3. What's a good way for someone to start getting their flexibility back as a 20- or 30-something? Where do we start, just at home, before we try out something like yoga? 4. What are the benefits of trying to improve flexibility in your 20s and 30s? Will your 40/50/60/70-year-old self be grateful? 5. What are some bad habits that hurt our flexibility? Like sitting at a desk all day. Doctor: Hi. Loss of flexibility and degeneration band ageing go hand in hand. Growth spurts loss of flexibility is due to mismatch in the rate of bone and muscle length growth. Peak fitness is in late teens and early third decades. Ability to squat, touch the tips of fingers on the floor, able to hold hands behind the shoulders, etc., indicate normal flexibility. Yoga, swimming, pilates, etc., are some means of maintaining flexibility. Improved flexibility leads to lower wear and tear of the joints and overall the muscle strength is maintained as the joints are not painful to move. Lack of flexibility comes from the sitting and not taking the joints through the range of movement and in general not being active as well as doing the chores daily." + }, + { + "id": 13118, + "tgt": "Are my memory problems due to the long term use of Lamotrigine?", + "src": "Patient: Hello doctor, I took Lamotrigine for six years at around 300 to 600 mg I think. I have been off it and unmedicated for depression and anxiety for the last 5 to 6 years roughly besides some Xanax that I used three years ago. I am a 25-year-old male and have been having small memory lapses lately but they are very inexplicable ones and I wanted to know if there is any evidence that Lamictal use for the length of time I did could cause long term issues with memory or dementia. Doctor: Hi. As you mentioned that you are suffering from depression and was always undermedicated, in depression, it is common to have a disturbance of memory and attention which lead to forgetfulness. These memory issues are most probably due to depression itself and not due to Lamotrigine use. For depression, I would suggest you have an SSRI which are the best treatment strategies for depression and discuss your memory lapses to your psychiatrist." + }, + { + "id": 28005, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22241, + "tgt": "My friend has sacroiliitis. Will it affect her family life and pregnancy?", + "src": "Patient: Hi doctor,A friend of mine, who is a 28 year old female, had been diagnosed with sacroiliitis before five years. She had been on painkillers (Indocap) for three years, which she was taking on a daily basis. Then for a year, her doctor advised her to have maintenance doses of Remicade infusions and she took six to seven infusions over a period of one year. After her last infusion, which she had before six months, she has been doing physical exercises and maintaining a strict diet and has not taken painkiller or infusion. Kindly suggest regarding her life after marriage, pregnancy, and others as she is planning to tie the knot soon. Doctor: Hi. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 15328, + "tgt": "Is it normal to feel needle-like pain in the rib by an asthmatic?", + "src": "Patient: Hello doctor, I have a needle-like pain on the left side of the rib. I am an asthmatic. I had bronchitis a month ago and was treated with antibiotics. The chest is wheezy and I have a dry cough. Doctor: Hi. You seem to have developed pleurisy or pleuritic chest pain following an acute asthma attack. I would recommend first of all a chest X-ray to rule out any pleural effusion as well as any pneumonia. If your chest X-ray remains clear then you would need treatment with a short course steroid like Prednisone along with a bronchodilator like Levosalbutamol and Budesonide. This should resolve within a few days of treatment." + }, + { + "id": 21406, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5979, + "tgt": "I am getting muscle pain in inner side of left foot while running. What should I do?", + "src": "Patient: Hello doctor, I am a football player and I play wide receiver. Since last week I have been having muscle pain in the inside of my left foot. I cannot fully move my foot up and down. I tried ice and resting but it comes back when I start running. What should I do? Doctor: Hello. From your description, you may have Tibialis posterior tendonitis or plantar fascia strain. Assuming you have not gone over on your foot and sustained no direct trauma. What sort of level do you play football and do you have a team physio or access to a doctor? Ideally, have yourself examined if not I will recommend you to cut down on your sports till the pain goes away completely. Gradually return to your sports and if pain returns consult a doctor and get an MRI scan done. Take antiinflammatory tablets and ice it in the meantime." + }, + { + "id": 2756, + "tgt": "I have memory loss and forgetfulness. How to deal with it?", + "src": "Patient: Hi doctor, I am a 22-year-old and have had memory problems for the last five years. It started back in high school and I would wake up and not remember what was going on in my life, but not just for a few seconds, it would stay like that. I would know the friends I have, but I was not able to remember what was happening to me right now, if I am mad at anybody right now, do I have some guy that I am talking to, etc. When I would check my messages I would see approximately what was going on in my life, but I would still not remember when was the last time I saw some of my friends do I have some special birthday gifts planned for them, do we have a special joke for something at a time. I would just remember they are my friends and maybe like 30% of our time together. It was the same about school and I could not remember what we were doing and what I already studied so I had to do it from the beginning again. The situation got worse when I went to college, and now it is even worse for me because it happens that I wake up and everything that is happening to me feels so distant like it was a few months ago, and not yesterday. Previously, it would usually only happen every couple of months over the night, but for the last three nights, it keeps repeating. I would like to say that I have no problems with drugs, marijuana, etc. I have never used. All of this I already told to my doctor but she did not take me seriously enough. They did take photos of my brain and I do not have injuries. I would also just like to mention that I have very low sugar so do not know if it could be related to my memory, my doctor advised me nothing about that, she only said that she does not know how I am alive with such low sugar, but that it did not matter because I am young. Please help. Doctor: Hi. First of all, a good memory needs a balanced diet, which contains all essential vitamins and minerals such as vitamin B complex, carbohydrates, proteins, and a small amount of fat. Moreover, some drugs like oral contraceptive pills can lead to decrease in vitamin B complex in your body. Stress, pollution, and junk food have a negative impact on memory. The brain needs glucose to work properly, but too much glucose can disturb the memory and the whole brain function. Vitamin B complex deficiency. Patient may have memory problems related to lifestyle. The patient should take vitamin B complex once per day after meals and Benfotiamine 40 mg twice per day after meals. The patient should eat healthy food and avoid too much fat, sugar, and salt in her diet." + }, + { + "id": 24106, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16034, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1063, + "tgt": "I am a diabetic with swollen and discolored foot. Why does it happen?", + "src": "Patient: Hello doctor, My left foot is swollen with purple color and pain. I am currently on Diamicron 60 mg and Xelevia 100 mg. Doctor: Hello. With history, I feel you have left foot cellulitis. It is the infection on the foot. You might need heavy antibiotics for the infection. Is warmth present on the wound? Any pus discharge from the area? Kindly update these details and also the picture of the purple color. And also I would like to know what is your sugars levels in present condition?" + }, + { + "id": 19637, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9922, + "tgt": "What should I do manage the boils near my anus?", + "src": "Patient: Hello doctor,I have a boil near my anus for the past two years. Kindly advice. Doctor: Hello. From what I can see, it appears to be an abscess. The fact that it is reoccurring means that it has never adequately been dealt with. I would like you to answer a few questions before we go forward. Do you suffer from a medical illness, like diabetes? Does this swelling burst open or does it subside without pus drainage, if so, how long does it take to heal? As far as treatment is concerned, there are two ways to go about it for now. 1. Apply an antibacterial cream, and have antibiotics. 2. Get an incision and drainage procedure done. Kindly reply so we can discuss the problem further. Fistula in ano needs to be rules out. 1. Ointment Bactroban (Mupirocin) three times a day. 2. Tablet Combiflam SOS for pain. 3. Tablet Ciplox 500 MG BD (twice daily) for five days. 4. Tablet Pan 40 (Pantoprazole) OD (once daily) for five days." + }, + { + "id": 603, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 8597, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 23215, + "tgt": "22 months old baby has congestion while sleeping. Can I give Levolin?", + "src": "Patient: Hi doctor, My 22 months old baby was suffering from a cold and mild cough for 10 days. Both have subsided. I gave her Cetrizine and Crocin for three days. Now she has congestion while sleeping. We met the doctor and he has put her on Allegra and Azee 100. Can I give Levolin too? Please help. Doctor: Hi. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9838, + "tgt": "I have stretch marks all over my body. How to get rid of them?", + "src": "Patient: Hi doctor, I am a 28 year old male. I weigh 91 kg and my height is 5'10\". Currently, I am on no medication.\u00a0I have stretch marks\u00a0almost\u00a0all over my body and have been having this for the last 6-7 years. The stretch marks are present on my stomach, shoulder blades, forearm intersection, lower back and some part around knees. It is very embarrassing. I want to get rid of them as I plan to get married soon. Another doctor recommended to apply Venusia Max Lotion after bath and Uthbless gel at night. Please suggest if they will be effective and have any side effects? Please suggest a solution to the problem. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28204, + "tgt": "I have constant lower back pain for many years. What can be the cause?", + "src": "Patient: Hi doctor,I have seen many doctors regarding lower back problems since the past two years. I have had two courses of physiotherapy with no real improvement and cortisone injections, which also did not help. I have also had two CT scans and an MRI, and I have attached the reports.\u00a0I am also prescribed Tramadol 50 mg and Celebrex 100 mg.I first noticed lower back problems in my early 20's, when my work was heavy labouring. I continued this type of work till my 40's while also working in my current job as a career in an aged care facility.\u00a0Over the years, I started to experience leg weakness and continued lower back pain and stiffness, which is worse when I get out of bed in the mornings or after long hours of walking and standing at work. Also in the mornings if I sneeze, it causes a severe and sharp pain in the lower back, so when this happens, I bend over with hands on my knees and brace for the sneeze.\u00a0Several times a year, the pain and stiffness would become severe and after several days subside.My lower back problems started to get worse earlier this year. And last month, the pain and stiffness became severe. The pain level would have been 10 out of 10, and I had problems getting out of bed and needed someone to help me get dressed or sometimes putting footwear on. It was difficult to get out of chairs or sit due to the pain and stiffness, and walking was very difficult, I also had great difficulty getting in and out of cars. The Tramadol I was taking had little impact on the pain. During this time, I continued to attempt short walks and do gardening and household chores. Then by about a few weeks back, the pain subsided within a few days back to the usual morning pain and stiffness, which I would rate about 4 or 5 out of 10. I have attached all my reports. Doctor: Hello. Hope this helps. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13851, + "tgt": "Why are there pain in lower stomach with gas and burning sensation during urination?", + "src": "Patient: Hello doctor, Pain in lower right stomach and gas passes many times a day. And some time low burning in urine. No fever or any other problem. Doctor: Hi. Please drink a lot of water for the urinary problem. Take the following medications for the stomach problem. 1. Capsule Esomeprazole 40 mg once daily before breakfast for four weeks. 2. Tablet Mebeverine 135 mg thrice a day before meals for two weeks. 3. Tablet Rifaxamin 550 mg twice a day before meals for two weeks. Avoid spicy food, bakery items, fast food, and caffeine." + }, + { + "id": 13132, + "tgt": "My nose is always blocked and has mucus. Kindly help", + "src": "Patient: Hello doctor,My nose is always blocked and have mucus, from past four months. To open up my nostrils, I have to use Otrivin, else my nose stays blocked. Doctor: Hello. In your condition, we must rule out certain etiologies as follows: This would require you telling us in more details your problems. Let me ask you certain questions and please provide answers to those as objective as possible. Please let us know about all these. If you have done any test or scanning or investigation for this purpose please upload the films and reports in your follow-up query to me. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 13083, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14948, + "tgt": "Child is crying on seeing mother and step-dad together. Why?", + "src": "Patient: Hello doctor, I have two children with a different father but my eldest seems to experience trauma or stress. I saw her crying at night whenever she saw her step-father lying beside me or beside her brother. Please help me. I want to know if it is a sign of depression. She feels happy when she gets my full attention and her step-dad's attention but suddenly fades when she sees us playing with each other. Doctor: Hi. You have a very beautiful and cheerful daughter. I just saw her picture and she looks great (attachment removed to protect patient identity). Depression is a very major disorder to tag her with, so definitely, she is not having depression. With the amount of data, you have given me it does not seem like she is having depression. She is not being able to accept the change in her life. As an adult, it is easy for us to accept and move on with the change in our life but for her, it is not easy to replace her father with someone else and she is having lots of insecurity. That is the reason she becomes sad when she sees you with them because she still cannot accept two other people in her life. She is having dysthymia and identity crisis. She needs some social support and venting about her feeling. I think a few psychotherapy sessions will help her a lot. Medications will not be of any help to her. It is not a very uncommon thing in children of these age group so do not panic, be calm." + }, + { + "id": 25276, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25381, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29899, + "tgt": "How to manage abnormal levels of SGOT, SGPT, homocysteine and vitamin D?", + "src": "Patient: Hi doctor, I had a recent complete blood checkup. In the report, the levels of SGOT, SGPT, homocysteine and vitamin D levels are abnormal. I have attached the report. The values of SGPT and SGOT are on the higher side, whereas the values of homocysteine, HDL and vitamin D are below normal. Please review the report and help in understanding. How to manage this situation? Doctor: Hi. Your reports are almost normal (attachment removed to protect patient identity). There is no need to worry. I advise the following medicines. Consult your doctor, discuss with him or her and take the medicines with consent. 1. Tablet CAL D3 once a day after food in the morning for three months. 2. Capsule Homocheck (combination of Folic acid, Methylcobalamin and Pyridoxine) daily in the night for a month. 3. Tablet Pantop 40 mg (Pantoprazole) daily in the morning 30 minutes before food, if you have any gastric upset. For further doubts consult a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 25551, + "tgt": "How can urine infection in a postpartum preeclampsia patient be treated?", + "src": "Patient: Hello doctor, My 36-year-old wife has a urine infection. She was diagnosed with postpartum preeclampsia after two days of delivery of a female child. She had high blood pressure at the time of delivery but now it is normal. Her average blood pressure is 110/75. She had a severe urinary infection before the birth of the baby. The infection was not controlled after birth too and an antibiotic was given. As per urine culture report, blood tests, and the doctor's prescription, antibiotic and other medicines were given but the infection has not improved at all. What should be done? Doctor: Hello. I would suggest you to repeat urine culture and drug sensitivity to determine the bacteria causing infection and the antibiotic to which it is sensitive. Few bacteria which cause urinary infection in women develop resistance very easily and become difficult to treat. So I suggest you get another urine culture and sensitivity and discuss with her treating doctor a combination of antibiotics which can be more effective than a single drug. Also, carry out an ultrasound of the abdomen to rule out any abdominal source of infection. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2924, + "tgt": "Can tongue cleaner cause itchy tongue?", + "src": "Patient: Hello doctor, I have an itchy tongue. I can describe the itching like putting a needle on right and left corners of the tongue. I am using steel tongue cleaner for the last 15 years and I have stopped now. Please help. Doctor: Hello. Revert back with the asked details to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28878, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 18623, + "tgt": "Does Triptorelin injection cause false positive pregnancy result?", + "src": "Patient: Hi doctor,I have doubt regarding positive pregnancy after embryo transfer. My wife had an embryo transfer before 15 days. She took Ovidrel trigger shot before two days of embryo transfer. Then, she took Triptorelin injection one day after transfer and another injection seven days after transfer. On the seventh day, before taking Triptorelin injection, we went for a beta hCG test, and the value was 46. Does Triptorelin injection of 0.1 mg give the false positive result? Will Triptorelin produce hCG? Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3803, + "tgt": "Is it necessary to take Misoprostol along with Mifepristone to avoid pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex before three days. Today it is almost 72 hours completed. I have taken Mifepristone 200 mg. Are there chances of pregnancy still? Doctor: Hi, Welcome to icliniq.com. There is a less likely chance to get pregnant. As you had taken your contraceptive within 72 hours of unprotected intercourse." + }, + { + "id": 23559, + "tgt": "I am six weeks pregnant and had a bright red bleeding. What should I do?", + "src": "Patient: Hi doctor,I am at six or seven weeks from conception. I\u00a0did not have a visit yet. Today, I experienced\u00a0a slight bright red bleeding. Can you tell me what I should do? I am\u00a0really worried. Doctor: Hello. How are you doing? Just hope and pray for the best. Everything will be fine. All the best. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5600, + "tgt": "I have ankle pain in my left foot while walking and massaging does not help. Why?", + "src": "Patient: Hello doctor, I have a history of ankle pain at the base of my left foot, and it causes pain when I walk. I went to physical therapy a few years back when it started, it worked for a while, but it came back a few months later. Massaging the area causes a lot of pain, and makes it more difficult to walk. I am not sure what has been causing this? I am taking Lexapro. Doctor: Hello. I understood your concern. First, you stop massaging it is contraindicated. It will promote more swelling and pain. Apply ice for 10 days. Physical therapy should be continued but in the observation. Take ultrasound therapy over heel with an analgesic gel for 10 days. Ask your doctor to provide manual therapy for ankle joint for mobilization and strengthening exercises to improve the strength of muscles surrounding the ankle joint which gives more stability, and gradually the pain decreases. Continue this protocol of exercise for one month dedicatedly. I hope this helps. Continuous overactiveness. MMT (manual muscle testing). Ultrasound therapy. After 15 days." + }, + { + "id": 4184, + "tgt": "Kindly suggest medicine for burning and itching skin rashes in private area", + "src": "Patient: Hi doctor, I am facing skin rashes in private spaces for three days and it is very itching and burning situation. Kindly advise me medicine. I am staying abroad for a project. Doctor: Hi, Welcome to icliniq.com. Itching over the private area has multiple causes. The most common cause is a fungal infection which presents as red annular patches which keep on increasing or as redness with itching and burning with whitish deposition over the glans and foreskin. The second most common cause is scabies which presents as red itchy bumps over the penis and scrotum. If you would have shared the picture, then it might have helped me to correctly diagnose the problem. Anyway, for now, I will prescribe you medicines for both. Fungal or mite infection. ? Tinea cruris. ? Candidiasis. ? Scabies. Tablet Levocet (Levocetirizine) 10 mg one tablet in the morning and one at night. Capsule Itraconazole 100 mg one in the morning and one at night. Luliconazole cream apply at night over the rashes. Clotrimazole cream apply in the morning. Tablet Ivermectin 12 mg one tablet once a week for two weeks. 5% Permethrin cream apply all over body except face from neck to toe at night and wash in the morning. Complete one cream in one application. Apply once a week for two weeks. After one month." + }, + { + "id": 5535, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8053, + "tgt": "What are the ways to reduce weight in a hypertensive patient?", + "src": "Patient: Hello doctor, I am a 42-year-old male. My blood pressure is 158/107. I have been on blood pressure medications for some time now. I no longer have medical insurance. I was on Hydrochlorothiazide, Lisinopril 12.5/20. I was supposed to get medical benefits but my job has not given me them. The problem has been going on for a few years. I am 5'8\" and 220 pounds. I have an active lifestyle, yet I am still overweight. Doctor: Hi. I have read through your post and it seems like you really need to take the medications to keep your blood pressure in control. Particularly since the diastolic is quite high. If it is not controlled it can lead to complications like heart attack, stroke and kidney failure. You might want to drop by the emergency department in the hospital and they might give you something to lower it right away. Plus it would be very beneficial to lose weight as well." + }, + { + "id": 3854, + "tgt": "What is the treatment for facet hypertrophy?", + "src": "Patient: Hi doctor, I am 28 years old and suffering from facet hypertrophy. I have continuous lower back pain. I cannot stand for more than five minutes. I am taking Nuroday daily. I would like to know the treatment. Doctor: Hello. Degenerative disc disease. MRI spine and x-rays of the affected part of spine. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22160, + "tgt": "Is it safe to consume I-pill four to five times a month?", + "src": "Patient: Hello doctor, I am 25 and I take I-pill four to five times a month. Would there be any side effects of it later? Is it safe to consume I-pill so frequently? Doctor: Hi. Taking I-pill frequently is not good as it is a hormonal pill and can cause hormonal changes in the body. An emergency pill should be used in an emergency only. Please opt for other methods of contraception. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16624, + "tgt": "Why do I get right-sided chest pains when I sleep on my side?", + "src": "Patient: Hello doctor, I used to have right-sided chest pains, only when I sleep on my side. But since today, I feel a constant pain in my chest. Why am I having constant chest pain? Should I be worried? Doctor: Hi. Thanks for posting your query. Kindly revert with these details. Revert with more information to a pulmonologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 1806, + "tgt": "I have a large bruise at the back of left thigh along with some smaller bruises. Please help", + "src": "Patient: Hello doctor, I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac. Doctor: Hello, Welcome to icliniq.com. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report." + }, + { + "id": 14978, + "tgt": "My nose feels partially obstructed and my head feels swollen. What to do?", + "src": "Patient: Hello doctor, My nose feels partially obstructed, and my head feels swollen. What to do? Please help. Doctor: Hi. Nasal obstruction most commonly occurs due to nasal congestion secondary to allergy or infection. But sometimes it could be due to Deviated Nasal Septum (DNS), which requires examination or x-ray of PNS for confirmation. Most likely in your case, it is nasal congestion with sinusitis. I suggest you try taking tablet Allercet-DC (Cetirizine and Phenylephrine) twice a day for 3 days. Take steam inhalation thrice a day." + }, + { + "id": 27423, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23930, + "tgt": "Despite negative pregnancy test, I did not get my periods. Why?", + "src": "Patient: Hi doctor, I am a 21 year old married woman. I did not get my periods for the past three months. I took a pregnancy test and it came as negative. I have hypothyroidism. I am overweight 95 kg and my height is 5'2\". I also have PCOS. I am trying to conceive. Please suggest me some advice. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23772, + "tgt": "I have no feelings in the front half of my leg. Could it be due to my old fracture?", + "src": "Patient: Hello doctor,I was involved in an MVA about a year ago. I ended up breaking my ribs, sternum, pelvis and fracturing my L5-S1 vertebrae. After the accident, I could move my ankles. Even after the surgery, I could move my ankles and I had no pain in my feet or lower legs. About 15 days into recovery, my ankles stopped moving altogether and the front half of my feet had no feeling. I still have no feelings in my legs and occasionally get an electrical surge type feeling in my feet and lower legs, but I have noticed some hypersensitivity in the back of my calf muscles when touching them. Now, the doctor that looked at my imaging said that my MRI looked fine, but to me, it looks anything but fine. It has been a year since the accident and nothing has improved. My current neurologist thinks my neuropathy is due to weight and has nothing to do with the accident. I am trying\u00a0to figure out if there is something wrong with my lumbar because something definitely looks wrong. Attached below, is a picture of the MRI of my lumbar. I highlighted the area in question. I have more imagery. I can upload the disc also if need be. Any help would be greatly appreciated. Doctor: Hello. Please do write back after you are done with uploading images. Regards. Revert with more information to a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 18004, + "tgt": "Are breast tenderness and vaginal discharge symptoms of pregnancy?", + "src": "Patient: Hi doctor, My cycle is about 25 days. Me and my husband got intimated on day 18 using a condom. We are worried that the semen had fallen near to me while taking out. Soon, I took a Morning after pill within an hour. Can you please tell me is there any chance to conceive? Also, please let me know the symptoms of pregnancy. Today is my date, but I have not gotten my periods yet. Please help me. I am really worried as we got married just two months before. Doctor: Hi. Pregnancy or just delayed period. Pregnancy test after two days from morning sample of urine. 1. If UPT (urine pregnancy test) is positive, then you need advice of local doctor for MTP pill (medical termination of pregnancy pill). 2. Also, I suggest Depo-Provera (Medroxyprogesterone) for contraception. Revert back after two days to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10501, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 20716, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12287, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8027, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7122, + "tgt": "There are white spots on my palatoglossal arch and my throat hurts. What could it be?", + "src": "Patient: Hello doctor,Two days ago, I was eating some food, and afterward, I noticed the back of my throat was hurting. I did not think anything of it, and as I went on, it got worse. I took a picture of it which is on my palatoglossal arch right below my tonsil. There are two whites spots, and they are inflamed. I went and got a streptococcus test, and it is negative. But it still hurts, but the pain goes away with oral mouth wash and when I have put tea tree oil on it. What could this be? Doctor: Hello. It seems to be a simple inflammation. Continue the mouth wash and the analgesic plus an antibiotic as Amoxicillin 500 three times daily for a week. Do you have reflux? Or any other chronic diseases?" + }, + { + "id": 30369, + "tgt": "My son has swelling on face. Is that due to teething or allergy?", + "src": "Patient: Hi doctor, My son is 17 months old. He has a swollen upper lip on the inside of his mouth. It is not pus filled, just swollen. Both cheeks are puffed up because of the swelling. The swelling started overnight. Also, he has a fever. One side of the molar came out. Is this because of teething or an allergic reaction? Doctor: Hello. I will be glad if I have the following information. Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1271, + "tgt": "One of my moles has raised. Should I get them checked?", + "src": "Patient: Hi doctor, I have a couple of moles that have changed recently. Should I get them checked by my GP? The larger round mole is on my back of about 5 mm in diameter. Now, it is a little over 1 cm. Also, it has changed over a course of a few months. The other mole that I noticed recently, is raised, while the rest is flat. I have uploaded the photos for your reference. Please help. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21897, + "tgt": "Why is there a recurring infected sore with pus on my skin?", + "src": "Patient: Hello doctor, I keep getting quite bad infected sore on my skin like a small pimple with a little pus initially which then gets infected. About 14 months ago, I got one of these on one side of my leg and middle of the upper thigh. It got worse over a few days and then blew up very infected, and I went to the hospital and had to have four IV antibiotic drips. I was there about 36 hours at the hospital. The entire upper leg was swollen down to my knee. The diagnosis was cellulitis. Through last year I had several more of there sores, always on the left side of my body only which I thought was strange and interesting as to the cause? Several on the left side of the torso from a few on the side of belly and about ten at different times upside of my chest or near left armpit. I have had several lumps under my left armpit (about eight or so, some two or three at once) which can get quite painful. These have all cleared up by themselves over about two to three weeks but were red and some with red radiating outward on my skin, but I was able to fight off the infection. I have also had a rash under my left armpit several times. I had a more severe one near my left elbow about three months ago that the infection was spreading up my arm. So, I got oral antibiotics from the doctor and it cleared in about four days. I have just now in the last few weeks had another near my left elbow (still there and very sore) and a second one appeared nearby about five days ago. Initially, the first one looked like red was spreading but I put some antibiotic eye cream on the area each day for past week and it has gone down a little but both are still very sore. Overall, I am really wanting to find the cause and fix this. I had not taken antibiotics for about 15 years before the first leg episode about 14 months ago. I have changed my diet a lot to be eating very healthy past 12 months. So, I am surprised with this unless its something relating to gradual detox. I am not eating many complex carbohydrates (rice, bread, pasta) and stick mainly to lots of green vegetables and good protein like grass fed meat, free range chicken, salmon, and free-range eggs. I guess sometimes I may go in and out of ketosis a bit. When I drink, I drink a fair bit (15 standard drinks) but only do this once a week. Unsure if this is related. Hoping to get to the bottom of this. Thanks. Doctor: Hi. It seems like a frequent case of bacterial infection of your skin. Why are you frequently getting bacterial furunculosis is what we need to look at. This usually indicates an immunocompromised state or underlying uncontrolled diabetes mellitus or a complement deficiency disorder. What I can gather from your symptoms is that you get bad cases of furunculosis, some with infected axillary lymphadenopathy (the tender lumps in axilla). The axillary rash is something else which also occurs in diabetics or immunocompromised individuals. It is called erythrasma. It also occurs with obesity as in your case. It would be helpful to know a bit more about your condition like, Given your BMI, you are very prone to insulin resistance. Hence we need to take a look at your blood glucose levels. I am very hopeful we can get to the bottom of this. We need to look at it in a stepwise manner, ruling out possibilities and establishing a diagnosis. Please give me the details I asked for and get the following investigations done. Investigation to be done: If these turn out to be normal, then we have to check your complete immunoglobulin levels. Hope this helps. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24983, + "tgt": "What is the reason for breast leakage?", + "src": "Patient: Hi doctor, I am 28 years old and weigh 72 kgs. I am not married or pregnant. Recently, I have been having a problem of breast leakage and during intercourse, my boyfriend has also shared the same concern. It is embarrassing & alarming at the same time. What could be the reason? Doctor: Hi. This should be definitely investigated. I would advise you to do serum prolactin test first. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11119, + "tgt": "What are the cons of lowering the legal drinking age?", + "src": "Patient: Hi doctor, Medically, is there a big difference between drinking alcohol by an 18 year old and a 21 year old?\u00a0Some proponents of lowering the legal drinking age believe it will combat the rising problem of binge drinking on college campuses. From a medical perspective, what are the cons of lowering the legal drinking age to 18? Doctor: Hi. 1. If we keep the legal age and when one is allowed to drink alcohol, there will be fewer damages to the brain development to the young aged people. 2. Alcohol destroys the liver and if we keep a low legal age allowed for drinking, definitely more and more alcoholic hepatitis patients will appear in population. 3. Decreasing the legal age for drinking will have devastating effects on the health of the mass." + }, + { + "id": 10019, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26354, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26324, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17210, + "tgt": "I was misdiagnosed to have syphilis and had treatment. What to do?", + "src": "Patient: Hi doctor, I am a 24 year old male. Before a month, I visited a hospital in my hometown for pain on the penis. They conducted VDRL and TPHA test and said that the test came back as weak positive. So, it is the first stage of syphilis. They prescribed me an injection and some tablets for five days. After 10 days, I moved to my place and got both VDRL and TPHA tests in a reputed diagnostic center and the tests came back negative. But, I have taken the medicines prescribed to me. Now, I am getting some neck pain and headache. Can that be a side effect of those medications? Doctor: Hello. Revert with the prescription details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28828, + "tgt": "Why do my thoughts become negative when I hear the word 'not'?", + "src": "Patient: Hello doctor, Since the last six years, whenever I read or hear the word 'not', my mind becomes a pool of negative emotions. I feel heavy headed and lose focus, after this, I\u00a0cannot read with a free mind.\u00a0This 'not' word is\u00a0stuck in my mind.\u00a0Once or twice during my exams, I took SSRI\u00a0for a month, but it did not help.\u00a0I read so much about OCD and anxiety online, but cannot get rid of this word. I have been to a psychiatrist twice, but I\u00a0do not know if they\u00a0understood me. And as a doctor myself, I\u00a0do not get much time to consult any other psychiatrist.\u00a0Hope you understand me. And please get back to me as soon as possible. Doctor: Hello. I can understand your concern. Please do not delay the treatment and visit a psychiatrist as soon as possible. It will help in early recovery. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9197, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 4095, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6825, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27834, + "tgt": "I have a right sided headache and pain in my right eye. Will I go blind soon?", + "src": "Patient: Hello doctor,I am a 34 year old male. I often have a right sided headache, and a pressure sensation. I feel like there is some movement on the right side of my\u00a0head. I went to my physician and he ordered a CAT scan and blood tests. All the reports were normal, but the CAT scan said that I have a\u00a0sinus infection. My blood work was great too. I feel a heart beat sensation in my head. I would describe my right side head ache as how it would be if my head hit a wall.Also, I feel some pressure, itching, and pain in my right eye. My vision is good. I got redness in my right eyes and I was referred to an eye specialist. She did a detailed examination and vision tests. My vision was said to be\u00a0perfect. It was 20\u00a0in both the eyes. But, she said that I had a higher pressure in the right eye, that is 22. In the subsequent visit, it was 24. My left eye pressure was 14 or 18. But, she said it was not glaucoma. She prescribed some drops for allergy and antibiotics for an infection. Now, I am worried about my right eye pressure. Do I have glaucoma? Will I go blind soon? Doctor: Hello. I read your query and understand your concerns. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16739, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28936, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6376, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9970, + "tgt": "After a fall, my knee hurts when I kneel. Is there anything to worry?", + "src": "Patient: Hi doctor,I fell on a cement sidewalk about two months ago, and my knee is still bruised. Although it does not hurt while doing normal activities, it hurts tremendously when I kneel or when I accidentally brush my knee against anything. Please help. Doctor: Hello. You described that the pain gets worse on kneeling (direct pressure), which means two or three things: I suggest you try the following: Finally, seek the help of a physiotherapist to get local ultrasound therapy to desensitize the area. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 6865, + "tgt": "I am suffering from nausea inspite of having medications. Could it be hiatal hernia?", + "src": "Patient: Hello doctor, Before two years I was in a lot of pressure and anxiety, while I was eating shawarma. After that, I felt that I need to vomit (nausea). Then I went to the bathroom, and I vomited, I felt relief. I thought nausea would go away. After that, this nausea stayed with me like four-month, I started to hear voices like (gurgles, rumbling) in my throat. Sometimes my throat makes like a small bubble very small bubble that I can feel is going big like then it explodes with these sounds, but that feeling is like 1 %, not that big feeling. It is like a sting, and I do not know what is that? I went to the doctors, and they did everything they can. And in the end, I did Endoscopy (I have hiatal hernia). He gave me anti-reflux, and to be honest, and I tried them all Pantoprazole, Esomeprazole, Omeprazole, Zantac, Rantac, Disflatyl. Nothing works, I am still nauseating. And I was so unhappy, after four months from using these medications I went to a good doctor he said maybe your problem is psychological, I went to the psychological doctor, and she gave me (Cipralex). And to be honest, after a month, I felt here I am, back again. And nausea disappeared. I was on Cipralex for like nine months, and no nausea feeling. Now the doctor said, lets lower the dose and stop it. I said, I feel fine. It is four-month now since I stopped the Cipralex. And the nausea feeling came back. And I am really scared about that. So I need an answer, I need to explain what is going on inside me. I do not have H. pylori. Everything is fine, and it could be from hiatal hernia? Doctor: Hello. Darwesh you are suffering from functional dyspepsia, and a significant cause of it is anxiety and depression. That is the reason why you felt better with depression medications. It is a relapse and remitting disease means it will be fine for some time and may occur again for a few days. You need to retake your depression medication, or you can use the following drugs and follow-up after four weeks. 1. Tablet. Escitalopram 10 mg once daily after breakfast for two months. 2. Capsule. Dexlansoprazole 60 mg once daily before breakfast for two months. 3. Tablet. Domperidone 10 mg twice a day before meals for four weeks." + }, + { + "id": 15682, + "tgt": "Should I go hospital immediately for a dog bite?", + "src": "Patient: Hi doctor, A dog bit me hard in my leg. I had a lot of blood flowing from my wound. I cleaned the wound with disinfectant for 20 minutes. Now the blood flow has stopped. I have done preexposure prophylaxis before three months for safety. Do I have to go to the hospital immediately? Doctor: Hi. You should go to the hospital soon and begin post-exposure prophylaxis as early as possible. It is better to have rabies immunoglobulin injection soon. You should clean the wound with soap and water. Get a dressing from the doctor with a Betadine solution (Povidone-Iodine) followed by application of Mupirocin ointment. You have to do dressing daily. You should have anti-rabies vaccination on day 0, 3, 7, 14 and 28. Also, rabies immunoglobulin should be taken intramuscularly. Tetanus vaccination is also required. You can take capsule Augmentin duo 1 gm (Amoxicillin with Clavulanic acid) two times a day. You can take tablet Pantoprazole 40 mg before breakfast once a day for five days to prevent wound infection." + }, + { + "id": 14768, + "tgt": "I am 16 years old. I have got pimples. What should I do?", + "src": "Patient: Dear doctor, I am 16 years old. I have got pimples. What should I do? Doctor: Hi. Firstly, you need to consult a dermatologist nearby to assess the grade and severity of acne. As a general treatment measure: Follow these above measures for two weeks to see how much response you get. If the acne is of mild grade then, it will respond. But if it is of severe grade then, oral medicine will be required. Hope this helped. Take care. Revert back to a dermatologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26034, + "tgt": "I am a teenager and I feel my parents hate me. What should I do?", + "src": "Patient: Hello doctor, I am a 14-year-old female. I always have this moment where I am complained and scolded. This always happens with my parents and I always feel bad and it always makes me think \"Do they hate me? Am I not good enough for them? Am I a maid for them? \" I also always cry alone in my room hoping that they comfort me. But, they do not come. I always feel alone in my house. I feel lost and useless. I am a boarding school student and I always hope my parents to focus on me if I am on a holiday. But, they do not do that. I feel unwanted. Can you help me? Doctor: Hello. Thank you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25102, + "tgt": "I have tremors, pounding of heart, and headache. What is causing my symptoms?", + "src": "Patient: Hello doctor, Recently, I have been having chest pain with burning around the heart area. I have had adrenal/chronic fatigue for one and a half years. Other symptoms since being fatigued include neck/head tremors, excited nervous system, elevated heart rate, pounding heart, exhaustion, low stress tolerance, increase in headaches, occasional arm aches, burning sensations in the arms. Doctor: Hello. Your symptoms are suggestive of anxiety/stress. I suggest you do upper GI endoscopy to exclude GERD which may cause chest pain and burning around the heart. Rest of the symptoms are due to anxiety. I suggest you consult your GP. You may practice the following things to reduce stress/anxiety: For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1026, + "tgt": "My child got hurt while playing. Can we use T-Bact or Neosporin ointment?", + "src": "Patient: Hi doctor, My child, who is 2 years old, fell off while playing. She got hurt above the left eye with mild scar. Please suggest some medication. Thank you. Doctor: Hello. Revert back with the answers to the above questions to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 17882, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10775, + "tgt": "What can be done for dryness, redness and red lines in both eyes?", + "src": "Patient: Hello doctor, I have dryness, redness and red lines in both eyes. No liquid discharge. Right eye hurts sometime. I have 5 to 6 hours work on laptops. Doctor: Hi. People spending longer time on computer, laptop screens have greater chances of developing dry eyes. Because while using computer, blink rate is decreased to 1 to 2 time per minute. Normal blinking is necessary to keep eye surface wet and eyelids function as wipers and spread tear film on corneal surface. If you do not blink, eye surface gets dry and you will feel irritation of grittiness or mild redness. Longer time you spend on screen, more chances of developing dry eyes. So you need to slightly modify blinking habbits while working on laptop, screen. You should blink every 15 to 20 seconds to keep eyes wet. Secondly, you can use artifical tears, lubricants to minimize dryness. You can use Systane eye drop or Tears Naturale eye drop or any other tears available to you. You can use 3 to 4 times but you can also use more frequently if you feel so. There is no side effect of these drops, these are only artificial tears. I hope your problem will be solved." + }, + { + "id": 23083, + "tgt": "Reports show AML prolapse. Is there a way to avoid mitral regurgitation developing?", + "src": "Patient: Hello doctor, My blood pressure is 140/90 since one year and I am using Telmikind 40 tablet in the morning. Today, I visited the cardiologist and he suggested 2D echo and ECG. The reports show mitral valve has AML prolapse and no MR. Kindly clarify this. Is something wrong? I am attaching the reports. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Your ECG is normal. In the echo, there is AML (anterior mitral leaflet) prolapse, which means there is slight backward bulging of the valve leaflet. This is mild and there is no leakage in the valve. The risk associated with this is of valve leakage called as mitral regurgitation and it is not there. In most of the individuals, it is benign and does not lead to any complications and some may develop leakages. In you, it less likely to develop leakage as it is not there at present. So, nothing to worry about it now, but get an echo once in three to five years just to keep a check over it. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6223, + "tgt": "My baby is passing green stools with mucus and there is no relief even after medication. Why?", + "src": "Patient: Hello doctor, My baby is 2 years old and weighs about 11.7 kg. Baby is frequently passing green stools with blood spots and mucus. We gave Metronidazole and Norfloxacin, Reflora-R, Biz-Pro, Zinconia for the last four days. But there is no relief. Please help. Doctor: Hello. This is dysentery by history. 1) It will take some more time to bring the symptoms down. 2) You can go for a stool culture to find out the organism responsible for it. That would give useful information as to which medicines would be effective. 3) Look for an alternative diagnosis, but get an ultrasound abdomen to look for any obstruction or problem to the intestines. It is important to rule out this important condition which will change the management completely. The medicines which have been prescribed are good and apt, but sometimes it is a matter of time. See that your child does not get dehydrated. Give him adequate fluids." + }, + { + "id": 5874, + "tgt": "I had an echo and it shows LV hypertrophy of 1. 22. Is this serious?", + "src": "Patient: Hello doctor, I am a 59-year-male. I had an echo, and all results are normal except LV hypertrophy was 1.22 a little out of range. My BP is 117/77 mmHg, and presently I am not on any medication. I do exercise every day. My cardiologist said to take an echo again in two years. Is this serious? Doctor: Hello. This mild LVH (left ventricle hypertrophy) is not of concern. Sometimes the echo could miss read the wall thickness. It is fine to repeat it in 1-2 years for reassurance. You could have a cardiac MRI (magnetic resonance imaging), which is much better in assessing the heart's walls thickness and function." + }, + { + "id": 27353, + "tgt": "Do I need to worry about my LFT report?", + "src": "Patient: Hi doctor, I am a 29 year old male. My weight is 75 kg and height is 5'11\". Two years ago, I was a heavy drinker. But, nowadays I only\u00a0drink beer once a week for about 6 to 7 pints. My SGOT AND SGPT levels were much higher two years ago. I think they were around 150 to 175. I just got my LFT done by yesterday and everything is in normal except GGTP 74 and SGPT 66. I was taking Liv 52 DS two tablets twice daily for the last three months. Do I need to worry about these levels? How do I lower these levels? Please help. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9308, + "tgt": "What is the treatment for a small fissure on the penis that causes painful sex?", + "src": "Patient: Hello doctor,Under the left side tip of the penis, where the head curves to the shaft, I have a small fissure that opens up when I have intercourse. This recurring cut heals completely but, recurs every month for the past year. I am uncircumcised and have no STD, infection or inflammation, just this recurring fissure that happens during intercourse. How to ensure this is\u00a0permanently healed so that intercourse is not painful? Doctor: Hello. Revert with more information to a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 6565, + "tgt": "My diabetic mother has fever, body and joint pain and the ANA test is positive. What is the reason?", + "src": "Patient: Hello doctor, My mother is 65 years old. She is a diabetic. For the past one month, she had fever, body pain, and joint pain. After a while, her leg started swelling, and slowly the blood platelet count came to 28000. She got admitted to the hospital and was on Xone antibiotics and Dolo 650 with trips. Leg swelling slowly reduced and the platelet count reached 125000. Four months before, she had a leg swelling and it got cured after taking some medicines prescribed by a doctor. Basic creatinine, dengue, blood test, and scan were done. Light swelling in the liver and spleen is seen. Dengue and other basic reports showed negative. Today we received a report positive (ANA), Pattern: Nuclear fine granular (strongly positive). This may be associated with SJS, SLE, neonatal LE, Polymyositis, dermatomyositis, progressive systemic sclerosis. Can you please advise. Doctor: Hello, Welcome to icliniq.com. I have gone through your question and understood your concerns. Autoimmune attacks that lead to decreased platelet count (thrombocytopenia) are mostly associated with systemic lupus syndrome or can be associated with rheumatoid arthritis in case there is an associated joint involvement. I would recommend that you get an anti-lupus antibody testing and rheumatoid factor testing to confirm or exclude the diagnosis. I hope this helps." + }, + { + "id": 30436, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25040, + "tgt": "I have pain in the tooth even after it is filled. What is wrong with it?", + "src": "Patient: Hello doctor,I went to the dentist three weeks ago and had some pain in my top molar and there turned out to be a cavity which I had filled and fixed but a few days later I started to feel the same pain in the tooth and went back to the dentist and he said he could not find anything wrong. I have this flap feeling on the top tooth and it is causing discomfort and pain to that area but nobody can tell me what is wrong with it. I think I may have a crack or some type of nerve ending there and it is really bothering me. Doctor: Hello. I understand your concern. The possible causes of pain in your teeth which are filled could be multiple. A thorough checkup is required to reach a right diagnosis. However, if you find your current dentist is not able to help you out, visit another local dentist and tell your concerns. If you have an X-ray of the tooth, please upload it and I can help you rule out some of the causes. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29676, + "tgt": "I am getting severe panic attacks without any reason. Please help", + "src": "Patient: Hi doctor, I am a 24 year old female. Recently, I had a breakup. Currently, I do not have a job and so, mentally I am feeling insecure. I am getting\u00a0severe panic attacks for no reason. Even, I do not want to go out of my room. I feel sleepy all the time. Whenever I go out, I feel that I am going to have a heart attack or stroke. My feet get cold and I feel like I am going to fall. My dad died of heart attack and from childhood many close persons have misled me. I have been facing the above issues for more than eight years, but the severe anxiety started recently. Please help me. Doctor: Hi. I can understand your concern. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26540, + "tgt": "Can I get HIV if I cleaned myself with a bedsheet containing some ejaculate?", + "src": "Patient: Hi doctor,I am a 28 year old\u00a0female. Yesterday, I met with a masseur for erotic massage. So, he had done the massage. After that, he had done body play with me. When he had done body play with me, then for safety purpose, I asked him to put on a\u00a0condom on his penis and he did that. After a few minutes of body play when he got too excited, at the climax, he pulled off his condom and ejaculated outside on the bedsheet. That moment, that is, when he had ejaculated, most of his cum fell on the bedsheet, just two to three drops fell on the left side of my back. But he did not have any penetrative sex or oral sex or fingering or rimming or cuddling with me at all. Now, my query is, should I be worried about HIV or STI infection and should I get tested for HIV screening test? Doctor: Hello. No, there is no need to worry. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 29997, + "tgt": "Can you read my MRI and explain the reason for heel pain?", + "src": "Patient: Hi doctor,I am suffering from right heel pain for the last 11 months. All conservative measures exhausted. I had an MRI today. Can you read the MRI and provide a report? Doctor: Hi. Please find my observations on the MRI scan of your right heel below. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 3948, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 16957, + "tgt": "I have urethritis from the last two months. Am I on the correct treatment?", + "src": "Patient: Hello doctor, I have had urethritis\u00a0going on for almost two months. I have been tested for all major STDs and have come back negative. My current symptoms are burning sensation in the penis, inflamed meatus, a burning and itchy sensation around the meatus, on and off aching of urethra, no obvious dischargeand a pain when sitting for extended periods. I have been put on Ciprofloxacin and two\u00a0separate rounds of Azithromycin 1000 mg. The symptoms go for a while but end up coming back. The urologist suspects it to be Mycoplasma genitalium and has put me on Doxiclat 200 mg one per day for two weeks. I am on day four and still have the symptoms of urethritis. Does this mean it is not working either? I am not sure what to do next. Would Moxifloxacin 400 mg for seven days be a better option? Looking forward to your response. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 28305, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15484, + "tgt": "Can Mensovit Plus tablet affect the success rate of pregnancy?", + "src": "Patient: Hello doctor, What is the side effect of Mensovit Plus tablet? Does it effect seriously on getting pregnant in future? Doctor: Hi. These pills have side effects for sure as every medicine has. It may cause nausea, diarrhea, vomiting, breast tenderness, headache. Taking them after meals can help reduce the intensity of these side effects and use of antiemetic drugs (for example Domperidone) to prevent nausea and vomiting. Your gynecologist may help you with that. They may also cause a delay in the regular next periods or cause an early next period or spotting. You were asking about pregnancy and side effects of these pills and so menstrual irregularities are more likely in the next cycles following these pills. So someone trying to conceive may have difficulty but this issue may go away with the passage of time." + }, + { + "id": 21997, + "tgt": "I am 18 years old and have high hemoglobin. Why is it so?", + "src": "Patient: Hi doctor, I am an 18-year-old female and I had recently had some blood test done. My hemoglobin was 17.4 g/dL. My doctor called me in straight away to discuss the abnormal results. We had looked at my previous blood results and it was 15.3 g/dL at age 14 and at 16 it had gone up to 17.0 g/dL. None of my doctors have told me anything about it till now. Should I be concerned? Doctor: Hello. I have reviewed your query and here is my advise. Your hemoglobin level is slightly high according to history. I need to know your hematocrit (PCV- packed cell volume), RBC count and total WBC count as well to guide you further. If you have any respiratory or cardiac problem then mention that. Only hemoglobin rise cannot be taken as seriously. If your HCT (hematocrit) and RBC are also elevated then investigate with EPO (erythropoietin). So you can attach your reports for giving more comment. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 6347, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27411, + "tgt": "What can cause bloating of the stomach and nausea?", + "src": "Patient: Hello doctor, From the past few days, my upper stomach is bloated. However, the lower stomach is normal. I feel very heavy after eating food, and I am not able to eat much. I sometimes have nausea as well.\u00a0I went to see a doctor, and he asked me to do an endoscopy. I have attached herewith the reports of the endoscopy. I could not meet him after the procedure, as he had an emergency. Are my reports fine? Is this a case of ulcer or stomach cancer? A month back, I had the same issue, but it got resolved in two days. I am not taking any medicines, but the doctor suggested me an HP-kit. Doctor: Hello. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29877, + "tgt": "My son vomited the first dose of malaria medicine. Shall I continue the medicine?", + "src": "Patient: Hi doctor, My son (2 years 8 months) was hospitalized due to fever along with a sand paper kind of rashes in the body for four days. He was suspected of dengue and the initial blood test showed IgG positive. Herewith I am attaching the discharge summary and all other reports. After getting discharged, he was completely active for two days. He was on antibiotic Ziprax for four days. Again, fever started and went up to 103 degrees Fahrenheit. The doctor has given malaria medicine. We like to get your opinion on this. My son vomited the first dose of the new medicine and I am afraid to give more doses. Other than fever, he is completely normal and his activity level is good. Doctor: Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15902, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26546, + "tgt": "Will my high Rubella IgG and CMV IgG values affect my pregnancy?", + "src": "Patient: Hello doctor, I had a TORCH test after 12 weeks of pregnancy. It showed Rubella IgG and CMV IgG to be high, but the Rubella IgM and the CMV IgM were normal. Please advice. Doctor: Hello. Feel comfortable to contact me anytime for more queries. I would be happy to assist you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16880, + "tgt": "Can I take Sildoo 8 for UTI and urine retention?", + "src": "Patient: Hello doctor, I am 36 years old suffering from UTI and urine retention. I am a father of two, height is six feet and weighing 87 kg. I was suffering from mild constipation (first poop is easy but clearing remaining used to take some time from past few months. I used to spend at least 15-20 minutes in loo. This is when I observed urine retention and mild constipation). From past few months, even my rectum was paining. History of UTI: It all started with severe pain after the passage of urine five months back. It was diagnosed as seminal vesiculitis and urologist said that it is common among men and advised sitz bath whenever it pains and advised me to have sex regularly. Though sitting in hot water tub helped me and it relieved me from pain, but the pain was recurring every 20 to 30 days. This continued for almost 18 months. Four months back, I had few drinks (I never consumed alcohol earlier) continuously for a few days, and that triggered severe pain after urination. One day it was so severe that I noticed blood in urine (hematuria) and urination was very frequent on that day. I suffered from fever also that day. The very next day I went to a urologist and got it diagnosed. This time my doctor advised for the following lab test: Hemogram (automated), glucose \u2013 random, glycated hemoglobin (HbA1c), creatinine \u2013 serum, urine routine, microscopy (qualitative method), urine culture, imaging \u2013 ultrasound abdomen (including post void residue) and uroflowmetry. It was diagnosed as UTI infection with below observations (latest report): a.\tMajor impressions: i.\tCystitis. ii.\tPre void/post void \u2013 270 cc/90 cc (significant). b.\tLiver \u2013 Normal. c.\tGallbladder: Distended. Wall of the gallbladder is within normal limits. No calculi seen. d.\tSpleen: Normal in size and show normal echo pattern. No focal lesion. e.\tAorta: Normal in course and caliber. f.\tPancreas: Normal in size and shows normal echo pattern. g.\tKidneys: Both kidneys are normal in size and shows normal corticomedullary echogenicity. No calculi or hydronephrosis seen. h.\tUrinary bladder: Distended. Increased wall thickening noted measuring 5 mm with mucosal irregularity and multiple floating internal echoes notes. Pre void: 270 cc and post void: 90 cc. i.\tProstrate: Normal in size. Normal in shape and shows normal echotexture. No focal lesion. No paraaortic nodes or free fluid in the abdomen. j.\tCulture report - Organism isolate: E coli with colony count: >1,00,000 cfu/ml. k. Serum creatinine: 0.90 (within biological reference range). l.\tSerum glucose (Random) : 121 mg/dl. m.\tGlycated Hb (whole blood) : 4.90 %. n.\tWBC count: 17300/cu.mm. o.\tRBC count: 4.95 million cells/cubic mm. p.\tHemoglobin: 14.90 mg/dl. q.\tHematocrit: 43.10 %. r.\tMCV: 87.20 fl. s.\tMCH: 30 pg. t.\tMCHCV: 34.40 g/dl. u.\tPlatelet count : 297000 / cu mm. v.\tDifferential count. i. Neutrophils: 83.00# above range (40.00 \u2013 75:00). ii.\tLymphocytes: 12.00# less than range (20.00 \u2013 45.00). iii.\tMonocytes: 4.00 % (2 -10). iv.\tEosinophils: 1.0 (0.00 -7.00). v.\tESR: 32.00/1st hour (0.00 -10). w.\tPeripheral Smear examination: i.\tRBCs are normocytic normochromic with an increase in rouleaux formation. ii.\tWBCs show neutrophilic leucocytosis. iii.\tPlatelets are adequate. x.\tRoutine urine analysis i.\tMicroscopic description 1.\tColour: Pale yellow. 2.\tAppearance: Slightly turbid. 3.\tReaction (PH)- 6.5. 4.\tSpecific gravity: 1.01. ii.\tChemical examination: 1.\tProtein/albumin \u2013 Present 1+. 2.\tGlucose \u2013 NIL. 3.\tKetone bodies \u2013 NIL. 4.\tUrobilinogen \u2013 Normal. 5.\tBile salts \u2013 Negative. 6.\tBile Pigments - NIL. iii.\tMicroscopic Examination: 1.\tWBC/pus cells: Numerous/hpf. 2.\tRBC \u2013 Nil. 3.\tEpithelial cells \u2013 10-15 hpf. The doctor prescribed Septra (Trimethoprim and Sulfamethoxazole) (2-0-2) for seven days & Sildoo 8 (Silodosin) once daily for one month \u2013 I took Septra course for seven days but did not take Sildoo considering its side effects and dependency. Meanwhile, I started taking ayurvedic medicine, and my urinary pain (during and post-urination pain) and rectal pain are no more, but urine retention persists. Current lifestyle changes that I have made. 1.\tNot having coffee or tea. 2.\tOnly occasional outside food. 3.\tHaving plenty of water and fluids. 4.\tYoga or exercising regularly. My questions: 1.\tCan I take Sildoo 8? Will this harm me in future? Can I discontinue Sildoo 8 after this courseor will I be dependent on Sildoo for lifetime? 2.\tCan urine retention be cured completely? 3.\tCan recurring UTI be completely cured? 4.\tMy prostate is normal in size, but I am prescribed Sildoo. Can I take Sildoo even without prostate enlargement? 5.\tWill Sildoo effect my sex life? How to overcome its side effects? Doctor: Hi. With your elaborate history what I could make out is that you had a severe episode of acute prostatitis which was undertreated and now it is chronic prostatitis syndrome. Also, you have severe constipation. Sildoo is silodosin which is a highly potent alpha-blocker. I would like to place you on an alpha-blocker like Alfuzosin which will not produce any retrograde ejaculation in young males. Consult your specialist doctor, discuss with him or her and take medications with their consent. Also, you have to correct your constipation. Could you send a picture of uroflowmetry with the date? I would like to do a fresh uroflowmetry with post void residue for you. Prostatic symptoms at times are not related to its size rather to the alpha receptor overactivity. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2481, + "tgt": "I have throat pain for the past one week with slight breathing problem. Please suggest medication", + "src": "Patient: Hello doctor, I have throat pain for the last seven days. Doctor gave me Opox 200 and Hifenac P felt better at first but my condition is not improving. There is also a slight problem in breathing as I am asthmatic for the last 10 years. I am currently on Foracort 400 Rotacap, Duonase nasal spray. Doctor: Hi. Can you send me a picture of your throat? For how many days did you take antibiotics?" + }, + { + "id": 13219, + "tgt": "Is there a way to control fur allergy?", + "src": "Patient: Hi doctor, I am quite allergic to dogs, cats, and pretty much anything with fur, which exacerbated my asthma, sneezing, and itchy eyes. I am hoping to get a job at home health, but many people have dogs and cats. Is there anything that could be done for me to enable to work in home health? Furthermore, my kids would love a little doggy at some point, if possible. Doctor: Hi. Is your allergy based on your assessment or has any allergy testing been done? The best way to prevent allergy is to avoid the requisite allergens altogether. We even suggest a change of profession and change of place to our patients. In that case, I feel you should not be wanting that job or the dog in your house. But before that, we can check for allergies either by skin prick testing or blood immunocap testing. Skin prick testing is more authentic and specific than blood testing." + }, + { + "id": 1391, + "tgt": "My grandmother has purple spots on legs and arms resembling senile purpura. Please suggest solution", + "src": "Patient: Hi doctor, My grandmother has purple spots on her legs and arms. It looks like senile purpura, but I cannot be sure. The one on her leg is much larger and seems to spread a little over the course of a few days. The one on the arm is small. She is taking calcium and vitamin D for her osteoporosis and I have given her some vitamin K2 and D3 drops as well from time to time. She is 85 years old. Doctor: Hello, Welcome to icliniq.com. I can understand your concern. According to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis. When small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin are known as purpura. Purpura may be resulted from illnesses such as bleeding disorder, recent history of blood transfusion, cancer, SLE (systemic lupus erythematosus), infections like HIV (human immunodeficiency virus), hepatitis C, CMV (cytomegalovirus), EBV (Epstein Barr virus), etc. It may also occur due to inflammation of blood vessels, blood stream infection, vitamin C deficiencies, medications like Heparin, Aspirin, Sulphonamide, steroid, chemotherapy, Digoxin, Hormone replacement therapy, etc. Purpura are usually benign and may resulted from above mentioned causes and it sizes can vary from small dots to large patches. Senile purpura is benign which affects older people as their skin and underlying blood vessels become more fragile with aging and may bleed from minor trauma. The treatment depends on causes and most of the purpura does not need any treatment and dissolved over time. It may take 4 to 6 weeks to heal. The treatment are only needed for those which are not disappeared over time. You can use topical retinoids along with her current medications. I want to add that according to the pictures (attachment removed to protect patient identity) that are shown here, your grandmother have been suffering from age-related senile purpura. Give her vitamin C and citrus foods like orange, lemon, etc., with application of sunscreen and sun-protective clothing along with previously mentioned medications." + }, + { + "id": 7414, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25725, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12616, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28800, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1446, + "tgt": "I feel bloated with frequent burping after meals. Is this due to anxiety?", + "src": "Patient: Hello doctor, I have been suffering from gas for the past three years. I have bloating after meals for about 15 minutes after which it passes away. I can eat normally, but some times I feel bloated and cannot eat. I keep burping like once in 20 minutes. Is that normal? And also bloating increases when I have anxiety. I am taking Sompraz L (Esomeprazole 40 mg and Levosulpiride 75 mg) once in an empty stomach daily. Whenever I try to leave the medicine I have gas and acidity on the second day. I also take alcohol like 90 ml regularly for three years. There is no pain or anything but only burping and bloating. I wonder is it just anxiety or something serious? I am also very much afraid to visit a doctor least they prescribe endoscopy. I am 5 feet 8 inches tall and weighs 78 kg. I had an ultrasound about one and a half years ago and it was normal. Please suggest. Doctor: Hello. Well, the burping while having meals, or just after the meals is a normal phenomenon. And I assure you it is not alarming in your case. However, it may cause trouble if gas trapped excessively and result in belly swelling. The reason behind this excessive bloating in your case may be aerophagia (engulfing air while taking meals that commonly occur in one who keeps speaking while having bolus) can be due to supragastric belching and may be due to excessive gas production after meals. The last group of people in medical science are termed as bloater, some are early bloaters where bloating occurs within 15 minutes of meal and some are late bloaters where bloating occurs after two hours of meal. This whole explanation is just to make you understand your own condition well. You seem to be late bloater and cause seems to be excessive gas production plus aerophagia. I want you to take a three-week course of antibiotics to reduce the excessive gas production within your bowel. The antibiotic is safe without any side effects except in some may cause diarrhea of mild intensity. SIBO (small intestinal bacterial overgrowth). Tablet Rifxamin 200 mg thrice daily for three weeks and then stop, tablet Digestine (Metaclopramide) 40 mg half an hour before meals for one week and then as per need. You can stop Sompraz L, as Tab Digestine will work in more effective way than this." + }, + { + "id": 22987, + "tgt": "I have throat dryness and difficulty in breathing. Please help", + "src": "Patient: Hello doctor, I am 21 years old female, 42 kg weight 5'3\" height. I have been having a throat dryness and difficulty in breathing and also an abdominal pain. Please help. Doctor: Hello. Your workup has to be done as follow: If throat congestion is present than decongestant like Levocetirizine can be prescribed for that. For dyspnea, CBC will rule out anemia if present and it will also help in abnormal respiratory sound if present. Then, if needed after auscultation, further workup done in form of chest X-ray. Abdominal pain could be from viral gastritis and Pantoprazole can be prescribed for that. But consult the nearby physician for examination as difficult breathing also present. Provide any stress or anxiety history if present for giving further comment. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17037, + "tgt": "Is it safe to take Neopeptine after OPV?", + "src": "Patient: Hello doctor, My 2.6 years old son is suffering from stomach gas since last month. Every night he wakes up from his sleep crying. He got an OPV\u00a0yesterday morning, and we gave him Neopeptine 5 ml tonight for the stomach problem. I am scared that I gave him the syrup after OPV. Is there any risk associated with it? When is it safe to take Neopeptine after OPV\u00a0vaccination? Are there any chances of it affecting my son? Please help me. And can you suggest something for his stomach problem? Doctor: Hi. For further queries consult\u00a0a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 2406, + "tgt": "I feel discomfort in scrotum with squeezy pain. Why do I get this?", + "src": "Patient: Hello doctor, I am not feeling comfortable with my scrotum. I feel it is squeezed and not free. Some time ago I had pain. I am feeling this for two years. Also, I visited a urologist who saw this and went through the sonography and urine test. But he said I cannot find anything. What might be the cause? Doctor: Hi. This looks like chronic prostatitis (long standing inflammation of the prostate). It can be confirmed by a rectal exam, sometimes enlarged prostate on sonography and in some cases positive urine or semen cultures. In some cases, diagnosis is clinical as all tests are negative. Treatment includes long term antibiotics, anti-inflammatory, and medicines to soothe irritated nerves. I would suggest a semen culture, a post-prostatic-massage urine culture and sonography of prostate. Start tablet Moxiflox (Moxifloxacin) 400 mg once daily for 10 days, Enzoflam (Paracetamol, Diclofenac, and Serratiopeptidase) twice daily for seven days, Pantocid (Pantoprazole) 40 mg once daily for seven days, and Tryptomer (Amitriptyline) 10 mg once daily for 10 days. Moxiflox may cause joint pain or tendinitis, Tryptomer may cause sedation. Let me know the above reports and also how it goes." + }, + { + "id": 18123, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28080, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6107, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 20245, + "tgt": "I have been the same weight for years. Please help", + "src": "Patient: Hello doctor, I am a 19 year old female and my height is 5 feet and 6 inches. My weight is 47 kg, which is very low compared to the girls of my age. I have been the same weight for the last two to three years and my weight does not seem to increase. Also, I do not get hungry. Please help me in this. Doctor: Hello. You may follow up for further details. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30930, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 20602, + "tgt": "I am having chills and fever after genital rubbing. Can this be HIV?", + "src": "Patient: Hi doctor, I had a genital rubbing with a girl of unknown status. Then, on the third day, I went to the hospital and got PEP from the VCT after getting tested since it was negative. Then six days later, I went to the doctor after experiencing back pain and burning sensation while urination. The doctor gave me medication for UTI and told me to only use the PEP for seven days and stop. Now it has been four days since I have stopped and I have been having some symptoms which I fear like chills, fatigue. Doctor: Hello. You were in contact with vaginal fluid. So better go for STD, HSV, HIV tests. These will give you relaxation. Go for fourth-generation CMIA kit test for HIV on 28th, 54th, 42nd, or 83rd, any one day followed by Western blot test. If it is negative, you are free. From next time, use condoms while having sex." + }, + { + "id": 27210, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18632, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3616, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18867, + "tgt": "Is there any treatment for brain shrinkage?", + "src": "Patient: Hello doctor, My grandmother is suffering from the problem of brain shrinkage. She is not speaking for the last five days. Doctor informed us that this shrinkage is not going to get better. Kindly help us. Is there any treatment for brain shrinkage? Doctor: Hi. I understand the symptoms and have seen the CT scan report (attachment removed to protect patient identity). For further information consult a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6220, + "tgt": "My 16 year old son is behaving aggressively and attempted suicide. How to control his mind?", + "src": "Patient: Hello doctor, A known 16-year-old son misbehaves with others, not staying at home, does not care about his family, passes the time with his bad company, behaving rudely to parents, and not studying properly. Parents have no control over him, and he does not care when they request him to focus on studies. He does not ask what we say. All these happen within two years of time when he joins with a new circle of friends. Last time he tried committing suicide, writing a statement against his parents as a reason for his death. After his suicide attempt, he is forcing his parents to give him expensive things. Nobody can speak even a single word against him, as it is right or wrong. Otherwise, he will take the next step to attempt suicide. He is not under the control of anybody. We think he needs treatment to stabilize his mind. Doctor: Hello. I can certainly understand your concern. I have worked through your attached query in detail. As per the description, the possibility of a conduct disorder or a borderline personality disorder should be considered here in your child. In view of suicidal threatening, it is advisable to consider mood stabilizer drugs at the earliest. Detailed mental status evaluation is required in a head to head interview with your child. It is advisable to consider the expert guidance of a child psychiatrist. An inpatient requirement is also high. I hope this helps." + }, + { + "id": 28158, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12861, + "tgt": "What causes headache with dizziness and stomach ache?", + "src": "Patient: Hello doctor, I am 18 years old and healthy but lately, I have been waking up with headaches that continue throughout the day and now the last few days I feel very light headed and dizzy when standing and get a stomach ache. I eat regularly and drink five bottles of water a day. I take regular medicines and multivitamins like I have for years now but do not understand why I just now am beginning to feel like this. Doctor: Hello. According to the history provided, here you are having a headache, dizziness mainly. Your blood pressure should be checked as fluctuations in blood pressure or high blood pressure can lead to a headache. Second otological causes should be evaluated as an ear infection can lead to a headache with dizziness. Viral respiratory tract infection can lead to a headache with dizziness (in this case congestive symptoms are present). If you are taking the stress and if having smoking habits than also headache can occur. Any cardiac history positive then less blood flow to the brain sometimes can lead to dizziness. For that investigation is done with EKG. If slurred speech is present, history of hypertension and if no specific cause found then CT scan like higher investigation can be done to look for the stroke-like condition. Take care. According to cause found a further specific treatment can be given. Consult a physician for examination with keeping all this in mind." + }, + { + "id": 15969, + "tgt": "What is the black line in eye obstructing the vision?", + "src": "Patient: Hello doctor,My left eye developed a black wavy line that moves around every time I try to focus, at times obstructing my vision. After consulting a doctor and after an eye dilution test, she confirmed that bleeding had occurred in my eye around two weeks ago and the black line I could see was the blood that had spilled. She sent me to a retina doctor who said he had to inject me in the eye. He did not explain the reason why and was a bit unwelcoming to the point that he did not give me a chance to inquire. He prescribed two drugs (Maxidex sterile ophthalmic ointment) and Ceprolen-D eye, ear drops). I have been using these medications since I did not have money for the injection. I can see little improvement but I am afraid it is not cleared yet.All I want to inquire is, what could be wrong with me? I underwent many blood tests and passed them all. I have never been in accident. All I have had is little sensitivity to light. Also I had been working long hours in front of the computer without anti-glare glasses before my problem started. Do I need the injection or is there a medicine that is more appropriate? I am 21 years old..Please help me out. Thanks Doctor: Hi. You seem to have vasculitis which is inflammation of blood vessels in your eye which makes your blood vessels leaky. Injections of an anti-VEGF compound are indicated in this but before this, you need laser therapy in your eye along with a course of steroids. You need to undergo fundus fluorescein angiography to locate the area of leaky vessels and we have to laser it. You also need to get a blood investigation to rule out infections like tuberculosis. After that is ruled out, we have to start steroids. Anti-VEGF injections come after that. Kindly do not delay it if this process continues. The visual prognosis becomes poorer if not done in time. You may need surgery which would be more costly." + }, + { + "id": 16659, + "tgt": "Why do I have a strong urge to urinate?", + "src": "Patient: Hi doctor, In the morning, I have a strong and frequent urge to pass urine. It continues for an hour or two. After urinating normally, only droppings take place. Today, a few drops of blood also came. My intake of water is about 2 liters a day. There is no discharge or itching. Throughout the day it is normal. This symptom is persisting for the last three to four days. I am a thyroid patient as well as diabetic and also on medication for high BP. Doctor: Hi. It seems you have developed urinary tract infection (UTI). It is common in diabetic patients to develop infection despite good water intake. I suggest you get urine routine and microscopy along with urine culture sensitivity done. Take antibiotics accordingly. Let me know the result, so that I can help you with the prescription. All the best. Hope you get well soon. Revert back after the test to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27534, + "tgt": "May I know the reason for my fever?", + "src": "Patient: Hi doctor, I am suffering from fever for last three days, which is not present the entire day. My temperature is 100.5 F now. May I know the reason? Doctor: Hello. Take care.\u00a0Hope this will help you. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 5281, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19150, + "tgt": "How can I cure dry skin around my lips that is peeling off?", + "src": "Patient: Hello doctor, My skin around the lip is always dry and peeling off. I tried applying all natural moisturizers like ghee, olive oil, etc. My doctor has asked me to take Neurobion for vitamin deficiency. Still, no improvement related to dryness. Kindly suggest a remedy for this. Doctor: Hi. I suggest you apply Flutivate (Fluticasone propionate) cream, twice daily for a week. Thereafter, I suggest you apply NMF-e lip balm, 2 to 3 times in a day. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2428, + "tgt": "Why am I not suitable for LASIK?", + "src": "Patient: Hi doctor, I have an eye power of +8.5 in both eyes. I want to go for LASIK. But, in the\u00a0hospital, they said that I am not suitable for LASIK. Please explain why they said so. Doctor: Hello. I had gone through the data posted. Revert back with the information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3380, + "tgt": "Should I be concerned about my son's restricted eye movement?", + "src": "Patient: Hi doctor, My son is 10 days old. His right eye has never turned towards right. It has looked left, straight, up and down but never right. His left eye has a full range of movement. I have read about squint strabismus. However, I do not read anything about a restricted eye movement. Should I be concerned? Doctor: HI. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24357, + "tgt": "Kindly give suggestion for irritating aggressive dandruff on eyebrow", + "src": "Patient: Hello doctor, For past six months, I have had an irritating aggressive dandruff on my right eyebrow. Granules develop that are painful to the touch. I have applied zinc oxide, tea tree oil, and Pramoxine hydrochloride 1 % (suggested by a pharmacist). They helped for a while but were not a permanent solution. Glycerine made it worse. Please give some suggestion. Doctor: Hi. Is this same episode or recurrent issue? How long did you use above mentioned topical agent? Do you have discharge from right eye? From your description one of the differential diagnosis is blepharitis. But to be sure of the diagnosis, kindly send image and revert back. Depending on the severity of inflammation topical agents can be advised. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24225, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 22321, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15546, + "tgt": "I have parotitis. What type of food should be avoided?", + "src": "Patient: Hello doctor, I have parotitis confirmed by the doctor two days back and the right side has got swollen a bit. What type of food I should take and what to avoid? Doctor: Hi. Parotitis is the medical term for when the parotid gland gets inflamed or infected. This occurs when it is dehydrated. This means their body has lost too much water, just had surgery, have a blockage in their parotid gland or duct. Put heat on the swollen area. Wet a clean wash cloth with warm water and put it on the area. When the wash cloth cools, reheat it with warm water and put it back on. Repeat these steps for 10 to 15 minutes every few hours. Drink lots of fluids. Gently massage the swollen area. Suck on sour or lemon-flavored hard candy. Take an over-the-counter medicine to treat your pain." + }, + { + "id": 3667, + "tgt": "What are the ways to cure fracture in the fingers?", + "src": "Patient: Hello doctor, I have a fracture of the bone joint on my right hand ring finger which was caused by a road traffic accident were I was hit by a van pulling out of a side road. I was due surgery to repair the injury last month. The surgeon decided not to operate as under the live X-ray he was able to manipulate the bone back into the joint, therefore asked physio to splint the finger, the issue is each time I take the splint of to clean the bone is back as fracture and am not able to bend my ring finger. I am due to see my surgeon as the splinting is not working. Any advice of what I need to ask my surgeon to do is most appreciated. Doctor: Hi. Well there is intra-articular fracture of base of middle phalynx of your ring finger (attachment removed to protect patient identity). If I would be the surgeon then I would have gone for operative treatment because intra-articular fractures need perfect reduction. If he has decided to treat it non operatively then he could have applied plaster or strapping which is not removable like your current splint." + }, + { + "id": 30058, + "tgt": "Shall I give Aristozyme along with cholesterol drops to my baby?", + "src": "Patient: Hello doctor, My baby boy is 11.5 months old. His weight is 8 kg. He is not taking anything orally except breast milk. He has been taking cholesterol drops from 9 days after birth. Now, our pediatrician advised to give Aristozyme drops. I want to know whether I can give him both the medicines. Please give your suggestions. Doctor: Hello. Revert back with the answer to the above question to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 6757, + "tgt": "Why was I prescribed with Depakin for depression?", + "src": "Patient: Hello doctor, I have depression for the last 4 years. I just want to know what Depakin are because my old psychiatrist gave me that medicine and I did not use it. It is about 5 months now but I do not feel good these days. I just feel depressed. Doctor: Hello, Welcome to icliniq.com. Depakin (Sodium Valproate) is used as a mood stabilizer medication and is effective in treating people with mood disorders including depression, bipolar affective disorder, etc. It is also used in other conditions like seizure disorder, migraine, etc. If you are having ongoing depressive symptoms, kindly review with your psychiatrist for assessing the nature and severity of symptoms following which your medication can be optimized. Also psychological therapy can be helpful." + }, + { + "id": 29044, + "tgt": "After PPP removal, I have some scaly marks on my penis. Which cream should I try?", + "src": "Patient: Hi doctor, I am a 24 year old male. Seven months ago, I had PPP removal from my penis head with CO2 laser treatment. For the last three months, I observed some redness in my penis head. I think it is because of irritation due to masturbation. Since\u00a0I\u00a0removed PPP, my penis is a lot drier. My dermatologist prescribed Canesten and then Bepanthen and then Eucerin. Now for around two months, some scale like stretch marks\u00a0are there in the penis head, and I am applying Eucerin. It causes a feeling of burning sensation. What cream should I try? Is this something serious? I have attached photo for your reference. Thank you. Doctor: Hello. Revert after two weeks to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 8638, + "tgt": "Presence of shrinkage of belly button and discoloration after tummy tuck surgery. Please help", + "src": "Patient: Hello doctor, I had a full tummy tuck. Everything went well from that surgery. However, my belly button was closing and it closed almost to the point where I could not fit even a Q-tip in it. Two months back, I had revision surgery on my belly button to open it up. The doctor indicated that he opened it up wide enough due to the fact that he expected shrinkage. I feel again that my belly button is shrinking to the point of abnormalcy. I did see my doctor twice since my revision surgery and each time he seemed to be satisfied with the results. But, now I have not seen him again for six weeks. The area surrounding my belly button is discolored. I clearly have scarring. And, I just think it looks terrible and clearly indicates that I have had some type of surgery. Any suggestions or observations would be appreciated not only for the belly button itself but also for the discoloration. Doctor: Hello. First of all, I think the tummy tuck has come out well. The belly button however if it was not properly shaped during the initial procedure, then it was definitely a good decision to revise it after a few months. Right now, I feel that the skin is still in the healing phase. Given that it was a revision surgery, it will take a little longer to heal than a normal period of two months. Also, it depends upon the umbilical stalk length, that how long it will take for the surrounding induration and hence the discoloration to settle down. So for now, it is better to wait and watch." + }, + { + "id": 18232, + "tgt": "What is IUI? Are there any complications involved in it?", + "src": "Patient: Hi doctor, What is IUI? My physician asked us to go for it apart from trying the natural process. Are there any complications involved in it? Doctor: Hi. IUI is intrauterine insemination. The doctor will place the semen inside your uterine cavity in an artificial way by using a cannula. This technique is called IUI. It is usually done in male factor infertility or cervical factors or when stimulation of follicles has been done to get a better response. There are no complications associated with this procedure. Consult a gynaecologist online to know more about IUI --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11817, + "tgt": "Are there any complications associated with panurethral stricture?", + "src": "Patient: Hi doctor, I am a 30 year old male. I had a BMG urethroplasty a week ago. Currently urinating with catheter due to pan-anterior urethral stricture. Are there any complications and risks associated with it? Doctor: Hello. I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. The panurethral stricture is rather a less common but serious challenging surgical issue the urologists have to face. 2. This surgery is usually challenging as there is scanty tissue to cover the whole length of the urethra. Also as we know the reason for panurethral strictures is usually inflammatory disease, so the results of surgical repair may be less than expected on the scale of satisfaction. It is due to the spongiofibrosis of the repaired tissue. 3. During the post-operative period, infections and breakdown of the repaired tissue is commonly seen as a complication. But with all these risks, still this surgery is going on very successfully throughout the globe. If there is urinary tract infection your physician may prescribe you with Nitrofurantoin (Macrodantin). Take cranberry juice to avoid infection." + }, + { + "id": 25731, + "tgt": "I have numbing, tingling, and muscle twitching. What might help me?", + "src": "Patient: Hello doctor, About a month ago, I developed what I thought was a pinched nerve in my neck. I had numbing and tingling in my left arm and my hand would go numb while sleeping. However, over the next couple weeks the numbing, tingling, moved to my right arm then my legs and feet to include muscle twitching/ spasms. Now, these symptoms have mostly left my arms other than occasional slight sensation in my fingers. However, my legs and left foot continue to have this sensation. I do not have any pain other than the sensation and can move normally. However, exerting myself seems to elevate the sensation. I visited my doctor and they ran a complete set of lab work and everything was normal other than slightly low vitamin D. Also scheduled to MRI on the spine to rule out MS. After doing some reading, I think I developed a case of peripheral neuropathy. My question is could this be something else? Is it possible that with rest it will go away? Are there any supplements I could take to help? Any other thoughts or suggestions? Doctor: Hello. I read your question carefully and would explain that your symptoms are not typical of a peripheral neuropathy. They could be related to a bulging disc in the cervical vertebral column. That is why it is necessary to perform a cervical spine MRI study. MS (multiple sclerosis) would be an exceptional diagnosis at your age. Vitamin D deficiency may lead to muscle twitching and also joint pain, associated with chronic fatigue. As it resulted low, it is necessary to take vitamin D supplements. I would also like to know if you checked vitamin B12 levels and thyroid hormone levels. Vitamin B12 deficiency can mimic this clinical situation. Regarding peripheral neuropathy, I would recommend performing a nerve conduction study (electroneurography) to exclude this possibility, although it is really less likely that you suffer from this disorder. Hope you will find this answer helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5848, + "tgt": "I get gushing and thumping feeling in my chest even after taking Metaprolol. Why?", + "src": "Patient: Hello doctor, Recently my thyroid went up and since then, I have been feeling a gushing and thumping feeling in my chest that only happens at night. The feeling is in my upper chest. It lasts for two hours off and on. The doctor put me on Metoprolol tartrate 25 mg. He told me to cut the pill in half. Then take one half of the pill after my meal in the morning and after dinner. But I still have this same feeling. So the doctor put a halter monitor on me and told me to take half the pill after breakfast and one whole pill after dinner to see if the thumping feeling slows down. The doctor also told me it was the left ventricle and interventricular artery not meeting which is why this is occurring. What else can I do I can not take this feeling it is very distracting, and I want to know if there is anything else that can help? I also have elevated lymph nodes in the armpit near my left breast. I have attached the documents and medication list. Doctor: Hello, Welcome to icliniq.com. I have some trouble downloading your reports. (attachment removed to protect patient identity). I went through your symptoms, that you have been taking Metoprolol for palpitation in your chest. I can just give you some advice in terms of these symptoms. Consume less caffeine and do yoga practice. Take Propranolol 10 mg twice a day instead of Metoprolol 25 mg. Since I have trouble downloading I am not able to view all this lab report. I hope you could send the lab values. TSH, hemoglobin, liver function test and other essential values in your lab test." + }, + { + "id": 10434, + "tgt": "My husband behaves rudely all the time. Kindly advice", + "src": "Patient: Hello doctor,My husband is mostly sad and depressed. He cannot listen a word against him or his family(mom, dad & sister). He gets mad and behaves very rudely with everyone if they do not agree to what he says. He fought with his boss in his company for silly reasons. He abuses me emotionally and mentally. He hides from colleagues and friends about his marital status, to some he says he is not married and to some, he says he is married, and his wife stays with his family and works in a bank (but I live with him and work in MNC). He always uses to tell a lie to me in small things also, he is never ready to accept his fault. Even if it is evident that it is his fault, he will never agree. He was flirting with some girl and went to meet her, and I got to know this when I checked his phone when I confronted him, he got mad at me. He is not ready to accept that he is at fault. He never answers my questions, always diverts the discussion. He does not have any plan. He hates my family for no reason and always say abusive things against them. He says he loves me but never let me live happily. In short, he is still right. Is he mentally ill? Doctor: Hello. I can understand your concern. Considering the history of the symptoms you have mentioned, there are few possibilities. One is some underlying mood disturbance which could part of bipolar disorder. This should be appropriately evaluated to make a diagnosis. Repetitive mood swings, keeping grudges, anger outbursts, repetitive lying, etc., are seen commonly. Such symptoms can occur as part of some personality disturbance. Anger, irritation, etc., could be related to personality issues. Please talk to him and if possible, consult a psychiatrist. Mood stabilizers can be used to control his anger and mood swings." + }, + { + "id": 31028, + "tgt": "Why is my ear rumbling following a throat infection?", + "src": "Patient: Hi doctor, I am 35 years old. About 4 weeks ago, I had a viral infection of the throat and nose, which lasted for about a week. At that time, my left ear became completely blocked with fluid for at least a few days. Then, I started getting a low rumbling noise in my ear. At first, I used to get the noise on and off. However, for the last three and a half weeks it has been almost constantly rumbling. It sounds like a car engine, however, when I tilt or shake my head it goes off and then comes straight back. The interesting thing is that for every two to three days it stops for about 6 hours. But, during that time if I tilt my head, then I get a slight whooshing sound in my ear. What this could be? And how long this will likely last? It is driving me crazy. Doctor: Hi. This problem is called as tinnitus. As you have mentioned, you started with this problem after an upper respiratory tract infection that resulted in effusion in your ear through blockage of eustachian tube. It is quite possible that your eustachian tube is still not properly functioning and producing this problem. You should have a PTA test (pure tone audiometry) as well as tympanometry. Also, you need to see an ENT specialist for further physical evaluation. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 6391, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7230, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8052, + "tgt": "What is the reason for irregular periods after stopping birth control pill?", + "src": "Patient: Hello doctor, I am 22 years old. And for four months I have had emergency contraceptive pill four times. One in each month after having unprotected sex. I got regular periods for four months after having the medicine. But this is the fifth month in which I have not consumed any pill and still did not get my period. Please help. Doctor: Hello. Emergency contraception is not to be taken regularly. There are two phases of the menstrual cycle first 15 days estrogenic phase and second secretory phase. These tablets are high dose hormonal and delay ovulation. So depending upon which phase you took medicine, the period will prepone or postpone. Or you can have erratic bleeding, irregular cycle eventually. Side effects of nausea acne bloating breast tenderness may occur. Get a urine pregnancy test done three weeks after taking a pill as it can even fail. Consult a gynecologist for regular contraception soon." + }, + { + "id": 28634, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 982, + "tgt": "My 3 months old baby swallowed a small thread. Will it harm her?", + "src": "Patient: Hi doctor, My daughter is 3 months old. She swallowed a small thread. Will it harm her? And her tongue is white and thick. She also snores a little. She often vomits milk, which contains mucus. My doctor said this will get cleared as she grows. Please tell your opinion. Thank you. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29854, + "tgt": "How long will it take to recover from tibia fracture?", + "src": "Patient: Hello\u00a0doctor, I am suffering from a\u00a0tibia fracture. How long does it take\u00a0to recover? When will I start walking again? Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 7642, + "tgt": "Will foreplay with fingering after touching the penis tip lead to pregnancy?", + "src": "Patient: Hello doctor,I and my fiancee were doing foreplay and I touched my penis and then fingered her (my hands are slightly wet) but I touched only penis skin, not tip and did not ejaculate at that time. Then I ejaculated on her butt and then I wiped off the sperm with a towel. Is there a chance of pregnancy? If some drops of semen had fallen by chance on her outer vagina and due to fingering also? Her periods were finished on 16th and we had this on 18th and today is 19th. Do I need to give her a pill or not? Kindly help. Doctor: Hello. Firstly, your apprehension and concern are completely understandable. But the fact that you both were involved in sex after two days post her menses had stopped simply puts her in her safe period when chances of pregnancy are minimal as ovulation had not taken place. Secondly, there was no ejaculation involved before you fingered her and also you touched just the prepuce skin before fingering, again decreases her chances of pregnancy. Thirdly, you ejaculated over her butt and before the sperm could trickle to her vagina, you wiped it off. In this case as well, chances of pregnancy are minimal and do not qualify for any need for an emergency contraceptive pill within 72 hours of sex. As there was no unprotected intercourse involved, so you can be sure that there are no chances of pregnancy in this situation." + }, + { + "id": 17044, + "tgt": "My 1 year kid has continuous fever and abscess in neck. Kindly guide", + "src": "Patient: Hello doctor, My daughter is 1 year old. Since 10 days she has a fever. From the very first day, we have consult pediatrician and he started Nobel plus for fever four times a day. We completed the course for five days and returned to doctor for follow up. He again suggested for Nobel plus twice a day and started antibiotic syrup. After five days, her fever was still there so we again consulted the doctor and forced to do the blood test. The WBC count was 16000 per cubic mm, platelet count 7.90 lakhs per cubic mm. So, the doctor advised to admit and started antibiotics Maczone XP 500 inj., Macmika 100, Aciloc inj. After three days the same situation, fever was still there so we insisted on a blood test, urine test as well as X-ray. The result was WBC 17100, platelet 7.27, urine report showed pus cells 2.3/H.P.F, and X-ray report was normal. So the doctor revised the treatment plan immediately after having all reports as, Merobax 250 mg inj., E Mal inj., Zydol. But on the same night, we observed my baby's neck was swollen. So we asked the doctor and he diagnosed that it is kind of abscess. He explained that it appeared due to our antibiotic. It is the source of infection and due to that, her fever was present. There will be two options either revise the medication plan or by surgically remove the abscess. The doctor again revised the treatment plan as MeroBax 250 mg, Monocef 500 mg, Tazomac PS 1.125 mg, Macmika 100, and Electrolyte P inj. Doctor: Hello, Welcome back to icliniq.com. I have gone through reports and history (attachment removed to protect patient identity). From the picture, it appears to be abscess only. Also, the doctor confirms it on examination. The next line of action should be an ultrasound of the abscess to look for extent. Also, drainage of abscess is necessary. She has enough antibiotics and, fever, TLC (total leucocyte count) not responding as antibiotics must not be reaching there adequately due to pus collection. So the abscess should be drained in my opinion while antibiotics should be continued. After draining, the pus should be sent for investigations, which includes gram staining, AFB (acid-fast bacilli) staining, GenXpert of the pus, bacterial culture and sensitivity. So if the facility is available there then you may keep or else should be shifted to higher center. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7591, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3610, + "tgt": "Will removing half a pellet from Doxypal capsule affect its delayed-release mechanism?", + "src": "Patient: Hello doctor, I have a question with respect to Doxypal DL medicine and my question is whether the delayed release remains active when I would open a capsule to remove half of the pellets. The capsules are 100 mg, and I would like to take 50 mg, but I need the delayed release to remain working because otherwise, I get too many side effects with nausea. The side effects are also the reason I would like to take 50 mg two times a day instead of 100 mg once a day. I investigate and found that the delayed-release mechanism can be in the capsule (and if this is the case, I cannot open it, to remove half of the pellets, because it will loose the delayed release mechanism). But I read on the internet that the delayed-release mechanism can also be in the pellets inside of the capsule. If this is the case, I could open it, and remove half of the pellets, and the delayed-release mechanism would still be working. I want to know is the delayed-release mechanism of Doxypal 100mg RL contained in the pellets or is it due to the capsules? Doctor: Hello. The delayed-release capsule contains the active drug (Doxycycline) and few other excipients that slowly release the active drug from it. So, the active drug is mixed with the excipients and put into the capsule. So, if you divide the capsule into equal half, it still works. Still, it is delayed-release and you can make 50 mg dosage. You also see that whether the infection in acne is controlled with 50 mg dose. If so, you can follow it. If not controlled, then 100 mg must be taken. The benefit and side effects should be weighed to choose the balanced dosage." + }, + { + "id": 23482, + "tgt": "Why is my shoulder not rotating fully?", + "src": "Patient: Hello doctor,I have been suffering from a shoulder rotation and mobility issues when I play sport. When I throw a ball, my shoulder is not fully rotating. It is mostly external rotation of my shoulder. Doctor: Hello. Your shoulder mobility issue could be mainly due to flexibility and stability issues associated with the shoulder girdle. This could be more pronounced, especially playing a sport involved in throwing, as the flexibility is always compromised due to stability and more mobility in the joint. Do not worry as this can be fixed easily with a couple of stretches like posterior capsule stretch and rotator cuff stretches like sleeper stretch. Keep doing this stretches and do some stability exercises. That will fix your problem once for all. Hope this is helpful for you. Kindly revert in case you need any further help in this regard. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 8155, + "tgt": "Why am I bleeding profusely after four days of wisdom tooth extraction?", + "src": "Patient: Hello doctor,I am a 23-year-old male. I had my wisdom teeth taken out four days ago, and it has started to bleed profusely while I was sleeping, and it seems I cannot get it to stop. Kindly help. Doctor: Hello. Do the following things urgently to stop bleeding. 1. Take big cotton, crush some ice and put in it and then place the pack tightly at socket place where it is bleeding. 2. Keep this cotton pack at a place for two hours. 3. After it takes out cotton and have some ice cream or drink something cold that can help to produce clot at the site. 4. Do not spit much. More you will spit, more bleeding will happen. 5. After two hours if bleeding does not stop, you should make another cotton pack and put it at the socket for four hours. Do not check for bleeding in every 10 minutes, and it causes to bleed more only. 6. You can have normal temperature meal only. Hot and hard edible things should be avoided for one day. 7. If bleeding still does not get better, then go to your dentist. Otherwise, it will be fine in a day.Give me a follow-up after 24 hours. I will guide you further if needed." + }, + { + "id": 4532, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14052, + "tgt": "Why have I been asked to get dual marker and various other tests during second pregnancy?", + "src": "Patient: Hello doctor, I am 12 weeks pregnant. My age is 38. My doctor prescribed dual marker test. My PAPP-A report is 1.88 mIU/ml, while FB-hCG is 28.2 ng/ml. NT is 0.90 mm (.65 MoM). Biochem risk +NT is 1:4730, age risk 1:189, trisomy 13/18 + NT is < 1:10000. I am worried about my reports, whether it is normal or is there any risk. My weight is 53 kg. It is my second pregnancy. I have 3 years old child and completely normal. However, no test of this type was done earlier. Doctor: Hi. Heartiest congratulations for your second pregnancy. Well, there is a generalized increased risk with increased age of mother. You are above 35 years, so considering it as an elderly pregnancy, increased surveillance for congenital or chromosomal abnormalities in the baby are mandatory. These tests are nowadays routinely done even in younger mothers. According to your blood tests and USG findings (attachment removed to protect patient identity), you are on lower risk, that is, 1 in 10000, while as per your age it is a bit high risk, which is why the test was offered. Preferably you can opt for second-trimester quadruple blood tests during 15 to 18 weeks as well to keep you relaxed and finally do an TIFFA scan at around 20 to 22 weeks. They rule out around 95 % chance of missing out any chromosomal defect, if all done together. But, I want to add at the end, no test has 100 % success rate in diagnosing all congenital defects." + }, + { + "id": 4186, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21231, + "tgt": "My 2 year old son has a small hole in the ear cartilage. What is the problem?", + "src": "Patient: Hi doctor, I have a two-year-old son who has a small hole in his ears. It started as a little spot and later degenerated into a small hole in the cartilage. Now it started spreading to another ear. I have gone to many ENT specialist and dermatologist, and they could not be able to figure out what it is. It began as a small dot or spot 17 months ago in the left ear and started becoming a hole. We noticed it in the right ear around seven months ago. The same way it started as a dot as seen in the right ear before it turned into a small hole as seen in the left ear. The one on the left ear is 17 months now. We have been to many ENT specialist and dermatologist, and they said they had not seen such thing before. They conducted a blood test on him and said everything is fine. It is disturbing me a lot and looking for a solution for it as I am scared, that it should not get bigger. I am using Fusibact ointment on the affected area. Doctor: Hi. With your description and after reviewing the pictures (attachment removed to protect patient identity), I can think of a condition called angiolymphoid hyperplasia with eosinophilia (ALHE). It is a benign harmless condition that presents with bumps in the ears. ALHE is common in adults, but there are few cases of ALHE reported in children as well. This is an idiopathic condition, meaning the cause is not yet known. This condition has to be confirmed by skin biopsy. I understand it is difficult to do a biopsy in kids, but I feel biopsy is essential because this problem is present since 17months as you have mentioned. In about 20 % of cases, there will be elevated eosinophils in the blood. You have told that the blood tests are fine. I am not sure if the eosinophils were tested. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24431, + "tgt": "Kindly read my routine breast ultrasound and guide me", + "src": "Patient: Hi doctor,Kindly read the routine breast ultrasound and guide me. Doctor: Hi. Your ultrasound of left breast (attachment removed to protect patient identity) shows a well defined oval shaped hypoechoic lesion measuring approximately 1x0.7x0.4 cm, likely at 12 o\u2019clock position. It is well capsulated with smooth margins and horizontally oriented and shows distal acoustic enhancement suggestive of benign etiology likely a fibroadenoma - BI-RADS 2 (breast imaging reporting and data system) category. No surrounding changes like fat stranding. Ductal dilatation is seen to suggest infection or invasive etiology. The investigation to be done is FNAC (fine needle aspiration cytology) for confirmation if clinically indicated. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 24281, + "tgt": "How can I handle emotional numbing, lack of motivation, and very low energy?", + "src": "Patient: Hello doctor, I am 28 years old male, weight 67 kg, and height 5'9\". I have been diagnosed with depression along with anxiety. I have been prescribed Clonazepam (0.5 mg initially and later 0.25 mg) with Escitalopram (till last weak 20 mg). My anxiety is under control to a good extent but my depression seems to persist. I have been switched to Prozac (20 mg) with 0.25 mg Clonazepam. I am mainly describing here the main symptoms which are disturbing me and persistent for almost two years: Emotional numbing. Dissociation with everything. It seems I am just passing time and not living it. Living my life totally in hell. No heart and mind connections. No motivation. Very low energy. I feel sleepy all the time even after 8 to 10 hours of sleep. No confidence. I want to fix all these issues at the earliest as these are affecting me badly along with my work life. Please advise. Doctor: Hi. I read your query and understand your concerns. From the available description, it appears to me that you have a partial response to medication leading to incomplete treatment. Considering this fact we have two options to manage the current condition. Either to increase the dose of Fluoxetine to 40 mg, wait for three weeks before taking next step or to add Bupropion 300 mg per day with Fluoxetine 20 mg. As there is no motivation, emotional numbing and loss of interest in all things with a decreased energy, I feel the second option is more suitable for you. The dose is often started at 150 mg per day to be taken in morning and increased to 300 mg after four to seven days of initial treatment. This is prescription only medication and you may require a prescription for buying it from the pharmacy. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 19054, + "tgt": "What is the alternative to Versed and Fentanyl?", + "src": "Patient: Hello doctor, My wife recently had a renal angioplasty and the sedation did not work. She had Versed and Fentanyl. It seemed to get her wired. What are the alternatives if she needs another procedure? Thanks. Doctor: Hello. I recommend her to go for MAC (monitored anesthesia care) or if she is very apprehensive she can be given GA (general anesthesia). The anesthetist has to assess for airway, if not in difficult intubation category. He or she can give Remifentanil infusion with Propofol infusion as well. Airway can be supported by LMA (laryngeal mask airway). For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 6993, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 25369, + "tgt": "Is there any medical risk from using a secondhand car seat?", + "src": "Patient: Hello doctor,My daughter who is 15 months old now had a used car seat up to age 1. My sister gave me the car seat and it was used by her 6 year old daughter when she was a baby. When I went to buy a car seat recently, I realized that the newer models of the car seat I had used were much softer and more padded than the one I had used which was a bit worn from use and quite hard. I am worried that the hard car seat could have caused harm to my baby either now or in the future. Could it have harmed her cells? Is this medically possible? I have postnatal anxiety and my main worry is the hard car seat and regret that I did not buy a new one. Doctor: Hello. In my opinion, it may not have caused any harm, as far as your daughter is walking well, no gait issue, and no complains of pain over hip joints. Kids cells have higher regeneration power compared to adults. Theoretically, one can take a biopsy of a particular site and see under the microscope for any change, but in my opinion, it will be useless, and practically does not add value to the outcome. I will suggest, focus on involving her in a safe sports activity where hip mobility can be ensured. Do not blame yourself. You and your sister did it in good faith. The baby will be alright. I would be happy to hear after six months on how she is doing. I wish her great health. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 28783, + "tgt": "Why is the rash on my genitals not getting cured even after taking Fluconazole?", + "src": "Patient: Hi doctor,I have a rash on my genitals from a month. So, I went to a venereologist, who told me to take Fluconazole, one tablet for two weeks. As you can see by the photos attached, the rash is still the same even after a month. Please help me diagnose and treat my rashes. Doctor: Hi. I have seen the rash\u00a0pictures\u00a0(attachment removed to protect patient identity). For further queries consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 15760, + "tgt": "When can I expect my periods after taking Deviry tablet?", + "src": "Patient: Hello doctor, I have not got my periods for the past 60 days. Now I have planned for trip in the next week. My doctor advised me to take Deviry tablet twice in a day for five days. Can any one let me know by when will I get my periods? I have started taking the tablet yesterday night. Doctor: Hi. After completing a five days course, you will be getting your periods within a week or so. However, if you have a doubt then get back to me. Take care." + }, + { + "id": 30493, + "tgt": "Should I get an MRI for hip joint pain?", + "src": "Patient: Hi doctor, Since one month, I have been\u00a0facing joint pain in my right leg and hip. I consulted a doctor at my native and he said that bone is worn-out at the joint. Again, when I consulted a doctor in my working place, he said that the cause of my pain is arthritis. The pain is not much. I am a 47 year old male. I am currently on Ultracet. Also, my doctor said that he can find out the exact problem only after an MRI. What I suppose to do now? Please suggest me. Doctor: Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23735, + "tgt": "I had unprotected sex. What are my chances of getting pregnant?", + "src": "Patient: Hello doctor, I had\u00a0unprotected sex\u00a0with my boy friend two days before my actual period, at around 5pm. I took an\u00a0i-pill\u00a0within one hour after sex i.e, before 6 pm. It is three days more than my actual period date and I still have not got my periods. What are my chances of getting\u00a0pregnant? Are there high risks involved in getting pregnant since I had unprotected sex 2 days before my period date? Should I do a pregnancy test? If yes then what tests should I do and when is the right time to do? What should I do? Please advise as I am worried. How many days should I wait, since today is the 3rd day and I still have not got my periods? Please help. Doctor: Hi. Please do not be worried. You have done a right thing by taking i-pill within 72 hours of last sexual intercourse. You were not likely to menstruate on your actual due date simply because it takes about 5-7 days for bleeding to occur after taking i-pill. It is also a known side effect of i-pill that the following menses may be delayed or may be heavy. In case periods do not resume in the next 10 days, then you must do a urine pregnancy test to rule out pregnancy. If the test comes as negative, then please do not take any medication. Just wait for your periods to return, till then practise barrier contraception. If the test is positive which is unlikely though, keeping in mind that i-pill does not cause any congenital abnormalities in fetus, you would need to make an informed decision as to continue or terminate the pregnancy (which can be done by medical methods in early first trimester after ultrasound scan confirmation). Consult a gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5532, + "tgt": "I have been getting flashes in eye during the night. Please help", + "src": "Patient: Hello doctor, I have been getting flashes on my right eye during the night. It is either a white or orange light. I am concerned. Doctor: Hi. Flashes may be due to central cause like irritation in brain for example in migraine (half sided headache) people can see flashes of pattern of light. Do you have any headaches while observing these flashes? Or some local cause in eye can cause flashes. Sometimes jelly in the back of eye starts liquefying and detaches or pulls the retina that can cause flashes of light. This liquefacation of vitreous and its detachment is an aging process but it can occur in young people after some trauma, in high myopia (using minus glasses), or any surgery. This process is called posterior vitreous detachment (PVD). Sometimes (not always) PVD can be associated with a break in retina that can cause floaters or curtain in the vision. That is an emergency for eye examination. So you can visit your eye doctor for a complete eye examination. He or she will guide you accordingly." + }, + { + "id": 23223, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9161, + "tgt": "What medicines can reduce the size of the two punctate kidney stones?", + "src": "Patient: Hello doctor, I had a CT scan today and two punctate stones were found in the mid-lower portion of my right kidney. I was advised they measured 1 to 2 mm. I currently have urologic issues of possible stricture near the tip of the penis. In addition, I have a lifelong urine flow issue where the flow is not strong. I have not spoken to my urologist yet but given my history of possible stricture and weak flow, I am concerned about my ability to pass these on my own. I would like your opinion on my options. Is lithotripsy an option? Can these stones get bigger? Does the location of the stones have any significance? I did have calcium oxalate stones seven years ago. At the moment, I do not have bad pain. A recent urine culture found no infection. If these are calcium oxalate too, anything I can do to may help dissolve them given they are small? Doctor: Hello. Relax and do not worry. 1 to 2 mm stones in lower pole are very, very small in size. As far as treatment is concerned, they do not require any treatment like lithotripsy because they are very very small. Regarding precautions, you should take precautions to prevent their increase in size. You need to drink plenty of water up to 2.5 liters per day. You need to take food containing low in oxalates. There are so many foods having oxalates. A complete list you can get from the internet. So, avoid these foods. You can follow up with the ultrasound every six months to check for an increase in size. Regarding stricture, you require may be a cystoscopy and optical urethrotomy as adviced by your urologist. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30551, + "tgt": "Kindly help me reduce the higher values shown in my blood report", + "src": "Patient: Hi doctor, I am suffering from stomach bloating and gastric problem. I had a blood test and the report is as below. Total cholesterol 208 mg/dL, triglyceride 253 mg/dL,\u00a0HDL 38 mg/dL,\u00a0LDL 119 mg/dL,\u00a0SGOT (AST) 63 U/L,\u00a0SGPT (ALT) 80 U/L, total bilirubin 1.9 mg/dL, vitamin B12 185 pg/dL and vitamin D 9.35 ng/dL.\u00a0Please advice any medicine required to lower the above result. Doctor: Hello. High fat containing food. Fatty liver. 1. Avoid fat containing diet. 2. Take high protein diet and do regular exercise. 3. Follow up regularly with family physician as it requires follow up investigations after three to four months. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15971, + "tgt": "I have pain between my shoulder and neck. What to do?", + "src": "Patient: Hi doctor, I have a problem with my shoulder. I have a pain between my shoulder and neck. I had treatment for it. It was good for three months. Again, I started to have pain between my shoulder. I do not know the reason. What to do? Doctor: Hi. You have soreness, and it triggers the trigger points. There is nothing to worry. Try to do a lot of icing and mild rolling with a foam roller in your neck and back. Once the pain gets reduced, try to do a lot of stretches for neck and chest muscles. Try to strengthen your neck muscles. Drink plenty of water." + }, + { + "id": 196, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14311, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27141, + "tgt": "Is it normal to have breast pain during pregnancy?", + "src": "Patient: Hello doctor, I am 25 years old.\u00a0I am three months pregnant. I am having breast pain, for which my doctor prescribed Pregcert 200 SR and Duphaston 10 mg. Is it necessary to take this? Is not breast pain normal during the first trimester of pregnancy? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 640, + "tgt": "After cholecystectomy for rapid weight loss, I experience postcholecystectomy syndrome. Please help", + "src": "Patient: Hello doctor, Over a year ago, I scheduled an appointment to try to understand why I was rapidly losing weight. My gastroenterologist ran some tests and did an upper endoscopy as well as a HIDA scan. The upper turned out negative for all tests however the HIDA scan reported that my gallbladder was functioning at approximately 40%. My GI then recommended a cholecystectomy as my gallbladder was not functioning properly. He did also suggest that I could try to repair it with my diet but then told me it would likely be fruitless and I should get the procedure right away. I did so promptly and experienced the typical symptoms. I am concerned about this only now because I believe I have postcholecystectomy syndrome due to the surgery. This would not be an issue relatively however I believe that my rapid weightloss was due to extreme stress and was mostly psychological. It seems to me that my practitioner should have advised me that gallstones occur commonly when rapid weight loss occurs. Furthermore, I believe that I could have benefited much more from keeping my gallbladder on a rigorous healthy diet and prescribing a biliary control. The latter that has taken place has resulted in a year long constant struggle to be happy and healthy. Doctor: Hello. Well, I understand that a year back you have been diagnosed with gallbladder dyskinesia or dysmotility as reported by HIDA scan. I was wondering whether you have weight loss as the only primary symptom or associated with abdominal pain. Because gallbladder dyskinesia most commonly causes pain and diarrhea rather simply weight loss. Or one should have to have evidence that the weight loss was due to gallbladder dyskinesia and not otherwise, then surgery was probably the right decision. I cannot figure out whether you have other symptoms or not. And now what sort of typical symptoms you feel suggesting you as postcholecystectomy syndrome (PCS). I can understand actually that symptoms of PCS can be at times very distressing and unbearable. The common symptoms are bloating after meal, freqeunt reflux or pain in the upper part of the belly, diarrhea after meals or sometimes otherwise, and this even can cause weight loss. This syndrome basically occurs secondary to an excessive pool of bile stored within a small bowel instead of gallbladder which is otherwise a sole bile reservoir. But PCS usually resolves within some time the maximum it can take is two to three years until the time your small intestine is adapted to it. You can try tablet Cholestyramine 4 gm twice daily 1 hour before meal or 4 hours before meals. This is a bile sequestrant and will bind and remove excessive bile from the gut. To be honest, I still do not understand the reason for your surgery year back but cannot completely argue with physician because I was not and he was the best person to decide while understanding your condition at that time. Postcholecystectomy syndrome. Follow up in two weeks." + }, + { + "id": 22080, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27781, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1230, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21955, + "tgt": "My periods have become irregular. Will IVF help me?", + "src": "Patient: Hi doctor, My highest FSH count was 35.6 mIU/mL before two years. Now the FSH count is 13.2 mIU/mL. Before two years, my AMH count was 0.6 ng/ml. Last year, my AMH count was 0.1 ng/ml. Also, on the day seven and day 10, the follicular study gave nil result in both the ovaries (without medication). My periods have become irregular. I want to know whether IVF will give me success. Doctor: Hi. Let me start by giving you some points about the functions of FSH (follicle stimulating hormone) and AMH (anti-mullerian hormone). Every lady is born with a fixed number of eggs in ovaries (to be precise around 7 million). Every month, the lady pushes out one egg. These are the best of all. So after every period, the number of eggs left behind is less healthy than the previous cycle. By 35 years of age, most of the good eggs are gone and by 40 years nearly all the good eggs are over. This is not a fixed number. It is only a range. Pituitary gland below the brain produces FSH, which has a normal range of up to 7 mIU/mL. FSH stimulates the ovaries to release the eggs. As the eggs reduce, the higher levels of FSH is needed to release the eggs. So, indirectly FSH reflects the number of eggs left in the ovaries. Once, the number of eggs reduce, it can never be increased again. AMH above 2 ng/ml is normal. AMH is a glycoprotein which prevents the eggs releasing from the ovaries. So as the eggs reduce, the AMH level reduces. So there is no treatment to increase the AMH. Periods are irregular as the good eggs are nearly over and the hormones are reduced. Your best and the only option is IVF (in-vitro fertilization). I advise IVF with a donor egg is the only option. Anyone who is willing to give eggs, related or unrelated to you, can be given hormone injections. They will produce all the eggs, which can be aspirated in the embryology. Your husband's sperm can be injected into the eggs and the embryo is formed. The embryo is placed in a frozen. Those embryos are placed in your uterus and the baby will grow in your uterus. Even after the first delivery, you can plan for a second baby, a few years later. On the other hand, if you plan to use your own eggs, as explained previously, the chances of getting unhealthy eggs is more. The overall number of eggs too will be less, so the success of IVF will be low. Even if you get pregnant, you will need a screening for lots of genetic problems in the baby. Just by using a higher dose of hormones, your egg quality will not improve. By using your eggs, success rates are decimal. Using donor with good egg quality, the success rate is 45 to 50 %. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 581, + "tgt": "I have yeast infection in vagina. Will topical alone enough?", + "src": "Patient: Hello doctor, I am currently on Fluconazole 150 mg, and I am on my second dose. I just took it yesterday for a yeast infection. I was given Clotrimazole Betamethasone topicals cream to apply on the affected area twice a day. However, it seems to make it hurt in an hour after application. I first felt myself getting irritated in the vulva area about a week and a half ago and then started Monistat 3 with prefilled cream applicators and it seemed to improve however a few days later it seemed to reverse. Then, I received the Diflucan and it seemed the discharge has been less inside however, the external seems red and irritated and itchy still. My question is, in order to cure a vaginal yeast infection do I need to apply the antifungal cream externally along with the Diflucan? Or will the Diflucan alone take care of the external and internal infection? Doctor: Hi. I have gone through your history and understand your concern. It could be due to vaginitis caused by a fungal and bacterial infection. You have to take vaginal tablet as well as local application of cream. You can do one thing use plain candid cream and take antifungal and antibiotics for the same. Keep the area dry and clean and drink a lot of warm water and eat lots of vegetables and fruits. Avoid oily and spicy food. Take probiotics for the same." + }, + { + "id": 7287, + "tgt": "I have UTI and suffering from pain after taking Amoxicillin. Why?", + "src": "Patient: Hello doctor, I have been dealing with a UTI for about six to seven days. I do not have health insurance right now. I have been taking Amoxicillin for that exact amount of time from when it started. 500 mg qid. Now I do get uti frequently, and I have usually prescribed Amoxicillin. So I had a refill at the pharmacy I started on. Well, it is not getting rid of it. The pain got worse, and I started taking otc Pyridium. Usually, the Amoxicillin has it gone, but it is not. I can feel it spreading to my kidneys. I am so very uncomfortable and in a lot of pain. Should I finish I have doses for today and tomorrow first, or go to the er? I am nauseated as well. It started when I got my period, and my period only lasted two days which is very odd for me. I also know Pyridium can alter results. Please help. Doctor: Hello. I will advise you to get urine culture and antibiotic sensitivity done first only then choose a proper antibiotic. If Amoxicillin is not working that means bacteria could be resistant to it, yes you can stop it. Pyridium is a good urinary antiseptic, and yes it does interfere with urine examination, especially with culture. You can try syrup Citrasol (alkaliser) two tea spoon full thrice daily. Take a small water tub to mix some antiseptic like savlon (Cholhexidine) and sit inside it for five to10 minutes before taking a bath. Take plenty of water. Also get complete urine examination done. If you have further questions, Do follow-up." + }, + { + "id": 24168, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4353, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 10789, + "tgt": "I have body pain and not interested in any work after having Uvox CR. Why?", + "src": "Patient: Hello doctor, I am a 44-year-old female. My height is 161 cm and weight 87 kg. Clarify one doubt about an antidepressant. My new psychiatrist started Uvox CR 10 days back. I was on Stalopam for three to four years before that. For the past some days, I am feeling body pains and disinterested to do any work at all. But I somehow manage to complete the work also but with a lot of effort. Will the medicine take time to set? Why do I have these symptoms? Doctor: Hello. Antidepressant take around two weeks to show their effect as this much time is required to make changes in chemicals present in the brain. The symptoms you mentioned are typical of depression. Stalopam (Escitalopram) and Uvox CR (Fluvoxamine) both are antidepressant from SSRI (selective serotonin reuptake inhibitor) group but somewhat different profile. In the next few days, you will see some relief as 10 days already passed since starting on Uvox CR. Also, check your thyroid status as you are already on Thyroxine75 mcg and check that this dose is sufficient or not. Meanwhile, do regular exercise and go for a walk for at least 45 minutes, five times a week. Maintain good sleep hygiene and spend time on your hobbies. I hope it clarifies your concern and feel free to ask if anything unanswered." + }, + { + "id": 15528, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29670, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4064, + "tgt": "Had 12 I-pills in eight months. What will be the side effect?", + "src": "Patient: Hi doctor, I would like to ask you a few things related to I-pill. Two years, I have taken around 10 to 12 I-pill tablets in eight months, Again I had two tablets last year. What will be the side effect in future? I do not have any complaints rather than weight gain. I was 53 kg before and now I am 63 kg. Please guide me. Doctor: Hi. An I-pill contains high amount of hormone for contraceptive purpose. I-pill designated as emergency contraception, which means only to be used after an unaccustomed exposure. Then, definitely there will be problem if you take so much high hormonal pills in such a small period. Just like in our day-to-day life, our inner body also feels distressed if she has to face emergency regularly. Surely, you have already faced irregular cycles, spotting as well as absent cycles. Just stop it now and switch over to regular pills as you need protection against pregnancy. Try combined oral contraceptive pills like Novelon and Femilon (combination of Desogestrel and Ethinyl estradiol). For further doubts consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1551, + "tgt": "My father has frequent breathlessness. Is daily usage of nebulizer advisable?", + "src": "Patient: Hello doctor, My father is 76 years old. He often complains of breathlessness and uses nebulizer every day. He has chronic gastric and digestion issues as well. His other health issues include diabetes, BP, spondylitis, and back pain. I got an x-ray done recently. Please advice. Doctor: Hello. I can understand your concern. Can you send me the x-ray report? And also tell me which Nebulization he is using? I will be happy to help him further with medicines and investigations." + }, + { + "id": 27833, + "tgt": "Are my HIV tests, which were done after six weeks of possible exposure, reliable?", + "src": "Patient: Hello doctor, I am a 20 year old male. Recently, I have had a high-risk possible HIV exposure. Specifically, a receptive anal sex with a guy whom I do not know the\u00a0status. After a week, I did feel fatigue, sore throat and after 4 to 5 weeks of the exposure, I think I have swollen lymph nodes. I can palpate several lymph nodes around my neck, which is\u00a0not painful. But after another week, I have had painful jaw, which I think is due to a swollen lymph node. Also at that time, I have an erupting\u00a0wisdom tooth, which I suspect the reason for it. Almost six weeks after exposure, I had a rapid HIV antibody test in a clinic, which was non-reactive.\u00a0I did have another test the next day a home test kit (finger prick tests), which was also negative.\u00a0I am really worried now and feel very restless. I am also an OCD person. Therefore, this incident really affected my daily routine. Are my results after six weeks reliable? Doctor: Hi. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 26077, + "tgt": "I have a continuous headache from the past two months. Is it Migraine?", + "src": "Patient: Hello doctor, I am a 29-year-old woman. I am getting a\u00a0headache continuously for the past two months. I went to an eye specialist and changed my\u00a0spectacles. I took medicines for sinusitis, but the\u00a0headache did not stop. Kindly advice what to do. Doctor: Hello. As I can see, you have already checked for refractive error in your eyes and there is no sinus problem too. It seems that you are suffering from migraine. Associated symptoms of migraine are as follows: If you have any of these associated symptoms it can be a migraine. If you have migraine, it has to be treated with either Propranolol or Ergot derivatives. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8461, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23631, + "tgt": "I am anxious about having hypertension at this young age. Please advise", + "src": "Patient: Hello doctor,I am a patient of hypertension which is now well-controlled with medicines (average 110/70). Also, I am having anxiety or stress due to my health as I am having hypertension at this young age. My cholesterol levels are Total Cholesterol 205, LDL 129, and HDL 48. My physical activity levels\u00a0are extremely low due to my work schedule. Also, I feel tired and sleepy during the second half of the day. I used to have my dinner late at night, around 11.30 PM, go to bed between 12 to 12.30 AM and wake up at 6.30 AM. My pulse in the morning just after I wake up is 70 and most of the day it is between\u00a080 to 90 and in the evening it is 90 to 100. On some days, my BP goes down to as low as 90/60 with no symptoms. Doctor: Hello. As you are on regular medication for hypertension, I just want to clarify when you were diagnosed and since when are you taking the medications. Also, please specify the name of the medication and its dosage. Hypertension at this early age is not so common unless there is a previous family history or in patients with severe stress. Regarding this hypertension, I think it is better to go with stress management and lifestyle modifications like diet and regular physical exercises will be enough rather than going for medications. Regarding cholesterol levels, it is better to have a protein-rich food rather than an excess amount of carbohydrates. The pulse rate is in the normal range. Try to be stress-free at work so that everything will come to normal. I just want you to have a BP recording for the next three to four days without using BP medication. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24011, + "tgt": "Is there any treatment for sinusoidal deafness?", + "src": "Patient: Hello doctor, I have sinusoidal deafness for the past 22 years which is hereditary in my family. I wear hearing aids in both ears, but still, struggle in hearing. I was told to upgrade to higher end 32-channel hearing aid, which costs a bomb. From the past 20 years, my hearing problem has worsened. During a health checkup in my office, I was prescribed Nervijen-P capsules for 20 days. What i want to know is whether at least my deafness level can be stabilized to the present level? It should not go worse than this. Is there any treatment for this? Doctor: Hello. You have a bilateral sensorineural loss which is progressive. There is no medicine which can prevent further loss. You have to get serial audiograms every six months to see the progression of the hearing loss. Current treatment is to wear a good quality digital hearing aid in both ears. They are available in different price ranges, and you can buy one that suits your budget. You have to make sure that the hearing aids are programmed properly. You may have to visit your doctor or audiologists who fits the hearing aid frequently for the first one month so that they can adjust the hearing aid. If the hearing loss progresses, then you may have to go for a more powerful aid. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 19521, + "tgt": "After safe sex, is it necessary to have pregnancy test for delay in periods?", + "src": "Patient: Hi doctor, I had protected sex before 10 days of my period using condom. He did not ejaculate inside me. Before that day while having some foreplay a little amount of semen spilled near my vaginal area. Next day I took i-pill for safety concern. But I did not get my periods yet. Today is my due. I am having lower abdomen and back pain. What are the chances of pregnancy? Can I have home pregnancy test? Doctor: Hi. There are very less chance of becoming pregnant as you had protected sex as well as you took i-pill within 24 hours of sex. Second thing, you can have irregular one or two cycle or your periods might get delayed as you have taken i-pill. You can do pregnancy test at home as you do not get your periods on time. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22777, + "tgt": "I took I-pill after unprotected sex and not got my periods yet. Kindly help", + "src": "Patient: Hi doctor,I am 23 years old, and I took an I-pill after having unprotected sex within 48 hours. I took the pill a month back; it was five days after I had completed my periods for that month. After taking the pill on the fifth day, I had the flow similar to my periods for five days. But I am worried that I have not got my periods this month yet and am still waiting for periods till date. Please tell me what is happening with my menstrual cycle. I am worried and need your help. Doctor: Hi. Since you have taken emergency pill within 72 hours of intercourse, there is no chance of pregnancy. So, relax and do not worry. Also, you say that you had withdrawal bleeding after taking the pill. So, you can be double sure that there is no chance of pregnancy. The delay could be because of hormonal changes due to the pill you have taken. However, if you have a doubt then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8176, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20487, + "tgt": "Why do I suffer from dry eyes?", + "src": "Patient: Hi doctor, I am 27 years old. I have a problem with vehicle sounds. When I hear a loud noise, I feel very stressed. I sit on computers for long hours. I also have dry eyes problem. I went to an ophthalmologist. He gave me eye drops. Please advice. Doctor: Hi. You might be suffering from computer vision syndrome. In this case, there is a deficiency in tear film due to less frequent blinking and stress of working on a screen. Another possibility is dryness or insufficient tear film production. It is diagnosed with a Schirmer's test. Kindly get back to us with the results of the test and the details of your current medication." + }, + { + "id": 30312, + "tgt": "Shall I go ahead with laser capsulotomy for PCO eye?", + "src": "Patient: Hi doctor, Nine years ago, I have had phacoemulsification and IOL implant on my left eye. Post surgery, I developed acute steroid induced ocular hypertension, which was resolved with IV drug treatment. Fast forward, I developed open angle glaucoma in both eyes and I am undergoing trabeculectomy for the right eye (non-phaco LASIK eye) and will undergo phaco in the trabeculectomy eye as well since there is a sign of a posterior subcapsular cataract. I am already on maximum medical therapy Xalatan, Cosopt, Alphagan-P and Diamox. The visual acuity is already bad on the right eye due to glaucoma; it is about 78% according to a recent visual field test. So, I am not too worried about that. I have been placed on Xalatan for almost half a year now on my left eye, which had phaco done. Vision is still good, but there appears to be a slight haze and the glare appears to worsen over the past few months after starting Xalatan. The IOP is now controlled to around 16 mmHg and with Diamox it has on occasion even lowered to 10 mmHg. Is it normal to develop posterior capsular opacification 9 years post phacoemulsification? I was told that there were some mild PCO before I started Xalatan, but is it possible that the introduction of Xalatan hastened its progression even faster? With glaucoma under control, would a PCO laser capsulotomy be any risk for me? I mean would this still be recommended or would I be better hold off the surgery? Doctor: Hi. Thank you for the detailed description of your diagnosis. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 17963, + "tgt": "Which medicine should I take for patchy beard?", + "src": "Patient: Hi doctor, Actually, my skin tone is medium and is very oily. I want to have a white and fair skin tone. I also want to get rid of this oily skin. I have been taking Omega 3 capsules for two months as someone told me that it will help me for my skin, but I did not notice any changes. Now, one of my friends told me about skin whitening injections. When I searched for it on the internet, it is a treatment of 8 to 10 injections. I do not know whether it has some side effects or not. I can now notice the darker skin tone on my hands and face as compared to my body. Please suggest me some solution for this. Also, I am getting a\u00a0patchy beard. I used to trim my beard always. But, when I noticed this patch, then I shaved it for the first time. But, it is still the same. I have attached a picture with this message. Please have a look. It can be noticed lightly as I have shaved my beard four days back. Please help me out with my problems. Doctor: Hi. The darker skin tone can be attributed to tanning and also ones natural color. I therefore recommend you daily sunscreen, use it 20 minutes prior to going outside. Using a night cream like ISIS Neotone night serum everyday at night for two to three months will help, but you need to be regular. For additional skin whitening, you require skin treatment like skin whitening chemical peels and laser sessions to be honest. Secondly, the problem of loss of hair in the beard area is a common thing that I see in my practice. This requires a close up examination. In all likelihood it would be alopecia areata. We need to give serial injections and also apply a tube by the name of Tacroz Forte 0.1% (Tacrolimus) at night and apply sunscreen during the day. Both the treatments have to be done together for the beard to show the fastest results. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11275, + "tgt": "Kindly suggest ways to grow more hair", + "src": "Patient: Hello doctor, I want to grow more hair and hair thickness and avoid losing hair and thinning hair. Please check my pictures and advise me a perfect solution. Doctor: Hello. I understand your concern. Your condition is known as androgenetic alopecia or male pattern baldness, which has genetic as well as hormonal factors as the causative factors. You need to use treatment for this condition regularly and it takes about 3 to 4 months to start showing the results as hair cycle itself takes this much time. Start the following medications: A. Tablet Finpecia/Propecia 1 mg, take one tablet once a day. B. Rogaine (Minoxidil) 5 % lotion apply 1 ml twice a day. C. Nizoral shampoo three days per week. Do this initially for two months and follow up after that." + }, + { + "id": 11117, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 12833, + "tgt": "Is it necessary to use water during cavity preparation?", + "src": "Patient: Hello doctor, I had a root canal today. When the doctor (a root canal specialist) made the hole into my silver filling, he did not use water. I thought dentist were supposed to use water when they take out a silver filling. Should he have done that? Doctor: Hi. Yes, water is used usually to open the chamber of the tooth at first visit of root canal treatment. Somehow, maybe he has put water pressure so low that you did not get to notice or maybe suction would be done on spot by the assistant, so you did not get to spit. If no water is used still chamber gets opened up but some friction heat is produced that causes damage to the handpiece or drill and burs used by the dentist. Tooth gets a bit brittle but it is not much harmful. Hopefully, next visits will go smoothly." + }, + { + "id": 2582, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6330, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25903, + "tgt": "My arm has become stiff due to cervical spondylosis. How to get it treated?", + "src": "Patient: Hi doctor, I am 55 years old. I have been diagnosed with cervical spondylosis due to wear and tear on my dehydrated spinal discs. My pain is in my neck and arm. I have occasional fever and night sweats. I am already using a cervical collar for a week now. I am using hard collar during the day and soft collar at night. I am undergoing physiotherapy which includes infrared ray treatment and neck traction.\u00a0Until two weeks ago, I used to swim 30 minutes a day for five days of a week.\u00a0However, the biggest challenge I am facing now is my left arm. My left arm is so weak and stiff. I cannot raise my left arm up and across while sitting. It can be done only when I am lying down. I had chronic fatigue syndrome about 10 years ago and recovered significantly. My current medication includes Lyrica 75 mg, Tramadol BP 50 mg and Clofenac 50 mg. Could you give an indication how long my recovery will take? Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6524, + "tgt": "Why am I facing difficulty in studying?", + "src": "Patient: Hi doctor, I am a medical intern. I understand that as a doctor and fellow senior you would understand the amount of social and economic pressure we are in.\u00a0I was a good and a bright student. My success and fame came easy in school and entrance. Till now I have not faced failure. But, the fear of failure always haunted me and spurred me to perform. Since I have gone to medical college, I have dropped out of my focus.\u00a0I cannot focus on studies or any important work. I know that I am wasting time, but I cannot stop procrastinating. I just push deadlines and always worry about the result. I always go to my friend room to see if he is reading or not. If he is not, then I am happy. I become happy by seeing his failure to read, but I do not feel that I should myself read for my satisfaction. I am always concerned about what others doing. I try to read, but wander away into browsing and then repent the waste of my time. I know that \u00a0I am a good student and if I read I can do better than the average. But, I cannot read. I open a book and I just cannot go further. All negative thoughts about how much time I have wasted and how my friends are more studious than me fill my mind. I have everything including my family support. But, I just cannot be happy and study. The thoughts of failure always haunt me. I cannot\u00a0stop myself from wasting time.\u00a0I would be really obliged if you would help me. Thank you. Doctor: Hi. The things you are facing are faced by a lot of medical students during their studies. Before medical exams they usually top the classes and score big. In medical school there are a lot of distractions and individuals usually give less time to study. But, that does not mean that they cease to remain intelligent. Lack of focus, distraction, poor concentration, etc., are the main causes of poor performance in studies. Thoughts what others are doing, seeing others if they are studying, etc., are occurring due to insecurities after poor studies. If your focus and concentration improve, then you will come out of these problems. Lack of interest in studies, poor focus, poor concentration, procrastinating, etc., could be occurring due to depression. Mild depression can lead to such symptoms. Treatment with SSRIs (selective serotonin reuptake inhibitors) like Sertraline, Paroxetine, Escitalopram, etc., can help to reduce your bad thoughts and you should feel better. Apart from this I suggest Vitamin B12 and E supplements, which will help to improve the focus. SSRIs will improve the depressive thoughts and your focus will improve. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Yoga and meditation also help to improve the focus and thus act as supplement to medicines. So, just do not remain depressed. Your symptoms will improve in no time. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 26278, + "tgt": "What medicines can be taken for grade 3 fatty liver?", + "src": "Patient: Hello doctor, My mother's reports are as follows: She has grade 3 fatty liver. SGPT and SGOT are\u00a0also not normal. What should we do now? I need suggestions on what to eat and drink. Doctor: Hello. Regards. For more information consult an\u00a0internal medicine physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13773, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2761, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6174, + "tgt": "I am having PCOD since puberty. How long do I need to take Kalarchikai to conceive?", + "src": "Patient: Hi doctor, I have PCOD from my puberty. I have irregular periods. Now I am trying to conceive. I started eating Kalarchikai. After 15 days of consumption, I am feeling uncomfortable. I got a fever with a headache and back pain. Can I continue taking it? How long do I need to take them? Please help. Doctor: Hi. PCOD (polycystic ovarian disease) is a hormonal disorder. In this, immature ovum becomes a cyst around the ovary. Further, it hampers the formation of a mature ovum. Initially, it can be managed naturally through ayurvedic medicines and yoga practices. Kalarchikai is a beneficial siddha medicine for PCOD. If you are feeling uncomfortable after taking this, then, you can stop this medicine. PCOD needs long-term medications as well as changes in lifestyle and food habits. I need USG (ultrasonography) of lower abdomen and thyroid profile investigation reports. Please upload it. You can take Hyponidd (Cassia Auriculata with Curcuma Longa) two tablets twice a day with warm water and M2-Tone syrup 10 ml (Ashoka with Ashwagandha) twice a day before food. Avoid spicy and fried junk foods. Do regular kapalbhati and mandukasana as well as pranayama. Do these things regularly for one month." + }, + { + "id": 28196, + "tgt": "Is my 30 year old sister going through early menopause?", + "src": "Patient: Hi doctor, My 30 year old sister\u00a0recently tested her FSH levels, and the test result showed that she is going through early menopause. So, the doctor gave her Progyluton. Please give us your opinion. Doctor: Hi. How are you doing? The following history will be helpful to give a proper opinion: But, if she wants to get pregnant, then the prognosis is not good. God has sent every lady with a fixed number of eggs, once they get over, no more eggs can be made with any medication. If FSH is very high and pregnancy is the need, IVF (in vitro fertilization) with donor eggs are the best and the clearest option. Hope I have clarified your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8807, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 22762, + "tgt": "What is the reason for my left-sided chest pain and low heart rate?", + "src": "Patient: Hello doctor, I have pain in my left side of the chest and under armpit from the last one week. My EKG report is clear but my resting heart rate is always 50 to 60 bpm. During running, my heart rate is 100 to 130 and during walking, it is 70 to 90 bpm. My blood pressure is 100/70 mm/Hg. My age is 27 years. I am single, non-smoker, and do not consume alcohol. What reason can cause my left-sided chest pain and low heart rate? Doctor: Hello. I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac issues. Considering your age and the fact that you have no cardiovascular risk factors there is nothing to worry about your heart. Your heart rate and blood pressure fluctuations are quite normal during physical activity and do not indicate any serious cardiac condition. Costochondritis or inflammation can be the cause of your complaints. Anxiety may also trigger this clinical situation. I would recommend using painkillers. If the pain persists, I recommend performing a chest X-ray study, a cervical spine X-ray study, complete blood count, PCR (polymerase chain reaction), ESR (erythrocyte sedimentation rate) for inflammation. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 23421, + "tgt": "Why do I have pain and swelling eight months after impact injury to ankle?", + "src": "Patient: Hello doctor,Impact injury to right ankle eight months ago, still painful and gets swollen. MRI was done on it. I am 20 years old, 158 cm, and 52 kg. All healthy apart from this. My daily medication is 20 mg Fluoxetine. Doctor: Hi. The MRI scan does not show any area of strain or gross musculotendinous injury. Keep it elevated as much as possible. Apply Aircast ankle Sturrup orthosis (you can wear shoes over it too). Apply ice thrice daily for two days. I suggest the following medicines: Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma. Follow up immediately in case of any untoward reactions. Physical therapy: wobble board exercises to strengthen muscles. This should be done once the pain reduces. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 25250, + "tgt": "I am bleeding during pregnancy. Should I discontinue Heparin injection?", + "src": "Patient: Hello doctor, I am eight weeks and six days pregnant and am currently on LMWH (Inj Innohep 40 mg) as tests prior to pregnancy indicated a positive ANA. I have a history of a previous mid-trimester miscarriage which was believed to be due to an incompetent cervix, and so have been on vaginal progesterone pessaries since I tested positive this time around. Last month, I had some PV bleeding. Scans at that time did not show an SCH. A week after the onset of the bleed, progesterone levels were found to be 6 and so I was started on tablet Duphaston 10 mg twice a day and a shot of Inj Proluton Depot 250 mg was given. Sadly, I developed light bleeding again last night and USG showed a small 1.1 cm collection suggestive of an SCH. I was given a shot of Inj. Proluton Depot 250 mg before being discharged from the ER. I am doubtful as to whether I should continue taking the Inj Innohep while I have the bleed or if I should stop. My rheumatologist thinks I should continue on with the LMWH in spite of the bleeding in view of positive immunological markers. However, My RE thinks otherwise. He says the previous miscarriage was not due to APS (the baby was fine when I went into labor) and so he did not feel there to be an absolute indication for Heparin for this pregnancy. But what about the positive ANA? Or the Lupus anticoagulant? Pre-pregnancy tests were as follows ANA: Positive -Homogeneous >1:1280 Lupus anticoagulant: Negative The rheumatologist wanted a repeat panel done and so the tests were done while I was pregnant. ANA: Positive - Homogeneous >1:2560 ( Increased ) Lupus anticoagulant - Positive In view of these test, Should I be continuing on with the LMWH? Should LMWH be continued even with the presence of an SCH or vaginal bleeding? Does the increase in ANA indicate a definitive immune response from my body to the pregnancy? Can Lupus become positive just weeks / few months after it was found to be negative? Doctor: Hello. How are you doing? I know it is a tough situation for you to decide. Do not panic. Relax, you are doing fine. Let me answer you one by one. 40 mg dose of LMW Heparin once a day is a prophylactic dose. Twice a day is a therapeutic dose. So just by getting once a day dosage, will not affect the hemorrhage. Just have a follow-up scan after a week to compare the size. If you have any severe abdominal pain or active fresh red bleed. Then stop the injection. If you are also on tablet Ecospirin, better stop it, as it causes more bleed. About the antibody levels. This is a reason why blood is tested for the antibodies before. A false high value can be due to the hormone imbalance in pregnancy. Do not bother about the rise. It will fade off. Hope I have clarified your query, do write back if any more queries, All the best. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 7166, + "tgt": "Shall I go for testosterone injection to treat my erectile dysfunction problem?", + "src": "Patient: Hello doctor, I am 35-year-old male weight 136 kgs and height 6 ft 1\". My blood sugar is 160, HbA1c is 7.2. Testosterone is 153, free testosterone is 3.2. I am undergoing treatment for depression for which my medications are Qutipin 50 mg at night and Arip Mt 10 mg bd. I have consulted a sexologist for my sexual problems after my marriage six months ago. I am facing erection issues. My doctor was giving me medications to treat my dysfunction. But post my blood test reports he suggested me to take Testosterone injections 250 mg for six months. Shall I go for injections? Will it have any adverse impact on my body. Like baldness or growth of male breast or for that matter any impact. Will my sexual dysfunction be treated with Testosterone injections. Please help as I do not know what to do. Doctor: Hello. Erectile dysfunction, in your case, could be due to depression itself, due to medications, or low testosterone levels, or diabetes. 1. Are you diabetic? 2. When did erection problems start? Was it related to an episode of depression, or was it after starting medicines? 3. Is there a problem with sexual desire? Did you take medicines for this? What effect did they have? 4. Is the problem only when you are with your partner? Do you masturbate? 5. I would suggest Testosterone undecanoate depot 1g injections every three months if at all, we narrow down the cause of sexual dysfunction to low testosterone levels. Alternatively, you can try testosterone gel, applied once daily over skin to let dry. By this method, you can know if it works and if it does not help, you can stop using it. Using testosterone, some people may get mood changes, anger, high hemoglobin levels, etc. but benefits are improved sexual function, weight loss, increased muscle mass and agility, reduced blood sugars, improvement in sleep problems, etc. You can answer the above questions, and I can help you better after that." + }, + { + "id": 17262, + "tgt": "Our baby seems to have continuous weight loss. Please help", + "src": "Patient: Hello doctor, Our baby is 2 weeks 1 day old. Her weight at birth was 3.2 kg, after 1 week it was 2.9 kg and today it is 2.6 kg.\u00a0She seems to have continuous weight loss. We are really worried.\u00a0She has been completely breastfed. She used to have 3 to 4 wet diapers during daytime and 2 to 3 wet diapers at night. She passes stools once or twice in 24 hours. Our doctor\u00a0advised us to start formula feeding.\u00a0Will it really help to increase her weight?\u00a0Can you please guide us how serious is her weight loss? Doctor: Hi. To begin with, 3.2 kg at birth is good weight for your baby. Revert back with the reports to a paediatrician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20041, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16654, + "tgt": "I have three big oral ulcers. Please help me out", + "src": "Patient: Hi doctor, I have an oral ulcer problem. I always get big oral ulcers. Presently, I have three big ulcers. Please help me out. Doctor: Hi. As per your statement, it seems that you are having recurrent oral ulcers. Well, I would like to inform you that most commonly, we have two types of oral ulcers. If it is a herpetic ulcer, then it will be associated with mild fever and most commonly situated near the lips. An aphthous ulcer is due to mental stress. It mostly occurs over the tongue, oral mucosa region, and is very painful with a lot of saliva secretion. Aphthous is of two types - major and minor. Presently, you have got three minor aphthous ulcers. Now, coming to the treatment of your aphthous. It is only symptomatic. I suggest taking painkillers with antacids. Also, apply a topical anesthetic gel over the ulcer for relief. It will subside in seven to 10 days. You will completely get rid of it only at the age of 35 to 40 years. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19880, + "tgt": "What are the causes for redness in eyes?", + "src": "Patient: Hi doctor, My eyes are red and sore for the past four days. It was really painful till yesterday. As I did not work in the computer and started to use eye refresher I am not getting bad headaches and eye pain anymore. When I change the focus, it is sore and is still really red. I have no idea about the cause of this. How to treat this? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 2, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24441, + "tgt": "What is the solution for skin being tight over the penis?", + "src": "Patient: Hello doctor, My husband and I have been having sex using a condom and it has been fine. Now we want to conceive and we are having sex without a condom and he experiences pain in his penis which causes him to lose his erection. He also experienced a cut in his penis area which caused bleeding that stopped quickly. Please suggest what to do. Doctor: Hello. Relax and do not worry. Your husband may have phimosis or short frenulum. Is the skin over the penis head going behind the head smoothly or is it tight? If possible, pull the skin and send me images so that I can see and suggest. This may also be possible if lubrication of vagina is less causing dryness. Thanks. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26784, + "tgt": "My fiancee has heavy bleeding and cramps after taking Unwanted 72. Could she be pregnant?", + "src": "Patient: Hello\u00a0doctor, My fiancee\u00a0is a 28 year old and weighs 43 kg. We had unprotected sex on the 10th day of her menstrual cycle, and I\u00a0am sure I\u00a0did not ejaculate.\u00a0But, I am worried about her getting pregnant. She took Unwanted 72 tablet 12 hours later. A week later, she had cramps and menses-like bleeding, which lasted for three days. The color and flow were like normal menses. Today is the 25th day of her cycle. Her BP is 95/63 mmHg, and she has general tiredness. I do not know if these are early pregnancy symptoms. Does\u00a0bleeding, a week after taking Unwanted 72, mean, pregnancy is possible?\u00a0Does she\u00a0need to test for pregnancy? What is the best time to test with a\u00a0home\u00a0pregnancy kit?\u00a0When can we\u00a0expect her next\u00a0period? Doctor: Hello. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 27914, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9679, + "tgt": "What is the ayurvedic treatment for anal blood discharge?", + "src": "Patient: Hello doctor, I have been suffering from anal blood discharge for the past four months. But I did not take it seriously as I had been traveling. Today I consulted a surgeon and after checking he advised to go for surgery as he discovered fistula. Can you recommend me the Ayurvedic procedure of cure as I do not want to go with surgery and I have read on your website that with surgery there is a chance of recurrence? How longer does it take for the cure? What would be the process of therapy? Doctor: Hello. I just read your query. As you do not want to undergo a surgery, in Ayurveda, Kshar sutra procedure is performed for fistula in the anus. It is a procedure where a medicated thread is bound at your fistula site and after some days your treating physician will change it. Ultimately this thread will cut down the fistula tract as well as will also help in its healing. Along with this, your doctor may also prescribe you some medicines and you have to take treatment for avoiding constipation also. According to the condition of your fistula, he will let you know that for how long you have to bind this thread. Usually two to four weeks is the time period but time may vary according to patient to patient. It is a cost-effective treatment with minimal side effects and minimal chances of reoccurrence. You can know more about it from a nearby Ayurvedic hospital or Ayurvedic physician who perform this procedure. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 31054, + "tgt": "From my history, please explain the problem I have", + "src": "Patient: Hi doctor,I have had migraines all of my life as long as I can remember. A year ago, I suddenly fainted, hit my head on the wall and received a concussion. Right before I fainted, I was feeling like I had to burp and I had lots of saliva in my mouth. My head was hurting and I felt dizzy. Then, I felt nauseous and was gagging like I had to throw up, But, I did not. I ran to the bathroom and the nauseous feeling went away, but I fainted and was passed out for a little over a minute, from what my friend said. Then, I heard them yell my name and I slowly woke up confused. I felt fine afterwards. I went to the doctor the next day and they said I had a concussion syndrome. But, the other symptoms were red flags and so I was referred to a neurologist. After three months of tests, as my MRI came out fine without any tumors or anything of the sort, and had two EEGs, he had diagnosed me with one type of potential seizure activity while asleep and another type in another area while awake. My first question is, is that possible?Also, the medicines prescribed earlier for migraine did no good for my daily pounding headaches, dizziness and faint spells. I only had two to three other episodes after that where I would randomly faint. Those were around 5 and 7 months ago. My new neurologist based on the other neurologist's diagnosis, prescribed Keppra (extended release) 750 mg and advised to take it daily. After three months, I need to have another EEG. What is my actual problem? Doctor: Hi. Revert back with the reports to a neurologist online -->https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18897, + "tgt": "What is the reason for red patches on the inner skin of penis?", + "src": "Patient: Hi doctor, I have two little\u00a0red patches on my penis inner skin. This has started after some excess of masturbation with oil massage at the massage parlor. But, sex was not done. What is the reason? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 30330, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 14153, + "tgt": "I have a hard white layer on head and glans of penis. What could it be?", + "src": "Patient: Hi doctor, I have a hard white layer on head and glans of the penis. Please help. This problem is 4 to 5 months old and I am not taking any treatment. I am 19 years old. The white layer is not going even after washing it. Doctor: Hi. If possible, forward a few pictures of the affected area to guide you through precisely." + }, + { + "id": 22190, + "tgt": "Is there any alternative to bypass surgery in an 80-year-old patient?", + "src": "Patient: Hello doctor,The patient is suffering from acute heartache. According to the reports, he is reported with complete LBBB and coronary artery disease. Right now patient age is 80 years and most of the doctors recommend for bypass surgery. Is there any other alternative to provide immediate relief to the patient? There is suffocation, gasteric choking, and acute heart pain experienced by the patient and under SAAOL therapy. Doctor: Hi. Angiogram pictures of the patient show disease in all three vessels and also left main vessel 30 % (attachment removed to protect patient identity). If the left main would not be having the disease, we could have thought of angioplasty of vessel of recent attack (infarct-related artery). With his age, bypass surgery is risky but if his echo is showing good heart function then you can take a risk. Also, medications (proper intake) can also make the patient survive without symptoms if the echocardiogram is good. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26805, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2437, + "tgt": "What are those tiny fluid-filled blisters on the arm?", + "src": "Patient: Hi doctor, I am 19 years old. I have clusters of tiny fluid-filled blisters on my right\u00a0palm, arm and below the neck at backside. These are causing inflammation and painful when touched or pressed. It has rapidly increased in two days and is now spreading to other body parts. In the past, I had psoriasis and has got cured completely. Please suggest. Doctor: Hello. I had gone through all the details posted. Kindly answer some questions. Based on your symptoms the possibilities are I would have been able to further narrow down the differential if I had seen the photos. Do not burst those blisters with anything, apply Betadine ointment (Povidone-iodine) over the burst ones and you can start tablet Clindatec 300 mg (Clindamycin) twice daily in the morning and night for seven days antibiotic to prevent infection. Kindly update me with the answers and photos. Revert back with the photos to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24193, + "tgt": "I have non-itchy red bumps in my body. What it could be?", + "src": "Patient: Hello doctor, I have raised red bumps on hands, arms, legs, and back of the shoulder. I never had rosacea or eczema or dermatitis or any other skin issues. They are also not itchy. Doctor: Hello. There are many causes of non-itchy bumps. It could be sarcoidosis, granuloma annulare or acneiform eruption. I would recommend you to upload the pictures of the affected areas so that, I can have a clearer picture of the condition and can guide you accordingly. For more information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30386, + "tgt": "What am I suffering from, classic or non-classic MVP?", + "src": "Patient: Hello doctor, Two weeks ago, I have been diagnosed with mitral valve prolapse, eccentric, very mild regurgitation and mild leaflet thickness. My questions are as follows. Will this condition get worse?\u00a0Can you tell by looking at the echocardiogram images, whether it is classic MVP or non-classic MVP? Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26366, + "tgt": "Lower abdominal pain and spotting with a positive pregnancy test. Should I be worried?", + "src": "Patient: Hello doctor,A positive pregnancy test 11 days after menstrual period. Please give your opinion. Doctor: Hello. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2073, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 28285, + "tgt": "I am a transgender female. Are there any markers in one's blood that indicate their sex?", + "src": "Patient: Hi doctor, I am a 65 year\u00a0old transgender female, and I have been on hormone therapy for the past two years. I have had an orchidectomy but not gender reassignment surgery. I recently donated blood, and on the questionnaire, it asked for my biological sex. The person there said that because I was born male, my biological sex would always be male. Are there any markers in one's blood that indicate their sex? Doctor: Hi. Hope I have answered your question. Any further comments and questions are welcome.\u00a0Regards. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21249, + "tgt": "I am having symptom of piles. What has to be done further?", + "src": "Patient: Hello doctor,I am having a symptom of piles. Please advise what has to be done further. Doctor: Hi. For piles, lifestyle changes need to be done to avoid constipation as it aggravates the pain of piles. Consume high fiber diet like oatmeal, vegetables, and fruits, husk powder in yogurt. Avoid constipation causing food like banana, rice. For treatment of piles, examination of the anorectal area is needed. 1.Per rectal examination. 2.Complete blood count. Hemorrhoids (internal or external). Hemorrhoids. Diet plan and doctor visit. Avoid spicy and constipation causing food. For more information consult a family physician online.--->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2026, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28581, + "tgt": "Which is the best treatment option for postmenopausal vaginal discharge?", + "src": "Patient: Hello doctor, I am a 52 years\u00a0old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a\u00a0fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis\u00a0from last 15 years. After consulting many experts, we got three views, first is to carry out a biopsy and D and C, in the absence of malignant cancer, then we do not need to opt for hysterectomy (even with the endometrial thickness of 9 mm). Second, is to remove the uterus and the cervix, but keep the ovaries, as ovaries still produce 20 to 30% of the required hormones even after menopause. Third, is to remove the uterus and ovaries altogether and carry out the biopsy through frozen section at the time of TLH. Which is the best option, and why? What happens to hormone productions (even if it is 20 to 30%) after removal of ovaries? If ovaries are removed, do we have to get HRT? I have enclosed an ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, MRI of the pelvis, and blood reports. Doctor: Hi. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with associated risk factor that is diabetes. This is required to rule out malignancy. Also, an antibiotic course should be given. Once this test is normal, then serial ultrasound every three months can be done to check for the endometrium thickness. Or if symptoms continue then you can opt for a hysterectomy. Removal of ovaries after menopause can be done as hormone reduces significantly, the only problem with that may be postmenopausal symptoms like hot flushes, recurrent vaginitis, and osteoporosis, which we can deal symptomatically. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21521, + "tgt": "I am HPV positive and got treated for CIN. Am I prone to VIN?", + "src": "Patient: Hi doctor, Before a week, I had symptoms of itching in the vulva area. Later, two sores or ulcers appeared. One on the clitoral hood and another one on the right labia minora. It burns when I urinate. I am HPV positive, and I recently got treatment for CIN before three months. I have attached the pictures. I am concerned that my HPV is out of control and now I have a VIN. It may be a vulva precancer. Also, I have not ruled out herpes. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It is better to have full investigations as you already have a history of HPV (human papillomavirus) and treated for CIN (cervical intraepithelial neoplasia). When did you have your last cervical smear or visit to colposcopy clinic? It is better to have both. Have one high vaginal swab, one local hysteroscopic examination of the lesions as you might need biopsy or pus or discharge collection from the sores to check in a laboratory. It is better to have it in a infections control center by a specialist. Have a urine analysis and urine culture as well. Collect all laboratory results and discuss here. Have strict local hygiene. Use soft, and comfortable cotton undergarments. For some time it is better to use condoms to reduce sexually transmitted disease, and it is better to avoid forceful penetrative sex. Use only water for cleaning the affected area. Avoid using cosmetics or any other products. After the collection of all investigations and examinations, you can have tablet Doxycycline 100 mg twice daily and tablet Metronidazole 400 mg eight hourly for 14 days. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29690, + "tgt": "I had ankle ligament tear a year ago. Why has not it healed yet?", + "src": "Patient: Hello doctor, I have a question to ask. I had a partial ligament tear in my ankle last year. It has been a year since the incident, but it seems like I have not fully recovered. I still feel a slight pain in my ankle after I do exercises or recreations. But according to one of the doctors, I\u00a0supposed to improve already. What is the real case of my situation? Is there any particular exercise or supplement that I need to consider to improve? Thank you. Doctor: Hi. Revert with the answers and reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 27943, + "tgt": "I often have digestion issues and decreasing Hb levels. Can it be bowel cancer?", + "src": "Patient: Hello doctor, I am a 30 year old male. My height is 5 feet and 7 inches, and I\u00a0weigh about 87 kg. For the past 4 to 5 years, I am suffering from indigestion. This got more serious in the recent years. It used to occur three to four times every week,\u00a0especially after lunch. I sought medical help and went to see a general physician, who ordered for blood tests. It revealed most of the levels\u00a0to be normal, except for a mild elevation of ALT and AST levels. Then he ordered an ultrasound which showed I have a fatty liver, though I rarely drink alcohol. Also, H. pyroli came out as negative. He asked me to take a healthy diet and avoid alcohol. For indigestion, he prescribed Rabeprazole 20 mg every day, which seemed to help, since I did not get any indigestion anymore.More recently, I developed frequent loose motions. On some days, I pass stools thrice and have excessive gas. Over this period, I had four to five\u00a0blood tests, which revealed that my hemoglobin was gradually decreasing. The first blood work done three years ago, showed my Hb to be 152 g/L, then 148, 143 and now in the last month it was 137 g/L. Also, my RBC count dropped from 4.89 to 4.5 million cells. My latest ferritin level was 194 ug/L. I asked my doctor here, and he ordered FOBT test. All three samples showed negative and no blood was found in the stool. Recently, he has ordered for a colonoscopy which I am waiting on, and I am really worried that I might have colon/rectal cancer. My question is, does negative FOBT and normal ferritin rule out any cancerous growth in the bowel and intestine? I have hypothyroidism and sleep apnea. I have no family history of bowel cancer. Doctor: Hello. So, discuss the above mentioned information with your treating physician. Follow up if you need more information regarding any thing else. Hope this helps. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 15594, + "tgt": "Please explain me about sebaceous nevi of scalp", + "src": "Patient: Hi doctor, I am 25 years old male. I went to a dermatologist, and he examined my condition. The doctor told me that I have sebaceous nevi of the scalp. But I am unable to agree with it. I have read that sebaceous nevi are hairless. Please suggest. Doctor: Hi. I have gone through the query and examined your given picture (attachment removed to protect patient identity). Please say whether you have this problem from birth. You are right, most of the sebaceous nevus are hairless. But nevus which reaches the hair-bearing areas of the scalp also extends to involve follicles. Technically, it is a hair follicle tumor, as sebaceous glands are present adjacent to hair follicles." + }, + { + "id": 15652, + "tgt": "What steps to take for high urea and creatinine levels?", + "src": "Patient: Hi doctor, My grandfather is 82 years old. He has undergone bypass surgery before 14 years and also done angioplasty last month. He has diabetes and BP. He has a high level of blood urea and creatinine. What are the steps can be taken now? Please suggest. Doctor: Hi. He has a worsening kidney function secondary to hypertension and diabetes. His hemoglobin is low, (attachment removed to protect patient identity) and it is 7.6 g/dL. I believe that it is low due to kidney failure and he also has a bladder infection. Consult a urologist soon and do these blood tests such as serum iron, ferritin levels, and TIBC (total iron binding capacity). You can also consult a nephrologist soon, and he also needs subcutaneous erythropoietin during this time. For infection, you can give him tablet Ciprofloxacin 250 mg twice daily for five days. He needs hemodialysis also, and I also recommend getting a fistula now. It would become mature in three to four months, and it helps in the future. Discuss with your cardiologist if the stents are placed, before discontinuing Brilinta (Ticagrelor) and continue taking Aspirin." + }, + { + "id": 7734, + "tgt": "There is a change in heart rate after joining gym. Why?", + "src": "Patient: Hello doctor, I am a 400 lbs, 35-year-old male who did not do exercise but I just started going to the gym since past week. The first three days my maximum HR was 150 on the treadmill and I felt fine and I would do 40 minutes on it and today I only did 30 minutes because I started to feel a little dizzy and my HR went up to 158. Why is that? Doctor: Hello. I understand your concern. It is normal for the heart rate to go as high 300 bpm. You are exercising the wrong way for someone with your weight. You have to start exercising by taking a five-minute walk on the treadmill before gradually increasing the pace to a speed of 5/6 for 10 to 15 minutes. You should do this routine for two weeks before gradually increasing the duration to 20 minutes. Increase the speed gradually as you get used to. You get the dizzy feeling because your heart is having to pump more blood as you run, which it is not used to. You will over come this feeling as times goes on." + }, + { + "id": 12733, + "tgt": "I am pregnant and have UTI. Please help", + "src": "Patient: Hello doctor, I was diagnosed with a UTI a few days back and prescribed Cephalexin 500 mg four times a day. I only have four pills left and some of my symptoms are gone but some still remain. I was told this is caused by strep B. I am 18 weeks pregnant and will be 19 weeks in a few days. I want the baby to be healthy and safe and am unsure what to do next. This is my third pregnancy and baby and this will be my third cesarean. I worry about this affecting the baby. Doctor: Hello. You may repeat the urinary routine microscopy test again and if the symptoms are still present, likely that you are resistant to Cephalexin and hence can be started on Nitrofurantoin 100 mg which is category B pregnancy drug and safe in pregnancy. It can be prophylactically taken daily once till delivery and then two weeks post-partum to avoid any chances of recurrent UTI during pregnancy and negating canes of preterm labor. You may discuss with your obstetrician and discuss the option." + }, + { + "id": 1623, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 30, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10623, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9107, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 20701, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9351, + "tgt": "Can total protein count change based on protein food intake?", + "src": "Patient: Hello doctor, I have a question about total protein count in blood, urine, and saliva. My question is, does someone's total protein count change significantly based on how much protein rich food they eat? Or does someone's total protein count not change unless they have an illness like muscle damage? When I say total protein count I am referring to what is calculated in a biuret test. Doctor: Hi. The protein is digested in our human body but is sometimes excreted when not digested properly or in excess quantity. The term which you are referring to, which is total protein count in blood, urine and saliva has totally different meaning in all the three mediums. Total protein count in blood changes with increased protein ingestion and already present muscle protein or any other protein breakdown inside the body whereas protein in urine or any excretory product is always when the degradation of protein has increased, which can be possible because of higher intake of protein or increased muscle breakdown due to some pathology inside the body. I hope that I have answered your question. Let me know if you have any other doubts." + }, + { + "id": 23857, + "tgt": "Have coloboma of iris,cataracts,lens and nerve in eyes. Is there any treatment?", + "src": "Patient: Hi doctor, My daughter has\u00a0coloboma of the iris, lens and nerve in both eyes. She also has\u00a0cataracts in both eyes. Is there any treatment? What advice you would like to give to my daughter? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 20715, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27702, + "tgt": "Please suggest an ayurvedic treatment for GERD", + "src": "Patient: Hello doctor, I have GERD issue. Please suggest an ayurvedic cure. Doctor: Hello. I read your query and understand your concern. GERD (gastroesophageal reflux disease) is a common problem. It is mainly caused due to an unhealthy lifestyle and poor eating habits. Follow the below-mentioned guidelines to avoid the problem: Regarding medications: if you are already taking allopathic medicines, then do take these medicines along with that. Try these regularly, and you will soon feel positive results. Do consult me after four weeks regarding improvement. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30117, + "tgt": "Kindly advise regarding my son's stomach pain and loose motions", + "src": "Patient: Hi doctor, My son is suffering from severe stomach pain. He had motions around three to five times in the night. His age is 17. We went to a doctor and he advised Pentasa 1 g and Morease SR for one month. We also had x-ray, blood test and colon endoscopy. The reports are normal. He has been taking medicines for the past four days. Still, he has having stomach pain and motions. Please give your advice. Doctor: Hi. Revert back with the reports to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 15783, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13293, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24257, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4736, + "tgt": "Do temporal area pigmentation with retinal elevation need surgery?", + "src": "Patient: Hi doctor, I went to an optometrist and diagnosed with something like below. Retinal exam showed OD temporal area of pigmentation (old chrpe vs atropical hole) with area of retinal elevation. I have attached the optomaps. Can you please tell me how serious is this? Does it need surgery? Doctor: Hello. I have gone through your optomap. (attachment removed to protect patient identity). The first (left eye) one seems fine. The second one (right eye) on your left-hand side has a few changes. It is a bit tricky to make assumptions based on images, but are you referring to the retinal elevation and hole and chrpe on to the left-hand side? There are a multitude of options to treat such a disease. Some doctors, with such a finding, might say that it is a small hole and localized elevation and especially if you yourself have no symptoms like flashing light or floating objects, might ask you to simply follow up with them and recommend observation. Others may recommend that you get laser or surgery done more so in case you have symptoms as mentioned above and if you have had any such incidents in your other eye, or have risk factors like a high power. So in summary, I can say that it mainly depends on the progress, your symptoms and the risk factors. I can assure you that observation for a retinal problem like yours can be done because it is not involving the center part (macula). But the doctor may opt to treat with a laser depending on the progress of the condition. Once again it depends on your progress, risk factors and symptoms." + }, + { + "id": 26272, + "tgt": "Baby has a heartbeat of 110 bpm. Is there a chance of abortion?Please help", + "src": "Patient: Hello doctor, My wife is 5 weeks and 6 days pregnant.\u00a0The doctor diagnosed that the\u00a0baby has a heartbeat of 110 bpm\u00a0and there is a\u00a0chance of abortion. Please advise. Doctor: Hi. If the heartbeat is present, though it is 110 bpm which is less, we cannot definitely say that the heartbeat of the fetus would stop. But a close follow up and repeat scan is required after a week to keep a watch on the heartbeat of the fetus. Missed abortion a condition where the dead fetus remains inside the uterus without being expelled from the uterus would ensue once the heartbeat stops. There are no intrauterine medications to stabilize the heartbeat. Consult an obstetrician and gynaecologist online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29955, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30289, + "tgt": "What is the recommended dose of Propofol during ORIF surgery?", + "src": "Patient: Hi doctor, What is the recommended dose of Propofol during ORIF surgery on a fractured wrist? The patient is a 57 year old female. Her weight may be about 140 pounds. The surgery may take 30 minutes or so. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22047, + "tgt": "Why is my 5 months old baby having loose motions with blood?", + "src": "Patient: Hello doctor,My son is 5 months old and he is suffering from loose motions. He was on antibiotics (Moxikind) for 7 days last month and from there onwards, he was on Wallamycin to stop the loose motions and Darolac, Sporoges powder sachets but there was no result for 15 days. Again from there, he was taking Normula, Delphonorm and Lactase enzyme drops. Everything was good till seven days back but he had loose motion with blood content in it. Today also he had motions with blood content. Please help me out. Doctor: Hi. I can understand your concerns. If the child is having loose stools for 20 days and still loose stools are persisting, then stool routine microscopy test, stool for reducing sugar and stool for occult blood should be done. If the child is having decreased feeding, decrease urine output or decreased activity, then the child needs to be hospitalized. Review with the report. Take care. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 13418, + "tgt": "I have cuts inside lips and tongue that causes burning sensation. Please help", + "src": "Patient: Hi doctor, I am 18 years old, male and I have small cuts in the inside of my lips and my tongue. They burn when I drink or eat. They look like cuts. Doctor: Hi. You have mentioned that you have got chapped lips and tongue along with a burning sensation. Considering your age, the reason for this is mostly vitamin deficiency along with stress. I advise you to apply petroleum jelly for the chapped lips more often a day to help the healing. Also, I advise you to consume green vegetables and legumes especially spinach which is a natural healing medication for such cases. And, keep yourself hydrated. Drink lots of water. No frizzy drinks, please. The above should help you in a more natural way. But in case if the burning sensation is way too much, apply Ointment Dentogel 20 mg directly on the affected region, massage for 10 minutes and then gargle with plain water. Meanwhile, please consider Multivitamin supplements on a regular basis." + }, + { + "id": 12736, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19202, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8549, + "tgt": "Why am I having low platelets?", + "src": "Patient: Hello doctor, My platelets are usually on lower side ranging from 100000 to 120000 since last one month with no physical symptoms. All other tests are all right like LFT, TFT, and abdominal ultrasound, vitamin B12 is 206 while the iron is 90, urine is also clear. What can be the reason behind low platelets and what are the options for treatment or any further investigation is required? Doctor: Hi. There are many causes of low platelet. Low platelet is known as thrombocytopenia. The causes include different types of hemolytic anemia, viral infection, dengue, ITP, uremia, kidney disease, etc. So I suggest you investigate as follow for primary workup: CBC to check for hemoglobin level, peripheral smear examination report to check for any schistocytes, if present (to exclude hemolytic anemia), urea, creatinine estimation to exclude kidney disease, IgM dengue Elisa testing to exclude dengue, ANA estimation to exclude autoimmune disease. You can revert back with reports once done. Meanwhile, I suggest you drink lots of water. You can take papaya fruit more to raise platelet." + }, + { + "id": 25215, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12402, + "tgt": "My tongue has a white and yellow coating. Is it due to yeast overgrowth?", + "src": "Patient: Hello doctor, I was wondering why my tongue has a white and yellow coating? Do I have a yeast overgrowth? If so, when I take antimicrobial or anti-fungal herbs, it gets worse as well as when I take garlic or oregano, it gets worse which makes me think it is not a candida overgrowth. In fact when I eat Dextrose, it gets better, my stomach deflate and I do not have a nasty taste in my mouth. My hydrogen, methane breath test utilizing glucose nade lactulose showed virtually no hydrogen or methane in my breath. Should I continue the anti-microbial and anti-fungals? Thank you for your help. I have been through all the test, endoscopy, colonoscopy, gastric emptying, gastric mucosa, X-ray, CT scan but the only thing they have said I have is GERD and IBS constipation. Any help or advice would be greatly appreciated. Doctor: Hi. I have noted your concerns. Having had treated similarly presenting patients at my practice, I want to tell you that it is not a cause of worry. Most often this condition is seen in individuals who have a geographical tongue, or as an early sign of jaundice or some other liver disorder. It has been noted at times due to the collection of skin cells that bind herbal pigments as in smokers. Most of such patients do not need any treatment except for good oral hygiene. You only need to have your serum bilirubin levels checked and be cautious if such discoloration extends to the white portion of the eyes or other skin areas. For proper restoration of normal color, one may use Hydrogen peroxide solution in diluted form for rinses and a good tongue cleaner. Please be assured that your problem has a good probability of getting better with simple measures as the coating is piled up surface cells and need no treatment unless some other features like those listed above appear. You might consider eliminating any medication for this purpose." + }, + { + "id": 17150, + "tgt": "What could be the cause of ventricular fibrillation?", + "src": "Patient: Hello doctor, My 29 year\u00a0old\u00a0brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years after his first episode. My question is, whether we can find the root cause of his ventricular fibrillation. What is the best treatment for his case? Doctor: Hello. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ventricular tachycardia and fibrillation. He should undergo angiography, and echocardiogram, if he has not already. His electrolyte levels should also be checked as it is a very important precipitator for ventricular fibrillation. In treatment, he should receive Cordarone (Amiodarone), and multiple other medicines depending upon the echocardiogram and angiography reports. Usually, patients get antiplatelets like Aspirin, Clopidogrel, ACE inhibitor like ramipril, and Spironolactone along with other medications. You can upload his reports if any so that I can opine on the cause. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22929, + "tgt": "Can hitting behind molar a bunch of times cause any medical issues?", + "src": "Patient: Hello doctor,Today after a meal I had some food particles stuck in my top molar all the way in the back. I took my toothbrush and tried to scrub it out real well to get it. While brushing, I put the toothbrush real far back into my mouth to really try and clean that last molar. In the process, I jabbed the back of my mouth behind the molar a few times. A few times while brushing the underside of my tooth and going straight back and a few times brushing the outside of the tooth and accidentally pushing it further past the teeth. What is back there? And can hitting it a bunch of times cause any medical issues? I am a little worried. Doctor: Hello. I have been through your query and as far as I understood I came to a conclusion that if you go far behind your teeth bearing area there is hard and soft tissue which you may injure yourself. The region behind your third molar is: In case you push your toothbrush far behind, you may injure your soft tissue that may result in some feeble pain and a white spot appearance. In that case get a Dologel (Choline salicylate) ointment if it hurts. If it does not hurt, let it be as it is and it will heal within five days without any medication. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1286, + "tgt": "Why is Naproxen not working for my headache?", + "src": "Patient: Hi doctor, I am suffering from unilateral headache for the last two months. I had an eye examination and that was fine. My blood tests were all normal. I have seen three doctors, my GP and two hospital doctors, who all say it is likely a benign headache or tension-type headache of some description. I have no other symptoms other than the pain. I was prescribed Naproxen 500 mg twice daily which helped for two weeks. Pain came back a week after stopping Naproxen, but more mild than before. Then went away for five days and returned. Now, Naproxen does not seem to help at all. Doctors have not been concerned enough to give me a scan, because I have no other symptoms and just the pain. Again, this has been going on for two months now and even on pain-free days while on naproxen I have still had brief one second flashes of pain at least a couple of times a day.\u00a0I have no sickness or nausea or dizziness. I do not have a history of migraine.There is no pain behind my eye or tearing. I also have no anxiety or tension issues in my personal life to attribute to a headache.\u00a0The pain is in my left temporal area. I feel some pressure, pinching pain and tightness. Sometimes, it is in the inner ear and sometimes I have pain on the top left of my head. Before I started the Naproxen, it was at its worst at bedtime when I laid down, but I slept pain free for a month while on the Naproxen. The pain is quite mild, but persistent. So, it is very annoying and always on my mind now that the Naproxen does not seem to work at all and I cannot rely on it for relief.\u00a0Why would naproxen suddenly stop working? Should I be concerned that I have a sinister condition? Doctor: Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30947, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28997, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 457, + "tgt": "I am feeling dizzy and extremely hot. What to do?", + "src": "Patient: Hello doctor, The following event has happened twice. I start feeling dizzy and extremely hot. I can feel my body heat through my shirt. I feel nauseated and was about to faint. Oddly, today, when I went to the kitchen to check my food in the microwave, I opened the fridge instead. When I tried to cut lettuce, I grabbed a spoon. I am not sure if that was a coincidence. I got anxiety after these incidents. After lying down in front of the air conditioner, I feel better. Also, cigarettes seem to intensify my feeling. Please help. Doctor: Hi. I think the main thing to consider is whether this is something significant related to any cardiac or circulatory problems or whether this is something relatively minor. I would certainly suggest you visit your GP or family doctor. You will need to undergo an ECG (electrocardiogram) of your heart to determine its underlying rhythm. You will need your blood pressure and heart rate checkup, along with your blood sugar level. Given that it has happened recurrently now, your doctor may want to send off some blood tests such as your blood count to check your hemoglobin level to make sure you are not anemic, along with your electrolyte levels to ensure that there are no endocrine abnormalities. ECG, observations (heart rate and BP) and blood glucose. 1.Cardiogenic arrhythmia. 2. Presyncope. 3. Endocrine dysfunction. Cardiac presyncope or faint. Keep well hydrated, eat safely to maintain blood sugar and avoid alcohol, smoking and drugs For further information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8047, + "tgt": "Is it possible to get depression due to SLE?", + "src": "Patient: Hello doctor, I am a 22-year-old female diagnosed with SLE at age 18. I have a difficult time concentrating and keeping my focus on things that I have to do. On some days I have trouble falling asleep and almost every day I have trouble getting a good night's sleep. I feel myself tossing and turning throughout the night. I try to get an adequate amount of exercise in throughout the week and walk almost every day. I know that chronic diseases can lead to depression but I can honestly say that it is not knowing that I have a disease that makes me feel unhappy. I just feel like I am mentally unstable sometimes. Sometimes it feels that everyday life situations are a lot more stressful to me than they used to be. And I feel like I am always on the verge of a mental breakdown. I have been feeling depressed off and on for at least two years. My lupus has been totally under control with the Plaquenil that I take daily. My BP runs a slightly over the normal at about 125/84, resting pulse in low 70's and BS WDL. Doctor: Hello. I can understand what you are going through, and I will try to be as helpful as possible. There are two possibilities: 1. The depression is not because of lupus but comorbidity. This is likely if there is a family history of depression. 2. Plaquenil could have some contribution to your problems. Insomnia is a known side effect of it. So, you can try taking it in the morning if you are taking it at night. Also, there are case reports of mood changes secondary to Hydroxychloroquine. Since your lupus is so nicely controlled with Plaquenil, it would not be wise to stop the drug just because of this. What I will recommend is to take it, first thing in the morning. A good sleep could in itself have a mood stabilizing and elevating effect. If this does not help much, you could ask your doctor for an antidepressant which promotes sleep. Agomelatine is one such drug that comes to mind, but it needs regular liver check-ups and has interactions with Ciprofloxacin, Omeprazole, Lorazepam, and Fluvoxamine. I could not find a known interaction with Plaquenil but I think your rheumatologist is the ideal person to ask. If mood swings are your major issue, a mood stabilizer could help. Take care." + }, + { + "id": 8152, + "tgt": "I have been bleeding for three months after starting Tri-Sprintec birth control. Why?", + "src": "Patient: Hello doctor, I am a 21 year old female. I was put on Tri-Sprintec (birth control pill) three months ago. I have been bleeding for almost three months. I am wondering if the pill is not strong enough or that I have a serious medical condition. I am going to the doctor next week but I am really nervous. Doctor: Hello. Birth control pills contain hormones and those hormones have side effects as well. Few people get more and few less. Tri-sprintec contains Ethinylestradiol and Norgestimate hormones. Heart attack, stroke, breast cancer, blood clot formation, headache, liver disease, high blood pressure, endometrial cancer and per vaginal bleeding are side effects of this drug which appears more intensely in smokers and those aged above 35 years. Regarding the usage of birth control pills, I suggest changing after some time even if you are asymptomatic as some of these have long-term side effects. There are other more convenient methods of contraceptives like Mirena (Progesterone releasing contraceptive device) which can be placed for three years, implants, injection Medroxyprogesterone for 12 weeks, etc. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3334, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30154, + "tgt": "Do you think my chest pain is heart related?", + "src": "Patient: Hi doctor, My doctor started me on Wellbutrin and I have body aches. A real bad pressure is on the little left of center and it is constant for at least 24 hours. Only, cold compress dulls the pain. Do you think this can be heart related? Should I stop the Wellbutrin? I have had an issue with fluid filled cysts in my breast. This is located in my breast into the breast bone and does not hurt more. I never had heart problems before.\u00a0I am currently taking Synthroid and have had issues with energy. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1266, + "tgt": "What is the reason for pain following a plantar fascia release surgery?", + "src": "Patient: Hi doctor, I had plantar fascia release surgery three months ago and my doctor released me to work even though I was supposed to get one more x-ray. After getting the second X-ray, he said the x-ray looks good. But, still I am in a lot of pain. Also, the pain has spread to the outside of my foot along with the area of all the joints especially over the last three. Should I get a second opinion? Doctor: Hi. Revert back after 10 days to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12447, + "tgt": "How can cataract be treated without pain?", + "src": "Patient: Hello doctor, My mother is diagnosed with cataract. The prescription of an eye specialist is attached (attachment removed to protect patient identity). Doctor has recommended for surgery and has prescribed some tests before surgery. My question is what is the most advanced surgery available at present without having pain. Doctor: Hi. As far as cataract surgery is concerned, any good surgeon would do under topical anesthesia (no injection). The most advanced option is Femtosecond laser-assisted surgery and the most advanced lens is Alcon Panoptix Trifocal lens." + }, + { + "id": 2672, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 957, + "tgt": "Should I go ahead with varicocelectomy to improve my sperm count?", + "src": "Patient: Hi doctor, I have been diagnosed with bilateral varicocele grade II and III. My urologist recommended microscopic varicocelectomy after reviewing my test results. I am 32 years old and all of my blood test results, including hormones were in the normal range. However, my semen analysis showed that there are approximately 34 million sperms and out of which 60% are of good motility that is approximately 20 million. My semen analysis from 6 years ago was nearly 90 million sperm count with 60% motility. I understand that my current sperm count is at the bottom of the normal range. Me and my wife are not planning to have kids for the next one or two years and have not tried yet. My doctor recommends the surgery because there is going to be some improvement in the sperm count if he performs the procedure. I prefer to avoid the surgery if not necessary. I have a few questions.\u00a0Is the sperm count going to be significantly different three years from now after performing the procedure?\u00a0Is there a downside with leaving a permanent suture in my body for the rest of my life? What happens to the permanent sutures if the veins shrink or get absorbed by the body? I am not comfortable with leaving an external object (silk in my case) in my body for the rest of my life, especially if it causes problems in the future and I have to remove it later on. I am a highly active person and play soccer and go to the gym regularly. I am\u00a0not sure how experienced the doctor should be for this procedure. My doctor is relatively young and obviously less experienced. Please help. Doctor: Hi. Revert back with the report to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1978, + "tgt": "I had a hard stool four days back, and since then, I have pain while passing stools. Please help", + "src": "Patient: Hi, I had hard stool 4 days back n since then i m facing enormous pain while passing stool each day. i visited Doc and he has prescribed me Ano-metrogyl cream to be used 3-4 times a day but it inst helping. Also i drink Softovac powder once at night. Situation is not getting better though Doctor: Dear. Welcome to icliniq You developed acute anal fissure due to hard stools which are now causing pain to you. There are 2 ways of sorting it out. 1. You have to use local cream to relieve pain and made the anal Sphincter relax. 2. You have to take medications to make your stools soft. I am prescribing following medications, it will help out. Try to drink plenty of water and avoid hard stools. Thanks Hard stools Acute Anal fissure 1. GTN Cream, mix this cream with ano metrygl cream in equal quantity and apply it 4 times daily locally. 2. Syp.Lactulose 30 ml at night. Uptitrate the dose according to your stools, you should pass 2-3 soft stool. Contineu Softovac with it. I am hopeful that this treatment will help out. Avoid hard stools Let me know your condition in 3-4 days so that we can change treatment if needed and plan for future prevention." + }, + { + "id": 13620, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11386, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24726, + "tgt": "Is taking Xarelto the only treatment option for pulmonary embolism?", + "src": "Patient: Hello doctor, I am a 43 year old male. I have been taking Xarelto for about a year-and-a-half due to a pulmonary embolism that I had. They were very small. I have done every test including the factor 5 and the conclusion was my constant driving. My biggest fear is obviously getting another blood clot which I know you can get one while taking Xarelto. Obviously, every ache and pain I think that I have another one. Sometimes, I do get mild cramping in my legs but it comes and goes. My biggest question is if I was to get another blood clot. Is basically the only thing that can be done is just continuing to take Xarelto? Doctor: Hello. Xarelto is the brand name for the generic drug Rivaroxaban. It blocks the activity of certain clotting factors in the blood. It is used to prevent or treat deep vein thrombosis in which blood clots form in the deep veins of the legs. This can lead to pulmonary embolism in certain cases as in yours and can be fatal. Your current medication comprising of Xarelto daily is a form of prophylaxis to prevent the occurrence of deep vein thrombosis. The dose is lower than that when you are being treated for deep vein thrombosis. There are other anticoagulants which can be used but Xarelto is preferred. If you were to get another episode of deep vein thrombosis, the treatment would differ. Deep vein thrombosis is associated with prolonged periods of inactivity, inherited clotting disorders, surgery, and certain cancers. Since in your case it is due to driving for prolonged periods, you could reduce that and try and walk around every 15 to 20 minutes. If you smoke, then you should stop that as well. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22431, + "tgt": "My wrists crack and make crunching sounds. What is the cause?", + "src": "Patient: Hi doctor, My wrists crack and make a crunching sound when I move them around in circular motions. I had a trauma to the wrist before two years. Now, I get pain shooting through the wrist. Is this normal or what is the problem? Please help. Doctor: Hello. I would like to have more details on the pain in the wrist and have you ever had any fall recently. The cracking sound is due to an imbalance of musculature resulting in bone on bone rubbing and pain could be (depends on the underlying pathology) from cartilage erosion to TFL (tensor fasciae latae) tear. I would like to know the place of pain and till what level is the pain getting radiated. Definitely, pain is not normal and may need an investigation to rule out the underlying reason. As much as you can keep icing your wrist and stretch your forearm muscles to receive stress and tightness. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 29332, + "tgt": "My wife had a mammogram without knowing that she is pregnant. What to do?", + "src": "Patient: Hi doctor, My wife had a mammography test last month. It was around 26 days after LMP. She did not get her periods then. Now, after a month of mammography, her doctor has confirmed that she is pregnant.\u00a0Please suggest. Doctor: Hi. For further information consult a radiation oncologist online --> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 25212, + "tgt": "What medicines to give baby if fever is back in one hour with Paracetamol?", + "src": "Patient: Hello doctor, My 10 month old daughter has been sick for five days. She had cough with congestion and flu without fever. The doctor has given her Ciprofloxacin for five days. From today, she has a fever of 38 to 38.9 as I checked from her armpit. Kindly tell me what should I do? I have given her Paracetamol 5 ml also. It works for the hour. After that, the fever comes again. Kindly advice me as there is no good doctor here. Please help me. What to do? Is that normal or not? Doctor: Hello. I understand your concern. I suggest you give her Crocin (Paracetamol) 5 ml every four to six hours (Paracetamol 5 ml equals 125 mg). If fever is persistently more than 100 F, give her syrup Meftal P 2.5 ml (Mefenamic acid 5 ml equals 100 mg) every six hourly. In between fever, do tepid sponging of the whole body. The whole purpose is to bring down the temperature so that she should not throw febrile convulsion. Which is very common in very young children with high-grade fever. Usually, fevers are viral fever and do not require antibiotics. Why was Ciprofloxacin given? Just check with the doctor, usually, in children, it is least advisable. Give her warm saline gargles, throat infection is common in children, which can lead to high-grade fever. Review after two days. Happy to serve you. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 23560, + "tgt": "Having fear of going out to public places. Can you suggest any treatments?", + "src": "Patient: Hello doctor, I am 30 years old and my height and weight are\u00a05'8\"\u00a0and\u00a088 kg respectively. I have symptoms of agoraphobia\u00a0from my childhood. I cannot go to public places like mall, theater or grocery store. I cannot even travel alone and every time I depend on someone. I feel sad every time with negative thoughts running in my head 24*7. I mistrust everyone and, it is getting worse day by day. I also lack confidence. Doctor: Hi. From your history, it is definitely agoraphobia. Along with that you have developed some depressive symptoms also. Thyroid function test. Agoraphobia I am prescribing you medications for agoraphobia, which will be helpful in depression also. Tablet Pari CR plus (12.5 mg Paroxetine + 0.5 mg Clonazepam) in the morning for one week. After one week shift to tablet Pari CR forte ( 25 mg Paroxetine + 0.5 mg Clonazepam) and continue it. Do deep breathing exercise,specially before going to any public place. Start daily yoga/ meditation. Psychotherapy - (exposure and response prevention) close your eyes, imagine yourself in a public place, when anxiety reaches 100 or maximum level, try to relax yourself and control your anxiety. Do it daily . After a few days, expose yourself in real situation (public place) and try to control your anxiety in the same way as you had done in your imagination. Revert back to a psychiatrist online after 15 days, to adjust the dosage of medication according to the effect.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 15819, + "tgt": "Even though I maintain my oral hygiene, I have bad breath. What is the reason behind it?", + "src": "Patient: Hi doctor, I have removed all the four wisdom tooth before nine years. I had a safe and successful operation. After removing my wisdom tooth, I started to have bad breath. Before the removal of wisdom tooth, I do not have this problem. Currently, I floss daily, and I brush my teeth twice a day. I am using mouthwash twice a day, and I also do salt water gargling after taking foods. Nothing helps me. What could the problem behind it? Please help. Doctor: Hi. You are maintaining your oral hygiene well. Having bad breath after extraction or surgery is quite common due to an open socket. But it generally disappears after a few days. There are other possibilities also. The first cause can be periodontitis. It is the inflammation of the periodontal ligament or the structure supporting the gums. Bad breath can also occur due to GERD (gastroesophageal reflux disease) because of chronic acidity. Infections in tonsils or other areas of the throat can also cause bad breath. Food impaction around the teeth also causes bad breath. You can consult a dentist for a checkup and try to rule out periodontitis. Try to see the presence of calculus and do scaling. After ruling out periodontitis, you can see a physician for other health-related problems." + }, + { + "id": 5338, + "tgt": "I am having weird sensations on bone and cheek. Please help", + "src": "Patient: Hello doctor, For the past week or so I have been feeling a wired sensation in my right cheek sometimes on the bone other times in my mouth. I have seen my general practitioner, psychiatrist as well as eye doctor and chiropractor. They seem to think it is a combination between my anxiety and the tense muscles in my neck. I just recently had a cervical MRI for an unrelated issue and they said that the brain stem controls this area and was seen as normal on the MRI, so there is no concern. Doctor: Hello. I understand your concern and would explain that as long as your brain and cervical spine MRI are normal, there is no reason to panic. We can exclude MS or any serious disorders affecting the central nervous system. In my opinion, your symptoms could be related to a pinched nerve. An electrolyte imbalance can mimic this situation too. For this reason I would recommend checking thyroid hormone levels, vitamin B12 plasma levels, blood electrolytes." + }, + { + "id": 17457, + "tgt": "What is the effect of Giloy in preventing cancer, especially due to HPV?", + "src": "Patient: Hello doctor,I wanted to know the benefits of Giloy. Can it prevent cancer? Western medicine has no answer to many viruses such as HPV.\u00a0What is the effect of Giloy on our immune system? Is it immensely good?\u00a0Also, is there any way to detoxify one's body through Ayurvedic herbs? Doctor: Hello. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15271, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13717, + "tgt": "Is it advisable to try for pregnancy right after cervical polyp removal?", + "src": "Patient: Hello doctor, Today is CD6. Yesterday, I started taking Clomid for CD5 to 9. CD10 is scheduled for cervical polypectomy. The night before instructed to take Misoprostol. Can I try to conceive this month right after a cervical polyp removal? The polyp is very small in the cervix. Doctor: Hi. If a cervical polyp is removed anytime, there will be some fresh blood. So it is not advisable to have any medication for pregnancy, in the same cycle as the removal. As blood is not a good medium for sperms, sperm motility is reduced or stopped by blood components. You can try for pregnancy, but when there is blood with a raw area in the cervical canal, sperm health may be reduced. You can have sexual contact after bleeding stops, usually which stops within 2 to 3 days. Next periods your chances will be better. Better use Clomid from the next cycle." + }, + { + "id": 13783, + "tgt": "Is it normal for a 10-week-old baby to spit up after every nursing session?", + "src": "Patient: Hello doctor, My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room? Doctor: Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario." + }, + { + "id": 20736, + "tgt": "Kindly check my blood reports and advice the management", + "src": "Patient: Hello doctor, I am diabetic and also have cholesterol. My age is 45 years. I am taking the medicine K Glim M2 twice a day for diabetes and Rosuless 10 mg for cholesterol. Kindly suggest. Doctor: Hello. I reviewed your results in detail (attachment removed to protect patient identity). My assessment: 1. Vitamin D level is very very low for your age. This has a huge impact on diabetes control. Advise: Start over the counter Vitamin D supplement at least 5000 units daily and take it for eight weeks and have your level retested. 2. Your cholesterol level is slightly on the high side and part of your cholesterol panel triglycerides is high 214. Advise: Diet control and starch control is very important. Cut back on the portion of rice, potato, and chappatI. You can still eat just cut back on the portion. Limit the portion at one meal to the size of your fist or one cup. Avoid sweets at any cost. 3. Your lead level is high. Avoid cooking in pots and pans that can contain lead or avoid using any utensils that have lead in it. This has an impact on your blood cells. 4. Your HbA1c is 6.7 which is on the higher side for you. We expect less than 6.5 for good control. The medicines you are taking are fine. Controlling your diet to some extent will adjust all your numbers to normal. You need to lose some weight, so include exercise or walking daily in routine." + }, + { + "id": 7821, + "tgt": "Does Anovate cream cause skin thinning?", + "src": "Patient: Hi doctor, Around 1 year ago, I was diagnosed with anal fissure. My doctor has prescribed me a topical steroid cream, Anovate and I used it for about eight months. My fissure was healed, but I was left with constant pain, itching and pricking sensation around the anus while walking. I was not able to walk normally. Every time, when I walk for around 5 minutes, I am developing pricking, itching and burning sensation around the anus. I do not have any fissure now, but my bowel movements are painful. I have even developed stretch marks around the anus. Since, it is a steroid cream, my doctor advised that it will take some time to recover. But, I am really scared and do not know what to do. My main point of concern is whether the skin will recover to normal or not. I just stopped using the steroid cream 1 year ago and now I am using only coconut oil. But, the itching and stinging still persists. Is there any possibility of skin thinning? How long will it take to recover? Doctor: Hello. Anal fissure develops due to erosion of anal mucosa during hard straining particularly in constipated person. This is the main cause for it. So, prevention or treatment of constipation is very important. Once the anal mucosa get eroded due to straining, then the normal healing process starts which is similar to healing after any wound on the skin. Continuous pricking sensation and itching is because of this healing process. During this natural process, the eroded mucosa is replaced by a fibrosed tissue. If this fibrous tissue goes little deep up to the muscle layer, which work during defecation, then it affects its function also. This is the reason for the feeling of continuous spasm like pain during sitting or walking. Anal fissure is an irreversible process because once fibrous tissue is developed then it cannot be returned to normal tissue. Anovate cream (combination of Phenylephrine, Lidocaine and Betamethasone) will help during active fissure (early stage of the fissure) and on healing (inflammation) to reduce symptoms. No, Anovate cream does not cause thinning of skin. You must stop using it as you do not have active fissure now. Even stop using coconut oil as it has only soothing effect. You can use only topical anesthetic agent like Lidocaine to get relief from the symptoms. Again, fissure can never be replaced by normal skin or mucosa. If the fissure is so severe and it affects daily routine life, then consider for surgery. I like to know more about your bowel habit and any other associated rectal condition like piles, which may also cause a fissure. Constipation. Piles. Topical anesthetic agent application. Avoid constipation. For further doubts consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 1752, + "tgt": "Can latent TB scaring be misdiagnosed as interstitial lung disease with RA?", + "src": "Patient: Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by bronchitis (stuffy nose and productive cough). While there I needed to schedule a Remicade infusion and the doctor there said she heard crackles in my lungs and sent me for an immediate chest x-ray, high-resolution CT scan and a multitude of labs. To my surprise, I was diagnosed with RA, not PSA as my rheumatologist had diagnosed me before itself. Anyway, the radiology results state honeycomb lung damage amongst other ominous findings. At my follow up I was told I have RA-ILD. I am now back to my place and have no symptoms to alert me of any lung problems. I followed up with my PCP last week and she did not hear crackles in my lungs. My peak flow rate is 400 and my O2 sat is 100% at rest and 98% with fast walking. I will send my radiology report and lab results. My question is, can the latent TB lung scaring be misdiagnosed as RA-ILD or IPF? I would appreciate your opinion. Doctor: Hello. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taking anti-tubercular drugs. You are concerned about your recent diagnosis based on HRCT chest whether it is RA-ILD/IPF or latent TB related complications for your past sufferings and now you feel a lot better. Your HRCT of chest reveals (attachment removed to protect patient identity), interstitial fibrosis characterized by peripheral traction bronchiectasis, irregular reticulation in all lobes, microtubules with calcification in mid and lower lungs, lower lobe predominant microcystic changes without significant ground glass opacifications, hilar calcified lymph nodes consistent with chronic granulomatous disease, and bronchial wall thickening bilaterally. Similar type of radiological findings can be found in post TB fibrosis, chronic obstructive pulmonary disease which includes two key components chronic bronchitis and emphysema, RA-ILD or IPF, etc. You may not tell your doctor about your previous history of Latent TB. For that reason his diagnosis was RA-ILD or IPF as you are suffering from RA. So he was not wrong as your radiological reports suggest the above mentioned differential diagnosis. Again, on high altitude, your doctor found crackles as you are suffering from COPD and it may be associated with infections that time and now it not heard as your infection was subsided." + }, + { + "id": 5523, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 13459, + "tgt": "Are thick discharge and heaviness in eyes contagious?", + "src": "Patient: Hello doctor, My mother is facing water discharge from her eyes. With water, there is also some thick semi-liquid discharge from sides. These symptoms are also accompanied by some heaviness in the eyes. I believe this is contagious as one another family member of mine is facing the same issues. Doctor: Hello. Your mother is most probably suffering from infective conjunctivitis. Probably bacterial. The treatment is antibiotic eye drops. You should consult an Ophthalmologist for the same. Most important is that it should not spread to others. It spreads from person to person by droplets. thus everyone in your family should avoid using the same clothes, etc., like your mother. Also, ask her not to hold any babies and touch others hands. If done so, then wash immediately with soap. With treatment, it should resolve in a week. Please follow-up with any further queries." + }, + { + "id": 20438, + "tgt": "I had a miscarriage at 12 weeks two months back. Can I conceive now?", + "src": "Patient: Hello doctor, I had a miscarriage at 12 weeks. It has been two months now. Can I plan for the next baby and conceive now? Doctor: Hi. It is better if you conceive after two more months. Give a gap of four to five months after the miscarriage. The uterus will return back to its original contour in this time period. Until then, I suggest you practice contraception." + }, + { + "id": 8283, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 13978, + "tgt": "I am not able to pass stools. What can be done for constipation?", + "src": "Patient: Hello doctor, I am not getting the stool from three days and because of this, I am not able to eat food from three days. What is the reason behind this? Which disease symptom is that? What is the possible medical treatment for it? Doctor: Hello. You seem to be suffering from absolute constipation. If you are not even able to pass flatus, then you need evaluation for intestinal obstruction. I would advise you following: 1. To get a thyroid function test done as hypothyroidism might be the cause behind constipation that you are having. 2. To take Laxative like Lactulose in the night. 3. To increase fiber in the diet and to take fruits like Papaya which are bulk-forming. 4. You may alternatively take Cremalax in the night as you have been taking. 5. Another thing that you can take is Isabgulla Husk. You can take three teaspoons full in night time and as it is bulk-forming. It may help you with your constipation. In case you have already taken Creamalx and still not passing the stools, then Macrogol (Polyethylene Glycol) sachets help a lot." + }, + { + "id": 2812, + "tgt": "My son's finger are swollen with psoriasis history without pain. What could this be?", + "src": "Patient: Hello doctor, I would like an opinion as to why the ring finger on my son\u2019s left hand is swollen, the middle finger is a little swollen and possibly some fingers on his right hand are too (but less so). They are not painful. This started about a year ago, a rheumatologist saw him then and thought that it was not arthritis. X-rays are taken last year were normal. This is what the x-ray report says: Technique: PA, lateral, and oblique views of the bilateral hands were obtained. Findings: The alignment and joint spaces are normal. There is no fracture, osseous lesion, or dislocation. The soft tissues are normal. Impression: No osseous or soft tissue lesion noted. MRI may be of value. Blood work taken a year ago was normal (images attached). Doctor: Hello. I have gone through the history and the pictures along with the reports. (attachment removed to protect patient identity). I would like to ask you a few more questions to conclude the diagnosis and how to proceed further with it. Does he complain of early morning stiffness? That he has to move his hands to open it. Anyone in the family has any degenerative arthritis like osteoarthritis? Any complaints of backache or neck pains? As of the reports, your rheumatologist are right it is not inflammatory arthritis. We are looking at some metabolic causes of these swellings or some other genetic ones." + }, + { + "id": 22614, + "tgt": "Am I having implantation bleeding?", + "src": "Patient: Hello doctor, I am 24 years of age. I had my period on two months back. I had unprotected sex at night fifteen days back and took an I-pill the next day afternoon. Again, I had unprotected sex two days later and again had an I-pill the next day morning. I know this is wrong and want to get on regular birth control as soon as possible. My periods is supposed to happen on in a week. But, I have brown discharge and light bleeding for past two days. Is this implantation bleeding? Or is this because of I-pill? I am scared that I might be pregnant. Doctor: Hi. There is a possibility of pregnancy. It would be better if you get urine pregnancy test, if no period in next two days. Since it was a fertile period, there is a possibility of pregnancy. Though you had pill, 1 to 2 % possibility of contraceptive failure is there. Spotting that you got could be due to hormonal imbalance too. Get a blood test called serum BhCG (beta human chorionic gonadotropin) to confirm pregnancy which is 100 % accurate. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26325, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6047, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25863, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23136, + "tgt": "I have a sore back tooth and the gum is swollen. What could this be?", + "src": "Patient: Hello doctor,The past two days I have had a sore back tooth, feels like the gum is swollen on the bottom and last night it started throbbing pain in my cheek and now my cheek is swollen and sore. I have a sore throat also I am currently breastfeeding and really do not want to stop at any point. Does anyone know what this could be? Doctor: Hello. We are here to help you. As per your symptoms, you could be either suffering from impacted wisdom tooth or a tooth infection due to cavities. For the momentary relief, you can start with warm saline gargles at least 5 to 6 times a day for a week. Avoid applying anything hot from outside. Avoid covering your face and do not sleep on the affected side. You can do some ice pack application few times a day to get rid of the swelling and pain. You need to visit your dentist to get it checked and start with the required treatment as soon as possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 28604, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 23749, + "tgt": "Why are my periods always super irregular?", + "src": "Patient: Hello doctor,I started my period when I was 11. I am now 24. My period has always been super irregular. I can go on for 60 to 75 days with no period. It will be on time for two months, then back to missing two months. I have talked to my doctor multiple times but never really got an answer. I have one son who was born three years back. I have an ultrasound to look for fibroids but my doctor said he did not see anything. I am just wondering why my period is super irregular. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4426, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4913, + "tgt": "After sexual contact, can a person have burning sensation while urinating?", + "src": "Patient: Hello doctor, I have burning sensation while urinating and a frequent urge to urinate. Can it be due to sexual contact? I am a 22 year old male. Doctor: Hi. These symptoms are classical of urinary tract infection, cystitis, prostatitis or urethritis. Yes, they can be acquired by sexual contact. Please get a urine culture and sensitivity done along with ultrasound abdomen, because stones in lower ureter can cause these symptoms. You can start on a good antibiotic like Levofloxacin 500 mg once daily in the morning till you get culture report. Revert back after the tests to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 366, + "tgt": "I have severe lower abdominal pain with an urge to urinate and diarrhea. Why do I get this?", + "src": "Patient: Hello doctor, I am a 31-year-old male. For the past four months, I have periodically experienced severe pain in my lower right abdomen and lower right back regions. The pain comes quickly and can last for a few hours, and is so severe that all I can do is lay down and writhe. I have never passed any stones that I am aware of. The pain is usually accompanied by the feeling of needing to urinate, as well as some diarrhea. When the pain begins to set in, I make a point to drink lots of water. I do not have health insurance, so I have not had any imaging done. I would greatly appreciate any input or recommendations. Doctor: Hello, Welcome to icliniq.com. Well, I understand you have pain with diarrhea and pain that lasts a few hours before it goes away. Listening to your history, it seems a few possibilities. The pain of intestinal loops affecting the cecum a part of large bowel or terminal ileum which is small bowel. The causes are many but given your age, there are possibilities of Crohn's, yersinia infection or Whipple, and lastly uncommon is intestinal tuberculosis. The other possibility is renal stones. It is not necessary to have stones in urine in person with renal stones. Thirdly, functional abdominal pain syndrome which is basically hypersensitivity of the intestine to food, stools, water, etc. This pain cannot cause weight loss however, the causes mentioned above can cause fever and weight loss. The third often overlooked cause of pain is nerve entrapment pain. This is because of the compression of the nerve in between the muscles. You see the list of differentials can be shrunken after a good history. I want you to tell me more about your symptoms in context to the above-mentioned conditions as we then target the one or two and investigate specifically and then can suggest treatment for the underlying cause. Do not get afraid. It is completely possible that you may not have any of those, but this has to be excluded from close questioning particular to these conditions. I hope this helps. Intestinal inflammation. Functional hypersensitivity. Nerve entrapment pain. Renal stones. Follow up to discuss in detail and formulate a plan of action for management of the problem." + }, + { + "id": 21993, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6604, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7721, + "tgt": "How long can I continue using Mirtazapine for anxiety?", + "src": "Patient: Hello doctor,I am an anxiety patient with 80 kg weight and 5.5 height. I am using the Mirtazapine tablet for a year. I have withdrawn it some times but faced some panic attacks. Please suggest to me how long I can continue this? Doctor: Hello. 1. Mirtazapine is an effective antidepressant medicine used to treat depression and anxiety disorders. 2. What dose are you taking? It can usually be from 15 mg to 45 mg depending on response and tolerability. 3. You need to take it daily for at least six months to a year, possibly longer. You will need to have regular reviews while taking the medications. 4. Also, try to get some counseling and talking therapy as well, to manage the anxiety." + }, + { + "id": 8352, + "tgt": "Does cervical spondylosis cause dizziness?", + "src": "Patient: Hi doctor, I am suffering with severe dizziness. Please help. Doctor: Hi. Please revert back with the above details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11178, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12449, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4777, + "tgt": "Kindly suggest an alternative for Yasmin to control PCOS", + "src": "Patient: Hi doctor, I have PCOS, hypothyroidism and pituitary Cushing's disease. I am taking Yasmin, Glucophage 850 mg and T4 150 mg. As I have to take Metyrapone\u00a0for Cushing's my doctor recommended stopping Yasmin. But if I stop it, I do not have period for months and I get acne all over my body.\u00a0What can I use instead of Yasmin in order to control PCOS? Can I get it cured by removing ovaries? Doctor: Hello. Metyrapone (Metopirone) is an orphan medication that holds the FDA approval (Food and Drug Administration) for the diagnosis of Cushing\u2019s syndrome and is occasionally used off-label for short-term treatment of Cushing\u2019s syndrome prior to surgery. Metyrapone prevents cortisol synthesis by inhibiting 11 \u03b2-hydroxylase, the enzyme responsible for the conversion of deoxycortisol to cortisol. The restricted access and adverse reactions of Metyrapone are associated with increased androgen and mineralocorticoid production, which limits the use of this medication for the treatment of Cushing\u2019s syndrome. It can cause a negative feedback increase of ACTH (adrenocorticotropic hormone) leading to acne, hirsutism excessive male pattern hair growth, hyperkalemia. However, Yasmin (Drospirenone and Ethinyl Estradiol) is a low dose sequential pill which has been given to regularize your cycles. They really do not actually affect the cortisol levels due to Cushing's and not really interact with Metyrapone either. It is often associated with weight gain. So, for that you may opt for Ginette 35 (combination of Ethinyl Estradiol and Cyproterone acetate) tablet monthly for next 6 months to regularize cycles and balance hormones. There is no need at all for oophorectomy for PCOS (polycystic ovarian syndrome). It is never indicated. It can be controlled by medication as advised and revised now. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9576, + "tgt": "What should I do to manage the inflamed EUM, balanoposthitis and mild discharge?", + "src": "Patient: Hello doctor, I have pain in the penis, yesterday I went with a urologist, and he did a physical examination in the external genitalia after which he found inflamed EUM, the frenulum is short and tight, balanoposthitis, and mild discharge. Please suggest what I should do now? Doctor: Hello. From your description, it is clear that you have inflammation of foreskin and glans penis, which is called balanoposthitis in medical parlance. Usually, this does not occur in normal persons, if one can keep the undersurface of foreskin clean once a day. However, cleaning the same during inflammation is difficult. So you need to take antibiotics as well as anti-inflammatory agents for a week and then, can undergo circumcision as you have a tight foreskin. It is not a life-threatening condition. Please get back to me if you need any more clarification." + }, + { + "id": 3548, + "tgt": "How to come out of eating non-food items?", + "src": "Patient: Hello doctor, I fairly often ingest such things as paper, rubber bands, fingernails, scabs or dead skin, string, grass, small amounts of wood, certain rubbers and plastics.\u00a0Although I\u00a0do not have cravings for non-food items\u00a0or ingest them in large amounts.\u00a0I do not eat dirt, rocks, metal or tough things. This is obviously not normal for an 18 year old. Am I suffering from pica? Please help. Doctor: Hi. I have gone through your disorder. For further information consult a general practitioner --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1279, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11635, + "tgt": "I have painless white bumps on the penis after unprotected sex. What could it be?", + "src": "Patient: Hello doctor, I had an unprotected sex and noticed two issues on the shaft of my penis. The first thing I noticed was a dry, flaky area about the size of a dime. I have applied mosturizer to it thinking it was just dry skin, but it has not gone away over the past two weeks and that spot is still noticably lighter than the rest of the skin. I have also noticed a single, small white bump near the head of my penis. It is raised but only slightly. The white bump does not itch and is painless. Both I have noticed after unprotected sex about a month ago and did not change much. What should I do? Doctor: Hello. If it is not sexually transmitted disease then it can be acne, Fordyce spots which develop when skin's pores are clogged with natural oil, called sebum, sweat, and dead skin, it can also cause infection. Pearly penile papules (PPP) is small, fleshy bumps that usually develop in gland penis in rows around the head of the penis. A skin tag is normal, and it happens as age advances. If it is lichen planus, it can lead to infection and needs medical management. If you have PPP, then it is normal, and there is no need for treatment. Regarding the white growth, if it is not painful, it can be syphilis. Swelling in the shaft, if not painful then think of syphilis. Please share more details regarding the issue, and we will work on treatment." + }, + { + "id": 9897, + "tgt": "Shall I take Amoxicillin for cough?", + "src": "Patient: Hi doctor, Four weeks ago, I had a cold and chest infection. I self-treated with Amoxicillin and it was resolved. Now, I am getting cough with\u00a0slight wheeze. Also, it is a productive cough with green sputum. Shall I try Amoxicillin again? I am regularly on Citalopram and Micronor. Doctor: Hello. 1. Sputum for AFB (acid-fast bacillus), gram staining, culture and sensitivity and GeneXpert. 2. Complete blood count. 3. Urine routine examination and culture and sensitivity. 4. Serum creatinine and electrolytes. 5. Chest x-ray posteroanterior view. Consult your doctor, discuss with him or her and take the medicine with consent. 1 Tablet Co-amoxiclav 625 mg three times daily for seven days after meal. 2. Capsule Omeprazole 20 mg two times daily for 15 days, half an hour before meal. 3. Tablet Paracetamol 500 mg three times daily for 10 days. If the temperature is more than 102 degree Fahrenheit, then take two tablets immediately. 4. Syrup Bromhexine three teaspoons thrice daily for 15 days for cough. Drink hot water, mix salt with hot water and gargle twice daily. Revert back with the reports to a family physician online.---> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25545, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6501, + "tgt": "My wife is 9 months pregnant. Will Anafortan injection cause any harmful effect?", + "src": "Patient: Hello doctor, My wife has completed her eighth month of pregnancy and just started with the ninth month. This is her first pregnancy. She is feeling a labor pain, but the doctor told that it is not labor pain, and she will not deliver now and wait for 15 days. Doctor gave Anafortan injection to reduce the pain. Is that safe? We are worried as some people suggested that Anafortan should not be given. Please help. We did an ultrasound scan and blood test, her hemoglobin level is 10.1. Doctor: Hello. As this is the first pregnancy, I would like to give a few general information. Now, after completion of the eighth month, there are mainly two types of pain which a female is going to perceive. 1) False labor pain and 2) Backache due to pregnancy itself. False labor pain: As pregnancy comes near the due date, the uterus starts paining. But there is no effect in the view of delivery. The pain is perceived by a woman but there is no opening of the mouth of uterus. The baby is fine and the doctor cannot get contration on seeing the abdomen. This type of pain followed by delivery pain in 10 to 15 days or more in the first pregnancy, and less than 10 days in 2nd or 3rd pregnancy. So you do not have to worry much about this pain as far as it is tolerable. As pregnancy advances due to the increased size of uterus and baby, which takes a space in the abdomen and compresses the spinal cord causig the pain. It is continuous in nature and will be relieved only after delivery. For this type of pain, sometimes we advise painkiller gel or tablet if it is not tolerable. You can also do a hot compress on the back. As far as Anafortan (combination of Camylofin and Paracetamol) is concerned, we avoid it as far as possible. But when it comes to one or two times, it is not harmful. When you are taking this drug continuously, especially in the ninth month, then only it is harmful. So you can take Anafortan (non steroidal anti-inflammatory drugs) once or twice if the pain is more and if it is not delivery pain. So do not worry with one injection. I hope this helps." + }, + { + "id": 2650, + "tgt": "Why am I getting severe pain in the area where wisdom tooth was extracted before 2 years?", + "src": "Patient: Hello doctor, I have a severe pain at the end of my upper left Jaw, exactly where my wisdom tooth was removed two years ago. I have an x-ray of the area to show as well. Toothache starts in the morning everyday, since about five days. I do not have blood pressure, diabetes, or any other major issue. Today, I started Danzen DS (20 minutes before food) and Synflex (right after food) in the morning. I gargle with saline water and Benzarin mouth wash five times a day each. Doctor: Hello. I have gone through your attachment. (attachment removed to protect patient identity). The medication you are taking are right and oral hygiene measures also to the point. I want to know a few more details about your site of concern. Do you have any injury or any kind of trauma over there? Any hot foodstuff or any sharp food thing hit there? How does that site look like? (As you have not uploaded an image of that area or site so soft tissue evaluation is difficult). If any minor injury or trauma is there or pain is there at that local site then you can apply ghee over there or local anesthetic oral gel. Lukewarm water with a pinch of salt in it for gargling will help more. Does any tooth from the lower arch hitting that site? Because that may be one of the reasons for local site pain." + }, + { + "id": 5639, + "tgt": "How to treat Hill-Sachs lesion?", + "src": "Patient: Hi doctor, I hit my shoulder a while back. Since then, my shoulder slightly turns to the side like a dislocation or something whenever I do anything strenuous like work out or swimming or hanging on to something. I can just tilt my hand and it would come back to the original position, so it is not a complete dislocation.\u00a0I consulted a doctor and he took an MRI scan and it read Hill-Sachs lesion. He asked me to maintain the shoulder in rest for six months and do nothing which is hard for me to accept as\u00a0I lead a very active life. How would I know whether it is healing or it has healed in the future as he did not make any future appointment? Doctor: Hi. Shoulder subluxation with Hill-Sachs lesion. Always wear the arm pouch and avoid movements of the shoulder outside the arm pouch. Revert back with the MRI report to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22972, + "tgt": "My face becomes red when I talk to someone. Kindly help", + "src": "Patient: Hello doctor,I am 21 years old and I have always been a shy person. When I was younger I used to sweat a lot because of it and I could barely speak with anyone. As I got older, I became more and more sociable, now I have got friends, I am getting along with everyone at work and I am feeling quite good about myself. I have never been depressed and I am a really happy person. The problem that I am facing is that whenever I talk to somebody, with anyone at all, my heart starts to rush and my face becomes red in just one second. I blush like I have done some dumb thing and it is intense and very very red, anyone can notice it. I have tried to manage it by going out as much as possible and I have learned that when I get comfortable with someone, the blush and red face thing disappears (but it took two years to get comfortable with my boss for example). I am aware the problem might be associated with anxiety, but I have never taken pills for it. I just want the blushing to go away, as that will make me less awkward and better in general. I have got a mitral valve prolapse and a ventricular hypertrophy. Doctor: Hello. The problems you have mentioned like the history of shyness, palpitations and flushing of the face on talking with any new person, etc., are occurring most likely due to anxiety. This could be due to social anxiety. You are facing these problems in day to day routine too and to get rid of these symptoms you should consult a psychiatrist for help. Drugs like SSRI (selective serotonin reuptake inhibitor) can help you to come out of the anxiety. Sertraline can be tried. The drug is safe even for cardiac problems. Behavior therapy and relaxation exercises can also be tried to come out of the anxiety. Please visit a psychiatrist for help. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30931, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5751, + "tgt": "Had sex after Chlamydia treatment and I am bleeding. Why?", + "src": "Patient: Hello doctor, I tested positive for chlamydia 10 months back. The only symptom I had was bleeding in between my period that month, so I decided to go get checked out. I was prescribed two Azithromycin pills to take that day, and was told that everything would clear up in two weeks. After taking the pills I was fine, no spotting or anything, followed all of the instructions (no sex, drinking, etc.). Then, last week I had protected intercourse for the first time since all of this happened, woke up the next morning and I had started to bleed again. I immediately went back to the doctor and he said that chlamydia can survive in your stomach and sometimes Azithromycin does not get it. So he prescribed me Doxycycline twice a day for two weeks. I am on my fifth day of taking it, and I still have not stopped bleeding and can feel a little bit of abdominal pressure. Is this normal, or should the bleeding have stopped by now? I am just very worried and really want all of this to be over with. Doctor: Hi. Your bleeding is unlikely be solely due to chlamydia infection. There is a possibility of cervical erosion or polyp which needs to be diagnosed by speculum examination and if needed, by ultrasound. If the pathology is found, needs to be treated differently. Regarding treatment of chlamydia infection, your sexual partner also needs to be tested and get treated to prevent reinfection. Regarding your abdominal pain, it is likely to be due to gastritis induced by Doxycycline. You can take antacids for its relief." + }, + { + "id": 11602, + "tgt": "What should I do to manage pimple, acne scars, dark circles and white hair?", + "src": "Patient: Hello doctor, My age is 22, and I have lots of pimple, acne scars, and dark circles. I am trying to get rid of them since last year. And I have white hair which are increasing. My nails are very week, and my foot nails become dead after some time. Kindly help. Doctor: Hello. I understand your concern. Kindly send images of your lesions to help you better." + }, + { + "id": 14089, + "tgt": "How can I confirm pelvic muscle weakness?", + "src": "Patient: Hello doctor, I am suffering from pelvic muscle weakness. I want to know is there any blood tests or any other diagnosis. Doctor: Hi. Pelvic and lower back muscle weakness will give you symptoms of back pain and leg pain. You should do blood tests. Check for vitamin D and B12 levels. These blood tests are useful to check the vitamin levels in the blood which co-relates with muscle weakness of the body. You should also learn to do some physiotherapy at home like Mckenzie back strengthening exercises and core strengthening exercises, gluteal muscle strengthening exercises. Do these blood investigations and get back to me. I will suggest you the treatment based on the reports." + }, + { + "id": 11295, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8832, + "tgt": "Though my gum is healthy, I feel my teeth are loose. Please clarify", + "src": "Patient: Hi doctor, I am 21 years old. It feels like my front six teeth are clicking. I saw a bit of blood whilst brushing my teeth, so flossed more rigorous than usual and now I feel like they are moving. My gums look healthy and I swilled with salt water as it is supposed to be good for healing. 7 years ago, this happened once when I got my braces off and the orthodontist told me that my teeth are settling. I do have a wisdom tooth coming out. Now, flossing seems to stabilize them and they only wobble after I eat. My dentist has previously said that my gums are healthy. Doctor: Hi. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4415, + "tgt": "Am I having chronic diarrhea due to autoimmune disorder?", + "src": "Patient: Hello doctor, I am 28 years old, female, 2006DLBCL, treated with 8 RCHOP and radiation, remission ever since last 15 years diarrhea, got worse for last 2 years, they suspect autoimune. Doctor: Hi. Looking at your clinical history and present symptoms, my opinion is as follows: 1. Chronic diarrhea is really difficult period. Patients with autoimmune disorders are very much prone to lymphomas and risk is always present. Previously probably, you were not diagnosed with autoimmune disorder and DLBCL was possibly your first diagnosis. Females are at a higher risk of autoimmune disorder, and can be present with localized or systemic manifestations. Infections would not usually present for this long and this amount of chronic diarrhea should be autoimmune. Rarely recurrent infection due to immune suppression, secondary to CHOP therapy could be present. 2. Investigations necessary are: Stool examination to rule out infections - bacterial or parasitic. Also any presence of blood requires evaluation. Fecal fat estimation can be done and if positive, points towards malnutrition. Colonoscopy to rule out ulcerative colitis or crohns disease (autoimmune disorders). Biopsy is necessary for confirmation. Other causes could be irritable bowel syndrome (if no cause is identified), or malabsorption disorders. Possibility are rare at this age. Get a colonoscopy and endoscopy done. If any ulcerations is seen, biopsy needs to be taken. Based on biopsy further treatment is essential. Biopsy can help in identifying, whether you require medical or surgical line of therapy. Do get a colonoscopy and stool examination done. Due to absence of reports, I cannot comment further. Take a fiber rich diet. Increased risk of malabsorption and malnutrition is going to be present along with decreased body fluid volume. Take good amount of fluids along with a balanced diet. Avoid unnecessary medications and drug interactions can also cause diarrhea (At present, difficult to suspect this long)." + }, + { + "id": 28522, + "tgt": "Is lifestyle changes enough to get my cholesterol back to normal?", + "src": "Patient: Hi doctor,I am a 5.10 feet and 203 lbs male. I have been a binge drinker, drinking about 24 to 32 beers a week, and now have quit drinking from three weeks. My cholesterol was at 248. I have now been exercising 30 to 40 minutes on a treadmill, quit alcohol, quit bad fats, I eat oatmeal every day and eat fruits, vegetables, etc., almost extensively. I am also taking 1200 mg of fish oil daily. My doctor wanted to start me on Statins, but I refused. I wanted to see what my reports looks like in six months. I have heard bad things about that medication, and I honestly believe all my lifestyle changes will help. Is this going to be enough, to get my cholesterol back to normal? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 585, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18719, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23185, + "tgt": "My entire foreskin is swollen and red. Is it due to the steroid cream I used?", + "src": "Patient: Hi doctor, I am 51 years and nondiabetic. It seems I am suffering from balanitis for the past two weeks. Earlier, I had the problem of ringworm, but then after medication of Clotrimazole ointment and oral tablet Terbinafine, it was treated. After a couple of months of that problem, I noticed two weeks back, red rash on the ring of my glans and foreskin with burning sensation. I checked on the internet and used Clotrimazole ointment with FourDerm and Terbicip. It got subsided, but every time after a bath, it emerged. I also keep hygiene around my genitals and also washed it with warm water with salt. However, it did not get cured but remained controlled. Two days back, I consulted a dermatologist, and he suggested to stop all that and instead apply DK Gel and take AF 150 orally, one tablet every three days after dinner. It has become redder and has covered the complete foreskin with redness and swelling. I checked with the dermatologist, but he said it is due to the use of steroid FourDerm ointment, and that it will subside in 7 to 8 days. It burns and is too sensitive even if it touches the cloth. I am attaching a picture of my penis. Please help. Doctor: Hi. By your complaints and the picture (attachment removed to protect patient identity), your concern is balanitis. What your dermatologist had suggested is appropriate. You are facing side effects due to potent steroid in FourDerm (combination of Chlorhexidine, Clobetasol, Miconazole, and Neomycin). You can continue what your dermatologist had suggested. I suggest applying DK gel (Miconazole) at bedtime and Efficort 0.127 % (Hydrocortisone) mild medicated steroid in the affected areas until redness subsides. Try taking Crocin (Paracetamol) 500 mg, as on required to reduce pain. AF 150 mg (Fluconazole), weekly once after dinner. This will help you. Do not worry. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23978, + "tgt": "Does my MRI show any evidence of mastoiditis, meningitis or subdural empyema?", + "src": "Patient: Hello doctor,My symptoms are extreme nausea, headache (mainly right posterior), and very stiff neck. I started with a severe middle ear infection on the right side. Does my MRI show any evidence of mastoiditis, meningitis or a subdural empyema? Doctor: Hi. Your MRI scan images are available and I have viewed it (attachment removed to protect patient identity). There is a mild bright abnormal signal intensity in the right mastoid area and the left side is clear. Abnormal signal in mastoiditis means brighter on T2 and contrast images. This can mean that you have a right middle ear infection which might have involved the right mastoid bone and this is known as otomastoiditis. I have enclosed a picture of the area in a red circle in the attachments below. There are no features of meningitis and subdural empyema. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 25870, + "tgt": "Can reduced feeding help cure 'pain while passing motions' in an infant?", + "src": "Patient: Hello doctor, My daughter is one month old. Her birth weight was 3.6 kg. After 15 days, she weighed 3.8 and then later she weighed 4.2 kg. Now, her current weight is 4.35 kg. She seems to pass drop by drop motion of about 15 to 20 times a day and she has some sharp pain followed by some intermittent pain while passing motions. We did a motion test today morning and I have attached the lab report. Is it something that has to be worried or is it normal? What can be done to cure her pain while passing the motion? We started giving syrup Ascazin 1 mL in the morning and in the night as per the recommendation of the doctor. Also, we reduced feed from 10 to 12 times a day to 7 to 8 times a day. Will this cure her pain or do we need to give any additional medications to her? Please advice. We are giving Ascazin syrup for the past one week. We are only breastfeeding from the beginning. There is no external milk. Please opine. Doctor: Hello. I have gone through the lab reports (attachment removed to protect patient identity). You need not worry. This is common in children of this age group. You need not reduce the amount of feeding nor you have to start any other medication. The report is also fine You just need to keep breastfeeding the baby. Avoid any external or formula milk. You can continue the same medication what you are giving. If the problem persists, just stop breast milk for a day and start a lactose-free supplement such as Zerolac or Nusobee. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Breastfeeding can be started once motions are normal. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22102, + "tgt": "What is the cause for neutropenia?", + "src": "Patient: Hi doctor, My son is 15 months old. He was diagnosed with neutropenia. The neutrophils are critically low. My question is whether the illness is related to cancer? Also, what kind of treatment can be given? Doctor: Hi. I have reviewed your query and here is my advise. When there is a decrease in neutrophil count, the chances of infection are more. So, a close clinical observation is needed. If any unusual fever, dyspnea occurs, you should consult the doctor immediately. The low neutrophil count will not cause cancer. Infections can suppress the bone marrow and makes the count low. The CBC (complete blood count) report with peripheral smear examination report has to be checked for giving more comment. You can attach your report for giving more comment. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24613, + "tgt": "I am struggling with body image and want to become slimmer. What to do?", + "src": "Patient: Hello doctor, I am a 19-year-old female dancer and my weight is 8.5 stone and my height is 5 feet 5 inches. I am currently struggling with issues of body image, being a dancer. I always feel I need to be slimmer than I am and it has got to a point where I feel that I should eat very little and occasionally have made me sick. I also have confidence issues which hold me back with dancing and this happens in everyday life too and I feel scared to talk to someone that I do not know. Doctor: Hi. I have read your query and I can understand what you are going through. I am sure you understand it is only your mind which is making you think you need to be thinner. Are you aware that there are many many dancers who are fat, really fat and they dance like a pro and are so flexible? Also, there are many dance forms which require you to have some body fat like the belly dancing. As you are aware that your body image issue is a big issue and needs attention, if you love yourself, I would request you to go to a psychologist or be very regular here to get the treatment you deserve and get better. If you decide to write back, please respond to the questions written below. Your answers will help me in understanding your situation better. Since when have you realized you have some issue? What have you done to take care of it? What form of dance do you do? Has anyone told you that your body is not nice? Revert with more information to a psychologist counselor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 30608, + "tgt": "Kindly give your inputs regarding my annual health report", + "src": "Patient: Hi doctor, I have done a health checkup and I like to get your inputs regarding the report. Thanks in advance. Doctor: Hi. Revert back with the answers to the above questions to a family physician online -->https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4682, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14032, + "tgt": "Other than medicine, what are the available options for anxiety in a subclinical hyperthyroid person?", + "src": "Patient: Hello doctor, I am a 52-year-old male that has suffered from anxiety and anxiety attacks for years. About a year ago during a stressful time, it got worse. It seemed I was nervous all the time, apprehensive, basically felt terrible. This only made anxiety worse, etc. I take a low dose of Klonopin and really do not like to take that. My doctor prescribed SSRI which seemed to make things worse. All the time affecting my functioning with my job and whole life. Recently, I was diagnosed with subclinical hyperthyroid. Scans and uptake all appear normal. She wants to put me on a low-dose of anti-thyroid medicine. I am so confused because I do not like taking medications but want to feel better. Will this help and can you ease my anxiety over taking the medicines? Doctor: Hi. I have read your query. Anxiety requires a two-way approach for its management- psychotherapy, and medication. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you. Psychotherapy: This involves talking about your anxiety to a therapist so that you do not keep your fears to yourself. Not just a therapist, I feel you should talk about it with anyone you are comfortable with. You can make some lifestyle modifications too to help you. Be physically active. Develop a routine so that you are physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities. Quit smoking, cut down alcohol and drinking coffee. Both nicotine and caffeine can worsen anxiety. Use relaxation techniques like meditations. Keep calm and breathe. Self-talk helps too. Make sleep a priority. Eight hours of sleep is considered adequate. Eat healthy. Medications: This requires trial and error to choose a medicine that you can tolerate well. I feel SSRI's are a good choice. Please take the medicines for at least a month to see if you have adapted to it before switching to another one. And if you feel better with Klonopin, you can choose to take it. Subclinical hyperthyroid: It is caused when the thyroid startshyperfunctioning but it is not detected clinically. Symptoms include palpitations, tremor, heat intolerance, sweating, nervousness, anxiety, reduced feeling of well-being, fear, hostility, and inability to concentrate. I feel your symptoms of anxiety are aggravated because of subclinical hyperthyroidism. So I would advise you to start taking antithyroid medicines as they would control the level of thyroid in the body and hence help in reducing the symptom." + }, + { + "id": 30766, + "tgt": "Is Mometasone dangerous to use on Face to clear my acne pimples?", + "src": "Patient: Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? Doctor: Hello. Acne is a universal issue in the age group of 15 to 25 years due to hormonal changes in adolescents. However, there are multiple effective treatment options depending on the grade and severity of the problem. Mometasone is a topical steroid and is to be avoided strictly on the face and for acne as it can harm your skin in the long run. Acne is dependent on hormones hence excess masturbation may sometimes lead to an increase in the problem. I would advise you to stop Mometasone immediately and kindly upload appropriate images to help us assess your current grade of acne and treat you better. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16395, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23837, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 45, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 8002, + "tgt": "Can piles cause severe pain while passing stools?", + "src": "Patient: Hello doctor, I have been having serious pain when going to the toilet but the pain lasts for anything up to 8 hours after. I sometimes have blood on the toilet paper as well. I have been to the doctor before and even took myself to the hospital and after a small rectal exam every time they tell me it is a pile or hemorroid. I am convinced it is not because this has been going on for three years now. How can something so natural cause me so much pain? It even gets to the point where it wakes me up at night in agony depending on when I last had a bowel movement. My actual bum hole is worrying me as well. It started off as a little tear (fissure), now I have got a big tear with what looks like a skin tag hanging off it as doctors in the past have said. It cannot be a skin tag as if you look properly it is actually part of my bum hole as there is a part missing. Doctor: Hi. I feel very saddened of your symptoms. I have seen many patients with this problem, which causes unbearable pain and anxiety to them. You may be having either anal fissure or piles, but the treatment is almost similar. 1. Eat lot of vegetables and whole grains. Fiber will heal the problems quickly. 2. Eat a different fruit every day. Avoid spicy and oily foods. 3. Never forcefully defecate. This will increase the tear or hemorrhoid. Use your stool softener twice a day. 4. You can take an ayurvedic drug for a long time basis for complete healing like Pilex tablet twice a day for 3 to 4 months. 5. Take Calcium Dobesilate tablets at night for a month. 6. Buy Calcium Dobesilate containing hemorrhoidal cream. It has an applicator (a cone with hole in both ends), insert it into anus and press the tube morning and night. 7. Is your blood pressure under control? Sometimes increased blood pressure may also cause hemorrhoid or fissure. By doing this you can see your pain and other symptoms slowly relieved in two to three months. If the problem increases, please opt for surgery. It will give you faster recovery." + }, + { + "id": 1858, + "tgt": "How much of medications should I take for schizophrenia without it affecting my professional life?", + "src": "Patient: I have schizophrenia and am on medication. My query relates to how much of medication to have that it has least impact on my professional life. My earlier symptoms related to auditory hallucinations and these were handled through medication and a visit to the rehab for 4 months, last year. I am currently consulting a doc, but he is unavailable during these times and I would like to change my doctor too. I am six feet tall and 87kg in weight. I was first diagnosed as a schizophrenic some 4 years ago. The medication I am taking are Asprito 40mg, Olimelt 10 mg and Divaa OD 750 mg. Doctor:" + }, + { + "id": 22690, + "tgt": "There is pain in both legs if AC is on. What could this condition be?", + "src": "Patient: Hello doctor, This is regarding my father who is 58 years old. For the past two months, he has had a pain in both legs - down from the knee to the foot whenever he sits in his office room that has an AC. He says that if he sets the temperature to over 26 C, the pain recedes in about half hour. What could this condition be? This did not happen before and started only two months ago. Doctor: Hello. Bilateral knee osteoarthritis can cause this pain which can be affected by temperature. Also, the calf muscles attach at the back of the knee joint and go right till the heel. So pain of the knee can cause this. The other possibility is vitamin D deficiency along with vitamin B12 which causes sarcopenia and muscle weakness, also electrolyte imbalance can cause muscle pain. He will require the following: Follow up with reports. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 29390, + "tgt": "Please read my CT scan and explain about the stomach pain", + "src": "Patient: Hi doctor, I am suffering from stomach pain for 10 years with diarrhea and constipation. Also, there has been on and off liver pain and\u00a0pain around my female area. I got married for 10 years. I had five healthy pregnancies and nine\u00a0very early miscarriages in between for unknown reasons. I have a history of mild abnormal paps. I had biopsies come back with mild CIN each time, and it has been going on now for 12 years. I feel tired all the time. I have got blood in the toilet today. I am also having a history of constipation,\u00a0diarrhea and\u00a0mucus in stool. I feel\u00a0bloated stomach with an\u00a0appearance of about 5 months pregnant in the mornings and 7 months pregnant in the\u00a0evenings. But, I am\u00a0not pregnant. I got a sudden weight gain of 30 pounds around 9 years ago.\u00a0I would like you to read my CT\u00a0scan. Thank you. Doctor: Hi. For further information consult a radiologist online -->https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 25005, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14578, + "tgt": "Would a cardiologist find out where catheter ablation was done without seeing the report?", + "src": "Patient: Hi doctor, Approximately 15 years ago I underwent a catheter ablation procedure to fix an irregular heartbeat. It was cured. My question is that can a cardiologist, who did not do the ablation, see exactly what was done without seeing a report of the procedure? I am currently taking Symbicort 200. Doctor: Hello. I understand your concern and would explain that a cardiac MRI can reveal the site of fibrosis, which correlates with the ablated region, in the myocardial tissues. This way a cardiologist who examines the cardiac MRI even years after the procedure can localize exactly the region of ablation, without the ablation procedure report." + }, + { + "id": 17294, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 764, + "tgt": "I am 22 years old and not able to acheive full erection. Why?", + "src": "Patient: Hello doctor, I have ED problems for about a year. I am 22 years old, healthy, active, no other physical health problems. A possible reason for this is I had a bad case of blue balls on a night and was not resolved until the next morning. I believe this may have affected my veins in my testicles. My ED may be mentally too, like libido, but I do not think that as much as a physical problem with blood flow. Please help. I did a test with that gel stuff on testicles and x-ray type thing and they said nothing wrong. Doctor: Hello. I would like to know a few information about your general health. Is ED present all the time or noticing association with anything particular? Do you take any medications in general or anything for ED? The most common cause for ED in your age is psychological. Any undue stress in life? Any family history of medical problems diabetes, cholesterol, etc? Do you have a partner? Any change in partner recently? Any relevance you notice either this? Also, I am not very sure what blue balls exactly describe. But seeing that you have had an ultrasound of scrotum, I think it is unrelated to ED. Scrotal scans are not relevant for ED. So need more information on how and why you had this? Stress, psychological. Check fasting lipids, glucose, thyroid and testosterone levels. Also need the reports of scans, consultation reports already done. ? Varicocele (incidental not a cause for present complaint). Anorgasmia. Dysejaculation. All these are far less likely. ED (erectile dysfunction). Ensure no stress, take help if needed. Reassure that ED due to pathological cause at this age is unheard of. Try a dose of drugs like Viagra, purely to see responset. It is not recommended as long term until we have further information. Relaxation techniques. Avoid stress. Reassure positively. Highly recommend to take proper urological consultation to work up properly either locally or online." + }, + { + "id": 10898, + "tgt": "How good is Albenza for a raccoon roundworm exposure?", + "src": "Patient: Hello doctor,I am concerned about a possible raccoon roundworm exposure. I have read that I can take a prophylactic 10-day course of Albenza to keep any eggs from entering my CNS. I might have type 2 diabetes for a while and have put off bloodwork to find out. I am a glaucoma suspect based on the last eye exam. How hard is Albenza on the body? Is it generally well tolerated for many days? Do immediate side effects get better after a few days? Doctor: Hello. Albendazole 400 mg single star dose is enough for prophylactic deworming. 10 days course is not required. Usually, it is very safe and is well tolerated. A rare side effect is a seizure, that can happen if the worm is already lying dormant in your CNS. I generally prefer a three-day course of Mebendazole 100 mg twice daily as it does not enter CNS and so there are no changes of seizures. I hope it helps. If you have any further queries, please ask me." + }, + { + "id": 28449, + "tgt": "All my reports are normal. Why do I still have tremors in my hands?", + "src": "Patient: Hi doctor, I am a 32 year old male nurse, and I started having tremors in my hands when holding small objects like needles and catheters, since 3 to 4 years. It made me anxious as the tremors got worse every time\u00a0I inject. Before, I had to hold my head still to hear the Korotkoff's sound while measuring BP. \u00a0I always used to feel my head shaking. I remember being a kid and trying to play flute\u00a0and trembling like crazy. My thyroid, calcium, sodium, potassium, chloride, magnesium, copper, antinuclear antibodies, rheumatoid factor, GGT, CK, etc., are all normal. I got an ECG done a year back, and the reports said derivations in the muscles deltoid, biceps, common extensor of the fingers, and first inter-bone dorsal shows no signs of neurogenic or myogenic atrophy. My tremors get worse after exercise, and they are horrible when I am nervous. If I am opening a heavy door, the arm shakes, if I am doing push-ups or planks, my whole body trembles like crazy. If I need to push a little harder on the syringe while injection, the tremor starts. When I draw a medicine from a vial before administrating, I have to close my arms to elbows, so I do not tremble. I do not smoke\u00a0and drink, not even coffee or tea and eat the best I can. I am only taking Finasteride and topical Minoxidil for male hair loss from 10 years. I am very sad\u00a0because it is getting difficult to perform my job and no one in my family understands. I never missed one day in work, I have passed through three neurologists. The first diagnosed it as essential tremor, and asked me to take Primidone, it was horrible\u00a0and I had to quit. The second said that it was an\u00a0exacerbated physiologic tremor, and the prescription was Rivotril (Clonazepam). This diagnosis made me sad, as my family said over and over that it was all stress. Rivotril did calm me, but the tremor went on, so I quit it. The last neurologist after getting the electromyography said it was an essential tremor. I am confused now, as my mom trembles from hand but only when she is stressed. This tremor is not here all the time. When I\u00a0hold my arm on a table and get down to get something, my arm trembles instantly. My writing is fine, and I only have asthma, male alopecia, and a history of septoplasty. I took Valerian, phytotherapy, acupuncture, but nothing helped. Why do I have these tremors? I often feel my muscles tired, so I took vitamin D. The tiredness felt better but the tremor is still on. Is it essential tremor? Doctor: Hello. I hope this answers you, and If you have more questions feel free to write back. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2261, + "tgt": "I have itching and rashes in hands during specific climate. Please help", + "src": "Patient: Hello doctor, I just want to consult about my skin condition that happens annually. Every year, my hands has this condition where it will itch and form rashes with liquid inside then skin itself. Most of the time, it starts on December then end on February, however it differs every year. This year it started on March and up to now. I experience this every year, as in yearly so I assumed it is normal. It is not hereditary, I assume, because none of my family members is experiencing it other than me. My mother told me that maybe it is because of cold weather which I agreed. It is there for the past 11 years. I have never consulted any professionals about it since it does not look severe. However, I am curious what is this condition called. Doctor: Hi. Seasonal itch and swelling over the exterior parts of the palms, soles ear, nose occur due to a type of cold allergy called perniosis orchilblains. Lesions for increased itchy sweling occurs mainly during the start of cold weather and end of the cold weather when there is temperature change in the environment. I am not sure which part you are living in as you have not mention. Treatment for this is avoidance of cold exposure, wearing warm clothes. Calcium dobesilate gel twice daily. Diltiazem 30 mg tablet BD for 2 weeks during the lesions. For itching you use Loratadine10 mg once daily for two weeks or whenever there is itching. Apply aloevera moisturizing cream over the hands multiple times with rubbing of the hands and feet and the parts so that good circulation bring warm blood flows into those area." + }, + { + "id": 12000, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26674, + "tgt": "Why is there a burning sensation in my vagina?", + "src": "Patient: Hi doctor, I am a\u00a025 year old unmarried girl. I am 5 feet and 3 inches tall, and my weight is 80 kg. I usually have a white discharge. Now my major problem is that for the past one month, I started to have irritation in my vaginal area. I checked in the\u00a0mirror, and it was red. I do not know whether the vagina is normally red or not. But for some days in the evening, or after meals I used to feel a\u00a0burning sensation. Initially, I thought they were because of spices in food. But one night, I felt like I had constipation and intense burning, and I felt like sitting on the toilet for the whole time. Now, yesterday the burning started in the morning without having any food. Sometimes, I feel the pain in one nerve from the stomach to the\u00a0vagina, and sometimes I feel like my uterus is filled with gas, and sometimes it hurts under the stomach and above the vagina. Yesterday evening I went to a gynecologist. She gave me the AF kit and Candid ointment to apply. First,\u00a0I did not know how to use it, and due to shyness, I did not ask as well. After coming home, I was in great pain due to burning in the\u00a0vagina, so I decided to apply it. When I was struggling to apply it, I found thorn-like sharp things\u00a0near the vaginal opening.\u00a0I felt them, although they are not visible in the mirror. I could feel as if multiple needles are there. The skin is that way. I am tensed about the sharp things. Please tell me what they are. Are they normal? Please suggest me about my condition. How to use these creams? What are the possible reasons for the infections? I have changed my panty brand and bought a cheaper one this time. Can this be the cause of the infection? Doctor: Hi. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5220, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15700, + "tgt": "What diet can be followed to reduce pitta dosha?", + "src": "Patient: Hello doctor, I take Thyronorm 50 daily. TSH is at 4 but free T3 is low, at 4.0, causing lethargy. I was recommended TFN-34 but last two months they have not helped. Any alternative to TFN-34 and how to increase energy levels? Also, my prakruti is Kapha-Pitta and in the afternoon I get a severe headache but to increase in pitta dosha, my lunch is generally veggies, pulses with minimal raw salad. I do not consume ghee. So, please help me with diet part to reduce pitta dosha. I have no acidity symptoms. Doctor: Hi. You continue both these drugs. I think the Thyronorm dose could be increased slightly after discussing with your clinician, which will reduce your lethargy. You also consume more cumin, turmeric, coriander, small onion, cardamom, in food. They can balance pitha. You buy Eclipta alba, dry it and store it. Daily you should add bringaraj 5 gm, jeera 5 gm in 150 ml of milk or water, boil for 20 minutes, then filter and drink. This needs to be done morning and night regularly. Prepare freshly every time. This will help in regulating the thyroid hormonal feedback system, give adequate energy and also balances three doshas (vaatha, pitha and kabha). Also apply bringaraj hair oil daily on hair, half an hour before bath. This also helps in balancing piththam and kapha." + }, + { + "id": 2422, + "tgt": "Why do I have small cut like lines on the top of my tongue?", + "src": "Patient: Hi doctor, My tongue feels numb and dry every morning. When I eat some food recently my mouth started to burn. Then, I noticed some small cut like lines on the top of my tongue. Then do not hurt unless the food is hot. They sting if I eat certain foods. I am extremely concerned. Doctor: Hi. Thank you for sending across the photographs (attachment removed to protect patient identity). For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14121, + "tgt": "Pregnancy test had two mildly visible lines, but it is now negative. Please suggest", + "src": "Patient: Hello doctor, I had unprotected sex six weeks ago and my period was late for two weeks. I used the first PT when my period was five days late and it has two lines but it is not that visible. After three days, I tried again and it is already negative. Up to the two-weeks late period, all PT are negative. But I am still worried. I do not experience any signs of pregnancy except my breast is aching, abdominal pain, and missed period. I am worried. Doctor: Hello. An initially positive pregnancy test that later becomes negative can happen with very early miscarriages. Such miscarriages can occur with little or no initial blood loss. These are termed chemical pregnancies, as they are lost before they attach to the womb and before they grow big enough to see on ultrasound. Only the pregnancy hormone is detected. The fact that you have still not had your menses needs to be investigated. Although it may be normal to have a delayed return of ovulation and menses after a miscarriage. The same pregnancy hormone detected in the urine pregnancy test can be done by a blood test for greater accuracy. An ultrasound may also be beneficial to identify any other cause for your missed period and your abdominal pain. Did you have a history of irregular periods before this episode? For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25167, + "tgt": "What medicines can help treat renal hypertension?", + "src": "Patient: Hello doctor, I have renal hypertension. I am on Cilaheart 20 BD. My BP is 160/100. My creatinine is 4.18 and urea is 104. Please help. Doctor: Hello. I suggest you add up a diuretic like a tablet Torasemide 10 mg once daily along with tablet Arkamin (Clonidine and Hydrochlorothiazide) 0.1 mg thrice daily. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. These would be able to get your blood pressure well under control. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 19079, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25504, + "tgt": "Are steroid injections safe for fetal growth?", + "src": "Patient: Hello doctor, My first baby is healthy and my blood group is A positive and my wife's blood group is B negative. Now, my wife is again pregnant and has completed 26 weeks of pregnancy. She has developed antibodies and the latest ICT with titer test results show 1:64. Last week, we also did sonography and that did not have any impact on the baby. Now, the doctor suggests giving some steroids in this week which will help to develop the baby's lungs faster to prevent any complication. Is it safe? If my baby's blood group is also negative then are there any possibilities for antibodies to develop in my wife or does the baby's blood group does not matter at all? Should I go ahead with NIPT to find the baby's blood group? Doctor: Hello. Since your blood groups are negative, there is nothing to worry about. Yes, you can go ahead with injection for babies. They are safe. You need not go for a test to detect your baby's blood group as it is not an issue. However, if you have a doubt then get back to me. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21050, + "tgt": "Why am I having persistent cough and high ESR?", + "src": "Patient: Hello doctor,I am having persistence cough for over four weeks and high ESR of 66 and X-ray result show swollen lymph nodes as well but just finished using antibiotics and cough syrup. Presently cough has reduced. Please help. Doctor: Hello. I have reviewed your query and here is my advise. Your mentioned symptoms could be from a bronchitis-like inflammatory condition and so, enlarged lymph nodes can be present. Your symptoms have improved and so, now no further medication is advised and close clinical monitoring is advisable. Take one teaspoon turmeric powder with milk daily. Drink lots of water. Steam inhalation done three times a day with warm water. Enlarged reactive nodes will be returned to normal in size in few days. So repeat your X-ray after a few days. Meanwhile, if any fever or an aggravating cough occurs, then report to your doctor. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25970, + "tgt": "I need a skin lightening cream made with natural ingredients. Please advice", + "src": "Patient: Hello doctor, I would like to make a personal skin lightening cream for myself that is 100% natural and contains ingredients such as potatoes, lemon, aloe vera, turmeric. I would like a further make it extremely potent and strong and other natural ingredients to be added. I need your expertise on this. Please kindly let me know if this would be possible along with the concentrations of each. Doctor: Hello. I understood you are skeptical using some chemicals on your skin. So for you, I can very confidently suggest Crystal Tomato skin clarity cream (depigmentation cream), which is almost chemical-free and made from botanicals. It has been clinically proven to be effective in skin lightening. It is made from natural extracts of tomatoes. It is a very popular cream in some countries for skin lightening. We are using it in our practice and seeing wonderful results. You need to apply it twice a day for three months to see visible results on skin tone. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 9772, + "tgt": "I am experiencing bumpy dots after having protected sex. Does this indicate HIV?", + "src": "Patient: Hello doctor,I recently had unprotected sex with a prostitute last month. I had a condom with me for the starting the last five minutes she took off the condom and put my penis into it for about 5 minutes or lesser. For a few days, I have nothing because I did not know much about HIV only heard it before, so one day, I scroll through my feed and saw something about HIV.Then I search about it after which I started to get scared and worried. Later on, I feel stress. I went for a rapid test two weeks after, and it comes out as false negative. Although I know this is not a confirmed result, I went for a check to relief myself. I have eye fatigue, muscle soreness, leg weakness, some not red bumpy dots on my hand is not itchy.A little muscle pain and insomnia. I ate a lot of fruits and doing exercise lately. Between there is the one I suddenly woke up in the middle of the night and been waking up early these few weeks. I am still young. I do not want to ruin my future of these little mistakes. I regret what I have done. Now it is the fourth week I am going to go for another check-up next week. Doctor: Hello. I want to bring some of the recent facts about HIV tests. Studies have shown that the recent tests are highly sensitive and specific and HIV seroconversion (positivity) could be detected within one to two weeks after the onset of illness by the majority of the currently available tests. There are guidelines which have mentioned that four generation test can detect 95 % infections four weeks after exposure. Negative test after four weeks needs to be confirmed with the second test three months after exposure. The symptoms which you are having could have multiple reasons and could be just a coincidental finding at this time point. Continue with exercise and proper diet. I recommend you to take precautions in the future (consistent and corrective use of condoms). I hope my reply has helped you, but, if you still have any more questions, please revert." + }, + { + "id": 28201, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22107, + "tgt": "My wisdom tooth is coming out and it is a bit painful. Please advise", + "src": "Patient: Hello doctor, I am 23 years old. I have a dental issue. My wisdom tooth is coming out and it is a bit painful. Although the pain has reduced, I guess there is an infection. There is a cyst underneath my jaw. Doctor: Hi. First of all, regarding the swelling, which you assume to be a cyst could be a lymphadenopathy (swollen lymph node). It shows that there is some inflammation or infection process going on. Regarding the wisdom tooth, if it has space and is in a correct position, it will come out or chances are there for it to be impacted. An OPG will be needed to assess that. For now, go and consult your dentist for examination as the pain could be due to pericoronitis (inflammation of the gums covering the erupting tooth). Do lukewarm water salt gargling. I suggest taking Aceclofenac 100 mg after food morning and night, in case you have severe pain; otherwise, no need. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. If you have acidity, I suggest Pantoprazole 40 mg once daily half an hour before food. For the inflammation/infection, you can take capsule Amoxicillin morning, noon and night after food for five days. But, these are symptomatic treatment. Kindly meet your dentist for the examination and treatment plan. If you have decreased mouth opening, then also, do not worry, these medicines will help relieve it. Consult your dentist as soon as possible. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 29768, + "tgt": "After starting a new birth control pill, my periods have become irregular. Why?", + "src": "Patient: Hi doctor, Last month, I started a new birth control pill and I bled nearly about 20 days or more. This month I was really late. But, my boobs were extremely sore. I am extremely sexually active with my boyfriend. Then, I bled heavily for a few days with clots and the pain was so extreme. I had nausea. But, before I felt sore boobs, fatigue and peed a lot. I was concerned that I could be pregnant. My bleeding stopped and I am spotting again after two days. But, my hCG levels are low. Why? Doctor: Hi. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4983, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 5978, + "tgt": "I had intercourse with female sex worker and I am worried about HPV. What to do?", + "src": "Patient: Hello doctor, I am a 29-years-old male. I had intercourse with a female sex worker five years ago. Since then I do not have any sex with any one. Now I am getting married in a few months. So I took a pre-marital checkup and the result was nil and non-reactive for HIV, HSV 1 AND 2, HCV, HBS, chlamydia, and syphilis. But I am worried about HPV. I did not get any warts but still, I am afraid. Are there any risk of HPV related cancers for me or my partner? Doctor: Hello. I have gone through your query. Presently there are no tests to confirm HPV (human papillomavirus) infection in males. Warts can develop even years after the infection is acquired, therefore it is never really possible to know whether you are infected or not unless you develop a clinically visible lesion. Since you never had any visible growths or warts on the genitalia during all these years, therefore, it is likely that you are free of infection and never even acquired it in the first instance. Regarding the risk of cancer, only certain types of HPV (e.g) HPV type 6, 11, 16, and 18 are associated with an increased risk of cervical cancer in females, and not in males. In females, PAP (Papanicolaou) smear can be performed every year to look for any atypical cells. I think you can go ahead with your marriage without any fears at this time because there is no way you can even know whether you are infected or not." + }, + { + "id": 6952, + "tgt": "I have skin tag-like bumps on my vagina. What are they?", + "src": "Patient: Hi doctor, I have noticed that my left inner labia are swollen and a little itchy. I thought that the itch comes and goes and it is definitely not a constant one. I have no unusual discharge and it does not burn or pain when I pee. I noticed that there is a tiny smooth skin tag-like bump\u00a0on the labia that is swollen. I am aware that skin tags do not occur in moist areas, but it is most definitely does not resemble a wart. I have a gynecologist appointment in a day. But, I am a little concerned at the minute. Doctor: Hello. Revert back with the photos to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16154, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25857, + "tgt": "I am six weeks pregnant and have an ovarian cyst. Should I be worried?", + "src": "Patient: Hello doctor, I am a 30-year-old female. I am six weeks pregnant and have an ovarian cyst. I had light spotting this morning and doctor advised me Isolan and alternate hCG injections. I have UTI and a constant uneasiness in the uterus. My current medications are Duphaston, Ecosprin, Vomidox, Isolan, and weekly hCG injections. Of note, my TSH is 6.53. Kindly help. Doctor: Hello. Sometimes, the corpus luteal cysts are there to support the pregnancy. They dissolve over a period of time.and therefore require progesterone supplements to support the pregnancy. Follow the instructions of your doctor. She has given all necessary medicines. Take rest for a week till bleeding subsides. Get your UTI (urinary tract infected) treated. Otherwise, this will create a problem. So, get urine culture and sensitivity done and take antibiotic according to the sensitivity report. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1307, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3083, + "tgt": "In an accident, my blood contacts with blood of other person. What is the possibility of HIV?", + "src": "Patient: Hi doctor, I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction? Doctor: Hello. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps." + }, + { + "id": 27167, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26561, + "tgt": "Are itchy marks on the breast a sign of breast cancer?", + "src": "Patient: Hello doctor, I have two indented lines about 1 inch long across the top of my breast. I noticed them this morning, and they have not gone away. Should I be concerned about this? Is this a sign of cancer? Doctor: Hello. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. Regards. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5114, + "tgt": "I have itchy dry white patches on the palm, neck and arms for a long time. How to cure it?", + "src": "Patient: Hello doctor, Some white rashes or patches have grown up on the upper portion of the palm, behind and the left side of the neck and arms. They itch when they become dry. I applied Candid B for a few weeks but could not get rid of it. It has been quite a long time with this. Doctor: Hello. Thank you for the query. The photos are not clear. (attachment removed to protect patient identity). It shows a lichenified lesion on the dorsum of the foot and hypopigmented lesions on dorsum of hand, neck and in other site lesions are not shown. Duration, presence of allergies, occupation, etc., is not clear in your query. It may be due to allergic contact dermatitis going for lichenification and hypopigmentation. Try with steroid creams like Flutivate (Fluticasone) cream. Take antioxidant capsules like Oxidon or Oxivit, and Cetirizine when itching. Avoid allergens and rubbing friction. Consult a dermatologist if it does not respond. Else get back with photos of all lesions and details." + }, + { + "id": 8580, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7313, + "tgt": "I have a bump on the backside of the roof of the mouth. What could it be?", + "src": "Patient: Hello doctor, I have a bump on the right backside of the roof of my mouth. It is right next to the tooth that is farther back. It has pain when I brush my tongue over it. Also giving me a slight headache and earache. I recently went to the dentist for a cleaning, and they said my wisdom teeth were not even showing so what could this be? Doctor: Hello. I read your query, and it seems that the bump which is painful and which gives radiating pain to ear and head is because of your third molar and this tooth is infected as the food gets entrapped between the tooth and soft tissue covering that tooth. For this, avoid eating too hot or too cold. Wash out oral cavity after every meal with mouthwash and warm saline. Do not apply external heat to that area, especially keeping your hand on that area. Also, take antibiotic and painkiller. Antibiotic you can use is Amoxicillin and Clavulanic acid combination in 625 mg dosage bd. Painkiller can be Ultracet ((tramadol and acetaminophen) thrice a day." + }, + { + "id": 21575, + "tgt": "Is it dangerous to take Mebendazole more than twice a year?", + "src": "Patient: Hello doctor, Please tell about worm infection. I am 20 years old and had worm infection twice in the year and had also completed Vermox Mebendazole course of three days twice. Please suggest taking it again is dangerous to health or not? Doctor: Hello. Usually, you develop worm infestation when you consume food which is uncooked, not washed properly, or if you eat food out frequently (from the infected food handlers). You might want to take care if you are overdoing any of the above. Alternatively, you can take tablet Albendazole 400 mg single dose. Once in six months or once a year should be fine if you eat out frequently. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5906, + "tgt": "I rubbed my eyes after inserting my finger in my partner's vagina. Am I at the risk of HIV?", + "src": "Patient: Hello doctor, I always have low WBC since childhood. I had a blow job, and inserted my finger in her vagina, and I am afraid because I might have rubbed my eyes after that. Am I at risk for HIV? Doctor: Hello. The chance of transmission of HIV by blow job is almost nil unless, there are bleeding wounds in both the partners, in the area of contact. It is very unlikely. So there is almost a nil chance. The transmission of HIV by finger insertion is also nil. Skin is an effective barrier. HIV does not survive in the environment or on hands for long. So the chances of transmission of HIV through eyes is very very minimal or nil. So the risk is almost nil. If she is negative there is no risk at all. You can get her tested. You can also get tested by antibodies test after three months of exposure. Else do an HIV RNA PCR test after 10 days of exposure." + }, + { + "id": 28064, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7063, + "tgt": "My skin appears pale after a surgery. What should I do to improve that?", + "src": "Patient: Hello doctor, Three years ago, I underwent a foot surgery and lost a lot\u00a0of blood. I still\u00a0do not have enough blood and have pale skin. Previously, my skin appeared very fresh. I am taking supplements for calcium and iron deficiencies. Also, I have heavy menstruation. What should I do to\u00a0make my skin fresh again? Doctor: Hello,Welcome to icliniq.com. Revert with more information to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 6005, + "tgt": "I was diagnosed with LVH and my resting heart rate falls around 40. Are my issues reversible?", + "src": "Patient: Hello doctor, I was diagnosed with severe LVH due to anabolic steroid abuse the past two and a half years and training for more than three hours a day. I have made lifestyle changes and lost weight but my anxiety now gets the better of me. I have a family history of bradycardia my RHR is 40s and high 30s when I sleep or first wake up, it does not cause any symptoms other than freaking me out. My diastolic will dip into the 50s due to the Lisinopril, and that stresses me too. I live in constant fear of dying early, very early. Are my issues something you can come back from or even reverse? Would I have to stop exercising completely to make my heart shrink? Doctor: Hello. I passed carefully through your history and would like to reassure you that there is no reason to panic, as long as you have stopped physical training and anabolic steroids intake. You should know that LVH (left ventricular hypertrophy) is quite reversible in such a case after some months from stopping straining physical activity and anabolic steroids. So, there is no reason to worry about dying early. I would just recommend continuing light physical activity. I hope this helps." + }, + { + "id": 8302, + "tgt": "If routine and culture urine tests are normal, is chlamydia and gonorrhea test necessary?", + "src": "Patient: Hello doctor, If a persons routine and culture urine test is normal, does he have to do separate tests for chlamydia and gonorrhea? The patient has headaches and sleepiness throughout the day and burning sensation in urine at times. Doctor: Hello. No, not needed if there is no pus cells on routine examination. This also depends whether one is having symptoms or not. Occasional burning usually occurs due to dehydration and most of the times this burning is also associated with yellow urine which further suggests dehydration. So should drink plenty of water to avoid dehydration and burning. Also, patients with gonorrhea and chlamydia will have frequent urination, constant burning, fever, pus in urine, etc., which suggests infection and then needs some specific investigations, but not in your case. Do you snore at night? Do you get episodes of interrupted sleep, frequent awakenings or temporary stoppage of breathing as noticed by others? If yes, then there is a possibility of obstructive sleep apnea which will lead to excessive sleepiness, headaches, etc. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3388, + "tgt": "Why is my period late?", + "src": "Patient: Hello doctor, I am 33 years. I had emergency contraceptive pill last month and got my periods 39 days back for four days duration. But, this month still did not get my periods as expected. We had sex, but there was no ejaculation or precum discharge. So, we decided not to take any pill. Now, I have been feeling a little cramp like feeling in my lower abdomen as I feel during periods, but only water-like white discharge as in ovulation time coming out. Why is my periods late? Doctor: Hi. I-pill effect. Urine for pregnancy testing. Missing period following taking emergency pill. Revert back after the tests to an obstetrician and gynaecologist online ---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28722, + "tgt": "Can pregnancy occur outside uterus?", + "src": "Patient: Hi doctor, My periods are regular in 28 days. I did not get my periods of this month, and there is a positive confirmation in beta hCG test, the level being 1600. But, there is no sac found in transvaginal ultrasound in 5 weeks 2 days. The doctor told that if it can be outside the uterus. But, I have no pain or bleeding. Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10636, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2824, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4825, + "tgt": "What is the normal level of carbon monoxide in the body after a leak?", + "src": "Patient: Hi doctor, Recently been concerned about a carbon monoxide leak in my pick-up. Recently after a 3-hour interstate drive, I stopped and did a carboxyhemoglobin blood test, the results came back at 2.3 %. I felt that was on the high side of normal, so I took it to another exhaust place, he claimed it had a small leak, and repaired it. so this past week we took it on another 3 hour drive. This time my wife and I both tested again, mine came back at 2.2 and the wifes at 2.8 %. Is this normal after driving this distance or should I be concerned? Doctor: Hi, Welcome to icliniq.com. Carboxyhemoglobin level is raised by various reasons, and the inhalation of carbon monoxide is one of the reason. Our body has many mechanism to increase carboxyhemoglobin level. For you and your wife, the level is normal, and nothing to worry. Lab to lab variation, intra-instrumental variation human physiological variations are the reason for different values at different time points. In case of carbon monoxide poisoning, breathing difficulties, bluish discoloration of body (blood) are commonly seen. In such case just inhalation of fresh air can be helpful. In such cases the carboxyhemoglobin level is higher (than your levels). So I suggest to leave the worry. Go for brisk walking in fresh air daily and practice pranayama to balance the carboxyhemoglobin levels. If you want to repeat the blood test, can be done after some days. If the value is not doubled (below the doubled level), then it is normal. If values are doubled or more, only then it is the toxic influence." + }, + { + "id": 8658, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 29738, + "tgt": "Kindly advise regarding the oral cancer of my relative", + "src": "Patient: Hi doctor, One of my family members have recently been diagnosed with oral cancer. I would like to know how much dangerous it is. The final report of lower lip biopsy showed well differentiated squamous cell carcinoma. The patient is having sugar and BP problem. And for that, he is on Glycomet GP-1 and Tazlac.\u00a0Please advice. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24003, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21603, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5827, + "tgt": "My chest x-ray shows heart enlargement and I have intermittent palpitations. What to do?", + "src": "Patient: Hello doctor, I had bronchitis and they did a chest x-ray, it showed my heart was enlarged. My primary doctor did an echo and the results are below. My family history, maternal grandfather died of a blood clot that went to his heart and caused a heart attack. Mother died after a heart valve surgery in the early '50s, right ventricular failure and she had pulmonary hypertension. My brother just had a triple bypass for blockages two weeks ago. My personal health issues are high blood pressure well-controlled, sleep apnea, morbid obesity, acid reflux, IBS, peripheral edema, small hiatal hernia, anxiety well controlled. My primary doctor said the echo results were nothing to be concerned with at this point and want to retest in a year. However, I had an echo done five years ago and none of these issues were present then. With family and personal history what do you think? Only symptoms would be intermittent palpitations (not too often) and SOB on greater exertion.Procedure: A complete two-dimensional transthoracic echocardiogram was performed (2D, spectral and color flow doppler). Interpretation: Summary: Contrast injection was performed due to suboptimal images. Left ventricular systolic function is normal. The visually estimated left ventricular ejection fraction is greater than 55%. There is a mild left ventricular hypertrophy present. Respiratory variation of the IVC indicates normal right atrial pressures. The left atrium is mildly dilated. There is a trace amount of mitral regurgitation. The tricuspid regurgitant signal is inadequate for evaluating right ventricular pressure. There is a trace tricuspid valve regurgitation. No hemodynamically significant valvular aortic stenosis. No aortic regurgitation is present. There is no pericardial effusion. Left ventricle: The left ventricle is normal in size. There is no thrombus. There is mild left ventricular hypertrophy present. Left ventricular systolic function is normal. The visually estimated left ventricular ejection fraction is greater than 55%. The left ventricular wall motion is normal. Right ventricle: The right ventricle is normal in size. The right ventricular systolic function is normal. Atria: The left atrium is mildly dilated. Right atrial size is normal. Respiratory variation of the IVC indicates normal right atrial pressures. Mitral valve: The mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering, or prolapse. There is a trace amount of mitral regurgitation. Tricuspid Valve: The tricuspid valve is normal. There is no tricuspid valve vegetation. No significant tricuspid stenosis. There is trace tricuspid valve regurgitation. The tricuspid regurgitant signal is inadequate for evaluating right ventricular pressure. Aortic valve: The aortic valve is trileaflet. There is no aortic valvular vegetation. No hemodynamically significant valvular aortic stenosis. No aortic regurgitation is present. Pulmonic valve: The pulmonic valve leaflets are thin and pliable, valve motion is normal. There is no pulmonic valvular stenosis. There is trace of pulmonic valvular regurgitation. Great vessels: The aortic root is normal in size. Pericardium / pleural: There is no pericardial effusion. Thrombus / mass: No intracardiac masses identified. MMode / 2D Measurements: RVDd: 3.4 cm LVIDd: 4.9 cm IVSd: 1.1 cm LVIDs: 3.0 cm LVPWd: 1.2 cm FS: 37.6 % Ao root diameter: 3.1 cm EDV(Teich): 112.0 ml Ao root area: 7.5 cm2 ESV(Teich): 36.4 ml LA dimension: 3.3 cm EF(Teich): 67.5 % LA/Ao: 1.1 LVOT diam: 2.0 cm LVOT area: 3.1 cm2 Doppler Measurements \\T\\ Calculations MV E max vel: 100.0 cm/sec MV V2 max: 98.8 cm/sec MV A max vel: 93.0 cm/sec MV max PG: 3.9 mmHg MV E/A: 1.1 MV V2 mean: 69.4 cm/sec MV mean PG: 2.0 mmHg MV V2 VTI: 33.6 cm MVA(VTI): 2.7 cm2 MV P1/2t max vel: 99.8 cm/sec Ao V2 max: 157.0 cm/sec MV P1/2t: 61.2 msec Ao max PG: 9.9 mmHg MVA(P1/2t): 3.6 cm2 Ao V2 mean: 105.9 cm/sec MV dec slope: 477.0 cm/sec2 Ao mean PG: 5.5 mmHg Ao V2 VTI: 33.4 cm AVA(I,D): 2.7 cm2 AVA(V,D): 2.9 cm2 LV V1 max PG: 8.2 mmHg SV(LVOT): 90.2 ml LV V1 mean PG: 4.0 mmHg LV V1 max: 143.0 cm/sec LV V1 mean: 91.8 cm/sec LV V1 VTI: 28.7 cm PA V2 max: 119.0 cm/sec PA max PG: 5.7 mmHg PA V2 mean: 72.6 cm/sec PA mean PG: 2.5 mmHg PA V2 VTI: 22.1 cm. Doctor: Hello. I passed carefully through your medical history and cardiac ultrasound report. Your echo data seem to be fine, only there is a mild left atrial dilation. You cannot change your family history, but you can change and modify your lifestyle and your diet. The most important issues are to reduce your body weight, control your anxiety disorder, follow a physically active daily regimen. You should check your fasting blood, lipid profile, and glucose, and look after your blood pressure values." + }, + { + "id": 15338, + "tgt": "Exercises to do when one has ankylosing spondylitis with an Andersson lesion", + "src": "Patient: Dear doctor, Can you tell me which exercises are the best to do when one is having ankylosing spondylitis with an Andersson lesion apart from any outdoor exercises? Doctor: Hi. You have to inform us of your age, duration of symptoms, whether you are on any medical management, the extent of your body joints and spine involvement, etc. Considering all these have been done, I would suggest you concentrate on deep breathing exercises and pranayama. Also, we advise you to avoid the use of high pillows or a soft bed. Now as you know, the chest expansion is limited when one is having ankylosing spondylitis, swimming is a good exercise that helps most joints in addition to the back. You may also need to check your vitamin D status and the calcium, phosphorous and alkaline phosphatase levels. Yoga can be tried but will have to be individually tailored. All the best for a sporty day. Consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 776, + "tgt": "I am having burning sensation while urination. Is it due to fungal infection?", + "src": "Patient: Hello doctor, I went to my doctor in February complaining of burning pee and discomfort. They tested me for a UTI and yeast infection and said there was nothing. Then I went to my gynecologist two months after that still having the symptoms she swabbed me and I had a yeast infection. Sex really hurts and I am scared that it is not just the yeast infection. What if sex hurts? Doctor: Hi. Please tell me that do you have any discharge through vagina. Sometimes urinary tract infection along with vaginal infection causes this pain. Please do get back to me for the follow up once the urine and blood reports are available. If sex hurts now refrain from sex till the infection is cleared and use the following medication. UTI with fungal infection Urinary tract infection and fungal infection Clotrimazole vaginal pessary (100 mg ) insert into the vagina at bed time for 6 consecutive nights. Maintain hygiene, drink plenty of water and oral fluids." + }, + { + "id": 15928, + "tgt": "Can the blood clot in sclera be due to an infection?", + "src": "Patient: Hello doctor, I have got blood clotting since the past two days in my right eye, in the part of the sclera. I have no idea whether it is an infection or not. I am currently using Moxicip eye drop to see whether I get any relief. I have used other home remedies like washing my eyes with cold water. Please suggest me what has to be done. Doctor: Hi. By going through your query, I understand that you are suffering from a subconjunctival hemorrhage. It is a self-limiting condition although cosmetically disfiguring, it causes no pain or any watering. I advise tablet Limcee (Vitamin C) to help in faster recovery and cold compresses at night. If you have discharge from eyes or watering and difficulty in seeing bright light and pain, let me know." + }, + { + "id": 16601, + "tgt": "When do heterogeneous ovarian cysts occur, before or after ovulation?", + "src": "Patient: Hello doctor, I went to the ER a week ago for abdominal pain. A pregnancy test was performed and it was negative. An ultrasound scan was performed and they found two heterogeneous ovarian cysts, one on the right is 1.5 cm and the other on the left is 1.4 cm. There were multiple simple cysts. My endometrial lining was 6 mm. They said everything else looked good. I have a\u00a0history of ovarian cysts. Do heterogeneous cysts happen before or after ovulation? Do they impact menstruation? Also, what is the difference between heterogeneous and homogeneous ovarian cysts? Doctor: Hi. First of all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst). In a sonography, if it looks clear without any shadow in the cyst, then it is homogeneous and when something is found floating in the cyst as echoes (shadow), then it is called heterogeneous. Homogeneous have clear fluid. In heterogeneous cyst, the shadow may be due to blood, pus cells, epithelial cells, other debris, hormones, enzymes or turbid fluid. In 1.5 cm and 1.4 cm sized small cysts, it is not so much important that whether it is heterogeneous or homogeneous because it is mostly going to disappear around your period. Before ovulation, mostly follicles are with clear fluid. After ovulation, it may be homogeneous or heterogeneous with decreased size. Actually, it looks like disappearing follicle and not a cyst. A cyst can disturb your cycle only if it is of a bigger size and remains even after menstruation. Mostly it begins from unruptured follicle during ovulation and the size can be from 4 cm to 11 cm or even bigger in some case. This type of cyst requires treatment. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14274, + "tgt": "Can heart palpitations, tachycardia and shortness of breath due to mitral valve stenosis?", + "src": "Patient: Hello doctor, I am suffering from heart palpitations (especially when I lie down or do some physical activity), shortness of breath, tachycardia for the past three months. I am taking Propranolol (20 mg per day) for this. Propranolol is controlling trachycardia a bit. In stress my condition worsens. I think (my own opinion) that I might have mitral valvular stenosis. What do you say regarding my condition? Doctor: Hi. It seems to be due to anxiety. To exclude any valvular disorder, the cardiologist will auscultate your heart carefully, if he listens any abnormal sound he may advise echo, otherwise no need. Regarding palpitations, better have an ECG done at the time of symptoms or alternatively 24 hours ECG may be done. Avoid stress, anxiety, do regular exercise or brisk walk, reduce weight if you are overweight. Avoid any such thing people usually are addicted to. Reduce tea, coffee. Deep breathing is a good exercise to reduce anxiety, get up early in the morning and do this before or after fair prayer." + }, + { + "id": 3991, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1495, + "tgt": "I have a painful pulp outside the ass crack. What is that?", + "src": "Patient: Hello doctor, I have a pulp just outside the ass crack which just originated today and it is painful. Doctor: Hello. I went through your question. It seems from the picture that you should be having severe pain (attachment removed to protect identity). This can be the result of thrombosed hemorrhoids, perianal fistula, or a pilonidal sinus. Still, to guide you better I need a few more details. What is the exact site? Is it the anal orifice or around the anal orifice? Is there any discharge serous or purulent? Is there any kind of bleeding? Do you have a fever? Do you have to complain of constipation or straining in the past? At present to relieve your symptoms please take tablet Aceclofenac 100 mg per orally twice daily for two days. After you provide me details, I will add further specific advice." + }, + { + "id": 28645, + "tgt": "My operated knee is comparatively weak. Why?", + "src": "Patient: Hi doctor, I got a ligament reconstruction surgery before four months. Till today, I have got 1301\u00b0 ROM. I\u00a0do not feel normal while walking and climbing stairs. Also, I\u00a0feel that my operated knee is comparatively weak. Is this normal? What should I do to have a faster recovery? Doctor: Hi. Ligament with slight weakness. Revert after a month to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4302, + "tgt": "My bilirubin level is high and I feel nauseous. Why?", + "src": "Patient: Hello doctor, I am 31 years old and weigh about 51 kg. I am actually afraid to eat. I took a liver function test, my bilirubin total was 1.50, bilirubin direct 0.30 and bilirubin indirect 1.20. My triglycerides is 256. I feel nauseous all the time. Please suggest what to do? I am taking Pentate-D, Elpizyme syrup, and Liv-52. Doctor: Hi. Symptoms you have mentioned may occur due to liver disease, stomach problem or esophagus related. For differentiation in these entities, we need detail discussion by message or by phone. Apart from the discussion, your bilirubin is elevated but the liver function test is incomplete, we need more information (e.g.) SGOT, SGPT, ALP, proteins, PT, APTT, and INR. I need answers for the following questions: You are afraid of eating all the time, but why? It is due to difficulty in swallowing? Or it is due to burning epigastrium? Pain in abdomen or vomiting? What is the onset of these symptoms? Do you take alcohol? Dou you have constipation? jaundice? family history of constipation or similar illness? Advice. 1. Continue Pentate (Pantoprazole and Domperidone) 40 mg half an hour before meals once a day. 2. Avoid fatty meals. 3. Take syrup Gelusil 5 ml with each feed intake. Take syrup Zeva (multivitamin) 5 ml two times a day. Avoid milk for sometime especially do not take in the morning hours. 4. Do regular exercise. 5. Get done LFT (liver function test) with the above mentioned tests, if there is abnormality then we will plan further tests. Provide details about question marked symptoms. Report back with the report and detailed information or can discuss by phone." + }, + { + "id": 8474, + "tgt": "I hear my pulse after exercise and sex. Why?", + "src": "Patient: Hello doctor, I am 38-year old, 85 kg, male. Had extensive heart check last year, which came clear. Doctor said I have mild valve insufficiency (doctor said it is normal) and blood pressure of 110/70. Lately, I hear my pulse more noticeably and feel it in various parts of my body (chest, neck, stomach, legs) beating harder (not faster) after exercise and sex (not at rest). I have no other noticeable symptoms. Other than feeling more anxious lately, I was wondering what could be the reason could be for louder or harder pulse (my wife can hear my heartbeat during intercourse) but not faster. My resting heart rate is 60 BPM, and heart rate during exercise is around 140. Doctor: Hello. I passed carefully through your medical history and would like to explain that your symptoms (palpitations and pulse feeling through the body) are not related to any specific heart disorder unless you have primary aortic valve insufficiency. When significant (moderate to severe) aortic insufficiency is present, the arterial pulse may be frequently pronounced and easily visible through the body parts. But this is not your case. Your symptoms could be just physical deconditioning due to lack of physical training. Anyway, a more definite opinion could be given after a direct review of your echo report. I would also recommend performing thyroid hormones level. I hope you will find this answer helpful. In case of any further questions, feel free to ask me again." + }, + { + "id": 17006, + "tgt": "My uncle had a heart attack. What are the chances of recovery based on his report?", + "src": "Patient: Hello doctor,My uncle had a heart attack four days back. The balloon was put, and he had three stents. The balloon is being removed tomorrow. The reports are three days old and were taken before two stents are inserted. I just want to know what are the chances of recovery based on the report and damage. Is it very severe? Doctor: Hello. I understand you are worried about your uncle's health. He will be fine hopefully. I had gone through the reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29205, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 22708, + "tgt": "I tried to have an abortion but pregnancy test still shows positive. Can you help?", + "src": "Patient: Hello doctor, I found out that I am nine weeks pregnant and I tried to have an abortion. In the first day, I took three tablets of Cytotec and two I put in my vagina. I felt some cramps but only light bleeding I experienced. On the second day, I took again four tables of Cytotec, no insertion happened. Still, light bleeding was there. On the third and last day, I followed up with three tablets and inserted two. No heavy flow occurred but only light bleeding. This morning I tried to have my pregnancy test and still, it shows positive. I went to a gynecologist but did not tell her about the tablets. I only mentioned that I have light bleeding. I never told her because I was afraid. I had a transvaginal ultrasound today. Can you help me understand the result please? Is there any possibility that my baby formation will not normal? I am so depressed right now. Doctor: Hello. I have gone through the reports attached by you (attachment removed to protect patient identity). The ultrasound clearly depicts that you failed in inducing miscarriage and the fetus is live and healthy with good somatic activities. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4388, + "tgt": "Received class 1 and 2 allergy for a few foods in RAST. Can those foods cause anaphylaxis?", + "src": "Patient: Hello doctor, I am a 29-year-old female. I was just diagnosed with chronic urticaria. I went to an allergic specialist for skin testing because my skin was so sensitive I reacted to everything. They then did the RAST test on me. Everything came out class 0 except for egg white, wheat, and oats being class 2 and milk, and hazelnut being class 1. Can these cause anaphylaxis? How accurate are the RAST test? I was put on an elimination diet but the hives are still there. I occasionally get angioedema with it also. Can angiodema cause anaphylaxis? As you can see I am so scared for my throat to close up that I am scared to eat anything. I have only been eating a couple of things daily and live off that. Doctor: Hello, Welcome to icliniq.com. RAST is a highly accurate test. If the test is positive for a specific allergen, it shows that you are sensitized to that particular allergen. This means that you may mount an allergic response when you are exposed to that allergen. However, it does not mean that you will necessarily have an allergic reaction to that substance and, nor does it mean that any reactions will be severe. If the test is negative, it means that one does not have the ability to mount an allergic reaction to that allergen and any symptoms one may be experiencing are probably not due to an allergic reaction to that substance. However, the results of the RAST need to be interpreted in conjunction with your clinical history. e.g the presence of allergy to some or few allergens which may possibly be present either in the environment or food does not necessarily mean that they are responsible for the symptoms because if they are not even present in the environment or food of an individual, then they are irrelevant. In your case, an elimination diet has not helped thus proving the fact that RAST test results should be carefully interpreted along with clinical history and does not necessarily mean that you will necessarily have an allergic reaction to the substance that you tested. Angioedema is frequently associated with urticaria. Pathogenesis is the same for both urticaria as well as angioedema. The presence of angioedema does not always mean that it is a part of anaphylaxis. Angioedema can be a part of anaphylaxis in those individuals who have a severe allergic reaction to an allergen with high levels of antibodies circulating in the blood. Since you have only class 1 and 2 level antibodies therefore it is unlike that these antigens or allergens would cause anaphylaxis." + }, + { + "id": 2017, + "tgt": "I get recurrent scar like bump on my penile shaft. What could it be?", + "src": "Patient: Hello doctor, I have noticed a scar like bump on my penis shaft, and it has not gone away for one month since I noticed it. I did have sex related sore in the same location several months earlier for what I believe to be friction burn, but have not been sexually active since one month. The mark does not cause me any discomfort and no change in appearance since I noticed it. Doctor: Hi. Is the bump itchy? Or any discharge present? If itching present then whether it is more at night? When you had it the first time, did you took any medication for the same or it went of its own? In how many days? What about the size at that time? Do you have any history of unprotected sex with a new partner two or three weeks prior to this lesion? Are these lesions present anywhere else on your body or on the body of your partner? Are you diabetic or hypertensive or any kind of medications unrelated to this also?" + }, + { + "id": 22651, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19405, + "tgt": "Taking manasamitra vatakam for anxiety. Suggest me the right dosage and details of food restrictions", + "src": "Patient: My son has been asked to take manasamitra vatakam for anxiety by a friend who is a Sanskrit scholar. He is now 17 years old. What is the right dosage? Any food restrictions? Doctor: Hi, If your son needs to take manasamitra vatakam, you can buy only a good brand. Hope this helps. If you would like to have a detailed analysis of the problem of your son, please either book a phone consulttaion with an Ayurveda Specialist or consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13303, + "tgt": "There is a dark brown bulging mole under my breast. Is it something serious?", + "src": "Patient: Hi doctor, Three months ago, I saw a dark brown mole under my right breast. The mole does not produce any symptoms. The mole when touched is noticeable bulging, is not smooth as other moles that I have. What can it be? Doctor: Hi. It could be a normal melanocytic nevus. If there is a sudden increase in shape and size with irregular border, an increase in color or rapidly evolving, then you can go for a non-invasive technique like dermoscopy and invasive technique like skin biopsy to confirm whether it is benign or malignant." + }, + { + "id": 9952, + "tgt": "Kindly advice on the red bumps I got on the penis after several times of masturbation?", + "src": "Patient: Hello doctor,I recently noticed a red bump on my penis shaft. This occurred after my girlfriend left the country, and I started masturbating several times a day. The bump occurred in an area. Several hairs grow on my shaft. I assumed at first it was an ingrown hair, but I am not sure. Doctor: Hello. If possible forward few clear pictures of the bump to help you through precisely." + }, + { + "id": 21323, + "tgt": "Can you advise if my fever and cold are due to normal viral infection?", + "src": "Patient: Hello doctor, I have been suffering from fever and cold since yesterday. I have also had constipation from previous three days due to which I took a medicine yesterday night for motions but instead, I had total watery loose motions from the morning and it is causing weakness in my body. Fever is coming and going and the running nose is still there. Can you advise me if it is the normal viral? Doctor: Hello. Your symptoms are typical for viral infection with both respiratory and gastrointestinal signs. Get more rest. Drink plenty of water and fluids and oral rehydration salts to replace the lost electrolytes. Take probiotics to stabilize the intestinal flora. Take Tasectan or Pepto-Bismol for watery stools. Take fever and flu meds. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6947, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9162, + "tgt": "Please suggest medicine for dark underarms", + "src": "Patient: Hi doctor, I have dark underarms with dark spots. I also have a slight dark patch around the neck. Please prescribe me necessary medicines. I do not have thyroid or sugar. I have PCOD, and not under treatment right now. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 303, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 23806, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9846, + "tgt": "I have lower abdomen pain and burning of penis tip. Why?", + "src": "Patient: Dear doctor,I am 29 years old and since two months, I am suffering from lower abdominal pain and burning of penis tip. The case is as follows: At first when I got this, I was having severe penis burning and a swollen meatus with abdominal pain. So, my GP gave me medicine for UTI and also gave few tests which included CBC, sugar test, urine routine and culture, sonography for abdomen and lower abdomen, PSA, and serum creatine which all came negative. But still, I was having lower abdomen pain and burning tip, now with a stinging sensation in the penis as well as in the anus. Since it was not going away, my GP referred me to a urologist who then said it is dysuria and gave me Levoflox 500 mg, Tizan, Paracetamol 650 and Lactulose solution for motion for five days. But still, the pain was not gone. So, the urologist said to see a surgeon for abdomen pain and a dermatologist for the red meatus. The dermatologist said I do not have any skin issue but still gave me antifungal tablets and an antiallergy with a cream. So, the redness of meatus came down and burning too, but the stinging sensation of the lower abdomen and the sting from the penis to anus was not gone as I could feel it every now and then and more when passing motion.After all this, then I visited the surgeon who checked me for a hernia and prostate. To confirm, he also referred me to a sonography B/L hernial region and color doppler scrotum as now the pain was in the testicle too and a stool test.I did the following test and result for a hernia was negative while for scrotum test it came as: The right spermatic cord is bulky and shows mildly increased vascularity s/o funiculitis. Right simple epidydimal cyst. Normal both testis.Now, the surgeon was not available. So, I went to my urologist with these reports and he gave me following medicine: Tablet Metrogyl 400 mg (Metronidazole) two times a day for five days.Tablet Doxycycline LB 100 (Doxycycline) twice daily after food for 14 days.Tablet Chymozal Forte DS thrice before food for five days.Tablet Dolo 650 (Paracetamol) thrice after food for five days. I was instructed to wear tight scrotal support. I am still feeling pain in right side and testicle seems to be swollen slightly. There is still burning in tip of my penis and stinging in the penis is there too. Now my question is why does this happen? I am little tensed and do not know what exactly this is and how long will it take to completely go. This is treatable, right? Will it re-occur again? I am really tensed. Please help. And the tight scrotal support has to be worn at night too? I request you to please help me with this. Doctor: Hello. Relax and do not worry. I have read everything and also seen the reports (attachment removed to protect patient identity). Funiculitis is basically inflammation/infection of spermatic cord which lies above the testis. So, you have inflammation of spermatic cord. It usually occurs after urine infection. There are nerves in the spermatic cord and because of inflammation, these nerves are getting irritated. So, you are having tingling and other sensations. Your sensations may take some time to resolve like four to six weeks as the nerves require to heal. The medication given by your doctor is fine. Nothing to change. I will only suggest adding tablet Flavospas (Flavoxate) one tablet morning, afternoon and evening. It will help reduce sensations. Yes, if possible you need to wear scrotal support at night also. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21394, + "tgt": "Why do I get hypoglycemia during exercise, brain fog, and fatigue?", + "src": "Patient: Hello doctor,I get hypoglycemia during exercise, fasting or not, brain fog, fatigue. This has been happening daily for a month. Prior I had been exercising an hour a day five days a week, no issue. Currently still aiming for five but symptoms will start out on my bike or on the treadmill.I had a gastric bypass 11 years back. I rarely get the hypoglycemia episode when I would eat sugar. History of insulin resistance. Glucose is always under 100. Insulin was 9 six months back. It was 6 two weeks ago, glucose was 88. Ferritin 15, d-20. Currently, I am having Neurontin 800 four times a day, Vyvanse 50 once daily. Doctor: Hello. I just read your query and from what you have mentioned it appears that you have hypoglycemic symptoms. First of all I would suggest that instead of doing finger prick testing of blood sugar it is preferable to do laboratory test for blood sugar. Secondly, there is an inpatient (after admission to the hospital) test to check your blood sugar after fasting for a required number of hours under observation. C-peptide and proinsulin need to be measured as well. All these are inpatient tests to rule out any cause of hypoglycemia. Also, if you exercise it is expected that your blood sugar levels fall even though it is recent probably because you have improved in losing stored fat which was initially preventing this from happening. This can be improved if you eat complex carbohydrates like oatmeal, yogurt and fibrous fruits and nuts (if not allergic) before working out. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 18819, + "tgt": "What is the reason for my weight loss?", + "src": "Patient: Hi doctor, I am spending more time in toilet daily as the stools keep on coming for every 10-15 minutes. Stools are semi-liquid and it feels like diarrhea. I have lost around 10-12 kg of weight in the last two years and four to five kg during the last six months alone. I have got the following tests done and found everything to be normal. Colonoscopy, biopsy for TB and Crohn's disease and also blood tests that including CBC, CRP, Mantoux, ESR, thyroid, HIV, LFT and KFT. I have been treated with the following medicines over the time. Namely Colospa (Mebeverine hydrochloride), Rixmin (Rifaximin), Librax, VSL3, Velgut capsules, Bifilac (Pre-probiotics), Nexpro 40 and also different fiber supplements, both soluble and insoluble. In addition to all these I have taken Oflomac and Metrogyl course several times. I am attaching the reports of my colonoscopy, biopsy and blood tests for your reference. Please guide. Thank you. Doctor: Hi. We are here to help you.\u00a0I have gone through your reports (attachments removed to protect patient identity). Revert back with the asked details to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 13172, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26927, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21573, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19849, + "tgt": "Had sex during my periods. Am I safe?", + "src": "Patient: Hi doctor, I had unprotected sex on the third day of my periods while I was still bleeding. Within an hour I took an emergency contraceptive pill as well. Is it safe or will I be a pregnant? Please explain me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19311, + "tgt": "I am scared of getting an infection from the hospital. Am I overthinking?", + "src": "Patient: Hello doctor, I had an ENT examination and the specialist did not use gloves but, did not touch the part going into the nose the first time. The tubing, the second time it went up my nose, was touched at the bottom by her at the light. I am very OCD usually and watched this happen\u00a0but, somehow trusted her as she is well respected. She had used hand sanitizer when she came in but shook my hand. Having been at another doctor's myself prior and registering my thumbprint on the check-in, I did use hand sanitizer twice after. But, I was holding a clean plastic cup from the water cooler with what I believe, was a clean tissue to hold the cup. She then did the procedure the second time having touched the tip of the scope with the fingers. She wrote back to me saying she will change her ways. The PCP is under the same system and asked me not to worry but, agreed to do the testing when I pushed. What tests should I have? Should I wait to get symptoms? Again, I am not sure she even used the wall sanitizer. I am asking the PCP to do an HIV and MRSA test. What else should I have her test me for? I am not vaccinated against Hepatitis B. Should I ask for a TB test? Does a general staph culture exist to rule out colonization? I work with children in talk therapy. So, I want to be sure I do not have anything communicable. I know it is hard to tell. But, I am panicking. What tests would you suggest? In what priority? Please be kind. I am already blaming myself for not speaking up. I can barely get up in the morning. I anxiously await your response. Thank you. Doctor: Hello. I went through your query and understood your concern. Regards. For further queries consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 30059, + "tgt": "l got a sore hard lump after the removal of wisdom tooth. Is it normal?", + "src": "Patient: Hello doctor,I just got one side of my wisdom teeth removed both upper and lower six days ago, and I have another one scheduled after two days for the left side. The upper is 100 % fine, which they pulled. The lower they pulled the tooth without removing the root because it was too close to the nerve. I do have some stitching in this area currently on the lower cheek. Noticed a hard lump about 1 inch between my lower jawline and cheek area. Is this normal because of swelling or something else. Currently taking Amoxicillin 500 mg and Ibuprofen 600 mg. Please let me know what this hard lump is, also generally on the lower side where this lump is, remains sore. Doctor: Hello. The lump is mostly a hard swelling which forms postsurgical removal of the wisdom tooth or maybe even by swollen lymph nodes due to infection. It takes a week or two for the swelling to subside. Sometimes, if the root is still inside, the infection may be remaining there causing swelling. Get an X-ray done to find out the exact problem and stronger antibiotics like Augmentin (Amoxicillin and Clavulanic acid) along with a painkiller for a week. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 14736, + "tgt": "What is the small, smooth, and painful lump outside the anus?", + "src": "Patient: Hello doctor, I am 26, male and height 163 cm and weight 82 kg. I am suffering with small lump like peanut size and smooth in nature outside of the anus and it is paining and bleeding while passing the stool from the last 10 days. Earlier I did not have that lump and pain or bleeding. Could you please suggest some medication or treatment plan? Doctor: Hello. Firstly, I would like to assure you that you do not have to worry because there is always a solution to your problem. Having said that, I would like to let you know that, it is very important for a doctor to have the area inspected and examined before reaching a conclusion, as you have mentioned presence of a lump. Therefore, you need to consult a surgeon in person and allow him to examine. Do not feel uneasy or worry about it at all. As of now, use Smuth ointment at the anal region. It helps in counteracting the pain and discomfort. Do a sitz bath twice daily. Sitz bath needs filling up of a tub with warm water and mixing in some salt in the water. You need to sit in the water for about 10 minutes twice daily. These would help ease the pain and fight your problem. Again, I would like to remind you to see a surgeon in person for inspection and treatment. Stay healthy and positive." + }, + { + "id": 12285, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7864, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11053, + "tgt": "Though I had intercourse with condom, I am worried about my exposure. Please help", + "src": "Patient: Hello doctor, I got drunk and had one-night-stand with an escort. We used a condom, but I did not erect fully when inside her, but I still ejaculated. I am concerned that I could be at risk. I believe the head was covered at all times even though I went soft. Doctor: Hello. I understand that you are concerned, but if the mucosal surface were not in contact and there were no open wounds in contact, then it is not possible to acquire STDs (sexually transmitted disease) like HIV, syphilis, herpes, etc. But the STDs like genital warts, or genital molluscum does not need to have mucosal contact as mere contact of the lesions on genital skin can lead to spreading of these STDs. But if you are sure of the fact that there were no visible bumps like wart or molluscum, then that too is unlikely." + }, + { + "id": 28116, + "tgt": "Why does my eosinophil count increase when the season changes?", + "src": "Patient: Hi doctor, I am a 39 year old female. My eosinophil count increase during when the season changes. From the past month, I am having a persistent cough, which is not allowing me to talk. Phlegm is also present. I have taken two bottles of cough syrup Zeet,\u00a0Sensiclav 625, Montek LC, Rinifol, twice a day for five days, and\u00a0Mucus cough syrup. By the time I finished taking the medicines, my cough had almost disappeared. But it returned after stopping the medicines. So, I got a blood test done, in which, my erythrocyte count was 5.38, hemoglobin was 13.9, PCV was 43.2, MCV was 80.3, neutrophils were 59.1, eosinophils were 6.1, lymphocytes were 26.8, monocytes were 7.3, and basophils were 0.7. I am taking Banocide forte\u00a0from the past 10 days, but still, I did not get any relief. I am allergic to dust, and I have a\u00a0dandruff problem. Please advise. Doctor: Hello. Thank you and get well soon. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30604, + "tgt": "How to soothe my jaw and throat pain?", + "src": "Patient: Hi doctor, I have a lump on the back side of lower gums. It is only on the left side. It is causing ridiculous amounts of pain when chewing and swallowing. It is causing discomfort down the side of my jaw and throat. Also, I have some swelling on that side. I have an appointment with my dentist. But, I just wanted your help on what it could be. Also, how to soothe it till my appointment? Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18748, + "tgt": "From the reports, please let me know the disease I am suffering from", + "src": "Patient: Hi doctor, I am a 25 year old male. My height is 5'5\" and weight is 55 kg. I am a software engineer.\u00a0For the last four months, I am having pain in my both hips. To be more precise, the pain is in the front side of the joint between hip and thigh. Around four months back, I had a fall on my right side and then, the pain started. I consulted the doctor and went for two weeks of physiotherapy along with some painkillers.\u00a0The pain got reduced to 5%, but, again around two weeks back, I started feeling jam on my right side joint with severe pain and then in left joint also. Two weeks ago, I was unable to even walk. Right now, I am feeling pain only when I sit on the floor by folding the legs and when I stretch the legs.\u00a0I went for various tests such as x-ray, MRI, HLA-B27, Mantoux and rheumatoid profile test. I have attached the reports of all these tests. My doctor has asked me to repeat HLA-B27 test along with Quantiferon of TB test before starting the treatment.\u00a0I am looking for a second opinion now.\u00a0Exactly, what disease I have based on these reports?\u00a0Is there any genetic disorder I may have, that cannot be treated permanently?\u00a0What could be the root cause of such pain? Doctor: Hello. 1. Genetic. 2. Infection. TB infection. Revert back with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21499, + "tgt": "Please prescribe homeopathic medicine for ringworm infection in pubic area", + "src": "Patient: Hello doctor, I am suffering from ringworm infection in my pubic area and at the nearby thigh and anus reason. Please prescribe me a homeopathic medicine so that I could be totally healed from this fungal infection. Doctor: Hello. Treatment for the ringworm affects like not only eruptions and also concentrates on boosting the immune system of the human being which prevents further recurring. It is a fungal-like infection on the skin (circular scaly eruptions) of the person appears as if worm present under the skin. Anyone may develop ringworm. 1.Humans and animals contact. 2.Direct contact with soil. 3.Infected animals to humans. The skin biopsy or fungal culture, KOH exam (using potassium hydroxide): KOH destroys normal cells and leaves the fungal cells untouched. These can be seen under the microscope. Tinea Corporis. Tellurium 30C daily 10 pills for 10 days. For more information consult a homeopathic physician online.--->https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 2129, + "tgt": "I suffering from premature ejaculation for the past 5 years. Is there any injection available?", + "src": "Patient: Hello doctor, I am suffering from premature ejaculation for last five years. Treatment is going on but no effect. My age is 47 years. Any injection is available for premature ejaculation suffering from the last five years? I am taking tablet Duralast-30 sos. But the result is very poor. No sugar or blood pressure problem yet. Any injection is available for its treatment or surgery? Doctor: Hello. Premature ejaculation is defined as ejaculation with minimal sexual stimulation, before the patient desires and before or within one minute of penetration. There are two major reasons for premature ejaculation. Frequently, performance anxiety could be a cause of premature ejaculation. In that case, you can take deep breaths for two minutes before sex. It will relax you enough. If you still feel anxious, you can take tab Alprazolam 0.5 mg half an hour before sexual activity. Remind yourself that you are having sex for mutual pleasure and relaxation. It is not an ordeal or duty where you are supposed to be the performer. If it is due to excess sensitivity of the glans penis (front portion of the penis). The first technique is known as squeeze technique. In it, when you reach close to orgasm, you or your partner should squeeze on the ridge between the glans and the shaft of the penis till the erection subsides. Then begin with your sexual activity once again. Repeat this a few times before you finally ejaculate. This will increase your time to ejaculation and also give you some voluntary control. The second option is you can use Lignocaine spray. Spray once on the glans penis 15 minutes before sexual activity. It will reduce the extra sensitivity of the glans to the normal level. You can also use 4% Lignox jelly instead of spray. If these techniques are not working for you, you can consult a sexologist who will examine you physically to find the cause and advise accordingly." + }, + { + "id": 26940, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10126, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28446, + "tgt": "Why do I keep having an upper abdominal pain after I eat?", + "src": "Patient: Hello doctor, I am suffering from an upper abdominal pain. It feels like winding as if I am being kicked repeatedly. I feel this pain mainly after I eat. It all started last week, but it was very mild for two days. But, then it got much worse the next day. Then next day, the pain became so bad that I could not sleep at night. I also had a fever. So, I went to the doctor, who said I have high stomach acids, and he gave me Lansoprazole. The medicine helped me for two days, but today the pain is bad again. Please help me. Doctor: Hello. Hope I answered your query well. Feel free to follow-up. For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16987, + "tgt": "My mom's BP medications are causing sleeping difficulties. Please suggest a suitable medicine", + "src": "Patient: Hello doctor,I am posting this query on behalf of my mum. She was said to have a high blood pressure three years ago and placed on medication by the doctor here. But, the problem is, she does not sleep at nights when she is on medication. She would have to stop taking her medicines for five to six days sometimes which makes her blood pressure very inconsistent. The medicine she takes is called Nifecure (Nifedipine 20 mg). Kindly advice a suitable medication to control her blood pressure that would also allow her to sleep at nights. Doctor: Hello. Get her lipid profile and sugars tested. Hope this helps you and get back if you have any other doubts. For more information consult a cardiologist online -->https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 11581, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30000, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 15688, + "tgt": "Is the spot on my lip indicating cancer?", + "src": "Patient: Hello doctor, I am suffering from an awkward spot on my lower lip. It is like a basic symptom of lip cancer. Please give your valuable suggestion. Doctor: Hi. I have gone through your case. There are many causes and clinical presentation of lip cancer. You should provide a complete history of the lesion for how long it has been there and also send picture as well. Or please see dermatologist personally." + }, + { + "id": 21672, + "tgt": "The biopsy of my skin rash showed interface dermatitis with mucin. Do I have lupus?", + "src": "Patient: Hello doctor, I am a 43 year old\u00a0female, and I have had itchy, red, and burning rashes. It all started as a few bumps on my right arm, above my eyebrow, right upper nose area, all over the jaw and chin area, right chest and upper back react badly to the\u00a0sun, and it is getting worse. I have had a lot of blood works done, which were all negative for lupus and other things, although I had\u00a0a high hs-CRP. I have only one grandmother with a history of severe neurodermatitis, and I had asthma when I was younger. I am worried because of a sun exposed rash which was finally biopsied, showed an\u00a0interface dermatitis with mucin and suggests either lupus, tumid lupus, dermatomyositis, a connective tissue or collagen vascular disorder, even though no vasculitis is\u00a0seen. I am worried sick. Is a biopsy conclusive for these diseases? Do I have any one of these diseases? I feel that these rashes are hormonal, but it does not go away and gets worse during PMS and if I consume alcohol. I have no family history of lupus nor any other one of these. I have no muscle issues. However, there is some red discoloring on my fingers. I do take Cipro on and off for diverticulitis. Applying any form of steroids cream helps with the\u00a0itching, and then makes it even worse. Please help. Doctor: Hello. Revert with more information to a rheumatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 8059, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11934, + "tgt": "How to overcome light sleep?", + "src": "Patient: Hello doctor, 1. What are some health issues or lifestyle habits that can cause someone to be a light sleeper, or wake up often during the night? Please explain. 2. Is it a body's way of trying to say something? And is it possible to overcome? Doctor: Hello. We must delve more into light sleeping and its aspects. Some sleep lighter than others and wake up easily for mild sounds or disturbances. Some need a particular ambiance to get proper sleep. It might well be our body's way of telling us that something is wrong somewhere. It may also be due to stress and tiredness. Erratic (irregular) dietary and sleep habits can contribute to the problem. Sedentary lifestyle and spending long hours in front of the computer can worsen the same." + }, + { + "id": 3618, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 2111, + "tgt": "Post angioplasty, my dad complains numbness in hands while walking. Why?", + "src": "Patient: Hi doctor, My dad had an angioplasty a month back and now he complains of SOB and numbness in his hands while walking. It occurs only while he goes for a walk otherwise he is completely normal. Please help. He is currently on Concor (beta-blocker), Ascard, Lipiget, and Brilanta. Doctor: Hello. One of the reasons for breathlessness can be a side effect of tablet Brilinta (Ticagrelor). It happens quite frequently in patients taking it (about 13 percent of the patients to be precise). But I would suggest you not to stop the drug until the breathlessness is quite severe because it is very important to keep the blood thin and the stent open. So he should continue taking Brilinta. Another reason for breathlessness can be decreased ejection fraction, pumping of his heart, water getting accumulated in the chest and hence the breathlessness. And to make sure that this is not the cause I want you to answer my few questions. Is he having any swelling in the feet? Is he having difficulty breathing when he lies down? Does he have a cough? If the answers to any of these questions are yes and to prevent the water from accumulating in the lungs you can add a diuretic which will make him do more urine and get the water out of the lungs. But to confirm it as soon as the COVID situation settles down, you can get an appointment with your doctor for a echocardiography and get it done. For numbness, it can be usually a sign of a neuropathy either due to nutrient deficiency or any metabolic disease. I would prescribe you a few drugs. Does he a have history of diabetes mellitus? Brilinta induces dyspnea. LV dysfunction. ECG. 2D echo. LV dysfunction. Brilinta induced dyspnea. Brilinta induced dyspnea. Tablet Torsemide 5 mg 1-0-0, Neurobion 0-1-0. Continue taking Cconcor, Asgard, Lipicure and Brilinta. Maintain a healthy lifestyle. Follow up after seven days." + }, + { + "id": 2589, + "tgt": "What is the reason behind postnasal drip entering esophagus instead of lungs?", + "src": "Patient: Hello doctor, I have a cough at certain times almost every day due to post-nasal drip. I take allergy medication (Cetirizine) but it does not seem to help. I have tried other techniques like lavage and have tried thinning my mucus by drinking more water, as advised by all the medical web sites. All the explanations I read online say that post-nasal drip is caused by a thickening of the mucus, that the mucus membranes make about a quart a day of mucus, which normally is thin enough to slide down the throat unnoticed and ends up in the stomach, but if it is too thick it is noticeable and it ends up going down the windpipe and needs to be brought up through coughing. Here is what I do not understand, normally the passage that is open is the trachea. The epiglottis only closes when swallowing, and furthermore it is behind the esophagus, so why the thin mucus which is sliding down our throat unnoticed does not go down into our lungs? It makes no sense. If I do not notice it and thus do not consciously swallow it, how does it go down the esophagus? It should be the opposite. Please suggest. Doctor: Hi. I am so delighted to read your query. My initial thoughts were that you were kidding. But when I thought I realized how beautifully you have thought about the question. We need to know about mucociliary clearance, direction of mucus movement, closure of airway by the epiglottis/supraglottis and by the glottis. Mucociliary movement occurs towards the throat and that is what brings the mucus towards the throat. Like you said, when the mucus gets thick due to allergy or infection or rhinitis, one gets a feeling of the movement. Cilia are small brush like extensions from cells which beat in a particular direction so as to drive the mucus film over the cilia towards the throat. From the throat, the brush border epithelium, that is the ciliated columnar respiratory epithelium pushes the mucus towards the pyriform fossa preferentially. The epiglottis and aryepiglottic fold and the inter arytenoid region form the supraglottic closure which acts as the first check point towards aspirating one's own saliva. The next check point is the glottis or the vocal cords which remain closed to prevent aspiration in such times. When the mucus drip is constant and thick then some microaspirations occur due to the nature of the mucus as well as due to any lax behavior of the closures causing some cough or chest infection. You must understand that the vocal cords, trachea and the respiratory pathways further below are also lined by ciliated epithelium which also have a mucus layer on top of them. This mucus layer traps smaller particles which escape the upper airways and bring them away from alveoli. They also moisturize the air we inhale. In your case, you need to arrest the cause that is causing the thick mucus. That is inside the nose. You need a steroidal nasal spray, taken in a particular way for a few weeks. This supplemented with an antacid like Protonix and Cetrizine will provide you lasting relief. You should also take mucolite for a few days to lighten the mucus. Couple this with steam and plenty of water. Avoid exposure to sun, smoke, pollution, and dust." + }, + { + "id": 15389, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9306, + "tgt": "What are the painless raised pinkish flesh colored bumps in throat?", + "src": "Patient: Hello doctor,I have these painless slightly raised pinkish flesh colored bumps in my throat. I do not know if it is normal or something. Is there any need to worry? Currently, I am taking Minocycline, Levothyroxine, and Sprintec 28. Doctor: Hi. I understand your concern. You are likely to have granular pharyngitis. It may be secondary to sinusitis or chronic tonsillitis. You should consult your ENT doctor for a thorough examination and necessary investigations to finalize the diagnosis and accordingly, treatment may be planned. Till you are waiting for the consultant, you may take the following medicines like antibiotic (broad spectrum), antihistaminic, anti-inflammatory, and steam inhalation." + }, + { + "id": 26507, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6152, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25144, + "tgt": "I am diagnosed with external anal fissure. Please let me know the remedy for this", + "src": "Patient: Hello doctor, I was diagnosed with an external anal fissure. Initially, I was prescribed Hydrocortisone cream and Lidocaine/ Nifedipine gel. This did give me some relief, but not completely healed the fissure. Later, I was prescribed the Ciplox-TZ tablet with the SN plus 15 along with Duphalac Fibre (five-day course for tablets). This completely healed the fissure. This was six months ago. Recently, I am experiencing slight trouble when passing stool and then some burning sensation in the anal area. This is due to a hard bowel movement. There is no blood in stool and I do not feel any fissure. Should I take one more course of the Ciplox TZ and SN Plus 15? I am currently applying the Lidocaine/ Nifedipine gel and taking Linzess tablet 30 minutes prior to breakfast (to induce soft bowel). Appreciate if you can let me know the remedy for this. I have read that cow ghee is also a good option in addition to hot sitz baths. Doctor: Hello. You have probably got a recurrence of anal fistula.Please do as follows: If still it is not healing or recurs again and again, then you can consider a surgical option called lateral sphincterotomy.Regards. For more information consult a surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 23392, + "tgt": "I am 10 days late on menstrual cycle but negative for pregnancy. Please advise", + "src": "Patient: Hello doctor, I am a 23 year old female. I have bloated sore breasts, 10 days late on the menstrual cycle, negative pregnancy test, appendectomy on the 20th. Doctor: Hello. Near menses or missed periods can give signs of bloated breasts, the fullness of abdomen, mood variations due to hormones. Have serum beta hCG (blood pregnancy test) to clear the status of pregnancy. If pregnancy test comes negative, you can have menstrual induction by hormones if you want. Some other factors also can delay periods like a strict diet, strenuous exercise, thyroid abnormalities, hormonal imbalance, illness, hormones or medicine intake, anemia, etc. Check these factors as well. If in the coming cycles also you observe irregularity without any reason, then you might need investigations. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19083, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5972, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4543, + "tgt": "I have been getting reddish pink bumps on my skin. What shall I do?", + "src": "Patient: Hi doctor, For the past seven months, I have been getting these reddish pink non-itchy bumps on my skin. They are round to oval and small to big. When they first appear, they were all over my arms, abdomen, back and on my thighs. Now they randomly show up here and there. I had a large one in my elbow crease and it went away after a day or two. Now, I have two small ones on my forearm and two larger ones on my back and one on my left lower abdomen. Every time I go to the doctor and they disappear. Some of them leave flat reddish like scar for a few weeks. Currently, I am taking Ativan and Metoprolol. But, I was not on these medicines when this rash began. What shall I do now? Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. I need to get a few more details about your lesions. You seem to be suffering from chronic urticaria. It may be due to many things like chemicals, dyes, exertion, insect bite, perfumes, packaged foods, dietary protein allergens and may be idiopathic. 1. Usually long-term low dose treatment is required in the form of antihistamines. Example Levocetirizine-Montelukast combination. It consists of Levocetirizine 5 mg and Montelukast 10 mg. This can be taken twice daily in the morning and evening. 2. In severe cases, your doctor may prescribe you a short course of oral corticosteroids. 3. Use a medicated gentle cleansing lotion on your skin for bath like Cetaphil cleansing lotion. 4. Wear cotton clothes. Avoid allergens like pets, dust, etc. 1. If you find any causative factors such as any dietary substance, dust, exertion, etc., try to avoid it. 2. Apply calamine lotion over affected areas. Revert back with the answers to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17907, + "tgt": "I masturbate a lot. But I do not feel any sexual attraction towards my wife", + "src": "Patient: Hi, I am a 30 year old male, married for the last one year. We got married in February 2014 and because of job, we used to stay in different locations for the first 6 months. From last September we have been staying together. My wife is a good looking, well educated, smart girl and I adore my wife a lot and take care of her really well. Unfortunately I do not feel any sexual attraction towards my wife. Frequency of sexual intercourse is as low as once in a month and in any of those sessions I had, I was never able ejaculate. Below are few facts which may help you understand my problem: I used to masturbate once/twice every day before we started staying together. Now also, I continue doing the same, but not that frequently. I am able to ejaculate whenever I masturbate. My style of masturbation is quite different than the too and fro action that happens in normal sexual intercourse. I used to watch a lot of porn earlier which I have almost stopped in recent past.\u00a0 I have paid for sex in the past before marriage. I feel sexually attracted towards other girls. And sometimes I feel like having sex outside, though I have not done that. I do not have any extramarital affair. My testosterone level is normal. I used to be underweight 2 years back. I have gained almost 25 Kg in the past 1.5 years. Currently I weigh 75Kg and my height in 167cm. Almost every day I wake up sleepy and unfresh. I work in branding job and my wife is a banker. Everything is great in our relationship apart from this. This issue is putting a lot of stress on us (mainly on her). She is going into depression which is hurting me a lot. I want this married life to continue really well. Please Help. Doctor: Hello,\u00a0 Welcome to icliniq.com. I understand your concern, both of you need to do a few things, especially you. Try these methods and I am sure you will be able to improve. Revert back to a\u00a0sexologist online\u00a0after a month for follow up --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19594, + "tgt": "My FBS is 220 and RBS is 320. Can I increase my dose of Glimepiride?", + "src": "Patient: Hello doctor, I have diabetes from the last two years. I take medicine Glimepiride 2 mg before breakfast and Metformin 500 mg after meal twice daily. But my routine blood sugar is fasting 220 and random 320 or above. Can I increase my dose of Glimepiride? Doctor: Hello. I understand your concern. Looking at your blood sugar levels, it looks like you definitely need to increase the dosage of your medication. There are three options: A review of medication is ideally done only after a proper examination by a doctor. Your medication is chosen based on numerous factors like age, weight, blood pressure, renal condition, cardiac health, etc. I suggest you meet your specialist doctor to receive the correct treatment. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 6042, + "tgt": "Will fasting help with irritable bowel syndrome?", + "src": "Patient: Hello doctor, Will fasting help with irritable bowel syndrome? Why fasting may help IBS? Why fasting may not help IBS? What is migrating motor complex, and how is it related to fasting with IBS? Doctor: Hello. Fasting is not better for IBS (irritable bowel syndrome). Fasting in IBS causes hypoglycemia, and further causes giddiness, so it cannot favor IBS. MMC (mucosal mast cell) is associated with IBS with autonomous dysfunction. Factors that reduce the IBS are stress reduction, avoid masala foods and take regular proper diet. I suggest taking tablet Librax (Chlordiazepoxide and Clidinium bromide) 10 mg two times a day along with Omeprazole for seven days before food. Take curd or yogurt daily to resolve the IBS and do meditation daily for about half an hour." + }, + { + "id": 7087, + "tgt": "Kindly view the reports and advice about cyst in the breast", + "src": "Patient: Hello doctor, My aunt has a cyst in the breast, and the report is attached. Please help me to know what this report says? Doctor: Hello, I have worked through your query and understand your health issues. I assure you not worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your aunts report suggests she has multiple noncancerous cysts i.e fibrocystic change of breast. They have categorised it through a score to show its level of malignancy. It is called BI-RADS (breast imaging reporting and data system) score, devised by American College of Radiology to standardize the breast sonography reporting universally in a more professional way. BI-RADS score 0 means benign lesions (no cancer) to BI-RADS score 5 means you have 95 % chances that this specific opacity being seen under Sonography is a cancer and you need to proceed for biopsy testing of this mass. Your aunt has score 5 mass at 11' O'clock position that means she has 95 % chances that this mass is a cancer. She also has lymph nodal thickenings (and it may be due to spread of the breast cancer to these lymph nodes in the axilla). But we have still to confirm it without doubt through biopsy of the lesion. I would advice you to go for biopsy of the left breast tissue from 11O'clock position and also a biopsy of the lymph nodes from axilla. Ask your treating physician to refer you for the same." + }, + { + "id": 8777, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 15780, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10921, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 17194, + "tgt": "What siddha treatment can be had for pain in the upper abdomen?", + "src": "Patient: Hello doctor, My 17-year-old daughter constantly gets pain in her upper abdomen with stiffness in the area. She has lots of gas and constipation. Sonography did not show anything. Doctors normally advise antacids and sometimes antibiotics. She has no hunger. Only in the evening, she has hunger and invariably eats junk food. She does not have healthy food. She is extremely intelligent. She sleeps a lot as in 12 to 14 hours per day. Kindly help. . Doctor: Hello. If you follow all these, I think she will be all right. Thank you. For more information consult a siddha medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 28719, + "tgt": "What can I do to limit the signs of aging?", + "src": "Patient: Hi doctor, I am a 26 year old\u00a0male with quite rough skin on my face, which I am not happy with. I was wondering if you could provide me with some advice on what I can do to limit the signs of aging, specifically forehead lines and also the dry look on my skin. I think my problem is sun damage. I have thought about potentially getting minor Botox for just the forehead, but would be afraid it would be too noticeable. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 262, + "tgt": "I have a fleshy growth over the stitches of appendicectomy. What is it?", + "src": "Patient: Hi doctor, Four years ago, I had an appendicitis surgery. There is a flesh like growth\u00a0where the stitches are placed. What should I do now? How to get it removed? Doctor: Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28547, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30155, + "tgt": "Based on my digestive symptoms, please help me with my condition", + "src": "Patient: Hello doctor, Before two years, I started experiencing a feeling that I need to vomit. It would stay constant. I never did vomit as a result of that, but it stayed for approximately 8 months. I could not sleep or eat well, because of that feel. Accompanied with that feeling was extreme constipation. It would take me three to five days to be able to use the bathroom. After that was over with, the stomach pain would not go away and since then my digestion has been terrible. The problem stayed with me and is still with me, although now it has changed quite a lot. These days, it is a week of a huge amount of gases (burping continuously for hours) and acidity in my stomach, combined with a feeling of vomiting. I would also like to add that my bowel movement is not regular. Some day it will be soft and the other day extremely watery. I have not had a regular stool in the past 2 years. Since yesterday, my stool is green, even though I did not have any vegetables or anything green in the past week. I had many tests at the hospital and the doctors said that there is nothing wrong. Some doctors gave me medication for IBS, which only made me feel worse. I have also been prescribed with a medicine to stop or slow down the formation of acidity and that did not work either. Laxatives also did not work. The only test I have not done is endoscopy. Every doctor I have been to said a different thing and none seems to know the problem. If possible, based on the symptoms I have mentioned, please do inform me what this could be.\u00a0I am a 23 year old male. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30547, + "tgt": "Will I get an ectopic pregnancy if I had sex on the date of period?", + "src": "Patient: Hi doctor, I have a query about my period. My actual due date for my period was 28th of last month. I\u00a0had unprotected sex on the 27th.\u00a0I waited two days for my period and I took emergency contraceptive on the last minute to 72 hour. My period got delayed for eight days and got it on the 5th of this month. It was only scanty bleeding. Is my period true or imitating the sequence? I\u00a0heard about ectopic pregnancy. Is there any chance of getting ectopic pregnancy\u00a0as I had sex on the due date of period? I took the velocity test and it was negative. What do you want me to do now. I am a little worried. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26428, + "tgt": "What medicines can be taken for common cold?", + "src": "Patient: Hello doctor, I have been having a\u00a0common cold\u00a0for the past three to four days. The nose is running, sometimes there is yellowish water but most of the time white watery discharge. Please suggest me medicines for it. I\u00a0am also suffering from a mental health issue. I have attached the prescription list. So, I hope medicines are not interacting and worsening my mental health. Kindly advice. Doctor: Hello. I have gone through the attachment\u00a0(attachment removed to protect patient identity). For more information consult a\u00a0family physician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5612, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13802, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7977, + "tgt": "What is the cause for cough after gallbladder surgery?", + "src": "Patient: Hello doctor, I had my gallbladder removed yesterday. Ever since I woke up from the anesthesia, I have cough. My stomach hurts as a result of the continuing cough. I called the surgeons office to find out why this is happening and to get stronger pain medicine. But they said I need to see my primary doctor for the cough as it is not related. I have read that people have coughs after surgery. It is causing so much pain in my stomach. Doctor: Hello. In general anesthesia, a patient is put on ventilatory support as he cannot breathe during general anesthesia. To achieve this, we need to pass a tube, known as an endotracheal tube, down the throat to the lungs. This sometimes leads to some swelling or medically known as edema in the throat. Some patients are more sensitive than others, so they have the self-limiting cough till the edema subsides. You can take some throat lozenges apart from steam inhalation to help you. The cough will go once the edema subsides. Endotracheal intubation leading to airway edema. Upper respiratory tract infection. Symptomatic, with steam inhalation and throat lozenges. Need to see an ENT specialist if not improving." + }, + { + "id": 1443, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 2850, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15811, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17004, + "tgt": "I have taken Harmoni-F for three months. Now planning for a baby. When will I get pregnant?", + "src": "Patient: Dear Doctor, I have taken Harmoni F for the past three months. Now I stopped taking it and planning for a baby. When will I get pregnant? Doctor: Hi, Thanks for writing to us. It will take 3-6 months for you to get pregnant. Start taking folic acid tablet. Hope it helps. Consult an obstetrician and gynaecologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20345, + "tgt": "What can be done for high HbA1c in a pregnant woman?", + "src": "Patient: Hello doctor, I am a 25-year-old lady about 6 to 7 weeks pregnant. My HbA1c is 12. What should I do? Doctor: Hi. According to diabetes guidelines, the patient should have strict diabetic control pre-pregnancy. It is better to have a strict diabetic diet and sugar levels within the normal range and have HbA1c less than 6. Frankly speaking, I feel that during conception, less than 6 or 5 would be better but at 10, it is advised not to conceive but I think after conception it would have increased. As with high sugar levels, more chances of congenital anomalies in the fetus are there, most popular is heart defects. The baby could have diabetes and could grow fast due to sugar levels imbalance and can be large for the gestational age. It can have stillbirth, difficult delivery, intrauterine death, etc. Please contact maternal medicine consultant obstetrician and discuss your detailed history and treatment till now. In pregnancy, Insulin is preferred over oral medications. Have a strict diabetic diet, daily walk, yoga, or mild exercises. Try to have strict monitoring of fetus as well as your sugar levels. Things could be well only with strict diabetic treatment and precautions for the whole pregnancy." + }, + { + "id": 9781, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 12120, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29372, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16562, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17717, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26603, + "tgt": "My son has frequent episodes of itching of the nose and eyes. Why?", + "src": "Patient: Hello\u00a0doctor, My 10 year old son is suffering from an itchy nose and eyes from the past one month. We consulted an eye specialist and an ENT. They both said that it is an allergy and prescribed their medicines. But, there was no sign of improvement. Kindly suggest. Doctor: Hello. Itching of the eyes and nose are indeed symptoms of an\u00a0allergy. But, we want to see if there is anything complicating it. Allergy, per se, is not curable. But, with care and proper management and allergen avoidance, it can be kept to a minimum and the quality of life can be improved considerably. I would like to know all the details that I have asked you and would assess the same.Do revert to me with all details. We shall help you surely. Do attach all the reports and records that you have of your son with regards to these complaints and doctors visits.Hope to see your son better soon. For more information consult an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 22386, + "tgt": "Do my X-rays show the beginnings of asthma or COPD?", + "src": "Patient: Hi doctor, I was diagnosed with bronchitis yesterday in the emergency room. Felt very weak and difficulty breathing and could not wait for my doctor appointment in two weeks. I have an unproductive cough for a month and a half and burning in my chest. Today very breathless when talking. Do these X-rays show the beginnings of asthma, COPD, emphysema, chronic bronchitis? Currently, I am taking Budesonide (inhale) and Acetylcysteine, Levaquin. Doctor: Hi. These X-rays show dilatation of your airways (attachment removed to protect patient identity). From X-ray, we cannot confirm the diagnosis. To differentiate asthma and COPD (chronic obstructive pulmonary disease) you need to do a spirometry testing. That will confirm the diagnosis. Take care. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 12380, + "tgt": "Is there any way to reduce ketone levels in a diabetic patient?", + "src": "Patient: Hello doctor, I am a diabetes patient. My sugar level in fasting is above 350 and I checked ketone in urine, it was found to be 4+. My height is 170 cm approximately and weight check found 62 kg. What can I do for ketone? Doctor: Hello. Ketones usually develop more often in T1 diabetes. Especially when there is no adequate insulin and glucose levels are higher than 300 to 350 mg. It is necessary to take adequate water to eliminate those through urine. Avoid exercise when ketones are present. Try and maintain closer to normal glucose levels. Check glucose levels at home more often (every 3 to 4 hours). There is no mention of what is the treatment with the dosage of various drugs, PP glucose level, and HbA1c %. You have to bring glucose in better control to prevent ketones developing. If proper care is not taken, there can be a further complication of developing diabetic ketoacidosis, a medical emergency. If you have any questions please do come back. Plus it is necessary to look at your current treatment (drugs and dosage), diet pattern and extent of daily exercises." + }, + { + "id": 27528, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18752, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7567, + "tgt": "I have been taking Alprazolam since 5 years. I am unable to sleep without the medicine. Please help", + "src": "Patient: Hello doctor, I am taking Alprazolam 3mg since 5 years. I am also taking Carbamazepine 30mg since 3 years. Now I am unable to sleep without the medicine. Please help. Doctor: Hello. Consult a psychiatrist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21408, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26647, + "tgt": "What is the solution for my premature ejaculation problem?", + "src": "Patient: Hello doctor, I am 52 years old with a BP of 170 to 180 and no other problems or issues. The problem is I have started ejaculating very fast nowadays. I am very active sexually and the erection is always there except sometimes it is not so strong. My partner wants it hard and long. So, please suggest a solution. Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine\u00a0physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20911, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1987, + "tgt": "I have a habit of sleep walking after diagnosed with OSA. Please help", + "src": "Patient: Hello doctor, I was diagnosed with OSA and parasomnia/sleepwalking. I have been on CPAP for several months now with success, but still having some episodes at night, where I act out my dreams and I am afraid and run out of the house onto the street. I was also violent and aggressive towards my partner during this time of the last episode, which was two nights ago. She has children that live with us and we are extremely concerned about their safety if I have one of these episodes. I do not drink alcohol, smoke, and try to reduce my stress level. I have been using the CPAP religiously but would like a backup method to suppress these violent episodes that may/may not happen. It is really affecting my sleep, especially since I broke my foot. Please help. Doctor: Hello. I understand your concerns. Your sleepwalking is mainly because of your OSA (obstructive sleep apnea). But as you said it is under control then sleepwalking should also be in control. You can try some measures to prevent any harm to others and yourself. 1) Always cover your window and doors before going to bed. 2) Place an alarm on door and on windows. 3) Remain away from stress you can try some pranayam and meditation as well. 4) Exercise during day time so that you feel tired physically which leads to a deep sleep. We start you on some medication as well like Clonazepam in the range of .25 mg to .5 mg. You can repeat your sleep study also. If you have any other doubt you can always consult me here on icliniq." + }, + { + "id": 28562, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2624, + "tgt": "Post wisdom tooth extraction, I get a white patch of tissue near surgical site. Is that scar tissue?", + "src": "Patient: Hello doctor, Approximately one week ago, I had my wisdom teeth removed. On my lower left, I have a dry socket, which I am getting treated for via packing (at least I think that is what it is called). On the right side, healing is just fine, however, I noticed some white stuff lodged in the gum. I am not sure if it is food or scar tissue because when I tried to get it out with a toothpick, it did not come out very easily, so I left it alone. Is this food or scar tissue? It is mildly bothersome. I brush my teeth but know to be careful around the surgical sites so they do not get irritated. It seems like a lot of plaque builds up back there because of this, and I am not quite sure what to do. Also, there is a very small spot of red gums on the front side of my second molar. I put a bit of mouthwash on it with a toothpick and left it alone. I have two questions, what is the whitish stuff that feels like food trapped in my healing gum socket? And what is this small patch of irritated gum on my second molar? Any help is appreciated. I am currently on Celexa (for depression), 600 mg of Ibuprofen (for wisdom tooth pain). Doctor: Hi. As it is just one week of wisdom teeth extraction, the white stuff seems to be most probably healing tissue only. It is a normal appearance of healing tissue post-extraction. A white patch of irritated gum can be due to injury or ulceration that can be due to accidental injury with the extraction instrument or can be due to injury with a toothbrush or any hard food. You can apply Chlorhexidine gel over it. Do warm saline gargles, antiseptic mouthwash gargles and brush your teeth twice a day for keeping plaque and deposits less accumulated. I hope this helps." + }, + { + "id": 8097, + "tgt": "I was punched in the back of my head and suffering from continuous headache now. Kindly help", + "src": "Patient: Hello doctor,I am 21 years old female. I punched in the back of my head three months ago, and I have been having headaches, dizziness, and hard time catching my balance when I stand up. I daily wake up and go to bed with a headache. I have tried Tylenol, and nothing seems to help. I am not taking any medications. Doctor: Hello. I went through your post, as you have mentioned in your post that you were hit on the back of the head and now have giddiness and difficulty in balancing, I would suggest, 1. You will need an MRI brain and cervical spine to role out any abnormality of the brain stem and cervical spine due to trauma. 2. The imbalance is caused by either the problem of middle ear or cerebellum which can be differentiated by clinical examination, so consult a neurologist. 3. Meanwhile, you can start tablet Betahistiine 16 mg twice times a day that will help. I hope you are satisfied with the answer." + }, + { + "id": 2557, + "tgt": "I have low sex drive which tends to make me dry soon with no enjoyment in sex. Why?", + "src": "Patient: Hello doctor, I have experienced pain during penetration in the past, but for the past six months, sex has become such a painful experience for me. I no longer enjoy it and I have a nonexistent sex drive. I have no sex drive at all, and I no longer enjoy sex and it has become so painful. I also tend to dry out so quickly. My partner and I have tried lube but it does not help at all, I still experience pain. Doctor: Hi. Having vaginismus is just like having any other medical problem. The only difference is not many people talk about vaginismus. Not able to have sex can be emotionally exhausting and mentally disturbing but the good thing is that it is a completely curable condition. Treatment involves a combination of couple counseling, and pelvic floor physiotherapy which consists of a thorough pelvic floor examination along with complete objective history by certified pelvic floor physiotherapist following with some relaxation exercises (also called myofascial release) either with direct interaction or using vaginal dilators. Physiotherapy increases the chances of success up to 98%. Patients mostly do not even need medication to treat this condition. Anxiety-relieving medicine may be prescribed for some, but only if required. The primary treatment methods involve understanding the vagina and exploring it and slowly desensitizing it using vaginal dilators under the guidance of pelvic PT. For partners of vaginismus patients, wise advice would be to be more supportive, communicative, and sensitive. One\u2019s rock-solid support to their partner is crucial for the chance of a complete cure. Intimacy is important but there are many ways to express your love. Pleasure is not the result of just one move, take out the time to research, and learn about each other\u2019s bodies. Love and support is the key in such times." + }, + { + "id": 22079, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16078, + "tgt": "Please suggest the natural ways to get pregnant", + "src": "Patient: Hi doctor, My marriage life has passed four months. But my partner has not got pregnant. Please suggest a natural way to cure the problem. Doctor: Hi. Many factors cause an effect in pregnancy. Please mention about your partner's menstrual history and history of any other disease or diabetes or thyroid. She needs a complete examination done by a gynecologist so that she can tell whether everything is normal or not. If everything is normal then, try between 11th to 15th day of the menstrual cycle. Ovulation usually occurs during these days. If there is any problem, then treat the problem first and then try for pregnancy. Pregnancy also depends on you. The semen analysis report shows less active sperms than usual (attachment removed to protect patient identity). So you need some treatment." + }, + { + "id": 14845, + "tgt": "I have toothache due to dislodged filling in an incomplete root canal treated tooth. Please help", + "src": "Patient: Hello doctor, I have toothache. I have an unfinished root canal for about eight months, temporary filling has also fallen out. Now I am with severe pain. Unable to drink, eat, etc. What should I do to relieve the pain? OTC is not working. Doctor: Hi. I have read through your complaint and the relevant details. You said it is an eight months old treated tooth and also with incomplete root canal treatment. With this, I suspect that the tooth is severely infected and you might need to take a course of antibiotics along with pain killers as an emergency till you seek a dentist as soon as possible. Also do not worry that the temporary filling has fallen out. That is okay because if it was there, you would have got a swelling due to the severe infection pressurized within the boundaries of the tooth. Re-root canal treatment is highly questionable at this stage. Meanwhile, take the tablets as per the prescription. Capsule Amoxycillin 500 mg orally eight hourly for five days, tablet Metronidazole 400 mg orally 12 hourly for five days, tablet Ibuprofena and Paracetomol (200 mg and 500 mg) combination drug to be taken orally eight hourly for 2 to 3 days. Note: Please do not repeat the course unless prescribed again. All medicines are to be taken after food only. If you get any skin rashes or allergies immediately stop taking the medicine. If you having any gastric irritation during the course of the medicines, please take tablet Omeprazole 10 mg 12 hourly 30 minutes before food along with the other prescribed medicines. However, I advice you to visit a dentist as soon as possible to get it virtually treated because antibiotics are mere ad-ons to the actual treatment." + }, + { + "id": 10504, + "tgt": "What are the signs of tonsillitis?", + "src": "Patient: Hi doctor, My 15 year old daughter always gets sick. When I take her to the doctor, every time he used to say it as viral infection. This is the fifth time in a year she has been sick with the same symptoms. Her symptoms are cough, low fever, sore throat and yellowish white colored mucus covering her tonsils and back of throat. Are these the signs of tonsil infection? Should her tonsils get removed? Doctor: Hi. Let me first enlighten you about tonsils. 1. Eating more chocolates or ice creams. 2. Dental and oral hygiene. Throat swab and culture or RADT (rapid antigen detecting test). URTI (upper respiratory tract infection). If culture is positive then I suggest Tablet Amoxicillin 625 mg twice daily or tablet Amoxicillin 500 mg thrice daily for 10 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Repeated salt water gargling. 2. Maintain oral hygiene. 3. No high carb diets like ice creams and chocolates. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2353, + "tgt": "My hair has become dry and is falling out after getting it straightened. How to make it better?", + "src": "Patient: Hi, I straightened my hair for 3 times. After my third time my hair became really dry and curly also there is a lot of hair fall while shampooing.Please let me know whether i can make my hair better Doctor: hi, hairs are basically dead keratins only the hair follicle inside the scalp skin from which hair grows is living. so when you straighten them or when you bleach or when you do any styling over them some part of the is always damaged. so that cannot be repaired by the hair itself only the new hair which will grow from the follicle below will be normal. so as you have said you have straightened them three times so you can imagine they are quite damaged. they will break there will have split ends and there will be lusterless without any good conditioner. so if your otherwise hair growth has been normal you have no other option but to just wait for the new hairs to grow and replace the existing damaged ones.. to increase hair growth you can use minoxidil 5% twice daily over the scalp tablet calcium pantothenate + biotin for 4 weeks. both minoxidil and Calcium pantothenate increase hair growth and hair are thick also. I hope this help. thank you" + }, + { + "id": 9522, + "tgt": "I have to get a surgery done for my hip injury. Please advice on my MRI", + "src": "Patient: Hello doctor, I had an injury before three years on my hip and I am now about to undergo a surgery due to issues with my discs that started when I injured my hip flexor. I just had an MRI today and would like a radiologist to view my images and send me a report on the findings. Doctor: Hello. Your MRI both hips show imaging following features, 1. Subchondral edema involving bilateral femoral heads extending up to bilateral femoral necks 2. No depression of head of femur or crescent sign seen in the present MRI 3. No displaced fracture is seen. 4. Visualized soft tissues appear normal. These findings are concerning for grade II of avascular necrosis of femur. If you have any doubts, please feel free to discuss." + }, + { + "id": 22070, + "tgt": "What can be given for cough in a 2-year-old baby?", + "src": "Patient: Hello doctor,My son is 2 years 10 months old. He has a viral infection. He did not have a cough initially, only fever, so the doctor advised Sinarest plus or Meftal P if fever persists. He recovered in one day but the next day again he started coughing and had the fever. I am giving him Meftal and Sinarest plus both. What should I give for cough? Doctor: Hi. I can understand your concerns. Sinarest syrup (Acetaminophen, Chlorpheniramine) is mainly used for cold and nasal discharge. In my opinion, Sinarest syrup should be stopped and cough syrup like Chericof (Phenylephrine, Dextromethorphan) 5 ml three times a day for three days can be started. If fever persists, then investigations like malarial antigen test and widal test for typhoid with complete blood count should be done. Take care. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29168, + "tgt": "During pregnancy, is it necessary to take treatment for IgG positive toxoplasmosis?", + "src": "Patient: Hi doctor, My wife is 4 months pregnant. Her toxoplasmosis report showed IgG reactive and IgM non-reactive. Our doctor prescribed her Rovamycine forte 30 tablets for 10 days. What shall we do? Doctor: Hi. I sincerely advise her to not take anything. Any infection produces two types of antibodies. They are IgG and IgM. IgG is from infections which occurred many years or decades ago. It is not harmful as it will not cross the placenta and will not affect the baby. IgM is an acute infection. It means she has an infection now. It will be dangerous to the baby. Usually, these infections occur once. Now if she has IgG, then it only means that she had infections sometime in the past. So, no need to take medicines unnecessarily now. Please share this with your treating doctor. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19485, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28023, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25514, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27672, + "tgt": "Can you comment on my lung function tests?", + "src": "Patient: Hello doctor, I recently had issues with a somewhat forced breathing and a cold or a cough that is not clearing up from the last two to three months. The doctor sent me for a pulmonary test, the results of which I have attached. What do they mean? I have also attached my latest blood reports. Can you comment on both of these? Doctor: Hello. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27064, + "tgt": "I have had tympanoplasty on both ears. Does either ear appear infected?", + "src": "Patient: Hello doctor, I am having dizziness and fainting-like sensations along with intense itching in both the ears. I had my husband help me take photos with our otoscope I purchased online. The pictures with redness on them are my right ear, and the pictures without the redness and the yellow tube are my left ear. I have had a tympanoplasty on both ears and a mastoidectomy on the left. I am currently on Omeprazole for GERD and Adderall for ADD. Doctor: Hello. I understand your concern. For further queries consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 3258, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 22946, + "tgt": "Can Citalopram, Duromine and Panafcortelone be taken together?", + "src": "Patient: Hi doctor, I had mild depression five months back and overweight. Now blood pressure is high.My doctor has prescribed me to take Citalopram 20 mg, Duromine 40 mg and Idaprex 2. Also for the last 10 days, Panafcortelone 5 mg. From what I have read, the first three medications should not be taken together. I am after a second opinion, please. Doctor: Hi. There is no drug interaction between Phentermine (Duromine) and Perindopril (Idaprex). Duroxime (for weight loss) can increase blood pressure which will be counteracted by Idaprex (for high blood pressure). There is no drug interaction between Citalopram (for depression) and Idaprex. Citalopram has a serious drug interaction with Duromine. Citalopram may increase the effects of Phentermine, and side effects such as nervousness and anxiety. A rare but serious condition called the serotonin syndrome can occur that includes symptoms such as hallucination, seizure, extreme changes in blood pressure, increased heart rate, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, and tremor. You should regularly consult with your doctor and do report if any of these symptoms occur. You have been prescribed Prednisolone (Panafcortelone). This might be for the renal failure. But Prednisolone is known to cause depression, weight gain, and high blood pressure itself. You must get clarified with the consulting doctor about the prescription of Prednisolone (why it has been prescribed). Additionally, consult about changing Perindopril to Fosinopril as Idaprex is primarily eliminated by the kidney and may accumulate in patients with renal impairment. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23038, + "tgt": "What can be the reason for gray hair in children?", + "src": "Patient: Hello doctor, What can be the reason for hair turning white in kids? Is there any solution to this problem? I read on the internet that hair can turn white even when vitamins or iron levels are low. If supplements are taken, can this problem be reduced? What kind of diet would help? Doctor: Hello. Graying of hair is not specifically due to a vitamin deficiency. If the rest of the body does not show any signs of a vitamin deficiency, then white hair is usually idiopathic. Many genetic and environmental factors play a role. Check if the water is polluted with salts and heavy metals. Except for cosmetic concerns, grey hair usually is not a sign of a disease. Oiling the hair with ayurvedic oils might help. Try to include Indian gooseberry (amla), green leafy vegetables, nuts and liver in your diet. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12222, + "tgt": "What is the best treatment available for gum recession?", + "src": "Patient: Hello doctor, Recently, I noticed a visible gum recession. Ignore black triangles. Got it after orthodontist told me that is due to my nature of teeth shape. I had braces two years ago. I realized the recession when flossing and brushing my teeth. I am wondering if I have overflossed and hurt my gums because it bleeds sometimes too and worried if it is gingivitis. Does mouth wash help? I am considering getting it. Doctor: Hello. Gum recession is caused due to multiple reasons and one of them is gingivitis or periodontitis. The amount of recession as I see in your pictures (attachment removed to protect patient identity) is very less and you need not to worry about it at all unless you experience sensitivity issues. There is no sign of any inflammation or infection in your gums and that is not the cause for recession. The probable cause for this in your case is a faulty tooth brushing which causes constant trauma to the teeth and gums. Applying excessive pressure on your toothbrush while brushing is the most common reason as people usually think this will make the teeth whiter but in fact, it only causes more harm. Following proper tooth brushing techniques will prevent further recession. Black triangles are caused usually due to deposits in the interdental areas. You can visit a periodontist to get this treated. We have a few options such as laser therapy for papilla regeneration and a few other minor surgical procedures to regrow the lost gums in between the tooth. To correct gum recession also you may ask the periodontist for the treatment options. They are commonly gum grafts, coronally advanced flap therapy, etc., which will bring you back your esthetics. These procedures are not majorly invasive and need not hesitate to get it done. However, if it does not cause you any trouble you need not get any procedures done other than regular scaling and maintaining hygiene. Also, remember to use only a soft toothbrush as hard bristles can cause more trauma and result in a further recession." + }, + { + "id": 28357, + "tgt": "My skin has become dark, and it is starting to peel. Please help", + "src": "Patient: Hello\u00a0doctor, We just went on a vacation, where we did a lot of beach\u00a0activities, and the sun was very harsh. As a result, my skin has become dark, and it is slightly\u00a0starting to peel. Please suggest some home remedies or skin cream to restore my skin. Thank you. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14987, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17446, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3905, + "tgt": "Do excess masturbation in the past result in erection problem?", + "src": "Patient: Hello doctor, I am a married guy of 33 years old. For the past two to three years, I am facing problem to get a proper erection. At my teenage I did masturbate frequently. Somehow I lost flexibility and elasticity of the penis and loosen skin. At age 28, I was affected by depression and I take medicine Sizodon LS (Risperidone and Trihexyphenidyl) and Epcon 0.5 (Clonazepam). But now I stopped this medicine for about one year. I have already consulted a doctor and he asked me to get some tests done. He advised me to take Nano-Leo total sachet twice a day in milk for a month. He also advised me to do regular exercise and after month, I found some light difference in erection. But mild erection results are not satisfied, but still, I am not getting a triggering effect like I was having at my younger age. In my teenage, erection used to happen even by thought. But now I am not getting a proper erection after struggling on the bed. With my partner too the duration is very short. Without proper erection, I get discharged when I want to perform. I tried lots of Ayurveda medicine but not satisfactory. Please help. Lab reports attached. Doctor: Hello. I read your query with keen interest and understand your concerns. First of all, I like to inform you that masturbation is completely harmless process and not associated with any side effects. However, depression is one of the common causes of poor erections and it is possible that there is still some effect of it. In addition, the medication you used for treatment also causes an elevation of prolactin as a side effect. The high prolactin in turn causes loss of libido, erections, sexual desire among other side effects. I mean to say that both diseases, as well as its treatment, is somehow responsible for the loss of erections which are experienced by you for the last two to three years. Fortunately, all the attached blood reports (attachment removed to protect patient identity) are normal and there is a little to worry in regard to tested blood and urine parameters. Regarding the management, I will request you to get the following blood tests and revert back to me. 1.Serum testosterone 2. Serum prolactin I also take this opportunity to inform you that a typical course of Nano-Leo total (L-Arginine and Zinc capsules) for sexual problem lasts for three months. The complete effects are observed after a long time and it will be premature to expect results at the end of one month. I look forward to guide you further." + }, + { + "id": 4034, + "tgt": "Is it possible to have vocal problems due to hemorrhage?", + "src": "Patient: Hi doctor, I am a semi-professional singer and recently, I have been dealing with some vocal problems, I think I had a vocal hemorrhage and it seems to slowly heal, I am really not sure about what it is, so it would mean the world if you could give me your thoughts on it and in how much time it is going to be okay. Doctor: Hello. There are hemorrhagic patches (early stage) in the anterior one third of both the vocal cords but that will heal if you will take adequate voice rest, drink plenty of water, maintain vocal hygiene for a month and take proton pump inhibitors as well. Get repeat laryngoscopy done after a month. Also, there seems to be a phonatory gap in posterior third of vocal cord but to confirm if the gap is present I need to see video of of laryngoscopy. If you have a video of scoot please send that to me (a picture will not be enough). Even if gap is present it will go with the speech therapy." + }, + { + "id": 28552, + "tgt": "I am suffering from extreme muscle weakness. What may be the reason?", + "src": "Patient: Hello doctor, My age is 25 years. My height is 5'10\" and I weight 78 kg. I am suffering from muscle twitches and extreme muscle weakness and muscle pain from last one month. I went to a neurologist and he says reflexes are normal and asked me not to worry and he put me on tablet Remylin-D. I am currently having that tablet, but no improvement is seen. I am very weak, my heart palpitates by lightest exertion. I have a history of masturbation from adolescence and having excessive nightfall problem. One more symptom is that I have not developed significant moustache and beard. My MRI brain, EEG, sugar, blood pressure, sonography of stomach are all normal. Is it due to testosterone hormone deficiency? (I searched it on internet and found that)\u00a0 Is it due to over masturbation? What may be the reason of my muscle weakness which no doctor is able to diagnose? I have no energy left and I am not able to think what to do as it is seriously affecting my life. Sometimes suicidal thoughts come in my mind due to my problem.Kindly help. Doctor: Hi. Based on your query, my opinion is as follows: Revert back with the reports to a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9557, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 13307, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8246, + "tgt": "Is this indentation on my thigh something to worry about?", + "src": "Patient: Hello doctor,About a week ago, I noticed this indentation on my left thigh. It looks like a long line across it. It is most visible when the leg is placed horizontally and the muscle is relaxed. I cannot see it when I stand up or bend my leg. I think it appeared recently because I would have noticed it before. It is much more pronounced when I pull at the skin and fatty tissue. You can see it in the photos. All the tissues and muscles feel normal and there is no pain, swelling, lumpiness etc. Both the legs are symmetrical and the tissues are mobile and elastic. There is no adherence anywhere that I can tell. What is this? It looks more like it is related to the fatty tissue. But, it did appear or I noticed it immediately after starting to work out. So, could it be related? If there are no other signs, is this something I should worry about, like a cancer sign? Or should I relax about it? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13796, + "tgt": "What are the ways to increase sperm count?", + "src": "Patient: Hello doctor, How to increase sperm count? I had a sperm examination test. The sperm count and mobility of sperm are very low. Doctor: Hello. You have to rule out the underlying cause for low sperm count and motility. For that, you need to investigate further with serum testosterone estimation, serum prolactin estimation, USG testis to rule out varicocele, etc., like investigation as per need. Smoking and alcohol drinking also are the culprit in such case. So it should be avoided if having a habit of it. Hey Forte (CoEnzyme Q10 and Selenium) like tablet can be prescribed empirically in low sperm count and motility." + }, + { + "id": 25402, + "tgt": "What is the cause of my kid vomiting soon after food?", + "src": "Patient: Hello doctor,My son had breakfast this morning and after one hour he vomited. And continuously he was refusing food. I gave him cinnamon milk. The whole day he ate nothing. In the evening he ate two cookies and right after five minutes he vomited. Now I gave him 5 ml Motilium suspension. What to do, I am worried. Doctor: Hello. I understand your concern. I would like to know more details, to know the cause of vomiting. Like:Does he have outside food? It can be due to food indigestion.Does he have fever or throat pain? It can be a viral fever.Does he have tonsil problem? It can be due to tonsils. You can re-try the vomiting medicine of the same brand or other like Ondem /Enset (Ondansetron) 5 ml two times a day 30 minutes before meal. If no fever, do not worry, give vomiting medicine, maintain adequate hydration by giving liquids. I suggest giving him syrup Bandy plus 5 ml (Albendazole and Ivermectin) tonight for worm infestation if no fever. Sometimes it can also cause vomiting. If vomiting is more than 5 times persistently, take him to his doctor right away as he may get dehydrated. All medicines to be taken on doctor's consent. For more informaiton consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 1705, + "tgt": "I took Viagra 50 mg, and it helped with erectile dysfunction. Will Viagra affect my fertility?", + "src": "Patient: Hello doctor, I have a query related to the use of viagra. I have the problem of erectile dysfunction. Sometimes, though I get an erection, I am unable to sustain the hardness, and do intercourse. I took Viagra 50 mg once and it worked well. Is it safe to use viagra to get my wife pregnant? Will viagra cause any effect on my fertility? Will it affect the sperms? Hope to listen from you soon. Doctor: Hi. I read your query and understand your concerns about the effect of Viagra (Sildenafil) on sperm or its quality. I like to inform you that the formation of sperm is an independent process from erection. You will be surprised to know that the sperms that will be released in the next few sessions may have completed their manufacturing weeks back, if not the months. In other words, sperm formation takes around two and a half months and has no casual relationship with the erection or mechanism of erection, which is affected by Viagra. On the other hand, Viagra acts on certain receptors on the blood vessels and remains effective for a few hours (4-6 hours). I mean to say that as per the available literature, no harm is made to sperms or sperm quality by Viagra even on the frequent use. You can safely go ahead with Viagra to father a child." + }, + { + "id": 25388, + "tgt": "Please suggest flu medicines that are safe for a lactating mother", + "src": "Patient: Hello doctor,My wife today woke up with a bit of body ache, sore throat, and slight fever. She is a lactating mother of a 12 month old baby girl. She is also believed to get pregnant this week. So kindly prescribe the required medicines for her to take which are safe both for a lactating mother and who are expecting to get pregnant. Kindly advise its doses too. Thanks. Doctor: Hello. She will need to rely mostly on home remedies as she is lactating. However, I did not understand the part where you have mentioned she is expecting to get pregnant this week. It is harmful to her health if she conceives again so soon as I am sure you must be aware. Kindly avoid pregnancy by the use of contraceptives on a regular basis. As for the body ache and fever, I suggest tablet Crocin 500 mg (Paracetamol) one tablet when fever present. After feeding the baby, medicine is to be taken. Syrup Honitus (ayurvedic cough syrup) two teaspoons thrice a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Monitor both the fever and sore throat. If very high please make sure she gets to a hospital. Kindly ensure breastfeeding is ongoing. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 26449, + "tgt": "My son suspects to have genital herpes. Is it safe for my pregnant daughter to be near him?", + "src": "Patient: Hello doctor, My 26-year-old son suspects to have genital herpes. He had one outbreak of something in his genitals about six weeks ago but no other symptoms. He has not seen a doctor nor has he had any testing. He does not\u00a0believe he has it. He is going to spend this weekend with his sister who is 10 weeks pregnant and her 1-year-old son. He has not told his sister anything about this. Should I be concerned about the possibility of him infecting his pregnant sister or her son? Doctor: Hello. Take care. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9936, + "tgt": "What can be done for light-sensitivity in the eye after injury?", + "src": "Patient: Hello doctor, Last week, I hit myself in the eyes and although the pain had gone away, my eyes are still light-sensitive. I saw an urgent care doctor, he looked into my eyes and said they did not see anything wrong but it is now five days and although it is substantially better, it is still painful outside in the sun. Doctor: Hello. You might want to visit an ophthalmologist or an optometrist instead, considering that the emergency doctors are not equipped with all the required diagnostic machines that can see minute things in the eye. Light sensitivity has many reasons including dryness of the eyes but you mentioned that this never happened before so it is better you get a comprehensive exam instead." + }, + { + "id": 23691, + "tgt": "I missed my Depot shot. How would I know if I am pregnant?", + "src": "Patient: Hi doctor, I am on\u00a0Depot injection and I missed the shot\u00a0for over 10 days now. I have not started bleeding yet. When I was on the shot before, I bled when I get off the shot. Now, how would I know if I am pregnant? Doctor: Hello. Serum beta hCG. 1. Post progesterone amenorrhea. 2. Intrauterine or ectopic pregnancy. Duphaston withdrawal. Routine cyclical contraceptive. Revert back with the reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8073, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 771, + "tgt": "What are some common causes of one-sided SI joint pain?", + "src": "Patient: What are some common causes of one sided SI joint Pain that comes and goes? I'm 25 and just had a baby (naturally) 10 months ago. Back pain started at 8 months Postpartum . Doctor: There are various causes of SI joint pain which range from: Considering your history, it appears more likely due to pregnancy and incorrect posture. It is imperative to know if you are able to fold your legs , any pain in bending forward or backward, any issue in walking. Mild SI joint pains can get relieved with exercises. Severe may require SI joint injections Please let me know if something else is required With regards" + }, + { + "id": 4845, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11019, + "tgt": "Is morning phlegm with blood related to allergy?", + "src": "Patient: Hi doctor, I am allergic to pollen and I am suffering from hay fever. I have been sneezing because of it. In the mornings I see a bit of phlegm with a little bit of red blood in it. Also, it is seen only in the morning. Is it related to allergy or something to worry about? I am reasonably healthy and my CBP is normal, which I got it done a month or two ago. I am low in vitamin D and vitamin B12 and taking some vitamin pills for it. Other than this I do not have any health issues. Please suggest me. Doctor: Hi. Yes, it is related to your allergy. Sometimes, with excessive sneezing you may have this capillary bleeding. Nothing to worry as it is coming only in the morning associated with sneezing. Try to avoid contact with pollen. I suggest you to use antihistamines and leukotriene inhibitors, tablet Allegra 180 mg (Fexofenadine) once a day and tablet Montelukast once a day. Sometimes you may need to use steroids if symptoms are severe to evaluate. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Do you have any cough or throat pain? Get a chest x-ray posteroanterior (PA). Check blood for bleeding and clotting time. Get a detailed check of your nose and throat by your medical practitioner to see any nasal polyp and other things. Revert back with the answer to the above question to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20704, + "tgt": "Is it normal to gain weight after taking contraceptive pills?", + "src": "Patient: Hi doctor, I am a 25-year-old female and was taking the contraceptive pill Microlite for about six months and then switched to Yasminelle for about three months. As a result of taking the pills, I have noticed a huge change in my body, I have gained weight particularly around my knees and thighs and stomach which I am unable to lose. I have also noticed the veins in my legs appear much bigger and closer to my skin, and feel some pressure in the bottom of my legs. I stopped taking Yasminelle about two months ago and there is still absolutely no improvement in these symptoms. What should I do? Is this normal? Will I lose the weight and will my symptoms go and if so how long will it take? I am extremely worried. Doctor: Hi. It is better to have a concern about newly appeared symptoms and better to search solution as well. Contraceptives are hormones and give side effects short and long term. That is why it is better to discuss one's personal health history and contraceptive suitability with your treating Gynecologist and will be able to avoid the side effects. Although you need one physician consultation as well, you also need to discuss your medical history in detail. Combined oral contraceptive can give you or increases risk of venous thromboembolism. Weight gain could be the result of progesterone intake as well but if body tends to become fat also, there it complicates drugs or hormonal side effects as well as attract complications. Normal BMI and weight help to have better life quality. Try to have daily exercise, walk, and yoga. Have a healthy diet, less salt, sugar, oil, and spice. Take plenty of water daily. Better to lose weight, it will reduce the risk of multiple health issues like polycystic ovaries, irregular periods, clot formation, hypertension, diabetes, etc. Have recreational activities and quit recreational drugs like cocaine, tobacco, etc., if you have been using." + }, + { + "id": 13519, + "tgt": "Do antidepressants cause low sex drive?", + "src": "Patient: Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help. Doctor: Hi. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Once you answer the above questions it will be helpful to suggest the appropriate measures." + }, + { + "id": 2300, + "tgt": "I have few sores on penis. Can this be herpes?", + "src": "Patient: Hello doctor, I have a few sores on my penis. I have taken a few pictures. Can you check it is herpes? Doctor: Hi. Some more questions to come to the diagnosis. Are these spots painless? Did these appear first on glans and then on the shaft? Do you have a mild fever, headache, myalgias? Any discharge from these lesions? Lesions present anywhere else e.g. mouth lips? Are you on any kind of medication?" + }, + { + "id": 25126, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25968, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17364, + "tgt": "How does Nicotex chewing gum help quit smoking?", + "src": "Patient: Hello doctor, How does Nicotex chewing gum help in quitting smoking? Doctor: Hello. Wishing you a good health. For more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 16932, + "tgt": "I have acidity and indigestion problem. What to do?", + "src": "Patient: Hi doctor, I am a 27 year old male, who weighs 62 kg. My stomach is swollen, and it feels as if it is filled with gas. I also have low appetite, acidity, and\u00a0indigestion. I used to chew tobacco from a long time, but I quit it\u00a0recently. I am an occasional drinker, and I am fond of spicy foods. I am currently taking Mosiba and Famocid 40. Doctor: Hello. I went through your post. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11733, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3687, + "tgt": "Is it possible for the sperms in hands to get inside the vagina and cause pregnancy?", + "src": "Patient: Hi doctor, I am 29 years old. I never had intercourse before. I was dating and my partner did oral sex and fingering for a few minutes. I am not too sure if he had semen on his hand or his hands were clean. I am really worried if this will lead to pregnancy. I am feeling stomach cramps on and off after that. Please advise. Doctor: Hi, Welcome to icliniq.com. Please tell me when was your last period, period pattern, and cycle length so that I can tell you about the chances of getting pregnant. If you had the act before a week it is too early to detect pregnancy. Please share the period details for further guidance." + }, + { + "id": 9376, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28310, + "tgt": "I missed my period after taking I-pill. Is it too early for the urine test to detect pregnancy?", + "src": "Patient: Hello doctor, My period was due on the 20th of this month. I had protected sex on 14th night, and we had a bit of a doubt about the protection, so on 15th evening, I took an I-pill. On 17th night, we again had protected sex, and on the 19th morning, I took another I-pill. I did not\u00a0get my periods yet. Can period get delayed? Is there a\u00a0chance of pregnancy? I tested with the urine kit last night, which was negative. Is it too early for the\u00a0urine test to detect pregnancy? Doctor: Hello. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 715, + "tgt": "I would like to try ayurveda for ADHD. Please help", + "src": "Patient: Hi doctor, My son was diagnosed with ADHD before a year and subsequently he was given Vyvanse 20 mg. He has continued to take this medication until this year with a dosage increase from 20 mg to 30 mg. He is 8 years old and weighs about 70 lbs. I would like to get him off this medication and try an ayurvedic approach. Last one year, when he has been on Vyvanse, he has not gained any weight and frequently lacks appetite. Currently, he is on summer break and not on this medication. He will be homeschooled from this year onwards. Doctor: Hi. Rather than just mentioning as ADHD (attention deficit hyperactive disorder), I would request you mention the dominant symptoms you have noted in him. Also, mention about his bowel movements, sleeping and food habits. Revert back with a detailed history to an ayurveda specialist online -->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15427, + "tgt": "I am a workaholic. Will it give a negative impact on my sex life?", + "src": "Patient: Hi doctor, I am using Nano Leo Total. I want to improve my sexual activity a lot. How can I do it? I am happy, and I am not in a depression. I feel very normal. But I am workaholic, and I work very hard for a long time. Does it have an impact on my sexual activity? Please suggest me. Doctor: Hi. A busy life will not have an impact on sexual life, though it adds to fatigue, at the same time, workaholic maturity increases with confidence. Consider taking either Sildenafil or Tadalafil. Tadalafil is long-acting, and it is best suited. You can keep taking the drug on SOS (save our soul) basis about one hour before sex. This will make erection harder, and it will increase the time too. Take 10 mg on alternate days and also take another tablet on the day of sexual intercourse. It helps to maintain an erection. Apart from medicines, you can think of taking supplements. Nano Leo has L-arginine. But I advise you take L-arginine in a dose of 1500 mg. Tantex Forte and Confido are herbal drugs. You can start taking these drugs one tablet each twice a day for two months. These are safe to use, and it does not cause serious side effects. Keep your blood pressure and blood sugar levels in normal range. Altered blood sugar levels and hypertension are the two main culprits for having a poor erection. With regular use of drugs, your sex life gets improved, and there is no need to worry." + }, + { + "id": 3028, + "tgt": "How to avoid coma while getting anesthesia?", + "src": "Patient: Hi doctor, I am concerned about my upcoming surgery. During past surgery, I woke up and then went into a mild coma after being given more anesthesia. How likely is this kind of complication? How can it be avoided? Doctor: Hello. Revert back with a detailed history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16804, + "tgt": "My wife could notice blood in her stools. Could you please advise us with proper guidance?", + "src": "Patient: Hello doctor, My wife (age 33 years) has been suffering from piles related issues since last 10 years. It occurred after her delivery (in 2003) and was harmless at that time.\u00a0We are having an eleven year old daughter. Recently she started experiencing pain and itching while going to toilet. Also she could notice blood in stool\u00a0(occasionally). So, we decided to visit a hospital and there she had a couple of tests including rectal scanning. After investigation, doctor informed us that she has been affected by second degree piles, skin-tag and fissure and hence laser surgery is inevitable. We are really worried. Is there any alternate treatment without surgery?\u00a0 Presently, an ayurvedic specialist (who is located near our village) has prescribed few medicines (mentioned below) for reducing the pain and itching but not for cure,\u00a0Hamamelis virginiana ointment at night (to be used on the affected area), ayurvedic medicine for internal intake like Arsohari lehyam and Smooth laxative.\u00a0 Could you please advise us with proper guidance? Is there any doctor to whom we can consult for a second opinion? My wife is a thyroid patient. Looking forward to your valuable suggestion. Doctor: Hello. I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is also known as pruritus. There are certain guidelines: Before all this you need to go and get yourself examined by a good reputed general surgeon in your area. Ayurveda is outside my field of expertise and I am not convinced about you using ayurvedic medicines to treat hemorrhoids at this stage. There are other various possibilties like rubber band ligation, sclerotherapy, cryotherapy, etc. The doctor who examines her may advise a colonoscopy to find out the status of the fissure. My final advise to you is that her condition is treatable and you need not have to worry. She needs to be under a good surgeon. There are various other modalities, which can be decided based on her local findings. Hope this was helpful. consult a general surgeon online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 25911, + "tgt": "What do you suggest for my stress, lack of energy, and tiredness?", + "src": "Patient: Hello doctor, I am a 27-year-old female and I weigh 140 pounds. I am 5 feet 4 inches tall. I have sleep trouble and I am feeling stressed. I am getting ready for a test. I work out to help me relax. I feel often exhausted. For the past two weeks, I am constipated. It was hard for me to go to the toilet. Now, I have difficulties to wake up. Also, I had an implant 18 months ago. Normally, I did not have my periods for some time. I have started to have my periods again for the last 10 months. My last period was two weeks ago. What do you suggest for my lack of energy and tiredness? Doctor: Hello. By the limited history provided, I feel you have generalized fatigue. You also have a lot of stress and anxiety as you are preparing for your upcoming exam. Period problems could be due to stress which is common and also fatigue. I suggest you get your hemoglobin test done and correct the same if find it low. You may have to take medication for this up to six months depending on the test results. For your anxiety, I suggest you consult your physician who will help you with temporary medications to ride over the exam stress. These medications could be beta blockers or anxiolytics for a short term which needs to be evaluated to suit you better after a detailed evaluation. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26104, + "tgt": "What can cause ear blockage?", + "src": "Patient: Hi doctor, My right ear has been blocked a few days ago. Whenever I tried to laugh, smile or wink, the jaw line muscles went up and it pushes to block the right ear hearing. Doctor told me that it is partially ear wax blockage. But, I do not think so. I did try to put olive oil. And also I did not suffer from cold or flu lately. Doctor: Hello. From the details you have given in your query it seems to me that it is indeed wax only. As it pushes against the eardrum and further increases the block when you smile, laugh or wink, it is more likely impacted wax than anything else. However, one can be sure of that only if you see inside through an otoscope. If the doctor looked in through an otoscope and then said it as ear wax then it is most probably correct. In such a case you may apply Soliwax or Waxsolve ear drops of five to six drops around five times a day for four to five days. After that get the pliable wax removed at an ENT clinic. However, if the doctor had not used an otoscope to see into the ear, then we cannot be sure about whether it is wax or anything else. Since you are ruling out nose and throat infection, the ear block can be due to any furuncle or localized infection in the ear canal which is blocking the canal and increases the occlusion when you smile, wink and laugh. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 16856, + "tgt": "Do you agree that gallbladder stone and polyp together increase the risk of malignancy?", + "src": "Patient: Hi doctor, My recent ultrasound of the\u00a0gallbladder showed a 4 mm polyp, a 1.7 cm stone and a small amount of sludge. Though I am asymptomatic, I visited my gastroenterologist. His opinion was that though rare, having a stone and polyp increases my risk to malignancy and suggested removal. I am very hesitant to removal and seeking your input regarding the increased malignancy risk. Would Ursodiol be useful? If so, how long would it take to work? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 26690, + "tgt": "I feel like a total loser. I do not have any talent. I am so fed up. Please guide me", + "src": "Patient: Hi doctor, I am a 21 year old male. I am currently studying civil engineering. I feel like a total loser\u00a0all the time. I do not only feel, but it is also true that I am good at nothing. I do not know how to make good friends. I do not have any talent. I do not study well, and I failed in many subjects. Starting from my childhood, people call me a loser. My life is hopeless. My father is a government employee, and his earnings are sufficient. He has lots of hopes and expectations on me, but I do not think I can fulfill them. Because I suck at everything, and I am so fed up. Wherever I go, I try my best. But, my best is not even the average of other people. I do not know what to do. Please guide me. Doctor: Hi. Thanks for the question. Take care. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 28039, + "tgt": "Will a calcaneus fracture heal using only a cast?", + "src": "Patient: Hi doctor, My 72 years old dad slipped while getting down from the top berth of a train, and he hurt his foot. We took him to a hospital and got an x-ray done. He was diagnosed with calcaneus fracture. The doctor has put him in a temporary cast, and he has advised reviewing after five days. Will this fracture be healed using only a cast? Doctor: Hello. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1097, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 480, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29063, + "tgt": "Would it be fine to take prEP with one kidney?", + "src": "Patient: Hi doctor, I had sexual intercourse with a girl last night and the condom broke. I went to get tested today and was told to come back in 10 days to check for HIV. I was suggested to take prEP (pre-exposure prophylaxis) for HIV\u00a0prevention.\u00a0I did not mention to the doctor that I have one kidney as I did not know it affects the kidneys.\u00a0My question is, would it be fine to use prEP considering that I have one kidney? Am I at a high infection risk?\u00a0Thank you and looking forward to your reply. Doctor: Hello. I can understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10592, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 29826, + "tgt": "Please look at my reports and explain the reason for dizziness", + "src": "Patient: Hi doctor, Please have a look on my reports. I have dizziness\u00a0for the past 1 year. Kindly answer my questions below. I do not know how it could happen for me. Can this get cured with medicine? If not, do I need to get any surgery? Will it be a minor or major surgery? Is there any other way of treatment apart from surgery? Doctor: Hi. For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 15371, + "tgt": "How to reduce belly fat? Skipping meals causes acidity. Help me", + "src": "Patient: Hello doctor, I am a 22 year old girl. My height is 165 cm and I weigh 54 kg. How could I reduce my belly fat? I try skipping meals, but it causes acidity and constipation. Please help. Doctor: Hi. Consult a fitness expert online for regular follow up with weight reduction --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 11864, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9839, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1212, + "tgt": "My ear feels clogged even after irrigating with peroxide. Why?", + "src": "Patient: Hello doctor, I have had issues with my left ear for the past two months. I normally clean my ears with peroxide. After I added drops of peroxide back last month, I noticed that when people spoke to me loudly I would hear wind sound in my ears. Also, my ears felt plugged and I heard thumping (heartbeat sound) in my ear. Two days ago, I attempted to clean my ear with a home irrigation system. I was able to dislodge a large piece of dried, white wax. My ear felt the best in a long time. I was hearing clearly and the sounds in my ear went away. Yesterday, my ear felt plugged again. So I irrigated my ear and nothing came out. But the plugged feeling and sound went away. This morning my ear felt plugged again, and I irrigated my ear and nothing came out. But my ear felt clear and the plugged feeling and sound went away. What is causing this issue? Why does it keep coming back? Doctor: Hi. It looks like your having a eustachian tube catarrh. This tube essentially ventilates both the ear and nose and in an event where this tube has got blocked, you might develop fullness and ringing sensation in the same ear. Self-cleaning your ear is the most dangerous thing you can ever do. Never introduce peroxide or any thing under doctor's advice as it can be disastrous considering the ear and it is related structures to be one the most sensitive regions in the body. Another possibility is that there could be some remnant wax in your ear which can be the reason for you developing this ringing sensation on a regular basis. You can consider using Soliwax ear drops three times a day for one week and then get the blob suctioned out by an ent specialist. Other than this, take tablet Sinarest (Acetaminophen, Chlorpheniramine, and pseudoephedrine) or its equivalent one tablet two times a day after food for the next 1 week. Otrivin nasal drops thrice daily for five days should help." + }, + { + "id": 13046, + "tgt": "What is the treatment available for left ventricular diastolic dysfunction?", + "src": "Patient: Hello doctor, How far is the left ventricular diastolic dysfunction serious? I am 68 years old. I also suffer from diabetes, BP, heart issues. I have had an angioplasty done 10 years back and again an angiography five years back. Please advice. Doctor: Hi. You have LV dysfunction possibly due to a combination of hypertension and coronary artery disease. I would like to know whether the severity of LV dysfunction is critical or not, what type of LV dysfunction is there and what is the ejection fraction? I would be happy if you could send me 2D echo report for my perusal and prognostication." + }, + { + "id": 30933, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 18044, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28371, + "tgt": "Is newborn screening test necessary?", + "src": "Patient: Hi doctor, My wife is pregnant, and the expected due date is in twenty days. I heard about newborn screening test, is it essential? Because it costs a lot. And please guide us about the medication and vaccination, after the baby's birth. Doctor: Hi. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1530, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19866, + "tgt": "From the MRI of my shoulder, can you tell me if my shoulder will ever get better?", + "src": "Patient: Hello doctor, I have had shoulder problems since high school. I played field hockey at school, club, provincial, and national school team. And I was also in the swimming, volleyball, life-saving, and club tennis team in school, club, provincial and national school. I played squash socially. I had a bursa removed when I was 16\u00a0and had an acromioplasty done at 18. I also had rotator cuff repair, removal of calcification, removal of a bursa, and acromioplasty at 39. The pain has not gone away at all, so I got an MRI done. I have no idea what it means. Will my shoulder get better or am I facing a\u00a0life of pain? Any help or advice will be appreciated. The MRI report read, fraying of the supraspinatus tendon footprint with partial fissures but no full-thickness defect, adequate\u00a0rotator cuff muscle, and volume quality still present with less than the third fatty changes.\u00a0Moderate subacromial subdeltoid bursitis changes.\u00a0Relatively tight glenohumeral joint capsule, specifically around the axillary recess there is pericapsular thickening and scarring with also slight subcoracoid synovitis changes, changes can be indicative of early adhesive capsulitis. The findings are glenohumeral, normal centering of the humeral head on the glenoid.\u00a0Three anchors at the greater tuberosity of the humeral head due to previous rotator cuff repair.\u00a0Anchor anterior proximal humeral shaft related to previous biceps tenodesis.\u00a0No current significant bony edema of the humeral head or Hill-Sachs lesions.\u00a0Preservation of convex glenoid contour.\u00a0No prominent chondral delamination. Acromioclavicular, previous acromioclavicular decompressive surgery with a wide space and edema, also postsurgical changes in the acromion.\u00a0Lateral acromial ossicles and a slight lateral overhang of the acromion.\u00a0Rotator cuff, previous supraspinatus repair, currently the tendinous followed to its insertion, however partial tears and fissuring of\u00a0the tendon footprint but no tendon retraction or full-thickness defect noted. the infraspinatus and teres minor appear intact.\u00a0Subscapularis appears intact, with a thin sliver of the residual previous biceps tendon overlying the tendon footprint\u00a0and slight insertional tendinosis.\u00a0Central fatty changes of less than one-third in the rotator cuff muscles but still adequate rotator cuff muscle volume and\u00a0quality present. Biceps, previous biceps tenodesis with only a small residual fragment of the previous tendon visualized.\u00a0Labrum, fraying of the superior labrum.\u00a0Anteroinferior and posteroinferior labrum appear intact.\u00a0Joint capsule and glenohumeral ligaments, relative tight glenohumeral joint capsule, especially around the axillary recess with also pericapsular thickening and\u00a0synovitis, which can be indicative of early adhesive capsulitis, also slight subcoracoid synovitis changes.\u00a0Superior, middle and inferior glenohumeral ligaments appear intact.\u00a0Subacromial or subdeltoid bursa, moderate bursitis changes.\u00a0Deltoid, appears intact with moderate fatty changes. Doctor: Hello. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 18418, + "tgt": "What can prolonged constipation result in?", + "src": "Patient: Hello doctor, I am a 25 year old male weighing 66.7 kg and my height is 5'6\".\u00a0From childhood I have constipation and piles problem. But from last 3 years\u00a0I am suffering from constipation along with mucus. My\u00a0stomach is not being cleared completely in the early morning. Always sticky mucus in stool but never have diarrhea. I always have left side lower abdomen pain and keep having downward pressure to urinate but there is no proper urine flow while urinating. I also have frequent urination problem, even by just having a glass of water leaves me urinating 2- 3 times within an hour. I have checked for sugar level, but reports are fine and I am not diabetic. Along with all these have gas trouble too. Now I am feeling very weak and losing a lot of weight. 3 years back I was 85 kg but now reduced to 66.7 kg. Currently I am taking Liv.52 two tablets twice daily before food,\u00a0Avipattikar churna 1 spoon twice before food and\u00a0Triphala water after food only at night. My test reports tells mild antral gastritis, IBS, fatty liver, erosion in rectum, malrotated left kidney but is functioning properly. Mucus gets accumulated in the anus. I am attaching all my reports for your reference. Please help me with the course of medicine. Thank you. Doctor: Hello. I have read your reports (attachments removed to protect patient identity) and complaints. Irregular diet, shift work, stress and fast food. 1. Colonoscopy. 2. Ultrasonogram scan of abdomen. 1. IBS. 2. Crohn's disease. 3. Amebiasis. IBS (grahani). 1. Digestive enzymes. 2. Deepan pachan medicines. 3. Diet restrictions. 1. Avoid fermented foods and take your food on time. 2. Avoid spicy junk foods and painkillers frequently. 3. Have at least 6-7 hours of proper sleep. Revert back after 15 days with the investigation report to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7898, + "tgt": "My dizzy feeling subsides after bowel movement. Why?", + "src": "Patient: Hello doctor, Since a few days, I have had\u00a0heavy head and stiff neck problem. My head really feels heavy at the end of the day. My neck remains very stiff. I have consulted a neurologist and taking Inderal 10, Shine 10, Naproxen, Nexium and Sibelium. Sometimes, my head trembles too much and neck becomes really stiff. I feel as if I faint and the feel subsides only after bowel movements and passing out. Do I have any gastrointestinal problem? My bowel movements have increased from once to thrice a day for almost five days of the week for nearly two months. Am I suffering from colorectal cancer? Doctor: Hi. For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28539, + "tgt": "My mother has severe pain even after a distal radius fracture fixation. Will hot wax bath be helpful?", + "src": "Patient: Hello doctor, My 66 years old mother had a distal radius fracture in her right hand, two months back. She has diabetes, hypertension, hypothyroidism, ASD, and osteoporosis. The doctor performed a K-wire fixation and put a plaster of Paris\u00a0cast, from her fingers all the way up to her shoulder (just a little over her elbow), thus immobilizing her entire hand. Four weeks later they removed the K-wire and the cast. They took an x-ray before placing the K-wire, but they did not take an x-ray after taking out the cast. The doctor said that the fusion was satisfactory, and hence they have removed them. Ever since then, my mom has been having swelling and severe pain on her wrist and fingers, and the pain surges across her elbow and shoulder. She is unable to move her fingers, or hold even a stress ball or paper. She took all the painkillers, antibiotics, and Chymoral-BR for over four weeks. She went for five sittings of physiotherapy, but due to unbearable pain, she has stopped it. The pain and swelling are not subsiding even after two months. Someone suggested a hot wax bath, will it be useful? Doctor: Hello. Revert with more information to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10777, + "tgt": "What are the ways to avoid sugar in Formula milk for a baby?", + "src": "Patient: Hello doctor, I have 3.5 months old baby. I do not have sufficient breastmilk, hence, was giving fomula milk. Baby was not satisfied with the taste of formula milk and was never having it properly, so one day my mother added sugar to formula milk and since that day my baby is having formula milk as per his requirement. Now, if we do not put sugar to formula milk, he will not have it. I am giving him Abbott semilac iq+ stage 1. Please let me know what can I do. Doctor: Hello. You can keep reducing the sugar content of the milk slowly slowly until you reach a stage where there is no sugar in the milk. Also, you can check for your current milk output to see if even little is there. If even a little is there, please give the child breast for sometime and if the child suckles, let him suckle. After removing from the breast you can give the child some top feeds. That way the child will not stay hungry and your milk output will also increase. Slowly slowly a stage will come wherein your milk output will be enough to satisfy the hunger of the child and you will not need top feeds." + }, + { + "id": 430, + "tgt": "How to find out the reason for extreme sweating, muscle stiffness and cramp?", + "src": "Patient: Hi doctor, I am a 50 year old male. I am living in a harsh, hot climate from my childhood. For the past three years, I have noticed that I get extremely exhausted with sweating. During the said period I get muscle stiffness, cramps and depression. My condition improves a little in days after drinking lots of water to the extent I have to keep my stomach bloating with water. What could be the possible causes for this condition? What medical tests should I get to know the cause? Kindly reply. Doctor: Hello. For better understanding I need more details from you. Revert back with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 29857, + "tgt": "I am experiencing a feeling that urges me to die. How to come out of it?", + "src": "Patient: Hello doctor, For the past two months, I am getting headaches, showing less interest in work and feeling to die. But, I did not attempt suicide as I am scary. I got married before 4 years and I was very happy with my husband. After some days, I fell in love with someone and I could not move on without him. I do not know whether he is in love with me or not and I am not in contact with him. My husband is not allowing me to talk with any of my friends, whether it is a male or female. So, I am not even using a mobile. I just want to come out of this. Please help me. Doctor: Hi. I am very sorry to hear about your current mental and marital problems. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7167, + "tgt": "Which is better than Benzoyl peroxide for back acne?", + "src": "Patient: Hello doctor, I got acne on my back. I have attached a picture of it, and I am using 5 % Benzoyl peroxide daily. Is there any medicine that can help me more to get rid of it. Doctor: Hello. I have gone through your case. First, you need to understand pimples are common, and you may experience frequent exacerbation due to stress or hormones. Right now, there are very few active lesions, and rests are post-inflammatory pigmentation marks. These hyperpigmentation marks will go away slowly or apply Vitamin C cream two times a day. Keep Clindamycin gel with you and use on pimples two times a day." + }, + { + "id": 15327, + "tgt": "I have high blood pressure and pulse along with chest pain. What to do?", + "src": "Patient: Hello doctor, Please advise me. I have blood pressure 157/77 and pulse 97, blood sugar 88. My age is 44 years, sex is male and very light pain in the heart at the same time. Doctor: Hello. Your systolic blood pressure is elevated. Do you smoke? Do you have diabetes? Are you overweight? Some advice to lower BP is as follows. Stop smoking and paan, etc. Reduce weight, adopt an active lifestyle, do a brisk walk, reduce salt intake in the diet, reduce saturated and trans fat in the diet. Check BP regularly. If after adopting all these, still, BP remains elevated, you may take medication after one month or so. Tablet Lisinopril 10 mg at bed time daily. Make sure your kidney function is normal before starting this medicine. This medicine may cause reduced BP in initial days. So, take it at bed time only. After 15 to 20 days you may switch it to day time. Check BP regularly. I recommend first to make lifestyle modifications. If BP normalizes, then there is no need to take medicine." + }, + { + "id": 28417, + "tgt": "My dad was diagnosed with osteoarthritis. Will his knee pain reduce without surgery?", + "src": "Patient: Hello doctor, My 60 years old dad has knee pain from the past 1 to 2 years. After taking many x-rays, the doctor diagnosed him with osteoarthritis. The doctor suggested going for knee replacement. We would like to know, can the pain reduce without surgery? Doctor: Hi. I have seen the x-rays (attachment removed to protect patient identity). This professional advice provided by me stands subject to the actual\u00a0examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20003, + "tgt": "My hs-CRP is high. Am I in danger?", + "src": "Patient: Hello doctor, I recently did a\u00a0complete blood test. In the report, it was detected hs-CRP 3.8 mg. My age is 36, and my weight is 103 kg.\u00a0Please advise how it can be lowered and do am in danger zone. Doctor: Hello. I understand you are worried about your health, but no need for much worries. Revert with more details to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15515, + "tgt": "Does scarring of tympanum have any influence on hearing?", + "src": "Patient: Hi doctor, I had a diagnosis of scarring of tympanum before 30 years. Recently, I was diagnosed with bilateral hearing loss and tinnitus. Could the residuals of this scarring have any influence on my hearing now? Doctor: Hi. Scarring of the tympanic membrane (myringosclerosis) rarely causes symptoms. Tympanosclerosis can extend to the middle ear and produce hearing loss. With your clinical history, it suggests presbycusis (an age-related degenerative disorder of inner ear). You need to visit an ENT specialist for proper examination and audiometry." + }, + { + "id": 24324, + "tgt": "Does my spine MRI point towards sciatica?", + "src": "Patient: Hello doctor, I am 38 years old male with height 5'9\" and weight 65 kg facing a problem of pain in left leg, weakness, and numbness, tingling in feet and stiffness in thighs along with pain in calf muscles. I am facing a difficulty in walking. I have done an MRI of the spine. Please provide with appropriate medicines for my pain. Kindly advise on the report and let me know if this is sciatica and what will be the treatment for the same? I will go for MRI with contrast in the coming week. Till that time, kindly advise on some medication. Currently, I am on Zerodol MR. Doctor: Hello. You have mentioned a pain in the left leg along with weakness, tingling, and numbness. First of all, can you tell me the duration of your symptoms? Is there any associated back pain as well? If your leg pain more or your back pain? How much distance can you walk on a daily basis and do you need analgesic (Zerodol- Aceclofenac) on a daily basis? Also, I have seen your MRI scan (attachment removed to protect patient identity) and although it is not very clear, it definitely shows a spinal cord lesion at D9 level extending one level up and one level down, which can explain your current symptoms of compressive cord disease. I would definitely advise contrast MRI of dorso lumbar spine and an urgent neurosurgical consultation as it may require a surgical intervention depending upon your clinical examination results and contrast MRI findings. Till that time take tablet Zerodol (Aceclofenac) on SOS basis along with tablet Pregabalin or Gabapentin but kindly consult an appropriate neurosurgeon on an urgent basis. Kindly let me know if you require any further information or SOS. For more information consult a spine surgeon online --> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 8117, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: 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\u00a0food, 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\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: 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 --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13495, + "tgt": "Why does the skin of my face get dull often?", + "src": "Patient: Hello doctor, Till four days ago, I used to get beautiful skin whenever I applied random facewashes or moisturizer or any other nourishing cream on my face for a few days due to the placebo effect. After a few days, my skin used to become dull again. This effect on my face skin took years to develop. Now, four years back, I stopped applying anything on the face. So, the face skin stopped reacting to any cream from then. Now the skin is like when I feel attractive or I get compliments about my face, only then I get glowing skin for a few days, otherwise, it is dull. According to dermatologists, my skin is normal and I think this is related to mental thinking. Please note that I had a history of schizophrenia and OCD starting, but am nearly normal now, just my face skin is troubling now. Doctor: Hello. I understand that you have been concerned for your facial skin. In order to prescribe the right remedy, I will need to understand the detailed history of your health which includes mental, emotional and physical health issues. Can you please tell me whether you feel the skin is dull when you are mentally stressed out or is this dullness all the time? Do you have any pimples or dark marks or scars on your face skin? Is your skin very dry or oily? Also, what do you exactly feel about your facial skin and how do you react to that emotion? If possible, kindly answer these questions. Just based on your history, I can prescribe you the following remedies. 1. Berberis Aquafolium mother tincture 10 drops mixed with half cup of tap water can be applied over the face for 30 minutes twice a day. Then wash it off with plain water. 2. Sulfur 200 C only one dose four pills or two drops in a spoon of water. No repetition of dose. Only one dose to be taken, then wait and watch for the effect of the remedy. If you have already used Berberis Aquafolium mother tincture, then kindly just use one dose of Sulfur 200 C. Kindly get back in a week." + }, + { + "id": 30302, + "tgt": "Can I use Kojivit gel to get fair skin?", + "src": "Patient: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. Doctor: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10388, + "tgt": "Kindly see my results and advice whether I can father a child?", + "src": "Patient: Hello doctor, Please, can you help me to analyze this result. I need a specialist who can help me to investigate this result and can a person with such a result father a child? If no, what is the remedy or treatment for it? Doctor: Hello. The two semen analyses reports show entirely different semen characteristics (attachment removed to protect patient identity). The first report is entirely normal, and the person can father a child as long as his female partner is normal. The second report shows no sperms, hence the person cannot father a child. But there are few clarifications needed, 1. Whether both reports are from one person only? 2. What were the collection methods? 3. What was the time gap between two reports if both are from one person? 4. What is the fructose value in the second report? 5. What is the serum FSH (follicle stimulating hormone) value in person with the second report? 6 . what does transrectal and scrotal ultrasound show in both? If you can clarify these points, I shall be able to give still a detailed answer." + }, + { + "id": 17264, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20745, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19749, + "tgt": "I have messed up with my pills and missed my periods. Will I be pregnant?", + "src": "Patient: Hello doctor, My boyfriend works in navy. We just started dating and have mostly had long distance relationship because of our situation. I have never taken birth control and or ECP. I have always had an average 28-day cycle. However, between last two to three months, I took five emergency contraceptive pills. I know it is too much, and it is wrong to take that many, but due to our uncertain living situation, I had to do so. My cycle reached up to 37 days, and I visited a gynaecologist. She did a pregnancy test which came negative. She also checked to make sure I had no infection. I did have a uterus swelling. She advised me to wait and allow my body to bounce back to its normal cycle naturally. She said it would take anywhere between few days to three months for my periods to get back to normal. She also prescribed daily contraceptive pills. Anyways, I got my period within six days. Last month as we both had to leave, I did not start the daily contraceptive pill. I took another one ECP and got my periods as normal. As my periods were ending, we had sex, and I took another ECP. My next period was due at the end of the month. However, he made an impromptu flight to see me and happened to come on the day that I was expecting my periods. We had sex on that day. But he did not climax. And since I was due for my periods, I thought I should not take an ECP again because I did not want to mess up my already messed up hormones. However, I did not get my periods.\u00a0It is 11 days, and I took two pregnancy tests and both tests came negative. Please advise. Doctor: Hi. You already messed up your cycle, and you do not have any choice left now. You have to wait for your period. You will also have to do a repeat urine pregnancy test after every four to five days till you get your periods. The other option that you have is to take some birth control pills or progesterone tablets for few days and wait for the period after that. And do urine pregnancy test every four to five days till you get your periods. As you already messed up your cycle. It is tough to predict your ovulation time. If you do not get your period now, it may be that you are pregnant also. It is just early non-detectable level of hormones in urine. This is one possibility. The other is you just did not ovulate this time and because of that, your periods may get delayed this time. In that case, there will be no pregnancy. So I am asking for repeat test every four to five days. Sometimes irregular cycle will not become regular and ultimately with irregular cycle and irregular ovulation you will end up in infertility and may require treatment for pregnancy. So be serious about it, and it is not very hard also. Do consult a nearby specialist doctor, talk about available options, understand the merits and demerits of every method and do choose best according to your lifestyle and convenience. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 536, + "tgt": "Should I get graft for gum recession?", + "src": "Patient: Hi doctor, I have gum recession due to bruxism and aggressive brushing. None of my gum measurements are over 3. Should I get a gum graft now or should I wait? Doctor: Hello. For further doubts consult a periodontist online -->https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 16478, + "tgt": "How to reduce hair loss in hypothyroidism?", + "src": "Patient: Hi doctor, I am 39 years old. I have hypothyroidism for the past 11 years, and I am taking one tablet Thyronorm 50 mcg every day. A recent test shows T3 with 129.35 ng/dL, T4 of 8.99 \u00b5g/dl, TSH of 2.65 mIU/ml. Now, I have severe hair loss and dry skin. Please advise me. Doctor: Hi. I have gone through the query. You have hypothyroidism and hair loss. Since your thyroid function test is perfectly normal, there is no need to change your dosage of Thyronorm. But for your hair fall, I would suggest you check your vitamin D levels, serum ferritin, and hemoglobin levels. Then we will review them again." + }, + { + "id": 15980, + "tgt": "My skin color varies in different body parts. Why?", + "src": "Patient: Hi doctor, My skin is not clear, and I have my skin with different colors. I drink a lot of soda. Do I have the skin color due to drinking soda? How can I clear it? Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You have beautiful brown shade. There is no connection between a soda and skin color. But alcohol can increase the activity of sebaceous glands, and it makes the skin more oily. Your chest color is lighter than your face. It is normal as the face is always exposed more to sunlight when compared to the chest. You have seborrheic melanosis around your mouth. Seborrheic melanosis is due to excessive oil production from the sebaceous glands of the face. You can use topical Elidel 1 % cream (Pimecrolimus). Apply it to the dark area around the mouth at night. You can use a good sunscreen with SPF (sun protection factor) 50. Apply it to the face before 30 minutes when you are going out. Use Salicylic acid face wash to wash the excess oil present in the face." + }, + { + "id": 18476, + "tgt": "What diet will you recommend for a beta major thalassemia patient?", + "src": "Patient: Hi doctor, My daughter, who is 2.5 years old, is suffering from beta major thalassemia. From her 3 months of age, blood has been transfused either once in 30 or 45 days after checking the blood level. I would request you to kindly advise a good and healthy food diet. Is there any important daily diet required for my child? Please explain. Doctor: Hi. Based on your query, my opinion is as follows: For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11254, + "tgt": "There are spotting and cramps soon after periods. Why?", + "src": "Patient: Hello doctor, My wife had a cervical tumor or some kind of growth in her teenage years. Whatever it was, medication took care of it for her. Now she is 31, has had three kids, and for the last few months has spotted and cramped for one day right after her period ends. She has a pap smear appointment for next week, but I am extremely worried in the meantime. What are the chances that the symptoms are because of cancer? Are there other benign conditions that are more likely causing this? Doctor: Hello. Thanks for sharing this information here. First of all I would like to see her reports from the previous diagnosis and treatment and only then I would be convinced that it was a tumour. Secondly, from your point, it sounds that it was only a cervical polyp which is totally benign and after removal of it patient does not have any symptoms. And thirdly, pap smear does not detect cancer. It detects only early changes which Iead to cancer. So get relaxed now as nothing is wrong with your wife as she has given birth to three healthy kids. She must go for a pap smear without any hesitation and I hope it would be fine as well." + }, + { + "id": 12728, + "tgt": "What are the recommended procedures to reach brain by a neurosurgeon?", + "src": "Patient: Hello doctor, What are the ways a neurosurgeon can get to someone's brain? Along those lines, what does a person typically experience after having their skull opened or a bone flap? Doctor: Hello. Regarding your concern, I would explain that there are a lot of ways that a neurosurgeon can reach the brain: 1. Craniectomy: Trepanation and excision of the skull, which is called open surgery. 2. Endoscopy, through a device like a tube with a camera, which is called closed surgery. 3. Gala knife, which is a radiation technique, to treat brain lesions without opening the skull, but through radiation therapy. 4. Transphenoidal excision, through the nose, in case of pituitary tumors. This method avoids trepanation and uses anatomical ways through the nasal bone. 5. Endovascular catheterization to treat brain aneurysm and other vascular malformations by inserting catheters in the jugular vein, without trephination of the skull. In all these cases, the patient experiences mild pain, mainly due to the wound, which is well dominated by Ibuprofen or Tylenol. So, just like other surgery but the main thing is that brain tissue does not hurt. So, nothing tremendous happens after surgery. Recovery is quite painless, compared to other types of surgery." + }, + { + "id": 13690, + "tgt": "Why is there missing periods even after taking Meprate?", + "src": "Patient: Hello doctor, I am facing problem of missing periods from last month. Pregnancy test is negative. I have also taken tablets of Meprate. My last period was 62 days back. Please guide. Doctor: Hi. Period normally starts within a week of finishing Meprate (Medroxyprogesterone) tablets. Rarely it can take 15 days for period to start. If it has been more than 15 days since last dose, you need to visit gynecologist to get one ultrasound done, as Meprate will be effective only if your endometrial thickness is good, \u2265 7mm. If it has been less than 15 days since last dose, you can wait. If there is strong suspicion of pregnancy no harm will be done by repeating pregnancy test. Meprate will not induce period if you are pregnant." + }, + { + "id": 7110, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9761, + "tgt": "I tripped while walking and middle toe is bent downward. Kindly give some advise", + "src": "Patient: Hi doctor,While walking, I missed a step and accidentally bent my middle toe downward. There was a sharp pain for several minutes and subsided after a while. There is no swelling, deformation or bruising. It has been 5 hours now, and I have iced it thrice. I have also taken an anti-inflammatory medicine, and my foot has been elevated. When I am trying to walk, I feel a\u00a0sharp pain in the toe I injured. Putting weight on my foot is hard. I guess that it might be broken or sprained. Kindly give some advice. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 424, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: 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\u00a0get 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. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24402, + "tgt": "Is surgery really required for squamous cell carcinoma of tongue?", + "src": "Patient: Hello doctor, I am diagnosed with squamous cell carcinoma (tongue) after biopsy report. I have completed PET scan, CT scan, and biopsy. I want advise on the treatment plan. Is surgery really required for good results? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). My diagnosis is squamous cell carcinoma of the tongue with probably neck nodes involvement. The lesion is quite large, crossing the midline and touching the alveolus. At this stage, surgery will be difficult. Probably, you will need two cycles of chemotherapy followed by reassessment for surgery. In this case, surgery involving neck dissection and reconstruction will be needed, followed by postoperative radiation depending on postoperative reports. If you have any other questions I am happy to help you. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 3599, + "tgt": "There is no improvement with tinnitus post surgery. Why?", + "src": "Patient: Hello doctor, I am a 33 year old male. Two years back I had severe running nose and could not breathe through nose, especially during the night. Then, I was diagnosed with antrochoanal polyp in my right nose. After taking medications I no longer felt cold and running nose. However, my right nostril always remains blocked. So, I decided not to go for FESS and manage with blocked right nose. However, for the past three months, I started feeling right ear blockage and sometimes feel liquid movement in my right ear when I move my head. Over last 15 days I feel\u00a0ringing in my right ear, so I got shocked and got my right nose FESS surgery done. However, even after seven days of surgery I am not relieved of tinnitus although I can breathe now normally from both nostrils. I can feel reduction in volume and my pure tone audiometry is normal. Please help. Doctor: Hi. The nasal blockage did not cause tinnitus and hence, it is not relieved. The FESS surgery (functional endoscopic sinus surgery) you had was for nasal blockage and its consequences of auditory tube blockage and middle ear fluid retention. Now after surgery, your nose is opened, auditory tube and middle ear fluid must have settled down (or will settle down) and just a week after surgery you should not start calculating improvement. Coming to tinnitus, there are various causes. You need to be evaluated for it. Discuss with ENT (ear, nose and throat) surgeon on your next visit. For further doubts consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26527, + "tgt": "I feel uneasy and nervous. Is something wrong with my heart?", + "src": "Patient: Hi doctor, I am a\u00a034 year old\u00a0female.\u00a0I have been having terrible anxiety the past month. I wake up feeling very uneasy and nervous. Almost shaky. I also feel like I literally cannot breathe. I have to take deep breaths constantly. I went to an urgent care and they tested for a blood clot in the lungs, but I was cleared. My doctor put me on Lexapro two months ago and I stopped taking it. But then the anxiety got so bad that I started again on it two weeks ago. My fear is that there is something wrong with my heart. I have had this before and chest pain. So, I have been to two different cardiologists. We did stress tests and echoes. I am afraid these doctors are blowing me off because I am active. Please advise. Doctor: Hello. Follow up with your physician and of course, you may consult me back anytime you need. I would be happy to assist. Hope it helps.\u00a0Regards. for further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 27115, + "tgt": "I have too much gas in the stomach and fart uncontrollably. Please suggest a cure", + "src": "Patient: Hello doctor,I am a 31 year old male. I have too much gas in the stomach despite drinking plenty of water, nearly four to five\u00a0liters a day. I fart too much. I feel embarrassed and cannot control it. I am not taking any medications currently. Doctor: Hello. I went through your post. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25258, + "tgt": "My penis got bent during rough masturbation. What should I do?", + "src": "Patient: Hello doctor, Two months ago, I got my penis bent during rough masturbation. It is still bent a bit at the head and the shaft. During sex, I feel something is wrong. I also feel that my penis has become more flaccid and swollen. It feels a little bit larger and very soft. All these problems started right after my penis got bent. Before this, everything was fine. Currently, I have sex ones in 5 to 6 days. I have a little pain when I enter my wife's vagina, which is not very intense. And I have a burning sensation after ejaculation. When my penis got bent, I did not hear any popping sound nor felt any intense pain. I get a normal erection even now, but it does not last. I last longer when there is a long gap between two\u00a0sexual intercourse. Sometimes, I feel burning sensation after I urinate. I got my penis examined by a sexologist, who said it to be a disorder of the nerves. He denied it to be Peyronie's disease after\u00a0checking\u00a0my penis and pressing here and there in and around the penis and asking me if I feel pain. I was having\u00a0normal pain. He did not advise any test, and he just said that it would be cured in a month. He prescribed me really expensive medicines to take. What should I do? I am very scared for my sex life. Please help me. I am uploading some images of my penis at rest and erection. Doctor: Hi. I appreciate that you have come up with the issue before wasting money, as many people do. Also, you have described your problem very clearly. I have seen the attached photos (attachment removed to protect patient identity). For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 12744, + "tgt": "Why am I having tooth pain along with pain during opening my mouth?", + "src": "Patient: Hello doctor, I have lower and upper jaw pain, toothache, pain opening the mouth and a neck ache. Doctor: Hi. You might have a habit of clenching your teeth very tightly, that is why you are having joint pain on opening and closing of the mouth. Your TMJ must be disrupted. For its relief, take tablet Brufen 400 mg twice a day for three days. And take any best muscle relaxant tablet like Nospa twice a day for five days. Moreover, do some hot compress at your temporomandibular joint three times a day for two weeks. Try not to yawn, eat with a spoon and try limiting your mouth opening wide as much as possible. For toothache, I need more elaborated history, minor pain will be covered through Brufen, but if a severe infection is there, it definitely needs treatment through the dentist. Give me a follow-up after three days. Stay happy and blessed." + }, + { + "id": 15724, + "tgt": "I have viral infection with fever and cold. What can I do?", + "src": "Patient: Hi doctor, I have a viral infection. I have a fever and cold. What can I do? Doctor: Hi. Usually, 95 % of respiratory infections are viral. At this point, you can take medicines for cold for five to seven days. They should include an anti-inflammatory drug (such as Acetaminophen or Ibuprofen), an antihistamine (such as Diphenhydramine) and decongestant (such as Pseudoephedrine). If you have a fever for more than five days, then you should do a checkup. Take a good rest and eat well. Drink plenty of water to stay hydrated." + }, + { + "id": 29020, + "tgt": "My mother has vesicoureteral reflux. Is it life-threatening?", + "src": "Patient: Hello doctor, My mother has vesicoureteral reflux, which was diagnosed 20 years ago. At that time, her left kidney was functioning 27 % and her right kidney 72 %. She is getting tired and she is a heavy drinker and smoker. Should I be concerned for her? She does not want to see a doctor. Is her condition life-threatening? Doctor: Hi. Once you get the reports, do get back to me, so that I can tell you about more precautions or further management required for her. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30051, + "tgt": "I am concerned about serotonin syndrome. Please advise", + "src": "Patient: Hi doctor, I am under treatment for OCD and anxiety symptoms. I have had very hard months with extreme anxiety, panic attacks and depersonalization. Now, I am on\u00a0Duloxetine 60 mg (will stop in the next 7 weeks),\u00a0Paroxetine 20 mg (will be reduced in the following weeks),\u00a0Clomipramine hydrochloride 100 mg per day (will be raised to 225 after 4 weeks) and\u00a0Risperidone 0.5 mg per day.\u00a0I trust my psychiatrist. She is talented and very experienced. When I talked about my concerns on serotonin syndrome, she told me that it is not going to happen. But, I am still afraid of adverse effects, seizures, etc. I have\u00a0started Clomipramine hydrochloride 30 mg per day around two weeks ago. Whenever I increase the dosage, the following day my anxiety symptoms increase. Also, I have myoclonus in my feet and hands. It occurs just one time for around 10 to 15 minutes.\u00a0Do you think that I am in danger by using those combinations of drugs? Also, are those muscle jerking, alarms of a potential seizure? Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 669, + "tgt": "I experience hairfall in scalp while using Minoxidil for patchy beard. Why?", + "src": "Patient: Hi doctor, I have been using Minoxidil 5% topical solution twice a day on my beard for well over three months to fix some patchy spots under the lip and cheek region. After the first month, I had hair fall in my scalp. This hair fall is increasing in numbers and I am losing more than 100 hair follicles now a days. I also want to point out that I use varioius essential oils with carrier oils in my scalp for more than two years. I have many questions, kindly provide me detailed information. Can I apply essential oils on my beard (peppermint, hibiscus, and castor oil) in the meantime of applying Minoxidil? Also recommend me some essential oil that are adrogenic nature. Does all the fallen hair in scalp during this Minoxidil period regrow and is there any natural way to stop this hair fall during this period? How long does this hair loss lasts and what is this cause for this hair loss since I am only using Minoxidil in my beard? Should I bald trim my head after this telogen phase. Since I have a long hair (6.2inch)? Will I lose my hair after stopping the Minoxidil usage? Doctor: Hello. Yes, you can apply but according to our science oil does not act on the roots. They will grow automatically nothing more you have to do. It can extend up to 6 months. Hair fall has nothing to do with the hair shaft. Minoxidil increases the blood flow of hair follicles in the scalp, this increase blood flow would persist as long as you are applying Minoxidil. Once stopped you will return to the same stage of hair loss as you would have been without Minoxidil. I hope this helps." + }, + { + "id": 4413, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 18593, + "tgt": "How can a circumcision ring be lightened?", + "src": "Patient: Hello doctor,I was wondering if there is anything that can be done to lighten a circumcision ring? Any prescription creams or lasers? Doctor: Hi. I would not advise you to use any creams over the penile area to lighten the pigmentation. Since it is a very sensitive area, applying depigmentation creams can lead to side effects if it contains steroids. Depigmentation creams containing kojic acid and others will not help either. It is normal skin tone (attachment removed to protect patient identity), and you should not consider any topical applications. And lasers to reduce pigmentation is not advised over the penile area. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 14161, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: 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.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19835, + "tgt": "What are the treatment options for an intramural fibroid?", + "src": "Patient: Hi doctor, We are trying for IVF to conceive. We have frozen our embryos and have planned for embryo transfer this month, that is\u00a0on the 14th day of my wife's menstrual cycle. In the scan, everything looks normal, the endometrial thickness was 9.7 mm and had good blood flow. Today when we went for a follow-up, the doctor told us that the lining has dropped to 7.8 and conceiving would be difficult, so they have canceled the embryo transfer. She informed us that this could be due to the fibroid, which was discovered today. To confirm that, I got a scan done in two different centers, and they also confirmed that she has an intramural fibroid of 1.5 cm. What are the complications that could happen due to this? How to overcome this problem? What are the treatment options? We do not know how the thickness of the lining dropped all of a sudden. She was on Progynova tablet, and the doctor asked us to stop it for the time being. Please help us recover from this. I have attached the reports. Doctor: Hi. I have reviewed both the reports (attachment removed to protect patient identity). For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5905, + "tgt": "I am on Tramadol and Priligy for premature ejaculation. Is there risk of serotonin syndrome?", + "src": "Patient: Hello doctor, I am taking 100 mg Tramadol and 60 mg Priligy (Dapoxetin) for the treatment of premature ejaculation before having sexual intercourse. The result is my intercourse time has increased from two minutes up to 45 minutes without having ejaculation. With Priligy or Tramadol alone it is around a maximum of five minutes. My question is, can this dosage combined cause serotonin syndrome or is the dosage still at a moderate level? Would it help to reduce the risk if I reduce Tramadol to 5mg and Priligy to 30mg? Doctor: Hello, Welcome to icliniq.com. Serotonin syndrome will not occur when you consume high doses of SSRI (selective serotonin reuptake inhibitors) and then stop abruptly. My advice to you would be a safer way out. You should continue with Dapoxetine 60 mg and avoid Tramadol. If you do not get adequate time, then add up anesthetic jelly. You need to apply it on your penis 20 minutes prior to intercourse and wear a condom. You would get a wonderful time I am sure of that. I hope this helps." + }, + { + "id": 25635, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26355, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9167, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: 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. Doctor: 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." + }, + { + "id": 24210, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19755, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1702, + "tgt": "Is stent procedure recommended for severe atherosclerosis in 92-year-old patient?", + "src": "Patient: Hello doctor, My mom is a 92 years old with congestive heart failure. CT scan showed extensive atherosclerosis of the aorta. Probable high-grade stenosis of the right common iliac artery and the bilateral common femoral artery. She also has kidney disease in the left kidney and extreme fatigue for two years. Would she be a candidate for a stent or some other procedure to unblock the artery? And could this condition be causing her fatigue? None of her doctors can figure out the reason for fatigue. Please help. Doctor: Hello, Welcome to icliniq.com. This is a non-contrast CT (computed tomography) so it is not accurate in estimating the extent of stenosis. (attachment removed to protect patient identity). She will need a contrast CT angiography of abdominal vessels. However, the common iliac artery and femoral arteries are usually amenable to stenting, unless CT angiography shows diffuse disease (whole of the artery is involved with no normal segment) where stenting would be difficult. However, a disease involving these arteries is unlikely to cause generalized fatigue, but it can cause pain or weakness in the lower limbs while walking. Regarding the cause for fatigue, I guess the common causes like low hemoglobin, BP issues, any medications, deranged kidney function, low Vitamin D, deranged blood sugar are ruled out. One important cause that should be ruled out in her is the cardiac cause, because her CT scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease, cardiac arteries are also expected to be involved. Cardiac disease may cause fatigue, shortness of breath on exertion. So, she should undergo ECG (electrocardiography), echo, and also CT angiography of heart vessels, if possible along with CT angiography of abdominal vessels. Also, some routine tests like hemogram, LFT (liver function test), RFT (renal function test), vitamin D, thyroid profile, sugar, lipid profile, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) should also be performed if not done recently. I hope this helps." + }, + { + "id": 24887, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16869, + "tgt": "My eyes got hurt. In how many days will it become normal?", + "src": "Patient: Hi doctor, I got hit in my right eye with a ball. I went to a doctor and he prescribed Milflox, Megabrom and Homide eye drops. Also, he said that there is nothing to worry. Now, my pupil looks enlarged. In how many days it will become normal? Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14803, + "tgt": "I am pregnant and my entire body is itching, what could be the reason?", + "src": "Patient: Hi doctor, I am pregnant, and my entire body is itching. What could be the reason? Please help. Doctor: Hello. If there is itching alone (especially involving palms and soles) without any skin rashes, it could be a condition called obstetric cholestasis. In obstetric cholestasis, the liver is unable to send out the waste product called bile acids, and they accumulate in the blood and get deposited in the skin leading to itching. This can be picked up by a simple blood test. It can affect the baby if the levels are too high. We generally deliver the baby by 37 weeks to avoid this. You will need other tests to check for liver function, hepatitis virus, etc. And we need to monitor the baby through scans, CTG (cardiotocography), etc." + }, + { + "id": 28518, + "tgt": "2. 5 year old suffering from stomach ache. Which medicine has to be given?", + "src": "Patient: Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. Doctor: Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness." + }, + { + "id": 31033, + "tgt": "Kindly advise regarding estradiol levels in a healthy woman", + "src": "Patient: Hi doctor, My wife has a normal regular menstrual cycle and her age is 35. I am attaching the estradiol (E2) hormone report of my wife.\u00a0The blood serum sample was taken on the 23rd day of her menstrual cycle.\u00a0The estradiol (E2) level is 179.48 pg/mL. We have been married since 3 years and have a 2 year old son.\u00a0Actually, she has faced the problem of vaginal dryness lately. As it could be due to lower levels of estradiol or perimenopausal symptoms, so we got the estradiol level check done. Although, the report has a reference range, we do not know if this level of the corresponding day is optimal or not. Please advice on this. Kindly\u00a0let us know regarding the estradiol levels in a healthy woman. Doctor: Hello. There are two major types of estrogen, the female sex hormone. They are estradiol and estrone. In younger woman, the first one is in abundant quantity and the second one is in less. And near menopause, the level just reverses. It means there is more production of estrone at menopause. The normal estradiol level in the second half in perimenopausal age varies between 39 to 300 pg/mL and it varies from different times of cycle. A level below 30 is definitely about menopause. Now, her level is within normal limit. Vaginal dryness is quite common due to the aging process as well as use of contraceptive pills. I suggest you to measure the level of FSH (follicle stimulating hormone) to determine her menopausal status. However, at this estradiol level, she should not be advised for hormone replacement now. You may be benefited by the application of some gel or cream during intercourse. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8775, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1850, + "tgt": "I have one white hair in my eyebrows and white spots on the neck and face. Please help", + "src": "Patient: I have some white spots on my neck and my face too. I even noticed a white hair in my eyebrows. I have white hair from a long time on my head. I have PCOD problem. Two months before I had a c section delivery. After the delivery these spots have come. Kindly check the pictures attached. Doctor:" + }, + { + "id": 15426, + "tgt": "I have PCOS. Can I take pills for weight reduction?", + "src": "Patient: Hello doctor, I am a 23 year old female. I weigh 49 kg. My height is 140 cm and my BMI is 25. I am getting married in a few months and need to shed a few pounds. I took Orlistat 60 mg capsules after breakfast and lunch. I bought it over the counter without a prescription. The same evening, I had constipation. I drank a lot of water and was fine at night. The next morning I passed an oily stool. I also noticed small spots of bleeding from my vagina. I had my previous periods 15 days back which lasted for four days. I also have a problem ofPCOS (Polycystic Ovary Syndrome). I am scared if this tablet will affect my health. Please suggest if I should continue with Orlistat. Or can you recommend any other diet pills for weight loss? Doctor: Hello. You need not take this drug to reduce weight. I would recommend you to stop this drug. An oily stool is normal with the medication you had taken. If you are already a diagnosed case of PCOS, consult a gynaecologist online and get it treated. PCOS is a cause for overweight. This might also cause unwanted facial hair, infertility etc., later in life. Since you are getting married, it is very important that you get this disease treated at the earliest. The vaginal bleeding needs clinical examination. An ultrasound scan has to be done and treated accordingly. Modify your diet if you are very particular about reducing weight. Cut down fats, sugars, oil, alcohol if any, non-vegetarian food, etc. Take a lot of fresh fruits, fresh juices, salads, soups, and green vegetables. Drink plenty of water. Gradually start brisk walking, exercise, yoga, pranayama, dance etc. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2191, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30165, + "tgt": "Can masturbation affect the complete blood result?", + "src": "Patient: Hi doctor, I was about to get a complete blood test done to check certain parameters. I have attached herein the screen shot of the parameters. I wanted to know if I have masturbated before 36 hours of these tests then would the results be adversely affected? If so, how many hours should lapse after I last masturbate to get these tests done? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 3082, + "tgt": "I had a swollen hard lump in ear which is tender after cleaning. Could this be infected spider bite?", + "src": "Patient: Hello doctor, I noticed a swollen and hard bump on the inside of my ear a few days ago. Yesterday, I noticed it was now soft and squishy almost like a pimple. But today, I touched it and it popped and began to bleed along with some pus. I was not too worried until I took a photo and saw two large holes like a spider bite and the area is a little tender after I cleaned it. Does it sound like it could be an infected spider bite? Doctor: Hi. It could very well be an infected spider bite. It could also be an infected follicle. Anyway, apply some antibiotic cream over it (Bacitracin or Fusiderm or Povidone iodine). Apply twice daily and clean the wound with warm water while bathing. Do not insert anything inside the ear though. If there are any worrisome changes please contact us. Like color change of rest of pinna, pain, tenderness, swelling, increased redness, spreading of the redness, etc. You may take Tylenol if there is pain. Oral antibiotics are not necessary. If you suffer from diabetes, hypertension, immunosuppression or cancer we need to be careful. In that case, do let us know." + }, + { + "id": 21552, + "tgt": "4 year old is suffering from brain infection. Is there any problem now or in future?", + "src": "Patient: Hello doctor, My niece who is 4 years old is suffering from a brain infection. She also had a spinal tap test and diagnosed with a high infection. Suggest me the best specialist doctor for this. Is there any serious problem now or in the future? Doctor: Hello. The reports you sent me do not show normal values beside the observed values (attachment removed to protect patient identity). From what I can understand, this would have been a case of viral meningitis. If the child did not have any serious life-threatening episode during this infection, it is less likely that there would be any damage done. As regards the future, since there were no convulsions, I feel not much damage has been done, so things should be fine. Continue other medications as going on. Consult a neurologist for the same. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 27439, + "tgt": "Is there an ayurvedic remedy for inguinal hernia?", + "src": "Patient: Hello doctor, I am having right inguinal hernia since the last three to four months. Is there any cure in Ayurveda? Doctor: Hello. For more information consult an ayurveda specialist --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 5183, + "tgt": "I am having feeling of deja vu and memory loss after seizure. Why is it so?", + "src": "Patient: Hi doctor, I am having the following symptoms for the past three years. It includes very overwhelming feeling of doom, hand is frozen and unable to move, rising feeling in stomach making me feel sick, swallowing repeatedly, memory loss of what I was thinking about and also general memory loss after an episode. I am having this feel for at least twice a month. I feel confused after and have also had a migraine lasting more than 24 hours after yesterday's seizure. It might be worth noting that I have also been feeling dizzy all week but this was before the seizure occurred and has now gone away. Doctor: Hi. Your description of the episode is typical of partial seizure. It is likely to be complex partial seizures because of the deja vu (already experienced feeling) and memory loss. Since you are having recurrent seizures, you are suffering from epilepsy. It needs to be investigated and you need to be started on an antiepileptic drug. Antiepileptic medicines like Oxcarbazepine dose of 10-15 mg/kg in two divided doses and Clobazam 5-10 mg, once a day are reasonable for first line medicine for complex partial epilepsy considering your age and gender. You also need to get an electroencephalogram (EEG) and MRI brain done to confirm the diagnosis and decide on proper line of management. You need to see a neurologist and start treatment soon to prevent further complications. EEG and MRI brain. Simple partial epilepsy. Complex partial epilepsy. Start antiepileptic medications like Oxcarbazepine and Clobazam. For further doubts consult a neurologist online.---> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13555, + "tgt": "Can uterine fibroid be cured without surgery?", + "src": "Patient: Hello doctor, I am a 49 year old female, and I have a\u00a0uterine fibroid. I have heavy bleeding from two or three months. What to do? What medicines can I take? Is it curable without surgery? Please\u00a0advise. I am taking Kanchanar Guggulu from ten days. Doctor: Hi. The heavy bleeding may be due to the fibroid and menopausal symptoms. Hence, we need to treat fibroid and hormonal imbalance. For your condition, I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. You need to continue these drugs for three months. Within one week, the bleeding will stop. Then gradually, the uterine fibroid will be reduced in size. After few more months, your uterus will become normal. If you can collect or buy the bark of jambul tree, crush 50 gm of the bark with 300 ml of water. Boil in mild flame, and reduce it to 50 ml. Then drink it. This should be consumed in the morning and evening on an empty stomach. This has the potential to stop the excess bleeding. Use banana flower in cooking. It is also good to control uterine bleeding. Another option is using hormones given by a gynecologist, but that should be your last option. This drug gives only symptomatic relief, it does not reduce the fibroid uterus size. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23661, + "tgt": "Having vaginal infection, Is it safe to use metronidazole cream during breastfeeding?", + "src": "Patient: Hello Doctor, I am 38 years old and\u00a0I am\u00a0breastfeeding\u00a0my 1 year old child.\u00a0I have been diagnosed with bacterial\u00a0vaginal infection\u00a0and prescribed\u00a0metronidazole\u00a0vaginal cream daily at bedtime for 5 days. Is it safe for me to continue nursing while using that medication? Doctor: Hi. Consult a paediatrician online for further follow up regarding an alternative diet for your child during this period --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 3051, + "tgt": "My friend has delusions and nightmares of somebody raping her. How to help her?", + "src": "Patient: Hello doctor, My friend undergoes frequent delusions and nightmares about some men raping her. She is 20 years old now. When she was around 10 years old, she went to a wedding ceremony. She made friends with a boy much older than her. He took her to someplace on the very same day telling her something nice and all. Then she saw four to five boys standing outside a dark construction site. She fainted then and after that, she only remembers waking up. She says that all these are coming back now because she is curious about what happened to her that night. Her delusions and nightmares were triggered by a rape scene she was seeing in a daily soap recently which made her remember the incident. What is worse is that if she gets to know what happened that night, and if it is really something that bad, she might commit suicide or hurt herself. Recently while I was at her place, talking about these problems, suddenly she felt dizzy and sat down, and then she stared intently at the entrance for at least five minutes if not ten, after which again she was normal but she does not know any part of the time when she was looking at the door and thinking something. I am very much worried about her. Please I need some advice about what can I do about and how can I help her? She is in so much of pain. Please help. Doctor: Hi. It appears more of an anxiety spectrum disorder rather than an actual delusion. Which antianxiety drug was started on her and what was the response? She might respond to a small dose of Escitalopram 10 mg at morning and 0.25 mg Clonazepam at night, if there are severe nightmares there is also an option of Prazosin 1 mg at night, you could meet a local psychiatrist for these. I would recommend you to not actively talk about the rape thing to her or do any online therapy since it can make her focus too much on the topic. Try to distract her and keep her engaged. Yoga and muscle relaxation exercises can help. If there is a clinical psychologist near your area, she can be started on a cognitive behavior therapy but again I would recommend the above options before trying it out." + }, + { + "id": 3545, + "tgt": "Why do I feel lazy and sleepy the whole day?", + "src": "Patient: Hi doctor, I always feel sleepy and lazy. My height is 5 feet and my weight is 70 kg. I am also snoring while sleeping. I used to sleep 7 hours in night. Still I am feeling sleepy the whole day. Why? Please help. Doctor: Hello. Thank you for sharing your complain with us. For further information consult a general practitioner online -->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7792, + "tgt": "I am suggested to maintain my fasting glucose level below 95 as I am pregnant. Please help", + "src": "Patient: Hello doctor,Why is my fasting glucose always high? My range is 110 to 115. Doctors tell that I should maintain below 95 as I m currently pregnant. My afternoon and dinner values are within the range. Please help. Doctor: Hello. Traditionally soluble insulin is the agent of choice for uncontrolled DM (diabetes mellitus) or GDM (gestational diabetes mellitus) in pregnancy. Rapid acting analog insulin aspart is a safer choice along with diet and tolerable exercise. Diet and exercise are tried first. Nowadays, many of the guidelines allow Metformin in gestational diabetes. As you are obese with controlled postprandial glycaemic profile, Metformin could be given 500 mg at night after a meal along with diet and tolerable exercise." + }, + { + "id": 17216, + "tgt": "Do I need treatment for mild venous incompetence in penis?", + "src": "Patient: Hi doctor, I am suffering from erectile dysfunction. I had a few tests recently. I had a blood test to check male hormone profile and the result is as follows. Testosterone 1.77 ng/mL (range 2.70-10.20 ng/mL),\u00a0FSH 3.78 mlU/mL (range 1.7-12.0 mlU/mL),\u00a0LH 3.24 mlU/mL (range 2.0-12.0 mlU/mL) and\u00a0TSH 5.97 uIU/mL (range 0.3-5.0 ulU/mL). The color Doppler study of penis gave the impression as mild venous incompetence, cavernosal arterial diastolic flow fall between 5 to 7 cm/second in tumescence state and no flow reversal seen in cavernosal arteries. My\u00a0doctor said erectile dysfunction due to venous leakage and recommended medicine for four to five months.\u00a0Is this problem a completely curable one? Doctor: Hello. I can understand your concern and would like to tell you that though there is problem, but that can be corrected. There is no need to worry. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6747, + "tgt": "I would like to avoid conflicts with my fiance. Please help", + "src": "Patient: Hello doctor, I am a 28-year-old woman staying with my fiance in a live-in relationship. He is practical, and every parent would love to have him as a son. He is the one I can go to for the suggestion because I feel he will give me a better solution and he is perfect. He has a lot of friends where ever he goes, and I have a few. I feel lonely when he is not around me. So, we are getting married soon, and he is having his bachelor party, whereas I will not be having it as I hardly have any good friends. I am depressed as I know that in those days, I will be lonely again and that fear is creating a problem in our relationship. Thus we fight too. I do not know what to do. Please help. Doctor: Hello. It is common to see one partner being outgoing and having lots of friends while the other has a limited social circle. The best way to minimize conflicts in a relationship is to be open and talk regularly to prevent the development of any deep-seated resentments. Have a honest discussion with your fiance about how you feel. Talk when both of you are calm, avoid discussing these during heated arguments as it will not be helpful. It is important to give some space, even in close relationships. Both of you will find it beneficial to spend time with family and friends regularly. Try to gradually develop your friendship circle so that you do not feel lonely. It may take some time and effort, but can be managed eventually. Utilize opportunities to attend social events, birthday parties, weddings, etc., to expand your social network. Develop some interesting hobbies to keep you occupied. Even reading books will be helpful. If you prefer the company of animals, try getting a pet dog or cat. If problems persist in your relationship, you can seek counseling." + }, + { + "id": 1846, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: 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.\u00a0I 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.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6630, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: 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\u00a0annular bulging and tear? Doctor: 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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + } + ] +} \ No newline at end of file